Breast Augmentation

BREAST AUGMENTATION GALLERY

Am I A Good Candidate for Breast Augmentation?

Dr. Samson, a leading Breast Augmentation Surgeon in Port Orange, has performed thousands of breast augmentations over his lengthy 18 year career as a Board Certified Plastic Surgeon. Breast augmentation surgery increases or restores breast size using silicone gel implants, saline implants or in some cases, fat transfer. One of the most popular and frequently performed aesthetic surgery procedures in Daytona Beach, breast augmentation has a long and successful track record in satisfying women who wish to enhance, regain or restore balance to their figures.

When to Consider Breast Augmentation

  • If you want a better proportioned or more appealing figure
  • If you wish your clothes fit better
  • When pregnancy, weight loss or aging has affected the size and shape of your breasts
  • To restore symmetry if one of your breasts is smaller than the other

Considerations

Pros 

  • Augmentation is a long-term solution for achieving an ideal figure.

  • You will look better in clothes and swimwear.

  • You will have a more youthful-looking figure.

Cons

  • Breast implants require monitoring.

  • Implants will eventually need to be replaced.

  • Normal surgical risks are involved.

Are you a good candidate?

The following are some common reasons why you may want to consider breast augmentation:

  • You believe your breasts are too small for your body.
  • You feel self-conscious wearing a swimsuit or form-fitting or low-cut tops.
  • Clothes that fit your hips are too large at the bust line.
  • Your breasts have become smaller or less firm after you’ve had children.
  • Your breasts have become smaller due to weight loss.
  • One of your breasts is noticeably smaller than the other.

If you are in good health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

How is a breast augmentation procedure performed?

In breast augmentation using implants, Dr. Samson makes an incision, lifts the breast tissue, creates a pocket in the chest/breast area and places an implant in the pocket.

Where will my breast implants be placed?

Multiple factors, including your anatomy and Dr. Samson’s recommendations, will determine how your breast implant is inserted and positioned. The implant is placed in a pocket either:

  • Underneath the pectoral muscle, which is located between the breast tissue and chest wall. (most common)
  • Underneath the breast tissue and on top of the pectoral muscle.
  • Placement of the implant underneath the pectoral muscle may interfere less with mammograms and breast-feeding. 

What are my options?

There have never been more choices for breast augmentation. The following options are available, depending on your medical history, body shape and aesthetic goals.

Saline-filled breast implants are filled with sterile salt water. They may be prefilled at a predetermined size or filled at the time of surgery to allow for minor modifications in implant size.

Structured saline-filled breast implants are filled with sterile salt water, but contain a structure inside so they behave as if filled with soft, elastic silicone gel. This structure enables them to hold their shape better than traditional saline implants. Approved by the FDA and Health Canada in 2014, these implants have been available since 2015.

Silicone gel-filled breast implants are filled with soft, elastic gel and are available in a variety of shapes. All silicone gel breast implants are pre-filled and may require a longer incision for implant placement.

Cohesive gel silicone gel-filled breast implants, also known as “gummy bear” or “form stable” implants, are filled with a cohesive gel, made of crosslinked molecules of silicone, which makes them a bit thicker and firmer than traditional silicone gel implants. This enables them to hold their shape better. Approved by the FDA for use in the United States in 2012, these implants have been available in much of the world since 1992.

Dr. Samson might combine any of these breast augmentation options with a breast lift if there is any sagging or drooping of your breasts.

Your anatomy and health profile as well as your personal preferences will help you and Dr. Samson determine:

  • The best type of surgery for you
  • Your optimal breast size
  • The type of implant and incision location that will best fill your needs.

Factors that influence the size and type of breast augmentation recommended for you include:

  • Your medical history
  • Your goals for breast enhancement
  • Your existing body frame and mass
  • Your existing breast tissue
  • Your preferences related to size and incision placement.

What will my breast augmentation incisions and scars be like?

An incision can be made in a number of places. Most commonly, Dr. Samson places his incisions:

  • Inframammary: Underneath the breast, just above the crease
  • Periareolar: Around the lower edge of the areola (the dark area surrounding the nipple)

Is breast augmentation safe?

It is important for women with breast implants to keep in mind that while breast implants are intended to last your lifetime, replacement may become necessary. After breast implant surgery, you should have periodic follow up appointments with Dr. Samson to monitor your implants.

Silicone gel−filled breast implants have been under scrutiny for years, but after gathering detailed and meticulous research and data, the FDA has approved them for use in cosmetic breast enhancement surgery, finding no link between silicone gel breast implants and connective tissue disease, breast cancer or reproductive problems. In addition, the FDA has approved three companies to develop and market breast implants and continue to collect data on their long-term safety and efficacy. For more information, please see the FDA breast implant information provided on their site.

Surgical techniques for breast augmentation and all breast implants are continually being refined, increasing the safety and reliability of the procedure. 

What you can expect at your initial consultation appointment with Dr. Samson

During your initial consultation, you will have the opportunity to discuss your cosmetic goals. Dr. Samson will evaluate you as a candidate for breast augmentation and clarify what a breast augmentation can do for you. Understanding your goals and medical condition, both alternative and additional treatments may be considered.

You should come to the consultation prepared to discuss your complete medical history. This will include information about:

  • Previous surgeries
  • Past and present medical conditions
  • Allergies and current medications
  • Medical treatments you have received
  • Medications you currently take
  • Family history of breast cancer
  • Current mammogram results

Dr. Samson  will consider:

  • The current size and shape of your breasts.
  • The breast size and shape that you desire.
  • The quality and quantity of your breast tissue.
  • The quality of your skin.
  • The placement of your nipples and areolas.

If your breasts are sagging, a breast lift may be recommended in conjunction with breast augmentation.

