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Breast Augmentation-Complications and Prices

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 Breast Augmentation - Breast Enlargement Phoenix, Scottsdale

 

 Many options are available to women today. Breast implant manufacturers have developed many styles, unique features, shapes and sizes of breast implants. The implant shapes can be round, oval or contoured. They may be high or low profile or in-between. The surface of the implants are traditionally smooth to the touch,  but can also be textured. The Implants are filled with either sterile salt water or silicone gel. Dr. Sacks can help you sort through all these options and decide on the one best suited for you.

Usually breast implants are surgically inserted utilizing one of four incisions:
-the inframammary incision, made in the skin fold below the breast
-the periareolar incision, made along the edge of the colored area around the nipple
-the transaxillary incision, made in the armpit.
-the trans-umbilical (through the belly button) method

All of these incisions allow the implant to be placed either submuscular (below the chest muscle) or subglandular (between the chest muscle and your breast tissue).

No one incision and placement is right for every woman.

If you are interested in learning more about breast enlargement or breast lifts, please call Arizona Cosmetic Surgery at (602) 277-1111. If you are outside of Arizona, please call (800) 765-2771.

Breast augmentation, also known as mammoplasty, is a surgical enhancement procedure to accentuate the size and shape of a woman's breasts. While breast augmentation will make the breasts larger, the surgery will not correct very droopy breasts.  Breast augmentation is  a tremendous help to patients who desire a fuller profile, who have lost breast volume due to pregnancy or nursing, or who have undergone breast reconstruction and want to gain a more natural look again 

Reasons for Considering Breast Augmentation:

  • Increase the size of the breast when too small for the body size. 
  • Increase breast volume after pregnancy and nursing.
  • Equalize a difference in breast size (cup size) to gain breast symmetry.
  • Reconstruct breasts following a mastectomy or injury.
  • Improve the appearance of the breast if there is slight sagging or lack of fullness in the upper portion of the breast.

General Procedure

Breast augmentation involves making a small incision to insert a breast implant into the breast area in order to enlarge the breast.  The surgery is commonly performed on an outpatient basis at a hospital or state-of-the-art surgical unit while the patient is under a general anesthesia and asleep.  There are several possible locations for the small incision that will be used for inserting the breast implant.  The most frequent technique utilizes an incision made in the lower portion of the breast.  Another technique, though less frequently used, involves making an incision in the armpit.  A third technique makes an incision around the areola (the darker skin surrounding the nipple).  Another technique uses an incision in the belly button, thus reducing the chance of scarring in the breast area.  The best technique will be decided together between the patient and Dr. Sacks during the consultation.

During surgery, the breast tissue is raised to create an open pocket under the breast tissue or beneath the chest wall muscle.  Inserting an implant behind each breast can increase a woman's breast size by one or more bra cup sizes.  Implants typically contain a saline solution (similar to saltwater) although other implants contain silicone gel.  In some circumstances, particularly those in which there is breast asymmetry (uneven breast size), an adjustable implant may be used to allow the surgeon to adjust the level of fill to attain breast symmetry and balance.  Surgery typically lasts from 1 to 2 hours.

Recovery Process

Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time.  A comfortable sports bra is  applied right after surgery to aid the healing process and to minimize movement of the breasts.  The specialized surgical bra will need to be worn for several weeks.  Patients sometimes report minor pain associated with the surgery.  This pain can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the directions given by Dr. Sacks after surgery.

Complications of Breast Augmentation (Enlargement)

  • Pain is usually moderate and helped by prescribed pain medication-take only as directed! The pain will decrease after a few days. Just follow Dr. Sacks directions which will be given to you at your pre-operative visit.
  • Bruising is usually very mild and also helped by ice packs. It causes the skin to be a little tender until it goes away.
  • Swelling  is usually temporary lasting usually for just a few days and is helped just like pain by applying ice packs
  • Infection is extremely rare as the patient is started on antibiotics prior to and after the surgery. In the most unusual event of  allergy or infection occurring, the antibiotic may need to be changed
  • Numbness if it occurs at all is almost always temporary but may take months to return to normal
  • Asymmetry is usually slight as every effort is made to achieve symmetry but may be a relection of marked preoperative differences.
  • Incision scar may at first be noticeable but usually fades out settles downto being almost un-noticeable.
  • Scar contracture or Breast contracture is due to changes in the shape or size of the  thin layer of scar tissue which forms around every implant. This change in the shape of the breast occurs in about 5-10% of cases and may be mild or may need correction by surgery. It also may make the breast more firm.
  • Implant rupture or leaking will vary in the way it  shows itself. If the implant is saline (salt water), then the size of the breast may change significantly and quickly. If the implant is silicone gel and ruptures then the size of the breast may not change much. If the patient sustains significant trauma to the chest and suspects that the implant has ruptured a test called an M.R.I would confirm damage or not. All implants have great warrantees that replace the broken implants and also pay for their replacement for 5-10 years.

