Breast augmentation is one of the most popular procedures in plastic surgery. Patients love the procedure because it delivers immediate results with minimal down time. Silicone and saline are the two types of implants used in breast augmentation. Silicone is usually preferred in very trim patients with limited breast tissue, because silicone implants are less likely to be palpable in these trim patients with very little tissue to cover the implant. Dr. Struck usually recommends a submuscular implant placement, because the muscle both decreases the risk of capsule (firmness) and the muscle also provides more coverage of the implant making it less palpable. Dr. Struck also usually recommends smooth implants over textured because smooth implants are less palpable. Smooth implants do require message of the breast for about a month post operatively to prevent capsule formation. The the possible incisions for breast augmentation are below the nipple areola, in the armpit crease and in the inframammary fold below the armpit. Communication between the patient and Dr. Struck is critical during the breast augmentation consultation so that the best incision site, implant type and implant size can be chosen for each patient. After creating this plan, the breasts are sculpted to the desired size and shape during a one hour breast augmentation surgery done under general anesthesia. Many patients are enjoying the results of their surgery on the beach in new swimsuits as soon as 10 days after their procedure.
|Surgery Time||• one hour|
|Anesthesia||• General anesthesia|
|Return Home||• Same day|
• Seven days to return to work
• No lifting or exercise for two weeks
• Postoperative massage to prevent the implant from hardening
• No lifting for one week
Frequently Asked Questions about Breast Implants
Q: Do you place breast implants above or below the muscle?
A: In the vast majority of cases I place implants below the muscle, because I believe this gives you a softer result. The muscle action on the implant breaks up scar tissue around the implant that can result in hardness of the breast. In trim patients with limited breast tissue, the muscle also gives additional coverage for the implant, which make the breast feel more natural.
Q: Do incisions around the nipple result in decreased nipple sensation?
A: It is extremely rare to see decreased sensation of the nipple with this incision. The nerve to the nipple enters the breast in a predictable location and care is taken at the time of surgery to protect this nerve.
Q: Do you offer Silicone implants?
A: Yes. I am on an experimental protocol that allows me to use silicone in certain cases.
Q: When do you think Silicone is a better choice?
A: Patients who are trim with limited breast tissue are at risk for rippling when using saline implants due to the limited amount of tissue they have to cover the implant. In these cases silicone can give a more natural and softer result with decreased rippling.
Q: Do you recommend routine removal and replacements of implants every 10-15 years?
A: No. I only recommend removal if you are having problems with your implants or if they have deflated.