If you would like to have beautiful, full breasts that look and feel natural, breast augmentation could be the perfect solution to suit your needs. At Ann Arbor Plastic Surgery in Michigan, board-certified plastic surgeon Dr. Pramit Malhotra offers a variety of breast implant sizes, types, and styles to give women more control over their aesthetic outcome. If you are looking to increase the size and enhance the shape of your breasts in Jackson or Ann Arbor, Michigan, breast augmentation may be just what you’re looking for.
Benefits of Breast Augmentation
Wondering if breast augmentation is right for you? There are many benefits to undergoing this popular procedure at our Michigan practice, including the following:
- Enhance your body contour by giving you more feminine curves
- Help you feel more attractive and comfortable in your clothing
- Restore lost breast volume after breast feeding or significant weight loss
- Lift the breasts and fill in any hollowness in the upper portion
- Increase firmness and improve the feel of your breasts
- Give you increased self-confidence in your appearance
For Michigan women who are interested in a complete “Mommy Makeover,” a breast augmentation perfectly complements other procedures such as tummy tuck, breast lift, or liposuction. During your initial consultation, Dr. Malhotra would be happy to help you determine which procedures will give you the beautiful results you desire.
Are You a Candidate?
Women who are interested in breast augmentation should be in general good health and have realistic expectations for the procedure in order to be considered candidates for breast augmentation in Michigan. During your consultation, our staff will go over your health history and goals to ensure that the procedure is safe for you and a good fit for your needs.
Selecting Your Breast Augmentation Surgeon
When selecting a surgeon for your breast augmentation in Michigan, you should consider several important factors. These include:
- Incision Type: Find a surgeon who offers a variety of incision choices so you are not restricted to one particular type of incision.
- Complication Rates: Talk to your surgeon about complication rates, and ask about the precautions taken to reduce the chance of complications, i.e., using a triple antibiotic wash, talc-free gloves, and a sterile dressing over the incision site.
- Procedure Volume: Select a surgeon who performs breast enhancement surgery frequently, but if the practice feels like a “Michigan breast augmentation factory,” your surgery may not give you the customized results you deserve.
- Aesthetic Choices: Describe how you would like your breasts to look. Some patients prefer breasts that are very full and rounded on top for cleavage purposes; others favor the appearance created by more natural-looking, lower breast implants. Michigan plastic surgeon Dr. Malhotra carries a wide variety of breast implant styles and sizes to meet your aesthetic needs.
- Surgical Technique: Consider the surgeon’s technique. Dr. Malhotra uses a triple-layer closure when performing breast augmentation at his Michigan practice. This involves an extra layer of suturing in the fascia, which may help support the implant. Although this additional step takes extra time, Dr. Malhotra believes that anything that can potentially help support the implant over the long term is worthwhile.
A History of Breast Augmentation
How long have doctors been using breast implants?
Women have wanted to enhance the size and shape of their busts via breast augmentation in Michigan—and around the world—for much longer than silicone breast implants have been available. Early attempts to enhance bust sizes involved padded bras and other external efforts, though more involved breast enhancement efforts soon developed.
Prior to 1900, women increased the size of their breasts with injections of paraffin, a wax frequently used in the production of candles. In the early 1900s, doctors began efforts to use fat taken from elsewhere in the body, including transferring a lipoma, or fatty growth, from one part of the body to another. In the 1950s, basic attempts at breast implants included polymers, sponges, wooden implants, and balls made of glass, ivory, or even wool.
Then, in the early 1960s, Drs. Frank Gerow and Thomas Cronin developed the first silicone implants for breast enlargement, working with a patient in Texas who had been seeking tattoo removal but agreed to try the new implants. Dr. Cronin presented his findings in 1963 at the International Society of Plastic Surgeons in Washington, D.C., and the rest is history. Saline implants were then developed in the 1960s.
Since then, the field of breast surgery has grown considerably, and breast implants are a popular and safe choice frequently made by women around the world. Common implant materials still include silicone and saline, each of which carries its own unique benefits.
Breast Augmentation in Michigan Today
About 50 years ago, women had few options when it came to breast augmentation. Now, there are multiple implant types, as well as several different breast enlargement techniques to choose from. Dr. Pramit Malhotra encourages women to take advantage of the full selection of implants available to make a choice that suits them best. With so many decisions to make—even in terms of size alone—the process can seem overwhelming, but Dr. Malhotra will serve as an experienced guide to navigate through the breast enhancement process. He suggests that women first find images of breasts that they themselves find attractive. This can help narrow down the field. Next, once a size is selected, he recommends that women wear a bra accommodating implants of that chosen size, so the wearer can get a sense of the feel of the new chest, as well as what her new profile might look like.
Dr. Malhotra’s ultimate goal with each breast augmentation is to give the patient the size increase she wants, while maintaining a natural appearance. The last 50 years have brought considerable changes and advances to the world of plastic surgery, especially in the field of breast implant surgery. Find out what modern medical science can do for you!
