Lift with saline implants - how long would I be under anesthesia? (Photo)

Question

33 female. I want a lift with saline implants. How long would I be under anesthesia? I like saline implants bc I would know if it ruptured without an MRI. Also, if it Raptures, can it be fixed easily or is that another surgery?

Finny George, MD · Answer

Hi, thank you for sharing your question. Operative time under anesthesia will vary between patients and circumstances. Typically an Aug-pexy will take about 2.5 hours. Saline implant ruptures require additional surgery to replace.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  I have been in practice for over 30 years, and breast surgery is a large portion of my practice. In my field, there were very few black and white issues, and everything we do considers advantages and disadvantages. You have thin skin and a saline implant will cause considerable amount of wrinkling for you.  The silicone implant devices have gotten so much better in their engineering so that even if they do rupture, the cohesive gel really is not an issue.  The body walls at off and there is no leaking silicone throughout your body.  Silicone implants last approximately 18 to 20 years on average. You should be able to have an excellent result with a dual plane submuscular silicone implant and a breast lift.  Best wishes to you.

Gary M. Horndeski, MD · Answer

Your breasts are very low and ptotic on the chest wall. I do not recommend the anchor or lollipop incision. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

The modern silicone gel implant has rupture rates that are 1% or less at ten years. The modern plastic surgeon who's practice is heavy in breast surgery has high resolution ultrasound in office to allow quick and easy diagnosis of implant shell rupture. It's so simple that I don't charge my patients and do it on a yearly schedule. Silicone gel implants are as safe as silicone and far more effective at producing a great result that looks and feels natural.

Jacob Carlson, MD · Answer

For an augmentation with a breast lift, I would expect to be under anesthesia for about 3-4 hours, depending on the experience level of the surgeon and if he/she has any assistance in closing the incisions.
If a saline implant ruptures, it requires an additional surgery to remove the deflated implant and to place the new implant. The implant exchange procedure is usually much quicker than the initial procedure, because most of the dissection was previously performed during the first operation.
You are correct that about the imaging of silicone implants. The FDA recommends obtaining either an MRI or an ultrasound of the implants at ~5 years after placement to check the integrity of the implant. If a saline implant ruptures, you will notice much more quickly because your body will just reabsorb the saline that leaks out.

Arthur Dean Jabs, MD, PhD, FACS · Answer

So much depends on your surgeon and anesthesiologist. 
Typically I schedule 2 1/2 hours for an augment with mastopexy going under the muscle. As an aside I don't like doing an above muscle augment because I feel they sag quicker requiring another operation. Saline implants add time to the case becasue they must be filled. 
Anesthesia has such a low risk today due to advanced monitoring techniques I wouldn't worry about the time it takes.
If an implant ruptures you will notice it very quickly. Replacement can be done under mild sedation with local anesthsia but it is another surgery.

Hope this helps

Dr. J

Darryl J. Blinski, MD · Answer

Based on the one posted photo that type of surgery could take anywhere from 2 1/2 to 4 1/2 hours depending on exact techniques used. Best of virtual console with for better explanation. Expect fees to arrange from $8000-$12,000. Again, best virtual consult with.

Mehmet Ozdemir, MD · Answer

Hello, this is Dr. Mehmet. Based on your examination, I recommend a breast lift combined with implants. As for the anesthesia, it typically lasts approximately 1 to 1.5 hours, depending on the surgical details.

Lift with saline implants - how long would I be under anesthesia? (Photo)

Answers (8)

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