Breast Augmentation in San Antonio, TX | Dr. Baumholtz (2023)

Silicone Implants

For silicone implants – trust in the implant is a really important component to a patient’s decision process. We use ALLERGAN implants. Allergan has a long track record of implant safety and commitment to device excellence. We focus on using smooth implants with our patients – especially in light of the concerns about a rare form of cancer associated with textured implants.

Allergan currently offers 3 levels or types of silicone implants

SR – responsive

SS – soft touch

SC – cohesive

Which is the most “natural” – Saline vs. Silicone ?

Once these steps are complete, you’ll discuss specific options, like implant type and size and the placement of the surgical incisions. As a top plastic surgeon in the San Antonio area, Dr. Baumholtz offers the highest-quality implants available, which offer a more realistic “feel” for optimal results. Both saline and silicone implants are available, and each type offers its own advantages.

Women who want only a small enhancement to their breast volume or shape may opt for breast augmentation with fat grafting. In this technique, Dr. Baumholtz removes fat tissue from another area on the patient’s body (typically from the buttocks or thighs) and “transplants” it into the patient’s breast area. Since the surgery uses the patient’s own tissue, there’s no risk of rejection; however, the technique is only suitable for minor enhancements or correction of small asymmetries.

For breast augmentation surgery, incisions typically are placed in one of three locations:

• in the crease beneath the breast (called the inframammary fold)
• around the nipple (periareolar incision)
• in the armpit (transaxillary incision)

The decision of which incision site to use will be based on the type of implant being used, your own anatomy, your treatment goals and other factors. Dr. Baumholtz will explain the “pros and cons” of each approach and which one is best for your specific needs. In some women with significant sagging of the skin and other tissues, a breast lift or mastopexy may need to be performed at the same time as the breast augmentation surgery to enable them to achieve the look they want. Depending on the patient’s preferences and goals, other procedures may also be performed at the same time like a tummy tuck to tone and tighten the belly area or liposuction to remove excess fatty tissue.

what are the most common questions people considering breast augmentation ask?

People who are considering breast augmentation often have a lot of questions about the procedure. Here are some of the most common questions people ask:

• What are the different types of implants?
• How is the size of the implant determined?
• What is the recovery process like?
• How long does the procedure take?
• Is the procedure painful?
• How long will the results last?
• What is the risk of complications?
• How much does the procedure cost?
• What is the downtime associated with the procedure?
• Can I still breastfeed after the procedure?
• How long before I can return to normal activities?
• What is the difference between silicone and saline implants?
• Are the implants safe?
• Can the implants move or leak?
• Can I choose a different size for each breast?
• Can the procedure be revised in the future?
• What is the difference between subglandular and submuscular placement?
• How do I choose the right plastic surgeon for the procedure?

And what are the answers to those questions

Here are the answers to the most common questions people have when considering a breast augmentation procedure:

• What are the different types of implants?
  • There are two main types of implants: silicone and saline. Silicone implants are filled with a silicone gel and are often considered to have a more natural feel. Saline implants are filled with a sterile saline solution and are generally considered to be safe.
• How is the size of the implant determined?
  • The size of the implant is determined based on the patient’s goals and physical characteristics, such as their breast size and shape, body type, and skin quality. The plastic surgeon will take these factors into account when making recommendations for the size of the implant.

