Structured saline-filled breast implants are filled with sterile salt water, but contain a structure inside so they behave as if filled with soft, elastic silicone gel. This structure enables them to hold their shape better than traditional saline implants. Approved by the FDA and Health Canada in 2014, these implants have been available since 2015.
Make sure your cosmetic surgeon is board certified; this ensures that he or she is specifically trained and experienced in cosmetic surgery and that your procedure will take place in an accredited facility, which is essential for your safety. Finally, don’t choose a cosmetic surgeon based on price alone. Your safety & results are too important. Most cosmetic surgeons offer financing options to help patients budget procedure costs.
After surgery, you’ll wear a compression bandage or surgical bra to help position the implants. This support is key to avoid discomfort and achieve optimum cosmetic results. Except for exercise, you’ll be able to return to regular activities in a few days. As your breasts heal and settle, your new appearance will begin to show through over the next few months.
In the study Fat Grafting to the Breast Revisited: Safety and Efficacy (2007), the investigators reported that the autologous fat was harvested by liposuction, using a 10-ml syringe attached to a two-hole Coleman harvesting cannula; after centrifugation, the refined breast filler fat was transferred to 3-ml syringes. Blunt infiltration cannulas were used to emplace the fat through 2-mm incisions; the blunt cannula injection method allowed greater dispersion of small aliquots (equal measures) of fat, and reduced the possibility of intravascular fat injection; no sharp needles are used for fat-graft injection to the breasts. The 2-mm incisions were positioned to allow the infiltration (emplacement) of fat grafts from at least two directions; a 0.2 ml fat volume was emplaced with each withdrawal of the cannula.[113]
19. Your boobs do not need to be a minimum size for a reduction. This is all based on personal preference. Think of boob size in terms of a scale from small to large. Based on breast size before the procedure and desired breast size afterward, there are a number of incision options for a reduction for a huge range of results. You can even choose to get a reduction and an implant to replace some of the volume that you've lost over time.
This procedure requires careful surgical planning before surgery, and flexibility to adjust the plan during surgery because it is never 100% possible to predict how the breast tissue will sit over the implant.  Thus all patients are seen before the surgery where I makes the surgical markings for the breast augmentation and a breast lift.  A typical procedure involves first placing an implant into a sub-muscular (under muscle) or sub-glandular (over muscle) space.  I then sit the patient up during the surgery and adjust my breast lift plan to fit the now augmented breast.  This allows for the best possible cosmetic outcome for these select group of patients.  Some surgeons chose to do a breast augmentation first and then do a breast lift later.  This approach, on the other hand, allows me to get everything done in one session.  Quicker results.  Lower cost (compared to having to separate surgeries).
The correction of capsular contracture might require an open capsulotomy (surgical release) of the collagen-fiber capsule, or the removal, and possible replacement, of the breast implant. Furthermore, in treating capsular contracture, the closed capsulotomy (disruption via external manipulation) once was a common maneuver for treating hard capsules, but now is a discouraged technique, because it can rupture the breast implant. Non-surgical treatments for collagen-fiber capsules include massage, external ultrasonic therapy, leukotriene pathway inhibitors such as zafirlukast (Accolate) or montelukast (Singulair), and pulsed electromagnetic field therapy (PEMFT).[71][72][73][74]
As a board certified plastic surgeon, Dr. Kirby performs breast augmentation exclusively in accredited surgical centers in Fort Worth. These operating suites are fully equipped to handle emergency situations and are staffed with highly trained, qualified support team members. Anesthesia is provided by a board certified MD anesthesiologist and supporting certified registered nurse anesthetists (CRNAs).
Starting with Joann which is the receptionist to the RN's Julie and Maria to the financial coordinator Veronica, to Dr. Lawton then Dr. Melish (anesthesiologist). This group of people are true professionals at heart. Dr. Lawton is a man of few words, however, he is a surgeon that genuinely cares about his patients. My friend referred me to Dr. Lawton and told me not to expect much talking from him and to take his advisement, thus, I prepared myself for little conversation. I was met by Dr. Lawton with a smile and a handshake. He reviewed my assessment form that I filled out and he asked few questions; so I thought this guy is actually listening to me and my desired outcome. He did advise me on size and I went with his advisement, because who am I kidding I am not the expert here, he is, hence that is why I went to him. The day of surgery came, I had informed Dr. Lawton that I have anesthesia awareness (wake-up during surgery), he arranged for Dr. Melish to be the anesthesiologist for my surgery, since he specializes with other equipment to monitor my brain waves; to ensure I don't wake up. I also told Dr. Lawton and Dr. Melish that I have an allergic reaction to anesthesia, so they both were prepared for my allergic reaction. Sure enough I had the allergic reaction and it was severe. I knew it would be bad, but had the confidence in both doctor's and nurses to care for me. They did an excellent job post op. Dr. Melish and Julie were by my side monitoring my breathing etc. I was okay. I want to emphasize that nothing the doctors' did during my surgery caused me to have an allergic reaction; my body does not mix well with anesthesia and it is a risk I take every time I go under anesthesia. Well Dr. Lawton saw me for 6 weeks after my surgery; I had the pleasure of getting to know him and his staff and learned that they are a great bunch of people that care about their patients. I waited to write this review because I wanted to see my results at 3 months and guess what???!!! I LOVE THEM. I am sure they are not settled completely but they are beautiful. Dr. Lawton takes pride in his craft and is a man of few words, but I would rather have him listening than talking any given day. Because he listens, he creates beauty inside and out. My friend is actually having a different procedure with Dr. Lawton in December 2014. My surgery date was 8-19-14.
36)  Treating your own normal body as being defective is an act of self-hatred.  (That doesn't mean you feel hatred for yourself... but one thing I've learned in life is that the way you feel about yourself is as much a result of such actions as a cause of them.)  Acting on this in a public way and flaunting the results before everyone rubs this off on other people; it becomes not only self-hatred but an act that carries disrespect to other women.  You're like Michael Jackson bleaching his skin and having his nose narrowed -- the message that sends to other African-Americans is hardly a positive one.
Your surgeon should describe the usual after surgery (postoperative) recovery process, the possible complications that may occur, and the recovery period. Following the operation, as with any surgery, you can expect some pain, swelling, bruising and tenderness. These effects may last for a month or longer, but should disappear with time. Scarring is a natural result of surgery. Prior to surgery, ask your surgeon to describe the location, size and appearance of any expected scars. For most women, scars will fade over time into thin lines. The darker your skin, the more prominent the scars are likely to be.

