Breast Augmentation at MAE Plastic Surgery
Many women are unhappy with the size or shape of their breasts. If you’re one of them, a breast augmentation at MAE Plastic Surgery can give you the voluptuous breasts you’ve always wanted. We have provided successful breast augmentation surgeries for many years for patients in the Chicago area. Patients trust our surgeons because of our knowledge of the latest techniques and our individualized approach.
According to the American Society of Plastic Surgeons, nearly 300,000 women have breast augmentation surgeries annually within the United States alone. The vast majority of these women improve the appearance of their breasts with the use of Saline or Silicone breast implants, but another method known as structural fat grafting may be used for smaller augmentation. This technique uses your own body fat for your breast augmentation.
Silicone Breast Augmentation Special
All-inclusive Breast Enhancement package $5,900
Regular price $7,500 ($1,600 savings)
- This offer includes the surgeon’s surgical fee, latest generation round silicone implants, the fee for the facility and board certified anesthesiologists. There are no surprises.
- Our facility is fully Accredited (AAAASF Certified).
- This package is offered to medically healthy and appropriate candidates.
- This package is for Primary Breast Augmentation only. Revision or breast lift surgery will be quoted in the consultation, if necessary.
Am I a Candidate for Breast Augmentation
1. Consultation – When you go for your breast augmentation consultation, the surgeon will completely evaluate your body, including your bone structure, skin, and breast tissue in your chest area. The surgeon will need some additional skin to stretch out to accommodate your implants.
2. Medical Condition – It’s always important to let your Chicago Plastic surgeon know about any pre-existing medical problems you have, especially if they are blood disorders or heart problems. Tell your surgeon about any medications you’re taking to control your medical conditions. You won’t be automatically ruled out of from having breast augmentation surgery just because you have a pre-existing condition, but the surgeon might need to use special procedures and precautions to eliminate risks during surgery.
4. Motivation – The best motivation for getting breast implants is because you want them for yourself. If you are doing it for other reasons like someone pressuring you to do it or because you are down and think it will make you feel better, rethink the procedure. Deal with your issues first before you make a lifetime change to your body.
5. Doubts – If you have doubts about breast augmentation surgery, delay the procedure until you feel sure. This is a major decision that you shouldn’t make spur of the moment. As with all surgeries, there is risk involved so it should be taken very seriously. This is also a life-changing procedure. Do you feel ready for the changes it brings? It’s easier to change your mind before you have the surgery than it is later.
Why do women seek Breast Augmentation?
There are many reasons why you might feel dissatisfied with your breasts. While it is often “micromastia”, or disproportionately small breasts, it could be due to deflation of the breast volume brought on by natural aging or do to the size and shape changes that occur with pregnancy and breastfeeding. Sometimes it is because of maldevelopment of one or both breasts which leave significant asymmetry or distorted shapes. Depending on your specific case, you may need to combine breast augmentation with a breast lift to help raise or alter the shape breasts.
A breast augmentation at our office can help one achieve their desired breast shape, size, and cleavage. Once the results are visible, our patients have reported feeling sexier and more confident about their appearances which in turn gives a boost to their self-esteem.
Whatever the reason for wanting a breast augmentation, we would like to meet with you for a one-on-one consultation at our Northbrook office to discuss how we can help you enjoy the many benefits of this procedure.
Types of Breast Implants
One of the decisions you will need to make during your breast augmentation journey is the kind of implant you wish to use. There are now more great options than ever for creating safe and stunning breast augmentation outcomes. All of the implants we offer are approved by the FDA. During your consultation, Drs. Epstein and Krochmal will discuss the benefits and the risks associated with each type of breast implant.
It is important that you contribute to the consultation, so do your homework. Become familiar with each type so you have at least a basic understanding and you can be informed enough to substantially contribute to the decision. Your MAE surgeon will listen to you, make his recommendations from your goals and body type, and explain why it is important that you and your surgeon are on the same page with your aesthetic goals and process so that you can achieve the look you desire. The purpose of this page is to provide you with some basic knowledge to help you understand breast implants.
