The choice of saline versus silicone implants is usually left up to the patient unless there are specific reasons we recommend one over another. Silicone implants are used more frequently since being re-approved by the FDA in 2006 for patients older than 22 years old. There is no association found between silicone and rheumatologic disorders. Silicone implants are softer, lighter, and have less tissue rippling issue than saline implants. The largest size of silicone implant available is 800mL at this time, whereas saline implants can be larger. Leak detection is more difficult with silicone implants. The FDA recommends monitoring of silicone implants with MRI 3 years after implantation and every 2 years thereafter. The MRI is usually not covered by insurance. Another consideration is the price of implants, as saline implants are typically less than silicone implants.
Enhance the Volume and Symmetry of Your Breasts with a Breast Augmentation
Breast augmentation is the enhancement of breast size and shape most commonly with the use of implants. This procedure can also help increase the fullness and projection of breasts that have decreased volume due to pregnancy, weight loss, or aging.
Breast augmentation can also be done with the transfer of fat from one area, such as the abdomen or thighs, to the breasts, but the results are more subtle than with an implant.
Breast augmentation is best for people that would like fuller and larger breasts and do not have a lot of drooping of the breasts. Over time, the breast may droop and the top of the breast becomes less full. Breast augmentation can also help fill out the top of the breast, also called the “superior pole”. Drooping of the breasts is treated with a breast lift, also known as a mastopexy. A mastopexy (breast lift) can be combined with a breast augmentation to achieve fuller and lifted breasts. During your consultation, we will develop a plan that is customized to your body shape and desired look.
What kind of incision do I want to use?
The choices for incisions are Inframammary (IMF), Periareolar (around the areola), Transaxillary (incision in the axilla), and Transumbilical (through a belly button incision). At HCPS we perform the IMF or Periareolar incisions.
- Silicone implants: can use IMF, periareolar, and transaxillary approaches. Because the implants cannot be deflated prior to insertion like a saline implant can, the incisions for silicone implants are larger than that for saline.
- Saline implants: can use IMF, periareolar, transaxillary, and transumbilical
What kind of pocket do I want to use?
The options for pockets are subglandular, subpectoral, subfascial, and dual plane 1, 2, or 3.
Limitation, Risks, and Complications
The risks of breast augmentation surgery are bleeding, infection, changes in nipple or breast sensation, poor scarring of the skin, implant leakage or rupture, wrong position of the implant, formation of tight scar tissue around the implant, fluid around the implant, discomfort near or around the breast implant, wrinkling or rippling of the skin over the implant. If any of these complications occur, you may need surgery to fix it.
What to Expect During Your Consultation Visit
During the initial consultation with your surgeon at Hill Country Plastic Surgery, we will discuss your concerns and goals before recommending treatment options that are tailored specifically to your needs. Prior to your consultation, we recommend that you review the procedures on our website so you are familiar with the terms we will be using during our discussion.
Once we identify your concerns and surgical goals, we will discuss all of the treatment options that are available to you. Every patient is unique and we will develop a tailored surgical plan that addresses your specific goals. In addition, we will thoroughly review your medical history, surgical history, medications, allergies, family medical history, and other important details. It is very important that we obtain accurate information in all of these areas as it may impact the outcome of your surgery.
While discussing different treatment options, we will perform a physical exam and take measurements that are necessary for planning for your surgery. Pre-operative (before surgery) photos will be taken either at your initial consultation, or during your pre-operative visit.
After your consultation, you will receive access to your notes on the patient portal in addition to information about your specific surgery. If you have not activated your patient portal, this can be done at your appointment by asking any of our staff to assist you. If you have questions after your appointment, you can contact our office or message us through the patient portal. Some patients will require medical clearance from their primary care physician or a specialist or additional tests before undergoing surgery.
Once you have determined that you would like to have surgery and have completed any clearances and tests that were requested, contact our office at (210) 658-3555 to schedule a pre-operative appointment with one of our surgeons.
Breast Augmentation FAQs
Do breast implants have to be changed after 10 years?
Breast implants do not have to be changed out after a period of time. They are removed because of leakage, improper positioning, or patient request.
How do I know if my implants leak?
If you have a leak in a saline implant, you will be able to tell since there will be visible deflation of the implants. Silicone implant rupture is more difficult to detect and imaging is needed to determine if you have a leak. MRI and Ultrasounds are the usual imaging techniques used.
What is capsular contracture?
Capsular contracture is thickened scar tissue around the implant. This scar tissue can cause changes in shape and position of the implant, pain, and cause the implants to become hard. If this happens, the implant and scar tissue needs to be removed and replaced with a new implant.
How do I know what type of breast augmentation is right for me?
During your consultation, your surgeon will discuss your goals, lifestyle, medical history and also evaluate your body to determine the best type for you.
How big should I go?
It’s up to you. Limitations on size will be determined by your body shape and tissue quality. Your surgeon will give you recommendations for sizing to achieve the best result over a long period of time.
Will insurance cover my breast augmentation?
Breast augmentation is typically not covered by insurance until it is part of a breast reconstruction or reconstruction matching procedure.
How much does a breast augmentation cost?
The cost of a breast augmentation varies from patient to patient and depends on size and material of the implant. Coming in for a consultation with one of our surgeons will give you a better idea about pricing.