Oklahoma City plastic surgeon, Dr. Erik Nuveen, offers breast augmentation surgery for women desiring larger breasts. This surgery, also referred to as breast enlargement surgery, is a procedure that places implants within the breasts to make them appear larger. It is also performed for patients who have had a mastectomy (the surgical removal of a breast) to reconstruct the chest. Ideal candidates for this procedure are those who desire a fuller, shapelier breast. Implants come in silicone shells, which may be filled with either a saline solution or silicone gel, and can vary in shape, size and texture. There may also be cases when patients desire a natural filler and consider a fat transfer instead of artificial implants.
Breast Augmentation Reviews
"I love CSA! My first surgery was something I had wanted for a long time, a breast augmentation. I was extremely nervous because I had never had any type of surgery before, but Dr. Nuveen and his staff were right there to help every step of the way! Most recently, I have gotten laser hair removal with Melissa and even though I have only went through two sessions with her so far, I can already see results! Melissa is very easy to talk to and is very concerned about how my body is doing with the procedure; I could not be any happier with her and this company as a whole!"- K. / Google / Feb 07, 2015
"Dr. Nuveen and his staff far exceeded my expectations! I had my breast augmentation at 8AM, and at 8PM, Dr. Nuveen called my caregiver to check in on me and see how I was doing. From his own personal cell phone, after hours, might I add! What other doctor have you heard does that?!! Hannah was more than helpful in answering every single little question I had. By the time it was my surgery day, I was not even nervous! They did such an amazing job preparing me in what to expect and how single and sufficient the process would be! I would do it all over again today if needed! I will be back for any other procedures I may desire in the future! Thank you so much to Dr. Nuveen & all your staff for making this experience wonderful!"- E.N. / Google / Apr 07, 2015
"I had a breast augmentation and lift by Dr. Nuveen a few years ago, so when I decided to look into Exilis Elite I was thrilled to see that they offered it at his office. I couldn't be more pleased with my results and the friendly service of the staff. They are highly professional and genuinely care about their patients and their results (Melissa the laser tech was awesome!). I would recommend them over and over again to anyone who is looking into cosmetic surgery and non invasive procedures. "- B.E. / Google / May 07, 2015
"Had a breast augmentation last June! I'm totally satisfied! I'm actually saving to get bigger implants (Dr said I would probably want to go bigger!!) I should have listened!!! Oh well at least I know what I'm getting into and can't wait!!!!!"- T.L. / Yelp / May 29, 2015
"Dr. Nuveen gave me amazing results with my breast augmentation. Every time I came in for a visit, consultation or follow up exam he has always been there with a smile ready to make sure I'm informed and happy with my results. The staff of nurses are just as amazing as Nuveen himself. They are a great group and made me feel so comfortable. I truly appreciate the whole CSA staff. And I LOVE my new breasts!!!!"- Google User / Google / Dec 08, 2010
Saline vs Silicone @headingTag>
Saline Breast Implants@headingTag>
Saline implants have always remained a positive choice for patients when deciding what type of implant to use for breast augmentation. Because these implants are filled with a sterile saltwater solution, any potential leakage does not pose a threat as the solution is safely absorbed by the body. Saline implants also cost less than the silicone type. One of the disadvantages of saline implants is that in some cases, rippling can appear. This is especially something to consider for women who are thin and have low breast tissue. Those who opt for this type of implant must be at least 18 years old.
Silicone Breast Implants@headingTag>
Silicone breast implants are very popular today and are highly recommended by surgeons for patients who are thin and desire a natural look. Since the FDA validated their safety and efficacy, safety concerns surrounding these implants are today almost no different than that of saline. The silicone shell is prefilled with silicone gel and comes in different sizes, shapes and textures. Unlike saline implants in which leakage is absorbed by the body and implant volume appears visibly flat, it is difficult to tell when a silicone implant ruptures. An MRI is required to detect any rupture. Patients considering silicone implants must be at least 22 years old.
There are several manufacturers approved by the FDA.
