Brookline,Boston Breast Augmentation Surgeon
Breast augmentation can enhance a woman’s shape and proportions and make her feel more confident about her overall physical appearance. If you are considering having breast augmentation, there are important choices you will have to make that will make a big difference in your overall satisfaction of the final results. Once you have decided to have breast implants placed, the next question is, “how big?” and do you opt for silicone or saline implants? Too small and you may not be satisfied with the results, too big and there can be complications that result in you eventually seeking out breast augmentation revision surgery.
Breast augmentation revision is usually a combination of removing the breast implants that are too large and replacing them with smaller ones, and then performing a breast lift to deal with the stretched skin. As a plastic surgeon, I often perform breast augmentation revisions on petite women who didn’t realize the size they selected was too large, (think Heidi Montag). In many cases, the cosmetic surgeon who placed the original implants, didn’t warn her of the complications she would likely face with her selection. I mostly see this problem with women who selected saline breast implants. Women who choose saline implants that are too large for her frame soon realize they are uncomfortable and look too big. Many times, the original augmentation was performed by a “discount” cosmetic surgeon rather than a Board Certified Plastic Surgeon.
Here are the five main points to understand about choosing large breast implants, especially if you are a petite woman:
1. Large implants look disproportionate and make the patient look unbalanced.
2. Large implants in small women make them look fat in their clothes and top-heavy.
3. Large saline implants create more fitting of the skin and more wrinkling and rippling.
4. Large saline implants cause more dissent of the implant overtime and therefore more sagging.
5. Large saline implants, because they cause thinning of the skin, feel like a water-bed.
It is true that some of these changes could happen with large silicone breast implants of equivalent size, however, they are more pronounced with saline breast implants.
To solve this issue and create a more balanced look for each of these women, I removed the larger implants replaced them with an appropriate sized silicone breast implant and then designed the breast lift over this new implant. As I’ve written before, you can make preliminary markings before the surgery but the actual proof is in the operating room. With the new breast implants in place, temporary sutures are placed on the outside of the skin without any incisions and the breast is tailor tacked to the appropriate shape. This process may take several tries until we are able to achieve the ideal shape. At that point, the extra skin is removed and the breast is tightened and lifted.
Breast revisions are never an easy operation but they are very satisfying one for both the patient and the doctor. The difference in comfort, aesthetics, and self-image are amazing. Every single patient that I have converted from saline to silicone implants has commented on how much better they feel. The average breast implant should last 20 to 30 years but if you have a result that you are not happy with, there is no reason to wait that long to change it.
Of course, the best option would have been to choose the right size breast implant from the very beginning. This is why at Advanced Concepts in Plastic Surgery of Sacramento, I discuss the downside of choosing breast implants that are too large in the first place and in some cases I refuse to place implants that I know the patient will be unhappy with even if she wants them. With this approach, I rarely have to remove implants that I placed and my patients are happy with their results.
Dr. Andrew Kaczynski, of Advanced Concepts in Plastic Surgery, has been a Board Certified Plastic Surgeon for over 25 years. Visit his Website to learn more about breast augmentation and other breast surgery options.
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