An NCI study found that women who had breast implants for at least 12 years were more likely to die from brain tumors, lung cancer, other respiratory diseases, and suicide compared with other plastic surgery patients.25 Augmentation patients were not more likely to smoke than other plastic surgery patients, so the difference in respiratory diseases did not appear to be due to smoking. However, more research is needed to better control for relevant health habits. Three Scandinavian studies have reported that women who had breast implants for augmentation were three times more likely to commit suicide compared to women in the general population.26,27

A note to those who want to write angry letters saying "What gives you the right to decide what someone else can do with her body?"  I have not told anyone what they can or can't do, I have only discussed the consequences of different choices.  Okay?  Have we got that clear?  The same goes for those who want to accuse me of somehow bashing women, or implying that anyone who considers implants must be insecure and inadequate.  I said only that if you feel that way, cosmetic surgery isn't the solution.
Scientists and doctors do not know for sure why severe contracture happens. Some have suggested that trauma to the breast during the implant surgery itself or at another time may bring about thickening and constriction of the capsule. The silicone used in implants has also been named as a culprit in contracture capsules formed around gel implants. The IOM committee noted that most studies agree that baseline levels of silicon are found in all normal breast and other tissue. Definite proof of a relationship between the presence of silicone in the tissue and contracture is lacking, but silicone fluid injected directly into the breasts (an early and improper practice) does cause fibrosis, or hardening of tissue.
Women often cannot identify the type of implants they have and frequently have received insufficient information before making a choice about them. In the case of some older implants, there may be no surviving information about the model in question. In the early days of silicone implants, some models were custom-made for individual plastic surgeons (who patented their devices). Such implants were sometimes used without any testing. In addition, some companies produced small quantities of unusual implants.

I absolutely love Dr.Lawton & his entire staff at Aesthetic Enhancement! Each person on their team is amazing and goes above and beyond to make every consultation, appointment, and surgery the best experience. Dr. Lawton takes enormous pride in all his work and spends however much time is needed to ensure all questions are answered and that we are on same page with every step of the process and surgery. I personally have had multiple surgeries done and couldn't be happier with my outcomes and experiences. From the very first time meeting Dr. Lawton I knew he was the perfect surgeon for me. I have always felt safe, important, comfortable, and extremely happy. He is always honest & is a genius when it comes to plastic surgery; I trust him and his expertise 100%! If you are considering plastic surgery then I would highly recommend Dr. Lawton, as I have to many of my own friends and family! You will not regret your decision and love your results!


