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Procedures > Cosmetic Breast Procedures > Adjustable Breast Implants
Adjustable Breast Implants
The breast and femininity are integrally tied. Breast augmentation can create a more proportionate feminine profile, help you fill "fill out" your clothing better, and promote self-confidence.
Adjustable breast implants is a specific type of breast augmentation that enables the patient to adjust the size of their implants for a limited time post-operatively. The most common reason for dissatisifaction with breast implants and returns to the operating room is patient desire for a differet size breast implant. By empowering patients to "try on" implants, the chance of dissatification is greatly reduced.
Breast augmentation is often combined with a breast lift (mastopexy) and the correction of asymmetrical or uneven breasts and nipples. Mastopexy can often be done at the same time as your augmentation or may require a separate operation. Dr. Weinzweig, your Chicago cosmetic surgeon, will assist you in making this decision.
Breast augmentation using adjustable implants can address such issues as:
- Small Breasts
- Breasts that are not the size desired
- Breasts that vary in size or shape
- Loss of breast volume lost after weight loss or pregnancy, or with aging
- Loss of breast tissue due to trauma or disease
- Failure of one or both breasts to develop normally
Breast augmentation is a highly individualized procedure and you should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image. Breast augmentation may be a good option for you if:
- Your breasts are fully developed
- You have a positive outlook and realistic expectations
- You are physically healthy
- You do not smoke
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Dr. Jeffrey Weinzweig, your Chicago plastic surgeon, and your anesthesiologist, will recommend the best choice for you.
Incisions are made in inconspicuous areas to minimize visible scarring. Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference. Dr. Weinzweig, your Chicago cosmetic surgeon, will discuss which incision options are appropriate for your desired outcome. Incision options include:
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| Inframammary Incision | Periareola Incision |
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| Transaxillary Incision |
Breast size and shape are important, so be honest and open about your expectations when talking with Dr. Jeffrey Weinzweig, your Illinois plastic surgeon. Implant type and size will be determined by your aesthetic goals, breast anatomy, skin elasticity, and body type. Only saline implants are available as adjustable breast implants.
After the incision is made, a breast implant is inserted into a pocket made in one of the following locations:
- Under the pectoralis muscle (a submuscular placement)
- Directly behind the breast tissue, over the pectoralis muscle (a submammary/ subglandular placement).
The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and Dr. Jeffrey Weinzweig's recommendations after examining you.
If saline implants are used, they are filled with saline after the implants are placed in the correct location.
Once the breast implants are in the desired location and filled to the appropriate size (if saline), the incision is stitched closed.
After surgery return to the office and review size with surgeon. If increase of size or adjustment is desired, saline will be added to port directly beneath skin. The port is then removed at the office.
The results of breast augmentation are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. In general, it typically takes six months for the implants to settle into their final position once swelling has subsided. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for fuller breasts.
After a post-surgical recovery period of 24 to 48 hours and an additional reduced-activity period of a week, you will likely experience soreness and swelling for a few weeks. Exercise and normal activity can resume at the direction of Dr. Jeffrey Weinzweig, your Chicago plastic surgeon. Over time, post-surgical swelling will decrease and incision lines will fade.
You will be given specific instructions that may include: How to care for the surgical site, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with Dr. Jeffrey Weinzweig, your Chicago cosmetic surgeon.
It's important to know that your breast implants are not permanent and may require replacement during your lifetime. You should expect to have future visits with your plastic surgeon to discuss changes in your breasts.
Over time, your breasts can change due to aging, weight fluctuations, hormonal factors and gravity. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast lift or implant exchange to restore a more youthful contour.
All plastic surgery carries risks along with the many rewards as no surgery is risk free. Dr. Jeffrey Weinzweig, your Chicago plastic surgeon, will explain the risks in your consultation so you can make an informed decision based on your unique situation.
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