About Breast Augmentation
Breast augmentation aims to surgically increase breast size using implants. Although fat can be used, it has some limitations and implants are the predominant method for achieving optimal breast enlargement. Augmentation can be done to enlarge small breasts, fill in breast volume lost after pregnancy and childbirth, or correct existing asymmetry. If you are interested in receiving a breast augmentation, call Solomon Plastic Surgery in Dallas, TX to set up a private consultation with board-certified plastic surgeon Dr. Matthias Solomon.
Breast Augmentation Reviews
"Dr. Solomon is, quite literally, the most amazing doctor I have ever met. I had been considering breast augmentation for many years now. After tons of research, I found Dr. Solomon. I emailed his office, looking for more information, expecting to get a generic form email back. Nope, he emailed me back, personally! He answered my questions, via email, and promised that his nurse would contact me first thing the following Monday. She called me promptly that Monday morning to set up a consultation. She was warm and professional. Upon meeting Dr. Solomon, I knew immediately that I had made the right decision. Very warm, kind, professional and intelligent. Fabulous bedside manner. I felt like he was actually listening to what I was saying. The day of surgery, I was very nervous, and he comforted me greatly. He called me, personally, later that evening, to check on me. Amazing! The results of the surgery are absolutely stunning. I couldn't have asked for a better surgeon. Thank you, Dr. Solomon and staff!"- S.V. / Google / Jun 10, 2017
"Had a breast augmentation by Dr. Solomon! He made my experience absolutely amazing! Was very pleased with the outcome but even more pleased with the service and care that I received from Dr. Solomon and his staff! After my procedure I received a phone call from Dr. Solomon himself to check on me. I would highly recommend him and his staff if you are looking for any cosmetic procedures. Wonderful surgeon and staff!"- K.H. / Google / Mar 13, 2018
"I had met with several surgeons before deciding to go with Dr Solomon. He is very informative and does not give unrealistic expectations. I told him what I wanted and got exactly that. Also, his staff is the best I have encountered!! They are so nice and have answered any question or concerns I may have. They have worked with me and my work schedule to get my pre and post op appointments scheduled appropriately. Hands down the best in the area!!"- B.C. / Google / Jul 20, 2018
"Exacting physician, wonderful results - Outstanding experience with Dr. Solomon and his office staff. It is apparent that Dr. Solomon has exacting standards. I felt confidence in his skills from the initial consultation to my final visit. The results of the surgery are amazing. Highly recommend Dr. Solomon for breast augmentation procedures."- P. / RealSelf / Oct 18, 2016
"I am so glad that we chose Dr. Solomon and let me tell you why. This was my 2nd breast augmentation revision. My first augmentation 7 years ago was botched. I waited a year then had my first revision, which fixed the placement of the implants but also created additional issues. I was too large (600cc) and this stretched my areolas. When I was finally ready to try again, my fiance and I consulted with 3 plastic surgeons prior to Dr. Solomon. Two of which I had personal knowledge of their work either by myself or good friends. We wanted to get multiple opinions on how to fix it once and for good. The problem with that is they all had different ideas, not one agreed with the other. So I was left trying to decide who to trust and not really liking what any of them had to say. Then my fiance told me to pick just one more doctor to consult with. I googled best plastic surgeons in North Texas and Dr. Solomon was listed and I was excited to see that he had a local office as well. Although, we chose to see him in his Dallas office because of the availability. His staff is wonderful, Candace and Allison are very friendly and knowledgeable. Always made me feel comfortable and addressed any questions I had either by email or phone call. During the consult with Dr. Solomon, we were blown away with his attention to detail and his ability to answer the questions we had before we asked them. He was very interested in what I wanted and listened to my concerns about past and future problems and addressed any concerns my fiance had. After talking to him we knew he was the one that we wanted to do my implant replacement with a lift and tummy tuck. I felt so relieved and comfortable with my decision and my fiance felt the same. He was honest and told us that it wasn't an easy procedure given everything that I had been through and that I would need some minor procedures prior to my surgery, which was all done in his office. Each time we visited I was reassured that I had made the right choice. He is truly an artist and an amazing surgeon. I was nervous but had no doubts regarding his ability to finally give me the body I wanted 7 years ago and he did. I am so pleased with the results and my fiance loves that he was able to give me this gift. I was able to see Dr. Solomon is the local office for all my post of appointments which made it quick and easy. I am 6 weeks post op and most of my swelling and tenderness is gone. I didn't have any complications after surgery and my recovery was better than I could've hoped for. My breasts are beautiful (320cc) and my abdomen has never looked better. So grateful to Dr. Solomon for listening to me and using his talent and skills to make it happen. Thank you!"- T.P. / Google / Nov 27, 2018
Saline vs. Gel Implants
Gel implants feel more natural and are typically preferred by most women. In the past, older gels resembled thick oil and if the outer membrane holding the gel in place had a tear, the gel would leak into the breast pocket. However, medical studies have not found an increase in the incidence of an autoimmune disease even with leaked gel implants. Today, newer gel implants are more cohesive and even with a tear in the outer membrane, it is not supposed to leak or flow out. Gels also have less rippling and are more durable.
