Breast Procedures

Breast Augmentation Boston MA

When women feel their breasts are either disproportionally small for their figure, are unhappy with the shape, have lost volume due to weight loss or breastfeeding, or simply would like to have larger breasts, breast augmentation can fuel a boost in self-confidence and a serious change in body image.

Dr. Lin performs breast augmentation with either saline or silicone implants. There is a great deal of give and take between surgeon and patient as there are many decisions to make: implant type, implant size (measured in CCs of filled volume), implant shape (round or teardrop), incision location (around the areola, in the breast crease, or in the armpit), and implant placement (atop or beneath the pectoral muscle).

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What are the different types of implants?

Saline— Saline implants are a silicone shell filled with sterile salt water. Saline implants have the advantage of being placed empty and then filled, requiring a smaller incision. If a saline implant ruptures, the body simply absorbs the salt water. But the deflated implant would still require surgery to remove the collapsed shell and replace it.
Silicone— Silicone implants are named for the medical-grade silicone that fills the silicone shell. The silicone used to fill implants is thicker today than earlier iterations in the 80s and 90s. The general consensus is that silicone feels more like natural breast tissue than saline. It is also less prone to rippling. The disadvantage is that if the implant leaks, silicone enters the breast pocket created for the implant. This rupture may not be obvious to the patient, but will show up on mammograms, which are required with silicone implants. A newer option is the gummy bear implant. Although made of silicone, the cohesiveness (this is the degree the silicone stays together and within the shell if there is a leak) is much higher than typical silicone implants.

How do I choose the size of my implants?

Implants are sized by the amount of silicone or saline used to fill the implant, measured in cubic centimeters, cc’s. The degree of enlargement is totally personal, but is something Dr. Lin will help you decide. We also have computer simulations that will help you visualize different sizes and how they will look with your body type. Beyond the size, you will decide the shape and projection of your implants. “Standard implants” create a more rounded appearance, while “high profile” implants project more outwards. Teardrop-shaped implants mimic the shape of the natural breast.

How long do breast implants last?

Breast implants generally last from 10-15 years. Implant durability is increasing, but you shouldn’t expect to have just a single set of implants during your life. When an implant reaches its lifespan it will usually begin to leak. At this point, you’ll need replacement surgery to remove the old implants and place new implants. This surgery is easier than the original augmentation procedure and usually is done through the previous incisions.

What should I expect after my augmentation surgery?

Recovery from breast augmentation surgery is not difficult. Your breasts will be bandaged when you return home, and there will be some pain and discomfort for the first two or three days. This is not extreme, however, and is usually quite manageable. Most patients can return to work in four or five days. You can return to non-impact activities in just a week or so, but any impact exercise will need to wait for one month. Upper body exercise such as weight training can be resumed in six weeks.

Call to schedule a breast augmentation consultation in Boston at (617) 632-7369.

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Samuel Lin, MD, FACS
110 Francis St Suite 5A
Boston, MA 02215

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Phone: 617.632.7827

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