Breast Augmentation, Breast Implants in Tampa

Breast Augmentation in TampaEvery year, members of the American Society for Aesthetic Plastic Surgery perform more breast implant augmentation surgery than any other plastic surgery procedure. The reasons for choosing breast augmentation are as personal and individual as the woman who makes the choice. The woman who feels self-conscious about her breast size; the mother who wants the figure she had before her pregnancy; the young lady concerned about the shape of her breast. Although the reasons vary, the goal is always the same: you want to feel more confident about the way you look. Dr. Marcadis offers the experience and professionalism to provide the natural look you want. At Marcadis Plastic Surgery and Medical Spa, we know that the best reasons to have breast augmentation plastic surgery are personal.

Breast augmentation risks and limitations

If one desires a fuller breast appearance ideally natural breast tissue would be the best material to use. But this is not available. What is available is a breast implant. A breast implant is not a perfect substitute for breast tissue. It is a bag of silicone or a bag of saline. So it will never be a perfect substitute and will have some limitations. One of the main limitations is that it is very common after breast implant surgery to want or need another operation at some time during your life. If you take all the implant patients worldwide after 5 years 25% or 1 in 4 women would have another procedure; in 10 years it is 50% re-operation rate. That is for all reasons and many of the reasons are not for medically necessary but due to patient preferences such as desiring larger or smaller implants. Some however would be medically necessary or cosmetically desirable such as leakage of the implant, capsular contraction, rarely due to re-bleeding after surgery or infection. Some other limitations may a temporary or permanent change in nipple sensation, more difficulty in reading a mammogram. We can go into more details on these issues during your consultation.

Breast Augmentation Consultation

During your consultation with Dr. Marcadis, you will discuss if a breast augmentation is the best cosmetic procedure for the outcome you want to achieve. Dr. Marcadis will also discuss the advantages and disadvantages of both silicone and saline breast implants and the incision site that is best suited for you. We know that having a breast augmentation is a very important decision, therefore, we need to understand your goals, expectations. We will discuss all your plastic and cosmetic options, and their associated risks. We will also address all your plastic and cosmetic questions you may have during your consultation.

Pre-operative appointment

At Marcadis Plastic Surgery we take our patient’s health very seriously. During your pre-operative appointment, Dr. Marcadis will again go over your goals and expectations for your breast augmentation cosmetic procedure. At this appointment we will review your medical history and will perform routine preoperative laboratory testing.

Breast augmentation procedure

Breast augmentation is a cosmetic surgical procedure that enhances the volume, shape, and contour of a woman’s breast by placing a breast implant either above or underneath the pectoralis major muscle. This procedure is performed under a light general anesthesia in our Joint Commission (JCAHO) accredited surgical facility. The procedure takes about an hour to perform and recovery is usually 30-60 minutes. Our anesthesia is provided by board certified anesthesiologists on staff at major Tampa hospitals and all have many years of experience.

You have a choice of incisions from which to chose to have your breast implants inserted. Silicone and saline breast implants of different profiles and shapes are available to assure that you get the best implant for your anatomy and goals.

Recovery after a breast augmentation

Recovery after breast augmentation is usually quick and easy with return to normal activities the next day. Try to avoid strenuous activity for two weeks following your procedure. In the usual case the initial pain subsides quickly after discharge from the recovery room and you are left with just some soreness that most patients tolerate very well with minimal pain medications. We have even had patients go out to dinner the night of surgery but it is recommended that you rest at home until the next day. Our medical staff will show you some light stretching exercises after surgery to help you get back t0 normal quickly. Dr. Marcadis recommends resuming normal activities as discomfort would allow. Patients usually can return to work within 3 days after surgery. All recovery expectations will be discussed during your initial consultation and at your pre-operative appointment.

Call (813) 878-0089 to schedule your consultation with Dr. Marcadis to determine if a breast augmentation procedure is right for you.

Dr. Marcadis is one of the most experienced and best board certified plastic surgeons in the area; his reputation is well known in the Tampa Bay area as well as Clearwater, St. Petersburg, Sarasota and Orlando. At Marcadis Plastic Surgery and Medical Spa, we pride ourselves with over 20 years of experience, professionalism and great patient care.

Breast Implant Augmentation

Proceure, Risks and Limitations

 

Purpose:

Increase satisfaction with breast appearance by changing the size and shape through surgery.

Goals:

To give the impression of a larger breast that feels and looks natural with use of an implant. To help abnormally asymmetric (uneven) breasts appear more symmetric. To reduce self-consciousness about breast appearance and allow a better quality of life.

All of your goals may not be achieved.

Condition:

Small breast volume may be due to breast development at puberty, decrease of breast tissue after pregnancy or weight loss, or asymmetric breast development.  This may cause one to feel self conscious about their appearance.  Breast augmentation can give the breasts a larger and more symmetric shape and allow one to feel more confident about their appearance.

Technique:    

General anesthesia

Outpatient procedure -approximately 1.5 hours.

Incisions – can be placed under breast, around areola or in armpit.

Pocket -Dual plane under the pectoralis major muscle (may be above in certain instances).

Implant inserted after size determined with a sizer.

Incisions are carefully sutured. Bra and dressings placed

Limitations:

Results of a breast augmentation may be limited because of factors we cannot change.

Size may be limited because of skin tightness or chest diameter – attempting to increase breast size beyond this may result in unnatural appearance and future damage of your tissues.

Asymmetry is always present to some degree before and after surgery.

Cannot “lift” breast with implant alone and a separate breast lift procedure may be required for the best shape.

