Tips for Flat-Chested Women Considering Breast Augmentation

As its name suggests, breast augmentation is performed to augment the bust size of patients, making this particularly appealing to flat-chested women or those with AA and A cup.

Flat-chested women have very little tissue and fat, a feature which must be given importance to achieve natural results and prevent complications particularly wrinkling and rippling.

First and foremost, patients with small breasts should stay away from textured implants that have a rough surface, a feature always found in teardrop-shaped implants to prevent them from rotating and causing visible deformity. 

Some textured implants also come in round shape.  The theory behind this is that the rough outer shell can prevent the tissue from becoming too thick—a condition called capsular contracture—that it results to deformity and pain.  However, no extensive study has proven this claim.

Textured implants, particularly those with large “graininess,” should be avoided by flat-chested women because they face a higher risk of palpable and visible wrinkling.  For this reason, they are generally advised to choose smooth implants, which are also believed to last longer because they are less prone to “folding” that can lead to rupture over time.

Aside from smooth shell, the breast implants for flat-chested patients are ideally filled with silicone gel rather than saline (or a sterile mixture of salt and water) to simulate the feel of natural tissue—something which they definitely lack.

The result between the saline and silicone implants is the same when there is an ample amount of tissue and fats, although this is not the case if the breasts are very small as the saline implants, more often than not, lead to an unusually round appearance.   

A dome-shaped breast is one of the most common telltale signs of plastic surgery, so it is not surprising that most patients do not want this look.

Another technique to avoid the “fake” look is to choose the appropriate implant size.  The general rule is that natural appearance is easily achieved if the breast volume mostly consists of natural tissue rather than implants.

When plastic surgeons refer to large breast implant, it often means a size that is more than 600-700 cubic centimeters.

Meanwhile, the amount of tissue also dictates the most ideal breast augmentation technique.  More often than not, flat-chested women have undefined breast crease, making this incision site more challenging, although not impossible.

Plastic surgeons are extra careful when using the breast crease incision site on small-busted women to avoid a low- or high-riding scar. 

Breast Augmentation for Body Builders

It is not uncommon for female body builders to have breast augmentation surgery to further enhance their figure.  However, certain factors must be considered to achieve the best result and prevent or at least reduce the risk of complications.

One important thing to consider is that body builders in general have a very low percentage of body fats which predisposes them to higher risk of implant visibility and palpable rippling.  This is more of a concern if a patient’s breast has less tissue.

Because of this specific feature, plastic surgeons usually recommend the submuscular implant placement for female body builders.  With this technique, the breast implants are covered not just by the tissue and skin but also by pec muscle, reducing the risk of wrinkling and shell visibility.

However, the submuscular implant placement has its own downside.  While a body builder contracts her pectoralis muscle, chances are the breast implants will move along with it—something which is undesirable for some patients.  Also, they should bear in mind that it is difficult to predict “the degree of movement” after surgery.

By contrast, the subglandular implant placement or positioning of the device above the pec muscle does not pose the same problem.  For this reason, the technique may sound appealing to female body builders compared with the submuscular breast augmentation technique.

But as mentioned earlier, body builders are prone to implant rippling and wrinkling since they often have a low percentage of fats.  For this reason, they also have to consider what they are getting into if they would choose the subglandular implant placement over the submuscular.

Fortunately, a board certified plastic surgeon with extensive experience in breast augmentation can guide his patient to make the right decision.

To put it succinctly, patients should choose which of those problems they definitely want to avoid, and think about the ramifications that will be acceptable for them.

The next issue to consider is whether to use saline or silicone breast implants.  Patients should bear in mind that the right implant type is determined by the amount of tissue and fat, the bust size they want to achieve, and the ramifications they are willing to accept.

In general, female body builders will benefit more with silicone breast implants because these are filled with a cohesive gel that mimics the way natural tissue feels.  By contrast, saline implants—due to their watery consistency—should be avoided particularly if the patients have low body fats because they usually lead to unnatural result. 

Things You Should Know During Your Breast Augmentation Recovery

Of course you are fully aware that breast augmentation, as with any cosmetic surgery, involves weeks of recovery.  However, you may be surprise that “weird” things—but still considered normal by plastic surgeons—may happen during your healing time.

If you are considering breast implant surgery, these are some of the things you might want to know about:

*  Squeaks and gushes in your breasts

In case that you hear these weird noises coming from your augmented breasts, don’t be alarmed since these are usually caused by air bubbles and/or fluid build-up within the implant pocket.

