Are There Different Breast Implant Placement Options?

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If you’re considering breast augmentation, you’ve probably researched different types of implants, and started thinking about the size you want.

But did you know that there are different breast implant placement options too? (Great! Another thing to think about!)

This is a good thing, though. To get the most natural look for your breast implants, the last thing you want is a “one-size-fits-all” approach. Especially when it comes to the procedure.

What Are the Breast implant Placement Options?

You don’t need to stress too much. Fortunately, there are only two options. The breast implant is placed under your breast tissue and over your chest muscles, or under the breast tissue and partially under the pectoralis major.

Both provide great results and which one is right for you will come down to a number of factors that you’ll discuss thoroughly with your board-certified plastic surgeon. He or she will provide you with the choice that will deliver the best aesthetic results.

For the sake of understanding the difference between the two, here’s how they compare:

Over the Muscle

Also referred to as sub glandular placement, the over the muscle option involves placing the implants on top of the pectoralis major muscle but under the glandular breast tissue.

Because this option produces a lifted appearance, it’s often recommended to patients whose breasts tend to sag from having a larger amount of natural breast tissue. The tissue offers support and coverage for the implants. Without proper coverage, the implant can take on the appearance of being artificially inflated.

Another benefit of sub glandular placement is the ability of the implant to move with the breasts over the years as they go through changes. This gives them a more natural appearance for many years. In addition, over the muscle placement is a slightly easier procedure and requires a little less recovery time. Since the chest muscle isn’t altered, there’s no risk of the implants visibly distorting during exercise of daily movements.

That said, there IS a slightly increased possibility of visible folds or rippling with this sort of placement. Especially for patients with less natural breast tissue. In addition, subgladular implants tend to interfere more with mammogram readings and may result in the patient having to incorporate ultrasounds or other modalities.

Under the Muscle

Not to be confused with the term sub glandular, the sub muscular (under the muscle) procedure is a bit more involved. In this case, the implant is placed under the skin, fat, glands, AND the pectoralis major.

Yet, it’s also placed on top of the inner pectoralis minor and serratus muscles. Doing it this way allows for the pectoralis major muscle to cover the top and side of the implant while the natural breast tissue covers the bottom and outer edge. This creates a smoother and more natural looking transition from the chest to the implant.

Sub muscular implants interfere less with mammogram readings and they have a lower incidence of capsular contracture.

Even so, the more complicated nature of the procedure means there is usually a slightly longer surgery time and recovery period. This is because the surgeon has to cut and detach the pectoralis major muscle. There’s also an increased chance of the implants becoming distorted when the chest contracts, and/or migrating upward toward the armpit. Patients usually experience diminished strength in the chest muscles after this surgery as well.

So your plastic surgeon will carefully consider whether this placement option is your best bet.

Are Breast Implants Right For You?

When it comes to choosing between the two breast implant placement options, you can take heart in knowing that you’ll never be alone in that decision.

Contact us today to set up your free consultation and get started.

After an examination, your surgeon will discuss your goals and expectations with you. From there, the two of you will decide which option is right for you.

Is It Time to Replace Your Breast Implants?

 

If you had breast augmentation in the past ten years, you may be wondering if it’s time to replace your breast implants.

The truth is, the vast majority of breast implants will never need replacing because of medical reasons. Especially after a decade. Today’s advanced techniques and improved manufacturing practices have allowed for this.

Even so, you may have other reasons for not wanting your breast implants any longer.

How Long Breast Implants Last

Breast implants come with no guarantees. But what in life does, really? Most of the current available implants are very safe and last a bare minimum of ten years – as long as there are no complications.

Of course, how much longer your implant will last after that initial ten years is based on a number of factors. These include your health, the size and shape of your chosen implant, and your surgeon’s expertise.

One of the biggest determining factors, though, is the type of implant you chose.

Silicone

Of the two different types, silicone implants are the more resilient. They have only a .5% rupture rate per year so it’s not unusual for these to last for decades. In some cases, they may even last for a woman’s lifetime.

One of the major drawbacks of silicone, however, is that it’s more difficult to detect ruptures or other damage if they do occur. So while the implants can last a long time, patients need to stay up-to-date on checkups and stay in touch with their board-certified plastic surgeon.

