Also Serving Implant Patients in Beachwood
Would bigger, fuller breasts make you feel more self-confident and beautiful? If so, breast augmentation with a board-certified and experienced plastic surgeon may be the solution. Having breast implants placed not only enhances the size and volume of your breasts, but also improves the balance and proportions of your overall body.
Drs. Mark A. Foglietti and Alanna Foglietti Fostyk have performed hundreds of breast augmentation procedures and seen the positive effects breast augmentation can have on their patients’ lives and self-confidence. Drs. Foglietti and Foglietti Fostyk are leaders in breast augmentation and pride themselves on staying on top of the latest advances and techniques in the industry. Committed to providing excellent surgical results and patient care, Dr. Mark Foglietti holds three U.S. patents on modern, state-of-the-art breast implants. By combining their technical skill and sense of artistry with advanced technologies, our Cleveland plastic surgeons are able to consistently deliver beautiful yet natural-looking results with breast augmentation.
Am I a Candidate for Breast Augmentation?
You may be a suitable candidate for breast augmentation if you:
- Have naturally small breasts
- Have breasts that have lost volume due to pregnancy, breast-feeding, weight fluctuations and/or aging
- Have asymmetrical breasts
- Are in good physical and psychological health
- Have realistic expectations of breast augmentation
Prior to breast augmentation, you will meet with one of our plastic surgeons to discuss your candidacy, details of the procedure and what you hope to achieve. Your surgeon will perform a physical examination and evaluation of your medical history. He or she will also ask you to describe your cosmetic concerns and goals. All of your treatment options will be discussed during your consultation, including whether you could benefit from a breast lift with implants combination procedure. Your surgeon will work with you to develop your personalized treatment plan.
Breast Implant Choices
You have several choices of breast implants each of which has its own set of advantages and disadvantages. We prefer the natural look and feel of silicone gel implants.
Breast implants can be placed in front of or behind the pectoral muscle. To help you select the size of your implants, our surgeons will review your size and cup preferences in detail. Our team will help you decide on the type, size, placement and other details of your breast implants based on your anatomy, lifestyle, personal preferences and other factors.
Breast augmentation is an outpatient procedure and is generally performed under anesthesia. During the procedure, your surgeon will create an incision on the breast to place the implant. There are multiple incision techniques used for breast augmentation such as:
- Periareolar incision – made around the outer perimeter of the areola
- Inframmary incision – made on the natural fold of the breast
- Transaxillary incision – made in the armpit area
Once the implants are properly positioned and all of the surgical modifications have been made, the surgeon will close the incisions using sutures, dress the breasts with soft bandages and place a surgical bra on top. Our staff will provide you with a detailed list of instructions to follow during your recovery. We will also schedule several follow-up appointments to monitor your healing progress.
Breast Augmentation Recovery
Pain, soreness and swelling are the natural result when an implant is inserted into a sensitive area of your body, especially if it has been placed beneath chest muscles. Swelling crests within 48 hours, but won’t completely subside for months.
During the first week’s critical healing period, you will be wearing a surgical bra that may be holding in place tubes to drain any accumulation of fluid. The bra provides support your breasts need to heal and settle. Because of swelling, your breasts will appear elevated on your chest; it will take time for them to drop into their final position.
You should be able to cautiously return to your normal routine, including work or school, in about a week. Continue to sleep on your back with pillows to elevate your head and upper body. During the day, avoid strenuous physical activities, but do make time for short walks, which will improve your circulation, speed healing and help prevent the formation of blood clots.
Breast Augmentation FAQs
I’m interested in state-of-the-art breast augmentation performed by a master surgeon — what are my choices?
Hundreds of thousands of women in America choose breast augmentation surgery each year, and its popularity continues to steadily increase. Plastic surgeons have responded to the demand with a variety of new options and innovations. At the vanguard of such advances are experienced surgeons such as Dr. Mark Foglietti, who holds three U.S. patents on modern, state-of-the-art breast implants.
In general, the two types of implants used for breast augmentation are saline and silicone gel. The skilled Cleveland-area plastic surgeons of Foglietti Fostyk Plastic Surgery prefer silicone for its strength, versatility and natural feel. With both types of implants, the liquid or gel is contained within a flexible silicone shell. Silicone fillers themselves come in two varieties: a cohesive gel and a form-stable gel that is used in “gummy bear” implants, so-called because their feel and consistency are redolent of the popular candy.
How do I decide which implant is right for me?
Implants are not one-size-fits-all. There’s an array of sizes and shapes to match your individual body type and your own expectations. The key to choosing the right material, shape and size for your procedure is to share your goals with your surgeon, ask plenty of questions, review your surgeon’s before-and-after photos, and visualize in your mind (or with implant sizers) how you will look after breast augmentation.
Will I need to stay in a hospital?
The experienced Cleveland-area plastic surgeons of Foglietti Fostyk Plastic Surgery have performed hundreds of breast augmentation surgeries as an outpatient procedure, using general anesthesia or “twilight” IV sedation. The entire process will normally take one to two hours.
Will there be scarring?
Some scarring is inevitable, but new techniques have made it possible to position implants in ways that ensure that scars are less noticeable. The transaxillary technique uses incisions that are made under the armpit. In an inframammary procedure, the incision is made under the breasts, so the breast itself hides the incision; a periareolar procedure locates the incision around the nipple, where the natural transition of the skin can help make scarring discreet.
How will the feel and firmness of my breasts change?
Silicone gel implants provide the most natural feel, although your surgeon may attain a similar consistency with saline implants by inserting them behind the chest muscle and stretching the implant shell by filling it with additional saline. Implants will add strength and firmness to your breasts, although the extra weight of an oversized implant can increase the likelihood of sagging as the body ages and skin loses elasticty.
What is the difference between breast augmentation and breast lift?
Breast lift focuses on restoring a youthful profile to the upper body by raising the breasts and reversing sagging. By elevating the position of the breasts on the chest, the procedure can create the appearance of larger volume, even though a small amount of skin and tissue is normally removed during the surgery. In addition, by improving symmetry and restoring a “perky” look by returning low or downward-pointing nipples to a natural appearance, breast lift creates a profile that is more dramatic in its projection, shape and proportion.
Can breast augmentation be performed in conjunction with other procedures?
Yes, this is commonly done, especially as an element of a suite of surgical procedures known as mommy makeover. These procedures target the changes the body often undergoes as a result of pregnancy. Mommy makeover may also include liposuction, to shrink specific areas of stubborn fat; tummy tuck, to repair the abdominal wall and remove excess folds of skin; and breast lift, as described above.
What are some of the risks of breast augmentation?
In the hands of an experienced surgeon, the likelihood of complications is minimal. In general, possible adverse outcomes include:
- Capsular contracture, which develops when scar tissue forms around an implant. With this condition, patients feel pain and notice a hardening of breast tissue. This type of scarring can also cause an implant to rupture.
- Symmastia, in which migration of the implants or improper positioning makes it look like the breasts are joined in the middle of the chest.
- Breasts that look asymmetrical. This can be caused by implant malposition, or may be the result of implants that were properly placed but have moved from their original location. However, all breasts have slight asymmetry and it is important for patients to acknowledge that. Breast augmentation can also help create more symmetrical breasts if different-sized implants are placed.
- Implants that rupture, or whose outlines are clearly visible or have developed a “rippling” appearance.
To explore your breast augmentation options with our board-certified plastic surgeons, please contact Foglietti Fostyk Plastic Surgery our Cleveland office today.