The buzzing, gurgling, and crackling noises that typically last a few weeks may also be caused by implants as they settle to their natural position.

*  Exaggerated fullness in the upper poles

If the upper poles of your breasts appear unusually round (which gives you the operated, fake look), don’t worry because weeks or months following your breast augmentation, the implants will settle to their natural position.

Some plastic surgeons recommend breast massage and compression exercise after the incision site is completely healed.  The theory is that massaging the breasts would allow the implants to settle naturally, and prevent the scar tissue around the devices to become too tight and dense.

In addition, it is not uncommon for the augmented breasts to be quite firm and sit high up on your chest.  In general, they will soften up and drop to a more natural position.

Your plastic surgeon may recommend strap or elastic bandage wrapped around the upper chest, under the arms, before reaching the top half of the breasts; in this way, the implants will go down.

* One breast sits higher on your chest

The breast implant on your dominant side (right- vs left-handed) may not drop as fast as the other one, leading to asymmetrical appearance.  If this happens, don’t worry since both implants will settle properly weeks or months after your breast augmentation surgery. 

*  Oversensitive nipples

More often than not, oversensitive nipple (right after breast augmentation) is associated with some “erection” which further aggravates the sensitivity.  For this reason, don’t be surprised if your plastic surgeon recommends using Band-Aid (especially if you have large ones) or nursing pads that will protect the area from the abrasiveness of your clothing.

* Numbness in the nipples

While some patients experience oversensitive nipples, others complain about numbness in the area, which is also something normal during the first few weeks or months following the surgery.

For most women, the sensation returns although the process often involves some itchiness, heat, tingling, and sometimes pains, which are all temporary. 

Saline Breast Implants—Overfilling Vs Underfilling

Saline breast implants are filled with a sterile mixture of salt and water while their shell is made of solid silicone that is durable.  However, there is no guaranty that the device can last a lifetime because it is still subjected to the natural wear and tear; for this reason, there is always the possibility of needing a revision surgery at some point in a patient’s life.

One advantage of saline implants over silicone version is that in case of a leak, they will not lead to inflammation of the tissue although patients have to remember that the affected breast will appear deflated right after the rupture.  To correct this problem, the implant must be replaced with a new one during a revision breast augmentation.

However, saline implant has its shortfall; because of its watery consistency, it is prone to sloshing effect, which is attributed to the higher risk of downward displacement. 

One way to prevent the sloshing effect is to overfill the implants with a saline that is more than the amount recommended by the manufacturer.  Patients should remember that overfilling the implants does not lead to a bigger size but only firmer appearance.

For instance, implant manufacturer Mentor recommends its device to be filled with a maximum amount of 300 cubic centimeter or cc, but a plastic surgeon inflates it with 325cc.  Aside from making the implant firmer, the technique has also been said to reduce the sloshing effect.

Another probable advantage of overfilling saline implants is that the need for a revision breast augmentation can be postponed.  Because saline has a natural deflation rate of 1 percent every year, putting content more than the recommended amount of the manufacturer may help prolong the “viable volume” of the implant.

But one downside of overfilling saline implants is that it gives manufacturers the right to cancel the warranty of their products.  However, it does not mean that they will automatically void it, but the technique gives them that option.

While overfilling saline implant is a common practice, underfilling its shell is not since it can lead to a wide range of problems including higher risk of rippling and implant failure; this is because the constant “rubbing” of the folds can affect the integrity of the device.

Another common problem with underfilled saline implants is the visible ripple, which is more of a concern if the breast tissue and fat is limited.

Myths Prevent Women with Breast Implants to Successfully Breastfeed

One of the most common misconceptions about breast implants is that they prevent women to successfully breastfeed their babies.  However, a study presented at the American Society of Plastic Surgeons showed that patients’ wrong belief is the main culprit rather than the devices themselves.

Mothers with breast implants who failed to breastfeed believed it can affect the appearance of their breasts.  However, pregnancy alone may cause some level of sagging because the ligament, skin, and tissue are stretched and may not be able to retract to their original position.

Women should bear in mind that the more pregnancies they experience, the more likely the appearance of their breasts is affected.  This simply means that even if a mother breastfeeds her baby or not, it does not make any difference in the appearance of her bust.

