Few women inherit the “perfect” breasts. You could feel less confident if you have smaller breasts, unevenly sized breasts, or breasts that are loose, saggy, or damaged by pregnancy and breastfeeding, weight loss, or aging. Breast augmentation surgery, performed by our top plastic surgeons, can dramatically improve your feelings of confidence and self-esteem. For many women, they are just looking to be able to wear certain tops and clothes that they would not wear otherwise because of their lack of breast volume. We are mindful that many of our patients are very active, and it is important that we find an implant that fits each person’s anatomy as well as their lifestyle. 

A place for transformation: Austin Plastic Surgery Institute

The Austin Plastic Surgery Institute, established in 2003, is a close-knit group of plastic surgeons, nurses, aestheticians, and support staff striving to provide the most aesthetic results in breast augmentation surgery in central Texas. Our goal is to treat each patient as if they were family, with honesty and integrity, and perform breast augmentation with the utmost precision, safety, and expertise. Our board certified plastic surgeons bring years of experience to the practice, and uniquely blend surgical procedures with innovative technology to provide the most optimal outcome. 

Why choose us? You deserve superior care and results.

The board-certified plastic surgeons at Austin Plastic Surgery Institute have performed more breast augmentation surgeries than most other surgeons practicing in Austin, TX. To achieve the ideal balance, very natural looking results, and a figure you love can be life changing.

Is breast augmentation right for you?

You have your own personal reasons for considering breast augmentation. We have found that women choose to undergo this surgery for several reasons, such as:

  • When weight loss has drastically reduced the size and altered the shape of the breasts
  • When the breasts have become smaller and lost firmness after having children and breastfeeding
  • When one of the breasts is significantly smaller than the other
  • If they simply feel self-conscious and wish for larger breasts to feel more feminine

This is when breast augmentation might be the right choice for you. This cosmetic procedure uses breast implants to enlarge and reshape the breasts. Patients who undergo breast augmentation surgery can improve their self-image and often their self-confidence, as well. Shopping for tops, swimsuits and dresses can become fun!

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Am I a candidate for breast augmentation?

You may be a good candidate for breast implants if you desire larger or fuller breasts or if one breast is noticeably smaller than the other. Candidates for breast augmentation:

  • You are in good general health
  • You are 18 or older (saline) or 22 (silicone)
  • One breast is larger than the other
  • You feel less confident due to smaller breasts
  • Your breasts have lost their youthful look after pregnancy, aging, or weight loss

Patient safety is our priority

Your surgeon at Austin Plastic Surgery Institute is focused on ensuring the highest level of patient safety. Before an augmentation, we will evaluate your current medical condition, review any medications you take, any allergies, your medical history, and your family’s medical history. We will work closely with you, listening to the look you want to achieve, and answering your questions and concerns. We are here to make the journey pleasant, supportive, and empowering.

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The Austin PSI difference: Breast augmentation

We really want to know what you want to achieve. All patients have measurements taken. We are focused on the base diameter of the breast, as the implant diameter must “fit” on that space. Implants are like shoes—if you wear a size 6, you can cheat ½ sizes (5 ½ or 6 ½), but you can’t wear a 4 or an 8. We ask patients to choose “wish pics” as examples of what they want. We use these photos to identify a look that they consider too large or too small.

We are looking for “just right.” We also use the Vectra 3D imaging system to allow patients to see how various size implants will look on their body—both naked and with a top on. With photo examples, physical measurements, and the use of 3D imaging, we can identify the right size implants for you. The incision is usually 4-5cm and is hidden in the breast crease. The closure is done with absorbable sutures that do not need to be removed.

We inject “Exparel” routinely, which is a long activating local anesthetic. It has a numbing effect that lasts for three or four days for a comfortable healing journey that often takes away the need for traditional pain medication.

In addition, we have a Rapid Recovery program that uses other non-narcotic medications to expedite your recovery and reduce issues such as nausea, constipation and sleep problems.

The implants best for you

If you have decided to undergo a breast augmentation with us at Austin Plastic Surgery Institute, the next step will be to select the type of breast implants that will be best for you.