A “silent rupture” doesn’t change the way an implant looks or feels to a woman because the rupture occurs within the capsule. Silent ruptures are not usually evident by a physical examination by a doctor. Magnetic resonance imaging (MRI) is the most effective method for detecting silent rupture of silicone gel-filled breast implants. The FDA recommends MRI at 3 years after implantation and every 2 years after that to screen for rupture.
Great article. Big boobs are not everything they are cracked up to be! I’m a natural born very full chested DDD cup. I would love to be a full C cup. The upper back pain that comes with large breasts and sagging is no joke. Along with the bra straps that dig into my shoulders. I can’t even wear cute sleeveless tanks or nice button down shirts without looking like crap. There really are a pain. 🙂

The consultation appointment with your surgeon includes a thorough analysis of your health history, any medications you are taking, and what you wish to achieve with the procedure. You should have all of this information on hand when you come to your appointment. The surgeon will discuss which techniques will best provide you with the results you desire and answer any questions you may have.
We require patients to get a medical clearance two weeks prior to having surgery in my surgery center. An H&P (history and physical) and a CBC blood test are the minimum requirements if you are a healthy adult. You should stop smoking at least 4 weeks prior to surgery, as well as stop aspirin products 1 week before surgery. On the evening before surgery, you may not eat or drink anything after midnight.
During the consultation be sure to ask the surgeon for a copy of the patient labeling for the breast implant s/he plans to use. You have the right to request this information, and your physician is expected to provide it. Be sure to read the patient labeling entirely prior to surgery. It will provide you with information specific to your breast implants, including how to take care of them. Make sure you read and understand the informed consent form before you sign it.

In the 1980s, the models of the third and of the fourth generations of breast implant devices were sequential advances in manufacturing technology, such as elastomer-coated shells that decreased gel-bleed (filler leakage), and a thicker (increased-cohesion) filler gel. Sociologically, the manufacturers of prosthetic breasts then designed and made anatomic models (natural breast) and shaped models (round and tapered) that realistically corresponded with the breast and body types of women. The tapered models of breast implant have a uniformly textured surface, which reduces the rotation of the prosthesis within the implant pocket; the round models of breast implant are available in smooth-surface and textured-surface types.
Similar to what has been said about ability to breastfeed, loss of nipple sensation is a potential complication that due to the technique with which we perform this procedure is a minimal complication, with less than 1% occurrence. However, there is theoretically a higher chance of losing the nipple in a breast lift/ augmentation procedure than in either a lift or an augmentation alone due to changes in blood supply to the nipple. Temporary loss of sensation from a “stunned” nerve or a bruised nerve may occur in the time period after surgery, but sensation in the vast majority of cases returns within a few weeks.
This percentage may rise when an expander is used to help generate tissue growth in the breast area, and complications are probably more frequent when the woman has previously undergone radiation therapy. The possibility of more frequent and serious side effects following immediate reconstruction must be weighed against the psychological benefits of such a procedure.
The surgery will take from 1 to 2 hours and when you wake up, you will be in a post operative bra and kept in our comfortable recovery room until you feel ready to go home and meet discharge criteria. Your chest will be numb from a non narcotic injection that is adminitered suring surgery and included in the total surgical fee. This long-lasting medication will keep you comfortable for 72-96 hours following surgery. Drains may be placed also and removed at your first postoperative visit 48 hours after surgery.
Follow-up longitudinal studies of these breast implant patients confirmed the previous findings on the matter.[82] European and North American studies reported that women who underwent augmentation mammoplasty, and any plastic surgery procedure, tended to be healthier and wealthier than the general population, before and after implantation; that plastic surgery patients had a lower standardized mortality ratio than did patients for other surgeries; yet faced an increased risk of death by lung cancer than other plastic surgery patients. Moreover, because only one study, the Swedish Long-term Cancer Risk Among Swedish Women with Cosmetic Breast Implants: an Update of a Nationwide Study (2006), controlled for tobacco smoking information, the data were insufficient to establish verifiable statistical differences between smokers and non-smokers that might contribute to the higher lung cancer mortality rate of women with breast implants.[83][84] The long-term study of 25,000 women, Mortality among Canadian Women with Cosmetic Breast Implants (2006), reported that the "findings suggest that breast implants do not directly increase mortality in women."[34]
In most cases, this combination procedure is considered cosmetic. When a treatment is cosmetic instead of “medically necessary” it is usually not covered by insurance. Sometimes insurance will cover a breast augmentation if it is a reconstruction after breast surgery like a mastectomy. If you are interested in having a breast lift with implants, and are wondering about the cost, please contact us. We have financing options available.
Studies of saline breast implants and silicone gel breast implants conducted by implant manufacturers have shown that within the first three years, approximately three out of four reconstruction (breast cancer) patients and almost half of first-time augmentation patients experienced at least one local complication – such as pain, infection, hardening, or the need for additional surgery.3
The frequency of implant rupture is unknown. The IOM committee found studies reporting that the frequency of gel-filled implant ruptures varied from 0.3 to 77% of implanted women. The extreme variability of these percentages is due to the type and model of the implants, their length of implantation, the types of groups of women studied, and many other factors. Other investigators found no ruptures in late-model (“third-generation”) gel implants, but more time is needed to observe these implants. Some reasons for the confusing statistics about ruptures are (1) ruptures are not always detected, (2) the composition of implants has undergone many changes over the years, and (3) the time interval varies and is not long enough to pick up late ruptures. Because of such conflicting information, the committee recommends further studies.
Rupture is a tear or hole in the outer shell of the breast implant. When this occurs in a saline breast implant, it deflates, meaning the saltwater (saline) solution leaks from the shell. Silicone gel is thicker than saline, so when a silicone gel-filled implant ruptures, the gel may remain in the shell or in the scar tissue that forms around the implant (intracapsular rupture). The longer you have a breast implant, the greater the chance of implant rupture.

