Introduction to Breast Surgery
If you are considering breast augmentation in Washington D.C., you need access to accurate information about preparing for surgery, the procedure, implant types, and what to expect during your recovery. Dr. Chang's 2019 Guide to Breast Augmentation answers all your questions.
1. What is Breast Augmentation?
Breast augmentation is a surgical procedure in which the breasts have volume added using implants comprised of silicone or saline. If you have small breasts or breasts that have become smaller after pregnancy or weight loss, you may be a candidate for breast augmentation. Various types of incisions and styles and shapes of implants can be used in the procedure, based upon the size, shape and projection the patient chooses, along with professional guidance from a board-certified plastic surgeon.
2. Breast Augmentation Before & After Photos
If you are looking at receiving breast augmentation surgery, viewing Before & After pictures is a crucial part of choosing your surgeon.
3. Am I a Candidate for Breast Augmentation?
If you feel that your breasts are a problem you want to resolve, you are probably a candidate for breast augmentation. As with any elective surgical procedure, you should be in good general health, a non-smoker, and not have any current medical conditions that could put you at risk.
What can breast augmentation address?
Small breasts can be enhanced with silicone, saline or combo implants for a more balanced figure.
Uneven Breast Size
Unevenly-sized breasts can be resolved with a customized breast augmentation surgery.
Misshapen breasts can be corrected so they appear natural, round, and symmetrical.
Lack of Volume in Upper Breast
If your upper breast lacks volume, breast augmentation can address this.
4.What is the Cost of Breast Augmentation Surgery?
The costs of breast surgery can vary, based upon what is required for the patient. In general, the cost of breast augmentation in Washington DC ranges from $5,000-$15,000. No two breast augmentations are the same, due to every individual being different. The price is impacted by individual needs, the cost of the type of implants placed, location of your doctor, whether you require an added procedure such as a breast lift or nipple reshaping and more.
5. Breast Implant Options
The breast implants of today are far superior to what was manufactured in the past, with more sizes, shapes, and types of silicone gel. For a very natural look, it is critical that the implants create a perfect balance with your unique body structure and performed by a surgeon who is part of The American Board of Plastic Surgery.
Saline or Silicone?
Saline implants are comprised of a silicone rubber shell that are filled with saline solution during surgery. Since saline implants are filled after insertion, it is possible to place these implants with smaller incisions, often in the armpit crease. If a saline breast implant ever ruptures, it is perfectly safe for the saline to be absorbed into the body. These implants come in a range of sizes, and closely match the feel and bounce of natural breasts.
Silicone gel implants are much more popular than saline. Silicone implants are pre-filled with silicone gel — a thick, sticky fluid that closely mimics the feel of human fat. Silicone gel implants are known to look and feel more natural than saline. Due to the cosmetic advantages, silicone implants are still the most commonly requested implants by far in the US.
Gummy Bear Implants
Gummy bear breast implants are an additional option available for breast augmentation. The term “gummy bear” is actually a nickname for these teardrop-shaped, gel-based implants. They’re known to retain their shape better than other types of breast implants made from saline and silicone. If you choose to go with gummy bear implants, you don’t have to sacrifice implant softness.
Things to consider
Breast implants are measured in cc’s (cubic centimeters), not bra cup size. They range from 100 ccs to 800 ccs. The most popular implant sizes are between 300 and 400 ccs, which translates to a small to large C cup size.
Implants are available in a range of shapes. The differences include width, volume, and projection. Round implants are available in four levels of projection. Teardrop-shaped implants (gummy bear) were developed to more accurately mimic the shape of natural breast tissue.
Depending upon the size and type of implant, the incisions can be placed in the breast crease, vertically down to the lower portion of breast, extending nipple to crease, or around the areola, or a combination. Saline implants (filled after placement) can be inserted through an incision in the armpit crease.
Implants can be placed beneath the breast tissue (subglandular) or beneath the muscles (submuscular), or a combination of these two techniques. For very slim patients with limited natural breast tissue, it may be more effective to place implants below the muscle to achieve more coverage.
The incision location will be based upon the size and type of implant. Your choice of size, shape, type (silicone, saline or gummy) implants, along with your unique anatomy will be the determining factors for your doctor to determine the best incision location for the breasts you envision. When working with Dr. Christopher Chang he will explain all your options and help advise you on the best method to reach your goals, that is why he is one of the most popular surgeons for breast augmentation Washington D.C. has to offer.
Which type of incision will be best for me?
