Breast augmentation is a cosmetic procedure that is intended to improve the size, fullness, and shape of the breasts. Many women also use breast augmentation to enhance balance and symmetry between the breasts. Dr. Holzman utilises the most advanced techniques available to achieve a natural-looking result that provides a proportional and appealing outcome. Each treatment plan is customized to ensure the optimal result, from incision location to implant shape and style.
The most important factor is that you are in good overall health. Other considerations will depend on the individual. Women should be 18 years of age or older for saline implants and 22 years of age or above for silicone implants. You should have reasonable expectations for the outcome and be able to complete all guidelines during recovery to achieve the desired result. We will discuss with you what to expect at every stage of treatment so you are well-informed, and we will monitor you following surgery to provide the best care possible from start to finish.
There are two basic types of breast implants: saline and silicone. Both are approved by the US Food and Drug Administration (FDA) and both have proven effective at bringing patients successful breast augmentation, breast lift, and breast reconstruction results. The types of breast implants available at our practice come in hundreds of sizes and shapes. More recently, the density of the silicone gel implants is being altered so that now there are several different options, depending on certain patient factors. Dr. Holzman will work with you to find the optimal implant to meet your goals.
In 2006, the FDA approved silicone breast implants for use in breast augmentation procedures for patients over the age of 22. Silicone implants are made of a silicone outer shell containing a silicone gel. This type of breast implant can often feel more natural than its saline counterpart, and there are fewer instances of rippling with silicone implants. However, silicone implants typically require a larger incision for placement. If a silicone implant ruptures, it is less noticeable than a saline implant, as the silicone ones do not lose volume, so you will remain the same size. Patients can develop capsular contracture after breast augmentation and may experience a change in the shape and firmness of the implant, which can cause symptoms such as pain and asymmetry. Patients who have silicone breast implants should have their breasts checked regularly to make sure they are without problems, and they should not hesitate to call their doctor if they feel something may be wrong with the implant. Women of the appropriate age should still get mammograms regularly to check the breast tissue.
Saline breast implants were the most common type used in breast enlargement surgery but now have been replaced by silicone implants. Saline implants are composed of a silicone outer shell and are filled with a sterile salt-water solution. Saline breast implants are not pre-filled before insertion – they are empty when placed into the breast pocket and are filled later during the procedure. This is advantageous in that the incision made for placement is often smaller, which typically results in less scarring. One disadvantage of saline implants is they can cause the appearance of rippling under the breast in some cases. Dr Holzman rarely uses saline implants because he feels that they give a less than satisfactory outcome and have a noticeably shorter life span than silicone implants. Saline implants are less expensive than silicone, but they need to be replaced via breast revision more frequently, so over a lifetime they may end up costing more that a silicone implant.
In most cases, there are usually shapes of breast implants that will almost seamlessly match the diameter of your breasts. They come in round and teardrop shapes, and the size will ultimately depend on your breast augmentation goals. Additionally, silicone implants come with gel of varying firmness, which produce breasts that have a decreased chance of rippling. We will review all of your options during your first appointment.
Both round and teardrop implants can provide a natural-looking outcome, depending on the silhouette of the woman and her body proportions. Round implants, as the name suggests, are circular in shape. Round can provide more fullness in the upper pole, creating beautiful cleavage in clothing. Since they are the same shape all around, these implants can rotate or move without issues of symmetry. Both saline and silicone implants come in round shapes.
Also known as “anatomical,” teardrop implants have a natural breast shape to start with, with a larger lower pole than round implants. Almost all teardrop implants are silicone and made of cohesive gel material. Furthermore, they are considered to be more durable than round implants of either material. The risk of rotation is small, but if it occurs, it would be noticeable due to the difference in shaping. Teardrop implants are often recommended in particular for women with thin skin and minimal existing breast tissue to achieve a more natural final appearance.
A good way to achieve a look that appears natural and beautiful is to choose a size of implant that adds volume to the bust line while looking proportionate to the rest of your body. Dr. Holzman will show you a variety of implant types, sizes, and shapes to help you get an idea of your options. It really takes some experience from the surgeon in a personal consultation to help you select the best implant for you. Feel free to bring your vision to Dr Holzman as far as the amount of enhancement that you desire and he will help you achieve that goal.
Breast augmentation can be achieved through a variety of breast implant placement techniques depending on the anatomy of the patient as well as the desired outcome. Once inserted, the implant can sit on top of or beneath the chest muscle to achieve optimal shape, lift, and firmness. Dr. Holzman is careful to keep the appearance of the new breasts symmetrical and scarring as minimal as possible to deliver the superior results our patients expect.
Breast augmentation usually takes one to two hours and is an outpatient procedure, meaning you should be able to return home the same day as the operation. You will have some bruising and swelling in the chest, and medication will be provided to manage your pain. Most patients experience minimal discomfort after the first few days, and we will work with you to optimize your experience. You should avoid strenuous activity for the first six weeks, after which point you can transition back to your normal fitness regimen. Results will be mostly apparently after one to two months, with only a small amount of swelling remaining that you may not even notice. This minor swelling can last up to a year. Your care, comfort, and results are our highest priorities, and we will monitor your progress and provide assistance at any point.
The majority of our patients who have undergone breast augmentation (enlargement) surgery are extremely happy with the results. Dr. Holzman’s keen artistic eyes and proficient surgical skills help him meet the individual needs of each patient in creating their ideal bust line.
The price of breast augmentation was $3,718 on average in 2017*. This number reflects the surgeon’s fee alone; it does not include the cost of anesthesia, use of the hospital facility, or any other fees. We want you to have all the information you need to make the best decision for your lifestyle, budget, and goals. During your initial consultation, our medical team will provide a detailed estimate of your treatment plan’s total cost. For information about payment plans, please don’t hesitate to ask about our options.
*According to recent statistics from the American Society of Plastic Surgeons
A note on BIA-ALCL:
The following is a direct quote from the American Society of Plastic Surgeons regarding breast implants associated anaplastic large cell lymphoma (BIA-ALCL).
“Women with saline and silicone gel breast implants may have a very small and possibly increased risk of developing anaplastic large cell lymphoma (ALCL) in the scar capsule adjacent to the implant. This is a very rare disease and is currently being investigated as to its relationship to breast implants, and whether this is even a cancer or a Lymphoproliferative Disorder. ALCL is an extremely rare cancer of the immune system which can occur anywhere in the body. The National Cancer Institute estimated 1 in 500,000 women per year in the U.S. are diagnosed with ALCL. ALCL in the breast is even rarer with approximately 3 in 100 million women in U.S diagnosed per year. The relationship between breast implants and ALCL is unclear and is currently under investigation. In most cases, women observed changes in the look or feel of the area surrounding the implant after their initial surgical sites were fully healed. Patients with breast implants should be followed by a surgeon over time and seek professional care for implant-related symptoms such as pain, lumps, swelling, or asymmetry. Patients should monitor their breast implants with routine breast self exams and follow standard medical recommendations for imaging (e.g. Mammography, Ultrasound, MRI). Abnormal screening results or implant-related symptoms may result in additional costs and expenses for tests and/or procedures to properly diagnose and treat your condition. Tests and procedures could include but may not be limited to: obtaining breast fluid or tissue for pathology and laboratory evaluation and surgery to remove the scar capsule around the breast implant, implant removal or implant replacement.”
Dr. Holzman will not be utilizing textured breast implants or tissue expanders at this time.
Please contact us to schedule a consultation. We will be happy to go over the many breast implant options available at our practice.