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.
Breast implant infections occur in general in about 1-2% of cases. The most important step in avoiding infections, in our opinion, is to perform the surgery at a first-rate surgical facility with board certified anesthesiologists and nurses. Patients are given the appropriate intravenous antibiotics coverage throughout the actual surgery. During the surgery, the skin surface of the patient is cleaned properly. Next, the doctor changes gloves multiple times during the operation, and he is the only one who handles the implant in the operating room to ensure total sterility and avoidance of infection. After the procedure, our patients are prescribed a one-week course of antibiotics to minimize infection. As a result of these extra precautions, our implant infection rate is significantly lower than the national average at less than 1%.
The breast implants are filled at the time of surgery with sterile saline, which is the same type of fluid that is used for your intravenous hydration. The volume of saline injected into the implants can be adjusted to achieve your desired shape characteristics, and to correct asymmetries in your breast size. The preferred implants are smooth and round. Because they have a smooth surface, the implants move naturally in the implant pocket, keeping them soft. The new and improved generation of implants appear to ripple much less than older style implants.
To address the issue of loss of volume or fullness in the breast, a breast augmentation (implant) is often recommended at the same time as the lift. The breast implant fills up the extra skin of the breast. Breast implants manufactured by Allergan Corporation and Mentor Corporation work well to restore the fullness that was in the upper aspect of the breasts.
Breast augmentation is a procedure that is often assumed to be simple in nature and execution but is actually quite complex. Proper surgical technique and attention to detail are essential to good results, and too often these are overlooked. In his opinion, this is why Dr. Revis sees so many patients who are dissatisfied with their augmentation or have developed one or more complications. There is no such thing as a simple breast augmentation, and an attitude of "seen one, seen them all," commonly held by many plastic surgeons, simply will not suffice when dealing with the subtle complexities and intricacies of breast augmentation.
Despite claims that breast implants would improve self-esteem and quality of life, most of the data presented in 2005 FDA summaries, based on the manufacturers’ data after two years of having implants, do not support those claims.  For Inamed/Allergan augmentation patients, 12 quality of life scores differed significantly in the pre-test and post-test, and nine of these 12 (75%) were worse in the post-test.  These include emotional health, physical health, general health, social like, vitality, and mental health.  The only improvements were in body esteem and feelings of physical attractiveness.[59]

The cause of capsular contracture is unknown, but the common incidence factors include bacterial contamination, device-shell rupture, filler leakage, and hematoma. The surgical implantation procedures that have reduced the incidence of capsular contracture include submuscular emplacement, the use of breast implants with a textured surface (polyurethane-coated);[66][67][68] limited pre-operative handling of the implants, limited contact with the chest skin of the implant pocket before the emplacement of the breast implant, and irrigation of the recipient site with triple-antibiotic solutions.[69][70]
There is a lot of evidence now coming forward Showing the long term health risks of both saline and silicon implants. Women with strong immunity may not see the effects of this type of surgery for a very long time while others will see it very soon.! Being a massage therapist I rely on my hands and arms and there are a lot of case studies now showing women with breast implants unable to raise their hands, hold their babies or pick up a pen as they have arthritic bones from the toxic build up of these foreign objects in the breast. Autoimmune diseases are now becoming highly prevalent in women with boob jobs and there is double the risk for breast, instestinal and lung cancers. In addition many women get toxic repercussions from these implants especially with silicone leaching into the body with evidence of hair Strand analysis showing silicone toxicity in the blood and organs. In addition saline Breasts garb their issues with bacteria and fungi found living inside the saline implant and leeching out into the chest cavity causing immune diseases and candida overgrowth.
the third technological development was the double lumen breast implant device, a double-cavity prosthesis composed of a silicone breast implant contained within a saline breast implant. The two-fold, technical goal was: (i) the cosmetic benefits of silicone-gel (the inner lumen) enclosed in saline solution (the outer lumen); (ii) a breast implant device the volume of which is post-operatively adjustable. Nevertheless, the more complex design of the double-lumen breast implant suffered a device-failure rate greater than that of single-lumen breast implants. The contemporary versions of second-generation breast implant devices (presented in 1984) are the "Becker Expandable" models of breast implant, which are primarily used for breast reconstruction.
