Breast Augmentation Houston
Breast augmentation with our Houston cosmetic surgeon, Dr. Donna Rich, permanently enlarges your breasts using either saline-filled or gel-filled (often called “silicone”) implants. Breast implants are available in many sizes, and you can choose from smooth or textured, round or anatomically shaped. It’s important to note that, while cup size is a common term, it isn’t an exact standardized measurement. Instead, breast volume is measured in cubic centimeters.
During your private breast enlargement consultation at our Houston plastic surgery office, you’ll have the opportunity to discuss all of your options regarding size, type, shape, and texture of implant with Dr. Rich. You can trust Dr. Rich to guide you in the right direction so your results are the ones you’ve been dreaming of!
The best candidates for breast augmentation are those patients with a bustline that is smaller than they would like. Women develop smaller breasts as a result of many factors, including genetics. During puberty, estrogen causes fat cells in the body to migrate to the breasts. Those women with higher testosterone levels tend to experience less of an increase in fat cells in this area. Women with thinner bodies do not have a great deal of fat for this process, and so they often end up with smaller breasts.
Additionally, during breastfeeding, a woman’s breasts may lose a fair amount of volume. After the breastfeeding process, many women feel that a breast augmentation procedure is right for them in order to correct this loss of volume.
Patients who are looking to get saline breast implants should be at least 18 years old. Those who are interested in silicone breast implants will need to be at least 22 years old. Thus, if you are not yet 22, you may be more interested in saline breast implants.
Breast augmentation surgery is an outpatient procedure under general anesthesia. The actual surgical time will vary with the amount of surgery necessary to achieve your goals, but breast augmentation surgery usually takes about an hour.
The exact details of your breast augmentation procedure will be based on your consultation with Dr. Rich at her office near Houston. There are a variety of incision options available. Many patients choose the inframammary technique, which is an incision made beneath the breast crease. Another popular option is the peri-areolar technique. With this option, an incision is created around the patient’s areola.
When a patient is getting saline implants, she will also have the option of the transaxillary incision (in the underarm area) or the transumbilical incision (in the bellybutton). These options are located farther from the breast than the previous two incisions. The empty saline implants are inserted and then filled after placement, so they will be small enough to be placed in the breast area in this manner. Because silicone implants are inserted pre-filled, they would be too large for this method.
Once the chosen incision has been made, the surgeon will create internal pockets in the chest. These spaces are key to ensure that there is enough room for the breast implants. Each breast implant is inserted through an incision and into its respective pocket, where it fits snugly. The snug fit aids in preventing breast implant migration. Your breast implants will be placed either above or beneath the pectoral muscle.
After the breast implants have been placed according to your aesthetic needs and goals, the surgeon will carefully close the incisions with medical stitches. After the procedure, a special dressing will be placed on the surgical area to protect the incisions from outside contaminants and infection. This dressing will be removed at your first post-operative visit.
What To Expect After A Breast Augmentation Procedure
After your breast enlargement procedure at Dr. Rich’s accredited surgical suite near Houston, you’ll have a special dressing that will stay on until your first post-operative visit the following day. You will have some discomfort, and possibly nausea as well, for about 24 hours after surgery. Your discomfort will decrease to a pressure-like feeling within 48-72 hours. Don’t worry: you’ll be given prescription pain medication before your surgery, and Dr. Rich will advise you on how to manage your discomfort.
After your first post-operative visit, you’ll wear a soft cotton jogging or runner bra 24 hours a day for 3-4 weeks. You can shower after 48 hours. Normal activities can be resumed immediately, and light exercise (walking) may be resumed after two weeks. Dr. Rich will advise you about more vigorous exercising and lifting (grocery bags, children, etc) after your breast implant procedure, at your first postoperative visit.
After your procedure, you’ll look a bit battered and bruised, and your breasts implants will appear “high-riding,” and larger than you anticipated. Don’t worry. Your implants appear this way due to the swelling and muscle spasms, and will gradually settle, sometimes taking 1-4 weeks. In some patients, there is a slight emotional depression while they anxiously await final results. This is quite normal and should not be alarming. Fortunately, this period usually passes rather quickly.
Patients typically see post-operative swelling in the chest for a period of around 6 to 8 weeks. In order to help control this swelling, apply cold compresses to the area as needed. This will also aid in the reduction of post-operative bruising.
Suture removal begins 10-14 days after surgery. Removing the sutures is quick and uncomplicated.
Dr. Rich sees all her breast augmentation patients annually, at which time post-operative photos are taken.
Frequently Asked Questions
What size do you suggest for me?
This is based on your body frame, breast width, and skin envelope, as well as what cup size you would like to be. In the office, I will take measurements and then you will try on sample implants so you can visually see the different cup sizes on your body.
What is the difference between saline implants and silicone gel implants?
Saline implants are filled in the operating room, which allows me to adjust the implant size. The incision is generally smaller and the cost is lower. The silicone gel implants are pre-filled, the incision is generally slightly larger, and the cost is slightly higher. The surgery time and the procedure itself are the same.
Sometimes, the silicone gel implants are preferred because of breast skin envelope issues or previous problems with saline implants. Silicone implants are sometimes more ideal for thinner patients without a great deal of breast tissue, as these patients are more likely to experience superficial skin rippling with saline implants.
Will I lose sensation in my nipples or breast?
Most patients initially have overly sensitive nipples. They return to normal after a period of time.
Will I be able to breastfeed after a breast augmentation?
Most women can breastfeed after a breast augmentation, especially if the incision is placed in the inframammary fold and if the implants are sub-muscular.
How long will I be off work?
Most patients are back to work in four to five days, as long as their job does not require heavy lifting.
If you should have any other questions about surgery, please call the office at (281) 286-1000.