Milwaukee Breast Augmentation Surgeon – Dr. Loewenstein
Have you dreamed of having a more curvaceous, feminine figure? If so, consider breast augmentation, also called breast enlargement surgery. Available in our Milwaukee, Wisconsin, office, breast augmentation is designed to enlarge the breasts, using implants, so that they look fuller, shapelier, proportionate, and more attractive. Breast augmentation can also boost your confidence and make you feel more secure about your appearance.
The availability of FDA approved silicone gel implants gives another option to women seeking breast enhancement surgery. Dr. Loewenstein participated in the post-market approval silicone implant study and is proud to have helped advance scientific knowledge regarding these medical devices.
Dr. Loewenstein, a leading breast augmentation surgeon, will begin your procedure with an incision under the breast, around the nipple, or under the arm; the placement of the incision will depend on which method you and Dr. Loewenstein decide is best for you. Next, he will insert either a saline or silicone implant through the incision and either under the breast tissue or under the pectoral muscle. Next, he will stitch the incision closed. The entire procedure takes about one to two hours to complete and is performed while the patient is under general anesthesia or local anesthesia with sedation. Most patients experience swelling, bruising, soreness, temporary decreased nipple sensation, and general discomfort as they recover, but most side effects disappear in time (usually within three to six weeks).
Who is a good candidate for breast augmentation?
Women who were born with small breasts, who have lost breast volume due to pregnancy, breast feeding or weight loss, or who want to equalize significant asymmetry are good candidates for breast augmentation. If excess sagging exists, a lift may also be necessary to achieve the desired result.
Other factors include:
- Smoking (smokers are not good candidates)
- Realistic expectations
- Good physical and psychological health
Dr. Loewenstein will discuss your goals during your consultation and advise you how to achieve them.
What are the current implant options?
- Saline implants are filled with sterile salt water at the time of surgery. Because they may be more prone to show wrinkles, they are usually placed under the muscle. They have the advantage of being able to be placed through a smaller incision. Also, if they leak the breast will become noticeably smaller. Since the salt water is the same concentration as the cells in your body, no harm can come from a leaking implant. The salt water is simply absorbed and excreted through the kidneys.
- Silicone implants are filled with a soft silicone gel that is designed to be similar in feel to normal breast tissue. Per FDA regulations, they are only available to women 22 years of age and older. They come pre-filled and may require a slightly longer incision than saline implants.
- Highly cohesive gel implants, also known as “gummy bear” or “form stable” implants, are filled with a more highly cross-linked type of silicone, which makes them firmer than traditional silicone implants. They generally have a tear drop shape and are less prone to wrinkling.
- Autologous fat transfer. This technique involves removing fat by liposuction from other areas of your body where there is an excess of fat. After processing during surgery, the fat cells are injected into your breast. This method is currently undergoing research to study its safety and effectiveness.
Now available in our office, the IDEAL IMPLANT® Structured Breast Implant has the natural feel that women want, without any silicone gel. After years of development and refinement, including contributions of clinical expertise from plastic surgeons, the IDEAL IMPLANT was approved by the FDA and Health Canada. It combines the best of both — a natural feel with the safety of only saline inside for peace of mind.
The IDEAL IMPLANT has a series of implant shells nested together and two separate chambers that hold the saline. This internal structure controls movement of the saline and supports the implant edges to reduce folding and wrinkling. In addition, the implant has been designed to contour to the natural curve of the chest wall. With the IDEAL IMPLANT, a women can simply look in the mirror and know her implants are intact.
Women have wanted a new type of breast implant — one that would combine the natural feel of a silicone gel implant with only saline inside for safety and peace of mind. After years of research, engineering, product development and a large US clinical trial, the IDEAL IMPLANT was approved by FDA and Health Canada, and is now available through a limited network of board certified or eligible plastic surgeons.
The IDEAL IMPLANT has been in clinical use since February 2009, at the start of the clinical trial. By February 2010, 502 women received the IDEAL IMPLANT from 45 board certified plastic surgeon investigators nationwide. In clinical follow-up over five years, patient and surgeon satisfaction with the outcome has been high and the capsule contracture rate has been low.
Please call us today to come in for a consultation. Do your own side-by-side comparison of the IDEAL IMPLANT to the silicone gel implant.
How is the operation performed?
Dr. Loewenstein performs the operation at a fully accredited surgery center or in a hospital outpatient facility. The incision may be made in the crease under the breast, around the areola or in the armpit. The implants may be placed underneath the pectoral muscle or on top of the muscle under the breast tissue.
The operation is usually performed under general anesthesia to ensure maximum comfort for the patient. The operation itself generally takes 75-90 minutes. The patient is then taken to the recovery room and from there to another area for observation prior to being allowed to go home. If additional procedures are performed, such as tummy tuck, arrangements can be made in advance for the patient to spend the night in the hospital. This ensures optimal management of pain and monitoring of physiologic parameters.
What are the potential side effects of breast augmentation?
It is important for patients to realize that while breast implants are intended to last a lifetime, replacement may become necessary due to a leak or the build-up of scar tissue around the implant, also known as capsular contracture. Currently the implant manufacturers will provide a new implant free of charge if there is a leak.
If infection occurs around the implant early after surgery, the implant may have to be removed. Fortunately, Dr. Loewenstein has never had to do this for one of his cosmetic breast augmentations.
Hematoma, or bleeding into the space around the implant, is the most common early postoperative complication. Thus Dr. Loewenstein emphasizes avoiding medications prior to surgery that interfere with the body’s ability to form a clot. These include both prescription and non-prescription medications. Some examples include: aspirin, ibuprofen, naproxen, vitamin E and Omega 3 fish oil. Dr. Loewenstein will review all your medications with you during your consultation.
Recovery after breast augmentation
It is common to feel groggy after the surgery. You will be provided with a prescription for pain medication and one for nausea. Most patients will be able to return to non-physical work in a week. If your job involves heavy lifting, you will need more time off, or else return with restrictions. It is important to avoid aerobic exercise for two weeks, and if the implants are placed under the muscle, you should avoid workouts that stress the pectoral muscles, such as push-ups, bench presses, and “flies“ for three months. It will take several weeks for the final shape to take place.
How do I decide what is the “right” size for me?
Plastic surgery is partially science and partially art. Dr. Loewenstein feels that choosing the correct implant is the most important decision that the patient will have to make. He uses several different methods to assist the patient in making this important decision. This could include: the use of specially designed “sizers” during the office consultation, reviewing clinical photographs of past breast augmentation patients, and possible use of clinical websites which have photo galleries that integrate the patient’s height and weight, bra size before and after surgery, and type and volume of implant used. Dr. Loewenstein encourages a second visit to the office prior to surgery to finalize the plan.
Breast enlargement surgery, while in demand among Milwaukee, Wisconsin, patients, is not for everyone. To find out if you are a candidate, please contact Dr. Loewenstein today and schedule a consultation.