Evidence clearly shows that silicone breast implants do not cause breast cancer or the recurrence of breast cancer. In fact, some studies suggest that women with breast implants have fewer new or recurring cancers. For example, a large, 14-year study of 3,182 women with cosmetic implants (augmentation) actually showed fewer cases of cancer (31) than would be expected (43) in a group of that size. The explanation for this lower-than-expected number of cancers is not clear. More studies should be conducted to determine whether or not the observation is valid and, if so, what might be contributing to the phenomenon.
I started with a B cup. Not too bad right? But ever since I can remember ( I’m talking like 9th grade ) I’ve wanted bigger boobs. It was weird. My friends from high school would tell you I just always wanted bigger boobs. Not boobs like Real Housewives Tamara circa 2010. More like more voluptuous, voluminous boobs. I wanted my boobs in proportion to my hips.
Over time, the majority of women begin to experience some degree of drooping and/or volume loss in the breasts due to pregnancy, breastfeeding, changes in weight, or simply the process of aging. Depending on the severity of breast sagging and volume loss, individuals interested in rejuvenating the appearance of their breasts may greatly benefit from either a breast augmentation, breast lift (mastopexy), or a combination of the two procedures.
Almost all studies agree that there are baseline levels of silicon, an indicator for silicone, in normal breast and other tissue. Silicon is found in moderately higher than baseline levels around saline implants and in the capsules around silicone-gel implants. Silicon levels are particularly high around ruptured implants. This silicon apparently does not travel to other parts of the body. The committee found that exposure of women to silicone from the breast implant is limited almost entirely to the implant, its capsule, and the tissue and lymph nodes immediately surrounding the area. The IOM committee concluded that the silicon found in distant tissues most likely reflects human exposure to the widespread presence of silicon and silicone in the environment. At the end of its investigation, the IOM committee concluded that the silicones found in breast implants do not provide a basis for concern at doses reasonably to be expected.
In some cases with just slight sagging of the breasts, an implant alone without any additional mastopexy (breast lift) may lift the breast. In most cases, the implant is placed beneath the pectoral muscle and the breast lift is then performed. The shape of the breast mound is usually better when both breast augmentation and breast lift are performed together.

