Bonita Springs Breast Implants doctors

It is important that when choosing a breast implant size you as the patient take an active role in the decision.  The best size for each patient is different depending on your body size, shape, measurements and how much larger you desire to be.

Step 1 Consultation with the Plastic Surgeon

• Be as clear as possible about how large you would like to be.  Many women ask for a medium or full C-cup.  If you are not sure the plastic surgeon will help you decide
• Decide Saline or Silicone.  Saline implants are more palpable (you can feel them more on the sides) but less to worry about.  Silicone implants feel more like a real breast but involve more follow-up with the doctor and may need to be changed more frequently
• Make sure you go over any history of breast related problems such as biopsies, or any family history of breast cancer

Step 2  Examination By the Plastic Surgeon

• A complete breast exam is important to look for lumps in the breasts or axillary region (under arms)
• The surgeon should measure you to determine which implants will fit well.  The base width is very important because it gives the surgeon a range of sizes to work from
• Your height, shoulder width, chest shape and size and breast size before implants are also important.

Step 3  Try on Implants for Size

• Using a surgical bra I have patients try on several sets of implants based on the measurements and then have them put on a T-shirt to determine how they would look in clothing.  While it's not perfect it gives you a good idea of how big you will be
• Make sure to try on moderate and high profile implants

Step 4  Decide the Following 

• The final size choice for the implant.  Also decide whether you want to give your plastic surgeon some choice to go up or down slightly if he thinks you would get a better result.
• Decide Silicone or Saline Implants.  Remember both work well so the right answer is different for each patient
• Decide on you incision location.  Infra mammary and Periareolar are the most common.  Axillary and Trans umbilical are less common choices

Finally, make sure you are having your breast augmentation by a board certified plastic surgeon who trained in plastic surgery and certified by the American Board of Plastic Surgery.  Because of declining insurance reimbursements many non-plastic surgeons including Oral surgeons, ENT surgeons, and General Surgeons are calling themselves cosmetic surgeons and performing breast augmentation.  Protect yourself and do your homework.  Google the American Board Of Medical Specialties web site and obtain any doctors true board certification.

The final choice of size such as medium C-cup or full  C-cup should be yours and yours alone.  Keep in mind that women often wish they had gone slightly larger once they completely heal.  If it comes down to two sizes and you can't decide, it's probably a good idea to choose the slightly larger implant size.

If your incision is underneath the breast (inframammary) I ask patients to wait about 6 weeks before starting to wear under-wire bras

If the incision is around the edge of the nipple they can start wearing under wire bras immediately after surgery.

I give patients a post surgical bra for the first few days that is softer and more comfortable to use until the soreness is gone (usually 5 -7 days).

If you are still having soreness one year after surgery with an underwire bra I would see your plastic surgeon and find out why.  There should be no problem with wearing an underwire bra this long after surgery.

I have performed breast augmentation with implants hundreds of times over the last 15 years and it is a very safe effective alternative for enlarging the breasts.

Usually patients are "scared" of surgery for the wrong reasons. The pain is limited to about two days of soreness which can be treated with pain medications. Today's anesthesia is both safe and effective and the results are natural in appearance if you choose an implant of reasonable size.

Down time is limited and most patients are back to work in just a few days and exercising in about 2 -3 weeks.

I have heard many of the natural alternatives that patients have tried for breast augmentation. Many are gimmicks, most are unreliable or ineffective and all are temporary.

I would suggest you consult with a real plastic surgeon and get the facts, both good and bad about breast augmentation with implants so you can make a decision based on knowledge and not fear.