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Myths and Facts about Breast Augmentation

Breast Augmentation in houston texasMyth #1: I like my friend’s breast augmentation. If I go to the same surgeon and have the same implant, I will get a similar result.

Fact: You probably didn’t look exactly like your friend before the surgery so you won’t be the same after. Everyone is different, your breasts and your tissues are not like any other woman’s, and therefore your surgery will also be unique to you. There are many factors that affect the final results of breast augmentation such as your size, the condition of your skin, and the placement of your implant.

Myth #2: There is only one “best way” to do a breast augmentation; one implant or incision that is better than all the rest.

Fact: If there was a ‘best’ way, then all breast augmentations would be done the same way. Every woman has different desires, needs, and body types – so every surgery is different. It is important to find an experienced cosmetic surgeon who can guide you through the various options.  Vitenas Cosmetic Surgery prides itself on tailoring each breast augmentation to each unique patient.

Myth #3: When one breast is smaller than the other, all that is needed is a larger implant (or more fill) to make it match the larger breast.

Fact: The answer is not that simple. No human body is perfectly symmetrical, each side has subtle differences. Your breasts are the same way. The smaller breast is made up of less skin compared to the larger breast. When trying to put too much fill into a small envelope of skin, you run the risk of creating significant shape differences. These are often more visual than an actual size difference.  For a surgeon to match both breasts equally after an augmentation, he will need to take into account both of the shape AND the size of the breasts. Remember, they will never match 100% so beware of any doctor who guarantees this.

Myth #4: You will probably need to have drain tubes after your breast augmentation.

Fact: Drain tubes are never a necessity in first time breast augmentations, although they are more common in re-operations.  Vitenas Cosmetic Surgery uses innovative, state-of-the-art techniques to create pockets for the implants that most often do not need drain tubes.

Myth #5: Breast augmentation is a simple operation that any surgeon can do.

Fact: No surgery is a simple operation.  While almost any well trained cosmetic surgeon can physically place implants in a breast, it takes a skilled cosmetic surgeon, with years of training, to obtain beautiful and long lasting results. Vitenas Cosmetic Surgery has years of experience picking out the best implant shape, size, texture, and operative approach for each individual patient.

Myth #6: Cup size is a predictable way to measure the size of a woman’s breast.

Fact: Not all bras fit the same way – a Victoria’s Secret bra is different from a Maidenform bra, a 34B has a little different cup size than a 36B.  Cup sizes are extremely variable and not an accurate way to describe the size of a breast. A true size is based on measurements and demonstrations with your own tissue. When discussing your breast augmentation at Vitenas Cosmetic Surgery, we will focus on a breast size and shape that fits your frame, and complements your hips and shoulders to create a full, natural look.

Myth #7: The bigger the breasts, the better.

Fact: As important as it is to get what you want when you go in for a breast augmentation, it is equally important to listen to your cosmetic surgeon’s advice.  Larger breast implants are more likely to sag as you get older and are more likely to require surgery in the future.  Your age, body type, and tissues can all make a difference in the long term results of your implants. Vitenas Cosmetic Surgery will explain all of your implant options but remember, bigger is not always better.

Myth #8: My implants will last a lifetime.

Fact: No medical device can really be expected to last a lifetime.  Even though today’s implants are made from state-of-the-art materials and are the best ever on the market, they are still a man-made device. Your breast implants are meant to last for many years to come but they will not necessarily last a lifetime. You may need a breast implant exchange in the future.

Myth #9: Textured shell implants are much easier to feel inside the breast compared to smooth gel implants.

Fact: The difference in thickness between a textured shell implant and that of a smooth gel implant is only a few ten thousandths of an inch and makes little difference when feeling your breasts.  Textured implants are the slightly thicker of the two. The main factors that allow you to feel an implant are the thickness of your skin, fat, and breast tissue, and whether the implant is placed over or under the muscle.

Myth #10: Putting my implants under the muscle will help support my breasts.