Saline

By contrast, saline implants have a 1% rupture rate per year. Still quite minimal, but they are also more prone to shifting and rippling than silicone implants are. So while it’s possible for them to last for decades, it’s likely they will need some sort of maintenance every ten to fifteen years.

The benefit of a saline implant rupturing is that the body can absorb saline so the rupture is less serious.

So Is It Ever Really Time to Replace Your Breast Implants?

Outside of car accidents, trauma, or needle biopsies, it’s rare for a rupture to occur many years out from the initial surgery. So you likely won’t feel a medical need for replacing them. That said, there are still other reasons you may choose replacement surgery.

Perhaps you’re feeling like the size of the implant you chose is no longer a good fit. You may want to go bigger or smaller.

It’s also possible that as you’ve aged, your skin has become looser, your hormones have changed, and your body weight fluctuated. This can result in your breasts changing as well and the implants may no longer look natural.

Finally, tissue stretching and good ole’ gravity can cause breasts and implants to malposition in a variety of ways. They may be shifting sideways, bottoming out, or moving closer together.

All of these may warrant breast implant replacement surgery.

 

What Happens During Breast Implant Replacement Surgery?

Unless a longstanding rupture is involved, the replacement surgery is relatively simple and straightforward. And the recovery time will be minimal; usually only a couple of days.

A rupture that’s gone undetected, however, can result in capsular contracture.

Part of the healing process for the body is to form a capsule of fibrous scar tissue around any implanted device. The capsule not only creates a protective barrier, but it also assists in keeping the implant in place so as to avoid slippage.

But when the body goes into overdrive to protect itself from the “foreign” body – in this case, the ruptured implant – the scar tissue tightens around the implant and then constricts it. This is known as capsular contracture.

To treat the capsular contracture, the surgeon would need to perform a capsulectomy. And if there’s already too much inflammation to replace the implant, you may have to wait up to six months before you can get a new one. Recovery will also take longer.

The Choice Is Yours!

If you’ve had implants for more than a few years without complications, the chances are minuscule that you’ll need to replace them for medical reasons.

By the same token, if your current implants are no longer serving you or even making you feel self-conscious, then THAT’S the time to replace breast implants.

Contact us today to talk to our board-certified plastic surgeons. We’ll help you  We can answer any questions, address concerns, and put an action plan into place for you.

Breast Implants Or Fat Transfer?

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If you’re considering breast augmentation, having an implant is no longer your sole option. Fat transfer is gaining in popularity as a more natural option.

So that may now leave you with the question, “Do I want breast implants or fat transfer?”

Fortunately, you don’t have to decide now; or even by the end of this article. But we’ll give you a quick rundown of the two different options so you can make a better informed decision.

What Happens with a Breast Implant

There are numerous reasons a patient may seek a breast implant. In some cases, they’re looking to reconstruct their breasts after a mastectomy. In others, they simply want to increase volume after giving birth or losing weight. Some just want larger breasts.

Breast implants are made with either saline or silicone. Each of these materials has its own distinct advantages which are outlined by the surgeon during a consultation.

During the procedure, the implant is placed either over or under the chest (pectoral) muscle. And just as there are different options for the implant, the incisions the surgeon uses will also depend on a number of factors.

The Deets on Fat Transfer

For those who would prefer to keep things more natural, a fat transfer might be a good option. With this method, fat cells are harvested from another part of the body utilizing liposuction techniques. The cells are then purified before being injected into the breasts.

Not only does this procedure result in fuller breasts, but there’s the added bonus of removing fat from an area where there is excess.

So now the question remains:

Breast Implant or Fat Transfer?

Ultimately, you’ll want to discuss your options with your board-certified plastic surgeon. But we’ll take a look at some of the pros and cons of each.

Implants

For those who want to select the size and shape closest to their ideal, there is more control with implants. In addition, breast augmentation with implants has been practiced and refined for many decades so former safety issues have been nearly eliminated.

Breast implants have decent longevity – lasting between 15 and 20 years before they need to be replaced.

Given that it’s surgery performed under general anesthesia, this aspect must be considered. And recovery from augmentation with implants can be on the longer side – although the difference between implants and fat transfer may be just a few weeks.

