Breast Augmentation in Cleveland, Ohio
Dr. Medalie is an expert in breast augmentation and enhancement.Breast augmentation with implants is a very popular procedure for women and among the most commonly performed cosmetic surgery procedures. Either a silicone or saline-filled implant is placed under the breast tissue or beneath the chest wall muscle. After surgery, breasts will appear fuller and more shapely in contour. Incisions can be placed in the armpit, around the areola, or under the breast. Sometimes a patient’s fat can be injected (autologous fat transfer) into the breast to provide smaller changes in superior or medial fullness. Dr. Medalie typically performs breast augmentation and enhancement as an outpatient procedure in Cleveland, Ohio. When you schedule a breast augmentation consultation with Dr. Medalie, he will go over the procedure in depth, show you numerous patient pictures and let you feel the different types of implants to get an idea of what is the best fit for your body.
A breast augmentation procedure includes the following steps:
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. Dr. Medalie prefers light general anesthesia with the patient breathing fully on her own.
Step 2 – The incision
Incisions are made in inconspicuous areas to minimize visible scarring.We will discuss which incision options are appropriate for your desired outcome. Incision options include: along the areolar edge (peri-areolar incision), the fold under the breast (inframammary fold) and in the armpit (axillary incision). I prefer the IM fold approach because recent literature suggests that it is associated with a lower incidence of capsular contracture. Ths incision for a silicone implant is by necessity larger than one for a saline implant because the silicone implant is pre-filled and the saline implant starts empty.
Incisions vary based on the type of breast implant, degree of enlargement desired, your particular anatomy and patient-surgeon preference.
Step 3 – Inserting and placing the breast implant
After the incision is made, a breast implant is inserted into a pocket either:
A. Under the pectoral muscle (a submuscular placement)
B. Directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement)
C. Dual-plane which is partly under the muscle (in the upper pole) and partly under the breast (lower pole). This procedure is more frequently used in women who have had children and have some droop to their breasts.
The method for inserting and positioning breast implants depends on the type of implant, degree of enlargement desired, your body type and your surgeon’s recommendations.
Step 4 – Closing the incisions
Incisions are closed with layered sutures (that dissolve) in the breast tissue and with sutures, skin adhesive and surgical tape to close the skin.
Over time the incision lines will fade. The quality of scar depends on many things, including your genetics, exposure of your body to nicotine and infection.
Step 5 – See the results
The results of breast augmentation are immediately visible. Typically they start high and then over time settle to a lower and more natural appearance. I usually tell patients that what they see is not what they get until 3 months after the surgery.
*Plastic surgery results can vary from patient to patient and are not guaranteed
- Breast Implant Safety
- Mentor Corporation Website and Implant Information
- Allergan Corporation Website and Implant Information
- FDA Breast Implant Safety Information
- The Rice Test- an easy way to test implant sizes at home!
- Dr. Medalie is a featured contributor on Breast Implants on RealSelf.