A person may choose to undergo breast augmentation surgery for a number different reasons. Mostly they undergo breast augmentation to increase the size of their breasts or improve the shape. Occasionally, the reason may be to rectify inconsistencies that occur naturally like breasts being of different size or symmetry. After pregnancy breasts can become deflated and the skin lax, a breast augmentation can help restore their pre-pregnancy shape and volume.
Rupture is a tear or hole in the outer shell of the breast implant. When this occurs in a saline breast implant, it deflates, meaning the saltwater (saline) solution leaks from the shell. Silicone gel is thicker than saline, so when a silicone gel-filled implant ruptures, the gel may remain in the shell or in the scar tissue that forms around the implant (intracapsular rupture). The longer you have a breast implant, the greater the chance of implant rupture.
There are many different ways of doing a breast implant and lift procedure. This is one of our preferred approaches because the breast muscle is not cut, the healing process is faster, and the pain is less. Admittedly, this technique of inserting the implant from the under arm incision and performing the breast lift by removing skin around the nipple and areola is a variation on the common approach. The advantages are as follows:
- as far as your degree of droopiness (Ptosis in Plastic surgery speak) you state that the nipple and areola are well above the crease - that being the normal youthful position, the choice of the implant that would best fill your breasts is based on multiple factors,the 2 most important ones in my opinion are the extent of current breast tissue available to cover the top of the implant AND the extent of chest flat realty the implants can sit on.
I was 21 when I moved to California. My first week in this vanity prone state led me to meet an older woman that was 43. She was and is still so beautiful. I have often told her that she was not born into this world, she was sculpted by a God with magic ways because of her divine body. One issue arose as soon as we became lovers, She was so self-conscience of her breasts and how they looked.
If you are unhappy with your breast size, you are a likely candidate for breast augmentation surgery. Many women have very small breasts and have problems with finding clothing that fits, and dream of having larger breasts, rather than wearing a padded bra. Breast augmentation surgery can create a natural-looking size and shape to the breast, and our patients report that they feel more confident with their new breasts.

Do vacuum breast enlargers work?  It appears that they do, sort of.  (In fact, I recently learned that vacuum techniques have been promoted for breast enlargement as long ago as 1870.  Vacuum penis enlargers go back even further.)  Whether they have negative side effects like those of vacuum penis enlargers I don't know yet.  I did hear from one lady who was in a clinical trial for an expensive new vacuum breast enlarging system called Brava, and she had to quit because of how much it hurt her boobs (bruising, rash).  The claims on Brava's site are apparently less than honest in revealing the results of that clinical trial.
The transaxillary incision can be done either bluntly or with the aid of the endoscope. This approach avoids any scarring on the breast mound. It can be used with both saline and gel filled implants in either a sub pectoral or sub glandular pocket. The problems with this approach are difficulty with parenchymal alterations and probable need for a second incision in the breast mound for secondary correction surgeries. Placing the implant in proper position may be difficult.
38)  If you want more male attention, implants may increase the quantity but only with a corresponding decrease in quality.  You'll probably get your biggest gains in approval among guys who are most prone to objectifying you, and least prone to treating you as an equal.  The guys who like implants the best are those who prefer pornography to live women, and probably find ordinary women a turn-off if they're not somehow artificialized by things like fake hair, shaving, ridiculous shoes, and so on.  Implants can be very artificializing.  And don't forget that for every woman who complains that she doesn't get the male attention she wants, there's another complaining that she wishes she didn't have the amount she does get.
“Early swelling and bruising after breast augmentation starts to get better after one to two weeks,” says Dr. Ziyad Hammoudeh, a Marina del Rey, California, plastic surgeon in a RealSelf Q&A. “There will still be some breast swelling at six weeks, but that is a good time to start measuring yourself for new bras. Most of the breast swelling will be gone by three to six months.”
The ASPS and the Plastic Surgery Foundation (PSF) have partnered with the FDA to study this condition and in doing so created the Patient Registry and Outcomes For breast Implants and anaplastic large cell Lymphoma Etiology and epidemiology (PROFILE). The United States FDA strongly encourages all physicians to report cases to PROFILE in an effort to better understand the role of breast implants in ALCL and the management of this disease.[85]
In some cases, a breast lift alone may not achieve a patient’s desired results. If you feel your breasts look “deflated” or have lost volume due to aging, weight loss, or pregnancy, your cosmetic surgeon can place breast implants during breast lift surgery to restore fullness and shape to the breast. If you have always wanted larger, lifted breasts, a breast augmentation with lift can help you achieve both with a single procedure and recovery.
I love that you wrote about this, Lauryn! When I was considering mine, I was 29, and I only knew one person who had gotten breast implants for fun (vs. after having their breasts removed after cancer.) I felt very alone and like I would be judged a lot, and it took a lot of heart-to-hearts with my husband to help me work through my concerns. Working through my concerns was good, but seeing the topic written about and discussed and experienced, by people who are not porn stars would have eliminated some of the concerns, and I’m sure will help others. For the record – many people tell me my boobs feel/look natural, but it does depend on whether you go above/below the muscle, how big they are, etc. And I agree that going bigger than you originally think is a good idea – hence I want to go bigger soon, I feel like it’s easier to play them down than up, and they’re just fun!
Patients have reported that their implants delayed their breast cancer diagnosis.22  Research findings have been inconsistent, but a 2013 Canadian systematic review of 12 studies found that women with breast cancer who had breast implants are diagnosed with later-stage cancers than women with breast cancer who did not have implants. This is likely due to delays in breast cancer detection because of implants. 24