• What is the recovery process like?
  • The recovery process from a breast augmentation procedure typically lasts a few weeks. During this time, the patient may experience some swelling, bruising, and discomfort, but these symptoms should subside within a few days. Most patients are able to return to their normal activities within a week or two after the procedure.
• How long does the procedure take?
  • The procedure typically takes between one and two hours to complete.
• Is the procedure painful?
  • The procedure is typically performed under general anesthesia, so the patient should not experience any pain during the procedure. After the procedure, some patients may experience some discomfort and pain, but this can usually be managed with over-the-counter pain medication.
• How long will the results last?
  • The results of a breast augmentation procedure are generally long-lasting, although the lifespan of the implants may vary depending on the type of implant used. Most implants are designed to last for 10 to 15 years, but some may last longer or need to be replaced earlier.
• What is the risk of complications?
  • Like any surgical procedure, breast augmentation carries some risk of complications. These may include infection, bleeding, scarring, implant rupture or leak, and changes in sensitivity or sensation in the nipples. However, the risk of complications is generally low when the procedure is performed by a qualified and experienced plastic surgeon.
• How much does the procedure cost?
  • The cost of a breast augmentation procedure can vary depending on several factors, including the type of implant used, the experience of the plastic surgeon, and the geographic location of the practice. On average, the procedure can cost between $5,000 and $10,000. To learn more about common plastic surgery pricing – click here:BPS Pricing for Plastic Surgery Procedures
• What is the downtime associated with the procedure?
  • The downtime associated with a breast augmentation procedure is typically a few days to a week, during which the patient may experience some swelling, bruising, and discomfort. Most patients are able to return to their normal activities within a week or two after the procedure.
• Can I still breastfeed after the procedure?
  • Breastfeeding after a breast augmentation procedure is generally possible, but it may depend on the type of implant used and the location of the incision. It’s important to discuss your breastfeeding goals with your plastic surgeon during the consultation process.
• How long before I can return to normal activities?
  • Most patients are able to return to their normal activities within a week or two after the procedure, although they may need to avoid strenuous exercise for a few weeks.
• What is the difference between silicone and saline implants?
  • Silicone implants are filled with a silicone gel and are often considered to have a more natural feel. Saline implants are filled with a sterile saline solution and are generally considered to be safe.
• Are the implants safe?
  • Both silicone and saline implants are considered safe when used in the appropriate patients and when the procedure is performed by a qualified and experienced plastic surgeon.
  • The U.S. Food and Drug Administration (FDA) has approved both types of implants for use in breast augmentation procedures.
  • However, as with any medical device, there is always a risk of complications and side effects, and it is important to discuss these risks with your plastic surgeon during the consultation process.

Video from 2019 but still accurate today:

• Can I still have mammograms after the procedure?
  • Yes, you can still have mammograms after a breast augmentation procedure. However, it is important to inform the radiologist of your previous breast augmentation so that they can take appropriate measures to ensure an accurate reading.
• Can I choose a specific implant size or shape?
  • Well – sort of. Your anatomy will dictate the width of the implant and your skin will have some impact on the projection. Still – your goals will help us pick the best implant for you! During the consultation process, your plastic surgeon will help you choose the best implant size and shape to achieve your desired results.
• Should my implants go above or below the muscle?

