Joseph M. Brown M.D, F.A.C.S
PLASTIC SURGEON IN TAMPA
Dr. Brown takes time to listen to and connect with his patients. It is this very important process which allows Dr. Brown and each patient to crystallize ‘specific goals and help achieve what they are looking for. Dr. Brown’s specialized breast augmentation procedure is no exception. The key is to focus on safety, both now and in the future, by determining the smallest implant that will achieve your desired outcome.
Types of Implants
The most common type of implant used for breast augmentations in the United States is the round silicone implant. Newer versions of this implant come with a more cohesive gel filling called the “gummy bear” implant, which decreases the likelihood of leaking and rippling, while maintaining a very soft and natural feel. There are different styles of round implants and the specific implant selected will depend upon the patient’s taste and goals. Round implants are typically used when a patient prefers to have the option for more upper pole fullness, which is a rounder appearance in the upper part of the breast. Some round implants accentuate this, while others minimize it.
Shaped or “anatomic” implants have been increasing in popularity across the country. These implants increase the overall volume of a breast, while minimizing a round appearance in the upper pole of the breast, which some patients wish to avoid. They are more firm than most round implants in order to hold their shape and maintain a very smooth, natural slope to the upper part of the breast.
Silicone implants have an excellent safety profile and the FDA has approved their use in patients who are older than 21 years of age. Dr. Brown believes that in most patients, silicone gel implants look and feel more natural than saline implants. However, saline implants also have an excellent safety profile and can still be used to achieve beautiful results in select patients.
Location of Incision
The most commonly used incision for breast augmentation is the inframammary fold incision. This incision is placed within the breast crease on the underside of the breast. The reason this is the most commonly used incision by the majority of board certified plastic surgeons in the United States is that it carries the lowest risk of complications and affords excellent control over the pocket of dissection.
The second most commonly used incision is the periareolar incision, or “through the nipple”. With this technique, an incision is placed at the junction of the areola and normal skin of the breast to help camouflage the scar. This incision is suitable for patients with very defined areolar borders, average to large sized areolae, small to moderate sized implants, and for patients undergoing a circumareolar breast lift at the same time as augmentation.
Another incision used is the axillary or armpit incision. This incision avoids scars on the breasts. Classically, only saline implants could be placed through this incision, but with newer techniques round gel implants can be placed. The drawback to this incision is a visible scar in the armpit when wearing a bathing suit, dress, or sleeveless shirt as well as the fact that the implant is being placed through an area of higher bacterial colonization. It also affords slightly less control of the pocket of dissection and has a higher rate of implant malposition.
What to Expect with a Breast Augmentation
Your visit with Dr. Brown will include a thorough history and physical exam to obtain critical breast measurements. This will help determine the perfect size and style implants that will safely achieve your goals, after setting realistic expectations. There will be a preoperative visit with Dr. Brown and his team, where you will be given your necessary prescriptions and instructions on what to do the day before/the day of/the days after surgery. Dr. Brown will be directly involved with all aspects of your care through the process and welcomes questions along the way.
Breast Augmentation Recovery
If this is your only surgery, you will likely go home the same day of surgery. Walking around is encouraged the day of surgery, but no exercise is permitted for two weeks. At two weeks, light activity may be resumed and vigorous exercise may be resumed at 6 weeks. Swelling is expected and can take a few months to completely resolve. The implants may seem “high” for several months, and take some time to settle down into their ultimate position. Patience is important during this process, which is why Dr. Brown sees his patients regularly in the postoperative period to offer reassurance and make sure his patients are progressing as expected. Contact us to see how you can reach your ideal aesthetic with our breast augmentation procedure at Tampa Aesthetic & Plastic Surgery.
Please call or fill out the form below and one of our friendly staff members will contact you as soon as possible.
We are located at Tampa Aesthetic & Plastic Surgery, 17523 N Dale Mabry Hwy Lutz, FL 33548.