BREAST AUGMENTATION SURGERY (SALINE IMPLANTS, SILICONE IMPLANTS, OR FAT TRANSFER) – DALLAS, TX

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What is BREAST AUGMENTATION?

It is not uncommon for women to be critical of their bodies. Especially in Dallas where people work so hard to look their best. One common attribute women tend to be most critical about is their breasts. Board-certified plastic surgeon Dr. Robert Schwartz at Robert Schwartz Plastic Surgery knows and understands the struggles many women have with the appearance of their breasts, and is committed to helping women in the Dallas, TX area achieve the most appealing breasts possible.

Breast augmentation surgery is a procedure that redefines the breasts to create a fuller look. It is often considered to be one of the most sought after cosmetic surgeries, offering women who are unsatisfied with their breast size an effective option for improvement. With the help of implants or a fat transfer, this procedure improves breast shape, size, and symmetry, and creates a desirable and natural-looking outcome.

ABOUT BREAST IMPLANTS

During the consultation, the correct implant will be recommended based on your body frame as well as the results you wish to achieve. Implants come in different sizes and profiles, as well as shapes and textures — all of which are taken into consideration in order to attain the desired appearance. Today, the most common implants are saline or silicone, both widely chosen and safely approved by the FDA. It is important to mention that those considering saline implants must be 18 years of age, while in order to receive augmentation with silicone, patients must be at least 21. Other options include gummy bear implants and a fat transfer. Aside from the type of augmentation chosen, there are other important factors to consider:

Size
It’s impossible to meet the vision a patient has for their breasts by taking a “one size fits all” approach to breast augmentation. Implant size is determined based on the number of CCs of silicone or saline used. To pick the appropriate amount, we look at how much original tissue exists and the size you desire to be. During surgery, it is common for Dr. Schwartz to temporarily place several implants to get an idea of the best fit.

Shape
Breast implants are made in either a round or teardrop shape. Both shapes are commonly used; however, a large majority of our patients decide a round-shaped implant. It often looks more natural and adds a fullness to the upper breast that a larger percentage of patients desire.

Profile
Breast implant profile refers to the projection. Meaning, this is what one sees from the side view. The most common projections include low, intermediate, or high.When Dr. Schwartz asks a patient what their vision is for themselves, he will be able to deliver by offering the widest range of options and styles to meet their needs. These considerations, combined with our surgeon's expertise, ensures the right outcome is attained. Turning a vision into a reality is what Dr. Schwartz specializes in.

IDEAL CANDIDATES

The choice to have mammoplasty (breast aug) surgery is a personal one for our patients. If you are contemplating this treatment, it is important you do it for the right reasons. Patients should be physically healthy with breasts that are developed and of appropriate age to get implants. Women who are dissatisfied with the size and shape of their breasts because they appear shapeless and flat may benefit from breast augmentation surgery. In addition, if your breasts have been affected by weight loss or pregnancy, this cosmetic treatment can bring them back to life with increased volume. It is also a welcomed solution for women who lift weights or have an overall lack of natural breast tissue.

Dr. Schwartz never rushes the process and encourages his patients to take their time, think it over, and talk it out with those close to them. Dr. Schwartz will not move forward with the procedure until he gets a complete sense you are confident with your decision. This is one of the many reasons why his patients have full trust in Dr. Schwartz and his practice.

Breast Implant Filler Material

All breast implants available in the United States are filled with either silicone gel or saline (salt water). Silicone gel–filled implants are the older of the two, first used in 1962. Saline implants were invented 2 years later but achieved little popularity until the early 1990s (see Saline, below).

Most women will prefer one over the other. Why? Because although both are excellent options, each has its pluses and minuses. Let’s review them.

Silicone Gel

If I hand you both a silicone gel implant and a saline implant, and you’re like most people, you’ll  put down the saline implant quickly but continue holding (and squishing!) the silicone gel one.

That’s because silicone gel just feels better; in fact, it feels sort of like breast. In contrast, saline implants feel sort of like water balloons. This difference can be felt, and seen, even after implantation.

Women with saline implants can almost always feel the border of an implant. In other words, when you touch the breast, you can tell where the actual breast tissue ends and the implant begins. Sometimes this is subtle and sometimes it’s more obvious, but it’s usually there to some degree.

Women with silicone gel implants usually cannot feel where the edges of the implant are, since they tend to blend with the natural breast tissue. So breast augmentation with silicone gel implants feels significantly more natural compared with saline implants.

But the differences go beyond just the way the implants feel. Because silicone gel implants have a density similar to breast tissue, silicone gel–augmented breasts move more naturally and typically look better than breasts with saline implants. The gel implants drape and “sit” more naturally, resulting in a prettier shape.

Because of all these benefits, silicone gel implants are far more popular than their saline counterparts. For this reason, breast implant manufacturers tend to focus their development efforts on silicone gel. As a result, we now have far more silicone-gel implant options available; these include different gel thicknesses, a wide size range, and a variety of shapes to choose from.

When I perform a breast augmentation procedure, having all these options gives me more control in creating the breasts my patient wants. 

Saline

Saline was the most-used breast implant filler material from 1993 until 2006. This was because silicone gel implants had been removed from the US market for further study; there was concern that they were increasing patients’ risk of autoimmune diseases such as lupus. 

