Breast Augmentation
Salt Lake City & Park City

Breast augmentation can be misunderstood, equating it to some sort of centerfold end result. But most of our augmentation patients at Saltz Plastic Surgery seek natural looking results, not over-the-top transformations. These women want to enhance their breasts in a natural, proportionate way. The goal may be to improve breasts that the patient has always found to be deficient in some way. Or, the goal can be to restore volume and shape after pregnancy or weight loss. The consultation process with Dr. Saltz involves a great deal of give and take trading of information and recommendations. Beyond the overall decision to proceed, there are a variety of other decisions involved in breast augmentation, such as the type of implants and the incision location. Throughout the process, Dr. Saltz’s expertise and attention to your goals for the procedure will mesh to create a final result that you’ll love. Augmentation can truly be life changing.

Decisions to make

Long before any surgery, you will meet with Dr. Saltz for the first of a couple of consultations. This meeting will discuss your goals and expectations for augmentation, along with your medical history. It’s wise to have done some research on your own prior to your first consultation, looking at before-and-after photos for body types similar to yours. Here’s a link to our extensive gallery: Saltz before and after photos

Once you decide to have breast augmentation, you’ll have three other decisions to make, which Dr. Saltz will, of course, help you with. Those decisions are implant type, implant size and shape, and incision location.

Types of breast implants

The choice of implants is a personal one, depending on a variety of factors.

Silicone gel implants

Silicone implants feature a silicone shell filled with medical silicone gel. You can choose different levels of cohesion in the gel. The overall consensus is that silicone feels closer to natural tissue that saline implants. Increasing in popularity are “Gummy Bear” implants, which are teardrop shaped and consist of a firmer (think gummy bear) silicone gel. The advantage of this type of gel is that if the implant develops a leak, the silicone is more likely to stay within the implant. That is the disadvantage of traditional silicone implants — the patient doesn’t always know when the implant has ruptured, as the silicone leaks slowly if at all. For that reason, regular mammograms are required with silicone implants to check their condition.

Saline breast implants

Saline implants are made of a silicone shell filled with sterile salt water solution. Unlike silicone implants, saline implants are inserted into place empty and are then filled. This means a smaller incision is required. The benefit of saline is that if an implant should leak, then the salt water will be naturally absorbed by the body posing no risk. The downside is that most people believe saline implants do not feel the same as natural breast tissue.

Implant size and shape

You will also decide on the shape and, of course, the size of your implants. Various shapes are available with different projections. The two main shape categories are round or teardrop. Teardrops are often thought to present a more natural shape and and less prone to rotation once in place.

Determining the appropriate size is crucial to your satisfaction with your augmentation. Dr. Saltz believes the best results are proportional to the patient’s anatomic features. We will help you choose the size and projection that fits your goals for your augmentation.

Incision location

You’ll also choose where you want your implants placed, along with the incision location. This may seem obvious, but it’s not. You can opt to have the implants placed either under or on top of the pectoral muscle. Plus, your incisions can be made either along the crease at the bottom of the breast, under the areola, or in the underarm area. By utilizing the underarm (axila) method, there isn’t any scarring on the breasts themselves.

What will breast augmentation surgery be like?

Breast augmentation is typically performed as an outpatient procedure. The surgery begins with an incision at the location you’ve chosen. Dr. Saltz then creates a pocket in the tissue either under the pectoral muscle or directly behind the breast tissue over the pectoral muscle. If you are having silicone implants the incision will need to be somewhat longer than for saline implants because silicone implants are inserted filled. Saline implants are filled once in place. Once the implants are in place, Dr. Saltz will then check the symmetry of the breasts before closing your incisions. At Saltz Plastic Surgery, we utilize skin glues whenever possible to minimize scarring, and this may be available in your case. Regardless, there will be some scarring (except with axila surgery), but it will fade with time.

Recovery

Like any surgery, recovery time for breast augmentation varies for every patient. This is not a difficult recovery, however. There will be pain and discomfort for two to three days after surgery, but this is manageable with prescription pain medication. Breast augmentation patients are usually able to return to work after four or five days. After one to two weeks, patients can begin non-impact lower body exercise. Impact exercise can be resumed after four weeks, with upper body exercise following at six weeks.

Your immediate post-operative visits include drain removal, learning how to massage your breasts to keep them soft, and a complimentary lymphatic drainage massage to reduce bruising and swelling. The regular visits to see Dr. Saltz and his nurse will continue until the first anniversary of your augmentation.

Results

After your surgery, your implants can take up to a few weeks before they settle and look natural. At first, you may notice the implants are sitting higher on your chest, feel more firm, or are larger than you expected. You should wait at least three months before your final results are realized. Your implants will drop to sit in a more natural position on your chest and the swelling will pass so you can see the final results of your breast augmentation surgery.

Related Procedures

Read more about the related breast procedures Dr. Saltz performs in Salt Lake City and Park City, UT.