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Breast Augmentation

breast10Breast augmentation is one of the most popular procedures at Richmond Aesthetic Surgery. With nearly 300,000 breast augmentations performed in the United States alone in 2013, more and more women are turning toward this procedure for a fuller and more proportionate bust. Over the past 40 years, breast implant options, surgical techniques, and even the consultation process have continued to advance, allowing Dr. Neil Zemmel to achieve beautiful and natural breast augmentation results for many of his patients. Full, symmetrical, and proportionate breasts can help clothing fit better, boost self-confidence, and give your body a more youthful appearance.

Why Choose Breast Augmentation?

Our patients at Richmond Aesthetic Surgery choose breast augmentation for a wide variety of reasons. While increasing the size and volume of the breasts is certainly a major goal of many patients, there are a number of other common concerns women wish to address with breast augmentation, including:

  • Creating better symmetry between the breasts
  • Repositioning the nipple and areola
  • Correcting breast abnormalities
  • Restoring lost volume after pregnancy and breast-feeding
  • Improving the fit of clothing
  • Increasing self-confidence

Patients seeking breast augmentation should be in relatively good health without significant medical issues.

Breast augmentation surgery has a very high patient satisfaction rate and a low complication rate.

Dr. Zemmel will review your medical history and determine if you are a candidate for breast augmentation surgery. If you are a good candidate for the procedure, Dr. Zemmel will work with you to design a surgical approach that is custom-tailored to address your unique concerns and meet your expectations.

Am I A Candidate For Breast Augmentation?

Women who desire fuller, more symmetrical breasts that are proportionate with their individual body type can be candidates for breast augmentation.

Ideal candidates for this procedure are typically those who are in good health, lead a relatively active lifestyle, and maintain healthy eating habits.

During the consultation process, Dr. Zemmel will perform an examination as well as review your medical history to determine if breast augmentation is the best procedure to achieve your personal aesthetic goals. In some cases, Dr. Zemmel may recommend combining breast augmentation with a breast lift in order to achieve the results you desire. This will depend on your overall size and shape, the quality of your skin, and the position of the nipple.

The Consultation Process

Dr. Zemmel believes that each breast augmentation procedure requires a custom-tailored approach to meet the needs and desires of every unique patient. Since he does not believe in a “one-size-fits-all” approach, Dr. Zemmel will spend time getting to know your goals and expectations regarding your final look. This will guide Dr. Zemmel to determine the best way to approach your individual procedure. Dr. Zemmel’s goal during the consultation is to educate you with regards to the different breast implant types, sizes, and shapes and different surgical approaches available. This will allow you to make the most informed decision for your procedure. In addition to a photo gallery of results from Dr. Zemmel’s previous patients, you will have the benefit of being able to view a 3D computer-generated “preview” of the potential results of your procedure. Using VECTRA® 3D Imaging technology, you can virtually “try on” various implant options to help you decide which type of implant may best fulfill your needs.

Learn About VECTRA® 3D Imaging

Selecting an implant size and type is one of the most important decisions you will make during your consultation, and Dr. Zemmel is here to help you navigate your implant options. In addition to finding the right size and profile for your figure, there are different advantages to consider when choosing between silicone or saline, textured or smooth, and round or anatomically shaped implants.

Learn About Breast Implant Options

A complete breast augmentation consultation with Dr. Zemmel lasts approximately one hour. During the consultation, Dr. Zemmel will provide you with a quote for the procedure. This will include all of the fees associated with your procedure. The operating room fees, anesthesia fees, implant costs, and surgeon’s fees will be included. All postoperative care is included. Our practice accepts a number of payment methods and we also offer financing options for cosmetic breast surgery. At the end of your time with Dr. Zemmel, you should feel confident in your decisions regarding the procedure and have all of your remaining questions answered.

If you decide to proceed with surgery you will have another full consultation with Dr. Zemmel. This gives you another opportunity to ask additional questions and to finalize your implant choice. Dr. Zemmel is always available to address your concerns and to make sure you are completely comfortable with the procedure.

The Procedure

To prepare for your breast augmentation surgery, Dr. Zemmel will provide you with a packet of pre-operative instructions. It is particularly important for patients to stop smoking a minimum of two weeks before your scheduled surgery. If you are having a breast lift with your breast augmentation of a body contouring procedure, you will be asked to cease smoking a minimum of 4 weeks in advance. You will also be given a list of medications to avoid before your procedure. This list includes medicines such as aspirin, ibuprofen, naproxen, and others that may increase the risk of bleeding.

The procedure itself typically takes less than an hour to complete and is considered minimally-invasive.

Your comfort and safety during the procedure is Dr. Zemmel’s primary concern. All breast augmentation surgeries performed by Dr. Zemmel take place in a fully accredited operating room, and Board Certified Anesthesiologists as well as Board Certified Registered Nurse Anesthetists administer all anesthesia.

breast_incisionsConceptually, a breast augmentation is a procedure to create a soft tissue pocket to accommodate a breast implant. There are a number of techniques available to create this pocket, and Dr. Zemmel will tailor your procedure specifically to your shape and body structure. The incision location (Inframammary, Periareolar, or Transaxillary) as well as the pocket location (Submuscular, Subglandular, or Dual Plane) and implant type will play a major role in the appearance of your final results. Dr. Zemmel will discuss the surgical approach he will use for your procedure during the consultation process so that you can choose a technique that will make you feel comfortable, as well as provide you with the cosmetic results you desire.

Learn About the Surgical Techniques Used

The Recovery

Recovery from a breast augmentation comes from your soft tissues (your breast tissue, skin, and pectoralis muscle) stretching to accommodate the implant. The majority of Dr. Zemmel’s patients have mild to moderate discomfort after surgery, which resolves in 5 to 7 days. To alleviate any post-operative discomfort, you will be prescribed muscle relaxants and analgesics that you can fill before the day of your surgery. Many patients liken the feeling after breast augmentation to the muscle soreness you would feel after an intense workout. Dr. Zemmel takes great care while performing the operation and uses a “gentle hand” to reduce any associated downtime as well as the visibility of any scars. With his years of experience and skill, he strives to minimize tissue trauma and allow for a swift recovery. Patients typically feel completely recovered within 5-7 days of their procedure. During this period, you will have a couple of follow-up visits with Dr. Zemmel to monitor your healing.

Although you will notice an immediate change after your breast augmentation, the final results of your procedure will not be visible for several weeks. As the body heals, any swelling of the breasts should dissipate and your implants will settle into their final position.

The incisions should also heal quickly, and with the use of topical scar treatments recommended by Dr. Zemmel, any scars should soften and fade during this time. Depending upon your incision type, you may not see many signs of visible scarring after just a few months.

Following the first week of your recovery, you will also be instructed on how to perform post-operative breast massage. This massage is intended to break up any developing scar tissue and keep your implants looking and feeling natural. Dr. Zemmel recommends that his patients practice this massage technique three times a day for about three months to optimize the results of the procedure.

Contact Us

To learn more about breast augmentation at Richmond Aesthetic Surgery, or to schedule a consultation, please contact our office today.

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