Dr. Norma Cruz, the lead author of the study, said that “breastfeeding won’t harm their [women] breasts, and it has significant health advantages for both mother and baby.”

The study involved 160 breast augmentation patients who were breastfeeding their babies.  Successful breastfeeding was defined by two weeks or more of exclusively providing natural milk.

The researchers have chosen women with almost similar demographics particularly in age, body mass, incision site during their breast augmentation surgery, and implant size; with this consideration, it is safe to surmise that their findings are quite accurate.

Among the 63 mothers who had successfully breastfed, only 13 percent believed it could adversely affect the appearance of their breasts.  By contrast, about 86 percent of the 97 women who were “unsuccessful” thought that it could result to negative impact on the aesthetic quality of their bust.

While Cruz understands that some breast augmentation patients were concerned with the appearance of their bust—after all, they have invested time and money for the surgery—she reiterated the importance of breastfeeding not just to babies but also to mothers.

“Evidence shows that although breasts sag more with each pregnancy, breastfeeding doesn’t seem to worsen these effects in women with or without breast implants,” she added.

While there is nothing wrong getting breast implants before pregnancy, leading Los Angeles plastic surgeon Dr. Tarick Smaili believes that women who are concerned with sagging may consider postponing the procedure.

“Pregnancy may have a slight effect on the appearance of the breasts, but not always to the extent that you will need revisions.  But if you are truly concerned about this, perhaps postponing the surgery is a good choice if you’re considering having babies in the future,” Smaili added.  

Breastfeeding with Implants 101

Many women with breast implants wonder if they can still breastfeed their babies or not.  Patients should always bear in mind that breast augmentation may somewhat affect the sensation of the nipple, although the devices do not automatically prevent mothers to produce natural milk.

Majority of women with breast implants are able to breastfeed successfully, despite some rumors that the devices can prevent them to do so.  There are also some misconceptions that these can contaminate the milk, potentially harming the baby; in fact, studies have suggested that formula milk contains significantly higher amounts of silicone than the milk produced by breast augmentation patients.

Meanwhile, small amounts of silicone are naturally present in mother’s milk.

According to a recent study, most breast augmentation patients who were unable to breastfeed were concerned that doing so may lead to sagging; this means the “inability to breastfeed” is really not the issue but more likely their “unwillingness.”

But contrary to popular belief, breastfeeding does not cause sagging as pregnancy alone is the culprit.  And the more pregnancies a patient will experience, the more likely her breast tissue and ligament will droop.

Breast implant itself does not cause compromised ability to breastfeed.  Most plastic surgeons believe that the incision site (e.g., within the breast crease, around the areola, and inside the armpit) is the factor that primarily affects the sensation of nipple after surgery.

For women who are considering breast augmentation but are planning to have a baby in the future, the best thing is to avoid the peri-areolar incision in which a U-shaped cut is made within the dark pigmented part of skin.  During the technique, there is a higher chance that the nerves are severed, thereby affecting the sensation.

Patients should remember that loss of sensation in the nipple makes it difficult to breastfeed.

However, several studies have suggested that years after breast augmentation surgery, most of the severed nerves can repair themselves, a process called reinnervation.  This clearly shows the remarkable ability of the body to heal itself.

For women with breast implants, they often have a better chance to successfully breastfeed if longer time has transpired since their surgery.  In fact, one study has suggested that five years after the procedure, most of the nerves that were damaged during the incision have already reconnected and have been repaired by the body.

Nevertheless, many doctors believe that inserting breastimplants on the side or underneath the breast will cause the least amount of damage to the nerve endings and milk ducts. 

Fat Grafting and Breast Augmentation

This year, it has been estimated that nearly half a million American women will undergo breastaugmentation either to improve their appearance or reconstruct their breasts following cancer surgery or mastectomy.

Breast augmentation is traditionally conducted by placing saline or silicone breast implants inside the “pocket.”  Meanwhile, these devices have been approved by the US Food and Drug Administration due to their “reasonable safety,” although patients should bear in mind that there is always a risk of rejection and other complications.

Fortunately, there is an alternative to breast implants.  Called fat grafting, the technique involves collecting fats from one donor site (e.g., abdomen and thighs) and then introducing them to another area of the body; and because no synthetic implant is used, patients should no longer be concerned with rejection and allergic reaction.

However, patients should always remember that fat grafting has its own limits.  For instance, the method is not applicable to those with limited amount of body fats; and it can only increase the breast one cup larger from its original size.