This incision allows for the best access for implant placement. The incision is placed in the breast crease and is hidden beneath the hanging breast once healed. This incision has many benefits, including inconspicuous scar location, versatile enough to be appropriate for either silicone or saline implants, it allows for accurate, symmetrical placement, and has less risk of infection than the TUBA procedure. Another advantage is related to replacing implants; all implants will eventually need to be replaced, and with this incision, the same incision site can be used for no added scars.
This incision is placed around the areola. This allows for great accuracy in positioning implants, and the incision scar is less visible, as it is hidden in the darker pigment of the nipple structure. The incision is typically around the lower section of the areola. For those who tend to develop more obvious raised scars, this incision is likely not appropriate. It has some other drawbacks, such as a higher incidence of loss of nipple sensation or impacting the ability to breastfeed. For patients with very little existing breast tissue, this may be the preferred type of incision.
This incision is hidden in the armpit, in the natural fold. To place the implant requires creating a channel from the armpit to the breast area, and the creation of a pocket within which the implant will be placed. This incision site is most often used for women who are getting saline implants, as the implant shell is filled after placement, and requires only a very short incision. For women who plan to breastfeed in the future, this is a safer incision as it is far less likely to damage the breast structure.
A TUBA (transumbilical breast augmentation) incision is made in the belly button. This surgical procedure requires the highest level of skill, and is the most difficult to perform, but is essentially scarless. The advantages include the ability to place larger-sized implants, and that only one incision is needed for both implants. This incision can reduce recovery time and allows for implant placement either over or under the muscle. The procedure is only appropriate for patients who want saline implants as they are filled after placement. Only the most highly-skilled plastic surgeon should perform this advanced “scarless” breast implant procedure.
I have to admit that I was skeptical about a few things, like the placement of my implants, and choosing the same size implants for both breasts when there was a difference in size pre-augmentation. However, as time goes by I'm seeing that he is a creative genius with an eye for detail!!
Dr. Chang is an amazing surgeon! I had a breast augmentation and tummy tuck. After having an 18 year old,10 year old and 8 year old...I feel and look amazing. I have received so many compliments from friends and family.
I really couldn't be happier with my results. A friend had her breast augmentation done by Dr. Chang and was so happy with her whole experience that it made me look into his office. His staff always answered all my questions and were very responsive.
6. What is the Average Breast Surgery Recovery Time?
You have undergone surgery, which requires time to recover. Typically, patients feel ready to return to work and other activities within one to two weeks, with the new breasts continuing to heal and settle into place in the following weeks and months.
You will need to be driven home by a friend or family member to rest. You will be tired, with the effects of general anesthesia slowly wearing off.
Immediately after surgery, your new breasts will feel tight, with some swelling and bruising.
After the first week, swelling and bruising has markedly diminished, and you may feel ready to return to work or other daily activities
Swelling and bruising is almost gone, although you may still require over-the-counter pain medication to feel completely comfortable.
Your new breasts take on the final appearance, with swelling completely gone, and muscles and tissues healed. Incision scars are still visible but beginning to fade.
At three months, your new breasts are looking natural, having reached the final healing phase, fully settled into place.
After a year, you will feel that your new breasts are your own and will simply be enjoying your new figure.
The surgical scars are fading to the point of being far less visible, blending with your skin.
7. What are the risks of breast augmentation surgery?
While this is one of the most commonly performed cosmetic surgeries, it holds some risks, including excessive bleeding, infections, or the formation of scar tissue around the implant that tightens, known as capsular contracture.
8. How to choose the right breast surgeon in Washington DC ?
Choosing the right surgeon is critically important in breast augmentation. Ensure the surgeon is board-certified as a plastic surgeon. Evaluate the surgeon’s professional credentials, experience, images on the before and after gallery, read online reviews, and meet the surgeon in person. Superior outcomes take excellent surgical skills and experience – and communication. You should feel comfortable, confident, and cared for. Fully researching a surgeon before committing is part of a successful journey.
Review the education and background of a plastic surgeon. Ensure the surgeon attended an accredited medical school and are respected by others in the profession for surgical skill.
There is no substitute for experience – choose a plastic surgeon who has years of success in performing breast augmentation surgery.
An excellent plastic surgeon will have a gallery of images to review, along with glowing reviews from real patients.
Breast augmentation surgery should only be performed by a board-certified plastic surgeon, certified by the American Board of Medical Specialties, not some other agency or body.
