Breast Augmentation

Many women have always dreamed of a shapelier figure, better body proportions, or restoring the look of their pre-pregnancy days. If that is the case, breast  augmentation surgery may be the right choice for you. Breast augmentation is a procedure that uses saline or silicone filled implants to enlarge and shape the breasts. It can be a real self-esteem booster, may bring you greater options with fashions, and can have a substantial impact on body proportions by evening out the ratio of breast size to hip size.

There have recently been many advances in breast augmentation.  Breast enhancement patients can now enjoy a variety of implant choices specific to their needs, shorter time in the OR due to better instrumentation, and advances in pain and nausea management.   These changes offer patients better long term results, shorter scars, diminished pain, and faster recovery.

Am I a good candidate for breast augmentation?

Many women are candidates for breast augmentation. This procedure can be performed on women from the age of 18 and older.  (Silicone Implants are offered to women age 22 and older in compliance with the FDA.) Good candidates also have skin that is more elastic and will drape nicely over an implant. If skin is less elastic, a breast lift may also be incorporated. If you are bothered by the feeling that your breast are too small, you are self-conscious due to loss of volume of the breast or you are frustrated with finding clothes that fit well and look great, a breast augmentation may be a terrific option.

How are implants chosen?

During a consultation, Dr. de Ramón will do a physical exam, discuss goals, and have a patient “try on” a variety of implants. Some patients prefer to bring a spouse or special friend for some advice on implant selection. Patients can choose saline or silicone implants and round or shaped implants based upon the desired outcome.  Dr de Ramón will review all the options and all the major considerations for the patient to select the implant type and size.  While breast size is a very personal decision,  advice based upon your body type and proportions is provided. Dr de Ramón prefers for patients to choose their implants after giving them all the information they need to make an informed decision.

The “Gummy Bear” is the latest generation (5th) silicone implant that provides a “tear-drop” or “anatomic” shape compared to other “round” silicone options. Also termed, “form stable” these implants contain more cross-linking in the silicone gel than earlier models which makes them more cohesive and able to maintain their shape. The term “Gummy Bear” was coined to try to describe this silicone characteristic.  There are pros and cons to anatomic implants but Dr. de Ramón believes there are more cons than pros.  Interestingly, multiple studies now show that people and even board certified plastic surgeons can’t tell the difference from round implants when looking at pictures of women with both.

Some advantages of silicone over saline  include less palpability of the implant edge, a more natural feel and look, less likelihood of feeling or seeing wrinkles in the implant, and a lower rupture or leak rate.

Saline implants use the same outer shell, but are filled with sterile saline solution just like people in the hospital get in their IV.  They may be placed through a smaller incision site since they are filled by Dr. de Ramón during the augmentation procedure. In addition, Dr. de Ramón can alter the fill volume intra-operatively allowing for some flexibility in size. In the rare case of rupture, it is easier to detect a potential issue with saline implants and easier to replace.

What can I expect during recovery?

Dr. de Ramón offers patients in the Harrisburg, PA area advanced post op pain management by utilizing long acting numbing medication at the surgical site to reduce pain and reduce the need for pain medication. In addition, his operative technique produces less bleeding, bruising, and pain than older techniques.

Most breast augmentation patients take 5-7 days to recover before returning to work. If a patient has a physically demanding profession, it may be an additional 2-3 weeks of working on light duty.  Patients are advised to restrict lifting to 20 pounds for one month and to avoid chest exercise such as bench press or plank for 12 weeks.  Each patient recovers differently, and Dr. de Ramón will be there to answer questions about activity levels based on individual needs.

Dr. de Ramón has specially trained medical staff to offer personal care throughout the recovery process. Post-op patients are also given his personal cell phone number to contact him in case of problems or questions.

What is the cost of breast augmentation?

Breast augmentation is performed as an outpatient procedure. The cost varies based upon the type of implant chosen and the length of time required for surgery. Fees are separated into physician, implant, facility and anesthesia cost. Total breast augmentation fees range from $6500-8000.

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