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Frequently Asked Questions

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Who is a candidate for breast augmentation?

Women who choose to have breast augmentation surgery do so to improve their self image. Some feel dissatisfied because their breasts never develop to a size to meet their expectations. Others wish to bring balance to a breast that is somewhat smaller than the other. Often, women want this procedure to restore their natural breast volume which may have decreased as a result of pregnancy, weight loss or aging.

Good candidates for breast augmentation include those who are bothered by the feeling that their breasts are too small. Breast augmentation should only be considered when breast development is complete. The patient must be emotionally mature and understand her own motivations for wanting this procedure. Realistic expectations are also important and one must understand that the procedure can bring improvement but not perfection.

How is breast augmentation performed?

No two cases are exactly alike and every operation must be tailored to the specific needs of the individual. The technique used for the surgery depends not only on the surgeon’s preferences but also on the patient’s desire results.

There are typically three types of incisions that can be used in this operation. One is located underneath the breast, just above the crease. Another is around the lower edge of the areola. Another is within the armpit. Some doctors also offer an endoscopic procedure performed through the umbilicus. Once the incision is made, the surgeon creates a pocket into which the implant is inserted. This pocket is made either directly behind the breast gland or beneath the pectoral muscle located below the breast gland and above the chest wall.

What types of breast implants are available?

There are different shapes available and different implant surfaces available. Primarily, there is a round shape and there is the so-called anatomical shape. These may be covered with a smooth silicone surface or a textured surface. Which implant is right depends on the patient's individual needs and surgeon preferences, and implant size and shape. Depending on the desired shape, the patient and the surgeon may choose a round or contoured implant. Generally, the larger the cup size, the larger the breast implant the surgeon will consider.

All surgery carries some risk. The primary safety issues include:

Capsular contracture, or build-up of scar tissue around the implant that can cause breast firmness. When severe, this may require corrective surgery.

Deflation is generally harmless, but carries the risk of additional surgery for replacement. Current data shows a deflation rate of 5.8 percent for implant models currently in use, according to the University of Minnesota study.

Infection associated with breast augmentation is rare, and can usually be treated with antibiotics. Multiple studies have consistently failed to demonstrate that women with breast implants have a higher rate of breast cancer, and two major studies have shown a lower than expected rate. Women with implants and in whom breast cancer has been detected have not been shown to have a later stage disease or poorer prognosis than other women, according to a recent study at the University of Southern California.

Interference with Mammography

An implant may interfere with finding breast cancer during mammography and may also make it difficult to perform a mammography. It is therefore essential that one tell the mammographer that this procedure has been done, so that the technologist may use special techniques to minimize the possibility of rupture and to get the best views possible. More X-ray views are necessary with this technique, therefore women with breast implants will receive more radiation. It is thought that the benefits of mammography in finding cancer greatly outweigh the risks of additional X-rays.

Further Considerations

The surgeon will also evaluate the existing tissue to determine if there is enough to cover the breast implant. An excessively large breast implant may cause problems postoperatively, it may speed up the effects of gravity and result in an earlier droop or sag.

How much does breast augmentation cost?

The cost of this procedure varies depending on your location. The costs can range from $3,000 to $9,000. The implants themselves can cost $1,000 or more. It is important to keep in mind that health insurance does not cover this surgery. Some carriers will not even cover a complication that may require surgery.

How do I find a qualified surgeon?

One of the most important factors in the success of any type of surgery is the surgeon you choose. Before scheduling a consultation, it is important to find out whether the surgeon is certified by the American Board of Plastic Surgery. Surgeons with this board certification have completed a minimum of five years of surgical training following medical school including a plastic surgery residency program.

During this intensive program, surgeons learn to perform surgical procedures for the entire body and face. At the same time, they have developed their skill and aesthetic judgment. After training, a surgeon must pass a comprehensive oral and written exam before being granted certification.