The first thing you need to figure into your breast implant decision is your eligibility. Before you begin to discuss size, breast implant type, surgical options or any of the other breast implant pros and cons, you’ll need to determine whether or not you’re a candidate for the surgery. Of course, you can’t do this alone. You need to schedule a consultation with a highly qualified surgeon to decide your eligibility.
The ideal candidate for a breast augmentation is in good general physical and mental health. You should be close to or at your ideal weight, physically active and a non-smoker. Your breasts, of course, should be fully developed. Aside from the physical, you should hold realistic expectations for what a breast augmentation can help you achieve. If you’re bothered by the size, shape or symmetry of your breasts, a breast augmentation could help you meet your goals.
The next item to consider on your list of breast implant pros and cons is the surgical differences between types of breast augmentation surgeries. Not all breast implant surgeries are created equal, and it’s important to review with your surgeon which implant options he or she recommends and which you feel the most comfortable with.
Your surgeon will discuss the different types of incisions with you and how each one could work on your body. He or she will also walk you through the different types of breast implants and the pros and cons of each one. Together you will determine the best course of action to help you meet your goals.
Aesthetics is the most exciting part of a breast augmentation to consider. Aesthetics can include the size of your breast implants and their profile. The size of an implant is measured in cubic centimeters (ccs). And while it may be tempting to refer to cup size when you’re discussing your goals, don’t let yourself become too attached to a specific size.
Bringing photos that show the type of results you’re looking for can be helpful when deciding the overall aesthetics of your breast implants. The profile of your breast implants is the distance they project from your chest and is another aesthetic factor to consider. This can be determined by the shape of the implant, whether it’s round or teardrop-shaped, and their texture.
While aesthetics is the most fun factor of a breast augmentation to think about, rupture may be the least. Still, it’s vital to consider this as you’re weighing the pros and cons of breast surgery. A ruptured silicone implant can cause the shape or contour of your breast to change, but largely aren’t considered to be linked to issues like breast cancer, reproductive issues or rheumatoid arthritis, according to the Mayo Clinic. Still, it’s important to remember that ruptures can occur and that breast implants aren’t designed to last a lifetime. Speak to your cosmetic surgeon about what could happen in the event of a rupture and make sure, once you have your breast implants, to keep a close eye on any changes.
With all of the different options available, it’s important to consider all of the breast implant options pros and cons when you’re deciding on breast implants.
WHAT IS IMPLANT PROFILE?
The profile of your implant will impact how the fullness of your breasts rises from the line of your torso. Each implant manufacturer has their own specifics when it comes to profiles, but generally there are three types: low, moderate and high profiles.
Low profile implants will have a wider base and lower projection than a high profile implant of the same volume. High profile implants are taller and have a smaller diameter base, projecting more volume up and out than a low profile implant. A moderate implant will fall somewhere in between. You may also consider a moderate plus implant, which gives a second level in-between option.
High profile implants can look striking for women who want a noticeably enhanced look. They are a popular choice with many of our younger patients in part because they can more closely mimic the shape of younger breasts. Moderate profile implants can be a good choice for women who are interested in more subtle enhancements. The right implant profile for you will depend on many factors, including your existing breast anatomy.
It’s important to discuss your appearance goals with your surgeon, so you can decide together which implant profile will give you the look you want.
The two primary placements for breast implants are subglandular or submuscular. With subglandular placement, the implants are situated between the woman’s natural breast tissue and the chest muscles. Subglandular placement improves cleavage, and may result in a faster and more comfortable recovery. Subglandular placement is best for women who have a generous amount of natural breast tissue to cushion the implant.
In submuscular placement, implants rest behind the chest muscles. This is the more popular placement of the two, as it allows for better soft tissue coverage over the implants, limiting their visibility. Women with less natural breast tissue may see implant edges or surface rippling after subglandular placement. Submuscular placement adds volume rather than cleavage, and resists the effects of gravity longer than subglandular placement.
Choosing what kind of implant you’d like means more than just picking either silicone or saline. Implants come in different sizes, as well as different shapes and profiles. For example, a teardrop shaped implant distributes volume more like a natural breast, while a round implant adds volume to the higher area of the breast. High profile implants look more natural on younger women, while medium or low profile implants look great on older patients.
Besides what type of implant you’ll choose, you also need to think about placement. Your surgeon will probably have a personal preference based on their professional experience, but every woman’s body is different, and not every placement works for every woman.
Subglandular placement situates the implant above the chest muscle wall, but below the natural breast tissue. This is a great option for enhancing cleavage. Submuscular placement is behind both the chest muscles and the breast tissue, and better resists the effects of gravity for longer-lasting results. Submuscular placement is better for women who don’t have a lot of natural breast tissue to begin with, as the implants will be less visible under the muscle. Surgeons may also place implants between the chest muscle and the fascia (subfascial), or use a partially subpectoral placement that offers partial chest muscle support.
By working closely with your surgeon, you’ll be able to determine the right combination of implant, placement and surgical technique to bring out the best results for your breast augmentation.
BREASTFEEDING AFTER AUGMENTATION
While no surgery can carry an absolute guarantee, there are definitely some steps you can take to increase your chances of being able to nurse later in life if you choose. Primarily, you need to be open and honest about your wishes. If your plastic surgeon knows in advance that being able to nurse is a priority for you, this can affect some decisions about how to proceed during surgery.
For the best chance at breastfeeding, request implant insertion through the breast crease or underarm. Although the periareolar incision, made just around the outside of the nipple, delivers impressive cosmetic results, this incision placement is riskier as far as milk ducts are concerned. Maintaining nipple sensitivity is also a contributing factor to successful nursing.
Submuscular implant placement, rather than subglandular, is also better for breastfeeding. When implants are located below the chest wall, less pressure is put on the mammary glands. Additional pressure from implants increases the risk of nursing complications.