If you are not familiar with the different types and sizes of breast implants, here is some information that we hope will be helpful during the breast implant selection process. Breast implants come in many shapes and sizes, including:

  • Implant size: between 120 cc and 850 cc
  • Implant filler: saline or silicone
  • Implant profile: the amount of projection from back to front (high, medium, low profile)
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Saline vs. silicone

Breast augmentation patients come to us to enhance breast shape, appearance, and size. Some hope to restore their breasts to a pre-pregnancy or pre-weight loss size and shape, while others are younger and simply want larger breasts to feel more confident and wear revealing clothing styles with confidence. In some cases, a custom breast lift is performed to address sagging and restore the breasts to a more youthful, lifted location.

Are breast implants safe?

Breast implants are among the most studied medical devices used today. While the first implants were placed in the 1970s, there have been countless improvements to extend longevity and the most recent implants are a 5th generation product.

The shells of implants are now more durable and the internal silicone gel more cohesive, avoiding the risk of leakage. Another key aspect of breast augmentation is the surface texture of the implants. With few exceptions, the implants we place have a smooth, round shell, filled with cohesive silicone, which best mimics the bounce and feel of natural breast tissue.

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Your breast implant profile and the figure you envision

The shape, volume and profile of the breast implant placement are all important factors in the final appearance and results of breast augmentation. Austin PSI’s highly skilled plastic surgeons will make the proper surgical decisions regarding placement and incision. We have the Vectra 3D imaging that allows us to construct a simulation of your expected results using different size and types of implants. This takes away the “leap of faith” part of it because now the patient will be able to confirm that the simulation is what they are seeking. For those considering a breast lift at the time of their augmentation, the simulation can show this too.

Silicone breast implants

Silicone breast implants are the most commonly used implants across the world. They are filled with a gel that creates a look and feel very similar to natural breast tissue. Silicone implants (Gummy Bear) are specially engineered so that if the shell should become compromised (a surface crack), the silicone remains within the implant (known as cohesive gel implants). Silicone implant defects are rare and can only be found through an MRI or sometimes and ultrasound. It is recommended that patients be 22 years of age to enhance breast size with silicone implants, but even in younger patients it can be used for certain situations. Silicone implants have the lowest rate of capsular contracture and the lowest rate of the need for revision surgery. In addition to looking and feeling more natural than saline, these are the safest implants made.

Saline implants

Saline breast implants became popular in the 1990s when there was a scare about silicone. They are filled with a sterile saltwater solution. The deflation rate is about 10% and occurs without warning. In some patients, silicone is the best option as saline implants may be prone to rippling in thinner patients. Saline implants can be placed in women as young as 18 years of age. If you have saline implants and are considering a revision, the implant can be deflated in the office, restoring your natural breast shape and size, allowing you to explore a new size with Vectra 3D imaging, whether you need a breast lift, or advanced fat grafting. In most patients, the implant is changed to a silicone gel implant to give a more natural look a feel, and to reduce the risk of deflation and contracture that would require yet another surgery. Some of our clients are ready to return to their natural breast size after removing the existing implants.

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Sientra silicone gel implants

At Austin PSI, we use Sientra silicone gel breast implants. Sientra implants are FDA approved and have an unrivaled safety profile, with some of the lowest complication rates clinically shown through a robust 10-year study.

Not only are Sientra implants safe, but they are also backed by their Platinum 20™ year warranty which provides the longest length of coverage, most financial assistance, and least restrictions in the industry.

Sientra implants are designed to hold their shape while maintaining a remarkably soft feel. With two surface types, over 340 implant options, and 5 projection levels, Sientra breast implants can help you see the look you’ve always wanted. 

What is the recovery time?

You must avoid all aerobic activities for three weeks, and no swimming or baths for three to six weeks. You can, however, be poolside within a few days. You should feel back to normal and likely just taking Advil or Tylenol in three to seven days. You must avoid lifting, pulling, or pushing anything over 10 lbs. for two weeks or longer, including children and pets! We focus on guiding you throughout your healing, with five follow-up appointments in the year after your surgery. Our clients often tell us that the recovery was far easier than expected! The Exparel is a big help in recovery and we do not use drains!

