Insider tips for breast augmentation in Michigan:
1. Discuss dual plane augmentation with your surgeon. This technique allows the placement of the implant below the muscle, but lifts the breast as if it was above the muscle.
2. Use quick recovery techniques. This involves not contacting the ribs during surgery, developing the pocket for the implant with a bloodless technique, and using long acting anesthetics in the breast tissue.
3. Choosing a size is the most difficult decision in breast augmentation. We use three techniques including picking pictures of breasts you think are attractive, trying on implants with special bras, and using a sizer during surgery to see how the volume you picked looks on you.
4. Involve your significant other, but not too much. This is your body and your comfort level so only choose a size you are comfortable with.
5. Understand that nipple sensation can significantly change. If this is critical to your physical relationships then you should consider avoiding breast surgery.
Reasons for Considering Breast Augmentation in Ann Arbor:
General Procedure
Incision choice
Breast augmentation in Michigan involves making a small incision to insert the breast implant to enlarge the breast. There are four common incisions including the armpit, nipple, breast fold, and belly button incision. We do offer armpit incisions for silicone implants which is not offered by a large portion of surgeons.
Implant positon
The implant can be placed either under or over the muscle. In either position the implant lies below the breast tissue. The decision on which location to use depends on how much breast tissue you have to cover the implant, which incision you would like, how much of a breast lift you need from the implant, and what type of implant you have chosen. Some general guidelines:
1. Armpit incisions typically require placement under the muscle.
2. Very small breasts (A cup or less) often need extra coverage for the impant so the implant is placed under the muscle.
3. Silicone implants can be placed on top of the muscle to allow the implant to lift the breasts maximally.
4. Recovery time with implants placed over the muscle (subglandular) is typically less than under the muscle. We utilize a 48 hour recovery technique for breast implants placed in the subglandular position. We have had many patients who go out to dinner within a day or two, although we prefer they rest a bit more.
During surgery, the breast tissue is raised to create an open pocket under the breast tissue or beneath the chest wall muscle. The art of breast augmentation is how the pocket is created for the implant. Surgeons who have the best results and very low complication rates take special care in pocket creation. An expensive, but important, triple antibiotic solution can be used to reduce chances of infection and scar tissue.
Recovery Process
After surgery you will wear a surgical bra for one day. You may then switch to a sports bra. Time off work varies from 3 to 7 days.
Selecting your surgeon
1. Find a surgeon that offers most incision choices so you you are not steered to an incision choice because the surgeon does not offer the different options
2. Talk to your surgeon about complication rates and how your surgeon lowers the chance of complications i.e. using a triple antibiotic wash, using gloves without any talc, and using a sterile dressing over the incision site.
3. Pick a surgeon that does breast augmentation frequently, but if it feels like a breast augmentation factory your surgery may be performed the same way.
4. Discuss what type of breast you like. Some patients like a breast that if very full on top for cleavage purposes; others favor a more natural lower implant look.
5. We use a triple layer closure in our breast augmentations. This involves an extra layer of suturing in the fascia which appears to help support the implant. This takes extra time but anything that can potentially help support the implant over the long term is time well spent.