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 our Houston breast augmentation. 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 of all different types including gummy bear implants, silicone gel, and saline. 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 PlacementDelivering one of the best breast augmentation Houston has to offer, we use specialized breast implants that produce 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.
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.
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. 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.