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.
Breast implants may have a smooth surface or may have a rough, textured surface. The textured implants were produced in the hopes that they would decrease the incidence of forming scar tissue around the implant, also known as a capsular contracture. This does appear to be effective in reducing the risk of developing a capsular contracture, but only when the implant is placed above the muscle of the chest wall (see Implant Placement Options, below). Textured implants have never been shown to provide any advantage over smooth implants when placed beneath the muscle of the chest wall.
A board-certified Anesthesiologist and a board-certified Nurse Anesthetist work closely with Dr. Bucky to ensure each procedure is optimized for safety. Dr. Bucky performs breast revisions at Pennsylvania Hospital and Tuttleman Surgery Center and, following surgery, patients can take advantage of Dr. Bucky’s extensive post-operative care program. With a combination of a pre-operative vitamin regimen, personalized nursing, and a personalized post-operative protocol, patients can typically expect a rapid recovery.
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]
7)  They sometimes find cultures of microorganisms growing inside saline implants when they're removed.  This is worrisome given that the newest implants contain vegetable oil... it could spoil.  Saline, at least, is not a nutritious meal for bacteria.  Even the silicone gel ones sometimes get some kind of mildewy looking stuff growing inside them... and each new fluid they've tried has been friendlier to microorganisms than the last one was.
In 1999, the Institute of Medicine published the Safety of Silicone Breast Implants (1999) study that reported no evidence that saline-filled and silicone-gel filled breast implant devices caused systemic health problems; that their use posed no new health or safety risks; and that local complications are “the primary safety issue with silicone breast implants”, in distinguishing among routine and local medical complications and systemic health concerns.”[97][98][99]
Good for you for posting this! I am the complete opposite and seriously, seriously considered getting my boobs reduced my junior/senior year in college. I was about 30-40 pounds heavier and my boobs were big and floppy and I was just unhappy overall with the way they looked. And the way I looked honestly, and I thought getting my boobs done smaller would fix them. 30ish pounds later, they definitely have gone down, but once I have kids I will definitely get them reduced and lifted.
My boobs are so big I could stand to go down a couple cup sizes. “Normal” (aka bras you can buy in the store) bras don’t fit properly and they’ve caused back pain over the last few years. I think boobs/boob size is such a personal thing and size especially is a different preference for everyone. I’ve come to love and accept my roundness so thanks for sharing your experience so openly!
When compared to the results achieved with a silicone-gel breast implant, the saline implant can yield acceptable results, of increased breast-size, smoother hemisphere-contour, and realistic texture; yet, it is likelier to cause cosmetic problems, such as the rippling and the wrinkling of the breast-envelope skin, accelerated lower breast pole stretch, and technical problems, such as the presence of the implant being noticeable to the eye and to the touch. The occurrence of such cosmetic problems is likelier in the case of the woman with very little breast tissue, and in the case of the woman who requires post-mastectomy breast reconstruction; thus, the silicone-gel implant is the technically superior prosthetic device for breast augmentation, and for breast reconstruction. In the case of the woman with much breast tissue, for whom sub-muscular emplacement is the recommended surgical approach, saline breast implants can produce an aesthetic result much like that afforded by silicone breast implants, albeit with greater implant palpability.[7]
Great reading. I like reading plastic surgery experience of other people, i always find something interesting there. I had bob job 2 years ago and after few months of searching and hesitating i traveled abroad. Did have few skype consultations before i ended up at Forme clinic. Surprisingly all the staff spoke English so no language barrier because that what i was scared of. I had my breast enlarged just in one size that i was happy with and yeah i love them.
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
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 🙂

Many cosmetic problems with implants (including double-bubble, symmastia, and bottoming out) are much more likely when putting very large implants in very small bodies. Placing the implant in a higher position rather than too low usually results in the most pleasing appearance, since the effects of gravity will cause the implant to drop over time. By the same token, a too-aggressive approach to creating cleavage is often partly to blame for symmastia. It is important to remember that dramatic cleavage is created by push-up bras, not by natural or enhanced breasts.


