Affordable Breast Augmentation, or affordable breast enlargement, this is a commonly performed plastic surgery procedure. It is performed for many reasons. Some women perceive their breast size as being too small. At times there are differences in the sizes of the breasts from one side to the other. The changes in breast tissue resulting from pregnancy, breast-feeding and weight loss are important reasons as well. Women want to be aesthetically satisfied with the appearance of their breasts.

Naturally small breasts can be enlarged. Disproportionate breast size lends itself to breast augmentation which can improve the symmetry of the breasts. For breast changes following pregnancy, breast augmentation can restore breast volume. The procedure serves to enhance a woman’s self-image and confidence.

Our Board Certified Plastic Surgeons perform affordable breast augmentation using saline or silicone breast implants. Incisions can be placed beneath the breast, around the nipple, or in the axilla (underarm). An individualized approach is taken in each patient’s evaluation. It is important that the patient and doctor work together to determine the size and shape desired, as well as the placement of the incision. During your personal consultation, our doctors will discuss your goals and the results you would like to achieve. This will make it easier to determine if breast augmentation is appropriate for you.

Your personal and family breast health history will be carefully reviewed. Following this, the breast area is examined. Breast size and shape are very important in determining the size of implant that will provide the most natural, balanced, and proportionate result.

A breast augmentation is accomplished under general anesthesia, and may take from one to two hours. Our Boead Certified Plastic Surgeons perform breast augmentation in their office-based surgical facilities, and the surgery is generally performed on an outpatient basis. You will feel well enough to return home the same day. The outcome is one that is very gratifying.

Incisions:
The placement of the incision in a Breast Augmentation case boils down to preferences of the Surgeon and the patient.

If you as a patient feel that one over another type of incision is right for you, you should choose a Plastic Surgeon that feels comfortable performing that type of incision. There are also pros and cons to each incision site. The majority of surgeons have a particular incision they prefer, so it’s up to you, the patient, to figure out whether you feel comfortable with the Plastic Surgeon’s choice. The most common incisions are:

1) Inframammary crease (the incision is done at the crease of the breast)

2) Areola Incision (the incision goes around the lower part of the areola)

3) Transaxillary (the incision is placed in the armpit)

Both the Inframammary crease and the areola incisions are the most popular procedures. Keep in mind that there is very little documentation to associate any particular incision with more or less risks of loss of nipple or other sensation. In fact, most doctors agree that the loss of sensation has a lot more to do with implant size and surgical technique, both of which can dictate how large the area of insult to nerve endings will be inside the breast. There is no BEST incision, again its up to the surgeon and the patient to discuss the location of the incision.

Placement of the Implant:
On your first consultation, its important to discuss with your plastic surgeon, the positioning of your implants, whether they will be placed under the muscle (sub-muscular or sub-pectoral), or behind the mammary gland (sub-glandular). The placement will determine for each case whether the implant will be more visible (sub-glandular) or whether the implant will look more natural (sub-pectoral or fully sub-muscular).

In a breast augmentation procedure the plastic surgeon creates a pocket where the implant will be placed. There are three placements for this pocket: under the mammary gland (sub-glandular), partially under the muscle (partial unders) or under the muscle (sub-muscular).

Sub-glandular: The implant is placed over the pectoral muscles under the glands and tissue of the breast. With this placement there is an increased chance of palpability (detection by feel or sight) of the implant, especially if you have little or no natural breast tissue present. This choice would benefit somebody who needs a quick fix of what is called a “mild ptosis” in other words, somebody who has mild sagging and wants to look fuller again, especially those women who nursed, or those women who are reaching their middle age and just need a quick lift. If your Plastic Surgeon suggests you need a Breast Lift, you should listen, a sub-glandular breast augmentation might not be the right choice for you. For some patients, a sub-glandular procedure will give them a more natural look, since the implant will not be squeezed by the pectoral muscle. But there are patients that complain of feeling the implant, especially on or around the time of the menstrual cycle. This is caused by the swallowing of the women’s glandular tissue, creating tenderness and increased sensibility of the breast tissue.

Sub-Pectoral only (Partial unders, partial sub-muscular): The objective of placing the implant under the “pectoralis major muscle” is to provide better implant coverage on the outer nad inner top area only, that is to say to create a better cleavage. Again this type of placement may not be the best suited for every patient and you should thoroughly discuss this subject with your Plastic Surgeon. This option might benefit those patients with little breast tissue that want to have a more natural look, instead of a rounded, pronounced cleavage line without rippling to the upper inner and upper outer regions of the breast. This type of surgery is a little more intrusive. The surgery involves separating the pectoralis major from the pectoralis minor and chest wall and placing the implant between these two. Post-op experiences are also harder with this type of placement. The feeling of tightness once you wake up from the anesthesia, and that of constriction and soreness are more acute than with sub-glandular placement.

Full Sub-muscular (Complete unders): This placement involves the act of separating the two pectoralis, the major and minor and chest wall , as well as separating the fascia, or thick muscle covering, from the muscle itself (the rectus abdominus). However, for ease of wording and for terminology recognition we will refer to it as full sub-muscular placement. With placement of the implant “behind the muscle” as it is commonly referred to, the breasts may appear high and tight and even somewhat square looking for some time but patience is a virtue! Patients with this placement report that it is worth the long run. With this placement the chance of capsular contraction is reportedly much lower and the breasts take on a more natural slope on the top as well as no visible rippling on the sides and breast lobe, or lower pole (underneath, bottom portion of the breast), that may be otherwise present in the sub-pectoral placement.

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