With breast augmentation, you can achieve the size and shape you’ve always wanted. The procedure is performed through an incision in the breast, which is usually made in the fold below the nipple. This allows your surgeon to create a pocket for the implant and also gives them access to your chest muscles and mammary gland so that they can reshape your breasts.
The procedure involves removing small amounts of fat from other parts of your body and using that material to create a new breast mound. This may be done with liposuction or with a device called a cannula, which uses suction to remove fat from areas such as the hips, thighs, or waist area. The surgeon will then place an implant behind each breast mound. The placement of these implants varies based on your needs; however, most people prefer them under their pectoral muscle so that it looks natural and feels like it belongs there.
Read on to learn more about Best Place For Breast Augmentation Near Me Best Place For Breast Augmentation Incision AND Breast Implant Safety
Best Place For Breast Augmentation Near Me
Choosing the right plastic surgeon for breast augmentation can be challenging. When patients do not know what to look for, they can end up making a poor choice based on incorrect assumptions. As a result, they may not achieve the desired look may have to turn to more surgery to correct the issues. When choosing the right surgeon for breast augmentation it is important to look at all of the following:
- Board Certification: The American Society of Plastic Surgeons (ASPS) strongly advocates seeking a breast augmentation choose a surgeon who is certified by the American Board of Plastic Surgery. Many times surgeons will boast other certifications; however, it is important to understand that not all certifications carry the same meaning. In an interview with MSN, Dr. Peter B. Fodor, former president of the American Society for Aesthetic Plastic Surgery (ASAPS), states that often, “…physicians will state on the Internet that they are board certified when they are not.” Dr. Fodor strongly urges patients to verify their physicians credentials by calling 1-888-272-7711 or visiting www.surgery.org.
- Experience: Board certification is an indication of proven experience. According the American Board of Plastic Surgery, “[certification] includes a minimum of five years residency training in all areas of surgery, including at least two years devoted entirely to plastic surgery.” Surgeons will often highlight their accomplishments in the field of plastic surgery. As with anything, it’s always important to double check and verify that what the surgeon is saying is true.
- Peer Recognition: This is a very powerful way of determining excellence in a surgeons skill over and above such things as patient reviews which can be either fake or solicited. There are several types of peer recognition that indicates a surgeon has legitimate peer recognition. First of all if a surgeon has been asked to teach other surgeons at national and regional meetings. Secondly if the surgeon has been voted into a leadership position in a national society. Thirdly,and most importantly, if the surgeon has been voted in by his peers into the American Association of Plastic Surgery(AAPS). In contrast to the professional societies the American Society of Plastic Surgery(ASPS) , or the American Society of Aesthetic Plastic Surgery( ASAPS), the “Association” is the true and ultimate honor society for plastic surgeons. Membership in AAPS is only available to those who have “made a significant contribution to the field of plastic surgery” and then is voted in by other plastic surgeons. Other awards that may be listed on various web sites may actually be fake awards such as “The Patients Choice Award’, “ The Most Caring Physician Award” , and so on . These awards are sold to doctors for false advertising on their website but look legitimate like a doctor was actually given an award by a legitimate consumer’s group. However, legitimate awards are better indicators than even patient reviews.
- Consultation Thoroughness: The consultation is arguably the most important step before breast augmentation. This is the time to form a relationship with the surgeon set pre-surgery expectations. According to The American Society of Aesthetic Plastic Surgery, “The consultation is an important opportunity for questions to be asked and answered. It should include a candid discussion of risks as well as benefits of the surgery. A thorough consultation also involves a review of medical history including any existing medical conditions. All these factors help the surgeon to custom-tailor the operation to best meet the needs of each patient.” a pitfall that many patients fall into during this part of the selection process is allowing a surgeon with a great personality disguise a poor track record of problems.
- Before & After Pictures: Most surgeons will display before and after pictures on their website, as well as show them to patients during their consultation. Before and after pictures are a great indication of a surgeon’s experience and proven results. Many times, comparing before and after pictures of several different plastic surgeons can be beneficial to patients when determining which surgeon to go with. However, keep in mind that usually you are only seeing the best results.
- Track Record (malpractice suits): One way to check a surgeon’s record is to see if there have been any malpractice suits filled against the surgeon.. ImplantInfo states, “Malpractice suits don’t necessarily mean a doctor has problems, but according to the Sun Sentinel, state officials in Florida consider three medical malpractice judgments against a doctor within five years to be a warning sign.” Keep in mind anyone can sue anyone for anything so just the action itself means nothing. However, a conviction may be important.