Another consideration to make is the result is somewhat unpredictable given the fact that some of the transferred fats will be reabsorbed by the body; and anything that remains a year after the procedure would likely be permanent.

One way to increase the survival rate of the fats is to purify them; this means the blood, connective tissue, and other impurities are removed.  With this method, about 60 to 80 percent of the transferred fats can survive in their new location.

But to further increase the survival rate of the fats, some doctors recommend using bra-like suction cones for three weeks prior to the procedure.  With this technique, they believe that the tension will create enough room for the grafted fats to flourish, although no extensive study can back up this claim.

After purifying the fats, they are carefully injected to the breasts; this process may take more than once to promote high survival rate of the fatty tissues.

Fat grafting that is used as a replacement for breast augmentation is like hitting two birds with one stone.  Not only the patients enjoy bigger and fuller bust, also the areas which have been liposuctioned such as abdomen and thighs will appear slimmer, resulting to a curvier body.

For three weeks, patients are usually required to wear a compression garment around the liposuctioned area; in this way, the skin will heal faster and closer to the body, thereby preventing sagging and improving the body’s contour.

Breast Enhancement Surgery

Nowadays, breast enhancement surgery comes in many forms including breast augmentation, mastopexy (raising the sagging bust), and reduction mammaplasty (decreasing its size).  And while each kind uses different techniques, their goal is the same: to improve the appearance of the bosom.

In 2011, breast augmentation was the most popular cosmetic surgery in the US, with about 307,000 procedures performed during the period.  Currently, the Food and Drug Administration has only approved saline and silicone breast implants for this surgery.

As its name suggests, breast augmentation is traditionally used to increase the bust, but with the introduction of new implant designs, it has become possible to use the procedure in creating a more prominent cleavage, and address certain types of breast deformity such as pigeon chest.

In some cases, breast implants are used to reconstruct the breasts after mastectomy or cancer surgery, although they can only be helpful if there is an ample amount of tissue left.  By using the devices, women can avoid unfavorable scarring associated with tissue-based breast reconstruction, and weakening of the donor site (e.g., buttocks, abdomen, back).

Another type of breast enhancement surgery is mastopexy in which the sagging breasts are raised to make them appear more appealing and youthful.  Contrary to popular belief, the procedure is not only popular among aging women but also on massive weight loss patients who often develop sagging, elongated breasts.

For some, mastopexy involves reducing the size of areola (pigmented part of skin surrounding the nipple) to complement the “perky” and youthful appearance of the breasts.  Doing this additional procedure does not necessarily mean more scars because doctors simply use the peri-areola incision.

While mastopexy can lift the sagging breasts, patients should take note that it cannot create volume especially in the upper and medial cleavage.  For this reason, many plastic surgeons suggest breast implants as a way to further enhance the appearance of the bosom, resulting to a prominent cleavage.

Brest reduction is another type of breast enhancement surgery, although women with medical problems caused by extremely large bust size will more likely see this as a reconstructive procedure.  If performed as a way to improve body function and address discomfort, insurance reimbursement is possible.

By contrast, breast reduction which is performed purely to enhance one’s appearance is not covered by insurance, as with any cosmetic surgeries.  In fact, most insurance companies require at least 300 grams of fats and tissue to be removed from each breast before the procedure is considered reconstructive. 

Are Sientra Breast Implants Better?

Just recently, the US Food and Drug Administration has approved a new brand of silicone breast implant; the device, which is made by California-based Sientra, can be used in breast reconstruction following cancer surgery, and cosmetic breast augmentation.

Dr. Tarick Smaili, one of the leading Los Angeles plastic surgeons, believes the FDA’s approval clearly shows the “reasonable safety of silicone breast implants, despite potential risks such as implant failure and hardening of the tissue or capsular contracture.”

“Any type of breast implant does not guaranty to last a lifetime, although modern designs can accommodate greater force and are quite resistant to the elements that are causing natural wear and tear,” Smaili said.

The plastic surgeon added that implant from Sientra is just like other brands already sold in the US market, thereby patients who will choose the new silicone implant are “technically choosing a technology that has been tried and tested for many years.”

“In fact, silicone breast implants have been subjected to the most rigorous, comprehensive clinical trials and surveys that would allow patients to make a good decision and understand the potential risks and limits of the devices,” he said.