General Procedure for Breast Implants in Michigan
Breast augmentation for Dr. Malhotra’s Michigan patients involves making a small incision to insert the breast implants. There are 4 common incision locations: the armpit, nipple, breast fold, and belly button. We offer armpit incisions for silicone breast implants, which is not an option offered by many surgeons.
There are 3 common locations for placing the breast implant: under the pectoralis (chest) muscle, over the muscle, or by using the “dual plane” technique, which combines both methods. The decision on which location to use depends on how much breast tissue you have to cover the implant, which incision you would like, how much of a breast lift you need from the implant, and what type of breast implants you have chosen. Some factors to consider include:
- Armpit incisions typically require placement under the muscle.
- Very small breasts often need extra coverage for breast implants, so they are placed under the muscle.
- Silicone implants can be placed on top of the muscle to allow the implant to maximally lift the breasts.
- Recovery time with implants placed over the muscle (subglandular) is typically less than under the muscle. We use a 48-hour recovery technique for breast implants placed in the subglandular position.
What is Dual Plane Augmentation?
The dual plane method is a very common breast augmentation technique that only recently became known by this name. The “dual plane” portion of the term refers to the fact that the breast implants are sitting in two different layers, as opposed to being situated solely beneath or above the chest muscle. To visualize what this looks like, picture the implant as gently sloping outward, projecting forward like a perky breast itself.
For dual plane breast augmentation, the doctor positions the implant so it spans two different layers within the breast: the upper part of the implant sits beneath the breast tissue and its underlying muscle, the pectoralis major, while the lower part of the implant sits solely beneath the breast’s glandular tissue. This breast augmentation technique utilizes the breast implant to create an organic shape, with projection that follows the natural slope of the breast. Coupled with the increase in volume, the technique also provides an internal breast lift to remedy a small to moderate amount of sagging, particularly in thin patients. Since the upper portion of the implant is covered with muscle, the potential for rippling is decreased. Dr. Pramit Malhotra will work with each patient to determine the ideal implant placement and incision site for her unique anatomy and aesthetic goals. In cases where dual plane placement is the preferred technique, he will explain the details and answer any questions about the surgery, the implant, and the incision choice.
The dual plane method works particularly well for women whose bodies are thinner and smaller, and whose breasts might be drooping a little. When approaching breast augmentation, the Ann Arbor area’s Dr. Malhotra emphasizes the reality that every woman’s body is unique. Rather than coming in with a request for a specific procedure and technique, women who want breast implants would be best served by explaining the ultimate look they would like to achieve. Drawing on his years of education and experience, Dr. Malhotra can determine what the best procedure would be to deliver those results, and his suggestion may differ from the requested procedure.
Obviously, the final decision is in a patient’s hands. A woman who chooses to get a breast augmentation has the ultimate say. If she weighs her options and comes to like the idea of a dual plane augmentation and the look of this procedure, she should seek out all of the information she can about it by asking Dr. Malhotra any questions she has during their consultation. Then, everyone can move forward equipped with the necessary knowledge and understanding for the best outcome possible.
Choosing a Breast Augmentation Incision Type
Women seeking breast enlargement in Michigan typically want to understand the benefits and drawbacks of various breast augmentation incisions. At our Michigan practice, board-certified plastic surgeon Dr. Pramit Malhotra offers numerous choices. The decision-making process involves several personal factors such as age, body type, clothing preferences, and plans for future surgical procedures. Although patients must make the ultimate decision about incision location, Dr. Malhotra is happy to provide information about various breast augmentation incision details so his Michigan patients feel completely satisfied with their final choice—and their final, beautiful results.
Common Incision Locations for Breast Enlargement in Michigan
Dr. Malhotra offers 4 common types of incisions for each breast enlargement or “boob job” procedure at his Michigan practice:
- Breast Fold: An inframammary incision, which runs parallel to the fold beneath the breast, is used most often for our breast enlargement procedures. At our Michigan practice and across the United States, statistics show that 70% of patients choose this approach. The cut is actually made a little bit above the breast fold so the scar will be hidden on the underside, in the shadow of the breast. The advantages of this approach include a direct view of the support structures of the breast during surgery, which is very important for achieving pleasing results that will last for years. Additionally, any future procedures can be performed from this incision, avoiding double scars on the breast.
*Patient results may vary.
- Nipple: A peri-areolar incision is made around the nipple, right along the color line. This is a common incision used for Hollywood starlets because the scars tend to heal very well. Any type of evening or swim wear can be worn, and the scar is hidden as long as the nipple is covered. Patients with small areolas may not be able to have large silicone implants placed through this method.
- Armpit: Known as a transaxillary incision, this type of breast augmentation incision is chosen by Michigan patients who have friends who have used this approach. Our incisions are placed high in the armpit, parallel to a natural crease, so the resulting scar often looks like an existing crease. This allows women to have breasts that are free from scars. This can be particularly advantageous for younger patients who are not married and prefer not to explain their surgical history to future significant others.
- Belly Button: Officially called a transumbilical incision, this method can be used only with saline breast implants. Our breast enlargement patients in Michigan often decide that the armpit incision is a better choice so that quick-recovery techniques can be used.
