Breast Augmentation is most commonly a procedure where an implant is placed in the breast to help increase the size of the breast and improve its overall shape. Implants are generally saline or silicone implants and can be placed through a variety of incision which include around the areola, underneath the breast, in the axilla (armpit) or through the umbilicus (belly button).
The latest techniques for Breast Augmentation in Chicago now include the possibility of fat transfer from other areas of the body to the breast. For most women, the amount of fat that can be transferred is not enough to significantly increase more than a cup size and is used mostly for filling the top of the breast for fullness.
Why choose Dr. Michael J. Lee for Breast Augmentation in Chicago?
There are many decisions that need to be made regarding augmentation, Dr. Lee spends the time to help you make these decisions and guides your decision to help create the best shape and size for you.
Volume and size is not the only important decision. There are several types of implants including saline, silicone, moderate profile, moderate plus, high profile, round and anatomic, and now cohesive gel implants. Dr. Michael J. Lee dedicates time to your consultation to review these decisions and often meets patients more than once to help make their decisions.
Dr. Lee uses his Best You™ Breast Augmentation operative technique that places different temporary sizes in the operative room to ensure the best possible fit for you.
Who is a good candidate for Breast Augmentation?
Those individuals who have small breasts, loose skin from weight loss or pregnancy, and breast asymmetry can all have improvement in the shape with a Breast Augmentation in Winnetka. As with any surgery, individuals who have little to no medical problems are unlikely to have major complications.
What are the risks of Breast Augmentation implant placement?
Saline and silicone implants are both approved by the FDA for Breast Augmentation in Chicago. Both implants have been studied for long term complications and the effects of silicone and saline in the body. The results of these studies have not shown any increased risk for breast cancer or autoimmune diseases.
There are some risks to having implants such as risks of infection, deflation for saline implants, capsular contraction or scar forming around the implant. There are also risks for placing the implants which include decreased or increased nipple sensation, bleeding, asymmetry and need for further surgeries.
Should implants be placed underneath or above the muscle?
For the last several years, implants have been placed underneath the muscle to minimize the risks of capsular contracture (scar forming around the implant) and to minimize the rounded appearance at the top of the chest.
With newer implants and silicone implants, the shape of the breast can be natural with placement above the muscle. For breasts that have dropped in position with age or pregnancy, placement above the muscle can provide a better shape.
Dr. Lee will discuss with you whether placement above the muscle or below the muscle is better. The recovery above the muscle is shorter and is usually associated with less pain.
How do I determine the size of implant that is right for me?
The size of implant is usually determined by the breast width or diameter. There can be some variation and selection based on your desire to be closer to a B, C, or D cup bra size.
To help determine your size, you can use a bag of rice to find the right volume in a sports bra and then measure that amount in a cup. The rice volume (measured in cups) can then be estimated in Dr. Lee’s office to correlate with cc’s in saline or silicone implants.
Do implants affect mammograms and cancer detection?
Mammograms need to be performed using a different technique when you have implants. There are no current studies that show women with implants are indicative of more advanced or delayed diagnosis of breast cancer.
When do implants need to be changed?
Many plastic surgeons are advising the removal and replacement of implants every 15 years but this is not absolute. Dr. Lee recommends evaluation of the implants and the position and shape at 15 years post-op. If there are some changes that are unacceptable, then this is a good time to replace them.
What if I need a Breast Lift as well as a Breast Augmentation?
Sometimes from weight loss or following pregnancy, the breast loses volume and the nipple drops lower than the breast. Sometimes, an implant is good enough to lift the breast tissue and the nipple position. In some cases the breast may need to be lifted and an augmentation needs to be performed. If the amount of lift is significant, it may be better to do the procedures separately.
Dr. Lee will perform an evaluation to determine if an implant is able to lift the breasts alone or whether additional surgery needs to be performed to help lift the nipples.
Fat Grafting to the Breast
Fat Grafting is becoming more commonly performed for Breast Augmentation, Breast Reconstruction and Breast Revision procedures.
Fat is harvested from an area and then strained and centrifuged and transferred to the breast. There has been some controversy regarding the long term safety for fat injections to the breast. The concern has been regarding cyst formation from fat as well as the effect of fat transfer and mammography and cancer detection.
With the new techniques and quality of mammograms, the ability to detect and differentiate fat cysts from breast cancer has significantly improved over the years and more plastic surgeons and patients are becoming comfortable with the technique.
The technique has been performed for many years to other areas of the face and body without problems.
Am I good candidate for Fat Transfer to the Breast?
Good candidates for Fat Transfer need to have enough fat to be able to create a visual improvement in the breast. The goal of the transfer is typically an increase in cup size or improvement in shape particularly at the top of the breast.
Fat grafting can also help patients who have already had breast implants that have been complicated by the following problems: rippling from implants, too wide of a distance between the breast implants, too round at the top of the breast or the implants are too easily felt underneath the skin.
If there is too much skin or wrinkling, or the breasts are too low, then fat transfer is not likely to make significant improvements.