Procedure: Approximately 1 hour
Anesthesia: General Anesthesia
Recovery: About 1-3 days (for office jobs and non-strenuous activities)
Post-op Visits: 1 day, 1 week, 3 weeks, 6 weeks, 6 months
At our practice, Fort Worth plastic surgeon Jon Kurkjian, MD is dedicated to the best possible breast augmentation experience for every patient. We are focused on tailoring the procedure to your body and to your goals. Dr. Kurkjian believes that your breast implant surgery should be focused on maximizing aesthetics and minimizing downtime.
Your visit will begin with a history and physical exam to ensure you are a good candidate for surgery. Dr. Kurkjian will then inquire about your aesthetic goals for your breast augmentation. Using careful measurements of your body and breasts, Dr. Kurkjian will then determine a specific range of implant shapes and sizes, as well as whether you may need a breast lift along with your implants. In general, when the distance from the nipple to the inframammary fold beneath the breasts is 9-10 cm or greater at maximal stretch, a breast lift in combination with implants should strongly be considered. If a lift is not performed in these instances, the final outcome will usually be subpar, often resulting in issues such as a “double bubble.”
Once measurements are taken, Dr. Kurkjian will be able to show you your potential new look on the VECTRA® XT 3D imaging system located in our office. Using this ultra-high resolution camera technology, you will be able to select different breast implants and see an immediate simulation of possible postoperative results! In the past, patients had to stuff their bra with various implants and just hope for the best. Now, using the VECTRA® XT, patients can see an accurate simulation of how each different implant will look in their own body.
From start to finish of the breast augmentation treatment process, Dr. Kurkjian and our staff will make every attempt to ensure optimal results are achieved with as little recovery time as possible. This is done through meticulous surgical technique and a postoperative regimen that focuses on bouncing back to your normal life with limited downtime. To learn more about the various benefits, techniques, and specifics of breast augmentation, we encourage you to explore the information provided below, or contact our office to schedule a consultation.
Benefits of Breast Augmentation – Enhancing Your Femininity
Breast augmentation is designed to improve the size, shape, and overall appearance of the breasts with beautiful, natural-looking results. In addition to its cosmetic benefits, the procedure can also create a positive psychological impact by renewing your self-confidence and esteem in the way you look. Among its many advantages, breast enhancement through the placement of implants may be of benefit if you feel that:
- Your breasts have lost volume following childbirth
- Your breasts have lost their shape and reduced in size following weight loss
- One of your breasts is considerably smaller in size than the other
- Your breast size makes you less feminine
- Your clothes are too large along the bust line
- You’re self-conscious in a swimsuit
Breast Augmentation Techniques and Considerations
Breast augmentation techniques vary widely; however, Dr. Kurkjian’s sub-specialty training provides a broad array of options for every patient. During an initial consultation, Dr. Kurkjian will be able to guide you through the process so you feel totally comfortable selecting the ideal incision type, implant size/shape, and implant placement for your unique need and goals.
Breast Augmentation Incisions
There are three main options for breast augmentation incisions:
- Transaxillary (armpit)
- Inframammary fold
Dr. Kurkjian typically performs the procedure through an inframammary fold incision, which is placed in the crease below the breast. He believes that this incision is ideal for avoiding the bacteria associated with the sweat glands and hair follicles of the armpit as well as the milk ducts that can be encountered through the periareolar approach. In addition to minimizing the risk of infection, the inframammary technique can also help reduce the chance for capsular contracture, which occurs when the internal scar tissue around the implant becomes very thick and hardened.
Secondary benefits of the inframammary incision include improved visualization of the breast pocket to help ensure accurate pocket dissection, and once the incision heals, it tends to be the least visible of the three options due to its position underneath the breasts. Finally, if implant revision surgery is ever needed for any reason, the revisional procedure would most likely be performed through an inframammary fold incision.
Ultimately, the advantages and disadvantages of each incision technique will be covered in full detail at the time of your consultation. If you desire a different incision than the inframammary approach, Dr. Kurkjian will be happy to consider your request and formulate an ideal plan for your surgery.