The breast augmentation patient usually is a young woman whose personality profile indicates psychological distress about her personal appearance and her bodily self image, and a history of having endured criticism (teasing) about the aesthetics of her person.[14] The studies Body Image Concerns of Breast Augmentation Patients (2003) and Body Dysmorphic Disorder and Cosmetic Surgery (2006) reported that the woman who underwent breast augmentation surgery also had undergone psychotherapy, suffered low self-esteem, presented frequent occurrences of psychological depression, had attempted suicide, and suffered body dysmorphia, a type of mental illness.
Major shortcomings were reported regarding the Adjunct and Core studies in terms of entry criteria, data collection, and patients’ informed consent.  Many patients reported that their physicians encouraged them to enroll in the Adjunct study as a way to qualify for silicone implants, explaining that they could drop out immediately after getting implants. That anecdotal claim is supported by the enormous loss in participants between enrollment and follow-up-Inamed data discussed at the FDA’s October 2003 Advisory Panel meeting indicated that only 27% of the reconstruction patients and 20% of the revision patients were followed for three years. Mentor’s Adjunct study data similarly had low follow up rates, with only 18% of revision patients and 19% of reconstruction patients were followed for three years.  As a result of this very low follow-up rate, these Adjunct “studies” did not provide meaningful safety data.

Once the pockets have been created, the breast implants are inserted and filled with saline. Dr. Revis uses a no touch technique when placing the implants into the pocket. This includes using new sterile towels to drape around the breasts, changing his gloves and washing the outer surface of these new gloves in sterile saline, and only opening the sterile implant packaging immediately prior to insertion. Dr. Revis is the only person who ever touches the implants, and his goal is to minimize the time the implant is exposed to the air in the operating room prior to insertion into the pocket. Additionally, Dr. Revis does not allow the implant to come into contact with any instruments or the skin during the insertion process. He feels that this minimizes the possibility of any foreign material coming into contact with the implant and causing any inflammation.
Silicone breast implants have been under intense scrutiny to determine whether certain claims about safety were true. The FDA demanded scientific proof that these implants were safe and took them off the market for ten years. After much research and multiple studies, it was established that these implants were safe. Many patients choose this type of implant as they best mimic natural breast tissue in softness, weight, and feel.
The whole personnel was very caring and attentive to me. I felt i was in good hands. They made me trust them and feel comfortable around them. I was told the surgery went really well. The next day after the surgery when the dressings were removed i was surprised to see how the breasts looked. I expected to see a lot of swelling and bruising but no, they looked great. I would defensively recommend Dr Lawton to my friends. Great job, thank you.
This is because an augmentation complicates a lift and because a lift complicates an augmentation. Since by definition someone needing a lift doesn't have perfect skin and an implant adds weight on that skin, there is always a greater tendency for combined lift and augmentation patients to loosen in the future than for lift patients alone, no matter how the surgery is done or who performs it. The proper medical term for a breast lift is a mastopexy, and those terms are used interchangeably.

Love this post! I had mine done when I was 19 (I’m 26 now and agree I was probably too young to make that decision). Up until this year, I always loved my implants and too always felt my double AA just didn’t make me “feel” like a woman. (But to reiterate your point, those were my personal feelings, so I am in no way saying that boobs or lack there of makes anyone more or less of a woman (plus I was like… 19, remember?)). But this year, it was my newish boyfriend (been about a year now) who made me question them when he started talking smack about plastic surgery (and to my utter disbelief, I realized he had no idea my boobs were fake despite “plenty” of exposure to them…big shout out to my doctor–hey oh!) I consulted friends (after he did it enough times to make me feel really insecure) and they all reassured me that he obviously only knew the “superficial, hollywood” stereotype of plastic surgery, and needed to be reminded that, aside from the fact that he didn’t even know mine were implants, he should not be so quick to judge people anyway! Plastic surgery is a personal journey, and, so as long as you’re doing it for yourself and not anyone else (and not over doing it), you should be confident of your decision. Thanks for this wonderful post!


