Breast Augmentation (Implants) Raleigh, NC
Dr. Tannan will be seeing all breast augmentation patients
Women choose breast augmentation for several reasons. While certain patients feel their breasts are too small for their frame, or don’t reflect their natural femininity, other patients seek breast implants to balance uneven breasts or regain volume after weight loss or pregnancy. Both saline and silicone gel implants are available. It is possible to create a very natural, proportional look!
Both saline and silicone gel implants are available. It is possible to create a very natural, proportional look.
In some cases, combining augmentation with breast lift surgery not only assists to increase breast volume, but helps to provide a perkier, more youthful appearance.
The location of the incision can vary
- Periareolar – “around the nipple,” is made around the bottom of the areola.
- Inframammary – is made in the crease under the breast. Resulting scars are easily concealable by undergarments and swimwear. This is our preferred incision location.
After making the incision, a pocket is created under or over the pectoralis muscle and the implant is inserted. We use Keller Funnels for all gel implants to assist in reducing trauma to the implant and possible implant contamination.
After the procedure, you will be bandaged and dressed in a special support bra. Wearing this garment for the first weeks after surgery will aid in healing. Many patients report discomfort can easily be managed with pain medication.
After one week, most patients are able to return to work. After two to four weeks, you should be able to resume all other routine activities with the exception of lifting, pushing, or pulling more than 5 lbs. At the 4 week follow-up most patients are able to return to their usual exercise routine and activity levels. Scars will typically diminish after only a few months.
The vast majority of women who receive breast implants are extremely satisfied with their results. They report an increased sense of self confidence, and find shopping for clothes, and wearing them, far more pleasurable.
Breast Implant Exchanges and Release of Capsular Contracture
While breast implants can last for many, many years, situations do arise where a second procedure is advisable for cosmetic or medical reasons. Implants may rupture, an asymmetry may develop, or a capsular contracture (increased firmness) can also occur due to changes in the scar capsule that naturally forms around the implant.
If you have previous implants that you are concerned about, the best decision is to make an appointment for a consultation, to establish an appropriate action plan. Dr. Tannan will go over all of your options and help you make an informed decision.
Breast Implant Removal – Dr. Diehl sees these patients
Breast implant removal surgery, known as explantation, can be performed to change size and shape of breast implants, to remove the implants altogether, or to address a ruptured implant.
Breast implant removal is usually performed under general anesthesia, although occasionally an implant exchange or replacement for saline rupture can be done with IV sedation and local anesthesia. The explanation procedure can require an hour or more of surgical time, depending on the status of the implant capsule and whether or not the implant is ruptured. The procedure can be performed in an outpatient surgical center. The removal is made possible by an incision in the inframammary fold or the peri-areolar incision. Patients usually have drains for 3-8 days after the procedure.