What to Expect During Breast Augmentation Recovery

Breast augmentation is a great way to regain breast fullness, enlarge smaller breasts, or correct asymmetrical breasts. If you are healthy, you will tolerate the surgery quite well and enjoy more self-confidence after the procedure.

Good rapport with your plastic surgeon

A successful recovery begins with a good relationship with your plastic surgeon. Like any other surgery, breast augmentation has risks and possible complications. As a patient, you need as much support and information as possible to minimize the risk of complications after the procedure.

Finding a skilled and experienced board-certified plastic surgeon is advisable. You should also look for a surgeon with whom you feel comfortable so that you can communicate honestly and know what to expect. At Politis Plastic Surgery, we have a compassionate, patient-centered approach to breast augmentation. This allows our patients to quickly establish a good rapport with their surgeon, something that is valuable during and after the procedure.

What should you expect soon after surgery?

Breast augmentation is typically an outpatient procedure. You can expect it to be completed within 1 to 3 hours. Once the surgery is done, you will be moved to the recovery area and monitored for a while. If your plastic surgeon is satisfied with your response to the procedure, you will be allowed to go home the same day.

You can expect some pain and soreness after the anesthesia wears off. Gauze, a surgical bra, or an elastic bandage will be wrapped around your chest. You may also have drainage tubes attached to your breasts for three days. Prescriptions for pain-relieving medication help ease the pain, and antibiotics can prevent infection. You will be provided with instructions to follow during the recovery period until the follow up visit.

How long will it take to recover?

The recovery period varies from one person to another. Generally, if you do not experience complications after the procedure, then you should expect a full recovery in six weeks, but your plastic surgeon will assess your overall health and give you a personalized recovery timeline. Make sure to speak with your surgeon about this before the procedure. At home, eating a balanced diet and drinking plenty of water is essential for good healing and faster recovery.

How much discomfort occurs during recovery?

It is normal to have some discomfort and disrupted sleep during the first few days or weeks after breast augmentation. Actually, the first three to five days can be quite uncomfortable, and you may need prescription pain medication. After the first week, the discomfort should be minimal, allowing you to slowly ease back into a normal daily routine with light exercise.

While residual discomfort and breast scar incisions may take months to improve, be aware that severe pain, redness and swelling need immediate medical attention. To minimize post-surgical pain and speed up your recovery, avoid strenuous or jarring activity such as running or rigorous workouts. If you have a labor-intensive job, you should remain out of work for at least three weeks.

Follow your surgeon’s instructions

The incision wound will need proper care. During the first week after surgery, all bandages and dressings remain intact, and you will need to follow your surgeon’s instructions on caring for the wounds. At Politis Plastic Surgery, we remove dressings to check your healing progress after one week. At that time, we will show you how to care for the wounds to achieve the best healing and minimal scarring.

As you follow these instructions, make sure to listen to your body, particularly to warning signs. For instance, a manageable amount of pain and nausea tend to occur after breast augmentation, but extreme pain and nausea may be a warning sign of complications. Make sure to always speak with your surgeon whenever something unusual or extreme occurs.

When should you expect to resume normal activities?

Two weeks is the usual amount of time away from work, but that depends on the physical demands of your job. Speak with your surgeon for details on what you can do to speed up your recovery. As a rule, it is best to have your surgeon’s approval before resuming normal activities, especially strenuous exercise, high-impact sports or saunas.

At Politis Plastic Surgery, we will customize your breast augmentation procedure to best suit your needs and desired surgical outcomes. Working with Dr. Effie Politis, you can expect natural-looking cosmetic surgery results and a comprehensive guide to recovery.

If you are considering breast augmentation, we encourage you to schedule your consultation session well in advance. The one-on-one session with a plastic surgeon allows you to discuss all of your concerns and become informed about what to expect. For more information about breast augmentation, visit the Politis Plastic Surgery website.

Breast Augmentation: What to Expect

Breast augmentation is cosmetic surgery to increase breast size. The procedure typically involves placing breast implants under the breast tissue or chest muscles. It is done on an outpatient basis and rarely requires a hospital stay. While it is commonly performed with the patient under general anesthesia, it can also be done under local anesthesia with the patient awake and the breast area numbed.

