Dr. Steven Robinson of the Plastic Surgery Group

Breast Augmentation

Would having fuller and shapely breasts help you feel more feminine and confident? Are you one of those women who just never developed breasts to the extent you would like? Or has time and pregnancies changed your breasts to the point where you would now like to restore their size and shape? If you answer “yes” to any of these questions, breast augmentation may be right for you.

Breast augmentation is a surgical procedure that has been performed since the 1970’s. However, much has changed over that time to make this an easier procedure to recover from with smaller incisions, less pain and a shorter recovery period. Over 2 million breast enlargement surgeries have been done in the United States alone. Dr. Robinson has done hundreds of these breast augmentations over the last twenty years. It is one of his most frequently performed surgeries.

When considering breast enhancement, there are several choices that need to be discussed. First is the type of implant. We now have a choice between saline breast implants and gel breast implants. Saline implants can be placed in anyone over 18 years of age, while gel implants are approved by the FDA for anyone over 22 years old. Dr. Robinson is a very experienced board certified cosmetic breast surgeon and uses both types of implants on a regular basis.

  • Saline implants are adjustable at the time of placement, so if your breasts are significantly uneven (breast asymmetry), these implants can be adjusted to make your breasts match better.
  • Gel implants tend to feel softer and more natural than saline breast implants and do not ripple like saline can sometimes do.

There are different types of incisions as well:

  • Inframammary incisions are the most popular. These are placed in the fold under the breasts where the incisions will be out of sight and out of the way of any important nerves.
  • Peri-areolar incisions are placed around the nipples. This heals well but carries with it the risk of nipple numbness.
  • Axillary incisions are in the armpit where any residual scarring will be well hidden.

Implants can be placed on top of the chest muscle (subglandular) or under the chest muscle (submuscular or subpectoral). If you want a lot of fullness in the cleavage area, over-the-muscle placement offers that look. Submuscular breast augmentation usually gives you a more natural look in the cleavage area if you don’t have a lot of breast tissue already.

These are decisions to make during your consultation with Dr. Robinson. He will discuss all of these options with you and offer advice as to the best methods for you.

An outpatient procedure that takes about two hours, breast augmentation surgery offers a relatively easy recovery period. Within a few days, you should be able to return to work and normal activities, although you can expect some inflammation, mild bruising, and soreness. For this reason, you won’t want to engage in anything strenuous for a matter of weeks.

Implants take about three months to settle into their final placement, and they normally become a bit softer during that time.

If you’re arriving from out of town, Dr. Robinson’s staff is happy to arrange an overnight stay for you at a hotel that is run by Riverside Hospital. He will examine you the following day before you return home.

Breast Augmentation FAQ’s

Q. – How do I choose what size of implants to get?

A. – This is a very important question to answer at the time of your consultation Dr. Robinson always asks if you have an idea of how larger you would like to be when finished with the augmentation procedure. Then he will determine several different sized implants that will be close to your goals. You will then try the implants on using a sizer bra with one of our patient care coordinators. This way you can see what the volume of each implant looks like on you. It takes away much of the guess work involved in choosing your implants.

Q. – How old do you have to be to get a breast augmentation?

A. – It is best to wait until most of your breast growth has been completed. For most women this is in their late teens. The FDA has approved this procedure for women over 18 years old using saline implants and for those over 22 years old using gel implants. Dr. Robinson has a policy that you must be 18 years old or older before having breast augmentation.

Q. – What are the different types of breast implants?

A. – There are several different types of breast implants on the market today that have been approved by the FDA. The differences are in the material filling the implants and their shape. Saline breast implants have been available since the 1990s and are made of a solid silicone shell filled with sterile I.V. fluid. The gel implants are also approved by the FDA and are made with a silicone shell then filled with a very thick gel that behaves like a solid. The newer highly cohesive gel implants, sometimes called “gummy bears,” are often shaped and are used primarily for breast reconstruction.

Ask your Plastic Surgeon about the differences and which one he/she recommends for you.

Q. – What if I get pregnant with breast implants?

A. – Breast implants are designed to be just fine during pregnancy. They will not harm you or your child. However, the breasts naturally change during and after pregnancy. Frequently, the breasts become larger and fuller and may even sag a little. Breast feeding can also change the shape of your breasts. If after your pregnancies you see changes in the size or shape of your breasts that you do not like, these can be addressed. Excess skin can be removed and implants can be adjusted if necessary.

Q. – Can I breast feed with breast implants?

A. – Yes, you can breast feed after having breast augmentation. All of the implants approved by the FDA have been studied during pregnancy and are safe for you and your child. Breast feeding might change the ultimate shape of your breasts when you stop. This issue can be addressed if necessary

Q. – How long is the recovery time?

A. – This depends on the physical demands of your job and lifestyle. Dr. Robinson asks that you not exercise or participate in sports for one month after the procedure. Also, sports bras are worn day and night for that first month. After one month you are able to exercise and wear anything you wish. Most people who have a “desk job” are back to work in 1 to 2 weeks. Normal activity is allowed immediately and you can shower the very next day after the procedure.

Q. – Can I exercise with breast implants?

A. – Yes, as soon as you have recovered from the procedure you can begin to exercise. Dr. Robinson restricts exercise for one month after breast augmentation then you may begin. You will need to slowly work up to the strength and endurance you had before your procedure. Once healing has taken place and you are exercising again, you should be able to do everything that you could do before your procedure.

Q. – What type of bras can I wear after breast augmentation?

A. – For the first month after your breast augmentation procedure, Dr. Robinson has you wear sports bras day and night. After that first month, you can wear any bra that is comfortable. At first, you will probably like the feel of softer bras but eventually you will be able to wear underwires and push-up bras again if you want. Once healing is complete, you can even go without bras for periods of time, although it is usually best to wear some sort of bra during the day to prevent sagging of the breasts that can occur over the years.

