For many women, recapturing a youthful figure through breast augmentation can be the change they need to once again feel confident in their bodies. Our surgeons use the latest techniques and implants available to produce beautiful, natural and youthful breast appearances.
Our office will work with you to discover your specific enhancement goals in order to recommend an appropriate size and shape for the procedure. The location of the incision is also determined after the discussion and examination. Since we offer silicone, saline and the new gummy bear implants, special care will be taken to ensure you are getting the aesthetic and shape you desire.
What to Expect During the Surgery
Step One: Anesthesia
Medications are administered for your comfort during breast augmentation surgery. The choices include intravenous sedation and general anesthesia. Your physician will recommend the best choice for you. Dr. Bindingnavele also injects a nerve blocking agent during the initial stages of surgery. This significantly decreases the pain of recovery for about two to three days.
Step Two: Incision
Incisions are made in inconspicuous areas to minimize visible scarring. You and your plastic surgeon will discuss which incision options are appropriate for your desired outcome. The incision will be made on one of the three options mentioned above.
Step Three: Choosing an Implant
Breast size and shape are important, so be honest and open about your expectations when talking with your surgeon. Implant type and size will be determined not just based on your desired increase in size but more importantly on your breast anatomy, skin elasticity and body type.
Step Four: Inserting the Implant
After the incision is made, a breast implant is inserted into a pocket either under the pectoral muscle (a submuscular placement) or directly behind the breast tissue and over the pectoral muscle (a submammary/subglandular placement).
Step Five: Closing the Incisions
Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive, or surgical tape to close the skin. Over time, the incision lines will fade.
Step Six: Seeing the Results
The results of breast augmentation surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for fuller breasts.
Your expectations and desired results for the breast augmentation will be addressed during your initial consultation. At this time, your physician will discuss desired shape, size, incision site and type of implant that will be used. You will also need to provide your complete medical history, family history of breast cancer (including results of previous mammograms and any biopsies) and current medical conditions and medications.
Dr. Bindingnavele, who has over 13 years of experience, will provide information about each type of procedure and help you decide which method will achieve your most desired results. Different techniques are used by different surgeons in performing breast augmentation. The best procedure is chosen based on each individual patient and their preferences and needs.
It is normal to experience some pain, swelling and bruising immediately after breast augmentation or implant surgery. Your general chest and surrounding area may seem tight, and your breathing may feel restricted. This is completely normal, and your symptoms will start to improve gradually over the next few weeks.
Hospital personnel will usually have you rest after surgery in a semi-upright position. This will help keep you as comfortable as possible and reduce the risk of swelling. You will be given painkillers if you and your physician feel you need them. Please advise the prescribing physician of any allergies you may have.
After you have settled in at home, you should be able to manage pain with over-the-counter medicines like acetaminophen or ibuprofen. If you have a history of stomach, liver, or kidney problems, you should not take ibuprofen. Ibuprofen may not be advised if you have asthma or a history of asthma. Consult your physician regarding the best over-the-counter pain medicine for you.
Rest is vital; you will need to give your body time to heal and recover. You only have one chance to heal properly, so following your doctor’s advice is important. Avoid excessive use of your arms and chest area, as it could cause irritation and bleeding.
For best results, follow the homecare instructions of your surgeon. He will likely schedule you for postoperative appointments to monitor your recovery progress.
Your surgeon will be able to give you specific instructions regarding any activities that should be avoided and for how long, but the general recovery protocol indicates you should take a week or two off work and avoid heavy lifting or strenuous exercise for at least a month.
In approximately six weeks, you should be able to return to all of your normal activities, although you should protect the incision sites from direct sunlight for about a year because the skin in these areas is more delicate and susceptible to burns.
You may feel more comfortable wearing a well-fitting sports bra 24 hours a day for up to three months after breast surgery. It is important to follow the specific instructions given to you by Dr. and his staff regarding scar care, as this will drastically benefit the appearance of any the wounds once healed.
If you’re contemplating breast augmentation surgery, you will want to consider the total cost of the procedure. The average surgeon’s fee for breast augmentation surgery is usually less than $4,000. But it is important to remember the surgeon’s fees do not include other charges associated with breast augmentation surgery. Additional fees to factor in are surgery center or hospital charges, anesthesia, other medical tests associated with surgery and prescriptions.
Before & After
Frequently Asked Questions
How will this procedure affect my ability to have effective mammograms?
Regardless of your age, your surgeon may request a pre-operative mammogram to establish images of your breasts and to determine any abnormalities that may be present. This will be important information to have in your medical records when you begin having regular mammograms. If this is your first mammogram, it will be considered your “baseline” mammogram. These “baseline” images will be used as the foundation for comparison in later mammogram screenings. Changes in breast tissue can be very subtle, and radiologists like to have previous breast images to compare with new images when they notice a possible change.
What is the difference between silicone and saline implants?
You need to consider what is most important to you personally when deciding between silicone and saline. If you want to achieve a natural look and feel, silicone breast implants are filled with a cohesive gel that resembles actual breast tissue.
Saline breast implants are filled with a saltwater solution, which closely resembles the fluid that makes up most of the human body. The look and feel of saline is slightly firmer than silicone, but saline implants are typically around $1,000 less.
Should I consider financing my procedure?
Since most cosmetic procedures are not covered by health insurance, it’s import to consider available financing options provided by your surgeon. Financing will reduce the initial breast augmentation cost by allowing you to tailor a payment plan that will fit your budget.
Will I be able to go home right after the surgery?
Depending on the development of the surgery and immediate recovery, you may be allowed to go home the same day, or your physician may decide to keep you overnight at the hospital or surgery center. You and your physician will determine which is best.
How long will my implants last?
Dr. Bindingnavele’s expertise has led him to a revision rate that is lower than five percent, while most literature rates the average at 20 percent. As long as the patient maintains their healthy lifestyle and no rupture occurs, the implants will last for life.
If any issues do arise—rupture, capsular contracture, etc.—breast revision surgery can be performed to correct those issues.