The female breast has been synonymous with femininity and hence a lot of focus has been given to the aesthetics of the organ. The ideal size and shape vary, depending upon the build of the individual and the cultural characteristics. Many a time, breast development does not take place adequately. As a result, women with smaller than normal breasts feel that they have a disproportionate figure and therefore seek correction through surgery. It is, therefore, important that the surgeon also takes into consideration the patient's desires, when planning an augmentation surgery. Breast augmentation can have significant positive influence on the body image.
The transaxillary incision can be done either bluntly or with the aid of the endoscope. This approach avoids any scarring on the breast mound. It can be used with both saline and gel filled implants in either a sub pectoral or sub glandular pocket. The problems with this approach are difficulty with parenchymal alterations and probable need for a second incision in the breast mound for secondary correction surgeries. Placing the implant in proper position may be difficult.
An NCI study found that women who had breast implants for at least 12 years were more likely to die from brain tumors, lung cancer, other respiratory diseases, and suicide compared with other plastic surgery patients.25 Augmentation patients were not more likely to smoke than other plastic surgery patients, so the difference in respiratory diseases did not appear to be due to smoking. However, more research is needed to better control for relevant health habits. Three Scandinavian studies have reported that women who had breast implants for augmentation were three times more likely to commit suicide compared to women in the general population.26,27
But there are situations in which a result can be obtained that is safer, longer-lasting, more precise, and with better scars. This can include very droopy breasts, situations of significant asymmetry of size, differences in the amount of droop between the two sides, or extremely thin breast tissue. These issues have been written about in major plastic surgery journals and are well documented.
Although the time frame involved is relatively short, early results have caused many to believe that the implants of today offer greater protection from rupture or painful capsular contracture. The majority of implants are now inserted behind instead of on top of the chest wall muscles that cover the breast area. Putting the implants behind the muscles lessens the chance of severe contracture, that is, shrinking and hardening of the tissue around the implant, and allows a better view of breast tissue when a woman has a mammogram.

The study Safety and Effectiveness of Mentor's MemoryGel Implants at 6 Years (2009), which was a branch study of the U.S. FDA's core clinical trials for primary breast augmentation surgery patients, reported low device-rupture rates of 1.1 percent at 6-years post-implantation.[60] The first series of MRI evaluations of the silicone breast implants with thick filler-gel reported a device-rupture rate of 1.0 percent, or less, at the median 6-year device-age.[61] Statistically, the manual examination (palpation) of the woman is inadequate for accurately evaluating if a breast implant has ruptured. The study, The Diagnosis of Silicone Breast-implant Rupture: Clinical Findings Compared with Findings at Magnetic Resonance Imaging (2005), reported that, in asymptomatic patients, only 30 percent of the ruptured breast implants is accurately palpated and detected by an experienced plastic surgeon, whereas MRI examinations accurately detected 86 percent of breast-implant ruptures.[62] Therefore, the U.S. FDA recommended scheduled MRI examinations, as silent-rupture screenings, beginning at the 3-year-mark post-implantation, and then every two years, thereafter.[26] Nonetheless, beyond the U.S., the medical establishments of other nations have not endorsed routine MRI screening, and, in its stead, proposed that such a radiologic examination be reserved for two purposes: (i) for the woman with a suspected breast-implant rupture; and (ii) for the confirmation of mammographic and ultrasonic studies that indicate the presence of a ruptured breast implant.[63]