Saline implants feel less natural and can ripple more. However, advantages include the ability to place them through smaller incisions, the possibility of varying the filling volume during placement (adjustability), and a clear indication if an implant has ruptured. When ruptured, the saline is absorbed and the affected side is smaller. It is frequently perceived as the safer alternative. The FDA recommends an MRI screening every few years with gel, but not for saline implants.
Breast augmentation is performed under general anesthesia in an accredited surgical facility and typically takes about two hours. It can be done using various approaches which includes placing the incision in the fold under the breast, the armpit, the margin of the areola, or the belly button. Using one of these incision approaches, Dr. Solomon will make a pocket (space) to place the implant. The creation of an ideal pocket will aid in optimal augmentation results. For this reason, the incision is usually placed in the fold under the breast so the pocket can be made more accurately.
Implants can be placed below the muscle (submuscular) or on top of the muscle (subglandular). Each have its own advantages and drawbacks.
Submuscular: Implants are placed under the muscle for various reasons. The muscle supports the implant with a lower chance of breast tissue thinning and sagging with time. Mammogram interpretation is also easier as the implant is beneath the muscle. In addition, there is a lower chance of long-term scar tissue formation and visible implant ripples. Submuscular placement also prevents an abrupt transition of the implant over the upper part of the breast to give a more natural appearance.
Subglandular: Implants take less operative time, are less painful, and may be ideal for athletic women who need to use the pectoralis muscles. However, there is less support, which means there is a greater chance of tissue thinning and sagging.
What to Expect
Although breast augmentation is a surgical procedure, patients will be able to go home the same day after about several hours of monitoring and will be given post-operative care instructions. Typically, patients will experience swelling, bruising, and muscle stiffness after their procedure but these symptoms will subside in time. Generally, patients can return to work after about 3 – 5 days, but strenuous activity should be restricted for 4 – 6 weeks. Dr. Solomon does not use ACE wraps or compressive garments after the procedure, as he likes the implants to settle down naturally in the first few weeks after surgery without any straps to push the implants down.
Although breast augmentation can provide a small amount of lift, most women with saggy breasts may need a lift in addition to implants. Sometimes, larger implants can be placed to produce a greater lift in order to avoid a mastopexy (breast lift), but this strategy is a short-term approach that may lead to long-term issues.
Although current implants are very durable, rupture can occur at any time (especially with age) and will require a surgical change of implants. Long-term complications are often unrelated to the surgeon or the initial implant surgery. These include capsular contracture, implant rupture, changes in breast tissue secondary to the weight of the implants, and natural aging of the breast over the implant. These changes require surgical intervention that is not typically covered by insurance. Patients who are considering a breast augmentation surgery should have realistic expectations and should consider these financial implications.
Every woman is built differently and some have breasts that are placed wider apart. Although modern techniques can create the appearance of the breasts being closer with a natural result, anatomical constraints may not allow the creation of an ideal cleavage in such persons. There is no standardization of breast cup sizes — different bra companies vary in their cup sizes. Although it is possible to achieve the preferred cup size with the placement of a certain size implant in a given person, this is only an approximation.
Plan Your Procedure
If you are unhappy with your breast size and shape, call Solomon Plastic Surgery in Dallas, TX today. We can help you achieve that full, sexy look that you desire and discuss the pros and cons of saline vs. gel implants to see which option is best for you.