What is Breast Augmentation?
Breast augmentation, also known as breast enlargement, is one of Dr. Phillip Dahan’s most popular surgical procedure performed at his office in Reno. Breast augmentation is performed to improve and enhance the size of your breasts with silicone or saline implants. Dr. Phillip Dahan has performed over a thousand breast implant procedures on patients from all over the world.
Candidates for Breast Augmentation Surgery
Breast augmentation is performed on women who wish to enlarge the size of their breasts, enhance the shape and increase projection. Some women have developed sagging or drooping (ptosis) of the breasts and may require a breast lift at the same time as their breast augmentation surgery as breast implants do not lift the breast.
In the United States, both silicone and saline breast implants are FDA-approved. Women must be at least 18 years of age to receive saline breast implants and 22 years of age to receive silicone breast implants. Currently, silicone breast implants are more popular than saline as they appear and feel more natural, ripple much less, are more comfortable and tend to last longer. Both types of breast implants come in many different sizes and certain shapes. Using only the best breast implants, Dr. Dahan can modestly, moderately or significantly increase your breast size, shape and projection.
Benefits of Breast Augmentation
- Improved breast size, shape, projection and symmetry
- More feminine appearance
- Improved confidence and self-esteem
- Balanced body proportion
- Improved clothing fit and options
Breast Augmentation Procedure
Initial breast augmentation surgery is performed in an outpatient surgery center under general anesthesia. The operation takes Dr. Dahan approximately 45 minutes to one hour to complete. On average, Dr. Dahan will make a 1-inch incision for placement of saline breast implants and approximately 1-1/2 to 2-inch incision for silicone implants. Dr. Dahan is one of a few plastic surgeons with extensive experience in placing all sizes of silicone breast implants through the periareolar incision. The submuscular or subglandular pocket is made avoiding injury to nipple innervation and the nipple ducts to preserve nipple sensation and the ability to nurse. The pocket receiving the implant is very meticulously created to accurately position the implant and the implant is placed gently through the incision to achieve your desired result.
Please note that Dr. Dahan is the only one permitted in his operating room to actually come in contact with the implants providing the most sterile and gentle handling of the implants. Dr. Dahan always sits the patient up during surgery to ensure the best symmetry and position of the implants. He is also well known for being extremely precise and will observe the breasts from every angle prior to closing the incision. At the end of the procedure, the incisions are closed with sutures resulting in minimal scar followed by sterile tapes and a comfortable supportive dressing. Most patients return home within 1-2 hours after surgery. Pain medication, antibiotics, and anti-nausea medication prescribed ensure that you experience an easy and uneventful recovery after surgery.
*Individual results may vary
I am one week post op from a breast augmentation and am already very very happy with his work. I was going for more natural and elegant look. He gave me EXACTLY what I asked for and went above and beyond surgically to make sure they they turned out perfect (many other doctors may have not pointed out the need for it or wouldn’t have taken it into consideration which may have caused me problems in the future requiring extra work). I could not have asked for more from him. Dr. Dahan is very personable and compassionate. I highly recommend him! *
Breast augmentation is an elective cosmetic procedure which should be done for personal reasons. Before making that choice, you should do some research to learn about the operation, implants, risks, benefits and expected outcomes. It is important that you have realistic expectations and understand that your results may change over time with aging, pregnancy, nursing and weight fluctuations. The most common reason for breast augmentation surgery is dissatisfaction with small breast size. The majority of women also have some degree of breast asymmetry which may also improve with breast augmentation surgery. Breast augmentation is also commonly performed in women who wish to restore breast fullness after weight loss, pregnancy and nursing.
Choosing the right size for breast implants
Once you have decided to undergo breast augmentation surgery, Dr. Dahan will help you decide which type, shape and size of implant will be best suited for your needs. Dr. Dahan has a great new breast implant sizing system which is very accurate and easy to use. During your consultation with Dr. Dahan, he will answer all of your questions and thoroughly educate you about the procedure. Dr. Dahan will also examine your breasts to accurately determine the size, consistency and skin quality of the breasts making sure that you don’t have any concerning masses or lesions. It is recommended that patients 40 years of age and older have a mammogram within one year prior to surgery.
