Getting Implants– Entry 1

7 Sep

**Dr. Russo will be offering 25% off his surgical fee during the month of October 2012 when you mention my blog! Call now and talk to Lauren! 617-964-1440**

I’ve been working in Plastic Surgery for a few years, and I’ve never been under the knife. I finally made the decision to book a breast augmentation. This is my experience, from a patient point of view.

August 27, 2012

I guess I would consider this day an emotional roller coaster! I had just finished a brachioplasty with Dr. Russo (as a surgical nurse) when I was called into his office. Long story short, surgery is booked for October 18.

My first reaction was obviously excitement. There may have been a point where I was jumping up and down… and clapping.

Of course, on this day, my mother was meeting my new boyfriend for the first time. Do I tell her? Do I tell my dad? Do I tell my boyfriend’s parents who have probably already read about it on facebook? Honestly, I’ve actually never questioned telling anybody anything I do (although, in hindsight I’ve questioned whether or not it was always appropriate); it was a really odd feeling! I figure, I’m a terrible liar, so I might as well just say it like it is:

“Mom, I’m getting a boob job.”

Things don’t really faze my mother at this point. There was a moment of déjà vu back to the night before my 18th birthday, when I told her I was getting a tattoo.

“How big?” she asked.

“Proportional” I answered. (I gave the wrong answer when I was 18, and I am fortunately not the owner of a GINORMOUS back tattoo, THANK GOD for my mother telling me to make it small!).

“It’s your body, whatever makes you happy.” Aw, mom!

It’s Your Body

Making the decision to undergo plastic surgery should never be anyone’s decision but your own. It should never be for a guy or under peer pressure of a friend. It is a major decision, and as with any surgery, it has risks. I’ve wanted to do this for years, but either I haven’t had the time or I haven’t had the money!

I want to be more proportional. I want my clothes to look good on (or off). And I don’t want to dread bathing suit season!

My reasons for doing this are healthy, and I am very happy with my decision. It doesn’t hurt that Dr. Russo is known for doing great boobs!

August 9,2012 – My Consultation

Choosing size, shape, and style

There are a lot of options to consider when deciding on implants! The first question many ask is: “how big?” expecting an answer in cup size, I guess. But implants don’t come in cup size. They come in cc’s (cubic centimeters). In order to determine the size, shape, and style of implants that are best suitable, there are several things to consider:

  • Symmetry of your breasts
  • The width of your breasts in proportion to the chest wall
  • The characteristics of your breast tissue – how much tissue do you have? How much stretch do you have in your breast tissue?
  • Your goals and expectations for surgery
  • The location of the incision and the implant placement

The Age Old Question: Saline vs. Silicone

Saline

Silicone

Contents

Filled with sterile salt water.

Filled with soft, elastic gel.

May be pre-filled to a predetermined size, or filled at the time of surgery to allow for minor modifications in implant size (good for asymmetrical breasts).

Pre-filled and may require a longer incision for implant placement.

Consistency

Amount of fill affects the shape, firmness, and feel.

Feels and moves like natural tissue.

Risks

scar tissue, breast pain, infection, changes in nipple sensation, implant leakage or rupture.

same as saline.

Rippling

More likely

Less likely

Cost

Less expensive

More expensive

I chose silicone, because it is more natural looking and feeling.

Under the Muscle or Over?


The implant is placed in a pocket either directly behind the breast tissue (right) or underneath the pectoral muscle which is located between the breast tissue and chest wall.

I chose under the muscle.

Incisions, Incisions, Incisions?


An incision can be made either underneath the breast, just above the crease, around the lower edge of the areola or within the armpit.

One of the advantages of a saline-filled implant is that, because it is filled with saltwater after being inserted, only a small incision is needed. Often, an incision of less than one inch is made underneath the breast, just above the crease, where it is usually quite inconspicuous.

Another possible location for the incision is around the lower edge of the areola. A third alternative is to make a small incision within the armpit.

