Breast Augmentation FAQ

Plastic Surgeon Serving Orlando, Winter Park and Nearby Areas of Central Florida

Breast Augmentation with Dr. Hartog in Central FloridaHere are a few questions we commonly receive about breast augmentation. Read them over for more information, and if your question isn't answered here, please schedule a breast enlargement consultation and we can address it in person. We may also add it to our list to help others in the future.

Who is a good candidate for breast augmentation?

A good candidate for breast augmentation procedure is a woman who is dissatisfied with her current breast size and is in good general health. You should be near your ideal body weight, with no diseases or conditions that may affect your healing.

What is the right age for breast augmentation?

There is no single age that is best for breast augmentation. Saline breast implants are FDA-approved for women aged 18 and older, while silicone gel implants are only approved for women 22 and older. Other than that, the best age for breast augmentation is up to you. Some recommend waiting until after you are finished having children before having breast augmentation because pregnancy can affect results in some cases. On the other hand you may want to have breast augmentation to look best during your more image-conscious 20s. This is an issue you should discuss during your consultation with Dr. Hartog.

What are the risks of breast augmentation?

All surgery carries risks, although a recent American Society of Plastic Surgeons (ASPS) survey indicated the overwhelming majority of women actually were satisfied with results and nearly 90 % of them would have the surgery again. The main source of dissatisfaction and reason for reoperation is the woman wishing to change her implant size, for this reason we work as hard as possible to help you decide on the size implant prior to surgery, and use the Vectra 3-D imaging system to provide a state-of-the-art computer prediction of your final result. The main potential risk of breast augmentation is capsular contracture or hardening. This occurs in less than 2% of our cases under the muscle, but may be higher than 10% over the muscle. Changes in nipple sensitivity do occur, but are usually temporary, and can occur with any incision. Infection, and seroma (fluid collection) hematoma (bleeding) can occur but are rare. Breast augmentation has not been linked to increased incidence of cancer, autoimmune, or generalized body disorders such as fibromyalgia. All breast implants will need to be replaced eventually, as they are artificial devices that will eventually fail. We recommend planning to change gel implants every 12-15 years as this is their average lifespan and even if they are intact, the shell is likely to be weakened. With saline implants one can wait till the implant leaks and deflates, which will also average 12-15 years.

Will breast augmentation affect my ability to breastfeed?

It's possible that breast implants could affect the sensitivity of your nipple but it is extremely unlikely that the procedure will interfere with milk production. In Dr. Hartog’s experience, no patient has ever reported being unable to breast feed, but of course it is possible. Recent studies have suggested that nipple sensitivity and changes in lactose production are also independent of incision.

Will breast augmentation interfere with mammograms?

Breast implants placed subglandular (subfascially) can interfere with mammograms, but if you work with a screener experienced with screening augmented breasts and inform her that you have implants, it should not be a problem. To reduce interference with mammograms, you should consider submuscular placement.

How long will my breast implants last?

Breast implants are not lifetime appliances. They have a life expectancy of about 12 -15 years, and studies of breast implants show that, unless affected by serious trauma, 92 % of implants retained their integrity after 11 years. In getting breast augmentation, it's important to factor removal or revision surgery into your considerations. All breast implants will need to be replaced eventually, as they are artificial devices that will eventually fail. We recommend planning to change gel implants every 12-15 years as this is their average lifespan and even if they are intact, the shell is likely to be weakened. With saline implants one can wait till the implant leaks and deflates, which will also average 12-15 years.

Is breast augmentation painful?

Florida Plastic Surgeon Dr. Hartog controls discomfort during the breast augmentation procedure with a combination of sedation and general and local anesthesia. Using gentle, efficient and meticulous technique results in a major improvement in recovery. Some of our patients even report going out for dinner the evening after their surgery. We use a long acting local anesthetic during surgery and prescribe anti-inflammatory medications starting the day of surgery. After the procedure, most women report relatively mild discomfort and often need only one or two of their stronger pain medications that we prescribe.

How long does recovery take?

According to ASPS surveys, most women went back to work after 7 days, and felt "back to normal" after an average of 28 days. Because of our gentle and efficient approach to the procedure most of our patients do much better than this, some requiring only a day or two off work. Obviously this also depends on the type of physical activity that your work requires. We do not place any strict restrictions on physical activity, simply recommending that you take it easy for a few days so as not to cause bleeding or damage to your incision site, and then to progress back to normal activity within your comfort range. Dr. Hartog can give more specific instructions during follow-up care but mostly it is just common sense.

When should I get my breast augmentation surgery?

Although the breast augmentation procedure is quick and actual recovery fairly short, it may take 3-6 months to see the absolute final result as the implants and breast tissue settle into their final shape. We normally take our after pictures at 6 months for this reason. If you are planning an important event like a cruise or an important occasion like a wedding, we usually recommend that you plan your procedure at least 6-8 weeks prior to the event or occasion, so that you can be fairly certain of being back to 100% normal activity.

If you have more questions about breast augmentation and are in the Central Florida area including Orlando or Winter Park, FL, please contact The Bougainvillea Clinique to schedule a breast enlargement consultation where we can answer all your questions.