The roughly circular body of the female breast rests on a bed that extends transversely from the lateral border of the sternum to the midaxillary line and vertically from the 2nd through 6th ribs. Two thirds of the bed of the breast are formed by the pectoral fascia overlying the pectoralis major, the remaining by the fascia covering the serratus anterior. Between the breast and the pectoral fascia is a loose connective tissue plane or potential space called the retro mammary space (bursa). This plane, containing a small amount of fat, allows the breast some degree of movement on the pectoral fascia. A small part of the mammary gland may extend along the inferolateral edge of the pectoralis major toward the axilla (armpit), forming an axillary process or tail (of Spence).
Breast implants can be placed either partially under the pectoralis major muscle (submuscular placement) or under the breast glands and on top of the muscle (subglandular placement). Generally, Dr. Bottger prefers submuscular placement, but in some cases subglandular may be preferable. He will discuss both options in detail during your consultation.
Love this! I made the decision to get my augmentation a year ago for my 30th birthday after my once naturally perky c-cups (often mistaken for a boob job, even by a mamogram tech) deflated a bit after weight fluctuations in my 20s. I was a full B, but lacked the fullness at the top of the breast that I used to have. Together with my doctor, I decided to go with 325cc silicone to achieve my former full C look with as natural as possible feel. Like you mentioned, I freaked out and thought I went too big shortly after surgery, but once they settled, they were perfect.
Breast reconstruction. Breast reconstruction includes primary reconstruction to replace breast tissue that has been removed due to cancer or trauma or that has failed to develop properly due to a severe breast abnormality. Breast reconstruction also includes revision surgery to correct or improve the result of a primary breast reconstruction surgery.

In most cases, this combination procedure is considered cosmetic. When a treatment is cosmetic instead of “medically necessary” it is usually not covered by insurance. Sometimes insurance will cover a breast augmentation if it is a reconstruction after breast surgery like a mastectomy. If you are interested in having a breast lift with implants, and are wondering about the cost, please contact us. We have financing options available.
In 1963, Dow Corning Corporation introduced the first silicone-gel-filled implant. The earliest Dow shells had a high-molecular-weight “gum” filled with amorphous silica, and the gel in the implant was platinum cured. By the early 1970s, the Dow Corning Dacron-patched implant had achieved stunning popularity, accounting by one estimate for 88% of all implants sold.

Dr. Lawton and staff are a wonderful and caring team. As a Registered Nurse, I know when I see quality staff providing excellent care. In addition, the entire staff cares that the patient has the best possible outcome and they go above and beyond to do what they can to ensure superior results. Dr. Lawton and his staff tailor their care to meet each individual's needs and that is a quality that is difficult to find in any physician's office. From pre-surgical to post-surgical care, each staff member follows up with you as you journey through the experience. I am so glad that I chose Dr. Lawton and would recommend him without hesitation to anyone looking for a high quality, superior plastic surgeon.
The most serious of these problems are “local” complications, meaning those that occur in or near the implant. Although generally not life threatening, such complications can cause discomfort and, in some cases, pose considerable risk. The IOM committee believes these local complications—which occur often and may themselves prompt additional medical procedures, including operations—are the primary safety issue with silicone breast implants. The committee also recognizes that many of the reports reviewed in conducting this study were based on silicone-gel implants that were largely replaced by saline-filled implants in the early 1990s, and the risk of local complications is likely even lower with saline-filled implants.
Most surgeons consider the first two classes satisfactory but not the last two. Women, however, have often tolerated Class III and IV contractures either by not seeking any medical help or by indicating, when asked, that they are satisfied with their implants. A 1990 study reported that 85% of women appeared satisfied with their implants even though 35% had experienced severe contracture.
Hi a am new to this site . I am a 32 years of age female /mother . i have always been small and was always curious of having bigger breast. I decided now would be a great time for me to get it done . I have a consultation in November . Having done a lot of research on this particular dr . I have decided to begin making payments and I am so very excited to be this much closer to actually... READ MORE
CAPSULAR CONTRACTURE The human body considers a breast implant—or any implant—to be a foreign agent and forms a protective capsule of fibrous tissue around the intruder, resembling the immature scar formed after a severe burn. This buildup of tissue is called a capsular contracture. If severe, it can cause painful and disfiguring squeezing as well as distortion of both the implant and the overlying tissue. The ensuing complications can be serious, including additional medical procedures to break down the overgrowth of protective tissue, or to remove it, or even to replace the implant itself. Additional surgery comes with its own risks, including infection, possible ruptures, and the hazards of anesthesia.

20)  If I am not making myself clear, let me spell it out right now: implants are ugly!  Implants only look good on the level of first impressions.  Expect people in your life to react with an initial charge followed by a gradual accumulation of disgust.  Anyone who likes you over the long term will do so in spite of them, not because of them -- the same as they would if you had a glass eye.


