Breast Augmentation

            
                                                    
            

Serving Wellesley & Sudbury Patients

Why Pursue Breast Augmentation Surgery?

Breast Augmentation in Boston

Most women would agree that their breasts are a symbol of femininity and youthful vitality. For women with full, well-shaped breasts, they are often a source of self-confidence. It is no surprise, then, that many women who are unhappy with the appearance of their breasts seek breast augmentation surgery with saline or silicone breast implants. This procedure can be performed to improve the appearance of small, deflated-looking or asymmetrical breasts.

If you can relate to these sentiments, you have come to the right place. At Accurate Aesthetics, Dr. William E. LoVerme and his team are proud to provide breast augmentation procedures that help women in Boston, Wellesley and Sudbury love the look of their breasts and enhance their quality of life.

Dr. LoVerme and his supportive staff are committed to providing beautiful yet natural-looking results from breast implant surgery, in a compassionate, comfortable environment.

Breast Augmentation Candidacy

Only a highly experienced, board-certified plastic surgeon such as Dr. LoVerme is qualified to determine whether you are a candidate for breast augmentation surgery. However, generally speaking, appropriate candidates for the procedure include women who:

  • Desire fuller or larger breasts
  • Would like a more cleavage or a greater degree of outward projection of the breasts from the chest wall
  • Desire a subtle lift
  • Are in good overall health, both mentally and physically
  • Have reasonable expectations for what breast augmentation surgery can accomplish
  • Are seeking aesthetic improvement, not necessarily perfection
  • Have made the choice to pursue breast augmentation of their own volition
  • Are not currently nursing (Women who are breastfeeding should wait  at least 12 weeks after they have finished nursing to undergo breast surgery, as this is how long it typically takes for their true breast size and shape to be restored.)

The team at Accurate Aesthetics encourages you to schedule a personal consultation with our Harvard-trained breast augmentation specialist to establish whether you would benefit from breast implant surgery or perhaps another procedure, such as breast lift surgery or combination breast lift surgery with implants.

Types of Breast Implants

We realize that pursuing breast augmentation surgery can seem like a daunting task, given the abundance of information about the procedure available on the Internet and the number of choices that must be made. Ultimately, however, it should be a positive, life-changing experience, and we strive to ensure that you feel comfortable, confident and happy about your decision to undergo the procedure. To this end, we offer the following preliminary information about the types of breast implants available, the decisions you will need to make and what to expect during surgery and the recovery period.

At Accurate Aesthetics, we offer saline, traditional silicone and the newest generation of form-stable silicone breast implants (often referred to as “gummy bear” implants).

All breast implants are comprised of a silicone outer shell and a filling material. Saline implants are filled with a sterile saltwater solution.

The principal advantages of saline implants are that:

  • The body safely absorbs the filling material in case the implant leaks or ruptures.
  • They are the most cost-effective option.
  • They can be adjusted during the operation to accommodate small differences in size.

The main disadvantages of saline implants are that:

  • They do not resemble the look or feel of natural breasts as closely as silicone breast implants do.
  • They are more likely to fold or wrinkle within the implant pocket.
  • They might not be a suitable treatment option for women with thin skin or little body fat, as they may be visible underneath the skin’s surface.

Traditional silicone breast implants are filled with a silicone gel filling material. The main benefits of traditional silicone implants are that:

  • The look and feel much like natural breasts.
  • They are less prone to rippling or wrinkling within the implant pocket (making them a better choice for women with thin skin or little body fat).
  • They may last longer than saline implants.
  • With the use of a Keller Funnel, these implants may generally be placed through an incision that is about the same small size as the ones used for saline implants.

However, the potential drawbacks of silicone breast implants are that:

  • In case the implant leaks or ruptures, the body cannot absorb the cohesive filling material, which stays intact either within or close to the implant pocket, often making it difficult to detect problems with the implants. Nonetheless, the body does not absorb the silicone gel, so there is little cause for alarm.
  • Silicone implants are slightly more expensive than their saline counterparts.

The newest-generation silicone breast implants are referred to as highly cohesive, form-stable silicone breast implants. They are also sometimes called “gummy-bear” implants, thanks to the gummy-like texture of the highly cohesive silicone filling material. The main advantages of this type of implant are that:

  • The filling material stays intact in case there is a problem with the implant. It will even stay intact if the implant is cut in half. This makes form-stable silicone implants extremely unlikely to fold or ripple within the implant pocket.
  • Form-stable silicone implants are available in a wide range of shapes and sizes, including an anatomically correct teardrop shape, often making them a good choice for women undergoing breast reconstruction surgery following lumpectomy or mastectomy for the treatment of breast cancer.

The principal disadvantages of this type of implant are that it feels firmer than the other options, and that a longer incision may be needed for insertion. In addition, the surgeon must take more care in placing these implants to ensure they are lined up correctly before finishing the operation. Patients with form-stable silicone implants that are not correctly aligned during the initial procedure may need another operation to improve this.

In addition to choosing a type of breast implant, you will also need to decide which size you would like, as well as the shape, profile and shell texture of your breast implants. During your consultation, your plastic surgeon will measure your chest cage, review your aesthetic goals, explain the different treatment options and help you decide which type, size, shape and texture of breast implants is right for your aesthetic and anatomical needs. Specific anatomic sizers may be used to give you a good idea of what the implants will look like.