- Natrelle by Allergen – silicone and saline-based implants
- Mentor – silicone and saline-based implants
- Sientra – silicone-based implants
Breast implants come in a variety of different profiles. The selection is based on how enhanced the breasts’ projection would be, as well as how wide the implant will be on the chest wall in relation to the base width. Since the silicone implants are already pre-filled, the standard profiles come in low, moderate, high and extra high. Saline implants, however, come in variants that are either prefilled; or, the silicone shell is inserted then filled with saline solution up to the patient’s preferred profile. Choosing the right profile can sometimes be a difficult decision and it is up to a skilled surgeon to help guide the patient accordingly. High profile breast implants will have greater projection, but less width on each side, whereas a moderate profile, for example, will not have as much projection, but will be broader.
The standard shape of a breast implant can either be rounded or tear-shaped. Each shape serves a different aesthetic function as it pertains to the patient’s goals. Rounded implants produce a shapelier curve on the top portion of the breast. The teardrop implants are shaped to copy the natural appearance of the breast, so they will not appear as high.
Implants are made with either a smooth or a textured surface. In general, smooth implants cost less and are more common. The textured implants were initially conceived out of the idea that it reduces the chances of capsular contracture (the constriction of scar tissue around the implant) although there is no valid claim to this. The textured type is more common with the teardrop shape as the rough texture adheres to tissues helping the implant stay in place.
The two most common placements are on top of the chest muscle or under it. When the implant is placed under the muscle, a pocket is created within the pectoralis major muscle. A pocket is also created if it is placed in front of the muscle, but many surgeons do prefer the submuscular approach (behind the muscle). This helps to keep the implant in place for a longer period of time and takes into consideration factors such as implant size, weight, gravity, and time. Placing the implant behind the muscle also provides a natural look and provides the implant with the long-term support it needs to stay in position.
There are several standard incision approaches for breast implants. The most common is known as an inframammary incision, which is an incision near the breast fold. Second, is an incision made under the areola, which is known as a periareolar incision. A third option is to place the incision within the armpit, known as a transaxillary approach. There is also an incision approach that takes place around the belly button, but this is the least recommended way. It is up to the patient’s desires and surgeon recommendation as to what approach is best to take. Scarring is also discussed at this time with each method.
Plan Your Procedure
- Procedure Recovery Location
Breast augmentation is an outpatient procedure that may last from an hour to several hours. It is performed using general anesthesia in an accredited surgical facility. All activities must be limited within 48 hours after surgery. There will be bruising and swelling, and a compression support bra will also be worn to help in healing. It is normal to feel tightness around the chest area as the skin adjusts to the breast’s new shape. Most patients can resume normal activities within 7 days; exercise should be avoided for 4-6 weeks. It takes approximately 6 months for the breasts to look, feel and function normally in regards to softness, sensation and final placement.
Breast augmentation surgery will vary in cost depending on which type of implant is used. The average fee for implants run between $3,610 and $5,600 depending on the implant selected.
Breast Augmentation FAQs@headingTag>
Natural or Artificial?@headingTag>
This depends on the patient’s breast make up. Those who opt for implants may choose between saline or silicone as each has its own advantages. Generally, patients who have low breast tissue will benefit from silicone implants; otherwise, saline implants are recommended. For fat transfer, the advantage is that it poses less risk since there is no introduction of foreign material in the body. However, the results do not last long compared to artificial implants as fat can be reabsorbed by the body.
Negative notions about silicone started back in the early 90s when there were cases of leakage and complications. With today’s advancements in engineering, the silicone-based shells are made durable and safe, and have been proven so by the FDA. Today, in fact, silicone is more preferred than saline since they last longer and feel more natural. The rates of reported complications have significantly decreased in the last decade.
Implant or Lift?@headingTag>
Breast augmentation is a cosmetic procedure designed to enlarge breasts while a breast lift is designed to tighten the loose skin of a droopy breast. Both resolve different breast issues. There are cases that the procedures are simultaneously done when it is agreed that a breast lift with augmentation is necessary.
Today’s silicone implants are strong, durable and safe. Technical advancements have come so far, that even if a silicone implant does rupture, the shell of the implant will keep the silicone gel encased and protected from entering the body. In a rare case that a silicone implant does rupture, an MRI will be needed to detect the rupture. This is the main reason why MRI checks are recommended 3 years after surgery and every 2 years succeeding the first MRI.
Implants may last up to 15 years. As long as the implant shows no signs of damage or visible defects, such as breast rippling or a deformity, replacing them is not necessary. What’s necessary, however, is a periodic check of the implants to make sure that they are still intact.