Saline breast implants are silicone shells filled with sterilized salt water solution. Once inserted into the breasts, these implants are filled with a solution of sterile salt water. This allows for a smaller incision which reduces the size of the incisional scars. They are firmer to the touch and don’t feel as much like your natural breast tissue, unlike silicone implants. They are typically the least expensive type of breast implant. Depending on your required result, your surgeon will help you choose the correct shape and size of the implants.
The FDA approves saline breast implants for patients above 18 years of age. While not substantiated, some feel that saline implants have fewer risks to health as compared to silicone. In the case of a rare rupture to the implant, the leakage of solution into your body does not present any health risks, but it will lead to an almost immediate “deflation” deformity.
First and foremost, these breast implants feel the closest to your natural breast tissue. They are pre-filled with silicone gel and are available in a number of shapes and sizes. Since they are inserted already filled, they require a slightly larger incision than the saline counterpart. They tend to cost more than saline breast implants. We will guide you during your breast augmentation consultation when choosing the desired size for your breasts, based on your body size and bone structure, such as the width of your breasts and chest wall.
Approved by the FDA for women above 22 years of age, silicone implants offer a lower risk of skin rippling, as compared to saline implants. Form stable breast implants are silicone breast implants also known as “gummy bear” implants. The silicone is of a thicker and more sturdy substance than their first-generation counterparts, making them slightly firmer and less likely to rupture or ripple. They can also come in natural form shapes where there is more projection at the bottom and it is tapered at the top.
Breast Implants – Shape
Round and teardrop (anatomic) are the two basic shapes available for breast implants.
- Round breast implants – are preferred by most plastic surgeons because they’re easy to insert and have a lower revision rate. If the implant rotates after placement, the shape does not change due to it being round.
- Teardrop (anatomic) breast implants – have a more natural shape. If these breast implants shift or rotate after placement, it could distort the symmetry and a revision would be needed. These shapes are popular with patients whose breasts have suffered from pregnancy, breast feeding, or massive weight loss. Teardrop implants have come a long way since their initial form. Texturing has been added to reduce rotation, which was the main problem with teardrop implants of the past.
Chicago Breast Augmentation Incision Options
During your Breast Augmentation procedure, you will choose between three different incision options to be used during surgery to get the implants into the breasts. Both types of implants may be placed through an incision made below your breast (inframammary), an incision made through your armpit (transaxillary), or an incision made along the edge of the areola (peri-areolar). Only saline-filled implants can be placed through the belly button (transumbilical, also known as TUBA).
Your MAE plastic surgeon will typically recommend the inframammary incision placement because it has a lower risk of internal scar formation—also known as capsular contracture. In some cases, a very large silicone gel implant can be difficult to place through a periareolar or transaxillary approach and may result in a larger scar than if a saline-filled implant was used.
This is the most commonly used incision, especially if silicone implants are used. Our surgeons prefer this choice because there is a decreased risk of malposition of the implants, less risk of loss of sensation to the nipple, and a decreased risk of developing capsular contracture. Additionally, since this incision has been used for decades in the U.S., overall complication risk is highly unlikely. The inframammary incision is made under the fold of the breast, where the scar is largely hidden.
A transaxillary incision is the least visible of all three types because the incision is made under the armpit. This ensures that there are no visible scars in the vicinity of your breasts. Often, your surgeon will use an endoscope with this method in order to view the breast pocket where the implant is placed.
This helps the surgeon visualize any blood vessels that need to be coagulated and aids in development of the pocket in which the implant is inserted. Because the incision location is remote in this case, it’s easier to place a saline implant that is filled after insertion, versus a silicone gel implant.
This incision is made along the lower edge of the areolas. Due to the positioning on the edge of the darker skin, the incision is barely visible when healed. The disadvantage of a peri-areolar incision is that it may cause loss of sensation in the nipples, and may cause a complete inability to breastfeed in the future.