Minimizing Scar Size and Visibility During Surgery
Dr. Malhotra strives to give his breast enlargement or “boob job” patients in Michigan the breast size and shape they want, while making the scar as invisible as possible. The best scars are placed in locations where they are hidden by normal tissues, in shadows, or in areas not easily seen, even in the most revealing clothing or lingerie.
The second component to a great outcome is how the breast augmentation incision is surgically closed. At our Michigan practice, we use a 3-layer closure technique, while conventional breast surgery typically involves a 2-layer closure. The extra layer can aid in achieving a better cosmetic result, leading to a scar that is much less noticeable.
Breast Augmentation Incision Scar Care for Michigan Women
An excellent outcome for your scar will depend on proper care of the incision while it is healing. For the first 6 weeks, your scar will feel hard and will sometimes be slightly red, as your body heals and makes new collagen. After 6 weeks, your scar will begin to fade. This fading will continue gradually for up to a year.
We use a special soft silicone sheeting on your scar after surgery, as well as a cream that contains arnica, copper peptides, vitamin C, beta carotene, and seaweed extract. The ultimate “boob job” result for our Michigan patients depends on a combination of expert surgical technique and closure, infection prevention, and meticulous aftercare with scar treatments.
Breast Augmentation Recovery Process
The talent, experience, and professionalism of the plastic surgeon a woman sees for her breast enlargement procedure is crucial to the quality of the outcome, but healing after the operation also plays a role. Each patient needs to rest and relax to give her body time to heal. Though the average time needed for recovery after getting breast implants is roughly one work week, recent medical advances and discoveries have made it possible to shorten that by a range of several days.
Dr. Malhotra performs “quick recovery” breast augmentation for his Michigan patients. This means that after surgery you will wear a surgical bra for 1 day. You may then switch to a sports bra. Some patients have even reported going out to dinner the night after their procedure; however, we advise that you speak with Dr. Malhotra about recovery time before resuming any normal activity.
What is Rapid Recovery Breast Augmentation?
A study by the Mayo Clinic in early 2014 found that a mix of factors can substantially reduce the time it takes for a breast augmentation patient to “get back to normal.” That mix includes pain-preventing analgesics applied in advance of the surgery, the use of nonsteroidal anti-inflammatories, a specific nerve-numbing agent used during the breast enlargement surgery itself, preventative anti-nausea measures, and minimizing medications given once the surgery is completed.
First, patients should know that any surgical procedure—breast augmentation included—will have the best chance for an ideal outcome if the patient is healthy. Women seeking breast implants should eat well and drink plenty of water in the days and weeks leading up to the surgery. Quality sleep before and after the breast augmentation surgery boosts the body’s ability to heal, as does refraining from smoking.
Another simple factor to aid in rapid recovery is getting back to normal activities as soon as possible. Eating and getting up to walk around shortly after breast augmentation surgery appeared to have a beneficial effect in reducing the necessary downtime.
Patients interested in rapid recovery breast enhancement typically consider the option because it reduces the pain and downtime many patients experience after their surgery. Breast implant incision sites require healing, which is a natural process that can be aided by encouraging the body to operate at the most optimum level possible.
Breast augmentation patients in the Ann Arbor area and surrounding regions may find it beneficial to maintain a positive, healthy attitude and set realistic goals for themselves in relation to their surgery. Dr. Malhotra believes in explaining procedures to his patients and answering their questions to ensure that they’re making the best decisions possible.
*Each patient is unique and individual results may vary.
Below are few of Dr. Malhotra’s tips for a better breast enlargement experience:
- Discuss dual-plane breast augmentation with your surgeon. This technique allows for the placement of breast implants below the muscle, but lifts the breast as if they were placed above the muscle.
- Find a surgeon who uses quick recovery techniques. This involves not contacting the ribs during surgery, developing the pocket for the breast implants with a bloodless technique, and using long-acting anesthetics in the breast tissue.
- Think carefully about the size of your breast implants. For many Michigan women considering breast augmentation, choosing a size is the most difficult decision to make. We use 3 techniques to help make this process easier: picking pictures of breasts you think are attractive, trying on implants with special bras, and using a sizer during surgery to see how the volume you picked looks on you.
- Involve your significant other, but not too much. This is your body and your comfort level, so only choose a size you are comfortable with.
- Understand that nipple sensation can significantly change. You may experience a decrease in nipple sensation after your breast augmentation.
*Patient results may vary.
Breast Enlargement Results Customized for You in Michigan
Our practice specializes in breast augmentation for women from Ann Arbor, Jackson, and throughout Michigan. We make customized alterations in the surgical plan for each patient. For some women, this may mean choosing a different implant shape or a different implant size because they have a narrow chest. For others, this may mean combining a minimal-incision breast lift with their breast augmentation surgery. Every patient has a unique anatomy, so each breast augmentation surgery should be unique as well.
Ready to get started? Contact Dr. Malhotra today to learn more about breast augmentation at one of his Michigan offices. Request a consultation online, or call our Jackson office at (517) 789-9800 or our Ann Arbor office at (734) 913-5100 to schedule your appointment.