Breast implants are a very effective way to improve the size, shape, and fullness of your breasts. The doctors at Gawley Plastic Surgery will work with you to craft a customized aesthetic plan that will achieve the beautiful breasts you’ve always desired.
Ideal candidates for breast implants are in good overall health, have a strong understanding of the risks associated with the procedure, and have realistic expectations for the outcome of the procedure. There are many reasons women choose to get breast implants, including:
If you are planning on having children down the road, you should discuss these plans with your surgeon before undergoing breast augmentation. Future pregnancies may adversely impact the results of your procedure, and consequently, your surgeon may recommend that you wait to get breast implants until you are done with childbirth.
At Gawley Plastic Surgery, we believe that patient education is an important component in achieving the best possible results for your procedure. That education starts with this website, and it continues with your initial consultation at our office. In order to get the most out of this consultation, we encourage you to do as much research as possible about your desired procedure before we meet with you and come prepared to ask us any questions you may have.
The following information will provide you with a great starting point for your research:
There are many factors that go into choosing the implant size that will give you the outcome you desire. One of the key factors is the measurement of the width of your breast now. If you, like us, are hoping for a natural, long-lasting result, then you will need to work with us to select an implant that “fits” your chest. Going too large or even too small will result in outcomes that are more fake and less desirable. The amount of breast tissue you have now and the tightness / laxity of the skin will also play a fundamental role in determining the optimal implant to give you a natural result.
Breast implants are measured in CC’s or cubic centimeters and range from 100 CC to 800 CC. For each 150cc, your breast will increase in size roughly one cup size. More important than the cc’s is the base width. The implant’s base width varies from 7.4 cm to 17.2 cm. When you come in for your consult, your surgeon will take those measurements and show you the implant options that will fit your body best to give you a natural result.
While there are computer imaging software programs and other promotions that promise to show you what you will look like, we prefer to work with you to understand your goals and desires. We will help you understand the look and feel of your future breasts with the chosen implant size and shape. Then, on the day of surgery, you can bring in your “wish” pictures and your surgeon will use those to help ensure you achieve your desires.
This is the final decision in your journey to a breast augmentation and an important one. It is a very personal choice. All too often we hear, “well my friend got hers under the muscle so I should do that too.” Just because your friend got a great result with her surgery, does not mean that your result will be the same. Much more important is your body and your activities.
The amount of breast tissue you have now will help to decide how well you can camouflage the implants. If you have very little breast tissue, it may be best to put them under the muscle to help “hide them” and keep them looking more natural. However, if you have enough of your own breast tissue, then implants above the muscle can be an advantage. In particular, if you exercise regularly (yoga, pilates, cross-fit, weight lifting…), then implants above the muscle will have a lower risk of movement over time and a much more natural result when you are using your chest muscles.
This is an important conversation to have with your surgeon. Gawley Plastic Surgery is expert in breast augmentation and will work with you to help you achieve the result you truly deserve and desire. Schedule your consult today and get started on your journey.
Can breast implants be reduced in size?
It is not uncommon over your lifetime to eventually desire a change in the size of your implants. Whether it’s from pregnancy and breast feeding, implants that were too big to begin with, changes with age or a desire to switch from saline to silicone, implants can be reduced in size to accommodate your desired result. If the skin and soft-tissue support of the breast has been stretched out, you may also need a breast lift with your implant exchange to get a better, more natural result.
Can breast implants last a lifetime?
Implants do not actually expire, however, they will not likely last you a lifetime. The current gummy bear implants have a rupture rate that is less than 10% at 10 years. By thirty years, that number is likely much higher. More common than an implant issue, is a breast tissue concern. As you get less young, your own breast tissue may droop and sag or change in size enough that you desire a revision.
Can breast implants be removed and not replaced?
