What is Breast Augmentation?
Dr. Fernau now offers Ideal Implants!
What is The "Quick Recovery" Approach?
Women considering breast augmentation surgery many times wonder how much time they should allow for the recovery. In addition to postoperative pain, they worry about getting back to work, being able to exercise, and of course, taking care of their family. Dr. Fernau offers his patients a major advantage with the quick recovery technique that allows for a rapid 24-hour recovery from breast augmentation surgery. This technique involves the use of the Keller Funnel 2 for a smaller incision with a faster and more gentle delivery of the implant. We will also administer a long-acting local anesthetic, Exparel, that can help with your pain for 3 – 10 days after the procedure. All of this will be discussed in greater detail during the initial consultation.
What are the benefits?
At Dr. James Fernau Plastic Surgery, many patients are drawn to breast augmentation procedures because of the following wonderful benefits:
- Customizable shape and size of outcomes
- Ability to balance or even out asymmetry
- Newfound enjoyment of fit and feel of clothing
- Quick, pain-controlled recovery options
Breast Augmentation Reviews
"I went in for a breast augmentation three weeks ago and I am beyond happy with my results! Dr. Fernu and his staff were absolutely amazing with the entire process. Everyone is so helpful and I just appreciate all that they have done! Definitely recommend going to Dr. Fernu!! 😁"- A.P. / Google / Feb 15, 2022
"I had a differential breast augmentation with subfascial placement using Sientra smooth round silicone implants and it turned out perfect. Dr. Fernau is very skilled and knowledgeable and Nurse Sheila is incredibly kind and patient. I also really appreciated that they include 3 laser scar removal appointments for the incision scars. Thank you!"- A.G. / Google / Jul 06, 2022
"Recently, I had a breast augmentation. At the first appointment and leading up to surgery I was very nervous and had many questions. The staff quickly reassured me though and answered my many questions. This eased a lot of my anxiety and I was very excited for the surgery day. After surgery I was swollen but I trusted the recovery process and I couldnt be happier with my results, I got exactly what I asked for and Im feeling more confident than ever with my body."- M. / Google / Jul 13, 2022
"Breast Augmentation from start to finish was a great experience. This was my first time with any type of procedure let alone a cosmetic procedure. I didnt know what to expect. Office was very kind to answer any of my questions and Sheila even answer my text while on vacation. I'm very please with the result and would be love to have lipo or tummy tuck in the future. I will post results if that time comes! Thank you for the wonderful service you provide ❤️"- C.N. / Google / Aug 11, 2022
"I am so pleased that I chose to get my breast augmentation done at Dr. Fernau’s office. I have to say my results are a 10/10. From my first consultation to the follow-up appointments the staff including Sheila and Sherry made me feel 100% comfortable and answered any questions I had along the way. Dr. Fernau and his staff have earned my recommendation to any patient looking for cosmetic surgery. Thank you Dr. Fernau!"- C.D. / Google / Sep 05, 2022
Which breast implant is right for me?
Saline Breast Implants: Saline implants have always remained a positive choice for patients when deciding what type of implant to use for breast augmentation. Because these implants are filled with a sterile saltwater solution, any potential leakage does not pose a threat as the body can safely absorb the solution. Saline implants also cost less than the silicone type. One of the disadvantages of saline implants is that in some cases, obvious rippling can appear. This is especially something to consider for women who are thin and have low breast tissue. Those who opt for this type of implant must be at least 18 years old.
Silicone Breast Implants: Silicone breast implants are very popular today and are highly recommended by surgeons for patients who are thin and desire a natural look. Since the FDA validated their safety and efficacy, safety concerns surrounding these implants are today almost no different than that of saline. The silicone shell is prefilled with silicone gel and comes in different sizes, shapes, and textures. Unlike saline implants, in which leakage is absorbed by the body and implant volume appears visibly flat, it is difficult to tell when a silicone implant ruptures. An MRI is required to detect any rupture. Patients considering silicone implants must be at least 22 years old.
Fat Transfer: For patients who desire fuller breasts but do not want an artificial implant to achieve this look, there is also an option known as a fat transfer. In this procedure, the doctor will harvest fat from donor sites of the patient, such as the flanks, abdomen, and thighs, via liposuction. The fat collected will undergo a process of refinement and purification and then be gradually reinjected into the breasts with smaller syringes — so the shape is evenly distributed.
What should I consider when choosing a breast implant?
Profile: Breast implants come in a variety of different profiles. The selection is based on how enhanced the breasts’ projection would be, as well as how wide the implant will be on the chest wall in relation to the base width. Since the silicone implants are already pre-filled, the standard profiles come in low, moderate, high, and extra high. Saline implants, however, come in variants that are either prefilled; or the silicone shell is inserted then filled with saline solution up to the patient’s preferred profile.
