Breast implant surgery is one of the most popular and frequently performed cosmetic surgeries available. The procedure places implants to enhance the size, shape, and overall appearance of the breasts. Board-certified plastic surgeon Eric Payne, MD specializes in breast augmentation and has provided countless patients in Houston with outstanding breast enhancement results. Upon a discussion of your concerns and aesthetic goals, Dr. Payne can develop a personalized treatment plan to achieve your ideal breast contours.
Breast augmentation mammoplasty, or “breast enhancement,” is a surgical procedure designed to enlarge the breasts via placement of breast implants. This cosmetic procedure can create a fuller appearance, resolve asymmetries, and enhance the overall silhouette according to your goals. In addition to their aesthetic benefits, breast implants can also be utilized for breast reconstruction after cancer removal surgery known as a mastectomy. We encourage all women to perform regular screening mammograms for breast cancer after the age of 40 or younger if there is a family history.
Breast enlargement can be achieved with either breast implants or with fat transfer from another area of the body. Fat grafting to the breasts is not as reliable a method for cosmetic breast surgery. Dr. Payne will guide you through the process of deciding the best technique, type of implant, and implant location for your needs and goals.
Breast augmentation offers a variety of aesthetic improvements to the breast shape, particularly for patients who have experienced a loss in contours due to pregnancy, weight fluctuation, or the natural aging process. There are many reasons to pursue breast surgery, but most women undergo breast augmentation to:
While breast augmentation can enlarge and reshape the breasts, implants cannot address a drooping or sagging appearance caused by a loss of skin tone. However, Dr. Payne offers breast lift surgery to correct breast sag and restore a “perkier,” more rejuvenated look. A combination breast augmentation plus breast lift procedure can also be a popular treatment plan to enhance the breast size and minimize breast sag simultaneously. This is typically necessary after significant weight loss has occurred. This can also be necessary after pregnancy when the breasts tend to sag after breast feeding. Combining a breast lift and breast enhancement using implants with a Tummy Tuck is commonly known as a Mommy Makeover.
When you come to our Houston office for your consultation with Dr. Payne, you will be greeted by one of our staff members, who will check you in. It’s important to ensure you have completed all office paperwork including your entire medical history.
One of our highly trained medical assistants will take you to our exam rooms to begin your consultation. During your consultation with Dr. Payne, he will go over all of your implant options as well as the different techniques that can enhance the appearance of your breasts. He will answer any and all of your questions.
Once your exam with Dr. Payne is completed, you will be able to take a glimpse at what your breasts may potentially look like after surgery. You will also meet with our patient care coordinator, who will go over the cost of surgery and answer frequently asked questions about plastic surgery.
Our goal at Texas Liposuction Specialty Clinic in Houston is to ensure we provide the most comprehensive and informative consultation. Our goal is to take care of you, the patient, in any way possible.
Breast implants are distinguished by the type of fill material inside the implant shell. While implants come in a variety of sizes, shapes, and degrees of projection, there are generally two different options for breast implants:
There are specific differences and benefits that each type of implant offers. These can be discussed in further detail during the consultation process.
The location of the implant pocket will also be determined during the breast augmentation process. In general, a breast implant can either be placed over or under the chest pectoral muscle. Each option offers its own benefits and limitations, which Dr. Payne will help you understand during your consultation. Placement over the chest muscle (subglandular) is usually ideal for patients who have enough natural breast tissue to cover and conceal the edges of an implant. For this reason, individuals who have thin breast skin, small breasts, or a petite body frame may be better-suited for an under-the-muscle or submuscular approach. Inserting implants under the chest muscle often provides a higher degree of support and coverage, as well as a more natural-looking outcome. However, the recovery period can be relatively longer when compared to placement over the chest muscles. Dr. Payne will help you decide the best placement technique for your needs, preferences, and anatomical indicators.
Breast augmentation is usually an outpatient procedure performed under general anesthesia. During your pre-operative appointments with Dr. Payne, you will both decide the best type of incision and placement location for your implants. Dr. Payne will then perform the procedure by placing your incisions in the pre-determined area, meticulously concealing them within the natural contours of the breasts whenever possible. He will then insert your implants and shape them until the desired outcome is achieved. With advancing breast augmentation techniques, patients can also further improve their enhancement by transferring excess fat to the breasts to mildly enlarge volume, resolve asymmetries, smooth contours, and more. Dr. Payne will recommend the best techniques to achieve your ideal look.
