Breast Augmentation Hawaii
Factors To Consider
1. Types of Implants
There are two companies in the United States that manufacture breast implants- Allergan and Mentor. Both of these companies are approved by the FDA and in my opinion are very comparable in quality of implants, cost of implants and customer service. I use implants from both companies on a regular basis and have been happy with both companies.
Implants fall into two main categories- silicone or saline. In November 2006, the FDA released silicone implants for use in all patients. The silicone implants were taken off the market in 1992 over concerns about their safety. After extensive research and evaluation, the FDA concluded that the silicone implants are safe.
Silicone implants have advantages and disadvantages. The main advantage is that the silicone gel feels more like natural breast tissue. Other advantages include: lower leakage rate, less chance of rippling or wrinkling and a better warranty. The disadvantages are: slightly higher cost, slightly larger incisions, and more extensive paperwork and follow-up to include “recommendations” for MRI exams after surgery.
Saline implants also have advantages and disadvantages. The advantages of saline implants are: less expensive, slightly smaller incisions and there are no requirements for extra paperwork and MRI exams. The disadvantages of saline implants are: they do not feel as natural as the silicone gel, higher leakage rate, higher chance of rippling and wrinkling and the warranty is not as good as the silicone implants.
Implants have either smooth or textured (rough) surfaces. Some studies have shown that the textured implants have a lower rate of capsular contracture when the implant is placed above the muscle. Smooth implants are thought to have lower rates of rippling (visible indentations in the breast tissue). Since I prefer to place implants under the muscle, I like to use smooth implants. (See below for above or below muscle consideration)
Implants come in two basic shapes- round or anatomical. The anatomical implants are fuller at the bottom and narrower at the top when viewed from the side. This is what the natural breast looks like in profile, so in theory the anatomical implants would seem to be more natural appearing. However, the implants can rotate after placement resulting in the narrow part being at the bottom and the fuller part being at the top. This results in an unnatural appearance. I prefer to use the round shaped implants because if they rotate in the pocket, there is no change in the shape of the breast.
2. Placement of Implants
Implants can be placed either above or below the pectoralis major muscle (dual plane). I prefer to place the implants below the muscle for several reasons. First- is that the muscle provides more of your natural tissue to cover the implant so there is less chance that you will feel or see the implants. Second- mammography is more accurate if the implant is below the muscle. You have an extra layer of tissue (the muscle) separating the breast tissue from the implant. Third- the muscle gives more support to the implant so there is less chance of developing sagging breasts (ptosis). Fourth- there is a lower incidence of capsular contracture when placing the implants under the muscle.
3. Incision Placement
There are essentially three choices available for the location of the incision. Each incision is possible in most women. It’s mainly a matter of personal chfferent clothes on- shirts, dresses, etc. Look at yourself in the mirror and/or have a friend evaluate your new look.
- Add more rice to the stocking if you want to be bigger or remove some of the rice if you want to be smaller.
- After finding a good size, wear the sports bra with the rice filled stockings around for a day and perform your normal activities. How does it feel? Does your back or neck hurt? Is everyone staring at your chest?
- Measure the amount of rice in each side. One cup is equal to about 250 cc. This will give us a good idea of what size of implant you want to have. It should be noted that the exact same size of implant will look a little smaller than the rice in the stocking because the implant is going behind your muscle and breast tissue. For this reason I usually add a little more volume than what you measured with the rice.
Another good idea is to go to a website like implantinfo.com and look at the photo gallery. Find patients with your similar height and weight and look at the size of implants they had placed. This will give you a fairly accurate idea of what you will look like after your surgery.
At your pre-op visit we will have you try on the actual implants to help you make the final decision.
It is important to not focus so much on a certain cup size. The cup sizes vary depending on which brand of bra you buy and are not very accurate measurements. You want to pick a size of implant that will look good for you.
If you pick an implant size that is too big for your body it can lead to complications that are difficult to correct such as stretch marks, thinning out of breast tissue, bottoming out of implants, back pain, etc. We will help you in this decision process so don’t be afraid to ask.
5. Choosing the right doctor
This is definitely the most important decision to make. You should choose a surgeon who is highly trained, board certified, has experience with the procedure you want and a surgeon whom you feel comfortable with.
Dr. Healy was trained in all aspects of plastic surgery at the world famous Mayo Clinic. This is one of the premier medical institutions in the world. You can visit their website at www. Mayoclinic.org
Dr. Healy is board certified by the American Board of Plastic Surgery, the only specialty board for plastic surgery recognized by the American Board of Medical Specialties. You can visit their website at www.abms.org. He is a member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.
Dr. Healy has performed numerous breast augmentations in patients of various body sizes and shapes. His patients encompass nearly every ethnic background. Dr. Healy is proficient at using all of the incision sites described above and ensures that you are well informed of all the options that are available to you.
Dr. Healy is credentialed to perform plastic surgery at several hospitals on Oahu. He also has his own in-office operating room which is fully credentialed and certified. Your surgery will be performed in an accredited medical facility that meets the highest standards of patient safety. Your anesthesia will be provided by a board- certified anesthesiologist.
Dr. Healy and his staff will do everything possible to make your surgical experience an outstanding one. Our goal is to exceed your expectations in every aspect of the surgical process- from the initial consultation, to scheduling the surgery, to the actual operation and throughout your recovery we will do what it takes to ensure a safe and pleasant experience. We hope to earn your trust and look forward to a long and happy relationship.