Fat Transfer

While implants are increasingly more natural looking in appearance, it’s hard to beat fat transfer for the most natural look. Plus, some patients find it appealing to avoid putting foreign material in their bodies. And as we mentioned above, there’s the additional benefit of losing fat in another area of the body.

Fat transfer also requires general anesthesia, so it’s still a major procedure. But it’s less invasive than getting implants. It’s often chosen for patients who have uneven breasts or after a lumpectomy.

All of these advantages aside, fat transfer tends to deliver more modest results, so it’s not ideal for those looking to enhance their breasts by a cup size or more. In addition, fat transfer doesn’t have the predictability that implants do so the procedure may need to be done again within a few years.

Considering Breast Augmentation?

If you’re feeling a bit more in the know on breast augmentation, you may be ready to take the next step. Go for it!

Contact us today for a free consultation to discuss whether breast implants or fat transfer is the better option for you.

Can a Breast Lift Help You Exercise?

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If you have significant sagging in your breasts, you may find that even an industrial strength sports bra doesn’t provide the support you need. This can make exercise uncomfortable, irritating, and even embarrassing. It could even lead to blisters, chafing, and pain.

So can a breast lift help you exercise?

Well, it’s not going to drive you to the Pilates studio or enable you to bench press twice your weight. OBVIOUSLY. But it sure can make movement a much more enjoyable experience! So in that regard, yes it will help you exercise.

 

What Breast Lift Surgery Entails 

Whether you’re experiencing sagging as a result of pregnancy and breastfeeding, fluctuations in weight, genetics, or aging, a breast lift uplifts and improves the shape of the breast.

During a breast lift procedure (also known as mastopexy), your board-certified plastic surgeon removes excess skin and fat and raises the breast tissue. Separating the tissue from the skin beneath it allows for more comfort and mobility.

The chosen incision for the procedure depends on a number of factors. Depending on these, your surgeon may choose a circular incision around the areola, a line down the lower portion of the breast from the areola to the crease under the breast, or a line along that crease.

The excess skin and fat are removed from the incision. The surgeon then reshapes and lifts the breast, tightens the remaining skin, and closes the incisions.

While it’s a fairly straightforward procedure, recovery can be a bit more involved than with a traditional breast augmentation. So before you jump on the treadmill or dive into the pool, you’ll want to follow the detailed instructions provided by your surgeon for recovery.

 

Can a Breast Lift Help You Exercise?

It’s important to understand there will be an adjustment period after a breast lift. This is completely normal. The best thing you can do is be patient during this time. You may be eager to get back to exercise, but you don’t want to push too hard and jeopardize your lift results.

Most patients can begin with short walks around the house every few hours after the procedure. This not only keeps your heart pumping, but it improves circulation and prevents potential blood clots. Once you feel ready, you can begin to increase your activity. Take it slowly. Especially in those first few weeks after surgery.

Start with some slow walks around the neighborhood or cycling on a stationary bike. Then go from there.

You’ll be advised to not push or pull anything heavy. And because you shouldn’t exert your pectoral muscles, you’ll also not be permitted to lift anything that weighs over 10 pounds. That means you’ll need to steer clear of push-ups, pull-ups, and certain yoga poses. And no weight training or intense exercise until you get the go-ahead from your surgeon.

 

Jump Back Into Action With a Breast Lift

Can a breast lift help you exercise? If you’re struggling with sagging breasts that make exercise cumbersome and painful, then yes, it can.

With higher and firmer breasts, you’ll not only find more ease with exercise, but you’ll feel more confident and self-assured next time you hit the gym or the yoga mat.

So contact us today and make physical fitness a priority again. You’ll feel better in every way.

The Ultimate Breast Implants Checklist

 

Summer’s almost here. It’s that time of year when you start showing more skin and seeing just how your body has changed over the winter. And with the pandemic, you might be noticing the impact of a couple of winters.

If you’re feeling self-conscious about filling out your bathing suit or other summer wear, this may be the year for breast augmentation surgery.

Breast implants could boost your confidence this summer. But what will be expected of you before and after the surgery? To address that, we’ve got the most complete breast implants checklist here for you.