When a silicone gel-filled implant ruptures, a woman may notice a decrease in breast size, change in breast implant shape, hard lumps over the implant or chest area, an uneven appearance of the breasts, pain or tenderness, tingling, swelling, numbness, burning, or changes in sensation. Ruptures that show symptoms usually happen outside of the capsule. However, some ruptures are called “silent ruptures.”
Another innovation in the second-generation implants was the “double lumen.” These implants had two cavities and two shells, which were either “patched” together or had one shell floating freely inside the other. The double lumen was an attempt to provide the cosmetic benefits of gel in the inside cavity, while the outside lumen contained saline and could be used for an expander or even for injections of antibiotics or steroids. The saline lumen was also thought to control contracture and gel and fluid seepage or rupture, but studies over the years have largely disproved such theories.
Inframammary: an incision made to the inframammary fold (natural crease under your breast), which affords maximal access for precise dissection of the tissues and emplacement of the breast implants. It is the preferred surgical technique for emplacing silicone-gel implants, because it better exposes the breast tissue–pectoralis muscle interface; yet, IMF implantation can produce thicker, slightly more visible surgical scars.
Follow-up longitudinal studies of these breast implant patients confirmed the previous findings on the matter.[82] European and North American studies reported that women who underwent augmentation mammoplasty, and any plastic surgery procedure, tended to be healthier and wealthier than the general population, before and after implantation; that plastic surgery patients had a lower standardized mortality ratio than did patients for other surgeries; yet faced an increased risk of death by lung cancer than other plastic surgery patients. Moreover, because only one study, the Swedish Long-term Cancer Risk Among Swedish Women with Cosmetic Breast Implants: an Update of a Nationwide Study (2006), controlled for tobacco smoking information, the data were insufficient to establish verifiable statistical differences between smokers and non-smokers that might contribute to the higher lung cancer mortality rate of women with breast implants.[83][84] The long-term study of 25,000 women, Mortality among Canadian Women with Cosmetic Breast Implants (2006), reported that the "findings suggest that breast implants do not directly increase mortality in women."[34]
I started with a B cup. Not too bad right? But ever since I can remember ( I’m talking like 9th grade ) I’ve wanted bigger boobs. It was weird. My friends from high school would tell you I just always wanted bigger boobs. Not boobs like Real Housewives Tamara circa 2010. More like more voluptuous, voluminous boobs. I wanted my boobs in proportion to my hips.
Breast augmentation is the most commonly performed aesthetic surgical procedure. Choices of incisions, pocket plane, and myriad implant characteristics constitute the basis for surgical planning. Analysis of physical characteristics and inclusion of the patient in implant selection contribute to overall satisfaction and reduce requests for secondary surgery. Technical expertise in implant positioning and aseptic handling helps to prevent capsular contracture, implant malposition, and other shape problems. Despite the need for secondary surgery in some, patient satisfaction is high.

Since the late nineteenth century, breast implants have been used to surgically augment the size (volume), modify the shape (contour), and enhance the feel (tact) of a woman’s breasts. In 1895, surgeon Vincenz Czerny effected the earliest breast implant emplacement when he used the patient's autologous adipose tissue, harvested from a benign lumbar lipoma, to repair the asymmetry of the breast from which he had removed a tumor.[1] In 1889, surgeon Robert Gersuny experimented with paraffin injections, with disastrous results.[further explanation needed]
“Breast Augmentation is the management of a patient’s expectations with their body’s limitations.” Board-certified plastic surgeon Louis P. Bucky, MD approaches each breast augmentation procedure with this philosophy in mind. His main goals when performing this popular procedure are patient safety and satisfaction, coupled with a natural-looking, long-lasting outcome.
The photograph below shows a 29-year-old woman 1 year after having her silicone gel-filled breast implants removed, but not replaced. Women with large breast implants, especially those inserted on top of the chest muscles (subglandularly), may have major cosmetic deformity if they choose not to replace them or to undergo additional reconstructive surgery.

I am in the entertainment industry and have lived all over the world. I have had experiences with all kinds of docs and Dr. Rodriguez is among the very best. Dr. R is an anomaly in the field today. He is able to blend art, medicine and education to give you great results. Many docs have technique, but a doctor with an eye for the finished work is a rare find.
What about health insurance? Typically, cosmetic surgery is not covered by health insurance, and problems resulting from cosmetic surgery are also not covered.9 Health insurance will not pay for MRIs to check for silicone leakage for augmentation patients. In some states, major health insurance providers do not insure women with breast implants.9 Some insurers will sell health insurance to women with implants, but charge them more, and some insurers will not cover certain kinds of illnesses – or any problems in the breast area – for women with breast implants. Obviously, this can be a terrible problem for women who are diagnosed with breast cancer or any other illnesses that are excluded, whether or not those diseases are related to the implants.
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