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Breast Augmentation Columbus

Breast augmentations are one of the most common procedures performed by Dr. Shah and Dr. Centeno here at CIPS. They are two of the busiest breast implant surgeons in the country.

Many women find they cannot fit into all types of clothes or swimwear due to their breast size. These women often find that a breast augmentation provides not only the self-confidence boost that they’ve been seeking, but also the ability to wear whatever they want. If you would like to discuss breast augmentation and the latest in breast implants, contact our office today for an informative consultation.

Choosing Your Surgeon

Perhaps the most important step of your breast augmentation journey is choosing a surgeon that’s right for you. Whether that means you receive your augmentation here at CIPS or not, we like to provide a list of questions for you to consider when searching for a plastic surgeon:

  • Is this surgeon board certified? Fun fact: not all plastic surgeons are, yet they are still allowed to practice. Here at CIPS, rest assured that both of our surgeons have their board certifications, meaning that they were trained for plastic surgery, specifically.
  • Does this surgeon have a gallery in which I can view his/her previous work?
  • If so, does this surgeon provide results that align with my needs?
  • Do I feel comfortable with this surgeon’s level of knowledge and experience?
  • Do I feel as though this surgeon cares about me and my individual needs?

If your answer to each of these questions is ‘Yes,’ then the surgeon in question may be one to consider for your breast augmentation (or any other procedure you’re interested in). At the Columbus Institute of Plastic Surgery we have two surgeons for you to choose from—Dr. Bivik Shah and Dr. Robert Centeno—who each have about 20 years of experience and a great track record.

The Consultation

During your initial consultation, our main priority is to have a solid grasp on what it is you are looking for. Inspo pictures are always a plus during this step! Showing us visuals of what you want to look like post-op is a great way for us to get an idea of what your goals are. Once we have that understanding, we will lay out all of your options in terms of implant size and type, details about the surgery, and what you can expect should you decide to undergo the procedure. If you choose us for your breast augmentation, or any procedure for that matter, our staff will be with you every step of the way—from initial consult to post-operative appointments.

The Columbus Institute of Plastic Surgery is proud to offer TouchMD.

This software provides an interactive educational experience for our patients. It also allows you to revisit your consultation after your visit and upload photos during recovery to ensure that it is going smoothly. To learn more about procedures, watch videos of procedures, and view more before and after photos, please register for Touch MD by doing the following:

  • Click on the TouchMD icon to the right, or visit https://www.mytouchmd.com/Welcome.aspx
  • Once redirected, click on Registration/New Patients. When prompted, type in CIPS as the registration code.

If you have any difficultly registering, or have any other questions, please call us at 614.322.2500 or email us at office@instituteplasticsurgery.com.

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Breast Augmentation Incisions

There are typically three incision options:

  • The breast crease incision (also known as inframammary fold incision) is the most common one used because it is easily hidden and nearly invisible by two years post-op. Our surgeons prefer this incision type because it provides little to no complications and it allows for more precise implant placement.
  • The areolar incision is the second most common incision used. Risks associated with this technique are minimal, but there is an increased chance of losing feeling in the nipple and areola, as well as a higher chance of not being able to breastfeed.
  • The armpit incision is well away from the breast, so the scar is well concealed, however there is the possibility that the implants will be placed farther apart from each other than is typically desired.

Some surgeons make the incision at the belly button, but the technique is still new and is not fully tested. Breast implant manufacturers place a warning against it, stating that belly button incisions for breast augmentations are still investigational and NOT recommended.

Types of Breast Implants

Breast implant types differ in shape, texture, and most obviously, size. The following are the basic types from which you can choose:

  • Silicone Implants
    • The most common type used for breast augmentations; said to feel the most natural
    • Round shape, smooth texture
    • Filled with a cohesive silicone gel
  • Saline Implants
    • Round shape, smooth texture
    • Filled with saline (salt water)
    • Most common risk: implant rippling, apparent in the skin of the breast
  • Gummy Bear Implants (also known as “teardrop” implants)
    • Anatomical shape, textured shell
    • Designed to appear most natural; fuller at the bottom than they are at the top
    • Most common risk: implant turning upside down

Each type of implant comes in an array of different sizes, which are measured in cubic centimeters (CCs). They also come in a variety of profiles. An implant profile refers to the amount of projection the implant has.

In the silicone family, there are two kinds of implants—Smooth Round Gel and Memory Gel Xtra, which is an overfilled Smooth Round Gel that gives more upper pole fullness.

  • The Smooth Round Gel implant is available in the following profiles at CIPS:
    • Moderate plus (provides the least projection in this implant type)
    • High (provides the median projection in this implant type)
    • Ultra-high (provides the most projection in this implant type)
  • The Memory Gel Xtra implant is available in the following profiles at CIPS:
    • Moderate plus (provides the least projection in this implant type)
    • High profile (provides the most projection in this implant type)

While the combination of the implant types and profiles may seem confusing at first, it is important to us that our patients understand all of their options. If you have any further questions about profiles for each implant type, be sure to contact us, or ask us at your consultation.