Types of implants

Manufacturers

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

Profiles

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. This goes from the least projecting (flattest) to the most projecting (roundest)

Shape

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. Austin PSI surgeons almost exclusively use round implants. Shaped implants have a textured surface which can be associated with a rare lymphoma.

Texture

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. Only smooth round implants are used by our surgeons.

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Implant placement

Once you choose the type of implant, the next step would be to determine the ideal surgical placement of the implants. The following options are available:

  • Submammary (Subglandular):  Under the mammary gland, over the muscle
  • Subfascial (Retrofacial):  Under the fascia of the muscle
  • Dual Plane:  Along two planes/layers
  • Subpectoral(Retromuscular):  Mostly under the muscle (This is most common)
  • Complete Submuscular (Full retromuscular):  Completely under the muscle

Based on the implants chosen, your surgeon will suggest the best placement option.

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Incision type

The type of incision used for your breast augmentation will depend on the type, size, and shape of the implants, as well as the placement of the implants. The following incision types are available:

  • Inframammary: The incision is made in the breast crease where the breast meets the torso and is the most used approach for our surgeons and across the world. It has the least number of associated complications and is most commonly used.
  • Periareolar:  The incision is made just under and along the areola
  • Transaxillary:  The incision is made in the armpit
  • Transumbilical:  The incision is made in the belly button and is never done by Austin PSI surgeons due to high complication rates.

Your roadmap to custom breast augmentation: What to expect.

The breast augmentation procedure begins with a consultation with your plastic surgeon, who will determine whether breast augmentation surgery is safe for you. If you are in good general health and an appropriate candidate, our surgeon will craft a custom treatment plan to achieve the look you envision for your figure.

The treatment plan will include the type of breast implant, the shape of the implants, implant position, incision type, and post-surgery medication and care. Your surgeon at Austin Plastic Surgery Institute will guide you to the best breast implants to suit your frame and your personal aesthetic goals.

The breast augmentation surgery experience

Breast augmentation is performed under general anesthesia in an accredited surgical facility and typically takes less than one hour to complete, after which you are free to return home to rest and recover. You will need to take it easy for a couple of days but will be encouraged to move around to keep your chest muscles from getting too tight. As the skin adjusts to the new breast size, you can expect to feel tightness in the chest area. You will be able to go back to your normal exercise routines within 3-4 weeks. It typically takes around two months for the breasts to settle into their final position but could be longer with larger implants. The result is soft and natural breasts, enhancing your figure beautifully.

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Breast augmentation FAQs

Is silicone safe?

You may have concerns about the safety of silicone breast implants due to media attention from years ago. However, the FDA did approve their safety. In addition, no evidence has ever been found to link silicone breast implants to cancer, auto-immune deficiency disease, or any other illness. These implants are the most popular due to their soft, natural feel.

Do I need a breast augmentation or lift?

Breast augmentation will help with size, but it will not correct sagging. If you merely want to increase breast size, implants alone are all that is needed. If you have sagging breasts, then you may need a combination of breast augmentation with lift. When we meet with you in a private consultation, we can evaluate your individual condition and advise you about how to achieve the look you want.

Is there a risk of implant rupture?

The advance of aesthetic technology has led to the development of very durable implants. With proper care and regular check-ups, the risks for rupture are rare. If a saline implant ruptures, the saline solution will enter the body and the implant will deflate, which is noticeable. Should a silicone implant rupture, the cohesive gel stays intact within the surgical pocket, and won’t be noticeable. As with all silicone implants, it is recommended that you undergo an MRI or ultrasound 5-6 years after the implants are placed and then every 2-3 years.

How long do they last?

There is not finite timetable for the life of the implant. They are not intended to be lifelong devices, but we only recommend exchange if they are exceptionally old or if there are issues. If there is no rupture, leakage, contracture, deflation, or any other visible defects (such as rippling), then there is no need to change the implant or undergo a surgery to replace the implants. An ultrasound can be done to look at the integrity of the implant.

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