Breast Augmentation - Washington DC

Patients, both international and from Washington DC, Maryland, and Northern Virginia looking for breast augmentation with saline or silicone breast implants come to our practice seeking advice as to the best implant type or approach.  After an individualized and complimentary consultation, our breast specialists are able to come up with a surgery that will produce the most natural appearing enhancement.

There are many reasons for considering  Breast Augmentation, including:

  • Enhance body shape if breasts are too small.
  • Increase breast volume after pregnancy and nursing.
  • Equalize a difference in breast size (cup size) to gain breast symmetry.
  • Reconstruct breasts following a mastectomy or injury.

General Procedure

Breast augmentation involves making a small incision to insert a breast implant into the breast area in order to enlarge the breast.  The surgery is commonly performed on an outpatient basis at a hospital or state-of-the-art surgical unit while the patient is under a general anesthesia and asleep. 

Incisions and surgical placement locations

There are several possible locations that our washington dc breast specialists use for the small incision that will be used for inserting the breast implant.  The most frequent technique utilizes an incision made in the lower portion of the breast, near the breast fold.  Another technique, though less frequently used, involves making an incision in the armpit.  A third technique makes an incision around the areola (the darker skin surrounding the nipple).  A newer technique uses an incision in the belly button, thus reducing the chance of scarring in the breast area.  The best technique will be decided together between the patient and the surgeon during the consultation.

Figure 1:  (left) Illustrations of the axillary (armpit),

periareolar (around the nipple), and infra-

mammary (underneath the breast) incisions.

(Below) A periareolar incision showing the

inconspicuous nature after healing.



During surgery, the breast tissue is raised to create an open pocket under the breast tissue or beneath the chest wall muscle.  Inserting an implant behind each breast can increase a woman's breast size by one or more bra cup sizes.  Implants typically contain a saline solution (similar to saltwater) although in special cases the implants can contain a silicone gel.  In some circumstances, particularly those in which there is breast asymmetry (uneven breast size), an inflatable implant may be used to allow the surgeon to adjust the level of inflation to attain breast symmetry and balance.  Surgery typically lasts from 1 to 3 hours.

figure 2:  the example to the left

shows an implant placed submuscularly, or

below the pectoralis muscle, the example

to the right shows an implant placed

subglandularly, or over the pectoralis muscle. 

f

Implant Types

Silicone: Since the reintroduction of silicone breast implants for cosmetic use, ur Washington DC breast augmentation patients have increased choices to make, and during our consultations we will guide the patient toward the most appropriate implant.  In general several advantages of silicone include:

- a more natural feel as compared to saline implant

Saline: Saline implants remain a popular choice with our patients.  They are time tested and have been for years the only choice available for cosmetic breast enhancement in the United States.  They are chosen today for several advantages that they retain, namely.

- No need for post surgical follow up imaging with MRI (a condition of silicone implants)

- The implants are less costly than silicone

- The implants can be placed via a smaller incision since they are filled in the body.

Recovery Process

Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time.  Bandages are applied right after surgery to aid the healing process and to minimize movement of the breasts.  Once the bandages are removed, a specialized surgical bra will need to be worn for several weeks.  Patients sometimes report minor pain associated with the surgery.  This pain can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the directions given by the physician after surgery.

Resources

There are two resources available where you can simulate a breast augmentation on your body type.

Mentor, Johnson & Johnson

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