- Reviews: There are several patient review websites which highlight actual testimonials from patients who have received breast augmentation from specific surgeons. Unfortunately there are now services that sell fake positive reviews to surgeons and it is impossible to tell them apart. Also some surgeons actually post positive reviews about their own practice. A company called Lifestyle Lift had to pay a large fine a few years ago due to employees posting positive reviews on their own site. One tip off that this may be occurring is If a surgeon has nothing but an extensive list perfect reviews, then that is unlikely that everyone is always happy with everything about a certain practice. So, be careful not to fall for that. Also be sure that the reason for any negative review, if present, is something that is directly related to an important issue. Sometimes patients post negative reviews just for something trite such as having to wait in the waiting room too long. Really? Wouldn’t you rather go to a guy who has a wait for his services? Reviews therefore are a very superficial guide to selection of a surgeon.
- Word of Mouth: This the most reliable way of choosing a surgeon because the experience is valid and not potentially created artificially online. In addition the result of the patient can be verified in 3D if they are amenable to that. Photos online, while helpful, are still a poor substitute for reality. In addition you have the opportunity to ask all the questions you like in most cases. Prior to the internet this was the best way to get information and from a reliability standpoint it still is. Some surgeons offices have a list of patients who have volunteered to serve as as a resource for other patients seeking surgery at that practice. Be sure to ask if there are patients you can speak to personally if you have no other word of mouth resource.
- Hospital Privileges: On rare occasions patients must be admitted into the hospital for severe complications following their breast augmentation. Therefore, it is very important that a plastic surgeon has hospital admitting privileges. ImplantInfo recommends verifying the surgeon’s in-office operating suite in accredited by the American Association for Accreditation for Ambulatory Surgery Facilities. In addition the surgeon should have hospital privileges for the same procedures they provide in the office since the hospital vets credentials thoroughly.
- Facility Accreditation: When undergoing a breast augmentation, surgeons will chose to perform the procedure in either a hospital setting or a day surgery center. The ASPS strongly urges patients to undergo breast augmentation in an accredited facility. ASPS states, “An accredited facility is one that must meet strict national standards for equipment, operating room safety, personnel and surgeon credentials.” By choosing a surgeon who uses an accredited facility, the patient is more likely to experience a much lower rate of serious complications and may be able to take advantage of lower costs.
- Cost of Procedure: As with most things in life, cost can be a huge factor in the choice of breast augmentation surgeon, but it should never be the determining factor. If a surgeon is offering breast augmentation for a lower than average price for the market, be cautious. Plastic surgey is like everything else in that you usually tend to get what you pay for. Don’t bargain with your body. But also don’t assume just because one surgeon is is charging higher fees that he/she is a better surgeon. Always do the homework.
- Office staff: While the office staff have little to do with your final result, they do make your life easier. So, if all things are equal otherwise, choose the office where you feel more comfortable and they have been personal, informative, and friendly. If you are just a number in a big cattle call it might not be a great experience.
Breast Implant Safety
If you have been thinking about having breast implants, the chances are you will already have learnt a great deal about the different types of breast implants, breast implant incisions and choosing the best size of the implant. We believe one of the most critical areas to bear in mind is ensuring the highest standards of breast implant safety. The vast majority of women who have this procedure are delighted with their breast implant results and have never encountered any issues during or after the procedure. Having said that, there are several potential breast implant risks to be aware of. Here at Centre for Surgery, we take patient safety very seriously, and we have emphasised the most important safety considerations concerning breast augmentation below. If you want to learn more about optimising safety in breast augmentation, please discuss this further with the surgeon at your consultation.
Why is it important to consider the safety of breast implants?
Deciding to undertake any form of surgery, including breast implant surgery, should not be undertaken lightly. Although breast augmentation is a straightforward procedure to carry out, there are several important factors to consider about the nature of breast implants themselves:
- Breast implants are not designed to last for the lifetime of an individual. Approximately 10 to 15 years after your first procedure, we recommend having a consultation with your surgeon to discuss breast implant removal or breast implant replacement. If you choose to have, your implants removed you may need to have a breast lift at the same time to correct saggy breasts that have developed over time.
- Breast implant rupture is rare with the latest generation implants but is still a potential risk with any type of implant. Although implant rupture is not a dangerous condition, it is essential to have corrective breast surgery to remove and/or replace the implant.
- Silicone breast implants require regular surveillance, and we would recommend undertaking high-resolution ultrasound scanning every two years. Centre for Surgery is one of the few clinics in London to offer this service to our patients.
- Breast cancer screening using mammography can sometimes be more challenging to interpret in the presence of breast implants. The doctor may need to carry out a different type of diagnostic imaging to view the breasts from different angles. These images could be more challenging to interpret. With improvements in x-ray technology, the risk of missing breast cancer in the presence of implants has markedly reduced over time.
Capsular contracture
Capsular contracture is used to describe excessively tight scar tissue that develops around the breast implant, which often results in pain and discomfort. Severe grades of capsular contracture can deform the underlying breast resulting in an abnormal breast shape. This is one of the most common risks associated with breast implants. Although capsular contracture it’s not a dangerous condition, it is a recognised complication of breast implant surgery and will require corrective breast surgery.
