Breast Augmentation

Why chose breast augmentation with breast implants?
Many women choose to have their breasts enlarged in order to satisfy their own desire for a fuller bustline. Your breasts may not have developed to a size that meets your expectations, or one breast may be significantly smaller than the other. You also may have been happy with your breasts in the past, but feel that they look different now. Often, after weight loss, childbirth or as a result of aging, the breasts lose volume and their shape changes. Breast augmentation can enhance your breast size and shape, and give you the more proportional figure that you always wanted.

Dr Speron has a tremendous amount of experience with breast augmentation in Chicago. It is the procedure he performs most commonly. He is able to offer all types of options to his patients:
- he performs all the various breast augmentation approaches including minimally invasive and no-scar approaches
- he uses all types of implants including Mentor and Mghan as well as saline implants & silicone implants
- he does not use drains for breast implant surgery
- he offers the pain pump, if patients request it (his patients typically take narcotics for less than 24 hours even without this)
- all patients receive "nerve blocks" during surgery when they are asleep, which means the pain cycle is controlled from the very beginning

Dr Speron is one of the leading breast augmentation surgeons in the Chicago area and offers a wealth of expertise with both saline implants as well as silicone implants. Dr Speron has been featured in numerous media opportunities.

Am I a good candidate for breast augmentation surgery?

One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation surgery:

  • you are bothered by the feeling that your breasts are too small
  • clothes that fit well around your hips are often too large at the bustline
  • you feel self-conscious wearing a swimsuit or form-fitting top
  • your breasts have become smaller and lost their firmness after having children
  • weight loss has changed the size and shape of your breasts
  • one of your breasts is noticeably smaller than the other
  • Your Personal Consultation For Augmentation Mammoplasty (Natural Breast Enlargement)
    During the consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important. The point will be to determine what natural breast enhancement you can achieve.

    This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.

    How will my plastic surgeon evaluate me for natural breast enhancement surgery?
    Your plastic surgeon will examine your breasts and perhaps take photographs for your medical record. He will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts are sagging, a breast lift may be recommended in conjunction with augmentation to obtain a more natural breast enhancement.

    You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important for you to provide complete information.

    There is no scientific evidence that augmentation mammoplasty increases the risk of breast cancer. The presence of breast implants, however, makes it more technically difficult to take and read mammograms. This may be a special consideration for women who perhaps are at higher risk for breast cancer because of their family history or other reasons. Placement of the implant underneath the pectoral muscle may interfere less with mammographic examination, but other factors may also need to be considered with regard to implant placement. Your plastic surgeon will discuss this with you.

    If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing breast enhancement surgery.

    If you think that you may want to become pregnant in the future, you should mention this to your surgeon. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask your plastic surgeon.

    How do I pick my new breast size so I can obtain a natural breast enlargement?
    Patients usually ask what size implant is “right” for them. No one can really answer that question except the patient themselves. Your plastic surgeon will ask you what size you would like to be. During your examination, a determination will then be made based on your body dimensions, skin elasticity and a simple test - we provide patients with a properly sized bra and t-shirt and multiple implants of different sizes. These implants are actual saline filled implants that are usually used in breast enlargement, so the look these implants give does reflect the final appearance patients can expect. By trying on various sizes, it is easy for patients to zero-in on the size that they like best. This simple test gives a very realistic idea of the final result of breast augmentation. In our opinion, it is far superior to computer imaging of the breast. Patients agree that it is a tremendous help not only in their decision to have augmentation mammoplasty surgery but also to help decide what size is "right" for them.

    How Breast Augmentation is Performed
    Individual factors and personal preferences will help you and your plastic surgeon to determine your appropriate breast size, the location of incisions, and whether the breast implants will be placed on top of or underneath the chest muscle.

    What type of breast implants will be used?
    In 1992, because further studies were needed to establish the safety of breast implants, the Food and Drug Administration decided that silicone gel-filled implants would not be generally available for cosmetic breast enlargement. Currently, all women undergoing breast augmentation receive saline-filled implants which consist of a silicone shell filled with sterile saltwater.

    New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available. Your plastic surgeon will be able to provide you with the latest information on breast enlargement.

    Where are the incisions placed for breast augmentation?
    One of the advantages of a saline-filled breast implant is that, because it is filled with saltwater after being inserted, only a small incision is needed. Often, an incision of less than one inch is made underneath the breast, just above the crease, where it is usually quite inconspicuous.

    Another possible location for the incision is around the lower edge of the areola. A third alternative is to make a small incision within the armpit.

    Once the incision is made, the surgeon creates a pocket into which the breast implant will be inserted. This pocket is made either directly behind the breast tissue or underneath the pectoral muscle which is located between the breast tissue and chest wall.

    Understanding Breast Augmentation Risks
    Every year, many thousands of women undergo successful breast augmentation surgery; however, anyone considering surgery should be aware of both the benefits and risks.

    I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed decision?
    The subject of breast augmentation risks and complications is best discussed on a personal basis between you and your plastic surgeon, or with a staff member in your surgeon's office.

    Some of the potential complications that may be discussed with you include reactions to anesthesia, blood accumulation that may need to be drained surgically and infection. Although rare, an infection that does not subside with appropriate treatment may require temporary removal of the implant. Changes in nipple or breast sensation may result from breast augmentation surgery, although they usually are temporary.

    When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. Capsular contracture can occur to varying degrees. If it is severe, it can cause discomfort or changes in the breast's appearance. In such cases, more surgery may be needed to modify or remove the scar tissue, or perhaps remove or replace the implant.

    Breast implants are not lifetime devices and cannot be expected to last forever. If a saline-filled implant breaks, its contents are harmlessly absorbed by the body within hours. A definite change in the size of the breast is clearly noticed. Rupture can occur as a result of trauma to the chest, but more commonly it occurs spontaneously with no apparent cause. Surgery will be required to replace the implant, if desired.

    If you are at an age when mammographic examinations should be conducted on a periodic basis, it will be important for you to select a radiology technician who is experienced in taking x-rays of augmented breasts. Additional views of your breasts will be required. Your plastic surgeon, in some instances, may recommend other types of examinations such as ultrasound or magnetic resonance imaging. It is possible that the presence of breast implants could delay or hinder the early detection of breast cancer.

    Some women with breast implants have reported problems including certain connective tissue and immune-related diseases. Women without implants also have these disorders, so the key question is whether breast implants increase the risk of developing the conditions. Several large studies have been completed that provide reassurance that women with breast implants do not have a significantly increased risk for these diseases.

    Results of Breast Enhancement
    Breast augmentation will make your small breasts fuller and enhance their shape. The degree of your breast enhancement is a personal choice and is determined before surgery. Your breast enhancement will be noticeable right away. You will find it easier to wear certain styles of clothing. Like many women who have had breast enhancement, you may have a boost in self-confidence.

    Massage of Breast Implants After Breast Enhancement
    Massage of scars and implants is begun once you are 3 weeks out from your surgery date. Implant massage exercises (like the ones pictured below) are probably beneficial. I do not believe, however, that a woman gets contracture only because she did not massage her implants.

    How long will the results of Breast Enhancement last?
    Except in the event of implant deflation requiring surgical replacement with a new implant, the results of your breast enhancement surgery will be long-lasting. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman's breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast "lifting" to restore their more youthful contour.

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