BREAST AUGMENTATION

Breast Augmentation in Houston, League City and Pearland Texas

 

What is Breast Augmentation?

Breast implant surgery, also known as augmentation mammaplasty, is a cosmetic surgery procedure to enlarge the size and enhance the shape of a woman’s breasts. Women seek to enlarge their breasts for many reasons. Women with small breasts, women who have lost breast volume after pregnancy, after weight loss or as they age. Many women who have differences in size between the right and left breasts are great candidates for a breast augmentation in Houston. Breast sagging can be treated at the same time with a breast lift. This is known as a breast augmentation with lift. Dr. Wiener performs breast augmentation to patients in Houston and the surrounding areas of League City and Pearland, TX. Breast augmentation patients trust Dr. Wiener for his vast knowledge and personal approach when it comes to breast implant surgery.

Types of Breast Implants, Incisions, and Placement

Breast augmentation in Houston uses breast implants to produce the desired results. Salt-water solution implants, known as saline implants and silicone gel-filled implants can be used. A woman must be at least 22 years old to undergo augmentation with silicone gel. Houston plastic surgeon Dr. Wiener uses round, smooth moderate plus profile implants for both saline and silicone gel. All silicone gel implants in the U.S. are cohesive gel implants . In other words, they are not filled with a liquid silicone, they are filled with a gel that maintains its shape. Dr. Wiener uses Sientra round-smooth, cohesive gel implants, as they give superior results.  If a silicone gel implant is cut in half, it does not flow, it keeps its shape.  For saline implants, Dr. Wiener uses Mentor Moderate Plus implants.

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The decision for size is done through a combination of trying on actual breast implants in a bra at the time of the consultation, along with comparing the implant diameter to the breast diameter. A Houston breast implant that is excessively large or small in comparison to the breast can create problems. The incisions used by Dr. Wiener are the inframammary (in the breast crease) or periareolar (at the lower border of the nipple-areola). Dr. Wiener strongly recommends the incision in the breast crease because of a decreased risk of capsular contracture or abnormal hardening of the scar tissue around the implant. The implant is placed either above or below the chest muscle. Dr. Wiener recommends a below the muscle placement. It is important to realize that when the breasts are enlarged, certain differences from one breast to the other will also be increased, such as differences in the height or sideways pointing of the nipple and breast. Although Dr. Wiener may place somewhat different volumes from one breast to the other, decided upon at the time of surgery, the different volumes placed will not necessarily give the appearance of same size breasts due to other anatomic differences that are present. This is why it is important to schedule your consultation with Dr. Wiener to go over your specific goals for wanting a breast augmentation. His office is within a few miles of League City, Pearland and Pasadena, TX.

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How is Breast Augmentation done in Dr. Wiener’s Houston practice?

In Dr. Wiener’s AAAASF accredited in-office operating room, a board certified physician anesthesiologist will administer intravenous anesthesia. Dr. Wiener then places local anesthetic nerve blocks around the ribs which helps to reduce the amount of anesthetic that you need to receive and also gives significant postoperative pain relief.

During the Houston breast augmentation, an incision is made and a pocket or space, is made underneath the pectoralis (chest) muscle. A sizer is used to check the pocket, then the actual implants are placed and size symmetry is checked. The incisions are then sutured with absorbable sutures, and you go to the recovery room before going home as this is an outpatient procedure.

Dr. Wiener has published a number of important scientific articles in the journals Plastic and Reconstructive Surgery, Aesthetic Plastic Surgery, and Aesthetic Surgery Journal focusing on improved outcomes for breast augmentation.

These articles include “The role of betadine irrigation in breast augmentation” and “Relationship of incision choice to capsular contracture.” These two papers have become worldwide highly referenced and landmark articles in the plastic surgery literature regarding capsular contracture.

A new development in breast implants comes from the manufacturer Sientra. They have released the only fifth generation round, smooth silicone gel implants on the market. This is the same highly cohesive gel found in their anatomic implants. This implant is called the style 107 implant.

The advantages of this implant in certain situations are the following. Because the silicone is more highly cohesive, it tends to maintain its shape better against gravity. What this can mean for you is that it retains more of the volume in the upper part of the implant when you are in a standing position. This can help give improved fullness to the upper part of the breast above the nipple.

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Also, for a woman who wants a more rounded appearance, this implant can hold its shape better and provide more of that appearance. As you can see, with the style 107 highly cohesive implant on the left, more fullness remains in the upper part of the implant as compared to a standard cohesive gel implant on the right.

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On the left, the Sientra style 107, the middle is the Sientra style 106, and on right is from another manufacturer. You can see that the style 107 maintains the most volume in the upper part of the implant. The style 106 is slightly less, and the other manufacturer’s implant is actually folded over on the top.

These appearance differences compared to the regular Sientra silicone gel (style 106), which is also a cohesive gel (gummy bear) implant, are not necessarily dramatic, but this implant is the only one that can provide some improvement to these issues.

Dr. Wiener, up to this time, has been one of only about three plastic surgeons in Texas who has been allowed to use this implant. His experience with the style 107 is ahead of the curve.

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Breast Implant Surgery Risks

Breast augmentation near Houston is a relatively safe procedure. However, like any surgical procedure, there are certain risks and specific complications associated with this procedure that Dr. Wiener will discuss with you. You can help minimize risks by a complete disclosure of your medical history and medications at the time of consultation.

Breast augmentation may make it technically more difficult to get or read mammograms, and special mammogram views or extra examinations by ultrasound may be needed for patients with breast implants.

Your Day of Breast Augmentation Surgery

Wear loose clothing that is easy to put on and take off. The surgery usually takes 1 hour to complete. The recovery room time is brief because of the advantages of the intravenous anesthesia and local anesthetic nerve blocks. Most patients will be able to return to work within a few days, depending on the nature of their job.

Dr. Wiener’s office is located in Clear Lake, however, Dr. Wiener serves patients from all over the Houston area. Many breast augmentation patients come from League City and Pearland. His office is conveniently located in Clear Lake, just 28 miles East of Missouri City, TX. Call his office today to schedule your one-on-one consultation with board certified plastic surgeon Dr. Wiener!