Breast augmentation surgery is one of the most popular cosmetic procedures in the U.S. Millions of women undergo this procedure each year to address various issues and enhance their figure. Dr. Malik Kutty, and all of the staff at Luxe Plastic Surgery uses personalized attention to address your needs to give you safe, quality medical care based on our extensive knowledge and experience.
If you would like to learn more about the breast augmentation procedure, contact us today at 281-241-1041 to schedule your initial consultation. We proudly serve Houston, Sugar Land, Katy, and nearby areas of Texas.
- Benefits of Breast Augmentation
- Breast Implant Types
- European PIP Breast Implants
- Breast Augmentation Candidates
- The Breast Augmentation Process
- Breast Implant Manufacturers
- Breast Augmentation Risks
Benefits of Breast Augmentation
There are many reasons to consider having breast augmentation surgery. Whether you’re looking to increase the size and volume of your breasts or wish to correct asymmetry or age-related sagging, board-certified plastic surgeon Dr. Kutty can help you achieve your goals.
Breast augmentation surgery can help with issues related to:
- Lost breast volume and size due to childbearing
- Lost breast volume and size due to significant weight loss
- Lost breast volume and size due to the aging process
- Asymmetrical or abnormally-shaped breasts
- Breast implants after mastectomy
Breast Implant Types
The breast augmentation surgical procedure is performed by inserting a breast implant either behind the breast tissue or partially or completely under the chest muscles to provide a fuller, more feminine figure.
The two main types of breast implants are saline, which is made with a salt-water solution that’s very close to the saline found throughout the body, and silicone, a thoroughly-tested gel that has been studied in over 10 million women worldwide.
Silicone gel implants are composed of a cohesive gel and come in various sizes that are pre-filled by the manufacturer. Many patients prefer the natural look and feel of the silicone implant over saline breast implants though they must be placed using larger incisions. However, this incision is strategically placed where it will be least visible. In some cases, Dr. Kutty uses a special device to further reduce the size of your incision.
Silicone gel mimics the softer feel of real breast tissue, making it difficult to tell that implants have been placed at all. The gel used in silicone implants is designed to stay more in place during a rupture. Although this can make it difficult to tell when a rupture has occurred. If you have silicone breast implants, Dr. Kutty recommends having a periodic evaluation by MRI to check for possible ruptures.
Saline Breast Implants
Saline breast implants have a thin shell, like a bag, which is filled with a salt-water solution to achieve the desired size. Because they are placed while empty, saline implants can be rolled up tightly and placed through a very small incision that is easily hidden. Additionally, saline breast implants are slightly firmer in feel than silicone gel implants.
When a saline breast implant ruptures, the salt-water solution contained within the shell will leak out, causing your breasts to deflate, making it obvious that a rupture has occurred. Saline is harmless, as it is a solution which is very similar in composition to human body fluids.
European PIP Breast Implants
Recently, France and the United Kingdom have been publicizing concerns about silicone gel breast implants manufactured in France by a company called Poly Implant Prothese (PIP). It was discovered that PIP used industrial grade silicone gel instead of gel manufactured specifically for medical use. Because of this, the breast implants are more prone to rupture than other gel implants, and this can allow the gel to leak into surrounding tissues.
It is estimated that 50,000 women in the UK and 30,000 in France have the PIP breast implants, and their respective governments have begun advising the women to consult their surgeons about the necessity of removing them. It’s possible that women who had breast implant surgery in the United States have implants made by PIP, but those were likely pre-filled saline implants.
PIP implants were imported into the U.S. by PIP/U.S.A. until 2000. If you had breast implant surgery abroad, or are concerned that you may have PIP implants for any other reason, contact Dr. Kutty to find out whether removal of the implants is advisable.
Breast Augmentation Candidates
During a comprehensive breast augmentation consultation, you’ll meet with the patient coordinator and physician to determine the goals of your breast surgery. It’s important to have realistic expectations about your procedure and the changes it will bring to your life. Once you decide to undergo the breast augmentation procedure, a review of your medical history and current health will determine if this is the right procedure for you.
Ideal candidates for breast augmentation:
- Are in good physical health and near ideal weight
- Are not pregnant or breastfeeding
- Have breasts that are fully developed
- Have enough natural breast tissue to cover the implant
- Have not been diagnosed with cancer or a pre-cancer condition
- Have no autoimmune disorders
- Are at least 18 years old for saline implants and 22 years old for silicone implants
For women who are considering breast enlargement because of changes after pregnancy, we offer a mommy makeover, which combines with other procedures to reverse the changes to your body after pregnancy.
