What Are My Breast Augmentation Options?
SILICONE OR SALINE
Patients have the option of either saline or silicone implants. Saline implants are filled with a sterile saline solution that is safely absorbed by the body if the rare incidence of rupture occurs. They have the advantage of requiring only small incisions since they are inserted into the breasts prior to being filled. This also allows Dr. Mabourakh to adjust the volume during surgery to ensure symmetry. Silicone implants feel and appear more natural than saline implants. They are also less likely to rupture, and they do not have the rippling effect that sometimes occurs with saline implants in patients who have thin skin. The new cohesive silicone implants are also less likely to ripple or wrinkle, and in the unlikely case that they rupture, the silicone gel will not leak out of the silicone shell.
SHAPE, WIDTH, AND PROFILE
Implant shape, width, and profile will determine how natural your breasts appear. The implant profile will determine how far your breasts will project. Implants also vary in width, which is an important consideration depending on your natural chest width and existing breast volume. An implant that is fitted to your natural chest width will provide the most natural-looking results. Anatomically shaped implants place higher volume behind the areola and taper toward the top of the breast, which also leads to natural-looking results.
Your breast implants can be placed below the pectoral muscle, partially beneath the muscle, or above the muscle. Placement below the muscle often appears more natural since the muscle puts some pressure on the upper pole of the implant and provides more soft tissue coverage. Placement over the muscle can be used for women who have ample breast tissue to cover the implant so that it appears natural. This placement may also be recommended when the patient has slight sagging but does not want a breast lift.
The most common incision options are the inframammary incision and the periareolar incision. The inframammary incision is beneath the breasts following the crease. It is often used to accommodate larger implants and silicone implants. The periareolar incision is made around the areola. Both options provide minimal scarring that is not noticeable over time.
Breast Augmentation Before & After
*Results of surgery will vary from individual to individualPhoto Gallery
Best Doctor I could of chosen!!! Its taken me 15yrs to pull this trigger and when I did I couldn’t of chosen anyone better. As nervous as I was the staff made me feel comfortable 100%, then when I got to meet Dr. Mabourakh it was even better. He wasn’t pushy, very honest and extremely helpful in helping me get the look I’ve wanted all these years. I can honestly say, I’m extremely happy with how everything turned out and I look fantastic just like he promised me!
– Mother of 4
What Do You Desire?
Larger, Fuller Breasts
Patients who desire significant enhancement with a round shape and prominent cleavage can opt for larger implants with a high profile. Dr. Mabourakh will help you choose the breast augmentation options that will keep you proportionate and meet your goals in the safest way possible.
Higher, Youthful Breasts
Since breast augmentation will only increase the size of the breasts, many women choose to have a breast lift along with this procedure. A breast lift requires an additional incision that will lift the nipples to a higher position while removing any sagging breast skin.
Dr. Mabourakh can achieve a very natural-looking result that appears feminine and balanced with the rest of your anatomy. Anatomically shaped implants or implants placed under the muscle often provide the most natural-looking outcome. Any issues with breast asymmetry can also be corrected.
Pregnancy always impacts the size and shape of the breasts to some degree. Breast augmentation will restore volume loss and a youthful shape to the breasts so women can get their pre-pregnancy breasts back. Women who have significant sagging typically choose to have a breast lift along with this procedure.
Breast augmentation recovery time is about two weeks. Patients should arrange for someone to drive them home from surgery and assist them for the first 24 hours, as routine activities may be difficult. Bending and lifting are restricted to a minimum, and exercise is not permitted. Patients can resume regular exercise about six to eight weeks after surgery.
The incisions with breast augmentation are hidden at the line of pigmentation, as with the periareolar technique, or beneath the breast along the crease, as with the inframammary technique. A breast lift in combination with breast augmentation will require a vertical incision from below the areola to the breast crease. Scars will fade significantly over time.
The cost of breast augmentation will vary depending on the extent of the procedure and your surgical options. Dr. Mabourakh’s office will provide you with a surgical quote for your surgery at your consultation.
General anesthesia is used during surgery, which will keep you pain-free. After surgery, some degree of discomfort is expected but can be minimized by prescribed pain medication.