BEFORE Pre-Surgery

Once you finally make an appointment to talk with a plastic surgeon, he or she will provide you with literature on the procedure. This can be a lot of information to absorb. There will also be an FDA-approved patient-decision checklist. The purpose of this list is to present the benefits and risks of getting implants.

The checklist covers topics such as what makes a successful breast implant candidate; situations when implants shouldn’t be used, the risks of undergoing the surgery; the importance of proper training and experience; and other options (where appropriate).

The patient-decision checklist is reviewed together by you and your surgeon.

Breast Implant Checklists

Once everything is agreed upon and you’ve decided to go ahead with the surgery, you’ll be given an opportunity to sign and initial throughout the patient-decision checklist. The checklist is then signed by your board-certified surgeon.

At that point, you’ll need to start tackling the next checklist – which is things you’ll need to do before the procedure.

Pre-Surgery

 

If you love a good smoke first thing in the morning or after a meal, you’ll need to get used to not having this. It’s crucial that you quit smoking a minimum of four weeks pre-op.

Also, get your work and other life affairs in order. You’ll need at least one week off from your job. Stock up on essential items and foods that are simple to make. (Soup comes to mind.) And be sure to get all of your prescriptions filled so you’ll have them after the surgery.

On the actual day of the surgery, you’ll need to wear loose clothing with a top that zips or buttons in the front. Don’t eat anything or take vitamins/medications unless instructed by the doctor. Refrain from wearing creams, lotions, or fragrances, or using hairspray on surgery day.

Finally, arrange to have a family member or friend drive you home after the surgery.

Post-Surgery

Once you arrive home, it’ll be important that you get plenty of rest to help the body heal. Keep your head and neck elevated using firm but comfortable pillows.

 

If you live alone, plan to have someone around who can help for at LEAST that first day back. You’ll have to avoid lifting, bending, or any sort of vigorous movement until the surgeon says it’s clear to do so.

Got hydration? If you don’t like water, now is the time to start embracing its benefits because you’ll need to drink at least eight ounces of water every two hours that first day back. Also, take your pain meds as prescribed, wear the recommended compression garments, and have ice packs ready to help with any swelling.

And be sure you have quick access to your surgeon’s contact info in case you experience any complications or just have questions.

Boost Your Confidence with Breast Implants

Now that you’ve gone over the ultimate breast implants checklist, you know exactly what to expect. So why not contact us today?

And get ready for an amazing and form-fitting summer!

Choosing the Appropriate Breast Implant

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Are you considering breast augmentation? If so, you may be turned off by those who have very obviously gotten a “boob job.”

This is why it’s so important to do the research and find a board-certified plastic surgeon who will guide you in choosing the appropriate breast implant for your body type.

There are several considerations.

 

The Proper Profile

The appropriate breast implant is going to give you the cleavage you desire. Thus, the base diameter of the breast is the most important measurement for breast implant fitting.

Once you choose the volume, then the surgeon will choose the implant profile based on that along with the base width.

To break it down, a low implant profile is going to be wider and have less projection. A moderate implant profile will be a little more narrow and have a slightly higher projection. A high implant profile means it will be even narrower and with more projection.

For patients who select a very full volume, there are also extra high profile implants that increase projection while narrowing the width so the implant can fit in the patient’s anatomical base width.

 

Choosing the Appropriate Breast Implant

If you’re confused, that’s okay. We’ll clarify it further.

Say that you choose a 300 cc (cubic centimeter) implant. That would be the volume portion of the equation. So that 300 cc implant is going to be available in a low profile, medium profile, and high profile. The higher or taller the profile, the narrower the width will be.

If you naturally have narrow breasts and choose a larger cc implant, your board-certified plastic surgeon will choose a higher profile with a narrower base width to fit the implant on the breast. This is because a low profile is shorter in projection and wider in width for that same volume. A low implant profile would likely hang off the side of the chest in a narrow patient.

On the flip side, if you tend to have wider breasts, the surgeon would choose a low or moderate implant profile so there is not a large gap between the breasts that would be created from a high profile narrow implant. In this case, the implant would fill the base width appropriately.

Now that you’ve got a grasp of implant profiles, the other consideration will be material.

 

Silicone or Saline?

