Breast augmentation is the enlargement of the breasts with breast implants. It also improves the shape of your breasts. Dr. Shuster is a breast augmentation specialist that uses Minimally Invasive Techniques to enhance your body type and meet your surgery goals.
Yes, but they are placed as inconspicuously as possible. Depending on your body type and preferences, Dr. Shuster may enter through the armpit, around the nipple, or under the breast to insert your implant. These incision locations help camouflage any scars.
Dr. Shuster specializes in the transaxillary (armpit) approach to breast augmentation for several reasons. First, the goal of the surgery is to create beautiful breasts. So he sees no reason to start the procedure by placing scars right on the breasts themselves. Rather, Dr. Shuster's preference is to place the scars inconspicuously in the armpit so there are no scars on the breast itself. Second, since the implants are to be placed under the muscle, the side of the muscle is right next to the armpit. So the transaxillary incision provides direct access to the space under the muscle without having to traumatize the breasts.
The main benefit of breast augmentation is a fuller bust that complements your body shape. After a breast augmentation, you may also feel more confident and clothes may fit you better.
There are many different types of implants that are available for breast augmentation. You can select from saline or silicone gel. In terms of sizes and shapes, implants come in a variety of projections and sizes. Read our page about implants to learn more.
Both saline and silicone breast implants are produced with differing degrees of projection. The three types of profiles available for most breast implants in the USA are Moderate Profile, Moderate-plus Profile, and High Profile. The profile of the implant refers to how far from the chest the implant “projects”. The Moderate Profile breast implants provide the most natural results with breast augmentation and are the most commonly used breast implants. The High Profile breast implants provide much more forward projection following breast augmentation and create a more “showy”, less natural look. Moderate-plus breast implants fall in between these two. The advantage of the Moderate-plus breast implants is a little more projection and upper pole fullness. All three can lead to beautiful results following breast augmentation.
Recovery time after breast augmentation surgery varies from patient to patient. In general, Dr. Shuster's breast augmentation patients will take off a long weekend. Most patients will be able to drive four to five days following their surgery. If their occupation is not strenuous, they can return to work at that time. Breast implants can take several weeks to settle into their final position. During this time patients will gradually increase their level of activity. By six weeks following breast augmentation, the vast majority of patients will not have any restrictions.
Following breast augmentation surgery, Dr. Shuster recommends that his patients not exercise for one week. After this week, doing non-impact lower body exercises, such as a stationary or recumbent bicycle, are fine and a great way to get cardio. Three weeks following placement of breast implants, patients may resume impact exercise. During this, they should wear a sports bra so their breast implants are supported and do not 'bounce'. Patients can generally resume upper body exercise six weeks following breast augmentation surgery.
The question of whether breast implants ever need to be replaced is controversial. The issue only applies to silicone gel filled breast implants. Saline breast implants do not need to be replaced just because a period of time has passed. Saline implants only need to be replaced if there is an implant rupture or if the patient chooses to exchange or remove them for any number of personal reasons such as, changing to a different size or style of implant. . The older generation of silicone gel filled breast implants had a higher rupture rate than the current, improved gel filled breast implants. It was because of this high rupture rate that patients were advised to consider exchanging their breast implants. The new silicone gel filled breast implants are much better quality. At this time it is not clear that they will ever 'need' to be replaced. As plastic surgeons, this is something that we pay much attention to and should be discussed with Dr. Shuster prior to deciding which type of breast implant to use.
Whether breast implants may affect a woman's ability to breast feed is an important question to ask for any woman considering breast augmentation who plans to have children in the future. The generally accepted answer is that breast implants do not affect a woman's ability to breast feed. Dr. Shuster uses the transaxillary approach to breast augmentation and places the breast implant under the pectoralis muscle. This approach and placement keeps the implant away from the nipple and for the most part leaves the breast tissue alone and well above the breast implant.