Breast Augmentation FAQ


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The women who visit us in Phoenix and Scottsdale for breast augmentation are often overloaded with information. Breast augmentation is the most popular cosmetic procedure in the country, partly because it's highly customizable. Prospective patients have lots to consider, from where the incisions will be to the shape of their implants. To help breast augmentation patients keep themselves informed, the surgeons at Advanced Aesthetic Associates have compiled a list of the most commonly asked questions.

If you don't see your question answered here, or if you're ready to meet with one of our surgeons, request a consultationrequest a consultation online, or give us a call at (480) 752-7874.

Who is a good candidate for breast augmentation surgery?

Our surgeons recommend that women seeking breast augmentation are nonsmokers who are in good mental and physical health. They should be committed to following long-term post-op instructions, including having regular checkups.

More importantly, people who undergo any kind of cosmetic procedure should have realistic, specific expectations for their outcomes. They should pursue cosmetic surgery for their own personal fulfillment, not to comply with the wishes of other people.

Which kind of implant is best?

We offer our Phoenix and Scottsdale patients breast implants filled with either silicone and saline, the 2 FDA-approved materials. Each type of breast implant has its own set of advantages, and your surgeon will help you choose which one best suits your body, goals, and lifestyle.

Silicone breast implants are a popular choice, as many women believe they feel and look more natural. In the rare case of rupture, silicone will not leak. However, because a rupture is not usually immediately apparent, women with silicone implants should have regular MRIs. Silicone also carries a slightly diminished risk of complications such as folding or rippling. A recent advance in silicone breast implants is the form-stable, "gummy bear" silicone implant, which is soft and natural feeling, and available in a variety of shapes and sizes.

Saline implants are inserted empty and filled with a sterile saltwater solution once they're in place. Because of this, they can often be positioned through a smaller incision, which appeals to many women. In case of rupture, the saline filling is naturally absorbed by the body.

Where will the incisions be?

Just as women have their choice of implants, they also have their choice of incisions. These may be limited, however, by your own anatomy or implant type. Your doctor will help determine which is best for you.

  • Inframammary incisions are made along the crease underneath the breast. This location ensures a less-visible scar and does not affect nipple sensation. It also allows the surgeon greater control during the surgery. For these reasons, the inframammary incision is generally the preferred incision for most women.
  • Periareolar incisions are made around the areola, where the darker skin meets the lighter skin of the rest of the breast. Once these scars have healed, they are very hard to see. However, because the nipple is involved with this incision, long-term loss of sensation may occur.
  • Transaxillary incisions create no scars whatsoever on the breasts. Instead, the implant is placed through an incision in the armpit. This incision works well with saline or smaller silicone implants.
  • Transumbilical incisions, also called TUBA incisions, are made near the belly button. Because of this remote location, only saline implants are compatible with TUBA incisions. This incision also limits the control of the surgeon.

Will I be able to breastfeed after my breast augmentation?

Many women with breast implants are pleased to learn that breastfeeding is not automatically impossible after a breast augmentation. You may still be able to breastfeed if the incision made during your surgery does not involve the nipple. Additionally, the presence of implants of any kind has not been found to affect the health of your baby or the quality of the milk you produce. Talk to your doctor prior to your surgery if you'd like to become pregnant or breastfeed in the future.

How long will my breast implants last?

Breast implants are not permanent. However, by maintaining a healthy lifestyle and closely following your post-op instructions, you can enjoy your results for years. Most implant manufacturers assign a "lifespan" of approximately 15 years to their implants. Once your doctor has determined that your implants are no longer useful, you may choose to replace them with new ones or have them removed altogether. Our surgeons are skilled and experienced in performing revision breast augmentation procedures.

What are the potential risks of breast augmentation?

All surgeries carry some degree of inherent risk. Many of these risks, including blood clots and infection, can be attributed to adverse reactions to anesthesia or an inexperienced surgeon. By thoroughly researching your surgical options, you can minimize these risks significantly.

Complications specific to breast augmentation include the growth of excess scar tissue, called capsular contracture, which can make the breasts feel hard and uncomfortable. Folds, rippling, or "bottoming out," which happens when an implant shifts lower than its original position, also may occur. Though these complications are not life threatening, they usually need to be addressed with revisionary surgery.

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