4701 Bee Cave Rd #202
West Lake Hills, TX 78746
512-957-0400

Breast Augmentation – (Breast Enhancement Surgery) – Greater Austin, TX *

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Overview

The board-certified plastic surgeons at Austin Plastic Surgery Institute have performed more breast augmentation surgeries than any other surgeons in Austin, TX. Women decide to have breast augmentation for many reasons; such as when weight loss has drastically reduced the size and altered the shape of the breasts, when the breasts have become smaller and lost firmness after having children and breastfeeding, when one of the breasts is significantly smaller than the other, or if you simply feel self-conscious and wish for larger breasts.  This is when breast augmentation might be the right choice for you. This cosmetic procedure uses breast implants to enlarge and reshape the breasts. Patients who undergo breast augmentation surgery can improve their self-image and often their self-confidence, as well.

You may be a good candidate for breast implants if you desire larger or fuller breasts or if one breast is noticeably smaller than the other. Candidates for breast augmentation may also have the following traits:

  • You are in good physical health
  • Your expectations are realistic
  • Your breasts have already fully developed
  • Your breast or breasts have not developed normally
  • You feel your breasts are too small
  • Your breasts have varying shapes or sizes
  • You are dissatisfied with the shape of your breasts after pregnancy, aging, or weight loss

 

Implant Selection

If you have decided to undergo a breast augmentation with Austin Plastic Surgery Institute, the next step will be to select the type of breast implant that best suits you. If you are not familiar with the different types and sizes of breast implants, here is some information that we hope will be helpful during the breast implant selection process.

  • Breast implants come in many shapes and sizes, including:
  • Implant Shape: round or shaped
  • Implant Surface: smooth or textured
  • Implant Size: between 120 cc and 850 cc
  • Implant Filler: saline or silicone
  • Implant Profile: amount of protrusion (high, medium, low profile)

Saline VS. Silicone

Breast augmentation patients seek to improve their breast shape and size. Some hope to restore their breasts to a pre-pregnancy or pre-weight loss size and shape, while others are younger and simply want larger breasts to feel more confident and be able to wear things that they currently don’t feel comfortable in. In some cases, the patient may need a breast lift to treat sagging.

Breast implants are the most studied medical device used today. While the first implants were placed in the 1970s, there have been countless improvements to extend longevity and the most recent implants are a 4th generation product. The shell of the implant is now more durable and the internal silicone gel is now more cohesive; like a gummy bear so there is no leakage. Another key aspect of breast augmentation is the surface of the implants. With few exceptions, all of the implants placed have a smooth round shell and are filled with a cohesive silicone gel.

The shape, volume and profile of the breast implant placement are all important factors to acknowledge because each can significantly alter the appearance and results. Austin PSI’s highly skilled plastic surgeons will make the proper surgical decisions regarding placement and incision. We have the Vectra 3D imaging that allows us to construct a simulation of your expected results using different size and types of implants. This takes away the “leap of faith” part of it because now the patient will be able to confirm that the simulation is what they are seeking. For those considering a breast lift at the time of their augmentation, the simulation can show this too.

Saline Breast Implants

Saline breast implants became popular in the 1990s when there was a scare about silicone. They are filled with a sterile saltwater solution and offer no risk to the patient in terms of extracapsular spread. The deflation rate is about 10% and occurs without warning. In some patients, silicone may be a better option due to the rippling that may occur along the edges of the saline implant that can be visible in thin-chested women. Patients considering saline implants must be at least 18 years of age. For those with saline implants that are considering a revision, the implant can actually be deflated in the office and then the breast will go back to its native form. This can allow the patient to explore options of a new implant using the Vectra 3D imaging, a breast lift (mastopexy), or possibly even fat grafting. Some patients might elect to not replace their implants because they have more breast tissue now than they did at the time of their augmentation.