Shape: The standard shape of a breast implant can either be rounded or tear-shaped. Each shape serves a different aesthetic function as it pertains to the patient’s goals. Rounded implants produce a shapelier curve on the top portion of the breast. The teardrop implants are shaped to copy the natural appearance of the breast, so they will not appear as high.
Texture: Implants are made with either a smooth or a textured surface. In general, smooth implants cost less and are more common. The textured implants were initially conceived out of the idea that it reduces the chances of capsular contracture (the constriction of scar tissue around the implant), although there is no valid claim to this. The textured type is more common with the teardrop shape as the rough texture adheres to tissues helping the implant stay in place.
Placement: The two most common placements are on top of the chest muscle or under it. When the implant is placed under the muscle, a pocket is created within the pectoralis major muscle. A pocket is also created if it is placed in front of the muscle, but many surgeons do prefer the submuscular approach (behind the muscle). This helps to keep the implant in place for a longer period of time and takes into consideration factors such as implant size, weight, gravity, and time. Placing the implant behind the muscle also provides a natural look and provides the implant with the long-term support it needs to stay in position.
Incision Type: There are several standard incision approaches for breast implants. The most common is known as an inframammary incision, which is an incision near the breast fold. The second is an incision made under the areola, which is known as a periareolar incision. A third option is to place the incision within the armpit, known as a transaxillary approach. There is also an incision approach that takes place around the belly button, but this is the least recommended way. It is up to the patient’s desires and the surgeon's recommendation as to what approach is best to take. Scarring is also discussed at this time with each method.
What can I expect During/After Surgery?
Breast augmentation is an outpatient procedure that may last from an hour to several hours. It is performed using general anesthesia in an accredited surgical facility. All activities must be limited within 48 hours after surgery. There will be bruising and swelling, and a compression support bra will also be worn to help in healing. It is normal to feel tightness around the chest area as the skin adjusts to the breast’s new shape. Most patients can resume normal activities within seven days; exercise should be avoided for 4 – 6 weeks. It takes approximately six months for the breasts to look, feel and function normally in regards to softness, sensation, and final placement.
Implants may last up to 15 years. As long as the implant shows no signs of damage or visible defects, such as breast rippling or a deformity, replacing them is not necessary. What’s necessary, however, is a periodic check of the implants to make sure that they are still intact.
Breast Augmentation Video - Silicone Implants
Breast Augmentation Video - Saline Implants
Breast Augmentation FAQ
How much does breast augmentation cost?
The costs of breast augmentation depend on the implants that will be used. The average fee for saline implants runs about $5,500, up to $8,500. Add $1,000 or more when choosing silicone implants. Any additional procedures will add up to the fees.
Is there a risk associated with silicone implants?
Negative notions about silicone started back in the early 90s when there were cases of leakage and complications. With today’s advancements in engineering, silicone-based shells are made durable and safe and have been proven so by the FDA. Today silicone is more preferred than saline since they last longer and feel more natural. The rates of reported complications have significantly decreased in the last decade.
Should I receive breast implants or a breast lift?
Breast augmentation is a cosmetic procedure designed to enlarge breasts, while a breast lift is designed to tighten the loose skin of a droopy breast. Both resolve different breast issues. There are cases that the procedures are simultaneously done when it is agreed that a breast lift with augmentation is necessary.
Plan Your Procedure
- Average Cost
- $7,500 - $9,000
- Recovery Time
- 5-7 Days
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
Experience Desired Results
Breast enhancement surgery with implants is popular for many excellent reasons. This surgery is safe, effective, and creates outstanding aesthetic results. With an abundance of available considerations, you can get the appearance you have always wanted. Dr. James Fernau Plastic Surgery is pleased to offer this proven treatment, and we welcome you to learn more. Contact Dr. James Fernau Plastic Surgery in Pittsburgh, PA, to plan your first office visit with Dr. James Fernau.
How Should Breast Augmentation Patients Sleep After Surgery?
Sleeping in an elevated position can streamline healing after cosmetic surgery. Read the details of recovery after breast augmentation in Pittsburgh.Read
Learning the Difference Between Breast Augmentation and Implants
Not all breast augmentations require implants, and the terms are not necessarily interchangeable.Read
How Breast Augmentation Surgery Can Be A Confidence Booster
Aside from enhancing your look, breast implants may be the self-esteem builder you’ve been searching for.Read
Can I Get Tummy Tuck Surgery After A C-Section?
How long do I have to wait to get a tummy tuck after a C-section, and can they use the same incision? Find these answers and more here.Read