Yes, you can. Depending on the reason you are removing them, there are two methods for implant removal. You can just remove the implant. This option requires less surgery and less risk, but leaves behind the capsule. Alternatively, you can remove the capsule and the breast implant at the same time with an en-bloc resection or total capsulectomy. The cosmetic result of removing implants varies depending on your tissues and remaining breast tissue.
Can capsular contracture get worse?
In the early stage of capsular contracture, one breast is slightly firmer than the other side or is sitting slightly higher than the other. For some women, it does not progress beyond this. However, in other women, capsular contracture can get worse. More advanced capsular contracture, when the breast is hard or hard and painful, is not likely to respond to non-surgical options and is best treated with complete removal of the capsule. Implants can be replaced at that same time if you desire.
Can capsular contracture go away by itself?
Early signs of capsular contracture (one breast is slightly firmer than the other side or is sitting slightly higher than the other) may resolve with non-surgical interventions like medications and ultrasound. More advanced capsular contracture, when the breast is hard or hard and painful, is not likely to go away by itself and is best treated with complete removal of the capsule.
Can I have my breast implants removed?
Yes, you can. Depending on the reason you are removing them, there are two methods for implant removal. You can just remove the implant. This option requires less surgery and less risk, but leaves behind the capsule. Alternatively, you can remove the capsule and the breast implant at the same time with an en-bloc resection or total capsulectomy. The cosmetic result of removing implants varies depending on your tissues and remaining breast tissue. Implants can be replaced at that same time if you desire.
Can breast implants last 30 years?
Implants do not actually expire, however, they will not likely last you a lifetime. The current gummy bear implants have a rupture rate that is less than 10% at 10 years. By thirty years, that number is likely much higher. The best way to ensure your implants longevity is to work with one of our surgeons and follow all of the postoperative instructions.
Can breast implants change shape over time?
While implants can change shape over time, the more likely issue is that your own tissues have changed over time (bigger, smaller, droopier with stretch over time). If the implant is changing shape, it likely represents a rupture. With saline implants, a change is usually very noticeable as the breast implant deflates over a few days to weeks. Signs that your silicone implants are ruptured can include changes in breast shape, swelling over a period of weeks, capsular contracture or even pain.
Can you feel a ruptured breast implant?
With saline implants, a rupture is usually very noticeable as the breast deflates over a few days to weeks. Signs that your silicone implants are ruptured can include changes in breast shape, swelling over a period of weeks or even pain. Capsular contracture, where the scar tissue around the implant hardens, can happen. Silicone implants can also rupture and not cause any symptoms at all “silent rupture.” In those cases, you would only know if you got an MRI to check.
How long do breast lifts last?
For most patients, a breast lift will last at least 10-15 years and many of our patients tell us that they are happy with their results for much longer than that. Factors that may contribute to the result not lasting as long include pregnancy and breast feeding, significant weight changes, your skin quality (be sure to ask about skin care products to extend the life of your result), smoking and support of your breasts (gravity does not stop working after a lift so be sure to wear a bra when exercising)
Does insurance cover breast revision?
Insurance will cover breast revision surgery in the setting of previous breast cancer. By law, all insurance companies have to cover both the breast that had cancer and surgery needed on the other breast to make them more symmetric (matching surgery). Insurance will not cover the cost of cosmetic breast enhancement surgery (augmentation, lift, a combination of the two, or other revisions).
How long does it take to recover from breast revision surgery?
This is going to really depend on what you are having done and how extensive the revision is. Most breast revision surgery is done as an outpatient surgery and you are back to your normal routing within a few days. With a straight-forward implant exchange or fat grafting, you can have the surgery on a Thrusday and be back to work on Monday. More extensive revisions may require a little more down time and some time away form the gym / work (depending on your job).
Does insurance pay for breast implant revision?
The answer depends on why your implants were placed originally. Insurance will cover breast implant revision in the setting of previous breast cancer. By law, all insurance companies have to cover both the breast that had cancer and surgery needed on the other breast to make them more symmetric (matching surgery). Insurance will not cover the cost of cosmetic breast implant revision surgery.