Silicone Breast Implants

Silicone breast implants are filled with a gel substance that looks and feels similar to natural breast tissue. Silicone implants are specially engineered so that if the shell should become compromised (a surface crack), the silicone will remain intact within the implant (known as cohesive gel implants). Silicone implant defects are rare and can only be found through an MRI, unlike saline implants which will deflate. Patients must be at least 22 years of age to receive silicone implants. Silicone implants have the lowest rate of capsular contracture and also the lowest rate of reoperation. In addition to looking and feeling more natural than saline, they are the safest implant made.

Product Information

Manufacturers

  • Saline: MENTOR® or Allergan (branded as Natrelle®)
  • Silicone:  Allergan (branded as Natrelle® Gel), Mentor (branded as MemoryGel®) and Sientra, known simply as Silicone Gel Breast Implants

Profiles

An implant profile depicts the distance the breast will project forward from the chest wall. Implants are made in low, moderate, high and extra high profiles. This goes from the least projecting (flattest) to the most projecting (roundest)

Shape

Breast implants come in two shapes. Round implants tend to offer more fullness on the top of the breast, while teardrop implants are touted to mimic the shape and look of natural breasts. Round implants are almost exclusively used by APSI surgeons.

Texture

Breast implants are made with a smooth or textured surface. Round implants can be chosen with either surface, while teardrop implants are made with a textured surface only.  Only smooth round implants are used by our surgeons. 

Implant Placement

  • Submammary (Subglandular):  Under the mammary gland, over the muscle      
  • Subfascial (Retrofacial):  Under the fascia of the muscle       
  • Dual Plane:  Along two planes/layers
  • Submuscular (Retromuscular):  Mostly under the muscle
  • Complete Submuscular (Full retromuscular):  Completely under the muscle

Incision Type

  • Inframammary:  The incision is made in the breast crease where the breast meets the torso and is the most commonly used approach for our surgeons and across the world. It has the least amount of associated complications. 
  • Periareolar:  The incision is made just under and along the areola
  • Transaxillary:  The incision is made in the armpit
  • Transumbilical:  The incision is made in the belly button and is not done by APSI surgeons due to high complication rates. 

During/After Surgery

Breast augmentation is performed under general anesthesia in an accredited surgical facility and typically takes less than 1 hour to complete. It is considered an outpatient procedure. After surgery, patients will need to take it easy for a couple of days, but will be encouraged to move around to avoid getting too stiff in their pectoralis muscles. As the skin adjusts to the new breast size, it is normal to feel tightness in the chest area. Patients may resume their normal exercise routines within 4-6 weeks. It typically takes around 2 months for the breasts to fall into their final position, but could be longer for larger implants. The result is a soft and natural looking breast appearance.

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Average Cost  
From $4,900
Recovery Time  
2-3 days
Post-op Follow-up  
3 weeks
Procedure Recovery Location  
In & Out-Patient
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Breast Augmentation FAQs

Is Silicone Safe?

Patients sometimes have concerns about the safety of silicone breast implants because of the attention they received in the media years ago. However, the FDA did approve their safety. In addition, no evidence has ever been found to link silicone breast implants to cancer, auto-immune deficiency disease, or any other illness. Ultimately, 62% of today’s breast augmentation patients choose silicone over saline. For reconstruction cases, they choose them 3 times more often. 

Breast Aug or Lift?

Breast augmentation will help with size, but it will not correct sagging. If you are happy with the shape and laxity of your breasts, then implants alone may meet your cosmetic goals. If sagging is what is most bothersome to you, then you may be considered for a breast lift. During your consult, we will determine if you are better suited for breast augmentation, a lift, or a combination of the two.

Risk of Rupture?

Modern engineering creates strong and durable implants. With proper care and regular check-ups, the risks for rupture are rare. If a saline implant does rupture, the solution will be absorbed by the body and the implant will deflate, becoming visibly noticeable. If a silicone implant ruptures, the cohesive gel will stay intact and will not leak into the body. An MRI will be necessary to detect a silicone defect. 

How Long do They Last?

Most implants will last about 10 to 15 years. Some can last even longer. If there is no rupture, leakage, deflation, or any other visible defects (such as rippling), then there is no need to change the implant or have any type of secondary surgery.  

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.