Breast Enhancement

WEBVTT 00:00:06.130 --> 00:00:09.591 People often ask what their options are for breast enhancement. 00:00:09.883 --> 00:00:13.053 There are actually several different types of treatments that are available 00:00:13.136 --> 00:00:15.346 depending on what the goal is for the breast. 00:00:15.683 --> 00:00:18.104 Breast augmentation can involve placing an implant, 00:00:18.187 --> 00:00:20.112 which is typically a silicone device 00:00:20.195 --> 00:00:22.269 that is either filled with a silicone shell 00:00:22.352 --> 00:00:25.605 or saline, which is saltwater, placed underneath the breast tissue 00:00:25.688 --> 00:00:28.720 or the muscle to help improve the shape and increase projection 00:00:28.803 --> 00:00:30.484 and overall volume of the breast. 00:00:30.683 --> 00:00:35.154 Other options include doing liposuction elsewhere on the body where fat is removed 00:00:35.238 --> 00:00:39.000 and then taking that fat and injecting it into the breast to create a volume 00:00:39.083 --> 00:00:41.034 enhancement with your own fat. 00:00:41.493 --> 00:00:43.862 Lastly, if somebody has enough of their own breast tissue, 00:00:43.953 --> 00:00:46.210 but maybe their breast tissue is a little bit long 00:00:46.293 --> 00:00:47.331 and their breasts sit low, 00:00:47.745 --> 00:00:50.068 I can sometimes rearrange the architecture of the breast 00:00:50.167 --> 00:00:51.880 to do something called an auto augmentation, 00:00:51.963 --> 00:00:53.891 where I'm actually using your own breast tissue 00:00:54.091 --> 00:00:56.297 and just putting it in places that you would rather have it 00:00:56.505 --> 00:00:58.465 to restore upper pole volume in the breast. 00:00:59.123 --> 00:01:01.343 The ideal patient for a breast augmentation 00:01:01.551 --> 00:01:04.887 and no other ancillary procedure ike a breast lift or a reduction 00:01:04.971 --> 00:01:06.722 is somebody who otherwise has 00:01:07.000 --> 00:01:09.641 an overall pleasing shape to their breast where they're satisfied 00:01:09.725 --> 00:01:11.059 with the positioning of their nipple, 00:01:11.143 --> 00:01:13.436 and they just want to increase the volume of their breast. 00:01:13.770 --> 00:01:15.480 As far as different choices of implants, 00:01:15.563 --> 00:01:19.680 implants come in a wide variety of styles and structures. 00:01:20.108 --> 00:01:24.696 The global two flavors of a breast implants are saline and silicone. 00:01:24.779 --> 00:01:27.000 Both of these implants have an outer silicone shell. 00:01:27.239 --> 00:01:29.317 Saline implants are filled with saltwater. 00:01:29.400 --> 00:01:31.600 Silicone implants are filled with a silicone gel. 00:01:32.160 --> 00:01:33.786 In the world of silicone implants, 00:01:33.870 --> 00:01:36.163 there are all different types of silicone gel fillings, 00:01:36.247 --> 00:01:40.667 and depending on which type of implant you go with by way of brand and style, 00:01:40.867 --> 00:01:43.480 can actually impact your long-term safety profile 00:01:43.563 --> 00:01:44.754 as well as your outcome. 00:01:45.379 --> 00:01:48.520 On the saline implant side, there are classic saline implants, 00:01:48.603 --> 00:01:51.344 which is just essentially a silicone water balloon, 00:01:51.676 --> 00:01:55.178 and there are different saline implants that actually have different chambers 00:01:55.263 --> 00:01:56.889 to help it feel a bit more natural, 00:01:57.136 --> 00:01:59.117 and that may also be an option for most patients. 00:01:59.475 --> 00:02:02.840 Most important thing to do is seek a consultation with an experienced surgeon 00:02:03.144 --> 00:02:05.813 who can help guide you through the decision-making process to this regard. 00:02:06.355 --> 00:02:08.640 When it comes to selecting a breast augmentation surgeon, 00:02:08.723 --> 00:02:10.234 if it's something that you're interested in, 00:02:10.484 --> 00:02:13.720 I would highly recommend that you find a board-certified plastic surgeon. 00:02:13.803 --> 00:02:17.480 That is somebody who is certified by the American Board of Plastic Surgery. 00:02:17.563 --> 00:02:20.175 I would also highly recommend that you ask a surgeon 00:02:20.375 --> 00:02:22.452 if they have admitting privileges in a hospital 00:02:22.535 --> 00:02:23.718 for doing the procedure. 00:02:23.918 --> 00:02:27.289 Whether they plan on doing the procedure in an office-based surgical suite on-site 00:02:27.581 --> 00:02:29.948 or an accredited ambulatory surgery center. 00:02:30.250 --> 00:02:33.169 Sometimes people ask, "How long does a breast enhancement take?" 00:02:33.378 --> 00:02:36.547 That really depends on the surgery that is planned to be performed. 00:02:36.723 --> 00:02:39.296 If it's a straight primary breast augmentation, 00:02:39.379 --> 00:02:40.728 meaning we're placing implants 00:02:40.811 --> 00:02:43.560 to improve the overall shape of the breast and increase volume, 00:02:43.643 --> 00:02:46.800 that surgery typically takes anywhere from 45 minutes to an hour, 00:02:46.883 --> 00:02:50.767 depending on anatomy, and is a very fast recovery from a pain perspective. 00:02:50.892 --> 00:02:53.655 Patients will typically ask about recovery process 00:02:53.738 --> 00:02:55.813 after going a breast augmentation surgery. 00:02:56.003 --> 00:02:59.691 I typically recommend planning on taking at least five days off from work. 00:02:59.775 --> 00:03:01.907 I will recommend taking about a week off from work, 00:03:01.990 --> 00:03:03.411 so you can give yourself time to heal 00:03:03.494 --> 00:03:05.261 and not have to stress about going back to work 00:03:05.363 --> 00:03:06.697 when maybe you're not feeling perfect. 00:03:07.073 --> 00:03:09.790 I also recommend that you not lift anything heavier than 10 pounds 00:03:09.873 --> 00:03:12.744 for about six weeks, and also avoid strenuous activities and workouts 00:03:12.839 --> 00:03:15.163 that get your heart rate up north of 100 beats per minute 00:03:15.246 --> 00:03:16.160 for about six weeks.