Breast augmentation is the most common cosmetic procedure performed in the United States. In addition to the many different types of breast surgeries, there are also a number techniques used for implantation.
Silicone vs. Saline Implants
Plastic surgeon Dr. Drew Ordon explains that both silicone and saline breast implants are safe options, but in most cases, he recommends using a silicone implant that is placed below the chest muscle.
What’s the Right Size?
Meladi, 23, is 130 pounds and has a B-cup bust. She is considering breast implants but is not sure what size will best fit her frame. She asks The Doctors if there is a way to test different implant sizes before going under the knife.
“This is a great idea for women who are considering [breast implants],” Dr. Ordon says. “There is a way they can actually try out how they are going to be.”
The Purlz Breast Sizing System uses cloth breast implants made of microfiber spandex and filled with plastic beads. You wear them under your clothes to gauge what the right size is for you. “It gives you an idea of what you’re going to be,” Dr. Ordon says.
If you cannot afford the Purlz system, you can make your own.
• Make the shell: Cuta 12-inch length of nylon stockings. Use the foot portion, or use the leg portion and tie it off at one end.
• Measure the rice with a measuring cup. Use the following as a guideline:
1 cup rice — 250cc
1 ¼ cup rice — 300cc
1 ½ cup rice — 350cc
1 ¾ cup rice — 400cc
Janine is a 38DD and is considering a breast reduction surgery. She wants to know if she would be a good candidate and what the right size would be for her body.
Dr. Ordon says the size is a personal choice, but he would estimate Janine being comfortable as a C cup. He explains how a breast reduction is performed.
In most cases, women can still breastfeed after breast enlargement and reduction surgeries.
Laser Bra Surgery
Meredith, 29, has experienced health problems, such as severe back pain, due to her size E chest.
To help alleviate her pain, plastic surgeon Dr. David Stokerperforms a laser bra surgery. The procedure creates an internal brassiere made from excess skin and preserves and maintains the blood supply to the nipple and areola, so Meredith will have nipple sensation and be able to breastfeed in the future.
Watch Dr. Stoker perform Meredith's procedure.
Like any surgery, breast augmentation carries risks. Dr. Ordon explains that 25 percent of women who have undergone breast augmentation will need to have a secondary breast revision.
Complications can include:
1)An implant was placed above the muscle rather than below.
2)Implants were filled with saline and may have been contaminated.
3)A type of scar tissue called capsular contracture that can cause pain and distortion forms.