Implant Placement Options
There are two breast placement options for the surgeon to choose from: above the muscle (subglandular placement) or below the muscle (submuscular placement). During your consultation, we can discuss these options with you in order to choose the one that will work the best for your body. This will depend on your current breast shape and your desired results.
Subglandular Implant Placement
In this case, the implant is placed above the pectoral muscle, but below all of the breast tissue. Since the implant is placed above the muscle tissue, the surgery and healing process is faster than submuscular placement.
This implant position can be used when a woman has enough breast tissue to cover the desired breast implant. It’s also necessary to use this pocket for women who have a misshapen (tubular) breast.
The main disadvantage of subglandular augmentation is that it may be more likely to have palpable or visible edges of the implant, especially in smaller breasted women.
Submuscular Implant Placement
With this option, the placement of the implant is under the pectoral muscle. This can be an advantage if you don’t have enough natural breast tissue because it’s better at camouflaging the implants for a more natural look.
Often, there is less rippling and fewer palpable edges of the implant with this placement. The healing time, on the other hand, is slightly longer and more painful with this placement option.
The Breast Implant Procedure
Although some patients in Chicago elect to stay the night, breast augmentation is usually an outpatient procedure. You will receive a monitored deep sedation anesthesia and the surgery usually lasts no more than one hour.
During surgery, incisions are made around the nipples, underneath the breast crease, in the armpit, or in the navel. Your surgeon will be careful to create and place the incisions in a way to minimize any visible scarring.
A small pocket will be created for the implant between the pectoral muscle and the breast tissue or underneath the pectoral muscle. The implants will be positioned within the pocket and the incision will be closed with sutures. A support garment will be placed around the breasts to aid healing.
Breast Implants Recovery
You can expect soreness, swelling, bruising, and changes in nipple sensation for a short period. Most women return to normal activities in just a few days, although strenuous activities should be avoided for a few weeks.
After several weeks, the breast implants will settle into place and soften. The final positioning of your new breasts may take up to three months.
For many women the healing process after augmentation happens quickly. The recovery time for breast augmentation surgery varies from person to person but most women can begin some regular activities within 24 hours after surgery. However, some more activities, like sports or exercise, may need to be placed on hold for up to two weeks after surgery. Many women state that they experience soreness in their breast for several weeks.
After Surgery Instructions
It is important to follow the doctor’s recommendations after surgery. Here are a few common recommendations you should follow:
- Surgical Bras – Your surgeon will determine if a bra or breast band is needed after surgery.
- Scar Treatment – Your surgeon will discuss the options available to improve scar appearance
- Sleep – It is best to sleep on your back for at least one week after surgery.
- Medication – Your doctor will prescribe you medication to help with the pain. Ensure that you are taking all medications as prescribed by a doctor.
Post-surgery appointments will be scheduled for follow-up care at prescribed intervals so your progress can be evaluated.
Women who have breast implants need to have regular mammograms performed just like women without implants. Occasionally, additional mammogram views may need to be done to image all the breast tissue.
Breastfeeding can normally be accomplished after having breast implants; however, it is impossible to predict how these implants will affect a mother’s ability to breastfeed until she is ready to do so. Drs. Epstein and Krochmal can offer a surgical technique that does not affect the breast tissue and therefore not interfere with the ability to breast feed.
Breast implants generally maintain the size and shape of the breast but they do not stop the aging process. Changes in weight may also affect the results and at times additional procedures may be considered. Implants may need to be replaced if they break or leak.
Breast Implant Removal & Revision
There are times when breast augmentation surgery may not be done correctly, or the healing process was complicated, or sometimes, an older breast implant needs replacing or a less than optimal breast implant was chosen. In these cases, a revision surgery may be necessary. MAE Plastic Surgery has extensive experience in breast implant removal and revision. Please watch the video below as Dr. Epstein walks you through a revision surgery.