Large clinical studies were done during those years to find out whether this concern was real. In late 2006, the FDA released the results of those studies, which showed that women with silicone gel implants — whether ruptured (leaking) or unruptured — did not have a higher risk of autoimmune diseases. Silicone gel implants were released for use and almost immediately took over from saline as the most-used breast implant.

Today, silicone gel implants remain more popular than saline, but saline still has a place, and these implants remain the choice of many women. Why? The reason stems from the fact that breast implants don’t last forever and eventually need to be replaced. Typically, somewhere between 10 and 20 years after an implant is placed, its shell will weaken and crack, and the implant will leak. 

When this happens with the saline implant, the saline leaks out, and the breast deflates over a period of 1 to 2 days. Thus, with saline implants, a woman knows exactly when they started leaking and when it’s time to replace them. It’s obvious to her surgeon, too, so no tests are needed to determine if replacement is necessary.

Contrast this with silicone gel implants. Since modern silicone gel implants have a thicker, cohesive gel, when they leak, the gel isn’t absorbed and doesn’t go anywhere. This is desirable for safety purposes, but it can make it difficult to tell when an implant starts leaking. The appearance of the breasts and even a physical exam are not reliable ways to detect the rupture of a silicone gel implant. Because of this, the FDA recommends that a woman with silicone implants have an MRI or an ultrasound of the breasts every few years, since these will detect almost all ruptures.

It’s this added maintenance required by silicone gel implants that leads some women to prefer saline. 

I recommend silicone gel implants for most of my patients, unless a woman is 1) unable or unwilling to get the periodic MRI or ultrasound studies recommended to monitor them or 2) uncomfortable with silicone gel for any reason.

The IDEAL IMPLANT®

This type of saline implant, introduced in 2006, is constructed with multiple internal shells and baffles that keep it from sloshing around, making it feel less watery and somewhat more like breast tissue.

Does it work? It does. When you feel the IDEAL IMPLANT, it has a consistency about halfway between a standard saline implant and a silicone gel implant. So in terms of look and feel, the IDEAL IMPLANT will typically deliver results that are noticeably better than those of regular saline implants but not quite as good as those of silicone gel.

Because of its complex construction, the IDEAL IMPLANT is fairly expensive. In my experience, most women who want the best look and feel prefer silicone gel. However, the IDEAL IMPLANT is an excellent choice for women who know they want saline but would like to upgrade to an aesthetically superior result.

Before and after photos of breast augmentation

SURGICAL TECHNIQUES

Incision type, as well as implant placement, are discussion points that are made before surgery. During the procedure, an incision is created and then the implant will be slipped into its position. Dr. Schwartz is willing to take a little longer in the operating room and use his electrocautery technique to be gentler when opening the implant pocket.

The decision as to where to place the implant and the incision type is based on numerous factors, including the type and degree of implant enlargement as well as surgeon recommendation. Regarding incision location, scarring is not seen by the naked eye. Implant placement is determined based on body type, implant size, and lifestyle.

WHAT TO EXPECT

How do you really know you are getting the right procedure done by Dr. Schwartz, or any other doctor for that matter? The difference is in the technique and the process leading up to the actual breast augmentation. Dr. Schwartz uses clear language when talking to each of his patients, so they wholly understand the procedure. He’s also available to answer any questions the patient has about the preparation, the procedure itself, or the recovery. Being informed about each and every part of the procedure is vital for all patients to be satisfied, and Dr. Schwartz takes the time to ensure it happens.

Breast enhancement surgery is performed as an outpatient surgery using general anesthesia. Once the incision is made, the implant chosen for enhancement will be inserted through the incision and deposited into a pocket created for it, and then fitted into its proper position. Dr. Schwartz uses an electrocautery technique that is more accurate and leaves the patient with minimal bruising, bleeding, and swelling. After this process, the incision is closed with sutures or surgical adhesives. All patients will be taken into recovery and observed and monitored before being released.

The recovery time with Dr. Schwartz's technique typically is much quicker than traditional surgery, as most women can get back to their daily activities 24 hours after the procedure and go back to work in 3 – 4 days. Patients will be sent home wearing a compression garment to assist with swelling. Within a few days, the swelling and bruising will start to decrease, and the breasts will begin to feel normal as they settle into their new position. A large percentage of patients can return to normal activities within the first week; however, exercise should be avoided for a minimum of 6 – 8 weeks. Cosmetic breast surgery creates beautiful outcomes that look and feel natural.

Breast Augmentation REVIEWS

"He is by far the best surgeon out there! My breast augmentation is amazing!"

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"He is by far the best surgeon out there! My breast augmentation is amazing!"

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"Best Cosmetic Surgeon in the Country! - I researched doctors for my breast augmentation surgery for over a... "

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Get the look you want

Whether you’ve already decided you want to undergo breast augmentation surgery or still need some advice or information about the process, Dr. Schwartz will ensure you are comfortable and informed every step of the way. Our Dallas, TX practice is excited to provide this proven procedure and we invite you to learn more. Contact our office to schedule your private consultation.

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*Individual results are not guaranteed and may vary from person to person.

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