After surgery, pain medications will be used on a scheduled basis with Ibuprofen and Tylenol alternating every 3 hours to control your pain. Stronger pain medication can be prescribed as needed. After the third day the pain will be significantly less to only need pain medication on an as needed basis.
We recommend avoiding strenuous activity and heavy lifting for the first two to three weeks. You will likely experience soreness and swelling for a few weeks. You will also be required to wear a post-surgical compression bra with bandages around the incisions for a few weeks. For most, it can take up to three months before you feel comfortable wearing a regular bra. We do not place any drainage tubes, so nothing to remove after surgery.
Showering can resume the day after your breast augmentation. We typically see patients in the clinic the day after surgery to remove dressings. You may return to work shortly after surgery, but some patients prefer to take a week off to rest and recuperate from the procedure. It will take some time for swelling to resolve. It also takes roughly three months for the implants to settle into the implant pocket. Dr. Payne recommends massaging the breasts at approximately 6 weeks post operatively to help with this. The massage should be done daily and consistently to help the implant settle. At three months post-operatively, most patients are able to see the complete results of their augmentation.
Breast implants can often last for 10 to 20 years, if not longer. While they are not designed to be lifetime devices, many women enjoy their results for decades and never feel the need to remove or replace their implants. Unless a complication arises or a patient desires a different size, shape, or type of implant, the outcome of breast augmentation should be very long-lasting. To make the most out of the results, Dr. Payne recommends pursuing breast augmentation only after all plans for pregnancy and nursing have been completed. Breastfeeding and having children can often reduce skin elasticity and alter the breast contours, potentially shortening the lifespan of breast augmentation results.
The cost of breast augmentation is typically determined based on the type of implants chosen for your enhancement, the surgical technique necessary to achieve your goals, and other details unique to your treatment plan. That said, the price usually ranges from $5,000 to $7,000, which includes fees for anesthesia, the hospital facility, and other various expenses associated with cosmetic surgery. Fortunately, breast augmentation costs in Houston are generally more affordable when compared to other parts of the country.
After your consultation, our office will be able to provide you with a personalized quote and your various payment options. Dr. Payne accepts financing plans through trusted healthcare lenders like CareCredit® and Prosper® Healthcare Lending. Once approved by either financial institution, qualified patients can select from an array of short- and long-term payment plans to find an ideal arrangement for their budgetary concerns. If you have any questions, a member of our team would be happy to speak with you about the cost of breast augmentation.
For this particular surgery procedure, the incision is typically made in the inframammary (or breast) fold. In some cases, the incision can be made around the areola. A periareolar incision is used when combining a breast augmentation mammoplasty with a breast lift procedure. A third option for incision is through the armpit or transaxillary incision. This technique does require a longer distance to place the implant and more commonly requires sterile salt water or saline filled implants placed through a smaller incision. Dr. Payne will discuss the best incision technique for you. Once you are healed, you may have minor scarring as the incision area begins to lighten. Most scars fade and are hardly noticeable. The use of scar cream is helpful to minimize healing time. Most patients heal very well and have minimal scarring on their breasts.
As with any surgery, there are some risks involved with breast augmentation surgery. The most common risks are infection and scarring. Hematomas or blood clots rarely form around the surgery site. You will also likely see bruising, which is normal for any patient undergoing breast surgery. The late problems associated with implants include capsular contracture, which refers to when a tight scar tissue forms around the implant. This problem is uncommon, but can be seen 3 to 10 years after the initial surgery if it does occur. Dr. Payne uses best practice guidelines to prevent capsular formation during surgery and post-operative management.
Another risk of breast augmentation is implant rupture. This is typically seen in less than 10% of implants that are less than 10 years old. The newer medical devices of silicone are a cohesive gel that leads to less of the gel leaking out of the device when rupture occurs. The gummy bear silicone implants are a newer device on the market that has essentially no leakage but the drawback is it is much firmer like the name suggests.
BIA-ALCL is short for Breast Implant-associated Anaplastic Large Cell Lymphoma. This is a treatable type of lymphoma that is very rare and can develop around a very specific type of breast implants. The risk of association between breast implants and ALCL is extremely low according to recent data available. The most common issue is specifically due to textured surface silicone implants leading to this condition. Currently, there are no smooth-surfaced implants associated with the BIA-ALCL. The primary treatment is implant removal.
Please contact Texas Liposuction Specialty Clinic in Houston to schedule a consultation for your breast augmentation. Dr. Payne is a member of the American Society of Plastic Surgeons and is board certified by the American Board of Plastic Surgeons. He can guide you through the process, help you determine the right size and shape of implant, and provide you with beautiful and natural-looking results.