• What is the scarring like after the procedure?
  • The scarring from a breast augmentation procedure is typically minimal and well-hidden, as the incision is usually made in a discreet location such as the underarm or around the nipple. The appearance of the scars will depend on factors such as the patient’s skin quality and the type of incision used.
• Can the implants be replaced in the future?
  • Yes, the implants can be replaced in the future if needed. Reasons for replacement may include implant rupture or leak, changes in the size or shape of the breasts, or if the patient simply wants to switch to a different size or type of implant. Bear in mind – breast implants are NOT lifetime devices
• What should I expect during the consultation process?
  • During the consultation process, you will meet with your plastic surgeon to discuss your goals and desired outcome, and to have your medical history and physical characteristics evaluated. The surgeon will also examine your breasts and take measurements to determine the best implant size and shape for you. This is also an opportunity for you to ask any questions and to discuss any concerns you may have about the procedure.
• How long is the recovery process after breast augmentation?
  • The recovery process after a breast augmentation procedure typically lasts several weeks, during which time you may experience some pain, swelling, and tenderness in the breast area. Your plastic surgeon will provide you with specific post-operative instructions to follow to help ensure a smooth and successful recovery. This may include wearing a surgical bra or bandage, avoiding physical activity or exercise for a specified period of time, and taking pain medication as needed.
• How long will the results last?
  • The results of a breast augmentation procedure are typically long-lasting, but they may not be permanent. The lifespan of the implants can vary depending on factors such as the type of implant used, the patient’s body weight and age, and the patient’s lifestyle habits. Some patients may choose to replace their implants after several years, while others may never need to have them replaced.
• Can I breastfeed after the procedure?
  • The ability to breastfeed after a breast augmentation procedure can depend on several factors, such as the type of incision used, the size and placement of the implants, and the patient’s individual anatomy. It is important to discuss your breastfeeding goals and concerns with your plastic surgeon during the consultation process so that they can provide you with an informed answer regarding your individual situation.
• Is the procedure covered by insurance?
  • In most cases, breast augmentation is considered a cosmetic procedure and is not covered by insurance. However, it is important to check with your insurance provider to confirm their specific coverage and requirements. Some insurance providers may cover the cost of the procedure if it is deemed medically necessary, such as if the patient has breast asymmetry or other functional concerns.
• How do I choose a plastic surgeon for my breast augmentation procedure?
  • When choosing a plastic surgeon for your breast augmentation procedure, it is important to look for a qualified and experienced practitioner with a track record of producing safe and beautiful results. You can start by researching board-certified plastic surgeons in your area and reading reviews from past patients. You should also schedule a consultation with the surgeon to discuss your goals and to ensure that you feel comfortable with their expertise and communication style.
• What should I look for in a consultation with a plastic surgeon for breast augmentation?
  • During a consultation with a plastic surgeon for breast augmentation, you should look for a practitioner who takes the time to listen to your goals and concerns, and who provides you with thorough and accurate information about the procedure and what to expect. You should also look for a surgeon who has a clear understanding of your individual anatomy and physical characteristics, and who can recommend the best implant size and type to achieve your desired results. Additionally, you should look for a surgeon who has a good bedside manner, is responsive to your questions and concerns, and makes you feel confident and comfortable in their care.
• How much does breast augmentation cost?
  • The cost of a breast augmentation procedure can vary depending on several factors, such as the type of implant used, the experience of the plastic surgeon, and the geographic location of the surgery center. On average, the cost of the procedure can range from $5,000 to $10,000 or more, not including additional expenses such as anesthesia, facility fees, and post-operative care. It is important to discuss the cost of the procedure with your plastic surgeon during the consultation process, and to find a practitioner who can provide you with quality results at a cost that fits within your budget.
• Are there financing options available for breast augmentation?
  • Many plastic surgeons offer financing options for patients who are interested in having a breast augmentation procedure but who may not have the funds available to pay for it upfront. These options can include loans with low interest rates, flexible payment plans, and other arrangements to help make the procedure more affordable. You can discuss financing options with your plastic surgeon or their staff during the consultation process, or reach out to a financing company directly to see if you qualify for a loan.
• Can I return to work after the procedure?
  • The amount of time you will need to take off work after a breast augmentation procedure can vary depending on your individual situation and the type of work you do. Most patients are able to return to desk-based work within a week or two of the procedure, while more physically demanding jobs may require a longer period of recovery. Your plastic surgeon will provide you with specific post-operative instructions and guidance regarding when it is safe for you to return to work and other activities.
• How can I prepare for my breast augmentation procedure?
  • There are several steps you can take to prepare for your breast augmentation procedure, including:
    • Staying in good health:
    • Before the procedure, it is important to avoid smoking, excessive alcohol consumption, and other activities that can compromise your health and healing.
  • Planning ahead: Make arrangements for transportation and post-operative care, and stock up on any necessary supplies and medications.
  • Setting realistic expectations: Be sure to discuss your goals and expectations with your plastic surgeon and be prepared to follow their post-operative instructions carefully to ensure the best possible results.
  • Researching the procedure: Gain a thorough understanding of the breast augmentation procedure, the risks and benefits, and what to expect during the recovery process.
• How can I ensure a successful recovery from breast augmentation?
  • To ensure a successful recovery from breast augmentation, it is important to:
  • Follow all of your plastic surgeon’s post-operative instructions carefully and attentively
  • Attend all scheduled follow-up appointments and check-ins
  • Avoid strenuous activity and heavy lifting for a period of time recommended by your surgeon
  • Wear a supportive bra or surgical garment as directed by your surgeon
  • Keep your incisions clean and dry, and avoid exposure to water or other substances that could cause infection
  • Take any prescribed medications as directed to manage pain and promote healing
  • Avoid smoking or using nicotine products, as they can slow healing and increase the risk of complications.
• Can I breastfeed after having a breast augmentation procedure?
  • Some women may still be able to breastfeed after having a breast augmentation procedure, but this can depend on various factors, including the type of implant used, the location of the incisions, and the individual’s anatomy. It is important to discuss your concerns and goals regarding breastfeeding with your plastic surgeon before the procedure, so they can provide you with specific guidance and advice. In some cases, a different type of implant or incision placement may be recommended to help preserve the ability to breastfeed.
• Can I have another surgery in the future to revise or remove my implants?
  • Depending on various factors, such as the type of implant used and the individual’s anatomy, it may be necessary to have another surgery in the future to revise or remove the implants. This could be due to changes in the implant’s shape or size, issues with the implant’s position, or other factors that impact the look and feel of the breasts. Your plastic surgeon will discuss these potential risks and considerations with you before the procedure, and provide you with specific guidance on how to care for your implants to help prolong their lifespan.

These are just a few of the most common questions and answers people ask when considering a breast augmentation procedure. Dr Baumholtz will be able to answer any additional questions you may have and provide you with more information about the procedure.