Dr. Steven Robinson of the Plastic Surgery Group

August 2014

Breast Augmentation FAQ

1. Breast Lift vs. Augmentation how to tell which is needed.

Breast augmentation is done alone when there is minimal excess skin and sagging (ptosis) of the breasts. This is usually the case in younger women and in women who have not had children. If someone is an “A” or “B” cup, they usually do not need a breast lift, but only an augmentation with an implant to increase the size and improve the shape of the breasts.
However, if there is extra skin causing the breasts to sag, then a breast lift with or without an implant is the best procedure. An implant can be used to increase the cup size of breasts at the same time as a breast lift (mastopexy). If you are happy with your cup size, a breast lift can be done alone. This will improve the shape of the breasts without making them any larger.
The only way to tell for sure which procedure is best for you is to discuss your concerns with a Plastic Surgeon.

2. How do you choose the right breast implant size?

This can be a difficult decision. The best way to determine which size will satisfy you is to discuss what cup size you would like to go up to with your Plastic Surgeon. Then, in my practice, we let the patient try on breast sizers that will make them the desired cup size just to be sure they like that look. They can try on all different sizes and choose the one that suites them best.. This way no one is guessing about the size and it is like previewing the results before the procedure.

3. Do breast implants lift slightly sagging breasts?

The answer is yes. However, whether or not they will lift the breasts enough to make a sagging breast look good depends on several things. It depends on the amount of excess skin you have in the breasts and it also depends upon the size of the implant. Larger implants will lift the breasts more.
This should be discussed with an experienced Plastic Surgeon . In addition, you should discuss the possibility of needing a breast lift (mastopexy) in the future.

4. Can I get breast implants under local anesthesia?

It is possible to have the procedure done using local anesthesia and some I.V. sedation. However, in my practice I always use a board certified Anesthesiologist to ensure the comfort of my breast augmentation patients. The anesthesiologist gives the medication so that I can concentrate on the results of the procedure. I recommend that most people have a light general anesthetic for this because the procedure is relatively short and you are completely comfortable during the surgery.

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