Breast augmentation is one of Dr. Douglas Steinbrech’s most requested cosmetic procedures. It uses breast implants to increase the size and shape of the breasts by one or more cup sizes. This improves the look and feel of the breasts, improves their symmetry, and makes them more proportional the rest of the body. Dr. Steinbrech is an expert at creating natural-looking comfortable breasts to help improve your self-esteem and confidence in your breasts.
Are All Breast Augmentations the Same?
Breast augmentations are not all the same because not all patients are the same. They have different bodies, different goals, and different needs. Some women simply want larger breasts. Some patients need their breasts to be more symmetrical or to have a better shape. Others need their breasts reconstructed after surgery or a medical condition. Breast augmentation can be customized for each patient to help them reach their goals and cater to their individual body needs. In breast implant surgery, the implants used can also vary in size, material, and placement.
Implants Used in Breast Augmentation
Saline and silicone implants are the two implants used by Dr. Steinbrech. Saline implants are empty when they are placed in your chest, then they are filled with a saltwater solution until they reach the desired size. The silicone implants looks like a plastic bag, but the outer shell is made of a tough silicone that helps the implant maintain its shape and size. These come in different sizes that can be a variety of sizes, depending on how much saline solution you need.
Silicone breast implants are made of an outer shell and filled with silicone gel. Unlike saline implants, these are premade to the appropriate size and shape before they are placed in your chest. Silicone breast implants were taken off the market in the 90s by the FDA, but they have since been approved for breast augmentation surgery and are considered to be even safer than before.
Choosing the Right Implant
Both types have been tested and proven to be very safe and reliable for breast augmentations. Saline implants are generally considered less risky than silicone implants because the saline solution can be absorbed by your body in the event of a rupture. The breasts also feel more firm and are a little bouncier with saline implants.
Silicone implants are generally thought to look and feel more natural than saline implants because they are smoother and don’t ripple. They are considered more risky since the body can’t absorb silicone in the event of a rupture. However, the silicone gel used in the breast implants is thick in consistency, which will prevent the gel from flooding your body if the implant ruptures.
Dr. Steinbrech discusses Breast Augmentation
Which Size Implant Do You Need?
Implant sizes are based on volume and measured in cubic centimeters, also known as “ccs”. To give you a point of reference, one cup size is approximately 100-150 ccs. Implants can range in size from 150-800 ccs, but most implants are made to hold about 400 CCs of material.
When you’re considering which size to choose for your implants, it’s important to keep in mind that you want your breasts to be proportional to the rest of your body. Implants that are too large will make it obvious that you’ve had surgery, while implants that are too small won’t make a significant impact on your appearance. You can come to your consultation with an idea of how big you want your implants to be, or you can let your doctor help you determine that.
The Breast Augmentation Procedure with Dr. Steinbrech
The breast augmentation procedure uses general anesthesia and takes Dr. Steinbrech about two hours to perform. Incisions for the procedure may be made on the underside of the breast where the tissue creases, up the underside of the breast and around the areola, and in the armpit. These locations help keep the scars hidden after your recovery.
Where the Implant Sits
After the incisions have been made, the implants can be placed inside your chest. There are two placement options for patients. One option is to place the implant under the pectoralis major muscle inside your chest, which is known as submuscular placement. The other option is to place the implant between the existing breast tissue and the muscle, known as the subglandular placement.
Submuscular placement is generally considered to be more natural-looking because you have more of your body’s natural tissues on top of the implant. For patients who have especially small breasts prior to a breast augmentation, this is particularly advantageous. Submuscular placement also provides better support for the implant and reduces your risk of capsular contracture.
Placing the implant beneath your muscles is a little more invasive and will require more time for the recovery process. There is also a limit to the size of the implant because your muscles can only cover so much space without getting damaged. For patients with especially muscular bodies, that space is limited even further.
Subglandular placement, on the other hand, allows for larger implants because the implant sits on top of the muscle. This position gives the implant less distortion as your body moves and your muscles flex. The implants can also sit higher on your chest to give you a perkier look. Because the implant sits on top of the muscle, the procedure is less invasive and requires less recovery time.
Both placement options are safe and reliable, so choosing which one to use for the procedure will depend on your body type, the size of the implants you want, and the overall musculature of your chest. After the implants have been placed and secured, the incisions are closed with stitches.
Patients can expect to be sore and possibly swollen for the first couple days after the surgery. Pain medication and ice packs will help manage the worst of the discomfort. Keeping your upper body elevated as much as possible when you’re sitting or lying down will help keep the swelling to a minimum. Some patients may also require drainage tubes for the first two or three days to prevent fluid buildup.
Each day, it will become easier to get around. The worst of the pain and swelling will also decrease over time. The total amount of time needed to recover from breast augmentation will vary from patient to patient, but most are able to return to work and light activity about a week after the procedure. Any stitches used to close the incision are removed after the first week to ten days.
It can take months or even years for your body to heal completely, but it won’t take nearly as long for you to fully enjoy the benefits of your new breasts.
Breast Augmentation Complications
The risks and complications associated with breast augmentation surgery include infection, injury to your normal breast tissue, capsular contracture (where the body tightens up the normal breast tissue around the implant, causing an uneven or irregular appearance), implant rupture or rejection, changes in nipple sensitivity, and changes in milk production if you are breastfeeding.
The likelihood of any of these occurring is minimal. Some complications are more dangerous than others, however. For example, if you have a saline implant that ruptures, the saline solution can just be absorbed by your body without causing serious harm. On the other hand, a silicone implant that ruptures requires immediate medical attention.
It’s important to keep an eye on your breasts as well as the rest of your body after surgery. If you notice any problems or have any concerns during your recovery, you should schedule a follow-up visit with Dr. Steinbrech located in New York City.
Breast Augmentation Consultation with Dr. Steinbrech
Patient consultations are a time for you to meet with Dr. Steinbrech and talk about the procedure. You can explain what you’re hoping to get out of your surgery and learn about your different options. Dr. Steinbrech will do a physical examination of your breasts to check out your existing soft tissue and create a plan to help you reach your goals. He will discuss your surgery in detail and help you decide between your different options. You can also ask questions and voice any concerns you have about the procedure. Your consultation is important in getting you ready for your breast augmentation and gives you the opportunity to learn more about Dr. Steinbrech.
To schedule a patient consultation with Dr. Steinbrech, call (212) 750-0070 or fill out the contact form on this page.