Breast Implant Positioning
Breast implants may be placed in the subglandular, submuscular, or dual plane (submuscular and subglandular) positions. Dr. Kurkjian usually places the implant in the dual plane position (mostly submuscular); however, special considerations are made for specific patients. If you train your pectoralis major muscles extensively, Dr. Kurkjian may recommend a subglandular position to avoid movement of the implant with contraction of that muscle. If you have very little tissue in the lower aspect of your breast, he may recommend a complete submuscular position.
Breast Implant Options
Dr. Kurkjian offers both shaped and round implants for breast augmentation. The determination is made based on your aesthetic goals, as well as the amount of breast tissue you have present. Typically, if you desire more fullness in the upper portion (upper pole) of your breast, Dr. Kurkjian will suggest a round implant. If you desire a more natural appearance with less fullness in the upper pole and more volume distributed toward the area below the nipple, Dr. Kurkjian will recommend a shaped implant.
The options for implant types include saline and highly cohesive silicone gel. This is a personal decision that Dr. Kurkjian will guide you through during your initial consultation. The benefits of saline implants are that they are typically less expensive, require a slightly smaller incision, and any deflation is detected easily because the implant will change in size significantly. Saline implants are good for patients who have a lot of breast tissue, but due to their rounder shape, they tend to displace inferiorly and laterally more often than silicone implants.
In Dr. Kurkjian’s opinion, the benefits of silicone implants are that they ripple less and can have a more natural feel and appearance. Furthermore, they generally stay in position over time a bit better than their saline counterparts because the back of the implant is flat. Much has been written about the “gummy bear” implants or highly cohesive gel implants. Dr. Kurkjian offers the only round highly cohesive gel—or “gummy bear”—implant, which is made by Sientra®. Patients can also choose from the shaped implants made by Mentor®, Allergan, and Sientra®, which are all highly cohesive gel or “gummy bear” implants. These teardrop-shaped implants can often be a great option for individuals who have minimal breast tissue and need the implant to create all of their breast shape.
Capsular contracture is a condition characterized by the hardening of scar tissue around breast implants, often leading to an unnatural look and feel. During breast augmentation surgery, Dr. Kurkjian employs multiple techniques to help prevent this potential complication, including the use of the Keller Funnel™ that allows him to place implants directly into the breast pocket without touching the skin and/or any contaminated tissues. In addition, he changes his gloves before placing implants, uses a triple antibiotic solution to irrigate the pocket and minimize any contamination, and stops bleeding before it starts—all of which contribute to a decreased risk of capsular contracture.
The Breast Augmentation Procedure
The key aspect of Dr. Kurkjian’s breast augmentation process is to minimize your recovery through minimal tissue trauma and meticulous surgical technique. Dr. Kurkjian was trained by world-renowned experts who helped popularize the most fundamental components of a short recovery breast augmentation. These techniques include never touching the ribs during surgery, appropriate implant selection to fit your body, and always using precise dissection techniques that do not pull on your tissues, thus preventing excessive post-surgical discomfort. In addition, he takes great care to prevent bleeding before it ever starts, which can significantly reduce the potential for postoperative pain and bruising.
Breast Augmentation Recovery
Following breast augmentation surgery, some minor swelling is generally present, though this symptom is temporary and should subside over the course of a few days. Any discomfort experienced is described by most patients as mild and can often be managed effectively with minimal medication. Thanks to Dr. Kurkjian’s careful technique—combined with strict adherence to our practice’s unique postoperative regimen—the majority of women are able to return to normal, non-strenuous activities and routines, including office-based jobs, within one to three days of surgery. However, to help facilitate healing and avoid the risk of potential complications, patients are typically advised to wait at least three weeks before progressively resuming aerobic exercise, and any heavy lifting should be avoided for approximately four to six weeks.
Ultimately, patients are not just numbers at our practice. Dr. Kurkjian and our team strive to create personal relationships and establish open lines of communication with each and every individual, helping us to deliver an optimal quality of care. Throughout the entire breast augmentation process, we will be happy to see you as often as you wish for any questions or concerns that may arise.
Contact Our Office
To take advantage of the opportunity to see how you would look after breast augmentation using the VECTRA® XT 3D imaging system, please contact us online or by phone today to schedule a consultation.