Call it the Kardashian effect: Today, everyone wants to talk about butt lifts, injectables, implants, and of course, dermal fillers and Botox. There's also a lot of discussion surrounding nonsurgical treatments to melt away or freeze off fat. But in an age when posting personal cosmetic treatments has become the norm, why isn't anyone talking openly about?breast augmentation? Though doctors are witnessing a rise in patients' requests for noninvasive aesthetic procedures, breast augmentations are still among the most popular surgical procedures. Over a quarter million breast augmentation surgeries were performed last year, according to the American Society of Plastic Surgeons. That number is up by almost 30% since 2000, so it's clear that women are still seeking bigger breasts. At the same time, however, we have also noticed an increase in women wanting smaller implant sizes (i.e., more C-cups than DD-cups). Throughout the United States, medium to full-size B cups are starting to trend as well. The desire for a more natural look is clearly driving this shift in preferences. At Aristocrat Plastic More young women are requesting a subtle, rather than obvious, change in their breast size.New technology is also helping to facilitate this change. Today, patients have a number of different implant types to choose from. One of the most promising new varieties of implant, gel implants, are discussed below:
The gummy bear revolution"Gummy bear" implants represent an important advancement in silicone implant technology. While the technology has been around for approximately three decades, this type of implant is a recent revolution in the United States. It's only become available here within the last five years. To give you an idea of what "gummy bear" implants are like, visualize an implant full of a cohesive silicone gel that would retain its form if cut in half. How is this possible? To put it simply, the silicone inside the implant has a higher amount of crosslinking. It holds its shape better, and it won't wrinkle or ripple as much, increasing volume near the cleavage. If the implant were to rupture or leak, the gel won't seep into the body. That last bit is critical since ruptured or leaking implants can cause complications that need additional surgery. That's why doctors once recommended replacing your implants every decade. The new cohesive gel implants have a rupture rate of 2.6 percent over nine years, significantly decreasing the need for replacement. The gel is usually soft and natural to the touch, but some implant manufacturers make them stiffer than others. To get a full picture of what gel implants are like, you'll need to book a consultation and handle them in person.
Quick recoveryWhile breast augmentation is considered to be a major surgery, under-the-muscle breast augmentation is minimally invasive and therefore does not require an extensive healing period. An experienced plastic surgeon can create a breast pocket for the implant with extreme precision, dramatically reducing post-surgical bruising, bleeding, pain, and inflammation. Furthermore, under-the-muscle placement usually yields more natural results, particularly when working with gel implants. Many patients report a reduced need for opioid painkillers after expediently performed under-the-muscle breast augmentation. They also typically experience less scarring after healing is complete and rarely request revision surgery. As such, we strongly recommend under-the-muscle breast augmentation to the vast majority of our patients. There are, of course, some exceptions. Women who naturally have a substantial amount of breast tissue may experience better results with over-the-muscle implants, for instance.
To lift or not to lift, that is the questionFor most patients, planning breast augmentation surgery is fairly straightforward. However, if you are older (over 40), have had multiple pregnancies, or have lost a significant amount of weight, you may need to plan for a?breast lift?as well. If a patient has minimal breast sag and minimal excess (but good quality) skin, then implants alone can provide the lift needed without additional surgical lifting. This is particularly true when the implants are being placed below the muscle. If the patient has minimal sagging, then placing the implant under the breast will ensure perky, natural, and firm results. If the patient has poor skin quality, stretch marks, too much sagging skin, low-resting nipples, or there appears to be a disengagement between the skin, gland, and chest wall, then a lift is mandatory to achieve the best cosmetic outcome. While most women who fall into these categories are older, some young women do as well. As stated above, if you have had multiple pregnancies, chances are high that the repeated expansion and contraction of the breast tissue has resulted in loose skin, stretch marks, and the loss of breast volume (especially in the upper portion of the breast). Women under 40 who have lost a significant amount of weight also frequently struggle with flat, drooping breasts. If you have battled obesity in the past, you will almost certainly need a breast lift along with implants. Mastopexy incisions vary based on certain variables. It is therefore important to have a detailed discussion concerning incisions during your consultation in order to ensure the best breast augmentation outcome. Understanding the relationship between the skin, the breast glands, the muscles, implants, and chest wall is critical. Some surgeons avoid combining breast lift and augmentation surgery owing to the added complexity this represents, but in the long run, mastopexy augmentation tends to be less stressful and more cost-effective. Combining breast lift and breast augmentation into one single procedure is easier for the patient and more likely to result in a successful outcome. It's important to understand that combined lift and augmentation surgery must be performed by a skilled, experienced surgeon. While combined lift and augmentation surgery has many benefits for the patient, it's more challenging for the cosmetic surgeon. Lift and augmentation surgery requires extensive knowledge to complete correctly, otherwise, complications may arise during healing.
Combination of lift and augmentation is just as safe as single SurgeryNo surgery is without risk. With that being said, however, combining breast augmentation with a breast lift can be as safe as a single-procedure surgery, as cited by?Plastic and Reconstructive Surgery. Moreover, in addition to being able to address the various aesthetic issues described above, augmentation-mastopexy surgery confers a number of unique benefits. There are many reasons, both cosmetic and reconstructive, to combine these breast surgeries:
- There is less scarring
- There is less removal of skin
- The implant helps fill out the breast and improves its overall appearance so that less lifting is needed
- Combining surgeries is less expensive than having both surgeries separately
- Combining surgeries can reduce overall recovery time