I had been wanting Breast implants for over 7 years now but never found a doctor that had the talent and knowledge as to what I was looking for... Until I met Dr. Lawton. Through my years of research and personally meeting many potential doctors NO ONE compared to his confidence and his spectacular results. From the moment I stepped into Dr. Lawton's office I immediately felt comfortable and secure with my decision to follow up with the procedure. His attention to detail was assuring and his recommendations as to what I was looking for was spot on. I have personally seen his work on my friends and I have to admit that I am completely satisfied with my results. The whole procedure, from the consultation to the surgery, was a complete delight. His staff made me feel utterly comfortable and the surgery itself was so fast. I personally love his work and will definitely recommend Dr. Lawton to anyone who wants amazing treatment as well as great results.
The whole personnel was very caring and attentive to me. I felt i was in good hands. They made me trust them and feel comfortable around them. I was told the surgery went really well. The next day after the surgery when the dressings were removed i was surprised to see how the breasts looked. I expected to see a lot of swelling and bruising but no, they looked great. I would defensively recommend Dr Lawton to my friends. Great job, thank you.
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.
Once you’re prepped for surgery, your provider and the medical team will follow the surgical plan you agreed upon, either placing implants or using liposuction to remove fat from elsewhere on your body before transferring it to your breasts. After the procedure is over, you’ll be taken to a recovery area for a short period of observation. You should be able to go home in your dressings and surgical bra the same day.
Transaxillary: an incision made to the axilla (armpit), from which the dissection tunnels medially, to emplace the implants, either bluntly or with an endoscope (illuminated video microcamera), without producing visible scars on the breast proper; yet, it is likelier to produce inferior asymmetry of the implant-device position. Therefore, surgical revision of transaxillary emplaced breast implants usually requires either an IMF incision or a periareolar incision.
A leading national authority in his field, Dr. Schwartz’s expertise in breast enhancement and other plastic surgery procedures is beyond compare. He’s a national educator for Sientra and Mentor Corporations breast implants and routinely trains other leading surgeons on how to achieve optimal results during their procedures. He also teaches his techniques and procedures on behalf of the American Society of Plastic Surgeons.
Breast augmentation is performed in our own private AAAASF Certified Class-C Outpatient Surgical Center. The minimally invasive breast augmentation procedure takes between 30 minutes and 1 hour. For this outpatient surgery, we utilize general intravenous anesthesia administered by an elite group of carefully selected, highly qualified, board certified anesthesiologists. The techniques employed are designed to provide a smooth, gentle anesthetic experience, and prevent postoperative nausea and eliminate postoperative pain.
Mastopexy (breast lift surgery): There are different types of lifts depending on the amount of lifting and reshaping that is required. A crescent mastopexy (using an incision from 10 o'clock to 2 o'clock around the top of the areolar border) can raise the nipple 1-2 centimeters. A Binelli (aka donut or concentric) mastopexy (using an incision around the outer border of the areola can raise the nipple up to 4 centimeters), can raise the nipple 2-4 centimeters. A vertical mastopexy (creating a lollipop-shaped incision around the outer border of the areola and extending downwards towards the inframammary crease) can lift the nipple up to 6 centimeters. A full traditional mastopexy (creating an anchor-shaped or inverted-T shaped incision around the outer border of the areola and extending downwards to the inframammary crease and then medially and laterally along the inframammary crease) can lift the nipple 8 centimeters or more. Please read more about mastopexy on this website if you think you might be a candidate for this procedure. You will also find photographs of patient examples of several types of these lifts.
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..
The former Victoria's Secret Angel and one of the highest paid models in the world is famously married to quarterback Tom Brady, who helped the supermodel work through her regrets following the procedure. “He just said, ‘I love you no matter what’ and that I looked beautiful,” she reveals in the memoir. “This was definitely another lesson: What doesn’t kill you makes you stronger. But I wish I would have learned that a different way.”
Selecting a doctor takes time and research. It is essential to find a surgeon who makes you feel comfortable and confident about the procedure, who is highly experienced in performing revision surgery, and has a proven, successful track record. Speaking with the doctor in person and reviewing the results of their work are just two important steps toward choosing the right breast augmentation revision surgeon.
