Breast augmentation has consistently been one of the most popular plastic surgeries performed in the United States. This may be because, for many women, breast size is directly related to their sense of confidence, femininity, and sensuality. Other women feel that breast augmentation will balance out their figure and give their body a more proportional appearance.
Whatever your reasons for seeking breast enhancement, breast enlargement specialist Dr. Christopher Chung has the experience and training to make your desire for fuller breasts a reality. If you would like to learn more about breast augmentation, click here to request your consultation with Dr. Christopher Chung, a board-certified plastic surgeon specializing in breast enhancement procedures.
Your Breast Augmentation Options
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For women of all ages and sizes, breast augmentation has become an increasingly popular option. Generally, breast augmentation is a highly rewarding, safe, and short (typically taking around 30-40 minutes) outpatient procedure with anesthesia administered by a board certified anesthesiologist.
However, choosing breast enlargement is only the beginning. Once you’ve decided to undergo breast enlargement surgery, there are a number of key decisions that are instrumental to achieving the results you want.
Breast Implant Size and Type
Most women have an idea of what they want their new breasts to look like, and in order to achieve that look, the proper size implant must be selected. The type of implant will also affect how your enhanced breasts will feel – another important consideration. Dr. Chung can help you in selecting the implant size and material that best suits your personal needs.
Hi Dr. Chung –
THANK YOU, THANK YOU, THANK YOU!!! And to think that I was going to travel to LA to see Dr. Rey. I love my new breasts. They are exactly what I was hoping for. My husband loves them – but I love them even more! You’re awesome. Thank you!!!
Breast Augmentation Incision Options
Once you’ve decided on the type of implant that Dr. Chung will use in your surgery, you will need to choose which incision method is right for you.
- The Periareolar Incision is a small incision made along the lower border of the areola – the circle of more darkly pigmented skin surrounding the nipple. This approach allows the surgeon very direct access to the internal anatomy of the breast, and can be re-used in the case of subsequent breast surgeries. This incision tends to heal nicely, leaving little visible scarring on the breasts. This method is ideal for women who have less developed breast fold and for those who tend to develop hypertrophic or keloid scars.
- An Inframammary Incision is made beneath the breast in the natural fold where the breast meets the ribcage. This approach often results in a faint, well-camouflaged scar well “hidden” within the natural fold of the breast. The inframammary incision is the most commonly used incision for breast augmentation, as it offers the surgeon good access for placing and adjusting the implant with minimal disruption to the breast tissue. This method is ideal for women who are concerned about their ability to breast feed as it avoids the entire nipple-areolar complex from any surgical damage.
- At times, Transaxillary (armpit) Incision can be used for placement of implants. This approach may require the use of endoscopic instruments as this exposure is farthest from the internal anatomy of the breast. In any event, it is important to find out which method your surgeon is most comfortable with, and will deliver the most optimal outcome.
Implant Placement Options
There are two options for the placement of your breast implants, and Dr. Chung will go over these with you thoroughly to help decide which approach is best suited for your particular anatomy and desired outcome.
- Subglandular placement refers to implants that are placed just beneath the breast tissue, but above the chest muscle (pectoralis). Practically speaking, the main advantage of this placement is a shorter, more comfortable recovery. However, this placement tends to make the implant more noticeable with increased palpability (feeling more of the implant) and increased visibility (increased rippling and wrinkling). This placement is not a good option for most women, especially those with very thin skin or little breast tissue. It may also have increased interference with a mammogram’s ability to detect abnormal findings.
- Submuscular or subpectoral placement puts the implant beneath both the breast tissue and the chest muscle. Since the implant is placed underneath the muscle, an increased discomfort from the stretching of the muscle is felt initially. However, most patients find that this method produces a much more natural looking and feeling result. Most of Dr. Chung’s patients choose to have their implants placed “under the muscle” for the many benefits of this method.
