Dr. Kirby may ask you to stop or adjust medications or supplements that may interfere with your surgery. Depending on your medical condition, you may be asked to get lab tests, a medical checkup, or an updated mammogram. If you use tobacco, you will need to quit before surgery. You will also need to arrange for a responsible adult to drive you to and from your surgery and to stay with you for the first 24 hours after surgery.
28)  Speaking of fashions... some people have pointed out that strange, uncomfortable, weird-looking, fetishistic, and dangerous women's fashions tend to have an upsurge after any period where there are improvements in women's rights.  We are in such a period now.  I think implants have become such a fashion.  In America, we've gotten accustomed to implants that, to someone from outside our culture -- even from a place as similar as England or Australia -- look bizarre and hideous.
Thanks for posting this. I have been thinking about getting a boob job for some time, but I have had some surgery fears. Also worrying about what other people think about boob jobs. It is refreshing to see someone own it. It is nothing to be ashamed of and this post made me feel better about my decision to get one. I feel like I would feel more womanly if my boobs were a bit more voluptuous. Thanks for posting..
Do not receive BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.
Subpectoral (dual plane): the breast implant is emplaced beneath the pectoralis major muscle, after the surgeon releases the inferior muscular attachments, with or without partial dissection of the subglandular plane. Resultantly, the upper pole of the implant is partially beneath the pectoralis major muscle, while the lower pole of the implant is in the subglandular plane. This implantation technique achieves maximal coverage of the upper pole of the implant, whilst allowing the expansion of the implant’s lower pole; however, “animation deformity”, the movement of the implants in the subpectoral plane can be excessive for some patients.[38]
If a woman desires bigger breasts and feels that her breasts are sagging, then she may be a candidate for a breast lift and augmentation. Depending on the degree of lift desired, skin will have to be removed from the breast to achieve the lift. Although a lift will reposition the breast to a more elevated and youthful position, nevertheless, the breast may lose about 10%-15% of its volume because of skin removal. In this situation, you have a choice to try on implants and see whether you would like an implant to be done at the same time as the lift, or have the procedures done separately. An augmentation/ lift procedure is a more involved procedure than either a lift or an augmentation alone. It also carries a higher risk of complications, but it is usually an extremely satisfactory surgery.
Although definitive studies are limited, evidence suggests that saline-filled implants have a reduced rate of contracture compared to implants filled with silicone. Fewer cases of severe contracture are also reported in studies of textured-surface implants compared to those with smooth surfaces. Both patients and doctors in a 1997 study preferred the textured surface.
Breast augmentation is appropriate for patients who desire larger and more proportionate breasts. Women may consider breast augmentation if they have naturally small breasts or if their breasts have become deflated as a result of pregnancy, weight fluctuations, or aging. Patients who are also concerned with sagging breasts may require a breast lift to achieve the optimal result. 

Breast implants can be placed in multiple ways. With all breast implant placement methods, an incision is made that allows Dr. Pfeifer access to the breast, and the implant is centered below the nipple. The incisions are then closed with special sutures. Like most of the cosmetic surgeries we perform, breast augmentation is done under general anesthesia while local anesthesia with IV sedation is an option available in certain cases. The average time of surgery is 1 hour.
“Depending on the ‘look’ you want to achieve the techniques used for breast implant surgery vary greatly. From the more conservative and natural breast augmentation of women in the Upper East Side in New York, to the full projection and enhanced upper pole take off seen on Ipanema Beach. Implant choice and plane of dissection are critical to the final outcome and therefore your choice of surgeon is just as important.”

Fall 2013 This is kind of where my journey starts OFFICIALLY. It’s the first time I could think of when I verbally said out loud to my mother “I want a boob job” and actually meant it, no joking. Yeah, I’ve definitely thought about it in the past, but it was a fantasy, a figment of my imagination to wonder what it would be like to have bigger boobs. Growing up, I saw all of the... READ MORE

Furthermore, The Effect of Study design Biases on the Diagnostic Accuracy of Magnetic Resonance Imaging for Detecting Silicone Breast Implant Ruptures: a Meta-analysis (2011) reported that the breast-screening MRIs of asymptomatic women might overestimate the incidence of breast implant rupture.[64] In the event, the U.S. Food and Drug Administration emphasised that “breast implants are not lifetime devices. The longer a woman has silicone gel-filled breast implants, the more likely she is to experience complications.”[65]

Dr. Teitelbaum was at a roundtable discussion with a group of distinguished Beverly Hills plastic surgeons. The topic was one-stage versus two-stage breast lift/augmentation. The moderator asked for the advantages of two-stage, and hands went up with a multitude of reasons. When he asked about the advantages of one-stage, no one raised their hand. Finally, someone spoke up and said, "Well, if I don't do it, then the patients will just go somewhere else to do it." And the balance of the audience agreed. No other advantage of one-stage was expressed, and that kind of thinking is anathema to Dr. Teitelbaum.
The main drawback of these procedures is the possibility of revision surgery in the future. If a problem occurs such as capsular contracture, the patient will require a conventional incision near the breast. Some plastic surgeons choose not to perform endoscopic breast augmentation or TUBA breast augmentation because it does not allow direct access to the breasts during surgery.