Fact: There is no evidence that putting an implant under the muscle instead of over the muscle will better support the breasts.  The two factors that do affect implant support and sagging breasts are: 1) genetic tissue characteristics that you were born with and 2) the size of your selected implant.  If you have thinner, more-stretchy skin and choose a large implant, there is much more risk of developing sagging breasts over time.

Myth #11: Silicone implants are dangerous and cause diseases.

Fact: There have been multitudes of scientific testing on silicone gel implants and they do not show any cause of known disease. Judge Sam Pointer, who is in charge of all class action implant litigation and a U.S. panel of experts, has conclusively reported on the inability of silicone implants to cause disease.

Myth #12: Saline implants are better to get than silicone gel implants.

Fact: Saline implants are no better or worse than silicone. In 2005 Silicone implants returned to the market after 14 years, and have been deemed safe by the Food and Drug Administration.  They tend to feel soft and supple like natural breast tissue.  Saline implants are firmer; they do not feel as natural and tend to ripple more than silicone.  Ruptures of saline implants is much more common and absorbs 1% per implant per year.  Rupture of either type implant is rare, but the salt water in the Saline implants is completely safe for the body.  Silicone implants do need to be removed right away if they leak, but having an MRI every two to three years can help detect any “silent ruptures”.

Myth #13: It is better if a surgeon does breast augmentations only one way.

Fact: If a surgeon does all augmentations one way, he probably only knows one way to do the augmentations! A skilled cosmetic surgeon should have experience in all types of breast augmentations and should be able to offer you these options. There is never ‘one best way’ for every woman because everyone’s breasts are different.  Desires and long-term goals are also different for each patient.  Vitenas Cosmetic Surgery tailors each unique breast augmentation for each patient, taking all factors into consideration.

Myth #14: Textured shell implants are more likely to produce visible rippling compared to the smooth shell implants.

Fact: Textured and smooth shell implants will both show a rippling effect especially over time. The second cause is the use of large implants on patients with thin overlying skin. In this case ‘traction rippling’ is caused when the heavy implant pulls down and the thin envelope of skin begins to ripple.

Myth #15: I should expect bruising after my breast augmentation.

Fact: Most patients, up to 98%, experience no bruising after their breast augmentation. Bruising is actually caused by bleeding underneath the skin.  Although a skilled surgeon cannot completely control the amount of bleeding after a breast augmentation, they can dramatically reduce the amount by using state-of-the-art techniques to create a pocket for the implant. Eliminating certain medicines and foods before surgery can also have an impact on bruising.  Vitenas Cosmetic Surgery will discuss this in detail before your augmentation.

Myth #16: Implants should never be placed over the muscle.

Fact: Neither over the muscle or under the muscle is right for every woman. A skilled surgeon will be able to determine the best placement for each unique patient. There are certain factors they will consider when making this decision:

  1. How thick are your tissues that will cover the implant?
  2. How the particular implant you select will affect your future mammograms?
  3. Which set of tradeoffs are most acceptable to you, such as implant edge visibility.

Myth #17: The most important decision to make is where the scar will be located.

Fact: While the scar is one of the most talked about concerns before surgery, it turns out to have the least amount of concern after the breast augmentation.  With good post-operative scar management, your scar will hardly be noticeable, no matter the location. Vitenas Cosmetic Surgery will teach you the best ways to take care of your scars after surgery. When a woman has a beautiful breast, there is no attention paid to a stretch mark, a blemish, or a scar.

Myth #18: A certain number of cc’s in a breast implant will produce a certain cup size.

Fact: This is a popular misconception but it is not true. To determine the cup size after breast augmentation, a surgeon must determine what amount of tissue is there before surgery – plus the implant For example, a 300cc implant might create a C cup on a woman with very little breast tissue before the operation but might make a D cup on someone who had more tissue before the implant was put in place. Vitenas Cosmetic Surgery will do a thorough physical assessment at your consultation appointment; then discuss your needs and desires, as well as the options available to obtain a certain breast size with your augmentation.