Breast Augmentation Surgery Performed in Scottsdale, AZ
Breast augmentation can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or create completely symmetrical breasts. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.
The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look.
Types of Breast Implants
A breast implant is a silicone shell filled with either silicone gel or a salt-water solution known as saline.
All Breast Implant Surgery carries some uncertainty and risk
Breast augmentation is relatively straightforward. But as with any operation, there are complications associated with this procedure.
As with any surgical procedure, excessive bleeding following the operation may cause some swelling and pain. If excessive bleeding continues, another operation may be needed to control the bleeding and remove the accumulated blood.
A small percentage of women develop an infection around an implant. This may occur at any time, but is most often seen within a week after surgery. In some cases, the implant may need to be removed for several months until the infection clears. A new implant can then be inserted.
Some women report that their nipples become oversensitive, under sensitive, or even numb. You may also notice small patches of numbness near your incisions. These symptoms usually disappear within time, but may be permanent in some patients.
There is no evidence that breast implants will affect fertility, pregnancy, or your ability to nurse. If, however, you have nursed a baby within the year before augmentation, you may produce milk for a few days after surgery. This may cause some discomfort, but can be treated with medication prescribed by your doctor.
Occasionally, breast implants may break or leak. Rupture can occur as a result of injury or even from the normal compression and movement of your breast and implant, causing the man-made shell to leak. If a saline-filled implant breaks, the implant will deflate in a few hours and the salt water will be harmlessly absorbed by the body.
If a break occurs in the more recent advanced gel implants, the gel will stay within the breast pocket. Often, there will be a capsule that the body forms around the leaking gel. The gel material is pretty firm and will likely not leak to surrounding tissue like the older version. There may be a change in the shape or firmness of the breast. Any break will require a second operation and replacement of the leaking implant.
A few women with breast implants have reported symptoms similar to diseases of the immune system, such as scleroderma and other arthritis-like conditions. These symptoms may include joint pain or swelling, fever, fatigue, or breast pain. Research has found no clear link between silicone breast implants and the symptoms of what doctors refer to as “connective-tissue disorders” and the gel implants Dr. Lille utilizes in his practice are FDA approved.
While there is no evidence that breast implants cause breast cancer, they may change the way mammography is done to detect cancer. When you request a routine mammogram, be sure to go to a radiology center where technicians are experienced in the special techniques required to get a reliable x-ray of a breast with an implant. Additional views will be required. Ultrasound or MRI examinations may be of benefit in some women with implants to detect breast lumps or to evaluate the implant.
In addition, there is a chance for implant exposure through the incision. The treatment can include closing the wound in an uncomplicated case or replacing the implant in a delayed approach.
The chance of all these complications are very small.
Capsular Contracture is not a complication but a risk. It is likely caused by a trigger effect from bacteria or blood on a gene that produces excessive scarring around the implant causing a misshapen and firm breast. The treatment is surgically removing the omplant and the scar and replacing it with a new implant.
Planning your Breast Augmentation (Implants) Surgery
In your initial consultation, Dr. Lille will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, your doctor may also recommend a breast lift.
Preparing for your Breast Augmentation (Implants) Surgery
Dr. Lille will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.
While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed. Picking the size of the implant will depend on the looseness of the breast skin and the width measurements of the breast. Final size choice will be made by the patient within the anatomic range chosen by Dr. Lille
Types of anesthesia for Breast Implant Surgery
Dr. Lille utilizes general anesthesia, so you’ll sleep through the entire operation.
The Breast Augmentation (Implants) Surgery
The method of inserting and positioning your implant will depend on your anatomy and Dr. Lille’s recommendation. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or endoscopically in the armpit. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.
Working through the incision, the surgeon will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples.
You’ll want to discuss the pros and cons of these alternatives with Dr. Lille before surgery to make sure you fully understand the implications of the procedure. The surgery takes less than an hour to complete. Under the skin stitches are used to close the incisions. A gauze bandage may be applied over your breasts to help with healing.
