Breast Augmentation

For over 25 years, augmentation mammaplasty has been one of the most popular cosmetic procedures performed. Now a well tested operation, breast augmentation enhances the size and shape of the breast with surgically placed implants. There are several choices that need to be made by you and Dr. Jewell as you develop a plan for surgery including, type, size and shape of implants as well as incision location and placement location. The goal in augmentation mammaplasty is to make the breasts proportionate with one’s body size and overall shape. In the right patient, modern techniques allow for dramatic results.

What makes Dr. Jewell an expert in breast augmentation?

Dr. Jewell is a pioneer, educator and world-wide expert in breast augmentation. For over ten years, he has conducted FDA-approved studies with silicone gel and is currently participating in two FDA-approved studies for the form-stable cohesive silicone implants. Dr. Jewell writes peer reviewed articles and teaches other plastic surgeons about his successful surgical methods in the USA and internationally.

How is breast augmentation performed?

Although there are many variations in the procedure, the basics are quite simple. Through a small incision, a scientifically designed breast implant is placed in order to enlarge and reshape your breasts. This may be done with local or general anesthesia.

Where is the skin incision located?

The incision can be placed in one of three locations. The medical names for these incisions are: Inframammary, Periareolar, and Axillary. Inframammary means under the breast, just above the fold where the breast joins the chest wall The incision is less visible than the Periareolar, and has less risk of complications which makes this a preferred location. Nipple sensation is not usually affected with this incision. Periareolar means just at the boundary of the colored area around your nipple called the areola, and the regular breast skin. Axillary means in the armpit or underarm. The advantage of this incision is that there is no “tell-tale” scar on the breast at all; however, there is a visible scar in the armpit. The Axillary technique is typically performed under general anesthesia. The decision about the location of the incision is best done after the physical exam with Dr. Jewell as it is interrelated with the choice of implants.

Where is the implant placed?

The implant is placed behind your breast tissue, either on top of or partially underneath the pectoralis muscle or chest wall muscle. The decision to place it in one location or another depends on your particular breast and chest structure, and the type of implant. Dr. Jewell helps each patient decide what is best for them as there are many factors that influence this particular decision. Sagging, quantity of native breast tissue, recovery and activity levels are just some of the factors that need to be considered when planning surgery.

What is the implant made of?

Breast implants are made of medical grade silicone rubber envelopes filled with saline (salt water), or silicone gel. Dr. Jewell is unique as he is one of the few plastic surgeons in the USA who has access to the form-stable silicone cohesive implants that are part of FDA- approved studies. Do not be fooled by the implants commonly referred to as “gummy bear” implants. Despite having such a novel name, these seemingly soft implants cannot be pulled or stretched. Once inside the body the form stable cohesive gel that makes up the implants holds their shape giving the breast a wonderful fullness.

Implants have a smooth or textured silicone shell and the shell shape may be contoured, or round. There are varying implant shapes and sizes available to allow each woman seeking breast augmentation surgery to obtain optimal long term results.

There are so many choices – Which operation do I have to enlarge my breasts?

At your consultation we will discuss the options and together decide on the procedure that is right for you, based on your body structure and personal preference. This is an operation that is custom design for you.

What assurances do I have of their safety?

Breast implants that are approved by the FDA are made of materials that are researched and are deemed safe for placement in the human body. www.fda.gov and www.breastimpantsafety.org

How large should I be?

Breast size is a matter of taste. The goal in augmentation mammaplasty is to make your breasts proportionate to your body size and overall shape. During your consultation we will be able to simulate your postoperative appearance. Dr. Jewell will help you make a decision regarding size by discussing your general body shape and how the different sizes affect your appearance, both in and out of clothing.

What are the risks of breast augmentation?

Over one million women have undergone placement of breast implants. Though breast augmentation is a well established, safe surgical procedure, there are risks of complications. Just in any operation, bleeding, infection, and scar formation can occur. Asymmetry in size, decreased or loss of nipple sensation, and implant rejection are possible. Capsular contracture formation, which results in firm breasts, is the most common complication, though its occurrence is less common due to newer techniques. In a small percentage of patients, additional surgery may be necessary to correct this problem. It is important that you and your caregiver plan to spend a minimum of 24 hours after surgery in Eugene, Oregon. You will have your first follow-up appointment the day following surgery. This information is not given to frighten you, but to help you make an informed decision. Remember no question or concern is silly or insignificant. During your consultation, we will be happy to discuss the full range of potential complications, and answer any questions you might have regarding this procedure.

How long does it take to recover from breast enlargement surgery?

Recovery time is variable with each patient. Surgery is done in an outpatient setting. This consists of Dr. Jewell’s office surgery center or an outpatient surgical facility. Depending upon the activity level surrounding the work you do, Dr. Jewell usually recommends 5 to 7 days off, with limited physical activity for two weeks. You may drive a car with power steering after four days, and you should refrain from doing any heavy lifting for two weeks after surgery.

How much discomfort can I expect?

The greatest period of discomfort usually lasts no longer than 12 to 24 hours after surgery. Postoperative pain is usually well controlled with prescription pain medication and the application of ice. Many women who have children describe this early postoperative discomfort as a “feeling of fullness, much like postpartum breast engorgement”.

Is breast augmentation right for me?

You are the only one who can make that decision. Come in for a consultation with Dr. Jewell, speak frankly, ask questions, and explain your expectations. We will work together to assist you in making a decision that is right for you.