Dr. Lapuerta is a Houston breast augmentation surgeon who has provided countless women, in the greater Houston, Katy and Pearland areas, with fuller, shapelier breasts. Augmentation mammaplasty surgery which ranks as the most common and most popular cosmetic surgery procedure in the U.S. uses saline or silicone implants to increase the size and shape of the breasts. Dr. Lapuerta will provide a thorough assessment and determine the best surgical technique to use to garner the best results. This includes whether to use saline or silicone, where to place the implant, and the best incision approach to take. He will also determine if a lift will be necessary in order to create the best outcome.
SALINE BREAST IMPLANTS
Saline breast implants are filled with a sterile saltwater solution and offer no risk to the patient in terms of extracapsular spread or silicone leakage. Saline implants are appealing to many because they generally cost less than silicone implants. In some patients, silicone may be a better option due to the rippling that may occur along the edges of the saline implant that can be visible in thin-chested women. Patients considering saline implants must be at least 18 years of age.
SILICONE BREAST IMPLANTS
Silicone breast implants are filled with a gel substance that looks and feels similar to natural breast tissue. They are ideal for women who are thin-chested. Silicone implants are specially engineered so that if the shell should become compromised (a surface crack), the silicone will remain intact within the implant (known as cohesive gel implants). Silicone implant defects are rare and can only be found through an MRI, unlike saline implants which will deflate. Patients must be at least 22 years of age to receive silicone implants.
Saline: MENTOR® or Allergan (branded as Natrelle®)
Silicone: Allergan (branded as Natrelle® Gel), Mentor (branded as MemoryGel®) and Sientra, known simply as Silicone Gel Breast Implants
An implant profile depicts the distance the breast will project forward from the chest wall. Implants are made in low, moderate, high and extra high profiles.
Breast implants come in two shapes. Round implants tend to offer more fullness on the top of the breast, while teardrop implants are touted to mimic the shape and look of natural breasts.
Breast implants are made with a smooth or textured surface. Round implants can be chosen with either surface, while teardrop implants are made with a textured surface only.
- Submammary (Retromammary): Under the mammary gland, over the muscle (sometimes called 'subglandular')
- Subfascial (Retrofacial): Under the fascia of the muscle
- Dual Plane: Along two planes/layers
- Submuscular (Retromuscular): Partially under the muscle
- Complete Submuscular (Full retromuscular): All the way under the muscle
- Inframammary: The incision is made in the breast crease where the breast meets the torso
- Periareolar: The incision is made just under and along the areola
- Transaxillary: The incision is made in the armpit (Not Recommended)
- Transumbilical: The incision is made in the belly button (Not Recommended)
Breast augmentation is performed under general anesthesia in an accredited surgical facility and typically takes between 1-2 hours to complete. It is considered an outpatient procedure. After surgery, patients will need to rest for a couple of days, but will be encouraged to move around in order to promote circulation. As the skin adjusts to the new breast size, it is normal to feel tightness in the chest area. Patients may resume their normal exercise routines within 4-6 weeks. It typically takes around 6 months for the breasts to fall into their final position. The result is a softer, natural looking breast appearance.
The cost for breast augmentation surgery will vary depending on whether saline implants or silicone implants are used. The average cost for breast augmentation using saline implants is about $5,500-$6,500. Silicone implants generally run about $1,000 more.