The Breast Augmentation Process
During your consultation, a significant amount of time will be devoted to determining the breast size and shape that you want. Dr. Kutty will provide you with a sizing bra that allows you to try on different implants. This is an excellent opportunity for you to see if what you had in mind looks the way you hoped.
Breast implants are available in a large variety of sizes, from 120cc to 800cc. While you’re trying on different sizes, you may realize that you feel more comfortable with larger or smaller implants. This allows Dr. Kutty to plan your procedure precisely.
It is important to note that cup size does not necessarily equate to breast implant size. The final size of your new breasts will be affected by:
- The amount of pre-existing breast tissue
- The shape of your existing breasts
- The shape of your chosen breast implants
- The manufacturer of the bra you wear (manufacturers often try to make women feel better by printing a larger cup size on the label)
Implants are made in many shapes as well, the most common being round. Some are a teardrop shape to provide more fullness in the lower part of the breast. Even round implants are made in several different profiles to provide more or less projection from the chest.
Incision and Placement
During the procedure, incisions are made to keep scars as inconspicuous as possible, usually under the breast, around the lower part of the areola, or in the underarm. The method of implant selection and size, along with surgical approach for inserting and positioning breast implants, will depend on your preferences, your anatomy, and your surgeon's recommendation.
Dr. Kutty offers patients three choices for breast augmentation incisions:
- Periareolar: An incision around your nipple, or areola
- Inframammary: Located underneath your breast in your natural breast crease
- Transaxillary: Incision through the armpit
Breast implants are placed in one of two locations—in front of or behind the pectoral muscle. Placement in front of the muscle allows for a shorter recovery time with minimal post-operative discomfort. There’s also less likelihood that your implant will move with arm motion. Silicone gel implants placed in front of the muscle provide a very natural shape and feel.
Placement behind the muscle allows saline breast implants to be hidden better at the upper part and slightly lowers the chance of capsular contracture. However, there is slightly more postoperative discomfort with this placement method, and recovery can take several days longer.
Recovery involves one week of normal activity, without lifting. You are advised to avoid vigorous exercise for three weeks, but upper body strengthening type exercise can usually be resumed at six weeks. Generally, there are no sutures or bandages to remove but in some cases, there may be dissolvable sutures and the incisions will be healed at one week. At this time, scar and implant massages are started. A support bra is worn for about three weeks and your final bra size can be determined within 10-12 weeks.
Breast Implant Manufacturers
Most breast implants in use today are made by two manufacturers, Allergan and Mentor, and Dr. Kutty uses both of these FDA-approved implants. Both companies produce implants that are of excellent quality but have slightly different offerings in terms of size, shape, and implant profile. Each also produces both saline and silicone gel implants.
Both of these manufacturers offer financial assistance, as well as warranties on their breast implants. The warranties include free replacement of the implants in the event of a rupture, as well as a certain amount toward the cost of surgical and facility charges to replace a ruptured breast implant. The warranty also covers replacement of the opposite side implant.
Beware of the use by some practitioners of lesser-quality implants. These are far less expensive and are used by some practitioners to make more money on the procedure or offer it at a much lower price. Either way, a modest amount saved on breast augmentation surgery is not worth the higher likelihood of problems in the future.
Breast Augmentation Risks
Like other surgical procedures, breast augmentation carries the possibility of risks. In general, risks are rare, especially when the procedure is performed by an experienced, board-certified plastic surgeon. Risks stem from the actual surgical procedure, but there is also a possibility of risks related to the results of the procedure.
After breast augmentation, there are a number of possible complications that arise in rare situations. These may include:
- Breast pain
- Changes in nipple and breast sensation
- Capsular contracture
- Rupture and deflation
- Wrinkling or rippling
- Bottoming out (implants descend too low)
- Hematoma (pooling of blood in the surgical area)
- Seroma (collection of fluid around the implant)
- Necrosis (loss of the tissue surrounding the implant)
- Symmastia ("uni-breast")
These complications are rare. In the event they do occur, they can most often be corrected with an additional surgical procedure. Choosing the right surgeon drastically reduces the odds of these complications. Experienced and knowledgeable surgeons use certified anesthesiologists and also use state-of-the-art equipment and techniques that come with better safety records.
Contact an Experienced Breast Augmentation Specialist Today
If you are interested in breast augmentation, please schedule a consultation with experienced plastic surgeon Dr. Malik Kutty at Luxe Plastic Surgery by calling 281-241-1041. We proudly provide services for those who live in the Houston, Sugar Land, Katy, and nearby areas of Texas.