Implant Sizes

While knowing what cup size you would like to be after surgery can be helpful, please note that implants are measured by cubic centimeters (CCs). We encourage patients to consider this unit of measure rather than focusing too much on cup size, as it is not guaranteed that the patient will end up being that exact size post-op.

Perhaps the most important thing to remember when making decisions about implant size, however, is that the appearance of any given size is never the same across the board. It varies from patient to patient, as each body type is unique. For example, say you like the look of 400cc implants on one person. The same size implant will not necessarily give you the same look for a few reasons:

  • You won’t be starting with the same amount of breast tissue as that person. If you have more breast tissue for instance, those 400ccs will appear larger on you than they do on that person, and vice versa. If you have a small amount of breast tissue, the 400cc implant may not fill your breasts as much as it might on someone that has more to begin with.
  • You may have a smaller or larger frame or stature than that person. If you are smaller, the 400cc implant may look larger on you relative to that person, and if you are larger in stature, the implant may look smaller on you.
  • Your natural breast shape is unique. The implant is only going to enhance the size of your breasts—not necessarily the original shape.

In short, your existing breast tissue and anatomy dictate what size implants you would need to achieve your desired look. The years of experience that our surgeons have allow them to give patients suggestions that would give them the results they are looking for.

Implant Location

When it comes to breast implant location, you have two options. The implant can be placed either above the chest muscle, or below the chest muscle.

Placing the implant below the chest muscle…

  • Gives a more natural result
  • Provides less of a chance of hardening or rippling
  • Allows for better mammogram results than when the implant is placed above the muscle

This is typically the preferred method for our surgeons, and by far the most common, but there are some cases in which placement above the muscle is best. Weightlifters, for example, might not benefit from implant placement below the muscle because it decreases the strength of the pectoral muscles. In this case, placing the implant above the muscle may the better option.

Operation Day

On the day before your operation, you will receive a phone call in which all details about surgery day will be discussed, however on average, it is recommended that you show up to your surgery location about 60 to 90 minutes before the procedure is scheduled to begin. Please note that we have two offices and they both have an operating room. Make sure that you have a clear understanding of which office you are to go to.

Your time at our office on operation day will be as follows:

  • You will change into a gown and speak with your nurse, anesthesiologist, and surgeon
  • Shortly before you go to the operating room, your anesthesiologist will give you medication to help you relax
  • Once in the operating room, there will be a surgical technician, a nurse or another surgical technician, an anesthesiologist, a surgeon’s assistant, and the surgeon – all waiting to greet you
  • You will lie down, go to sleep, and wake up in recovery (with new and improved breasts!)
  • You will be sore and groggy, so you will spend about an hour in the recovery room while you fully come back to.
  • You will be wearing a sports bra that opens in the front.

Recovery

The morning after you return home, a nurse from our office will give you a call to make sure everything is going well. During the first three days post-op, you can expect to have significant pain, soreness, and swelling. All of these things can be controlled with the medication that we prescribe you.

A week following your surgery, you will come in for a follow-up appointment in which the status of your recovery will be checked. By the second week, the pain and swelling will start to subside, and you will begin to feel much more comfortable.

Despite the typical down time being one to two weeks, you may be able to return to work as soon as three days after the operation, depending on your line of work and how your body handles recovery. For the first week, however, steer clear of lifting anything more than 5-10lbs, and be sure to stay away from extraneous exercises and heavy lifting for 6 weeks following surgery.

Possible Complications

  • You might experience bleeding that requires returning to the operating room. This happens about 5% of the time.
    Infections are always possible. As protection against them, you will be given antibiotics to take for several days following surgery. If you experience a severe infection (which is very rare), you may have to return to the facility and have the implants removed. We make sure to take every precaution to minimize the risk of this occurring.
  • Most people heal with a scar that’s barely visible, but everyone heals differently. Be aware that your scar may remain visible.
  • Sensation to the nipple may be lost. This only occurs in 5% of cases. Our surgeons prefer to use the breast crease incision in order to reduce the risk of this happening, as it is a higher risk with areolar incisions.
  • After surgery, breast implants may move, creating an unnatural looking breast. The only way to correct this is to return to surgery and place the implant in the correct position.
  • There is a chance that the implants may rupture or leak. Contrary to popular belief, however, you do not need to worry about falling, hitting the implants, or rough handling because they are not typical causes of rupturing. The risk is a cumulative 1% per year, meaning that if you have the implants for 30 years, there is a 30% chance it will rupture. If you have the implants for 31 years, there is a 31% chance it will rupture, and so on. Breast implant manufacturers offer a lifetime warranty on implants and five to ten years of coverage for hospital and doctor fees.
  • There is the possibility of capsular contracture. Anytime something artificial is placed in the body, the body makes a little cocoon of fibrous tissue around it. Sometimes the tissue hardens and changes the shape of the implant. On the outside, the feeling of the implant will change and usually the breast will look different. This happens in 10% to 25% of cases. The only way to correct capsular contracture is to operate on it to remove the hardened tissue. Unfortunately, if you replace the breast implants, there is no guarantee that the contracture won’t occur again.

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