Why Choose Dr. Christopher Chang in Washington D.C.?
Dr. Christopher Chang is recognized for his excellence in breast augmentation surgery. He is a double board certified plastic surgeon in Washington, D.C., with impressive credentials from Harvard, Yale, and NYU. Dr. Chang has authored over 80 peer-reviewed scholarly articles and has an excellent rating on realself.com. As a visionary and artist in the field of plastic surgery, he is one of the premier surgeons at breast augmentation Washington DC currently has practicing.
9. What to Expect
Preparing for Surgery
Ensure you are in good health by avoiding alcohol, eating healthy foods, and staying hydrated. The healthier you are, the faster you will heal.
You will be under general anesthesia for breast augmentation surgery, and will not feel any pain or discomfort, only awakening when surgery is complete.
Your surgical procedure involves placing incisions with great care, creating a surgical “pocket” into which the implant is placed, and meticulously suturing your incisions.
You will awaken from surgery, and after a short period of observation, can be driven home by a friend or family member to rest and recover.
Breast Augmentation FAQ'sWhen Can I Wear a Bra? Can I Breastfeed After Breast Augmentation? When Can I Have Sex After Breast Augmentation? Will I Have Cleavage? Which breast implants feel and look the most real? Do you lose some of the size of the implants if they are placed below the muscle? What implant placement will be best for me: over or under the chest muscles? What are the most common complications from breast augmentation surgery?
10. Frequently asked questions
Q: When Can I Wear a Bra?
A: While you probably want to go bra shopping now, you will have to wait about four to six weeks before you can wear a standard bra – the wait will be worth it!
Q: Can I Breastfeed After Breast Augmentation?
A: Most breast augmentation surgeries will not impact milk production. Ensure you inform your surgeon you plan on breastfeeding in the future so surgery is planned correctly.
Q: When Can I Have Sex After Breast Augmentation?
A: You will need to wait for the initial healing phase to complete before engaging in sex, typically about two weeks. Any physical activity that could affect the healing incisions and implant placement must be avoided in the early stages of healing.
Q: Will I Have Cleavage?
A: While you may assume that larger breasts will give you beautiful cleavage, if your natural breasts are widely spaced, based upon the type and size of implant, you may not be able to have the cleavage you imagine. Breast augmentation does not alter the natural space between your breasts.
Q: Which breast implants feel and look the most real?
A: Silicone breast implants more closely match the feel, weight, and bounce of natural breast tissue. With an advanced surgical technique on a patient, a natural look and feel can also be achieved with saline implants. Gummy bear implants are teardrop shaped with more stable gel, for a more natural look and feel.
Q: Do you lose some of the size of the implants if they are placed below the muscle?
A: The actual size of the implant is an important issue – but this is not the only factor affecting size. When choosing implants with a submuscular placement (appropriate for many women with very little natural breast tissue), the volume of your new breasts may be about 50 ccs smaller if placed under breast tissue. Your surgeon can choose a slightly larger implant to achieve the breast volume you want in these cases.
Q: What implant placement will be best for me: over or under the chest muscles?
A: Every person has a unique body structure and physiology. How the implants are placed in a breast augmentation surgery is customized to suit the patient’s body and needs.
OVER THE MUSCLE: PROS AND CONS
Over the muscle implants are placed on top of the chest muscle, and under the breast tissue. This may be an effective method for some patients with more breast tissue. It has the advantage of allowing the breast implant to retain its shape when the chest muscles contract, rather than flattening it, as can occur when the implant is placed beneath the muscles. Modern silicone implant shapes are available, with teardrop shapes that are less likely to look like an implant, even when placed above the muscle. We will thoroughly discuss the placement options with you, so you know what to expect, and can make an educated decision.
UNDER THE MUSCLE: PROS AND CONS
Under the muscle implant placement can produce a look that is more natural in appearance, particularly for those patients with very little breast tissue. Placing the implant partially under a portion of the chest muscles poses less risk of “rippling,” or capsular contracture (when scar tissue forms tightly around the implant, requiring revision surgery). One surgical option is the implant placed fully beneath the chest muscle, with complete muscle coverage, which can add volume to the upper breast that appears natural. The implant is less likely to “bottom out,” which is when the breast implant drifts lower than intended.
Q: What are the most common complications from breast augmentation surgery?