What can breast augmentation do for you?

If your breasts are naturally small, breast augmentation is a great way to enhance their size, shape and appearance. The procedure is also effective in correcting uneven or asymmetrical breasts. If you are uncomfortable with one of your breasts being smaller than the other, the surgery can make them even and in turn boost your self-confidence. It is also a good option to help you adjust for a reduction in breast size following pregnancy, weight loss, or breast surgery for other conditions.

What should you expect during the consultation?

The consultation with a plastic surgeon will help you determine whether you really want the procedure. The surgeon will listen to your goals and expectations to make sure you are realistic about what breast augmentation can and cannot help you achieve. The surgeon will also explain what the surgery involves, including the benefits, risks, complications and follow-up care. The surgeon will also discuss your preference for size, shape and feel of your breasts, and guide you on how to prepare for the surgery.

What can you expect during the procedure?

After you are placed under anesthesia, the surgeon will make incisions in the crease under your breast (inframammary), under your arm (axillary), or around your nipple (periareolar). The surgeon then separates the breast tissue from the muscles and connective tissue of the chest to create a pocket either in front or behind the outermost muscle of the chest wall (pectoral muscle).

The breast implant is inserted into this pocket and then centered behind the nipple. While silicone breast implants are usually pre-filled with silicone gel, saline implants are inserted when empty and filled with sterile salt water after they are in place. Once the implant is in place, the surgeon will close the incision—usually with sutures (stitches)—before bandaging the surgical site with skin adhesive and surgical tape.

What should you expect after breast augmentation?

Soon after the anesthesia wears off, you can expect pain, soreness, and swelling which may last for a few weeks after surgery. Because your breasts may be sensitive to jarring movements and physical contact, your surgeon will prescribe pain-relieving medication to keep you comfortable, and you will also need to wear a compression garment to provide extra support and positioning of your breasts as they heal.

Should you experience redness and warmth in your breasts, a fever, shortness of breath, or chest pain, contact your surgeon as soon as possible. You should also follow your surgeon’s instructions, particularly on returning to regular activities. Avoid strenuous activities—anything that can raise your pulse or blood pressure—for at least two weeks.

Remarkable results

Breast augmentation will change the size and shape of your breasts, improve your body image and boost your self-esteem. At Politis Plastic Surgery, we endeavor to meet each patient’s expectations. You can rest assured that you will achieve your desired breast volume and realize your aesthetic goals.

At the same time, we also understand that weight loss, weight gain, and aging can change the way your breasts look after the procedure. We will keep in touch with you long after the procedure to help you with any issues that may arise. Should you feel dissatisfied with how your breasts look, we are always ready to listen, evaluate and perform corrective surgeries to keep you feeling great about yourself.

Would you like to learn more about the procedure? Call today to schedule a one-on-one consultation with Dr. Effie Politis. For more information on breast augmentation, visit the Politis Plastic Surgery website.

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“Breast in a Day” Surgical Technique

 
 
 
 
 
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Another ‘Breast in a Day’ case, but executed differently since she has much larger ptotic breasts (sagging breasts). ⁣

She basically had a mastectomy performed through a Wise pattern skin mastopexy and I kept the nipples on an inferiorly based adipodermal flap. ⁣

I reduced her mastectomy envelope, reduced and repositioned her nipple areolar complexed, and placed a cohesive Natrelle Inspira SCF 520cc implant in the prepectoral position with anterior Galaflex sheet. ⁣

“Wise pattern or inverted-T mastopexy has traditionally been used in patients with severe excess of skin relative to breast parenchyma (tissues of the breast essential for functioning) in a patient with severe ptosis. Incisions are made around the areola with extensions for the vertical limbs as in a vertical mastopexy.” (Qureshi, Myckatyn, & Tenenbaum, 2018)⁣

“The Wise-pattern incision addresses any redundant mastectomy skin envelope and avoids excessive and unsightly scarring on the “social” aspect of the breast mound.” (Newman, 2016)⁣

“The pattern allows removal of skin in both vertical and horizontal dimensions allowing for lifting and coning of the breast into a less ptotic shape.” (Todd, 2016)⁣

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What is Breast Augmentation?

