The terms breast augmentation and breast implants can be used interchangeably, both terms refer to the procedure of inserting an implant in the breast to increase your bust line by one or more bra cup sizes.
There are many reasons women decide to have their breast augmented. Dr. Mark Schusterman, our double board-certified surgeon, has performed hundreds of breast enhancement procedures to help women accomplish the following:
Saline implants may be less costly than silicone implants, however, most patients report than silicone implants look and feel more natural. The pre-filled gel inside the silicone shell can vary in density, much like natural breast tissue.
High profile implants offer more projection and feel firmer than low-to-moderate profile implants. Saline implants, on the other hand, are filled after they are placed in the breast pocket with a sterile saline solution.
Both types of breast implants are FDA approved in the United States. The age requirement for saline implants is 22 years old, while silicone implants are suitable for patients 18 years and older. Dr. Schusterman will work with you during the consultation to determine which type of breast implants will deliver the result you want in terms of looks and sensation.
There are many factors to consider when deciding on the best implant type and placement.
These include your build and body shape, the width of your chest, the distance between breasts, the skin elasticity in the area (which can also be improved with a breast lift), and breast symmetry.
During your consultation for breast augmentation in Houston, Dr. Schusterman will help you evaluate the best options for the incision site and implant placement based on your goals. The two most common incision sites are around the nipple (periareolar) or in the fold under the breast (inframammary). A periareolar incision may affect breastfeeding.
With submuscular placement the surgeon positions the breast implant behind the pectoral muscle. This placement looks and feels more natural for patients that have little natural breast tissue or loss of upper pole fullness.
Placing breast implants under the muscle provides an extra layer of padding so that the implant is not visible beneath the skin. This helps avoid a “fake” look after breast augmentation, and also reduces the risk of implant rippling. Submuscular implants are a great choice for the majority of patients.
It may require a longer surgery and recovery period as the muscle must be cut and lifted in order to place the implants below the muscle. However, there is typically less scar tissue formation with this method. Capsular contracture, a hardening of the implant capsule that forms around the implant, is also reduced by choosing under muscle breast implants. Placing the implant under the muscle also makes it easier for doctors to see your natural breast tissue on a mammogram since the implant is not in the way.
With subglandular placement, the surgeon positions the breast implant behind the breast tissue but over the pectoral muscle. This method is suitable for patients that have adequate natural breast tissue to help conceal the implant beneath it. There is usually a shorter surgery time with subglandular placement, as well as less pain and a faster recovery because only skin and fat are impacted.
However, above muscle implants may be more obvious with this placement in thin patients or patients with loss of upper pole fullness due to age, weight loss, or post-pregnancy. There is also a slightly higher risk of capsular contracture, which is when the body creates scar tissue around the implant that hardens and contracts, squeezing the implant and possibly distorting it. This placement also makes it more difficult for doctors to see breast tissue with a mammogram.
During your consultation, Dr. Schusterman will assess your needs, review the procedure with you in length, and answer any questions you may have. His listening skills and caring bedside manner set him apart from other plastic surgeons in the area. The goal of the consultation is to learn what you are hoping to achieve with cosmetic breast augmentation, as each patient’s vision of the 'perfect breasts’ varies considerably from patient to patient.
After your consultation, we will review the financial quote based on your examination and discuss financing options through CareCredit and United Medical Credit. Our consultation fee is $100. There is no obligation to pursue breast enhancement as the consultation is designed to be purely informational. If you wish to proceed with breast augmentation surgery, the consultation fee will go toward the final cost of surgery.
The consultation is about an hour in length and is typically scheduled on a Wednesday; however, we will do our best to meet your scheduling needs. Learn more about breast augmentation and schedule a personal evaluation with Dr. Mark Schusterman in Houston, TX today. Call (713) 794-0368 to speak with our top breast augmentation surgeon.
Deciding on the right surgeon to perform your breast augmentation is one of the most important aspects of the process. Stories abound of people who have had botched procedures by unskilled or untrained surgeons.
Dr. Schusterman, FACS is a board-certified Houston plastic surgeon that is experienced with the latest breast enhancement techniques. Aesthetically, he understands the importance of giving women natural-looking breast implants that are proportionally appropriate for the patient’s body type and individual cosmetic goals. Together, you will select the type, size, texture, and implant profile that will achieve a breast size that looks great on your body. Your doctor will be your partner through the whole process, from the initial consultation to your follow-up care. Here are some important considerations when choosing a doctor:
To learn more about why Dr. Schusterman is among the best breast implant surgeons in Houston, TX, click this link.