A: While most women who get implants do not suffer any complications, it is important that you understand the most common types of complications, and how they are resolved. According to the FDA, these complications occur in one percent of patients: asymmetry, difficulty in breastfeeding, breast pain, sagging, calcification, capsular contracture, implant deflation, delayed incision healing, hematoma, swollen or enlarged lymph nodes, or dissatisfaction with size or shape.
Capsular contracture is a condition in which the body produces an excess of scar tissue around the implant, squeezing it into an unnatural shape. This condition is often painful, and the breasts no longer look as they should. This condition can be resolved with revision surgery. How your implants were placed can affect the likelihood of developing capsular contracture, and we can discuss your options with you personally, so you can make an educated decision about your surgery.
Implant rupture is when a hole or tear in the implant shell allows the gel (with silicone) to leak into the body. The rupture may be because an older implant degraded. Those who have silicone implants should have them checked with an MRI every few years. Leaking silicone implants often don’t present any obvious symptoms, so testing can be important in identifying a leak or rupture. Implants are considered to have about a 10-year lifespan, although many last far, far longer. With saline implants, a rupture is obvious, as the saline runs out of the implant and is absorbed by the body, leaving the breast looking deflated. In these cases, the implant must be replaced.
12. other breast enhancement Options
Breast Augmentation With Lift
Some women require a breast lift in conjunction with breast augmentation. This combined procedure produces a very youthful look, as the breasts are not only enhanced in size, but restored to a higher position on the chest wall.
Asian Breast Augmentation
Women of Asian descent often have smaller frames, and a petite torso an important point when choosing an ideal implant size, shape, and degree of projection.Learn More
Fat Transfer Breast Augmentation
A subtle, natural increase in breast volume can be achieved with natural fat transfer. This procedure has the added benefit of sculpting another body area when harvesting fat cells. The cells are purified and then injected into the upper portion of the breast for added fullness.Learn More
Breast Revision Surgery
Some women may be unhappy with a former breast augmentation surgery, due to breast size, shape, or a complication such as capsular contracture. In some cases, breast revision surgery is performed to replace older implants. The procedure is similar to the original augmentation in most cases.Learn More
Breast Reduction Surgery
Overlarge, heavy breasts are uncomfortable, often leading to back aches, neck aches, headaches, rashes, or simply embarrassment. Many women who live with this problem decide to undergo breast reduction surgery to reshape breasts so they are in proportion.Learn More
13. An Insider’s Guide to Washington, D.C. Looking into Breast Augmentation Surgery in Washington D.C.? Washington D.C. offers an array of activities to pursue during your breast augmentation journey.
Visit the United States Capitol building, a stunning historic site, home to the working U.S. legislature.View More
The Lincoln Memorial is an awe-inspiring monument that is well worth visiting during your stay in D.C.View More
The Smithsonian National Museum has over 126 million artifacts, is located on the National Mall, and is free to all visitors.View More
The National Gallery of Art offers works of art from luminaries such as Matisse, Botticelli, and Monet, along with countless other cultural treasures.View More
Where to Eat
While every visitor has their food preferences, Quill is one of the more popular restaurants there are menu items for suit every taste, including gluten-free and vegetarian choices.View More
For quality dining and service, many visitors enjoy a visit to Joe’s, which not only offers top quality steak and seafood, but gluten-free and vegetarian menu options.View More
For those who crave Italian food, Tortino is known for creating all your favorites, along with special menu items to cater to guests with dietary restrictions.View More
To enjoy modern American cuisine in a modern, cozy atmosphere, many visitors enjoy dining at the Dabney, where the menu offers a range of delicious options.View More
14.Breast Augmentation In the News
Why millennial women are seeking out plastic surgeons: ‘Now it’s part of my routine.’
After her fourth child, Lisa Wilkie felt open to getting a little cosmetic work done. Feeling the toll having children had taken on her body, she made an appointment to discuss breast augmentation. After that procedure in 2017, Wilkie, 34, also began Botox, an appointment she’s made every 12 weeks for about two years...Learn More
Asian Breast Implants Market Expected to Reach US$ 287.0 Mn by 2025
According to the latest market report published by Persistence Market Research titled ‘Breast Implants Market: Asian Industry Analysis and Forecast, 2017-2025’, the Asian breast implants market is expected to expand at a CAGR of 7.1% during the forecast period 2017–2025, with China slated to dominate the regional market through the forecast period...Learn More
Surfing with breast implants: Pre and post-operative recommendations
Women that surf and submit themselves to breast augmentation are usually concerned about the timing of return to the water, as well as with the risks involved and the recommendations needed...Learn More