 

Sagging breasts can be disappointing and conspicuously small breasts can feel inadequate. Clothes that fit neatly at the shoulders and waist but appear too large at the bust line can be awkward. But you don’t have to be self-conscious when you wear swimsuits or form-fitting tops. You can achieve your desired breast size through the medical procedure known as breast augmentation

Read more about Breast Augmentation

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“Breast in a day” direct-to-implant breast reconstruction

 
 
 
 
 
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Surgical Technique

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Type of Recon: Single Stage Direct to Implant Breast Reconstruction after Mastectomy⁣⁣⁣, Galaflex Ravioli construct⁣⁣⁣⁣⁣
Type of Mastectomy: Nipple Sparing or Nipple Preserving⁣⁣⁣ through inframammary approach⁣⁣⁣⁣⁣
Implants: Natrelle Inspiration Cohesive SCF 295⁣⁣⁣⁣⁣
SPY Elite Imaging⁣⁣⁣⁣
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“Breast in a day” direct-to-implant breast reconstruction represents an emerging technique in the field of postmastectomy reconstruction and holds appeal, as it shortens the reconstructive process, eliminates the expansion period, and avoids a second operation.
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This case was performed with bilateral nipple sparing mastectomy and single stage reconstruction with cohesive implant and Galaflex ravioli construct placed in prepectoral position.⁣⁣⁣⁣⁣
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The advantage of this technique is that it is performed at time of mastectomy whereas traditionally, we place tissue expanders partially under the muscle and expand the patient and then perform a second procedure in 3-6 months where we exchange the expanders for permanent implants. ⁣⁣⁣⁣⁣
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Therefore, instead of a staged process, we can achieve stable and long term results with a single stage or direct to implant reconstruction. This requires collaboration with the surgical oncologist, meticulous dissection, scaffold material (Galaflex to stabilize and secure implant in mastectomy pocket ), and cohesive implants, we are able to perform implant based reconstruction in a single stage. ⁣⁣⁣⁣⁣
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Also, the implants are typically placed over the muscle, which decreases pain, animation deformity, preserves shoulder/arm strength, and creates a more natural result. ⁣⁣⁣⁣⁣
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Please note: These are my individual patients who have provided written photo consent. These photos and posts do not constitute medical advice. Results may vary. See a board certified plastic surgeon for evaluation.⁣⁣⁣⁣
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What is Breast Augmentation with Mastopexy

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Breast Augmentation with Mastopexy (or breast lift) by Dr Effie Politis. – For consultations, please call the office at (813) 542 – 2587.
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Breast Augmentation With 24-hour Rapid Recovery Method

Here’s a before and after of a primary breast augmentation with 24-hour rapid recovery method. When I was training in my residency at USF, Dr. Tebbetts and Dr. Adams, who pioneered the method, lectured and performed hands-on training demonstrating this method. The 24-hour rapid recovery breast augmentation is a procedure that relies on process oriented steps that maximizes planning, minimizes tissue damage and allows patients to get back on their feet in as little as a few hours after waking up from anesthesia. The recovery time is minimal because the procedure involves no bleeding, minimal tissue damage, and is very gentle and precise. It allows the patient to continue with regular life by that very same evening or the next day. Heavy exercise and intense work should be avoided initially; however, patients are encouraged to get moving right away. Patients who have undergone the 24-hour breast augmentation procedure can manage any lingering pain with over-the-counter painkillers. Will be talking more about this on another Instagram live talk soon. Stay tuned for the annoucement! Have a great week ahead!.
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What is 24 Hour Breast Augmentation?

You want to enhance your feelings of attractiveness and positive self-image and you think your small or asymmetrical breasts aren’t helping. You might like to surgically augment your breasts, but you don’t have time for a prolonged recovery period. Besides, you fear the pain and discomfort associated with breast augmentation.

Is this you?

If so, the 24-hour rapid recovery breast augmentation is perfect for you.

The 24-hour recovery breast augmentation is an innovative plastic surgery technique that uses precise and gentle systematic changes with electrocautery forceps to increase breast size. With maximized planning, minimized tissue damage, reduced bacterial load and shorter recovery time, the procedure enables patients to get back on their feet within a few hours of waking up from anesthesia.

