What is Breast Augmentation or Breast Enlargement Surgery?
General Information About Breast Augemenation Surgery in Southern California
Many women make the choice to create the shape they have always dreamed of and to therefore enhance their confidence, beauty, and sexuality. Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breasts. Breast augmentation surgery offers a unique opportunity to customize the shape of your breasts and to recreate the desired curvature of a feminine body. You may want to wear an outfit that reveals more cleavage, change your wardrobe style, or simply create the proper balance between your breasts and hips. According to statistics from the American Society of Plastic Surgeons, in 2010 breast augmentation was the most popular cosmetic plastic surgery procedure in the United States, with more than 300,000 cases performed.
There are many reasons why a woman may pursue breast augmentation:
She may feel that her breasts are too small for her body
She may feel that her upper body is out of proportion with her lower body
She may have breasts that differ in size and/or shape
She may wish to restore breast volume lost as a result of pregnancy, breast feeding, or weight loss
As a reconstructive technique following mastectomy
Newport Beach Plastic Surgeon Dr. Agha, believes that understanding the breast anatomy and the changes that occur through aging, pregnancy, and weight loss are fundamental for achieving fuller breasts that are symmetrical, well-shaped, and well-positioned. Breast augmentation is one of the most common procedures performed by Dr. Agha. Because of his exceptional skill in the breast enlargement procedure, he has developed a systematic approach to optimize your satisfaction and reduce the need for revisionary procedures following breast augmentation. This approach includes a thorough pre-operative evaluation, accurate pre-operative measurements and sizing, an emphasis on achieving a natural feel and appearance, and prevention of complications, such as implant migration and capsular contracture.
Breast implants come in many different types, and they may be placed through different incisions and in different locations. Once you have decided to undergo breast augmentation, there are three main choices to be made: incision location, implant type and size, and whether to place the implants above or below the muscle of the chest wall. The choice of implant type, size, shape, and other features will be determined based on your breast anatomy, body type, and your desired increase in size. Your lifestyle, goals, personal preferences, and sound surgical judgment are also determining factors.
Dr. Agha will thoroughly discuss your options when considering the location of incisions, size of implants, and the exact placement of implants. Such attention to detail will ensure that you are fully satisfied with the end result.
Adult women of any age can benefit greatly from breast enhancement. It is usually recommended, however, that a woman’s breasts are fully developed prior to placement of breast implants.
Average Breast Size and Shape
Breasts come in different sizes depending on the amount of fatty and glandular tissue contained within the breasts. The breast shape is also variable and determined by many factors including genetics, aging, weight fluctuations, and pregnancy. These factors predetermine the volume of the breast fat and glandular tissue, as well as connective tissue.
In the last 15 years, the average bust size has increased from 34B to 36C in the USA. Whether this increase is due to breast augmentation surgeries or related to higher body weights is not known. The chest size is determined by measuring the diameter of the rib cage below the breasts and adding 5. The cup size is a measure of the volume of the breast, and is denoted by the first letters of the alphabet.
A cup- about 8 ounces (238 milliliters)
B cup- about 13 ounces (385 milliliters)
C cup- about 21 ounces (621 milliliters)
D cup- about 27 ounces (800 milliliters)
Breasts are usually asymmetrical. This means that one of a woman’s breast may be a different size or shape than her other breast. Generally, a woman’s left breast is usually a little larger then her right breast. Nipples can be either large or small. They can stick out or be inverted. Inverted nipples are not a problem unless they cause difficulty during nursing. All of these differences are perfectly normal. However, a nipple that previously was not inverted but then became inverted is a warning sign of breast cancer and needs to be brought to the attention of your doctor.
History of Breast Augmentation
The first attempt at surgical breast augmentation was the introduction of fat transplants in the 1920s. Fatty tissue was surgically removed from the abdomen and buttock area and transferred into the breasts. This breast augmentation procedure was unsuccessful because the body would quickly reabsorb the fat, leaving the breasts in a lumpy, asymmetrical condition. The prominent scar that resulted at the removal site also made this breast augmentation approach undesirable so that it was no longer performed by the mid-1940s.
In the 1950s, polyvinyl sponges began to be implanted into the breasts for breast augmentation. Different types of synthetic sponges were also available, but the initial satisfaction with this type of breast augmentation was very temporary. The breast implants were found to shrink and harden within a year, and the removal of the sponges disfigured some women and was impossible for others. Infections, inflamed tissue, and a link between this type of breast augmentation surgery and cancer began to surface.
The first true implants were developed at Dow-Corning Laboratories in 1961. These implants were made from a thick silicone gel that greatly reproduced the look and feel of natural tissue, and the first augmentation surgery took place in 1962. Unfortunately, early silicone gel implants were prone to leakage and breakage, and were linked to a number of negative side effects, including auto-immune deficiencies. After costly lawsuits, silicone breast implants were banned for cosmetic use in 1992, while the FDA gathered information regarding their safety. The only patients who received silicone implants during 1992 to 2006 were reconstructive patients and patients with problems such as capsular contracture and breast asymmetry. Sterile saline implants were developed in response to demands for a safer alternative. While not as natural feeling or looking, many women felt more confident in having saline breast implants in the United States.
Fourteen years after the FDA first put a moratorium on the use of silicone gel breast implants, the FDA finally completed its study of the implants. On November 17, 2006, the FDA ruled that silicone breast implants are safe to return to the market for cosmetic procedures. FDA studies led researchers to conclude that silicone breast implants did not cause any kind of disease. Studies showed that there was no greater incidence of any type of disease in women with silicone breast implants compared to the general female population. At this point, it is fair to say that breast implants are among the most studied medical devices ever, having gone through decades of research in thousands of women.
Nowadays, saline implants are FDA approved for augmentation in women 18 years of age and older. Silicone implants are FDA approved for augmentation in women age 22 and older. Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes.
More about Dr. Siamak Agha
Dr. Siamak Agha is a renowned breast surgeon who is pleased to perform breast augmentation, breast lift, breast reduction and more at his Newport Beach practice in California. In addition, he is a top Newport Beach body contouring surgeon who performs procedures such as abdominoplasty, liposuction and mommy makeover. To learn more, or to schedule a consultation, contact his practice at 949-537-2177.