By addressing sagging or dropping breasts, a breast lift results in a firmer, tighter, and perkier look. Final results take a few months to develop as swelling decreases and incision lines fade. For most patients, though, the improvement is clear immediately. Many patients say they procedure helps them feel as though their femininity has been restored after years of not feeling as confident as they should.
After the implants have been placed (and filled properly in the case of saline implants) and Dr. Revis has assessed your final shape and size, the incisions are carefully closed with absorbable sutures to minimize your scar. A sterile dressing is applied to the incisions, and a soft surgical bra is placed over your breasts. Dr. Revis uses a technique in which all of the sutures are placed beneath the skin and are absorbed by your body. Not having to undergo suture removal has improved patient comfort and satisfaction.
When the patient is unsatisfied with the outcome of the augmentation mammoplasty; or when technical or medical complications occur; or because of the breast implants’ limited product life, it is likely she might require replacing the breast implants. Common revision surgery indications include major and minor medical complications, capsular contracture, shell rupture, and device deflation.[55] Revision incidence rates were greater for breast reconstruction patients, because of the post-mastectomy changes to the soft-tissues and to the skin envelope of the breast, and to the anatomical borders of the breast, especially in women who received adjuvant external radiation therapy.[55] Moreover, besides breast reconstruction, breast cancer patients usually undergo revision surgery of the nipple-areola complex (NAC), and symmetry procedures upon the opposite breast, to create a bust of natural appearance, size, form, and feel. Carefully matching the type and size of the breast implants to the patient’s pectoral soft-tissue characteristics reduces the incidence of revision surgery. Appropriate tissue matching, implant selection, and proper implantation technique, the re-operation rate was 3 percent at the 7-year-mark, compared with the re-operation rate of 20 per cent at the 3-year-mark, as reported by the U.S. Food and Drug Administration.[75][76]
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]
Jump up ^ Cell-assisted Lipotransfer for Cosmetic Breast Augmentation: Supportive Use of Adipose-Derived Stem/Stromal Cells (2007) Yoshimura, K.; Sato, K.; Aoi, N.; Kurita, M.; Hirohi, T.; Harii, K. (2007). "Cell-Assisted Lipotransfer for Cosmetic Breast Augmentation: Supportive Use of Adipose-Derived Stem/Stromal Cells". Aesthetic Plastic Surgery. 32 (1): 48–55, discussion 56–7. doi:10.1007/s00266-007-9019-4. PMC 2175019. PMID 17763894.
Also, getting boobies taught me a few lessons; this sounds weird but wanting something for so long & putting my own money together to get it, taught me the following: 1.) how to make my own money for something I really wanted, 2.) the drive to get what I wanted when I wanted it on my own terms, & 3.) patience because well, shit. I had to save for 4 years.
The loose breast skin often noted in patients who request augmentation-mastopexy lacks the structural integrity to support a breast implant for a prolonged period. In effect, Strattice™ can serve under a patient’s skin as an internal bra or scaffold to support the weight of a breast implant. Unsupported, the breast implant can drop, leading to a condition called “bottoming out,” where the lower fold of the breast drops, making the breast position look too low and the nipple position look too high. Strattice™ enables the implant to be positioned and more reliably maintained in the correct location because of its additional support. It can also be used to assist in the correction of other cosmetic and reconstructive breast deformities.
Totally not knowing what to expect ( & not the healthiest human on the planet ), I stocked up on Top Ramen ( ouch ) & FLIPZ chocolate covered pretzels. I even invested in a brown Juicy Couture jumpsuit because it was comfortable & very chic at the moment. I don’t know why I’m sharing all these details, I just feel like they really set the scene of where I was in life.
45)  On the other hand, Hollywood certainly has no shortage of implants among non-celebrity starlets.  Watch a bunch of late night cable TV swill and you'll learn to spot implants at a glance.  If you sit through enough T&A exploitation movies to really get a good clear idea of how implants usually end up looking, I doubt very much that you will want to look that way yourself.  I would recommend that anyone who thinks they want implants should try this before making a final decision.  Anyone who can watch something like, say, Caged Heat 3000 and still want to look that way is weirder than I like to imagine.
