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Breast Augmentation

Northern Virginia Breast Augmentation

Breast size is considered a part of feeling confident, sexy, attractive and healthy to many women. An ideal aesthetic has evolved from a large and surgically-augmented ‘look’ to one that is more natural, even out of clothing. This is particularly true in the northern Virginia and Washington DC Metro Area for women considering breast augmentation surgery. Whatever your preference, the board-certified plastic surgeons at Austin-Weston, The Center for Plastic Surgery, can help you choose the cosmetic breast augmentation procedure that best fits your lifestyle and goals.

 

What can breast augmentation do for me?

Once you have decided to seriously consider breast augmentation in the Washington DC area, you will want to make sure you find the best plastic surgeon for you. Our surgeons have over 60 years of combined surgical experience and perform among the most breast augmentations in Northern Virginia. The plastic surgery doctors at Austin-Weston use a variety of breast enhancement techniques to help you achieve your goals. Whether you want to repair the changes caused by pregnancy or you simply want to increase your breast size, we can help. Research has shown that breast implants will boost self-esteem and body image, and as a result, sexual satisfaction with a partner.

Breast augmentation can dramatically improve a woman’s breasts. During your breast augmentation consultation, you’ll learn more about your options for creating your ideal breast appearance, including:

  • Implant size
  • Your desired 'look'
  • Implant material (silicone gel or saline)
  • Implant position (above or below the pectoralis muscle)
  • Implant incision method

Breast augmentation surgery is a great way to look your best and boost self-esteem. To achieve the results you want, breast augmentation can be combined with other mommy makeover procedures including breast lift surgery, liposuction, and tummy tuck surgery (abdominoplasty).

How do I choose the right size breast implant?

Choosing the best breast implant size is the most difficult decision that our patients face when having breast augmentation surgery. At Austin-Weston, the plastic surgeons do not choose the breast implant for you. What they do is listen to you, educate you on the pros and cons of the choices of the different breast implants, and allow you to choose what you feel will give you the best shape and size for what you want to accomplish. The goal is to make certain that you get a beautiful breast, not just a larger breast.

There are many issues to consider with breast augmentation. Some women want to be as large as they can be, and some women want a smaller breast implant mostly for shape – not size. Sometimes it comes down to a competition between shape and size. That is, at some point a larger breast implant is less shapely and less attractive - and is more likely to have complications than a smaller breast implant. As an example, a large breast implant that gives a full cleavage and upper breast fullness can shift the nipple position down and make it look unnatural. This might look good in a low-cut dress, but not look good out of clothing. Our plastic surgeons will look at your anatomy and listen to what you want, and tell you what is surgically possible. It is not always straight forward because there are many choices, and each one has a particular consequence.

The two ways patients are 'sized' for breast implants is by using sizers and by using 3-D imaging. Based on your goals and anatomy, you and your doctor will come up with some sizes that might look good on your frame. You will then get to try on sizer implants under your clothing to see what that size of implant will look like in clothing. Often this is the best way to get a true feel for what an implant will look like in your body.

We also use VECTRA 3-D imaging to help you choose the right size breast implant at your complimentary breast augmentation consultation. This special camera creates a virtual 3-D image of your body, and different sizes of breast implants can be placed virtually to see how the results can look in real life. This is extremely helpful for some women to see a virtual re-creation of their surgical result, or who want to show this to friends or family who will be helping in the decision making process. The computer imaging is a very scientific process, but in the end it also comes down to art. And this is where experience matters. Our surgeons have done thousands of breast augmentations, and been doing the procedure since the 1970's. There is a reason we are the largest group of purely-cosmetic plastic surgeons in Washington DC and have been voted Best Plastic Surgeons in Washington DC and Best Plastic Surgeons in Northern Virginia for multiple years. We are good at what we do.

Austin-Weston invites you to compare the results of our before-and-after photos of breast augmentation patients with other plastic surgeons’ results. Look closely for size, shape, contour, and overall beauty of the result. And when you are ready, please call and make a consultation appointment. Many of our 40+ staff members have breast implants performed by us, and you can know that you will be taken care of by very experienced surgeons and staff.

What is the best 'look' for my breasts?

