How to find the best plastic surgeon for breast augmentation
Over 300,000 women have breast augmentation surgery performed in the United States each year. But how do you choose the best plastic surgeon for breast augmentation? There are three main factors you should look at: training, your comfort level with the surgeon, and results.
What is breast augmentation?
Breast augmentation is the placement of saline or silicone implants to increase breast size. Breast augmentation may be done to increase the breast size, to restore breast fullness after pregnancy or breastfeeding, or to correct breast asymmetry. Breast augmentation is also done to improve the appearance of tuberous breast, a condition in which the lower pole of the breast is constricted and the breasts have a tube-like shape.
Who performs breast implant surgery?
Breast implant surgery is usually performed by Plastic surgeons. Be sure to check your surgeon’s board-certification. You are looking for a surgeon certified by the American Board of Plastic Surgery, which is recognized by the National Board of Medical Specialties. Non-plastic surgeons do sometimes perform breast augmentation, but they do not have the same training and experience as true Board-certified plastic surgeons. You can check board certification here
Where is breast augmentation surgery done?
Breast augmentation surgery is done both in the hospital and in ambulatory surgery centers. Both are very safe options, but I do recommend checking which hospital your surgeon has admitting privileges at, just in case of a complication. If your surgeon does not have admitting privileges at any hospitals, this is a huge red flag.
Who is the best Plastic Surgeon for breast augmentation in Cleveland?
When choosing a surgeon for your breast augmentation, don’t be afraid to meet with a few different surgeons. You are investing in an operation that costs several thousand dollars, so it’s important to choose the right person. Make sure you are at ease with your surgeon, understand her explanations, and that you are comfortable asking her questions. Your surgeon will be providing quite a bit of education during the surgical process, including:
Types of breast implants:
- Filling: Breast implants are filled with either silicone or saline.
- Shell: The breast implant shell is made of silicone, and comes in textured and smooth varieties. I no longer used textured implants because they have been associated with anaplastic large cell lymphoma, a very rare type of cancer.
- Shape: Implants come in round and tear-drop shapes. The tear drop shapes are textured to prevent them from rotating. Because of the increased risk with textured implants, I do not use these.
- Cohesiveness: This describes the firmness of the gel inside a silicone implant. Most implants on the market are highly cohesive, meaning they hold their shape if you cut them in half. This gives a better cosmetic result with less tendency to ripple along the edges. Even within the highly cohesive category implants have varying degrees of softness.
- Profile: This describes how much an implant projects. Higher profile implants have a narrower base and project more. Your surgeon should explain to you how she chooses the implant profile. I choose the profile based on the width of the patient’s chest, and their desired aesthetic goal.
- Size: Implant size is an important consideration. I have patients try on gel sizers in the office, and I measure them to estimate the expected bra size.
Incision options for breast augmentation
- Axillary: The incision is up in the underarm area.
- Peri-areolar: Around the nipple and areola.
- Trans-umbilical: The incision is hidden in the belly button. Only saline implants can be placed in this manner.
- Infra-mammary: The incision is hidden in the crease under the breast. This is my preferred incision because the scar is hidden, and it is easier to place the implant in the exact right position compared to axillary or transumbilical approaches.
When you meet with a breast implant surgeon in Cleveland, it’s important that you understand why she recommends a particular implant type or incision location. There are many different ways to achieve a good result, so you may get different recommendations from different surgeons. Understanding the reasoning behind each recommendation will help you decide which option is right for you. And don’t be afraid to go back after your initial consultation with follow-up questions. After the consultation, I always provide patients with my email address so they can get in touch with me easily.
What is the recovery after breast augmentation?
During your consultation it is also important to ask your surgeon what the typical recovery is like. What medications does she use for pain control afterward? How soon are patients back to work?
Breast augmentation is an outpatient procedure, meaning you go home the same day. The entire operation takes about an hour and a half. I send patients home wrapped up in an ACE wrap over a postoperative bra, to provide support and decrease swelling. I always call my patients a few hours after surgery to check on them, and I see them the following week in the office for a healing check.
Patients can shower two days after surgery, and most patients return to work within 5-7 days. I have patients avoid heavy cardio and lifting more than 15 pounds for four weeks after surgery. Most of my patients only need narcotic pain medication for the first couple of days. I prescribe Celebrex before surgery to decrease inflammation and pain. I also perform intercostal nerve blocks whenever possible to decrease pain the first day after surgery.
Breast augmentation results
When starting your search for a breast implant surgeon, you can look for a list of Board-certified plastic surgeons on the website of the American Society of Plastic Surgeons. Word of mouth is another great way to find a good surgeon. You can ask people who have had surgery, as well anyone you know in the medical field, as they often hear who the best surgeons are.
Once you have a few names in mind, check out the before and after photos on each surgeon’s website to give you an idea of what their aesthetic is. Some surgeons tend toward larger implants with a more “done” appearance, and some surgeons create more natural looking results. Make sure the results you want match up with the aesthetic tendencies of the surgeon.
If you are looking for breast augmentation in Cleveland or Northeast Ohio, I would love to help you out! Breast surgery is the surgery I do the most of, and I love helping other women look and feel amazing. You can set up a consultation by calling (440) 974-8577, or emailing firstname.lastname@example.org. I look forward to meeting you!