Breast augmentation can provide larger breasts and a more aesthetically pleasing breast shape, but it does not address breast ptosis (drooping). The procedure is often combined with breast lift to elevate and tighten the tissues for youthful nipple placement and chest position. Breast augmentation may also be performed with body procedures, such as liposuction, tummy tuck, thigh lift, arm lift, or labiaplasty. When these plastic surgeries are performed together, they’re called “mommy makeovers” because many women wish to improve multiple areas with one procedure to restore a pre-baby breast and body shape.
Fat Transfer Breast Augmentation
Breast implants are a reliable way to increase breast volume, but some women may prefer to use their own fatty tissues for breast enhancement. Fat transfer breast augmentation can provide a modest size increase and address volume loss in the upper portion of the breast. Fat grafting starts with liposuction to remove unwanted fat from another body area, typically the abdomen or thighs. Dr. Mabourakh purifies the fat cells using a centrifuge and then strategically injects the harvested fat into the breasts for natural breast augmentation.
Your body will reabsorb some of the transferred fat, and Dr. Mabourakh may compensate for fat reabsorption by overfilling the breasts. The fat that survives provides permanent results that look and feel natural because the breasts already contain a lot of fatty tissue.
Fat transfer breast augmentation may increase your bust by one to two cup sizes. However, a second procedure may be necessary to achieve your desired results with fat grafting. Women seeking a more sizable increase will benefit more from saline or silicone breast implants. If you’re interested in fat grafting for breast enhancement, you must have enough fat in the donor location to harvest for the procedure.
Frequently Asked Questions
Am I an ideal candidate for breast augmentation?
Ideal candidates for breast augmentation are women over 18 years of age who are unhappy with the size or shape of their breasts. Breast reconstruction patients who need augmentation to one or both of the breasts are also typically candidates. Women who have significant sagging will benefit from a breast lift alone or in combination with breast augmentation depending on the results they desire.
What are the risks associated with breast augmentation?
The risks of breast augmentation are temporary or rare but include the following:
- Anesthesia risks
- Changes in nipple or breast sensation
- Poor healing and scarring
- Capsular contracture
- Implant rupture or leakage
- Fluid accumulation (seroma)
- Implant wrinkling or rippling
- Pain, which may persist
- Possibility of revisional surgery
Will I need to get my implants replaced eventually?
Your implants may wear over time, descend as you age, or develop a complication. Many women decide to have their implants replaced after 10 years for one reason or another, which is why all patients should consider and plan for future revision surgery if the need arises.
Why should I choose Dr. Mabourakh for my breast augmentation?
Dr. Mabourakh has over 20 years of experience performing the breast augmentation procedure and is committed to achieving excellent results for his patients. He is board certified by The American Board of Plastic Surgery and The American Board of Surgery. He is also a member of the American Society of Plastic Surgeons and a fellow of The American College of Surgeons. Go to RealSelf.com to see how our many patients give us positive reviews.
Am I too old for breast augmentation?
There is no perfect age for breast augmentation, but you must be at least 18 for saline breast implants and 22 for silicone breast implants. While the average breast augmentation patient is typically in her 30s, many women increase their breasts in their 40s, 50s, and older. Whether you’re a young woman with asymmetrical or small breasts or an older woman struggling with the effects of childbearing and natural aging, breast augmentation can provide beautiful, natural-looking results.
Will augmentation surgery work for my sagging breasts?
Breast ptosis happens with natural aging, pregnancy, breastfeeding, and hormone changes throughout life. The ligaments in the breasts stretch, and fat cells shrink, creating a deflated or shapeless breast appearance with sagging tissues. Breast augmentation can correct mild breast ptosis, but moderate to severe breast drooping requires a breast lift to elevate and tighten the tissues and remove excess skin.
How long until I can exercise again?
Walking is encouraged shortly after breast augmentation surgery to get blood flowing and prevent complications. You must avoid intense exercises, such as weightlifting, jogging, and biking, for at least six weeks. Vigorous exercise or movement may cause the breast implants to shift position and compromise wound healing, altering the breasts’ appearance.