Although procedure may allow you to feel better about yourself, it will not directly improve personal or professional life.

Goals may be only partially met.

Breast pocket exercises required postoperatively to help decrease the chance of firmness around the implant.

Alternatives to breast augmentation:

Breast augmentation is a purely elective procedure and is not required for medical reasons.

After considering the risks/benefits you may decide that breast augmentation is not for you.

Different bras or a change in clothing style may give you the desired change in appearance without surgery.

Exercise and developing muscles under your breast may give the desired increase in size without surgery.

Implants – Imperfect device:

Not expected to last a lifetime and additional surgery may be desired or required at some time in the future (25% in five years).

Saline – Possibility of deflation. Leakage is not painful or harmful to tissue but would require surgery for removal and/or replacement of the implant.

Silicone gel – Leakage of silicone is thought to be harmless but may be difficult to detect. MRI recommended to detect leakage.

Tough scar tissue may develop around the implant causing firmness or distortion. Additional surgery may be required to remove scar tissue.

Incisions:

With all incisions decreased nipple sensation and breast feeding is possible and the discomfort is the same.

Most commonly used incisions are around areola or under breast (infra mammary).

Armpit – Highest possibility of needing revisional surgery. The scar is more exposed with bathing suits or sleeveless tops than the other scars.

Areolaplasty (areola reposition) –  scars are completely around the areola. May widen.

Tradeoffs and Side Effects:

Normally expected to occur to some degree with every breast augmentation:

Discomfort, bruising, and swelling.

Full vs. Natural tradeoffs. Your tissues may not allow you to be as full and as natural as you want.

Possibly decreased or absent nipple sensation.

Areola reposition will have some temporary puckering around the areola and will not lift breast.

Potential for implant related problem.

Possible future breast firmness or deflation or leakage.

Additional care needed when interpreting mammograms.

Restricted activity, cost, potential complications.

Cancer:

There is no known increase in breast cancer after breast implants. In fact there is a decreased association.

Implants do not cause breast cancer but can delay the diagnosis if appropriate mammograms are not obtained.

After surgery you should continue to have breast cancer checkups with your primary care doctor.

Risks and possible complications:

Although the complications associated with breast augmentation are uncommon, all surgery carries some uncertainty and risk. In extremely rare instances this may even include death, disability and deformity. Most complications that develop will improve without treatment or are treatable.

Some complications may require additional surgery and cost to you.

The complications most specific to breast augmentation include but are not limited to:

Anesthesia risk – Administering of any type anesthesia involves risk.

Capsular contracture – most common reason for additional surgery (up to 25%)-implant pocket tightens around implant causing firmness and abnormal shape of breast – may require additional surgical procedure to release scar.

Implant Failure– Leakage can occur at any time after the procedure and for no apparent cause. Saline or silicone is not harmful to tissue but would need to consider another operation to remove the implant. Saline implants fully deflate and causes an asymmetry deformity until repaired. Silicone usually shows no breast change with leakage and MRI may be needed to detect.

Delayed bleeding – New bleeding can occur for up to 10 days after surgery causing a pocket of blood (hematoma) to collect under the skin. This may require an immediate procedure to evacuate the blood. Late bleeding is associated with high blood pressure, anti-inflammatory medication (including aspirin), alcohol intake, exertion or straining after surgery.

Infection – May require removal of implant and replacement at a later date.

Implant folds or wrinkles – May be visible or felt under the skin surface.

Sensory changes or numbness of nipple – Usually temporary but may be permanent – may occur with any incision.

Asymmetry – One breast will always be different than the other breast before and after the operation. Occasionally the implant position may need to be adjusted with a second operation for the best results.

Scars – quality cannot be guaranteed – applies to any type of incision-rarely requires scar revision.

Delay in diagnosis of breast cancer – no increase risk of breast cancer has ever been found with implants.  Breast implants may delay the diagnosis of early breast cancer on mammograms if not read by a radiologist experienced with mammograms on augmented breasts.

Abnormal movement with muscle flexion – Muscle contraction can cause distortion and abnormal implant movements.

Immune problems – Not known to occur with implants.

Unhappy with breast appearance – may not be exactly what you desired preoperatively.  This may be due to limitations such as skin tightness, native anatomy, implant size, or unrealistic expectations about what surgery can accomplish. These problems can sometimes be improved with secondary surgery. Broad, flexible appearance goals allow for the most successful surgical outcome.

* It is very important that during the preop consultation you are certain about the expected result and ask for additional information if you are uncertain.

* Even though the risks and complications noted above occur infrequently they are the ones that are specific to breast augmentation or are of the greatest concern. Other unforeseen risks and complications can occur.

* Any complications that develop can result in additional surgery, time off work, hospitalization, and expense to you. Additional surgery including touchups, revisions or complications requiring an operating facility or additional implants would incur additional fees.

* Insurance does not cover breast augmentation. Treatment of complications may or may not be covered by insurance.

* No guarantee – the practice of medicine and surgery is not an exact science; although good results are expected, there cannot be any guarantee, or warranty, expressed or implied, by anyone as to the results that may be obtained.

l Breast cancer screening after surgery remains the responsibility of your primary care physician.

Do not take anti-inflammatory medications such as aspirin, ibuprofen, naproxin, herbal medications or diet pills for at least 2 weeks before and after surgery to help avoid bleeding problems. Tylenol (acetaminophen) is permitted. If you are unsure about your medication, please check with us.

NO SMOKING or other tobacco or nicotine products for at least 2 weeks before and after surgery.

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