Breast Augmentation / Breast Implants

Genetic predisposition on where fat is stored, as well as changes in the breasts after pregnancies and breastfeeding may be reasons that women had breast augmentation surgery with implants.

Sometimes, women had implants placed to try to improve Poland's syndrome or tuberous breast disorder. Implant companies may cover using your own fat for reconstruction in patients with congenital breast disorders, like Poland's syndrome and tuberous breast disorder.

The average lifespan of an implant is ten years. The body reacts to a foreign body (implant) by making scar tissue around the implant, which may cause rippling, depressions, and implant position changes. Insurance companies do not cover cosmetic breast augmentation.

Saline implants

A bag made of a silicone shell filled with saline.

Silicone implants

A bag made of a silicone shell filled with cohesive silicone gel. Silicone implants require monitoring with a magnetic resonance imaging test for rupture. Insurance companies usually do not cover this MRI if the implant was placed for cosmetic reasons.

The following photograph is of a woman that had bilateral cosmetic breast augmentation with implants. She had failure of the left implant, that was removed due to an infection, resulting in a scarred down left breast. The patient presented to Dr. Vasile with a goal of restoring the left breast with the most natural reconstruction, using her own fat. She also wanted the right implant removed from her body.

Below is the preoperative photo.

Below is a postoperative photograph 3 months after reconstruction of the left breast with a DIEP flap, removal of the right breast implant and placement of a right breast DIEP flap. The abdominal scar will fade more at 1 year, and is cosmetically similar to a tummy tuck (abdominoplasty).

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