Without complications, you can be at work the next day. There are no drainage tubes and no bulky, post-operative dressings—no bands and no massaging of breasts. You may go shopping, out to dinner or dancing soon after the operation. In fact, movement begins right after surgery with arm exercises, walking and showering that night.

Advantages over traditional breast augmentation

Unlike traditional breast augmentation surgery with its fairly large incisions, the 24-hour technique involves making small cuts in strategic locations. This enables patients to return to their normal lives within a day. The traditional procedure results in considerable downtime and soreness, with the first 24-48 hours after surgery involving pain, discomfort and bandages for as long as 10 days, during which time patients are not able to return to work or strenuous daily activities around the house.

In contrast, the new 24-hour technique expedites healing, reduces pain and discomfort to a minimum, and allows you to return to your daily activities faster than ever before. And while those who undergo traditional breast augmentation often require potentially dangerous narcotic pain killers, those who undergo this amazing new technique can usually manage any lingering pain with over-the-counter pain medicine.

Fewer side effects

Recovery after this new surgical technique takes just 24 hours, allowing you to return to regular life the same evening or the next day. The recovery time is shorter because the procedure is gentle and precise with minimal tissue damage and no bleeding.

Our team at Politis Plastic Surgery uses every tool and technique at our disposal to reduce inflammation, bruising and tissue trauma. Our patients often return to work the day after the procedure, although they may do so wearing special support bras for a few days after surgery. Heavy exercise and intense work is avoided initially, but patients are encouraged to start moving right away.

There is minimal post-operation pain with this procedure. Most patients require only over-the-counter pain medication to achieve normal comfort. Also, post-operative bleeding is rare and there are far fewer reported cases of bleeding, capsular contracture, or shifting of the implant.

Who is a candidate for 24-hour breast augmentation?

Like every surgical procedure, some patients are better suited for it than others. Even though the fast recovery time is appealing, the mini-incision approach does not work for every woman who wishes to enhance her bust line. The right candidate for the procedure is a relatively healthy individual with a healthy body weight. If you are a candidate for traditional breast augmentation then you are likely also a candidate for this procedure. During your consultation with Dr. Effie Politis, you will explore your goals and look at the enhancements you wish to achieve. Your body type and other factors may determine whether you are a suitable candidate for the mini-incision approach.

Innovative procedure, amazing results

24-hour breast augmentation surgery is a safe and effective way to achieve an enhanced figure and boost self-esteem. Almost all patients who undergo the procedure can return to regular activities, lift normal objects and drive a car within 24 hours after the operation, without drains, bandages or narcotic medications. And most patients are able to raise their arms above their heads immediately after the surgery.

The decision to undergo breast augmentation should be personal and well-informed. You should not undergo this surgery to please someone else. By consulting Dr. Effie Politis, you can make an informed decision as to whether the 24-hour rapid recovery technique meets your individual goals and suits your body. She applies advanced techniques and is committed to helping patients experience the maximum benefits of the procedure faster and more comfortably.

If you are interested in breast augmentation but concerned about the long recovery period associated with the traditional procedure, meet with Dr. Effie Politis for a consultation about the 24-hour rapid recovery technique. For more information on breast augmentation and other plastic surgery procedures, visit the Politis Plastic Surgery website.

Breast Augmentation Procedure

One of the most popular and frequently performed aesthetic surgery procedures, breast augmentation has a long and successful track record in satisfying women who wish to enhance, regain or restore balance to their figures. Breast augmentation surgery increases or restores breast size using silicone implants, saline implants or in some cases, fat transfer.

When to Consider Breast Augmentation.

  • If you want a better proportioned or more appealing figure
  • If you wish your clothes fit better
  • If you believe you might gain self-confidence or self-esteem from such a procedure
  • When pregnancy, weight loss or aging has affected the size and shape of your breasts
  • To restore symmetry if one of your breasts is smaller than the other (Source: The Aesthetic Society) .
Are you looking into getting this procedure sometime in the future? Make sure to contact a board certified plastic surgeon. Dr. Effie Politis is here for you. She brings both skill and a personalized approach to the care of her plastic surgery patients. She is board certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons and The Aesthetic Society, as well as a Fellow of the American College of Surgeons. . Book an appointment, or contact us for any inquiry. Call us at (813) 542-2587.
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What You Need To Know About Breast Augmentation

Do you find your breasts too small or have one that is smaller than the other? Would you like to reduce the size of your breasts after pregnancy? Do you want to correct uneven breasts after breast surgery for other conditions and to improve your self-confidence?