The look you are wanting to achieve is important for your plastic surgeon to understand. Patients sometimes describe the look they want as 'natural' or 'fake' and your plastic surgeon at Austin-Weston can tell you what it takes to achieve that look. Patients are often asked whether they want others to easily know they had a breast augmentation, whether they want their acquaintances and coworkers to just wonder, or whether they don't want anyone to know something was done. This can help your cosmetic surgeon recommend an implant sized because they have the experience of thousands of patients to fall back on, and have plenty of anecdotal evidence to share with you.

Bringing in before-and-after photographs of other women can be helpful to illustrate what you like and don't like. These photos should be nude, and show consistency with regard to looking at the camera and arm placement. Photographs of women who you like their look, but are in a bikini, are not illustrative because a bikini can conceal imperfections, or add support to what could be a very droopy breast outside the bikini.

The definition of what looks 'real' and what looks 'fake' comes down to what naturally exists in the world. If there are women walking around in the world with natural breasts that are the size and shape that you like, then you are likely looking for a natural and 'real' look. If you like a very round, high-cleavage or 'push-up bra' look even without a bra, then you probably like a 'fake' look. Both are possible with the right implant, so being clear with your plastic surgeon regarding what you like and what you don't will make sure you are happy with your result.

Are breast implants safe?

Currently, the FDA has approved both silicone gel and saline breast implants as safe and effective options for breast enhancement. Breast implants have been on the market for decades and we have kinds of satisfied patients.

Are saline or silicone breast implants better?

All breast implants are composed of a durable silicone shell, and then either filled with saline or silicone. Both saline and silicone breast implants have specific advantages and depending on your goals, your doctor may recommend one over the other. In general, saline implant feels slightly harder and is more prone to rippling, but the appearance is very round, and saline implants cost less. Saline implants can also be placed through a smaller incision because the implants are placed inside the body when deflated, and are then inflated with saline once the implants are in the right spot. This also allows the surgeon to choose exactly how much volume goes inside the implant.

Silicone implants are softer and offer a more natural feel, though they cost slightly more. In general, there is less rippling with a silicone implant. This can be relevant if you are very then and do not have much breast tissue to camouflage any rippling.

Both saline and silicone implants can be placed via all types of incision and can be placed either above or below the muscle. 80% of women who come to Austin-Weston choose a silicone breast implant over saline.

What incision type is best for breast augmentation?

During your consultation, one of our board-certified cosmetic plastic surgeons will go over the most common incision types for breast implant placement. The patient wishes, scar and healing capability, implant size and associated complications will all factor into your final decision. The most common incision type is the IMF (infra-mammary fold) incision, which lies in the natural fold beneath the breast. Other options include the areola incision which is placed at the junction of pigmented areola skin to less-pigmented breast skin. The least popular option is the armpit incision where the breast implants are placed though a remote incision in the armpit. We have lots of before-and-after photographs to illustrate the different scar options and lots of staff members who have had the procedure done and are happy to show you how well-hidden a good breast augmentation scar can be.

Should breast implants be under or over the muscle?

The human breast consists of skin, fat and glandular tissue, all over the top of the pectoralis muscle, which rests on the ribs. The breast implant is either placed above or below the pectoralis muscle, depending on your wishes and goals for your final look. The most common placement is under the muscle, as the muscle creates a gentle slope to the top of the implant, and a less 'done' or 'fake' result. The muscle essentially camouflages the top of the implant, making for a natural and soft breast. For patients wanting a more 'fake' and augmented look, a saline breast implant placed above the muscle gives an extremely round and projected appearance. For certain patients who are very physically fit, it sometimes makes sense to place the implant above the muscle as well. This can be done with a smaller silicone implant for a natural look, or with a larger saline implant for a 'fake' look. The decision is ultimately up to you and your surgeon, but rest assured the experienced plastic surgeons at Austin-Weston routintely perform hundreds of breast augmentations per year, using varying combinations of implants, incision types and muscle placements and will help you choose the right procedure.

Am I eligible for breast implants?

Anyone in good general health who is unsatisfied with the size or appearance of their breasts is a potential candidate for breast augmentation surgery.

While you must be at least 18 years of age for saline breast implants and 21 for silicone breast implants, you are never too old to safely improve your breasts as long as you are healthy.

How much are breast implants?





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