Breast augmentation or breast enlargement is one of the most common plastic surgery procedures probably in the world. Breast implants have profoundly become safer and better quality than in the past. The silicone gel implant, with its silicone coating, are as safe as possible. There was a scare with the texture implants causing a blood disorder. These implants are no longer in use. However, the smooth gel implants that I use are outstanding. They are an excellent product. They create a very natural looking and feeling breast in the right hands.
My technique at the consultation is to record measurements and determine if the patient is a suitable candidate for breast augmentation without a lift. My process to determine this has to do with the distance from the junction of the collarbone to the nipple. If this measurement exceeds a certain distance then a lift may be a need. It should be of note that if the nipples point down then a breast lift is a requirement.
So yes, the majority of breast augmentation’s are done without a lift. I prefer a sizing process after a very thorough physical exam so that the patient has direct input in choosing her size. Depending upon the height, weight, and girth of the woman different styles are available. The most important question is how large would you like to be. Once this is complete we discuss incision sites.
In certain instances, a periareolar incision may be pit to use or more commonly an infra-memory incision. Most implants today are put under the muscle. There are advantages and disadvantages to this. Once we determine the size and the incision site scheduling can begin. I also recommend mammogram preoperatively. Breast implants are made by several different companies. In the USA all companies adhere to the highest standards of production for breast implants. My technique is to create the most natural-looking and feeling breast possible for breast augmentation.
Pocket dimension, cleavage creation, and handling of the muscle are all crucial in creating the best result. Breast augmentation enhances the lives of many, many women throughout the world.