The Keller Funnel™
When placing silicone breast implants, Dr. Chung can use the Keller Funnel™ as a way to potentially improve your surgery, as well as your results. This tool is utilized during breast augmentation procedures involving silicone implants to allow Dr. Chung to place the implant directly into the breast pocket using a “No-Touch” technique. The advanced technique is designed to prevent the implant from coming into contact with the patient’s skin, avoiding potential trauma to its outer shell. When using the Keller Funnel™, surgery times are often shortened, and Dr. Chung is usually able to use a smaller incision, often leading to a less noticeable scar for his patients.
Breast Augmentation FAQs
Am I a good candidate for breast augmentation?
The first and most important qualifier for breast augmentation is your health. If you’re in good general health and you are a non-smoker, Dr. Chung will then ask about your desired outcome. If your expectations for results are reasonable, you should be a good candidate for this procedure. Other considerations can also come into play, such as your muscle quality and skin elasticity, all of which will be covered during your initial consultation. Our primary goal is safety, and we want to provide you with excellent care at every stage of treatment.
How do I choose the right size and type of implants?
Much of this will depend on your personal preferences. Breast implants now come in a broad array of sizes and types. Silicone implants typically offer a more natural-looking outcome and can feel more like natural breast tissue. The form-stable silicone gel will remain inside the breast implant in the unlikely event of a rupture. Saline implants, on the other hand, are comprised of a saltwater solution, which many patients like. If a saline implant should tear, the saltwater will empty out and be harmlessly absorbed by the body. Both types of implants have distinct benefits, and Dr. Chung can help you determine the ideal option for your anatomic needs and desired outcome. Both implant types come in a multitude of sizes, and we can suggest some tips to help you determine the volume that can best achieve the effect you’re looking for.
What implant placement provides the most natural appearance?
The size and type of implant you choose will be an important part of determining the ideal placement for your treatment plan. Breast implants can be placed above or below the chest muscle, and generally Dr. Chung recommends placing the implant below the muscle. This can provide a more natural appearance and can also make mammograms easier to perform as well as more effective. Placing the implant under the muscle may require a slightly longer recovery; however, the multitude of benefits often makes this the better approach.
Can I still breastfeed after breast augmentation?
Depending on the surgical technique utilized, breast implants should have no effect on your ability to breastfeed, and pregnancy should not affect the stability or quality of your implants in any way. Out of an excess of caution, Dr. Chung can use breast augmentation techniques that limit potential damage to the milk ducts if you would one day like to breastfeed. It’s important to note: not all women naturally have the ability to nurse. Approximately 75 percent of women can instinctively breastfeed, meaning about 25 percent of women will be unable to perform this function regardless of whether they have breast augmentation or not. If you have successfully nursed a child before your procedure, you should be able to do so after as well.
Are there age restrictions for breast augmentation?
While there is no upper age limit for breast augmentation (the health of the patient is the deciding factor), there are lower age limits. Saline breast implants are FDA-approved for women 18 years of age or older, while silicone breast implants are FDA-approved for women 22 years of age or older. Women undergoing breast reconstruction after a mastectomy can have either type of implant regardless of their age.
Do implants interfere with mammograms?
Mammograms can be performed effectively with breast implants, and it’s important for women to care for their health with regular screenings, as advised by their general physician. We recommend that women go to a facility that is equipped for and experienced in performing mammograms on patients with breast implants. You can ask the scheduling coordinator if they are prepared, and you should explain that you have breast implants before your appointment. We also recommend confirming with your technician that they are trained in completing mammograms with breast implants. The technician will need to take several extra images to view all breast tissue. If the technician or your doctor believes it necessary, an MRI may be recommended to more thoroughly examine the breasts.
Ready for a Consultation?
If you are interested in learning more about your breast augmentation options, click here to request your consultation with Dr. Christopher Chung, a board-certified plastic surgeon and breast enlargement specialist. Or you can call our office to schedule your appointment.