Placement Options for Your Breast Implants

There are several placement options for your breast implants. At Accurate Aesthetics, we offer:

  • Subglandular placement (beneath the breast, or glandular, tissue but above the chest muscle)
  • Submuscular placement (beneath the chest muscle)
  • The most recent approach, subfascial placement, or the dual plane approach (beneath the fascia, or connective tissue, that covers the chest muscle but above the actual chest muscle). This is the option that Dr. LoVerme most frequently utilizes. He feels it provides all the benefits of submuscular placement without the possibility of abnormal motion of the implants any time the arms are flexed. It is also an easier operation to recover from than the submuscular approach.

Again, certain factors, including your aesthetic preferences, unique anatomy and the type of breast implant chosen, will help determine which placement approach is right for you.

For instance, patients with mild breast sagginess (ptosis) tend to benefit from subfascial placement, which provides a subtle lift throughout the breasts. For women with extremely petite breasts, thin skin and little body fat, submuscular placement may be better because it will provide better coverage and support for the implants. Women with small breasts who would like to minimize the degree of roundness throughout the upper breasts, for a more natural look, might benefit from a form-stable shaped implant with subfascial placement. During consultation, Dr. LoVerme reviews both the placement and implant type options with you in detail.

Incision Patterns

Accurate Aesthetics provides two main incision approaches for breast augmentation surgery.

The first option is the periareolar incision pattern, which involves making a circular incision around the outer perimeter of the areola, or darkly pigmented skin surrounding the nipple. The main advantage of this approach is that the incision and ensuing scar is well-concealed within the darker areola skin. However, because the placement is so close to the nipple (which may secrete milk or bacteria even in a non-lactating woman), this approach increases the risk of capsular contracture and is rarely utilized by Dr. LoVerme.

The second option is the inframammary incision pattern, which involves making a horizontal incision below the natural breast crease. Although this incision pattern might be more visible, especially when raising the arms while wearing a bikini, it minimizes the risk of changes in nipple sensation and / or difficulty breastfeeding. Also, with time and proper care, scars should fade so that they closely match the color of surrounding skin and are nearly imperceptible.

A third approach is to go through the armpit. This incision may jeopardize future diagnosis options (sentinel node biopsy) in breast cancer patients and, for this reason, is rarely utilized by Dr. LoVerme.

Dr. LoVerme does not utilize the TUBA, or transumbilical belly button, approach, as it gives the least chance for proper placement of the implant and cannot be used with silicone implants.

Day of Breast Augmentation Surgery

Breast augmentation surgery is typically performed on an outpatient basis,   in our state-of-the-art, private operating suite. Anesthesia is provided only by board-certified anesthesiologists from award-winning Newton-Wellesley Hospital. Deep sedation anesthesia (total intravenous anesthesia) is utilized. You will not need general anesthesia. Local anesthesia is utilized at the same time, so that you wake up without pain. Breast augmentation takes one hour or more, depending on the complexity of the procedure, including whether an adjunct procedure such as breast lift is performed. Following surgery, you will be taken to a room where you can recover while the effects of the anesthesia wear off. You will then be released into the care of an authorized adult, so you can recuperate in the comfort of your own home.

Recovering From Breast Augmentation

You should expect to take about one week off from work or your usual routine to recover from breast augmentation surgery.

Although everyone recovers at different rates, the most intense phase of the recovery period generally occurs within the first four to five days following surgery. During this time, you should avoid strenuous activity, including heavy lifting, lifting your arms above shoulder height and exercising. (You should not raise your blood pressure or pulse for 10 days after surgery, to prevent bleeding and minimize bruising.) However, you should take short walks around the house periodically to encourage sound blood circulation and minimize the risk of developing blood clots, particularly in the lower extremities.

The treatment area may be tender, sore or numb. You may take oral pain relievers as prescribed by Dr. LoVerme to minimize any discomfort during the initial recovery phase. Any changes to nipple sensation are usually temporary, but, in rare cases, may be permanent. The treatment area may also be swollen, red or bruised, but these are normal symptoms that should subside over time.

Note: Breast implants may initially sit high on the chest wall, but they will settle into a more natural position over the course of a few weeks.

You will notice that a surgical bra has been placed over your surgical dressings. Be sure to keep the bra in place for several weeks to provide additional support to the tissues while they heal. Dr. LoVerme will tell you when it is safe to remove the surgical garment and to resume your normal activities, including your exercise routine, during one of your follow-up visits to Accurate Aesthetics.

What Breast Augmentation Surgery Costs

Typically breast augmentation prices at Accurate Aesthetics Plastic Surgery range from $6600 to $7970. This includes all facility and anesthesia fees as well as the implants. More specific and newer anatomic shaped implants may increase the fees. The surgery is generally performed at the certified surgery center within the office including the use of a board certified anesthesiologist. Surgery that needs to be performed at the hospital may cost more. You will receive a personalized quote at the time of your consultation. Consultation fee is deducted from the cost of surgery.

Achieving Your Dream Breasts

Achieving the breasts of your dreams starts with one simple step: contacting Accurate Aesthetics for more information. To schedule a consultation with Dr. LoVerme to learn more about breast augmentation surgery and your treatment options, please contact Accurate Aesthetics by calling (877) 603-7874 toll-free today.

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