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]
Secondary surgery is always more difficult than primary breast augmentation, for several reasons. First, the presence of scar tissue makes it more difficult to predict a good result. In addition, the surgeon is dealing with the stretching of tissues or anatomical changes caused by previous implants. For these reasons, many surgeons may charge higher fees for breast revision than for primary breast augmentation.
During the 1992-2005 FDA study period of silicone gel implants, there were strict limitations on which women qualified to enter the FDA study protocol. Because of these limitations, the majority of women undergoing breast implant surgery chose saline implants. Now that the restrictions have been lifted and silicone gel implants are available to everyone, the numbers are much more equal in terms of what type of implant a woman chooses.
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.

Transaxillary: an incision made to the axilla (armpit), from which the dissection tunnels medially, to emplace the implants, either bluntly or with an endoscope (illuminated video microcamera), without producing visible scars on the breast proper; yet, it is likelier to produce inferior asymmetry of the implant-device position. Therefore, surgical revision of transaxillary emplaced breast implants usually requires either an IMF incision or a periareolar incision.


This is an incredible post as usual Lauryn! I wanted to offer a few thoughts since I have implants too. I went from a COMPLETELY flat chest to a 32C… I also went under the muscle, but with silicone implants (can’t remember the cc unfortunately). My father is a plastic surgeon and encouraged me to wait until I was over 21 to do it, so I did the same sort of thing and waitressed all through college and saved up the money on my own to do it. I met with three different surgeons before deciding on a friend of my dad’s (SO important to shop around and find someone who makes you VERY comfortable!). However, the surgery was BRUTAL for me. It was the most painful thing I’ve ever gone through. I couldn’t move for 6 weeks, developed a muscle spasm in my neck and shoulders that I’m still coping with, and for months after it was still difficult for me to do anything with my upper body. I couldn’t drive or even open doors for 2 months. I had to have my mom stay home with me through the whole recovery because I couldn’t lift anything. All that said, I would do it again in a heartbeat. I LOVE mine! They look beautiful, feel super comfortable now, and make me so much more confident. I’m not sure if I struggled because I had no boobs to start out with, but it is definitely a possibility to have a hard surgery, so I just always encourage my (esp. smaller-chested) friends to prepare to possibly have to put your life on hold in a big way in case it’s a harder recovery. But I am pro-boob jobs 100%!
We find that when mastopexy (breast lift) and augmentation are done at the same time, less skin has to be removed, therefore resulting in less scarring. Most of our mastopexy-augmentations are done using the crescent or partial circumareolar incision. Only in very droopy breasts do we use the 'lollipop' incision. To get a better idea of the various techniques and the types of scars associated with each one, see our blog post that covers the scars associated with different breast techniques?.
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]

Breast Implant Revision: The removal or replacement of breast implants to alter the size and type of a patient’s breast implant or to correct undesired results or complications from a primary breast augmentation procedure. Most patients seeking implant revision come to us with a goal of restoring the appearance and contours of their breasts. View breast implant revision photos.


At our Philadelphia practice, the breast augmentation with lift treatment is most commonly performed in women that have experienced changes in breast volume, breast shape, skin laxity, and/or nipple position after pregnancy and childbirth. This is a high customizable surgery that can be tailored to the unique needs and anatomy of the patient. The breast implant type, implant pocket location, incision approach, and lift technique will be chosen specifically for the patient's body type and aesthetic goals. The breast augmentation with lift treatment can be so personalized that it is highly unlikely that two of our patients will ever have the exact same treatment plan.
We find that when mastopexy (breast lift) and augmentation are done at the same time, less skin has to be removed, therefore resulting in less scarring. Most of our mastopexy-augmentations are done using the crescent or partial circumareolar incision. Only in very droopy breasts do we use the 'lollipop' incision. To get a better idea of the various techniques and the types of scars associated with each one, see our blog post that covers the scars associated with different breast techniques?.
Cohesive gel silicone gel-filled breast implants, also known as “gummy bear” or “form stable” implants, are filled with a cohesive gel, made of crosslinked molecules of silicone, which makes them a bit thicker and firmer than traditional silicone gel implants. This enables them to hold their shape better. Approved by the FDA for use in the United States in 2012, these implants have been available in much of the world since 1992.
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