Fortunately, you don’t have to decide between too many different options when it comes to material. You have either silicone or saline. And there is little to no discernible difference between the appearance of breasts augmented with silicone implants over those with saline implants.

They both involve a silicone shell that is either smooth or textured.

With silicone implants, the shell comes already filled from the manufacturer and the implant is then placed. With a saline implant, the silicone shell is first inserted into the body and then filled with saline to meet the desired volume. Each one requires the same size incision.

Choosing between silicone and saline implants is easier once you have a thorough examination and then sit down with your surgeon to discuss which option is better for you.

It should also be noted that because breasts continue to develop in women until they are in their late teens or early 20s, the FDA requires that women be at least 18 years old to get saline implant breast augmentation and at least 22 years of age to receive silicone implants.

 

Don’t Think of It As a Boob Job!

Breast augmentation can be a life-changer.

Choosing the appropriate breast implant comes down to working with an experienced and caring staff that will see you through every step of the process.

 

So contact us today to discuss the best options for your breast augmentation. And experience the confidence that comes with full and natural-looking breasts.

What Are the Different Types of Breast Lifts?

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Do you fondly remember a time when your breasts were firmer, rounder or perkier? Or perhaps they’ve never had the fullness you desire.

If so, now is the time to consider mastopexy – a.k.a. a breast lift. In this procedure, a plastic surgeon can raise and reshape your breasts to give them the look you desire.

The surgeon can also remove extra skin around your areola, if so desired, to reduce the size of it.

Different types of breast lifts serve different purposes. The one that’s best for you will depend on the appearance of your areola and level of ptosis – the medical term for sagging.

Why Do Breasts Sag?

Most women experience sagging at some point in their lives.

Pregnancy is one big culprit. During pregnancy and nursing, the breasts become engorged with milk. Once milk production ceases post pregnancy, the breasts decrease in size – often resulting in drooping. This is exacerbated with each additional pregnancy.

Weight loss can also create sagging. The skin and support structures of the breast accommodate for weight gain. Similar to pregnancy, once that weight is shed, if the tissue doesn’t have enough elasticity, the breast can’t regain its shape and will droop.

Of course, age is a factor – in both the above situations and just in general. Over time, gravity causes breast tissue to stretch downward. Plus, tone and elasticity decrease as we age.

Finally, in some cases, ptosis is congenital. Some adolescent girls develop breasts that sag and have downward pointing nipples – leaving them to feel extremely self-conscious about the appearance of their breasts.

The Three Grades of Ptosis

To simplify, there are three components to a breast.

First there is the nipple and the skin that surrounds it (the areola). Second, there is the glandular tissue and fat that compose the breast, known as the parenchyma. Third, there is crease underneath the breast which is referred to as the inframammary fold.

In a youthful breast, the nipple and parenchyma sit above the inframammary fold.

When there is mild sagging and the nipple lies at the level of the inframammary fold with the parenchyma below it, this is considered Grade 1 Ptosis.

With Grade 2 Ptosis there is more moderate sagging. In this case, the nipple sits below the level of the inframammary fold, but is still above the lowest hanging part of the parenchyma.

It’s considered Grade 3 Ptosis when the sagging is severe enough that the nipple lies well below the inframammary fold and at the bottom of the breast. At this stage, it is situated at the lowest hanging part of the parenchyma along the inferior contour of the breast.

Once the grade of ptosis is determined, then the surgeon can recommend a specific type of breast lift.

Different Types of Breast Lifts

There are basically four types of breast lifts.

A crescenteric lift is performed on patients whose breasts sag minimally.  This is often the lift of choice when the areola needs to be raised around 0.5 to 1 cm. A crescent shaped incision is made at the top of the areola margin.

With a periareolar lift, the size of the areola can be reduced. It also helps to correct a mild degree of sagging. In this procedure, a donut of skin is removed around the areola to centralize the nipple-areola complex at the center of the mound. Approximately 1.5 cm of lift is achieved while reducing the diameter of an enlarged areola.

Designed for women who require a medium amount of surgical correction, two dimensions of skin can be changed with a lollypop lift. Both the nipple areola complex location and the perkiness of the breast (reducing transverse excess skin) are addressed in this procedure.