After your Breast Augmentation surgery
You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your doctor.
Within several days, the gauze dressings, if you have them, will be removed, and you may be given a surgical bra. You should wear it as directed by Dr. Lille. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades.
Getting back to normal after Breast Augmentation Surgery
You should be able to return to work within a week, depending on the level of activity required for your job. Return to the gym will be around 3 weeks, although returning to a running regime will be around 6 – 8 weeks. Implants take approximately 3 – 4 months to settle.
Your new look after Breast Augmentation Surgery
For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance.
Regular examination by your plastic surgeon and routine mammograms for those in the appropriate age groups at prescribed intervals will help ensure that any complications, if they occur, can be detected early and treated.
Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you’ve met your goals, then your surgery is a success.
Before & After Patient Photos
Breast Augmentation Q&A
Q: What implants are available for breast augmentation procedures?
A: Dr. Lille uses two types of implants, saline and silicone.
Q: What are the advantages of a saline implants?
A: The are several advantages of saline implants. First, you know when the saline implant ruptures. In addition, they are less expensive and you can achieve slightly more volume symmetry between the breasts.
Q: What are the disadvantages of saline implants?
A: Saline implants have a greater rate of rupture, approximately double compared to silicone implants. They also don’t look as natural as silicone implants and have a greater potential for rippling.
Q: What are the advantages of a silicone implants?
A: Silicone implants look more natural than saline implants. They also feel more like a real breast with less potential for rippling and have a lower rupture rate, 8-13%. The majority of patients choose silicone implants and love their results!
Q: What are the disadvantages of silicone implants?
A: Silicone implants are more expensive than saline and the patient may not know when it ruptures. In addition, with larger volume implants they are heavier than their saline counterparts. Remember, the rupture rate is low and studies have proven that they are completely safe, even if they rupture. If a saline or silicone implant ruptures, it will require surgery.
Q: What are the different incisions used in breast augmentation surgery?
A: There are typically three different incisions: the axillary, the peri-areolar and the infra-mammary fold which is the fold underneath the breast. Dr. Lille prefers the infra-mammary fold because it is associated with the least amount of complications.
Q: Are the implants placed above or below the muscle?
A: Implants can be placed either above or below the muscle. Implants placed below the muscle have more camouflage over the implant and look much more natural therefore, Dr. Lille prefers to place the implants below the muscle. The exception would be for body builders who cannot have implants below the muscle.
Q: How is the size of the implant chosen specifically for me?
There are several important considerations in choosing the implant size. Detailed measurements are performed on the breast canvas and the elasticity of the breast skin is assessed. There is a range that is chosen based upon these measurements and the patient can choose within that range.
Q: Is there any pain associated with the procedure?
A: The is some pain, however, it is very manageable. Patients are given pain control pills for their post operative recovery. In addition, Dr. Lille places a special pain cocktail into the breast pocket during the time of surgery which significantly reduces discomfort within the first six to eight hours after surgery. Patient’s that are young and have very tight skin tend to have more discomfort than those that have looser skin.
Q: What is the recovery time following breast augmentation surgery?
A: Patients do not usually return to a desk job for one week. They are not allowed to return to the gym with full upper extremity workouts for a full three weeks. Running, bicycling and hiking should be refrained for six to eight weeks and swimming can be resumed at approximately six weeks. It takes approximately a full three to four months for the implants to settle and the vast majority of swelling will be resolved by that time.
Q: What is Dr. Lille’s complication rate?
A: Dr. Lille is considered a true expert and has performed over 3,000 breast augmentation surgeries in his 18 years of private practice and his overall complication rate is under 1%.
Q: My friend has a 350 cc implant and I like the way they look, should I get a 350 cc implant?
A: Everyone’s canvass, that is their breast width and size and dimensions, are different from one person to another. In fact, one breast is always different in characteristics compared to the other side. As such, an individual that has a certain amount of volume or cc’s in one patient will not look the same as another; and therefore, all people must be individually evaluated to the minute detail to determine which size implant will be optimal for their canvas.