If so, then breast augmentation is a perfect procedure for you.

Also called augmentation mammoplasty, breast augmentation is a surgical procedure to increase the size, shape or fullness of the breasts. During the procedure, the surgeon makes an incision and places a silicone, saline or alternative composite breast implant under breast tissue or chest muscles. Fat from another part of the body may also be used—a procedure called fat transfer breast augmentation.

What are breast implants made of?

A breast implant is a medical prosthesis placed inside the breast to create, reconstruct or augment the physical form of the breast. There are three main types of breast implants used in breast augmentation.

1.     Saline implants

These are implants filled with sterile saline solution. The salt solution is contained within an elastomer silicone shell. The amount of saline that your surgeon will allow in the elastomer depends on the goals of the surgery, including the firmness, shape or size to be achieved. If the saline implant leaks, the salt solution is absorbed and expelled naturally by your body.

2.     Silicone gel-filled implants

These are implants made of a silicone outer shell and filled inside with a silicone gel. Again, the amount of silicone gel added into the silicone shell depends on the shape, size or firmness of breasts to be achieved. If a silicone-filled implant leaks, the gel either stays in the shell or escapes into the breast implant pocket. Since leaking silicone-filled implants may or may not collapse, you will need more regular checks with your doctor for this implant than if you choose saline-filled implants.

3.     Alternative composite implants

Breast implants may also be filled with soy oil, polypropylene or other material. When choosing an alternative composite material, your plastic surgeon will consider whether you have adverse reactions or allergy to any of these materials. In the end, the material chosen should not cause problems if it leaks into your body.

What can breast augmentation do for you?

  • Increase the fullness and projection of your breasts
  • Improve the balance of your breasts and your hip contours
  • Enlarge breasts that are naturally smaller
  • Restore breast shape and size after weight loss, pregnancy or breastfeeding
  • Restore your breast symmetry when your breasts are asymmetrical
  • Reconstruct your breast(s) after mastectomy, injury or various conditions
  • Boost your self-image and self-confidence

When considering breast augmentation, you will first discuss your goals with your plastic surgeon. The goals should be realistic and informed by what the procedure can do. Your surgeon will also help you understand the possible risks, complications and follow-up care. A typical breast implant lasts 7-12 years on average.

Breast augmentation does not correct severely drooping breasts. Actually, drooping breasts require a different procedure called breast lifting. The breast lift can be performed along with breast augmentation to make your breasts both fuller and lifted, but it can also be a separate operation. Your plastic surgeon will guide you in making this decision.

How should you prepare for breast augmentation?

You will start by choosing a surgeon to help you with the procedure. A skilled and experienced plastic surgeon such as Dr. Effie Politis will offer good advice and perform the procedure with a higher chance of success. So if you are considering the operation, speak with your plastic surgeon about it and be specific about your preferences for breast size, feel and appearance. Once you choose to have breast augmentation surgery, your plastic surgeon will help you choose the size and shape of implant you need by putting different sized implants into your bra to see how they fit and feel. 

The surgeon will describe the specific types of implants that may be used—textured or smooth, round or shaped like a teardrop, saline or silicone—together with options for surgical techniques. It is your responsibility to review information provided to patients by the manufacturer of the implant. You will also need to keep copies of this information for your records.

Before you undergo the procedure, consider the following:

  • Breast implants do not last a lifetime; the average life span is 10 years.
  • Breast implants do not prevent breasts from sagging; you may need a breast lift in addition to breast augmentation to deal with sagging.
  • After breast augmentation, mammograms might be more complicated.
  • While most women are able to breastfeed after the procedure, some find it a challenge.
  • A routine MRI is necessary three years after a breast augmentation—though studies are yet to demonstrate the usefulness of the imaging.
  • If you change your mind and opt to have breast implants removed, you will need a breast lift or other corrective surgery to restore the appearance of your breasts.
  • Breast implants and the related surgeries and imaging tests are not covered by insurance.