Looking at your photos, you have some volume loss but not a huge amount of ptosis or sagging. We grade sagging into 4 categories. It can range from minimal sagging, to severe ptosis where the nipple and breast tissue is way below your crease at the base of the breast. Implants in your case would improve the fullness and slightly lift the breast and nipple. If you truly want to be a full C-D, then a round, moderate profile silicone implant would work best. An incision in the crease would give you a great result as it would be minimally visible. Eliminating the lift and keeping the implant submuscular would decrease any complications with future breast feeding.

Periareolar: an incision made along the areolar periphery (border), which provides an optimal approach when adjustments to the IMF position are required, or when a mastopexy (breast lift) is included to the primary mammoplasty procedure. In the periareolar emplacement method, the incision is around the medial-half (inferior half) of the areola's circumference. Silicone-gel implants can be difficult to emplace with this incision, because of the short, five-centimetre length (~ 5.0 cm.) of the required access-incision. Aesthetically, because the scars are at the areola's border, they usually are less visible than the IMF-incision scars of women with light-pigment areolae. Furthermore, periareolar implantation produces a greater incidence of capsular contracture, severs the milk ducts and the nerves to the nipple, thus causes the most post-operative functional problems, e.g. impeded breast feeding.
After reviewing the medical data, the U.S. Food and Drug Administration concluded that TDA-induced breast cancer was an infinitesimal health-risk to women with breast implants, and did not justify legally requiring physicians to explain the matter to their patients. In the event, polyurethane-coated breast implants remain in plastic surgery practice in Europe and in South America; and no manufacturer has sought FDA approval for medical sales of such breast implants in the U.S.[10]
For patients undergoing the breast augmentation with lift treatment, the areolar or inframammary incision locations are the most appropriate. Usually, the breast lift technique will determine the breast implant incision location. If the patient undergoes the crescent, doughnut, or lollipop lift technique, the implant will probably be placed through the incision that is made around the areola. If the patient undergoes the anchor lift technique, the implant will be placed through the inframammary incision.
So you talked about how they feel if someone touches them, but I want to know how they feel actually inside your body?! Does it feel likes there is something in there, or once you get used to the weight can you not feel them at all?! I hope to get some help from this question – Im pretty close to getting a breast augmentation, but my mum it giving a lot of weird questions which I’m trying to answer so she will be supportive! And she wants to now how it will feel once they are inside.
Submuscular placement takes longer to heal from and requires a longer surgery, but it allows for a more natural look and feel. It also leaves the breast tissue open to scanning and keeps scar tissue to a minimum. Subglandular placement is a faster surgery and is simpler to recover from since no muscles are involved. It means a larger implant may be used, but there is the possibility of scar tissue, more noticeable implants and less support for the implants.
Thanks for sharing! I am considering a boob job cuz like you I have wide hips size medium. Unlike you im xsmall on top and double AA. I might not get breast augmentation but I love being able to read about it openly. It’s shame when girls feel embarrassed to admit they have work done. Anywho, I live in San Diego/del mar so I would the info on your surgeon. With love barbs
Because a breast implant is a Class III medical device of limited product-life, the principal rupture-rate factors are its age and design; Nonetheless, a breast implant device can retain its mechanical integrity for decades in a woman’s body.[50] When a saline breast implant ruptures, leaks, and empties, it quickly deflates, and thus can be readily explanted (surgically removed). The follow-up report, Natrelle Saline-filled Breast Implants: a Prospective 10-year Study (2009) indicated rupture-deflation rates of 3–5 per cent at 3-years post-implantation, and 7–10 per cent rupture-deflation rates at 10-years post-implantation.[51]
Saline implants were not very popular when they were first introduced. Not only did they often “deflate,” but also the cosmetic result was generally not as good as with the silicone-gel models. Patients complained about the “slosh effect,” a fluid wave from within the implant that sometimes they could actually hear. Another negative factor was the implant039;s thin consistency, with wrinkling visible through the skin.
2009 European Union International Committee for Quality Assurance, Medical Technologies & Devices in Plastic Surgery panel (IQUAM) The consensus statement of the Transatlantic Innovations conference (April 2009) indicated that additional medical studies demonstrated no association between silicone gel-filled breast implants and carcinoma, or any metabolic, immune, or allergic disorder.[118]

Honestly had no idea you had implants until this post. They’re very natural on you! I also have saline implants. Went from an A to a large B. I agree with wishing I’d gone bigger after they settled. I on the other hand can feel my implant, but I have puzzled a few gentleman 🙂 Question, if you do get a replacement do you think you’ll go silicone now? I’ve felt the difference and really liked the feel of the silicone.