Once the incision is made, the surgeon creates a pocket into which the implant will be inserted, either under or over the muscle as previously discussed.

I let Dr. Russo decide this one! He decided to go under the breast, and said this is really the best way to insert a silicone implant.

Smooth or Textured

The surface of the implant can be smooth or contoured. The contoured implants have little bumps on them (like gripping). They are teeny tiny. It’s hard to describe and the pictured don’t really help. But anyways, this keeps the implant exactly where it is placed.


smooth, round

textured, round

I choose textured.

Round or Oval Base

The base of the implant (or the back I guess you would call it when it’s inserted) can come in round or oval.

round

oval base (see how it’s wider)

We are still deciding this one. Leaning towards oval base.

Projection

The amount the implant sticks can be determined by the base to width ratio of the implant.

High Profile Implants

Have more projection per measurement of base diameter than a moderate profile breast implant. An added benefit of the high profile breast augmentation is that in order to create the profile, the side wall of the implant has more height, which may reduce visible rippling. These high profile breast implants will provide more anterior projection (front projection).

Moderate Profile (regular / standard)

These are the standard, creating a ‘normal’ profile. With a full and rounded look, this moderate profile breast implant adds a significant amount of dimension and volume to a woman’s breast. This could create a wider chest appearance, which would benefit those with a narrow chest.

Low Profile Implants

These breast implants have less projection per measurement of base diameter than a moderate profile breast implant.


Example:

200cc High Profile Implant (top in picture) is 9.8cm wide and 9.8cm tall. The projection is 4.9cm

210cc Moderate Profile Implant (bottom in picture) is 10cm wide and 11cm tall. The projection is 3.8cm.

Drawing not to scale. Sorry!

I chose moderate profile, again, because I want the most natural look.

Round or Contoured Implant Projection

Prior to Sientra’s new implant (more on Sientra below) the contoured implant eventually became more round due to the body’s muscle pulling on the silicone gel. The new “gummy bear” implant will keep it’s shape.

round shape

contoured

We are still discussing this as well, but we are probably going with contoured.

Breast Implant Manufacturers

Currently there are 3 companies that manufacture breast implants in the U.S. As of recent, a cohesive silicone gel implant manufactured by Sientra was approved by the FDA (after 8 years of clinical trials). I had heard of this hot new option in New Beauty Magazine (best magazine ever) a year or so ago. They have been nicknamed “gummy bear implants” because, like the candy, the implant has a rubbery consistency that holds its form well over time. This product is the most natural-looking breast shape, and lasts for many years.

The Sientra Implant has the lowest leak rate of all the implants currently approved. Even if the outer shell is ruptured, the silicone gel in the implant remains cohesive and doesn’t migrate to other parts of the body. (I would have tested this theory, but I’m not allowed to cut the implants in half at the office…)

The implant is the most natural looking. Because silicone gel is more cohesive, the risk of shell collapse producing a rippling effect seems to be lower. The implant is also fit to the person’s size and body type.

Less scar tissue
forms with this implant type. Capsular contracture is the medical term for scar tissue buildup and hardening around the implants – a condition that can be painful, and in severe cases, require surgery. The rate of scar tissue buildup appears to be much less with gummy bear implants.

I’ve basically been looking at breasts and reading about breast implants since the middle of August. (Is this what it feels like to think like a man?) Here are some sites I found interesting about Sientra’s new silicone implant (the second two are video’s).

http://www.sientra.com/

http://abcnews.go.com/Health/gummy-bear-breast-implants-future-breast-augmentation-surgery/story?id=16370362#.UEiTF2Hh-pg

http://www.huffingtonpost.com/2012/04/09/gummy-bear-breast-implants_n_1413122.html

My Consultation Sizing


Before

492cc Implant

Before

492cc Implant



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2 Responses to “Getting Implants– Entry 1”

  1. butlerbd November 17, 2014 at 6:46 pm #

    Did you decide to go with anatomical oval base ?!

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