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Breast Augmentation Review: Difficult Case with WOW Results

Published by Dr. Brandon Richland, MD

“I recently had a breast augmentation from Dr. Brandon Richland.  My case was very difficult in that my breasts were very far apart, different sizes and shapes, and very saggy.  All I can say now when I look in the mirror is WOW!  My results have far exceeded my expectations. Anyone considering cosmetic surgery should definitely come to Dr. Richland.”

Read the full Google Review here.

Understanding Breast Augmentation

Breast augmentation, or augmentation mammoplasty, involves using breast implants to increase the size and improve the contour of the breasts. It’s a surgical procedure that requires careful consideration and choosing a qualified plastic surgeon.

Defining Augmentation Mammoplasty

Augmentation mammoplasty, commonly known as breast augmentation, is a surgical procedure to enhance breast size and shape. This procedure typically involves placing implants either under the breast tissue or the chest muscles. Breast implants come in different types:

  • Saline implants are filled with sterile salt water and are known for their safety as the body can absorb the saline in case of a leak.
  • Silicone implants are filled with silicone gel and are praised for their natural feel, closely mimicking breast tissue.

Choosing the Right Plastic Surgeon

When considering breast augmentation, selecting the right plastic surgeon is paramount. Patients should search for surgeons who are certified by the American Board of Plastic Surgery. This certification ensures the surgeon has undergone rigorous training and adheres to high standards of practice. Prospective patients should consider:

  • Experience and Specialization: Look for surgeons specializing in breast surgeries.
  • Before and After Photos: Review the surgeon’s portfolio of past patients to evaluate outcomes.
  • Patient Reviews and Testimonials: Read feedback from former patients to gauge satisfaction.

The Surgical Procedure

Breast augmentation is a precise and personalized surgical procedure, with specific techniques tailored to meet each individual’s goals and anatomy. The process involves careful planning, expert execution, and diligent post-surgical care.

Incision Types and Placement

Various incision techniques are utilized during breast augmentation to minimize scar visibility. The inframammaryincision is made in the crease under the breast, the axillary incision is within the armpit, and the periareolar incision circles the areola’s edge. The choice of incision type influences not only the scar’s location but also the potential placement of the implant, whether it’s above or beneath the pectoral muscle.

The Role of Anesthesia

Anesthesia ensures patient comfort during the surgery. General anesthesia is commonly used, rendering the patient unconscious for the duration of the procedure. In some cases, local anesthesia, often combined with sedation, might be administered, allowing the patient to remain awake but not feel any pain in the surgical area.

Managing Post-Surgical Care

Following the surgical procedure, the patient’s incisions are typically closed with sutures or surgical tape. Drainage tubes may be inserted to prevent fluid accumulation. A surgical bra is often required to support the breasts during recovery. Patients are provided with medications to manage pain and instructions on caring for the incision sites to minimize scar tissue formation. Critical to recovery are follow-up appointments to track healing progress and address any concerns.

Recovery and Potential Complications

After breast augmentation, patients embark on a recovery journey that may involve certain complications. Understanding the healing process and being aware of potential risks are crucial to a smooth recovery.

The Healing Process

Initially, swelling, bruising, and pain are common experiences following surgery. Follow-up care typically includes wearing a sports bra and using surgical tape or skin adhesive to support the healing breasts. Recovery time varies, but most patients can return to work within a week and resume light activities.

Patients should avoid:

  • Heavy lifting or strenuous exercise until cleared by their surgeon.
  • Applying pressure on the chest area, ensuring proper scar healing and preventing asymmetry.

Risks and How to Minimize Them

Complications, though relatively rare, can occur. These include infection, scarring, capsular contracture, and, in very rare cases, BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma). The FDA recommends monitoring with periodic MRI to detect implant rupture, and routine mammograms for breast health.

To minimize risks, patients should:

  • Follow all post-operative instructions from their healthcare provider.
  • Attend all scheduled follow-up appointments.
  • Be vigilant for signs of redness, scar tissue, or bleeding, and report them.

Patients with persistent breast pain, fatigue, or symptoms of breast implant illness should seek medical advice. In the case of textured surfaces implants, patients should be aware of FDA findings regarding an increased risk of BIA-ALCL and discuss options with their surgeons.

Schedule Your First-Class Cosmetic Consultation with Dr. Brandon Richland, MD

Contact Dr. Richland today by visiting RichlandMD.com, scheduling a cosmetic consultation, or by calling 714-844-0398 or 949-997-2958 directly.

Cover Image Illustration by: Dr. Brandon Richland, MD