The reasons why capsular contracture develops are still uncertain. However, it is thought there are several factors which act in combination to increase the chances of the condition developing. Some studies have suggested it may be more commonly seen after revision breast surgery. Other studies demonstrate a link between patients who have had subglandular breast augmentation and the later development of capsular contracture.
Breast implant rupture
It is important to remember that breast implants are not designed to last for the lifetime of an individual patient. Breast implants have a finite lifespan with a small risk of implant rupture with the increasing age of the implant. Although breast implant rupture sounds dramatic, it is not a dangerous condition with no impact on health. Silicone breast implants have a highly cohesive gel; when implant rupture occurs, the gel remains inside the implant. Older types of silicone implants may be more prone to leakage, although any leakage is usually contained within the capsule or the pocket where the implant is placed. Silicone itself is chemically inert and is not known to result in adverse reactions if it comes into contact with body tissues. Saline breast implants are rarely used in the UK. When saline implants rupture, the internal say line will be safely reabsorbed by the body with no adverse consequences. With any type of implant rupture, revision breast surgery will be required to remove the old damaged implant and replace it with brand-new ones. Breast implants generally last between 10 to 15 years, with some potentially lasting for a lifetime.
Best Place For Breast Augmentation Incision
Joshua A. Greenwald, MD, FACS, sees many patients who are bothered by the size of their overly enlarged breasts. Some of these women suffer from neck, shoulder and back pain caused by their extremely large breasts. Also, they often complain that their overly enlarged breasts make physical activities such as running difficult or even painful. In addition, many women with extremely large breasts feel self-conscious or downright embarrassed about their breasts. Fortunately, Dr. Greenwald performs breast reduction surgery to address the physical, aesthetic and emotional concerns associated with overly enlarged breasts.
Who Is a Suitable Breast Reduction Candidate?
Prospective breast reduction candidates in New York City must meet with a board-certified plastic surgeon to establish if they are suitable candidates for the procedure. Only a well-trained and highly experienced surgeon such as Dr. Greenwald can correctly verify if someone is a suitable breast reduction candidate. Nonetheless, suitable candidates often include those who:
- Have overly enlarged breasts that affect everyday activities, including exercising
- Suffer from pain or discomfort caused by extremely large breasts
- Frequently find themselves hunching forward from the weight of their breasts
- Experience skin indentations or rashes on the shoulders, from their bra
- Are self-conscious about or unhappy with the size of their large breasts
- Would like smaller, more lifted breasts
- In general, have a positive self-image, but are concerned with the size of their large breasts
- Are in good overall physical and mental health
- Have realistic expectations for the results of breast reduction surgery, and are seeking aesthetic (and physical) improvement — not necessarily perfection
- Have made an independent choice to pursue breast reduction surgery
- Are not breastfeeding currently (It is best for women who are nursing to wait 12 weeks after they have ceased breastfeeding to undergo breast surgery, so their natural breast size can be determined.)
Incision Methods
Depending on the patient’s anatomical needs and aesthetic concerns, Dr. Greenwald will recommend one of two breast reduction surgical techniques. The technique chosen determines which incision method is used.
With the short scar breast reduction technique, the New York City breast surgeon makes a periareolar incision (around the perimeter of the areola: the darkly pigmented skin surrounding the nipple) as well as a vertical incision that extends from the bottom border of the areola down to the fold of the breast.
With the conventional breast reduction technique, Dr. Greenwald makes a periareolar incision; a vertical incision; and an inframammary incision, which extends horizontally, underneath the natural crease of the breast.
The Breast Reduction Procedure
The NYC breast surgeon performs breast reduction surgery on an outpatient basis, under general anesthesia so the patient remains comfortable throughout surgery.
After he makes the needed incisions, Dr. Greenwald eliminates excess breast tissue and skin, mostly from the lower region of the breast. He moves the nipple to a higher position on the breast, taking care to keep the nipple attached to the underlying tissue to maintain nipple sensation. The Manhattan cosmetic surgeon usually needs to decrease the size of the areola as well, so it is in proportion to the smaller breast size. He makes sure that the breasts are symmetrical prior to using sutures to close the incisions. Lastly, he wraps the breasts in bandages as well as a surgical bra, which provides additional support to the area.
Recovering from Surgery
Before the day of surgery, breast reduction patients receive complete instructions about how to care for the breasts prior to and after the procedure. After breast reduction surgery with the board-certified New York City plastic surgeon:
Most of Dr. Greenwald’s breast reduction patients are able to resume their usual routine within days of their surgical procedure.
Many breast reduction patients need only a small amount of pain medication or none at all.
Most individuals experience little to no bruising.
Some individuals notice changes in breast sensation, which are usually temporary but, rarely, can be permanent. These changes in sensation may include pain, discomfort, soreness, a tingling feeling or numbness. Changes in nipple sensation do not typically occur with this procedure, but if they do, they are normally temporary.
Patients are permitted to resume their fitness routine three weeks following surgery.
It is advised that patients sleep in a sports bra for three months.