If you are planning to lose a significant amount of weight, be sure to tell Dr. Samson. He may recommend that you stabilize your weight before undergoing surgery.

If you think that you may want to become pregnant in the future, discuss this with Dr. Samson. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask Dr. Samson. 

Questions for Dr. Samson: 

To help you make the most informed and intelligent decisions about your procedure, here are some recommended questions to discuss with Dr. Samson at your initial consultation. 

It is important for you to take an active role in your surgery, so please use this list of questions as a starting point for your initial consultation:

  • Am I a good candidate for breast enhancement or enlargement?
  • Are the results I am seeking reasonable and realistic?
  • Do you have before-and-after photos I can look at for the procedure I am undergoing? (you can look on our website in the photo gallery for before and after pictures) 
  • Do I need a breast lift with the breast augmentation?
  • In my case, will the breast implants be placed beneath the breast tissue or beneath the pectoral muscle?
  • Will my scars be visible? Where will my scars be located?
  • What type of implants do you recommend for me?
  • What kind of anesthesia do you recommend for me?
  • What will be the costs associated with my surgery?
  • What will you expect of me to get the best results?
  • What kind of recovery period can I expect and when can I resume normal activities?
  • How many additional implant-related operations can I expect over my lifetime?
  • How can I expect my implanted breasts to look over time? After pregnancy? After breast-feeding?
  • What are the risks and complications associated with my procedure?
  • How are complications handled?
  • How will my breasts look if I choose to have the implants removed in the future and not have them replaced?

How do I prepare for a breast augmentation procedure?

Dr. Samson will provide thorough preoperative instructions, answer any questions you may have, take a detailed medical history and perform a physical exam to determine your fitness for surgery.

To help detect and track any changes in your breast tissue, Dr. Samson may recommend:

  • A baseline mammogram before surgery
  • Another mammogram a few months after surgery

In advance of your procedure, Dr. Samson will ask you to:

  • Stop smoking at least six weeks before undergoing surgery to better promote healing.
  • Avoid taking aspirin and certain anti-inflammatory drugs that can increase bleeding.
  • Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery.

Breast augmentation is usually performed on an outpatient basis. Be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.

What can I expect on the day of breast augmentation surgery?

Your breast augmentation surgery will be performed at our state of the art facility, the Surgery Center of Volusia, where Dr. Samson’s office is also located. Most breast augmentation procedures take 1-2 hours, longer if a breast lift is included in the surgery plan. 

  • Medications are administered for your comfort during the surgical procedure.
  • General anesthesia is commonly used during your breast augmentation procedure.
  • For your safety during the surgery, various monitors will be used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.
  • After your procedure is completed, you will be taken into a recovery area, where you will continue to be closely monitored.

Breast implants
Following insertion and placement of breast implants, Dr. Samson will use sutures to close the surgical incisions. A sports bra will be needed for support.  Occasionally, drainage tubes may be used for a short time following surgery.

Immediately after breast augmentation surgery
After your breast augmentation procedure, you may be placed in a surgical dressing that can include a support bra or garment.

Breast augmentation surgery stretches the breast tissue and can be painful—especially when implants have been placed under the chest muscle. Typically, the most pain is experienced within the first 48 hours after breast augmentation surgery. Your level of pain will typically decrease each day and may be effectively treated with various pain medications.

Your breasts may feel tight and sensitive to the touch and your skin may feel warm or itchy. 

Some discoloration and swelling will occur initially, but this will disappear quickly. Most residual swelling will resolve within a month.

When the anesthesia wears off, you may have some pain. If the pain is extreme or long-lasting, contact Dr. Samson. You will also have some redness and swelling after the surgery. If you have any concerns, call Dr. Samson to find out if your pain, redness and swelling is normal or a sign of a problem.

Recovery time frame after breast augmentation
You should be able to walk without assistance immediately after breast augmentation surgery. It is very important that you walk a few minutes every few hours to reduce the risk of blood clot formation in your legs.

It is vitally important that you follow all patient care instructions provided by Dr. Samson. This will include information about wearing compression garments, care of your drains, taking an antibiotic if prescribed and the level and type of activity that is safe. Dr. Samson will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.

The first week

  • For two to five days, you may feel stiff and sore in your chest region.
  • Any surgical dressings will be removed within several days. You may be instructed to wear a support bra.
  • You will be permitted to shower after surgery, usually Dr. Samson allows patients to shower the night of.
  • If you have external sutures, they will be removed in about a week. 
  • You may be able to return to work within a few days to a week, depending on the nature of your job.
  • You should refrain from lifting, pulling or pushing anything that causes pain and limit strenuous activity or upper body twisting if this causes discomfort. Be mindful carrying groceries (only very light bags, no jugs of milk) and be careful caring for/no lifting of children and pets until cleared by Dr. Samson. 

Two to six weeks
You should minimize excessive physical activity for at least the first couple of weeks after surgery. After that, take care to be extremely gentle with your breasts for at least the next month. Intimate contact will be guided by your comfort.

Long-term
Following breast augmentation, you should continue to perform breast self-examination and keep your follow up appointments with Dr. Samson.

Risks

As with any surgery, there are some risks involved with breast augmentation. These include:

  • Capsular contracture
  • Imperfection
  • Implant wrinkling or rippling
  • Implant rupture

Costs

At the end of your complimentary consultation with Dr. Samson, you will be given a quote for your breast augmentation surgery. 

Combined Procedures

Dr. Samson also offer procedures that are commonly performed in combination with a breast augmentation, including tummy tuck, liposuction, and breast lift surgery

If you are interested in these or breast augmentation or cosmetic surgery procedures in Daytona Beach, schedule a consultation with Dr. Samson today by calling 386-756-9400 or fill out our contact form.