Meanwhile, the plastic surgeon believes that Sientra breast implant is neither inferior nor superior to other brands manufactured by Mentor and Allergan, which used to be the only two companies allowed by the FDA to sell silicone and saline breast implants.

In 1992, silicone breast implants were banned in the US over concerns that they may increase the risk of cancer and many forms of systemic disease.  But in 2006, the FDA has lifted the moratorium based on facts that no study has proven the link between the devices and serious illnesses.

After the lifting of the 14-year ban, silicone breast implants are increasingly becoming more popular than saline implants because they provide a natural feel and look.  In addition, many doctors believe they are less likely to fail because the cohesive gel filling prevents wrinkling, a problem that can eventually lead to shell failure.

By contrast, saline implants—which are filled with a sterile mixture of salt and water—are relatively prone to “folds” that may rub each other, thereby increasing the risk of implant failure.

Over the past few years, breast augmentation via silicone and saline implants has been the most popular cosmetic surgery in the US.  In fact, about 307,180 procedures were conducted in 2011 alone. 

Which Is More Popular, Saline or Silicone Breast Implant?

Breast augmentation is either performed using saline- or silicone-filled breast implants, devices which not only increase the bust size but also regain the lost volume after childbirth.

In terms of popularity, silicone breast implants are almost outpacing the saline version.  This is not surprising because they provide a more natural result since they are filled with a cohesive gel that is designed to replicate the feel of breast tissue and fat.

The growing popularity of silicone breast implant can be attributed to the FDA’s decision to lift the ban in 2006 after several studies have suggested that there is no link between its use and cancer risk and systemic diseases.

Another reason why silicone implants are more popular than saline is that they are very ideal for women with little tissue and fat in their breasts.  And not surprising, a significant number of patients seeking breast augmentation have this anatomical feature.

On the other hand, saline implants can provide a natural appearance only if there is a moderate to significant amount of tissue and breast plastic surgeons can work with.

Meanwhile, a 2009 survey released by the American Society of Plastic surgeons revealed that 50 percent of breast augmentation patients had chosen silicone implants. 

Right after the lifting of the 16-year ban, silicone implant is gaining on saline version every year.  In 2007, 35 percent of breast implants used in surgery were silicone and they jumped by 47 percent a year after.

Difference Between Saline and Silicone Implants:

* Saline implants are filled with a sterile salt and water solution while the silicone version is filled with a cohesive silicone gel.

* Saline implants are prone to sloshing, which in turn results to higher risk of downward displacement than silicone with the same size.  For this reason, some doctors intentionally overfill the saline implants.

* Silicone implants need longer incision than the saline version, unless they come in a very small size.  By contrast, saline implants require a short surgical cut because they are placed empty inside the breast pocket before they are inflated with a sterile saltwater solution.

* Silicone implants can maintain their volume for years (except if there is a leak or implant failure) unlike the saline ones which have a natural deflation rate of 1 percent every year.

* For patients with a little amount of breast tissue, saline implants often result to unflattering, dome-shaped breasts while the silicone implants can provide a more natural result. 

However, saline and silicone implants provide almost the same aesthetic result for women with moderate to significant amount of breast tissue.

FAQs About Breast Implant Surgery

1.     Question: What kind of implants is used during breast augmentation?

Answer:  Currently, the US Food and Drug Administration only allows silicone- and saline-filled breast implants.  However, there is some speculation that the gummy bear implants (these are filled with a more cohesive type of silicone gel) which are under clinical trial, will be made available to the public in the next few years.

2.     Q:  Which can provide a more natural result?

A: Siliconeimplants are designed to mimic the feel of breast tissue, making them a more popular choice of women these days.

3.     Q:  Any benefits in choosing saline implants over silicone version?

A: Yes.  Patients are not required to undergo MRI screening, a test necessary for those with silicone implants because they are at risk of having silent leak (no visible manifestation that the shell has already ruptured),And in case of rupture, patients with saline implants can immediately see the problem because their breasts will become deflated within hours.

4.     Q:  What is capsular contracture?

A:  This happens when the scar tissue—which naturally forms around any implant—becomes extraordinarily dense that it ends up squeezing the implants.  Fortunately, there are many surgical techniques and post-operative treatments that can minimize the risk of capsular contracture.

5.     Q:  What is the difference between smooth and textured implants?

A:  Smooth implants have a balloon-like surface while textured implants have a rough, somewhat “grainy” exterior.