Once you've narrowed down your choices, schedule an initial consultation with a Houston breast augmentation surgeon, and see how you feel meeting with him or her in person. Do you have a good rapport? Do you feel confident in his or her ability? Do you believe the doctor is well-qualified and feel he or she is attentive? Again, don't ignore your gut. Plastic surgery is a big decision, and you want to choose a doctor who takes your health and your goals to heart.
During your initial breast enhancement consultation, Dr. Schusterman will evaluate your health and suggest which surgical techniques are most appropriate based on your age, health, and the condition of your breasts, while also considering your personal cosmetic goals first and foremost.
If your breasts have simply lost elasticity and are beginning to sag, but you're happy with their size, we may recommend a breast lift. If your goal is more volume or larger breasts, we may recommend breast augmentation with a breast lift.
We are committed to performing breast augmentation with the highest standards of safety in order to protect the health of our patients. Please let our office know if you smoke or if you're taking any medications, vitamins, or other drugs that could affect the safest way to proceed.
We perform breast implant surgery at the Hermann Drive Surgical Hospital, a state-of-the-art plastic surgery center that is conveniently located near our office in Houston, TX. Our surgical facility is both sterile and comfortable to make your experience as pleasant and safe as possible.
Please follow our personalized instructions on eating, drinking, smoking, and taking or avoiding certain vitamins and medications before surgery. You should also arrange for someone to drive you home after surgery and to stay with you for a few days.
Breast augmentation is an outpatient procedure, which means you're not required to stay overnight in the hospital. Using state-of-the-art equipment, Dr. Schusterman will perform the procedure while you're under general anesthesia - you’ll be asleep through the entire operation and will not remember anything from the surgery. Depending on which procedures you're having done, surgery can take 1-2 hours.
To see actual breast augmentation results from our Houston patients, visit our Before and After Breast Augmentation Photo Gallery. We recommend viewing our gallery when scheduling your consultation so you can see our results for yourself.
More than likely you'll be discharged the same day of your surgery, but you'll need someone to drive you home. It's common to feel sore and tired for a few days after surgery, and you may also experience a burning sensation in the nipples for about two weeks. This discomfort is usually manageable and probably won't prevent you from showering, going out, and doing other safe post-op activities within about a day of the surgery. We will prescribe pain medication if you need it and a surgical zip-front bra to minimize discomfort.
Immediately after surgery, your breast implants may appear higher than you'd like. This is due to post-surgical chest swelling. Your breasts should drop into a natural placement after a few weeks to months, depending on whether the implants were placed above or below the muscle and skin laxity.
This process is known as “drop and fluff”. The time it takes for the implants to settle into their final shape varies from patient to patient. Older patients with less skin elasticity may notice the breasts settle into their final shape sooner than younger patients with tighter skin and under muscle implant placement. In general, breast implants will take between 6-12 months to settle into their final position. However, you will notice substantial improvement just 4-12 weeks post-op, as the skin relaxes and swelling subsides a great deal over that time.
During the healing process, you may notice temporarily increased or decreased sensation in your nipples. Most patients retain their pre-surgical nipple sensitivity once the implants have settled into place and all the swelling is gone. The absorbable sutures will dissolve in 60-90 days, and swelling can take from 3-5 weeks to disappear completely.
Most patients take time off work for breast implants. Taking a few days to rest allows you to heal safely and comfortably. You can return to work and daily activities within a few days, but please follow all instructions resuming activities after your breast augmentation, including exercise.
It's important to avoid strenuous exercise and direct contact or stimulation to your breasts for at least 2-3 weeks, in general. This keeps tension off the wound to reduce the risk of wound dehiscence and poor scarring. Breast implant downtime is quick and often less painful than patients think.
At your follow-up visit, you will likely still have firm, pink scars, which will stay prominent for at least 6-8 weeks. At this point, the scars will begin to smooth and soften as the scar tissue breaks down, leaving you with a fine, flat scar that will eventually blend in nicely with the surrounding skin.
Scars may remain the same size for several months or even appear to widen before finally beginning to fade. Dr. Schusterman and our team can recommend at-home moisturizers to calm redness and reduce scar visibility. Scars usually take about one year to fade substantially. Younger patients may notice the scar stays red a bit longer than older patients.
During your follow-up visit with Dr. Schusterman, he'll evaluate your progress and address any concerns you have about the shape and size of your breasts or any discomfort you're having. He'll examine you to make sure you're healing well. Attending follow-up appointments helps monitor your safety and progress after breast augmentation surgery. We are committed to ensuring you get the best results even after the surgery is complete.
Women 18 and older who are generally in good health are candidates for breast augmentation. Saline implants are approved by the FDA for use in patients age 18 and older; silicone implants are approved for patients age 22 and older.
We recommend that women wait at least 3-6 months after pregnancy or 6 months after they stop breastfeeding to have breast augmentation surgery. Schedule a consultation with Dr. Schusterman to learn whether you're a good candidate for breast augmentation.