Q. – How long should I wait after childbirth to get breast augmentation?

A. – In general, it is best to wait 6 months after childbirth or 6 months after you stop breast feeding. After pregnancy and breast feeding the breasts change and usually get smaller. You want this natural change to happen first so that you know what size you are and what size breast implants we need to give you your desired results.

Q. – Who is a good candidate for breast augmentation?

A. – In general, some women seek breast enhancement if they never developed breasts to a satisfactory size or shape. Other women want to restore what time and pregnancies have taken away from their breasts. Both are good reasons to have breast augmentation and the procedures are designed to make aesthetic improvements in both sets of patients. A woman must be 18 years of age or older to have this procedure

For women who have never developed breasts to the extent that they desire, Breast augmentation can give a fuller, larger, yet natural appearance. Women can chose the size they want to be and actually try on sizer implants during their consultation. If you have ever wondered what it would be like to be a “C” cup or a “D” cup this is a great way to see.

For those who have had pregnancies or have experienced changed in their breasts over time, augmentation can make the breasts fuller, firmer, and more youthful appearing. Sometimes and breast lift (mastopexy) is done at the same time as the augmentation if sagging (ptosis) of the breasts is also a problem. Dr.Robinson will discuss this with you at the time of your consultation

Q. – How are implant sizes chosen?

A. – Some women know exactly what size breasts they want to have (for example a “D” cup). Maybe you know someone who has had the procedure already and you like that size. However, most women have an idea of the look they want to achieve but not the exact size. Because of this, we will help you try on sizer implants at the time of your consultation. That way, you can see what the volume of each looks like on you before your procedure. The size that you want to be after breast augmentation is totally your choice. Dr. Robinson will offer guidance but the decision is yours.

Q. – Which type of implant is best?

A. – The answer depends upon your anatomy and your goals. Are you looking for a “natural” look to larger breasts? Is fuller cleavage one of your goals? Is it important to you to have soft feeling breasts? All of these are taken into account when the types of implants are discussed. Today, we have choices of several different types of FDA approved breast implants. There are saline implants, gel implants, and shaped implants. Dr. Robinson will discuss these with you at the time of your consultation. Each type has unique properties that might make it better for some individuals than others. We will also show you these implants so that you can actually see and hold them.

Q. – Will I need a breast lift also?

A. – The answer to this depends on the shape of your breasts now and your ultimate goals. For younger women who have not had children, most do not require a breast lift. If you have had children, breast fed, or have had changes in your weight, the breasts might have enough ptosis (sagging) to make a lift desirable. Dr. Robinson will go over options with you and show before/after pictures of other women similar to you.

Q. – Where is the incision for placing breast implants?

A. – There are several ways to put in breast implants. They can be put in through an incision in the crease below the breasts, through the nipple, or through the axilla (armpit). Over the years, Dr. Robinson has done all of these incisions and will discuss this with you taking into account your wishes.

Q. – Should breast implants go on top of the chest muscle or behind?

A. – Both ways are done on a regular basis depending upon your anatomy and goals. For most women, behind the muscle gives a more natural look and feel to the breasts. However, if there is some ptosis of the breasts and enough breast tissue present, putting the implant on top of the muscle can give a small lift to the breasts as well as fill out the cleavage area. This important choice will be discussed in detail during the consultation.

Dr. Robinson will then examine you and one of our patient care coordinators will bring in sizer implants and help you try them on. This allows you to see what that volume of implant looks like on you before the procedure. You may try on any size you wish.

Dr. Robinson will then go over the procedure details including the outpatient surgery center, anesthesia, recovery and restrictions during the healing process. These procedures are only done in a fully accredited outpatient surgery center with a board-certified anesthesiologist present for your comfort.

After all of your questions have been answered by Dr. Robinson, you will meet with a patient care coordinator to receive written materials covering all of these topics to take home with you. She will also give you the cost and payment options. Finally, she does the scheduling for all procedures and will talk with you about that simple process.

Q. – How long will I be off work?

A. – That depends on the physical demands of your job. For most people with a “desk job,” a week off work is enough. However, if you job requires heavy lifting or strenuous activity, you might need a few weeks off. We will go over all of this before you leave so that you can make plans.

Finally, breast augmentation is a safe and effective procedure to enhance the size and shape of breasts. It should only be done by board certified Plastic Surgeons who are experienced with this type of surgery. Make sure to ask about the credentials of your Plastic Surgeon.

Breast Augmentation Consultation

At your consultation, cosmetic surgeon Dr. Robinson will talk with you about how you would like your breasts to look. You will also see breast augmentation before and after photos of others who have had the surgery. Dr. Robinson will then take pictures of you to serve as your “before pictures”. After about three months, he will take “after pictures” and give you both sets of photos. It can be exciting to compare the differences. Of course, your photos will not be shared with anyone else unless you consent.

When you’re ready to enlarge your breasts, Dr. Robinson invites you to take that next step and schedule a consultation to discuss breast augmentation at one of our offices: 1 Plastic Surgery Plaza, 4850 Red Bank Expressway, Cincinnati, OH 45227 or 7162 Liberty Centre Drive Suite C, West Chester, OH 45069. You may contact us by the email form provided. You may also call us at (513) 791-4440 for the Cincinnati location or (513) 769-3223 for the West Chester location.

(513) 791-4440 (Cincinnati)

(513) 769-3223 (West Chester)

(614) 326-4661 (Columbus)

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Our Offices

1 Plastic Surgery Plaza
4850 Red Bank Expressway
Cincinnati, OH 45227
(513) 791-4440

7162 Liberty Centre Drive
Suite C
West Chester, OH 45069
(513) 769-3223