Hello! Thank you for your question and photos!  The mastopexy (breast lift) procedure raises the breast, which ultimately provides a more youthful and perky breasts. This is done by removing the extra loose skin and rearranging the surrounding breast tissue in order to reshape and support the newly formed breast. At the same time, the nipple-areolar complex (NAC) is raised to the ideal position above the fold beneath your breast (the inframammary fold) as well as being placed at the most projecting portion. Oftentimes with age or following pregnancy, the NAC becomes widened and enlarged. This may be reduced in size during the breast lift procedure.
The human body’s immune response to a surgically installed foreign object—breast implant, cardiac pacemaker, orthopedic prosthesis—is to encapsulate it with scar tissue capsules of tightly woven collagen fibers, in order to maintain the integrity of the body by isolating the foreign object, and so tolerate its presence. Capsular contracture—which should be distinguished from normal capsular tissue—occurs when the collagen-fiber capsule thickens and compresses the breast implant; it is a painful complication that might distort either the breast implant, or the breast, or both.
The development of silicone progressed to meet the needs of the aircraft-engineering industry during World War II. Being soft and inert, it attracted interest from the medical field too. First generation implants (1962-1970) had thick shells, thick gel, and a Dacron patch in the posterior aspect. It had a tear drop shape. Second generation implants (1970-1982) had thin shells, thin gel and a round shape. Third generation implants (from 1982 onwards) had thicker shells, thicker gel and a round shape. Fourth generation implants (from 1986 onwards) have features similar to the third generation, except that they had textured surface. They are available in round as well as anatomic shape. Fifth generation implants (from 1993 onwards) have enhanced cohesive silicone gel and textured silicone surface. They are available in anatomic and round shapes.[5]

The development of silicone progressed to meet the needs of the aircraft-engineering industry during World War II. Being soft and inert, it attracted interest from the medical field too. First generation implants (1962-1970) had thick shells, thick gel, and a Dacron patch in the posterior aspect. It had a tear drop shape. Second generation implants (1970-1982) had thin shells, thin gel and a round shape. Third generation implants (from 1982 onwards) had thicker shells, thicker gel and a round shape. Fourth generation implants (from 1986 onwards) have features similar to the third generation, except that they had textured surface. They are available in round as well as anatomic shape. Fifth generation implants (from 1993 onwards) have enhanced cohesive silicone gel and textured silicone surface. They are available in anatomic and round shapes.[5]

Cosmetic surgeons may use the “crescent lift” technique for women who have a very small amount of sagging to correct. This involves a small incision running halfway around the top half of the edge of the areola. Usually, a crescent lift is only done when a patient is also having breast augmentation, and even in these cases the crescent incision type is less frequently used.

5.) After many years ( aka where I’m at today ), you won’t even think about them. I think about my boobs only when I’m asked about them. They sort of settle in with your body. I’m very happy with the size boob I have now. In fact, they’re especially fun in a swimsuit & make me feel womanly ( again, my body, my opinion, everyone has different bodies/shapes/opinions & not that I didn’t feel womanly before, but they sort of enhance that feeling for me ).
I recently had my tatas done and I couldn’t be happier. Unlike you, I waited till I was 21, 25 ok fine 27 to get them done.. It wasn’t a delayed decision because I was unsure about it in terms of whether I wanted/needed them or not (I definitely needed them- hello bee stings!), but i was waiting for my own to grow (they never did) and also prioritising my funds – it was important for me to get the travelling out of the system before I splurged on this long term investment.
I got mine done at 21 and I am so so so glad I did!!! I saved and paid them off myself and seriously it was the best decision ever! I am so much more confident with my clothes and I feel like I just look more feminine. I got married in August of 2012 and got my boobs done in January 2014. It just made me feel so much better, I tell everyone if they’re thinking about it to just do it! I as well did saline just felt like it was the safer option and I did under the muscle, with incision under the boob- if you do this MAKE sure your putting scar cream on it! I did 300ccs as well and was a full A before. Now I’m roughly a full B small C. I do wish I would’ve gone a little bigger but I feel like maybe after kids maybe they’ll get a little bigger or if not, HEY! I’ll just get them re do in my 30s 🙂
If you think that you may want to become pregnant in the future, discuss this with your surgeon. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask your plastic surgeon.