All teardrop-shaped (or anatomical) implants come in textured surface to prevent it from rotating inside the breast pocket, something which may lead to visible distortion.  On the other hand, round implants often come with smooth exterior because they can rotate without causing any problem.

However, some round implants have rough surface which is said to minimize the risk of capsular contracture.  But this claim has not yet been proven.

6.     Q:  Which can provide more natural breast contour, round or teardrop implants?

A:  Both implants can provide natural appearance as long as with the proper placement.  And contrary to popular belief, round implants do not automatically lead to a dome-shaped, unnatural-looking breast because their shape turn into a teardrop once inside the breast pocket (due to the pull of gravity).

      7.  Q:  How long do breast implants last?

A:  According to a study conducted by the Institute of Medicine, breast implants last an average of 16 years, although their lifespan still depends on many factors such as the patient’s lifestyle, certain features of the body, and type of implant used during the procedure.

Breastfeeding After Augmentation Mammaplasty

One of the most common concerns of patients considering breast augmentation is its effect on breastfeeding.  However, many studies have suggested the surgery does not prevent women from producing milk.

Is It Possible to Breastfeed After Breast Augmentation?

Breast augmentation patients will most likely be able to breastfeed their babies following the surgery, particularly if the incision is made along the breast crease and armpit.  However, a U-shaped incision around the edge of areola may increase the risk of having breastfeeding problems because the technique causes more trauma to the glands, nerves, and ducts.

Can Silicone Implants Contaminate the Milk?

Breast implants do not pose contamination risk to babies; in fact, the milk produced by a woman with siliconeimplants has a significantly less amount of silicone than formula milk.

Potential Problem

Patients should know that breast augmentation does not prevent them from producing milk, although there is a risk of having less sensitive nipples, which in turn may lead to difficulty in breastfeeding.  Fortunately, a study has suggested that five years after breast surgery, most of the damaged nerves have already been repaired by the body, significantly improving the ability to breastfeed.

Why Some Patients Can’t Nurse Their Babies

It’s not about inability to breastfeed, but more on the unwillingness of some women to nurse their babies.  According to a recent study conducted by the American Society of Plastic Surgeons (ASPS), women with breast implants who think that breastfeeding can lead to sagging breasts are less likely to do this successfully.

However, the ASPS said that breastfeeding does not affect the result of breast implant surgery and even highlighted the significant health advantages for both baby and mother.

Solution for Those Experiencing Difficulty in Breastfeeding

Women with breast implants should tell her child’s pediatrician about the surgery; in this way, the doctor can keep a close eye on the baby’s weight and make sure he or she is getting enough milk.

But for patients who had breast augmentation to address hypoplasia or underdeveloped breasts, they may experience trouble producing enough milk.  For these mothers, they are often advised to use pump after each nursing session to stimulate production.  But if this is not enough, they should use formula milk or donor milk.

Should Breast Augmentation Be Postponed?

Some plastic surgeons recommend postponing breast implant surgery for women who are considering having babies since pregnancy may change the appearance of their breasts.

Thinking of Breast Augmentation Surgery?

Breast augmentation has been one of the most sought-after cosmetic procedures in 2010.  During this period alone, about 296,000 US patients had the surgery, with the number expected to grow in the next few years.

If you are thinking of having breast augmentation surgery, these are the most common questions of patients you may also have in mind:

·         Is the safety of breast implants monitored by the FDA?

Both saline and siliconebreast implants are considered safe both for breast augmentation and reconstruction following cancer surgery.  Currently, the FDA only allows Mentor and Allergan-Mentor to sell their products in the country.

·         What is the advantage of saline breast implants over the silicone version?

Saline implants require smaller incisions because they are only filled once they are inside the breast pocket.  Take note that no FDA-approved prefilled saline implants are sold in the US.  Another advantage is that you are no longer required to undergo regular MRI screening because there is no risk of “silent leak.”

·         Which is more popular nowadays, silicone or saline implants?

Most doctors believe that silicone implants are more popular these days because they can simulate the natural feel of tissue unlike the saline version which is typically described as like having a water-balloon inside the breast.

But because a leak may not have any manifestation (e.g., deflated-looking breasts), it is recommended that you undergo MRI screening at least every two years.

·         Is there any option other than saline and silicone implants?