Comparison between Silicone Gel Implants and Saline Implants

A. Chasby Sacks, M.D., M.B. B.Ch.., F.A.A.C.S., F.I.C.S.

In order to logically and fairly discuss which implant would be used in a particular patient, I feel it would be helpful to discuss the advantages and disadvantages of both Silicone Gel implants and Saline implants.

Advantages of Saline Implants

 Less expensive - At almost half the cost of Silicone gel implants, price is certainly a factor to be considered but spread over the many years that a patient has implants, I feel that other considerations are more important.

More adjustable - Because Saline implants are filled by the Surgeon at the time of surgery, they can more easily be fine-tuned to adjust the size when the patient has breasts that are not the same size or shape.

Less Fear Factor - Because the Saline implants are filled with sterile salt water (saline), some patients who are afraid of Silicone Gel implants are more comfortable with Saline implants. If the implant leaks or ruptures the saline is harmlessly absorbed by the body and passed out by the kidneys.

Disadvantages of Saline Implants:

Rippling - In patients who are very slender with very little breast tissue, saline implants may produce a situation where some ‘ripples’ or high and low waves in the skin may occur. These are especially seen at the side of the breast when leaning forward but may also be seen in the cleavage area. For this reason, saline implants are more commonly placed under the pectoral muscle, a flat muscle on the front of the chest thus avoiding the cleavage ripples.

Watery feel - Some patients have noticed that when they run, that the implants bounce more than they expected.

Heavier - Patients who have changed from Saline implants to Silicone implants state that the Salines felt heavier

Rupture - If the implants leak or rupture then almost all the fluid leaks out and is absorbed by the body tissue, leaving that breast much smaller. In certain circumstances where the patient is unable to get to surgery quickly to exchange the implant, this can be an embarrassing social situation.

Advantages of Silicone Gel Implants:

More Natural feel - Because Silicone has a Specific Gravity closer to that of breast tissue, the breasts feel a little more natural to the touch in most circumstances.

Much less rippling - Most patients with Silicone Gel implants do not have rippling. It is only in extremely thin patients with very little breast tissue, where there may be slight rippling, but this would have been worse with Saline implants. Patients who have Silicone implants have the choice of going under or over the pectoral muscle.

Lighter - Women who have changed from Saline implants to Silicone gels report a lighter feel to their breasts.

Less change when ruptured - Because Silicone is not absorbed by the body, when the implant leaks or ruptures, the silicone stays within the scar tissue- like lining of the pocket containing the implant. The patient then has more time to get to surgery to exchange the implant.

Disadvantages of Silicone Gel Implants:

More expensive - The cost of Silicone Gel implants is almost twice that of saline but spread over the many years of time that the implants are expected to be in place, this cost becomes less of a factor.

More Fear Factor - Although, after many years of testing, all implants have been declared safe to use by the Federal Drug Administration (FDA), some patients still are wary of Silicone Gel implants and decide to use Saline. Also for some very strange reason the FDA ruled that only women over the age of 22 years can get Silicone Gel implants and so women younger than 22 years old can only get Saline implants.

Rupture - When Silicone Gel implants rupture, this is most efficiently detected by a test called MRI (Magnetic Resonance Imaging). This can be an unwanted expense if the patient does not have insurance. At the time of surgery the ruptured Silicone Gel must be carefully removed by the Surgeon, but this is easily accomplished.

 

 Summary of Silicone Gel Implants versus Saline implants:

If the patient has sufficient breast tissue and body fat then Silicone Gel or Saline implants can be used very successfully either over or under the pectoral muscle at the Surgeon’s discretion.

If the patient is very thin with very little breast tissue, then Silicone Gel implants are preferred and should definitely be placed under the muscle.

 

 

Price of Breast Augmentation (Enlargement)

             There is a range of prices depending on which implants are used as silicone gels are more expensive than saline implants and there are also choices to be made about anesthesia  which effect the price.

              The price ranges from $5500 to $6500

              Financing  for surgery may be available to you and Dr. Sacks' staff can help you with this option

                  If you would like to schedule a free consultation with Dr Sacks, call 602-277-1111.

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