How much is a breast implant revision?
Offering price ranges on our website would be an injustice to you. Each patient is unique as is each surgery performed. Please call us or click here to contact us regarding a private consultation with one of our board-certified plastic surgeons. We pride ourselves on a patient-centric approach to serving you and look forward to meeting you soon.
How often should breast implants be replaced?
The short answer is that you should have your implants replaced only when they need to be replaced. For one reason or another, it is likely that you will want / need your implants replaced very 10-15 years. Some reasons to have them replaced include: you are unhappy with the size (desire larger or smaller), soft tissue laxity or drooping of the breast (for example after having children or through weight loss), capsular contracture, implant rupture (
How do you fix capsular contracture?
We still do not know what exactly causes capsular contracture and so “fixing” it remains a big issue. Once you have considerable capsular contracture, the best recommendation is to have a total capsulectomy and implant replacement. By removing all of the old scar tissue and the old implant, you give the body the best chance not to have a recurrence. The surgeon may also recommend changing position from above or below the muscle to again minimize the risk.
How soon after breast augmentation can I get a revision?
There are three timeframes when you may get a revision: immediately after surgery, if the result is just not right and there is no hope that it will improve over time (this is fortunately extremely rare); around the three month mark, as this is when you will best be able to appreciate the final size; and then time you can get a revision any time after that when you feel that your breasts don’t fit your desired result.
What is breast revision surgery?
Breast revision surgery is really surgery designed to adjust or modify a previous breast surgery. This can be as simple as an implant exchange to a larger or smaller size to as extensive as total capsulectomy, implant exchange, fat grafting and a lift. Our surgeons are highly sought after for their expertise in revision surgery and they will work with you to both understand your concerns and create a comprehensive plan to achieve the end result that you are looking for.
Is it dangerous to have breast implants removed?
The surgery is not dangerous and can be done as an outpatient surgery with a relatively short recovery period. Breast implant removal, like any surgery, has risks. General risks of surgery include general anesthesia, bleeding, blood clots, infection, pain and scarring. Specific to implant removal, there is often some deformity or the breast and even the chest wall. There may be reduced sensation to the nipple and the breast that may be transient (lasting several months) or permanent.
Is there an alternative to breast implants?
As an alternative to breast implants, breast augmentation can also be done with fat grafting or transfer. Excess fat is removed from one area via liposuction, an area where you do not want it like the belly or thighs, and then transferred into the breasts. The fat is transferred in very small drops so that it can re-establish blood supply from the surrounding tissues. And, because it uses your body’s own fat, the extra volume is permanent and risks are low.
Will NHS remove my breast implants?
The NHS, like many other national health care systems and insurance companies, may cover breast implant removal when deemed medically necessary. In the setting of previous breast cancer and reconstruction, removal is very likely to be covered. Removal for other reasons, for example breast implant illness (BII), ruptured cosmetic implants or capsular contracture around implants placed for cosmetic reasons, may or may not be covered.
What is the most common breast implant size?
The most common implant sizes range from 300-500cc (cubic centiliters). For reference, 1cc is equivalent to 1 ml. Studies show that for every 150cc, your breasts will increase or decrease roughly one cup size. More important that the size, is the “fit.” Our surgeons will measure your chest and breast and from that give you a range of implants that will fit your body. Too big and they may cause you serious issues early on. Too small and you may not achieve the look you are going for. We customize the implant selection to fit the patient.
What are the early signs of capsular contracture?
The formation of a capsule or scar tissue around the implant is a normal part of healing and helps to keep the implants in place. In some patients however, the scar tissue becomes usually thick. The early signs of capsular contracture usually develop slowly. You may notice that the breast implant moves around less, is slightly firmer than the other side or that it is sitting slightly higher than the other. As it progresses, the breast may start to feel tight or even painful. If caught early, there may be non-surgical options to halt the progression including medications and ultrasound.