A new breast implant called “gummy bear” implant is used in Europe, though it is not yet available in the US market, unless you will enroll in nationwide clinical trials to test the product’s effectiveness and safety.

Gummy bear implant uses the silicone gel that is more cohesive than the one used by the currently available silicone implant.

·         Do patients need revisions in the future?

Because breast implants are not guaranteed to last a lifetime, you will likely need revision breast augmentation at some point in your life.  This is because the devices are still subjected to the natural wear and tear which can lead to rupture and leak.

What Is the Most Ideal Age to Have Breast Augmentation Surgery?

Breast augmentation is one of the most sought-after cosmetic surgeries not just in the US but also in many countries.  In fact, it has been estimated that 5 to 10 million people have the procedure; they consisted of women who wanted to improve their appearance, post-cancer patients who had mastectomy, and transgender.

To date, many countries including the US require patients to be at least 18 years old before they can undergo breast implant surgery.  But take note that this age requirement generally applies if you will have the procedure solely for cosmetic purpose—e.g., you want to increase your bust size.

By contrast, age requirement is not important if you will have the procedure as a way to treat developmental abnormalities.

You have to remember that patients between 18 and 21 can only have saline implants which are filled with a sterile saltwater solution.  But when you reach the age of 22, you would be allowed to use silicone implants during your breast augmentation surgery.

The main reason why silicone implants require a higher age limit is because of the risk of rupture.  To prevent serious complications, you will be required to undergo MRI screening at least every two years.  By contrast, you will not need this if your implants are filled with saline, which in case of a leak, can be safely absorbed by your body, though your breasts will immediately appear somewhat “flat.”

While 18 years old can already have breast augmentation, many plastic surgeons believe that a woman should wait until she has reached her twenties because there is a likelihood that her breasts will further enlarge.

Imagine that if your breasts become larger after having plastic surgery, you may end up with a bust size bigger than what you really want.  While you can always have revisions to downsize your implants or even remove them without replacement, this means additional expenses and possibly more scarring.

If you decide to have breast augmentation in your teenage years, you will likely need revisions sooner than later.  Take note that breast implants are not designed to last a lifetime and are subjected to the natural wear and tear.

According to a data collected by the American Society of Plastic Surgeons, 65 percent of breast implant surgeries were performed on patients aged between 20 and 38, a clear indication that most women waited until their body has fully matured before they had the procedure.

Poll Shows Breast Surgery Improves Sex Life

Women who have received breast enhancement surgeries such as augmentation and mastopexy (or breastlift) have reported better sex life and higher satisfaction after the procedures, according to a survey conducted by RealSelf.com, a popular online forum that tackles plastic surgeries and cosmetic treatments.

On average, respondents claimed that breast enhancement surgery have increased their sex life satisfaction by 34 percent, while 61 percent said they had sex more frequently after the procedure.

By contrast, only 7 percent of the respondents said they had fewer sexual encounters after their breast augmentation or breast lift surgery.

On a scale of one to ten, one being the lowest satisfaction rate, patients experienced more than a two-point increase in their overall sex life satisfaction following their breast enhancement surgery.

Before the procedure, the average sex life satisfaction score was 6.07 and then jumped to 8.13 after the surgery.

While about 70 percent of respondents said that their overall sex life has improved, 28 percent said that breast surgery did not change anything.

Currently, the average cost of breast augmentation and breast lift in the US is $6,000 and $10,000, respectively.  But despite the procedures’ relatively high price, a number of patients seeking them has increased over the past couple of years.

In the US alone, about 296,000 patients had breast implant surgery in 2010.  Meanwhile, it has been estimated that 5 to 10 million people worldwide have augmentation surgery for cosmetic reasons, although a significant number of them also had the procedure to reconstruct their breasts after mastectomy or to transition from male to female gender.

On the other hand, approximately 90,000 breast lift surgeries were performed in the US in 2010 alone.

Dr. Tarick Smaili, one of the leading Los Angeles plastic surgeons, said he is expecting breast enhancements, particularly augmentation surgery, to further increase their popularity in the coming years.

“I think that the changing perception with cosmetic plastic surgery is the main reason why breast enhancements are enjoying their popularity.  Considered to be a taboo in the previous years, people are now more open to the idea that we have the freedom and the right tool to modify and improve our physical appearance,” Smaili said.

However, the cosmetic surgeon warned that not all people who want to have some “physical improvements” are good candidates for cosmetic surgeries.