Since breast augmentation is almost always considered an elective cosmetic procedure, it is usually not covered by insurance. In general, it can cost between $5,000 and $7,000, but the exact price depends on the procedures you choose.
For example, saline implants generally cost less than silicone implants. Teardrop, or “gummy bear” implants, cost slightly more. Under vs over muscle implant placement may also affect the price as the surgical skill and time needed to perform these operations vary.
The price includes surgeon's fees, anesthesiologist, surgical facility fees, and follow-up appointments. Prescription medications are not included but may be partially or completely covered by your health insurance.
Dr. Schusterman offers competitive pricing that is commensurate with his education, experience, and board-certification in plastic surgery. While the price may be one factor when you are considering implants, the skill of the surgeon and your comfort with the surgeon are equally important considerations.
Yes, we work with several companies that specialize in cosmetic procedure financing. Schedule a consultation for breast augmentation in Houston, TX today.
Patients should expect to have some discomfort in the days and weeks following the surgery. Pain or discomfort is usually very manageable with prescription and over-the-counter medications, such as acetaminophen (e.g., Tylenol). You will need to avoid NSAID drugs, such as Advil and Motrin, for at least 2 weeks after surgery, as these can increase your risk of bleeding.
Pain tends to peak within the first 1-3 days after the procedure, and then gradually subsides. While surgery cannot be a completely pain-free experience, we make every effort to ensure you are as comfortable as possible following the procedure. Tenderness will generally only last for about 7-14 days. For most patients, this temporary discomfort is well worth the improved confidence and physique that breast implants afford them.
Dr. Schusterman performs breast augmentation surgery at several different outpatient centers in Houston, near our office. The time and date of your surgery will determine which center you will go to.
Yes, breast augmentation surgery is always performed under general anesthesia, which means you'll be asleep and will not remember the surgery. Dr. Schusterman uses a board-certified anesthesiologist for every procedure.
As with any operation, there are risks and specific complications with breast augmentation surgery including scarring, infection, hematoma (localized bleeding), and implant leakage or rupture. While most patients do not experience these complications, you should discuss each of them with your plastic surgeon before committing to the procedure.
It's important to know that breast implants aren't always permanent. You may need a future operation to remove and replace the original implant.
The size and extent of the incisions depend on which type of breast implant you choose, saline or gel-filled, and whether the incision is periareolar (around the areola) or inframammary (in the crease under the breast). Which type of implant and incision you and Dr. Schusterman decide on will depend on your anatomy and your cosmetic goals.
Breast implant procedures do leave a small scar, but Dr. Schusterman does everything to minimize scarring by making the incision in a well-hidden area. Breast lift surgery leaves longer scars due to the nature of the surgery. Scars typically fade over time when cared for properly.
While not wearing a bra might make you feel self-conscious or uncomfortable, Dr. Schusterman has found that women who go without a no-underwire bra for 8 weeks after surgery achieve the best results. It is also ideal to wear a sports bra only. Not restraining the breasts allows the implant to settle into the most natural position in the breast pocket.
You should start light walking immediately after surgery, which can help prevent blood clots. In general, patients can do more moderate walking (uphill or on a treadmill) 2 weeks after surgery. A month after surgery you can resume most types of exercise, except heavy lifting and strenuous circuit training, like CrossFit. After around six weeks most patients are completely healed and can resume all types of exercise.
Most patients will have some temporary change in nipple sensitivity after surgery caused by swelling. Nearly all patients will resume pre-surgery nipple sensitivity as the swelling goes away.
It is still safe and highly recommended to get mammograms after you have completely healed from breast implant surgery. Women over age 40 should continue to schedule routine mammograms. Always tell your mammogram technician you've had breast augmentation.
This will help the technician evaluate the mammogram results more accurately and take appropriate precautions during the procedure. If your technician knows about your history, he or she will also know to check for any complications associated with your implants. This can help with early detection and treatment of health issues in the unlikely event any emerge.
You may have heard claims that silicone breast implants are unsafe or less safe than saline implants. In the 1980s and 90s, many lawsuits were filed claiming ruptured silicone gel implants caused health problems.
Silicone breast implants were taken off the market in 1992 and underwent careful study. Repeated studies have shown silicone gel breast implants to be safe, and today they are used in all major countries in the world. Learn more about this issue at www..
Submerging the breasts in water can increase your risk of infection in the weeks following surgery. We recommend waiting a full 4 weeks before swimming or taking a bath.
Contact us today to schedule your appointment with the renowned plastic surgeon and breast & body specialist Dr. Mark Schusterman. Take your first steps to a more beautiful you.
1200 Binz St Suite 1198, Houston, TX 77004