• David S. Slatton, MD • Aesthetic Plastic Surgery •

3781 Westerre Parkway • Suite E • Richmond, Virginia 23233 • (804) 527-1111 • fax (804) 527-1161

 

Drawing by Dr Slatton      

Breast Augmentation

Breast Augmentation is a procedure where the breast is enlarged. Not one procedure is the same for every patient. The choice of size is up to the individual, but also dependant on each patient’s unique anatomy. Dr. Slatton performs augmentation mammoplasty by inframammary incisions(in the fold the breast makes with the chest wall) or periareolar incisions( at the lower edge of the areola). The implants used by Dr. Slatton are round, smooth saline implants, although other types of implants may be considered, based on individual considerations. Overall, smooth round saline filled implants, feel, look, and move better than teardrop shaped saline implants. The sub pectoral pocket (beneath the muscle) is preferred because of more natural appearance, decrease in visible rippling, and lesser incidence of capsular contracture. The inframammary incision is about 1 inch in length.

Breast Lift (Mastopexy)

When the nipple falls at or below the level that the fold of the breast makes with the chest wall, a breast lift may be required. This procedure is called a Mastopexy and this can be done with or without implant placement. A mastopexy changes the position of the nipple and areola in relation to the breast mound. The incisions may be around the areola only ( Periareolar Mastopexy) or around the areola and from the 6 o’clock position of the areola to the inframammary fold (Vertical Mastopexy). There are few if any indications for the traditional "anchor" incision in mastopexy procedures.

Breast augmentation is done as an outpatient procedure. Patients can begin limited exercise in 2 weeks and are generally activity restriction free by 6 weeks postoperatively.

Final appearance takes about 3-6 months as implants "drop" with the help of gravity, time, and consistent post operative implant message.