Breast Implant Breakage
Since no medical device is considered permanent, at some point the outer shell of a breast implant may break. This is unlikely to happen within the first ten years after placement, but may happen at any time. When a saline-filled implant breaks, the salt water inside is absorbed by the body and the breast returns to its original (smaller) size over a few days. The implant is then typically replaced by a new implant during a procedure that typically has little discomfort and a fast recovery. It is less clear when a silicone gel implant breaks; when it does, the breast typically does not become smaller. As an added assurance to patients, the breast implant manufacturers offer warranty programs in case the implants break. Current recommendations by the U.S. Food and Drug Administration (FDA) encourage women to have MRI examinations of their implants after 3 years and every 2 years thereafter to see if there is any break in the shell.
Choosing your Chicago Breast Implant Surgeon
Having breast implant surgery in the Chicago area is not a small decision. It includes many factors with the choice of surgeon being the most important. When it comes to considering a surgeon, you must be informed about their qualifications and experience. Is your surgeon board-certified? What is their level of experience? Where will the surgery take place? What about the support staff, are they caring and professional?
Why MAE Plastic Surgery?
Dear Dr. Epstein – As the anniversary of my surgery past in December, I just really wanted to say from the bottom of my heart how amazing you and your staff are. Thank you for changing my life in a way that no one could ever do. Not a day goes by where I don’t stop to think about how blessed I am. You are my hero. ~ More reviews…
Our Fully Accredited Surgical Center for Chicago and Beyond – Our MAE surgeons perform our surgical procedures at our state-of-the-art, fully accredited surgical center in Northbrook. Northbrook Plastic Surgery has a team of board-certified anesthesiologists to provide the highest standard of care and ensuring the safest and most comfortable experience in Chicago. Read more…
Breast Augmentation FAQs
Both types of breast implants have an outer shell made of a soft silicone polymer. Saline-filled implants are placed inside the breast and then filled with sterile saline (salt water) until the desired size range is reached. Silicone gel implants are prefilled with a silicone gel material that cannot be changed in size for fine adjustments but the silicone is softer and more natural feeling. The saline implants also have the downside of more potential rippling and more readily palpable edges.
Breast implants come in different shapes and variable amounts of projection (the amount of forward fullness the implant provides). With their experience of over 1000 breast implant procedures, and by using the Vectra 3D imaging system, Dr.s Krochmal and Epstein can help you choose the right implant size and shape for your breast proportions and body type.
MAE Plastic Surgery is among a select group of Chicago plastic surgeons who can show you a simulated 3D image of your appearance with breast implants. By using our Vectra 3D imaging system, you can virtually try on different sizes and shapes of implants on a 3D image of your body for a better idea of the possible result.
Silicone gel implants tend to feel more like the natural breast and are preferred by many plastic surgeons and patients. While the feel of the breast depends on many factors, a breast enlarged with a silicone-gel implant will tend to feel more natural, particularly in women with little natural breast tissue (an A cup or small B cup). Thinner women may also prefer a silicone gel implant for the same reason.
For thinner women, the edge of the implant may sometimes be felt on the side and lower part of the breast. It may even feel uneven under the skin. In more severe cases, or when large implants are used, the implant edges may cause ripples to be seen under the skin. Rippling is less likely to happen with silicone gel implants.
As with any medical procedure, cost is an issue that needs to be considered. Therefore, it is important to understand the facts and factors that will determine the cost of your procedure. Understanding the costs and your options will help you make the best decision for your financial and personal needs.
The key element to consider is which type of implant you most prefer. There are two implants in general use:
Silicone implants are what the public generally thinks of when they discuss breast augmentation surgery. They consist of a silicone casing filled with silicone gel. They are generally considered to achieve the most consistently realistic aesthetic effect, and tend to cost approximately $1,000 to $1500 for each implant.