A full lift is recommended when there is excessive sagging and a long hanging breast. In this procedure, all three dimensions of the skin envelope can be tightened along with nipple areola position, perkiness, and the  inframammary fold scar to reduce the vertical excess.

What About Breast Implants?

An implant alone increases projection and fills out the skin envelope or loose skin but does not lift a sagging breast.

As such, it’s not uncommon to combine an implant with any of the above lifts. This will depend on the level of ptosis, as well as degree of deflation (the volume loss which requires an implant, fat, or auto-augmentation to correct).

Could a Breast Lift Be Right for You?

If sagging breasts or overly large nipples are making you feel self-conscious, let us help.

Contact us today to learn about the different types of breast lifts and which one may be right for you.

And head into the spring and summer with restored self-confidence and a “lift” in your spirits.

Breast Reduction Is Not Just for Women

Despite the jokes about large breasts in our culture, having large breasts can be both cumbersome and painful.

Large breasts can be the source of chronic back, neck, and shoulder strain. And women who have to wear extra supportive bras often suffer from cuts and abrasions on their shoulders from the straps.

On top of that, while larger breasts may contribute to an attractive silhouette for younger women, they are more prone to drooping as women age. This can create the illusion of being overweight – even on women who are not.

Breast reduction surgery can alleviate these discomforts by ridding the body of excess breast tissue while simultaneously tightening the skin and elevating the breast to create a more streamlined silhouette.

male breast surgery michigan - gynecomastia

Breast Reduction for Women

One of the common traits women with very large breasts share is feeling awkward.

Large breasts can also impede a woman’s ability to exercise comfortably.

They’re also just plain uncomfortable. Not only do women feel the emotional displeasure of people staring at them, but the physical pain can be overwhelming. All of these can drain a woman’s confidence.

Plastic surgeons are sensitive to these issues. During a consultation, they consider the size and shape of the breasts, the elasticity of the patient’s skin, and the position of the nipples.

Doing so allows them to customize breast reduction options specifically suited to a woman’s unique individual body type.

 

Female Breast Reduction Procedure

During the breast reduction procedure, the surgeon removes excess glandular tissue, fat, and skin. This is done by making an incision and then removing the fat using a combination of liposuction and other excision techniques.

There are a couple of incision options.

With a lollipop incision, the incision is made around the areola and down to the breast crease. This is a good incision option for patients who are in need of a moderate reduction.

For women who need a significant reduction, the anchor incision is similar to the lollipop incision except the incision continues along the crease underneath the breast.

In both cases, the breast reduction will be accompanied by a breast lift to fully restore the shape and contour of the breast.

But women aren’t the only ones who struggle with the challenges of large breasts.

 

Male Breast Reduction

Did you know that around 65% percent of middle-aged and older men struggle with breasts that have a womanly appearance?

All men have breast glandular tissue. This is normal. But with the condition known as gynecomastia (which translated from the Greek means “woman-like breasts”), there is abnormal growth or excess breast tissue.

It turns out that fatty tissue in the chest is not sexist. It can gather in men in similar ways that it does in women. The degree to which this happens is dependent on factors including age, weight gain, and genetics.

What’s worse, it can be unresponsive to diet and exercise. So while the remainder of a man’s body might be toned and fit, he will still have breasts.  It’s an embarrassing situation.

Men in this situation can benefit from male breast reduction surgery to restore an appealing, more masculine appearance to their upper bodies.

 

Male Breast Reduction Procedure

Large male breasts can be caused by fatty tissue, excess glandular tissue, or a combination of both.

Male breast reduction is performed with liposuction to remove the excess fat followed by an incision around the areola to remove excess glandular tissue. Finally, the skin around the pectoral muscles is tightened to create a masculine physique.

It’s important to note that prior to male breast reduction, some lifestyle changes in diet and exercise may be necessary to ensure long-lasting results. These changes will also decrease the likelihood of male breast re-occurrence.

 

Could Breast Reduction Improve Your Life?

If you’re struggling with the challenges of overly large breasts, you don’t have to accept it as your destiny.

Breast reduction surgery can relieve the pain and/or embarrassment, while improving your physique, restoring your confidence, and creating a more balanced and proportional appearance.

So contact us today to set up a consultation with one of our board-certified plastic surgeons.

And leave the embarrassment behind.