Breast Augmentation-Breast Implants. Brian K. Dorner, M.D. Plastic Surgeon Columbus OH

What is a breast augmentation? Many women in Columbus, OH and all over the US prefer to have fuller breasts to improve their appearance. Cosmetic surgery is helping women achieve this through breast augmentation or augmentation mammoplasty. Breast augmentation is a surgical procedure that can increase the fullness and projection of the breasts. Breast augmentations can also improve the symmetry of women’s breasts for a more balanced appearance. Breast augmentations involve the insertion of a silicone bag or a prosthesis under an incision that is made under the breast and this will later on be filled with saline solution to the size of your choice. This prosthesis will expand and provide a fuller size and better-contoured breast. We recommend breast augmentations to our patients who want to restore the volume of their breasts that was lost due to pregnancy, breastfeeding, and weight fluctuations. Patients who are looking into increasing the size of their naturally small breasts can also consider breast augmentation. What are the different implants used for breast augmentation? There are generally 3 types of breast implants available as shown below: Saline breast implants are types of implants that are filled with sterile salt water. This is either pre-filled to your desired size, or can be filled during your breast augmentation procedure so that your doctor can make adjustments to the size if there is any need for it. Silicone filled implants are a type of breast implants that are filled with elastic silicone gel. Developments in cosmetic surgery have made it possible for silicone implants to mimic the feel of the natural breasts which makes this option very popular. Silicone implants are pre-filled and do not require a longer incision to be made on the patients breast when used for breast augmentation. Gummy Bear or Form Stable Implants-In an attempt to mimic the natural shape of the breast, form stable implants are designed to look like a tear drop, thicker at the bottom and tapered towards the top. To maintain this shape, the silicone gel in the implant is firmer than that which is routinely found in a round implant. The consistency of the gel inside the implant is thicker, and maintains its shape even when the implant is cut in half. Therefore these types of implants are commonly referred to as ‘gummy bear implants’.Form stable implants offer an additional option for women desiring breast augmentation surgery. As with all devices, these implants have advantages and disadvantages. Before choosing an implant, every patient should discuss the potential risks and benefits with her surgeon, as form stable implants may not be the optimal choice for each woman.One of the purported advantages of form stable implants is that they match the shape of the natural breast, giving more fullness to the bottom of the breast. Comprised of a stiffer gel, less wrinkling of the implant is expected, and some women desire the additional firmness of the implant. Finally, because they are all textured, there is some evidence to suggest that the patient’s risk of developing a capsular contracture around the implant could be lessened.Disadvantages include potential rotation of the implant in which case the thicker part of the implant can distort the breast’s shape. Because the gel is thicker, a slightly longer incision to insert them is often necessary. Some women also disapprove of the gel’s consistency. Of course, form stable implants also share risks common to all breast implants including rare cases of infection, bleeding and implant rupture. What happens during breast augmentation? All patients undergoing a breast augmentation in our office in Dublin, OH will be required to get a baseline mammogram and will be provided pre-operative instructions prior to the surgery. Breast augmentations are done on an outpatient basis and patients can choose between local anesthesia and intravenous sedation. An incision will be made either under the breast fold, in the corners of the areola, within the areola, or in the area of the armpit and a pocket will be created. The breast implants will be inserted into these pockets and your doctor will position them to achieve the perfect balance and appearance. The incisions will be closed with stitches and patients will be provided with proper home care to facilitate the healing. To learn more about breast implants and what Dr. Dorner can do for you, visit his website or give his office a call today! 6425 Post Rd. Suite 102 Dublin, OH 43016 614-721-4721