Breast Augmentation Surgery with Breast Implants

Plastic surgeon specialist in breast augmentation using breast implants for the Northern Virginia, West Virginia, Maryland, & Washington DC area

Breast Augmentation typically requires breast implants. While there are some ways to achieve breast enlargement without breast implants, like using fat injection. It is best to use breast implants. There are also ways to create or enlarge a breast using natural tissues. They are some of the ways used when a breast reconstruction surgery is required. Moving abdominal tissues or back muscles are excellent options for breast reconstruction surgery but are not encouraged as options for breast enlargement surgery alone. Injecting fat into the breast is in its early stages and will only improve the size of the breast a minimal to moderate amount. Asymmetry and long surgical times are concerns with fat injections. In general it is not a recommended way to achieve significant breast enlargement.

Breast augmentation surgery using breast implants is the most common plastic surgery technique used throughout the World for breast enlargement. It is currently the best way to have breast enlargement. The cosmetic plastic surgery techniques do have many similarities but also many differences. The plastic surgeon is the most important criteria other than the woman’s natural pre-existing tissues in determining the outcome from a breast augmentation. Dr. Michael J. Brown is an excellent choice as your plastic surgeon.

In the following sequence of 3-D surgery illustrations, a simplified overview of a cosmetic breast augmentation are presented in a step wise fashion. These are cosmetic plastic surgery illustrations and do not necessarily reflect the complete complexity of the cosmetic breast implant surgery. The plastic surgery approach for the breast augmentation surgery is typically performed through one of three incisional approaches. By far the most common and the gold standard of choices is the under the breast incision. Most plastic surgeons would defend the position that it is the best way to place breast implants. These illustrations reflect this plastic surgery approach. To learn more about the breast augmentation incisional approaches, please visit Dr. Brown’s web site that is dedicated to breast surgeries.

This first 3-D illustration depicts a woman lying on the operating table with a pre-operative mark around her breast crease or inframammary fold. This mark serves as a reference and aides precision during her cosmetic breast augmentation surgery.

This 3-D illustration depicts the cosmetic breast augmentation surgery incision along the breast crease or inframammary fold. This exact placement of this incision depends on the woman’s breast tissue characteristics and how large of a breast implant she desires. The incision is placed in such a fashion so that after the breast augmentation implant surgery is complete, it is hidden the crease of the breast. It is measured and is only 3 centimeters in length. This is slightly longer than one inch. A small retractor is holding up the skin to expose the breast fat and breast gland.

For illustration purposes the surgery incision in this 3-D illustration has been extended to show more of what the cosmetic breast augmentation surgery involves. In real breast augmentation surgery, this is more difficult to see than these next few illustrations. A larger retractor is placed and the subcutaneous fat and breast fat have been divided to expose the underlying pectoral muscle. It is this muscle that will be raised or lifted to allow the breast implant to be placed ‘under the muscle’.

At this point in the breast augmentation surgery, the pectoral muscle has been divided to a required amount and a pocket or space has been created ‘under the muscle’. The pectoral muscle is in the upper aspect of this wound, below the retractor. The muscle that is along the bottom part is the muscle that is in between the ribs.

This image is showing that the breast implant has been prepared and is rolled up and is being placed ‘under the muscle’ for her cosmetic breast augmentation.

The breast implant is now under the muscle and is ready to be filled with saline. The tube connects to the breast implant and fills the saline. If these were silicone gel breast implants, there would be no tube and the breast implants are prefilled.

The breast implant has been filled and the fill tube has been removed from the implant. At this point in the augmentation surgery, the implant position is confirmed by feeling the edge of the implant and then the other side has the implant placed in the same fashion. Then both breast implants are checked for breast symmetry and the wounds are closed with dissolvable stitches in three different tissue layers.

The breast implant has been filled and the fill tube has been removed from the implant. At this point in the augmentation surgery, the implant position is confirmed by feeling the edge of the implant and then the other side has the implant placed in the same fashion. Then both breast implants are checked for breast symmetry and the wounds are closed with dissolvable stitches in three different tissue layers.

To learn more about breast augmentation surgery, click to review more of an overview of breast augmentation. Click to learn more about silicone-gel breast implants.

For more information click to see the actual breast augmentation surgery video visit Dr. Brown’s breast specific web site.