Breast Implant Placement
Dr. Dahan recommends that both silicone and saline breast implants be placed in the partial submuscular position (dual plane technique) which has been demonstrated to offer the best results. These patients experience fewer irregularities such as rippling, unnatural implant shape, capsular contracture (hardening) and less sagging. Some patients, however, may be good candidates for placement of the implants above the muscle and under the breast tissue or subglandular.
Breast Implant Incisions
Dr. Dahan also recommends the periareolar incision (below the nipple) in the majority of his patients since it has minimal tension and results in the best and most inconspicuous scar. Most of the scars become almost invisible. The added benefit of a periareolar incision and partial submuscular implant is the presence of the muscle between the implant and incision. This offers added protection to the implant preventing infection and capsular contracture. Only the most skilled of plastic surgeons use the periareolar incision to place silicone implants. Other incisions include inframammary (under the breast) and transaxillary (armpit).
The inframammary incision tends to be more noticeable and less inconspicuous as it has more tension than the periareolar incision and does not benefit from muscle between the implant and the incision. The inframammary incision may also limit your choices in bikini tops as the scar may be noticeable.
The transaxillary incision is less conspicuous but limits the size of implant that may be placed under the muscle. It also tends to be more painful and may lengthen your recovery.
Breast augmentation with silicone breast implants tends to result in less discomfort and patients experience a quicker recovery than with saline implants. Since silicone implants are more supple than saline implants, they tend to be more comfortable. Patients requiring smaller breast implants also experience less discomfort than with larger implants.
How long do breast implants last?
Unfortunately, both silicone and saline breast implants do not last forever and will likely require an exchange within your lifetime. Fortunately, Dr. Dahan is very skilled at performing breast implant exchanges under IV sedation and local anesthesia instead of general anesthesia allowing you to return to your work, school and other activities the next day. All current breast implants have manufacturer lifetime warrantees which provide you with free replacement implants if they were to leak or rupture. If this was to occur within 10 years of breast augmentation surgery, current manufacturer warrantees will reimburse you up to $2400 for saline implants and up to $3500 for silicone implants.
Recovery after Breast Surgery
The majority of Dr. Dahan’s breast augmentation surgery patients are walking around and doing well after surgery. You will return to his office one day after surgery for Dr. Dahan to remove your dressing and gently demonstrate breast massage techniques to relax the muscle and help settle the implants. Early postoperative breast massage has been shown to significantly reduce the risk of capsular contracture (hardening) and decrease discomfort allowing the patient to return to normal activities in a shorter period of time. The breasts will be placed in a lighter dressing which may be removed the next day when you may shower. Thereafter, you will wear a soft supportive bra for comfort. Most of Dr. Dahan’s patients discontinue their pain medication approximately 2-4 days after surgery and return to school or work approximately 3-5 days after surgery. Sutures are painlessly removed one week after surgery and you may return to normal activities and exercise 2-3 weeks after surgery.
Steps to ensure a full recovery
Beyond the initial recovery period, there are steps you should follow to ensure the best outcome. Dr. Dahan recommends daily gentle massage of the breast implants to maintain excellent suppleness and symmetry. You should also perform monthly breast self-examinations and annual mammograms (40 years of age and older). Do not hesitate to contact Dr. Dahan if you experience an event where you suspect that your breast implants may be damaged, leaking or ruptured. Currently, MRI is the most specific and sensitive radiologic study available to determine the integrity of your implants.
You should also contact Dr. Dahan if you are concerned about infection or changes in the breast skin and/or nipple. Antibiotic prophylaxis is recommended if you are undergoing dental cleaning or procedures within the first year after breast augmentation surgery. You should seek medical attention if you develop any type of bacterial infection as there is a chance that your implants may become infected. Over 99% of Dr. Dahan’s breast augmentation patients experience normal nipple sensation and supple breast implants without capsular contracture with either silicone or saline implants. Dr. Dahan has never had a cosmetic breast implant infection in any of his patients.