Breast augmentation is a surgical procedure to enhance the size and shape of a woman’s breasts. There are a variety of reasons that women choose to have this procedure. Most commonly, women choose breast enlargement to improve their contour when they feel that their breast size is too small. Another reason may be to correct a reduction in breast size after pregnancy or to balance a difference between breast sizes. Implants may also be used in breast reconstruction after mastectomy.
“The number of women who choose to have breast enlargement surgery performed each year has tripled in the past five years.”
Breast augmentation remains the cosmetic surgery procedure most often requested by women in their twenties and thirties. The number of women who choose to have breast enlargement surgery performed each year has tripled in the past five years. In all, there are over two million women who have had breast augmentations performed in the United States Hips enlargement. This is a safe, outpatient procedure and the majority of women who have breast enlargement are very happy. Breast augmentation can improve a woman’s appearance and boost her self-confidence.
“Saline breast implants are filled with salt water (IV fluid) which is safe and completely compatible with the body.”
In the past, breast implants have most commonly been filled with silicone. In 1992, the FDA restricted the use of silicone implants to breast reconstruction, such as after mastectomy. Although the scientific evidence supports the safety of silicone breast implants, the FDA allows only saline implants to be used for cosmetic breast augmentation. Saline breast implants are filled with salt water (IV fluid) which is safe and completely compatible with the body.
The evolution of the surgery for breast enlargement has created a number of choices which allows women to achieve the results that are most consistent with their own personal wishes and desires. Dr. Nein offers all his patients choices in breast augmentation.
The woman wishing to have a breast augmentation has a number of options and choices open to her. This gives her the best opportunity to achieve the appearance and result that she wants. These choices include implant style, placement, and size as well as incision location. Just as there are many different sizes and shapes of women, so are there a number of choices that can give each woman the best possible result.
Submuscular vs. Subglandular
One of the primary choices in breast augmentation is whether to have the implants placed “under” or “over” the muscle (submuscular or subglandular). This muscle is the pectoralis major muscle which lies over the rib cage and underneath the breast. It is the chest muscle that is commonly developed in weight lifters.
Traditionally, when the majority of implants were silicone, implants were most often placed underneath the breast gland and on top of the muscle. With the more common use of saline filled implants, it was noticed in women who were thinner or who had relatively little breast tissue to cover the implants, that there was a tendency to develop “rippling” or a waviness in the skin overlying the implant. This is especially true with the use of the “textured” or rough surfaced implants. In an effort to decrease the incidence of rippling and the potential for capsular contracture, there has been a move to place implants in the space beneath the pectoralis major muscle. Submuscular placement increases the padding overlying the implant offering more coverage and camouflage to the shape of the implant. Using this technique, rippling has become a rare problem.