“Of course there are many things to consider.  Does she have realistic goals and expectations?  Is she physically and psychologically healthy?  These are just some of the factors plastic surgeons would have to consider before taking any surgical step, particularly if it involves elective and cosmetic procedures,” Smaili added. 

Can Herbal Supplements Affect My Healing After Plastic Surgery?

Can herbal supplements such as green tea and ginko biloba have a negative effect on my body’s healing ability after plastic surgery?  For this question, the answer is YES.  Even if the package says “all natural ingredients,” it does not always mean that they would not cause some kind of harm.

While taking herbal supplements has its own advantages, this is not the case if you will undergo plastic surgery or any kind of operation.  This is because some of the ingredients used have been known to affect healing and natural blood clothing, thereby increasing your risk of skin necrosis (or gangrene), infection, and increased bleeding during and after surgery.

These are just some of the most commonly used herbal supplements you must avoid at least two weeks before and after your plastic surgery (e.g., breast augmentation, liposuction, facelift, body lift, etc.). 

·         Ephedra

Ephedra is often used in treatments for a wide range of respiratory problems such as asthma and bronchitis, although certain weight loss medications and “energy” supplements also contain this ingredient.

However, the US Food and Drug Administration has banned the ingredient after studies have suggested it can raise the blood pressure and heart rate, something which may lead to heart attack and stroke.

·         Chondroitin

As a treatment for people suffering from osteoarthritis, Chondroitin has been found to increase bleeding during surgery and delay one’s recovery.  Its effect can be further aggravated if you are taking other blood-thinning medications such aspirin and all types of non-steroidal anti-inflammatory drugs (e.g., ibuprofen and naproxen).

·         Glucosamine

The effects of this agent are the same as the insulin, thereby increasing your risk of hypoglycemia during surgery.  This complication happens when your blood sugar drops to a dangerous level. 

·         Echinacea

Commonly used for the treatment of bacterial, fungal, and viral infection caused by ulcers, arthritis, and chronic wound.  But studies suggested that this ingredient can suppress your body’s immune system, leading to delayed healing.

Just to be on the safe side, you should tell your plastic surgeon all about your current medications and herbal supplements during consultation.  Take note that even those which contain garlic, ginseng, gingko biloba, and other seemingly harmless, everyday ingredients can affect your healing ability.

In case that you are taking these herbal supplements and certain medications that can affect your healing, your plastic surgeon will ask you to stop these at least two weeks before surgery.

Radio Station Gives Two Breast Augmentation Vouchers

A radio station in Chicago has recently given two breast augmentation vouchers each worth $7,000 for the winners of its contest “Breast Year Ever.”

Classic rock radio station WLUP “The Loop” held a contest requiring listeners to submit written reasons why they want to undergo breast augmentation surgery, and a photograph of their natural breasts.

One of the winners, Carrie, has shared her stories of why she desires to undergo the cosmetic plastic surgery.  Three years ago, the bank teller gave her husband her kidney, and as a way to thank her wife, the husband said he wants to “give her breast augmentation in return.”

The second winner, Alishia, is a cancer survivor who at a young age received radiation therapy to save her life; however, the treatment inhibited her to have normal breast development.

According to the radio station’s website, Alishia became a nurse as her way to heal others who are dealing with the same medical issues she had experienced during her struggle with cancer.

This is not the first time a radio station offers breast surgery vouchers to listeners.  Just recently, Calgary station Amp Radio also raffled off breast augmentation which was won by a transgender woman.

Also, a casino in Atlantic city offered jackpots in the form of cosmetic procedures including liposuction, cheek implants, and Botox injection.  The contest dubbed as the “Tuck and Lift Sweepstakes” raffled off $25,000 worth of plastic surgery and non-invasive procedures.

Meanwhile, some board-certified plastic surgeons are not happy with the growing trend of using cosmetic surgery vouchers as a prize for contest as it may mislead people to believe the procedure does not involve serious ramifications.

Dr. Tarick Smaili, one of the leading Los Angeles plastics urgeons, said that plastic surgery is a “serious decision to make and involves lengthy consultation between a doctor and his patient.”

“I always require lengthy consultation and physical examination before I proceed with a certain procedure to determine a patient’s qualification not just in terms of physical health but also emotional and psychological health.  Of course, I also consider my patient’s expectations and goals—whether these are achievable or not,” Smaili said.