Saline implants are the same silicone shell, but are filled with a saline (salt water) solution. In thinner patients with smaller breasts, the aesthetic results are not quite as good as with silicone implants. Water does not compress the way silicone does, so the implants will have a different feel in comparison. Saline implants run to about $500 apiece.
The location of the procedure will also affect the cost of your operation. The key factors in determining a location are:
- Does the doctor perform the procedure in a hospital, surgery center, or office facility?
- Do you need to have it done in a hospital based on any preexisting medical conditions?
On the first note, you should ask where your doctor intends to perform the operation, and how that will affect the cost. It is impossible to give absolute answers in this article, because each doctor will have his own preferences and pricing guidelines. A hospital typically costs more than a surgery center of office facility. Ask your doctor for their location preferences, and how that will affect the cost of your procedure.
There is of course the cost of doing the procedure itself. Surgeon’s fees for the specific implant vary, but tend to be between $3500 and $4500. Then there are the fees for the anesthesia, the facility, supplies, and so forth. These will be detailed to you upon request, so make sure you go through them and understand why and what you are paying for.
As with all other surgical procedures, especially those that involve placing a man-made device inside the body, there is a small amount of risk. Both saline-filled and silicone gel implants have similar risks. However, in rare cases, a broken silicone gel implant may cause pain and swelling in the area around the break.
The final choice of implant type depends on your current breast size and shape and your desired outcome. It is important to consider your personal body and breast characteristics as well as the other factors involved in breast enlargement. At MAE Plastic Surgery we guide patients through these options and will help you make the best choice during a one on one consultation at our Northbrook office.
The first thing a woman who is interested in breast augmentation surgery should do is visit a plastic surgeon. During this consultation, women must provide their full medical history to the physician. This is important because there are many medications that can cause bleeding during surgery, so it is crucial that the physician knows of all medications being taken by the patient. Aspirin and other anti-inflammatory drugs should not be taken prior to surgery because they can cause excess bleeding during the operation. The surgeon will inform the patient of how long prior to surgery they should stop taking any medications, and if there are any medications or vitamins that they should take before and after the surgery to help with the healing process.
Other things that will be discussed with the surgeon include:
- The size and type of implant that is best for your body
- If needed, any medical tests or mammograms
- Things to buy before surgery for the recovery period
- Not smoking for at least one month prior to surgery
The preoperative visit is very important to the success of the surgery because the patient gets to finalize the size and type of implant and go over any questions or concerns about the surgery.
The best way for a patient to prepare themselves for the day of surgery is to be mentally ready for a change. While surgeons hope for a successful surgery and a speedy recovery for their patients, it is important for patients to be ready for any obstacles. As long as the patient follows all of their doctor’s orders, then the procedure should go smoothly, and recovery time should be quick.
On the day of surgery, the patient should:
- Take a shower and wash with the soap
- Not wear any makeup, cream or lotion
- Remove contact lenses
- Remove any nail or toe polish and any body piercings
- Not eat or drink for at least eight hours prior to surgery
- Wear loose fitting clothes
- Arrange for someone to pick them up and stay with them overnight after their surgery
Pain medications, ice packs, gauze, books, pillows, healthy foods, and magazines are a few items that should be bought prior to surgery and ready at home. When the patient arrives at home with these items available, then the post-operative recovery time should be easier. It is also important for women who have had breast augmentation surgery to have someone spend the first night with them and be available to help them out since it may be difficult and uncomfortable to move around.
The healing process is the most important part of the surgery, so patients should plan to take anywhere from a few days to two weeks off of work. Soreness, swelling and bruising are normal, but it may take a few days for these symptoms to subside. Strenuous activity that causes blood pressure to rise should be avoided as much as possible for at least the first two weeks. The preparation process for breast augmentation surgery is crucial to the success of the surgery. Anyone interested should visit a surgeon, ask questions, get answers, purchase the necessary items for a speedy and comfortable recovery, and take time off of work in order for the healing process to be quick and pain-free.