Breast Augmentation Columbus
Breast augmentation is a cosmetic procedure designed to increase and enhance the size and shape of a woman’s breasts. Many women choose breast augmentation with implants at our Columbus, Ohio, practice to reverse the effects of pregnancy and nursing, or to enhance an area of their figure that they always felt uncomfortable with.
Whatever the reason, the decision to undergo breast augmentation is a personal one. At Central Ohio Plastic Surgery, we would be happy to discuss your options with you during a private consultation.
Several different incision options are available for women considering breast augmentation in the Columbus, Ohio, area. Dr. Lichten prefers to approach breast augmentation with implants placed through the natural skin crease below the breast. In his experience, this “inframammary” incision affords the best exposure for placement of the implant with minimal scarring in an inconspicuous location.
Breast Augmentation Candidates
Breast augmentation is right for many women who want to improve the appearance of their breasts. Although no amount of cosmetic surgery can make you look “perfect,” breast augmentation can help to create better proportion or improve self-confidence. Many of Dr. Lichten’s breast augmentation patients are mothers who come in for a “Mommy Makeover.” They are looking to restore their bodies back to the shape they had before having children, and often combine their breast augmentation procedure with liposuction or a tummy tuck in Columbus, Ohio. In addition to primary breast enlargement, many women choose to have their breast implants along with a breast lift to improve breast contour and volume.
During surgery, a saline or silicone gel implant is inserted behind the breast tissue to enlarge and improve overall contour. The majority of patients choose to have their implants placed behind the chest muscles, but for certain women there may be advantages in placing the implants above the muscles.
For the actual implants used, we typically utilize smooth, round breast implants. These provide a natural appearance for our patients with lower rupture and complication rates than textured or anatomic implants. Silicone implants are also FDA-approved for most breast surgeries and can be used in breast augmentation for women age 22 and older. Dr. Lichten is comfortable using both saline and silicone implants – the deciding factor is usually patient preference.
When it comes to breast augmentation, every woman wants to know what size of an implant to choose. Unfortunately, many women become wrapped up in how big the implant is (how many cc’s is it filled with) rather than focusing on choosing the right implant for their body frame. At Central Ohio Plastic Surgery, we will spend time with you selecting an implant based on your body frame and your goals. We utilize the profile of the implants, as well as the size, to help you choose your implants. The end result of breast augmentation is a more curvaceous bust line and improved body proportion.
How much does breast augmentation cost?
In my practice, the average cost for augmentation with saline implants is $5000, smooth, round silicone is $5800 and it is approximately $6,700 for form stable silicone implants. Those fees include all follow up visits to check the implants.
The cost of breast augmentation surgery includes multiple parts – there are surgeon fees, anesthesia fees, facility fees and the cost of the implants themselves. If you are comparison shopping prices, make sure that you get the cost for all of those fees.
What is the difference between saline and silicone? Which one is better?
The decision between saline and silicone is a personal choice for each patient to make. I have had success with both types of implants.
Saline implants are less expensive and can be put in through a slightly smaller incision. In addition, since saline implants do not come pre-filled, I have ability to adjust implant size during surgery. This is beneficial for patients with significant asymmetry, because I can make up size differences in the operating room during surgery without having to guess.
Silicone implants look, act and feel more natural. Because I use a special device called the Keller Funnel, the incision is only ½ cm bigger than saline implants. Silicone implants have evolved greatly in the last 30 years.
Form stable silicone (sometimes called gummy bear implants) are the newest generation of silicone implant may provide more natural result for women starting out with very little breast tissue. Early result s with these implants show rupture rate and capsular contracture are slightly lower than for other implants.
I have samples of all types of implants in my offices so you can see and feel the differences for yourself. In addition, I have some 30 year old silicone implants in the office . Once you see and feel these implants, the advances in technology will be immediately obvious.
Are silicone implants safe?
In 1992, the FDA took silicone breast implants off the market for cosmetic use. They remained available for women who needed breast cancer reconstruction during that time. In 2006, the FDA determined that silicone implants were safe and allowed them back on the market for general use for women over age of 22. The vast majority of studies and research done on silicone during that time confirm that silicone implants pose no additional risk over saline implants.
For some patients the history of silicone implants is a concern. I invite you to do research of your own. It is my opinion, however, based on my research and education, that medically, scientifically silicone breast implants pose no real additional risk.
How long do implants last?
The rupture rate of a saline implant is approximately 1% per year, which translates to 10% in 10 years. Therefore, statistically speaking, 1 in 5 women with saline implants (since each woman has 2 breasts) will need a second surgery within 10 years to replace a ruptured implant.
For smooth, round silicone implants, the number needing a second surgery goes to 17 years.
Early studies on form stable show 2% at 6 years.
How do I know if an implant breaks?
For saline implants, you will notice a visible deflation of the breast, often over a very short period of time. Typically, we try to get patients in and seen as quickly as possible to prevent the capsule and breast pocket from tightening around the implant once it has deflated. In addition, social concerns drive our patients in to have it done quickly.
For patients with silicone implants, most women don’t notice a huge change with a RUPTURE??, although some will see or feel a subtle difference. Most of the time, a ruptured silicone implant is diagnosed by a MRI or is sometimes picked up on a mammogram. If it is determined that a silicone implant is ruptured, the FDA recommends having it removed or replaced. After the first year, I encourage and recommend that my breast implant patients come in and see me every year so I can check the status of their implants.
What is capsular contracture?
Capsular contracture is the most common complication from breast implant surgery. It occurs because the body sees implants as foreign body and forms a capsule around it. For the vast majority of people, the capsule stays soft. Sometimes, however, capsule gets hard, which can lead to pain or distortion of the implant. If that occurs, additional surgery may be needed to take out capsule, possibly change the implants or move them to a new pocket. Fortunately, this is rare. In addition, rates are even lower when the surgeon places the implants below the muscle (as I do), and even lower than that with the new form stable implants.
What is my downtime/recovery?
You can expect 1-2 days of pain medication and moderate pain. In 1-2 weeks, you will experience a gradual return to normal activity, but with some restrictions on lifting and exercise. In 1-2 months, you should be able to return to full activity without restrictions. Of course, these numbers are just a guide. Every patient experiences surgery and return to activity in her own way. I will give you specific instructions for your own lifestyle and recovery.
How do breast implants affect getting a mammogram? Can mammograms make the implant rupture?
You absolutely can and should get mammograms after having a breast augmentation. Simply advise the scheduler when you make your appointment and let the mammographer know before she starts taking images. She will take four views instead of two and move breast implant to the side with less compression.
How do I know if my surgeon is qualified to perform my surgery?
No one can guarantee your results. You can, however, ensure that your surgeon has had the right training, by confirming that s/he is board certified by the American Board of Plastic Surgery. Although many physicians claim to be board certified, you should confirm their specialty. In addition, you can gain comfort if your surgeon is a member of the American Society of Plastic Surgeons (ASPS). The ASPS confirms plastic surgeons’ background training and education. In addition, they ensure that the doctor keeps up on the latest medical developments and research.
You can see my background, publications and training at http://www.centralohioplasticsurgery.com/columbus-plastic-surgeon/professional-resume
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