Your plastic surgeon may recommend that you have a baseline mammogram before the surgery. If you are on certain medications, such as aspirin or other medications that increase bleeding, your doctor may adjust them. If you are a smoker, you will have to stop for a while before the procedure. Likewise, you should arrange for a friend or family member to drive you home after the surgery and even stay with you for a day.

What should you expect during the procedure?

This is a surgical procedure. A general anesthetic will be used so that you are asleep during the operation—though local anesthesia may also be used, which means you would be awake during the procedure.

There are three incision options your surgeon will consider.

  1. Incision in the crease under your breast (infra-mammary incision)
  2. Incision in the armpit (trans-axillary incision)
  3. Incision around the nipple (periareolar incision)

The choice of incision depends on the type of implant, surgeon-patient preference, your anatomy, and how much enlargement is involved.

After making the incision, your plastic surgeon will insert the implant into a pocket. 

There are two ways of placing the implant.

  1. Sub-mammary (sub-glandular) placement behind the breast tissue, over the pectoral muscle.
  2. Sub-muscular placement under the pectoral muscle—recovery may take longer and there may be slightly more pain after the procedure.

To close the incisions, your plastic surgeon will apply layered sutures or stitches in your breast tissue. The stitches, surgical tape or skin adhesives will help to close the incisions and keep the skin closed. While the incision lines will be initially visible, they will fade in time. Swelling caused by the surgery will resolve within two weeks.

How long does recovery take?

Soon after the surgery, the anesthetic will wear off and your surgeon will provide medicine to relieve the pain. The sutures are made of absorbable or dissolvable material and will disappear within 6 weeks. But if your sutures do not dissolve or if drainage tubes are placed near your breasts, you will need a follow-up appointment to remove them.

Your surgeon will also provide information on how to care for your breasts after the procedure, how to take prescribed medication, when to schedule a follow-up visit and when to call your doctor for help. You will be advised to seek immediate medical help should you experience any sign of infection, such as chest pains, shortness of breath, unusual heart beats, fever, warmth or redness in the breast area.

Your doctor will also advise you on what type of brea to wear and post-operative exercises, such as moving and flexing the arms to relieve discomfort and pain. You should not engage in strenuous physical activity for the first 6 weeks after the surgery.

What are the risks and complications of breast augmentation?

Every surgical procedure has risks, including breast augmentation. Among patients who undergo breast reconstruction, 46% of those with silicone gel implants and 21% of those with saline implants typically require at least one additional surgery within 3 years. Likewise, 25% of women with silicone implants and 8% of those with saline implants change their mind and undergo surgery to remove the devices.

It is not uncommon for breast augmentation patients to have some kind of complication.

The common risks and complications include:

  • Need for additional surgeries
  • Breast pain or changes in nipple and breast sensation
  • Infection, bleeding, fluid accumulation or leaking of the implant
  • Systemic symptoms, commonly known as Breast Implant Illness (BII)
  • Rupture (tears or holes in the shell) of saline-filled and silicone gel-filled implants. The rupture can be a deflation (with visible change to breast size of saline filled implants) or a silent rapture (without visible change to breast size of silicone filled implants).
  • Capsular contracture, which is the hardening of the area around the implant and which can distort the shape of the implant by becoming red, thick and painful.
  • Breast-Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL), a rare cancer of the immune system. The Food and Drug Administration (FDA) believes women with breast implants have a very low but possible risk of developing ALCL, though further research is still necessary to fully understand how breast implants are related to ALCL.

Breast augmentation is a great option for enhancing the size and shape of your breasts, improving your body image and boosting your self-confidence and self-esteem. At Politis Plastic Surgery, we offer the procedure to women who want to increase the fullness and projection of their breasts, enlarge small breasts, restore breast symmetry, reconstruct their breasts after mastectomy or injury, restore breast size and shape after breastfeeding, pregnancy or weight loss, and to boost their self-image and self-confidence.

If you are dissatisfied with the appearance of your breasts and considering breast augmentation, contact Dr. Effie Politis for a consultation. For more information on breast augmentation, visit the Politis Plastic Surgery website.