Breast Augmentation

Plastic Surgeon serving Lutherville Timonium, Baltimore & Columbia areas of Maryland

Your breasts are an inherent aspect of your womanhood, and you should feel confident about their appearance. If you want to enhance the size or shape of your breasts, breast augmentation can help you achieve the look and feel you desire. Breast augmentation continues to be one of the top plastic surgery procedures performed each year, and it may be just what you need to refresh your self-esteem and feel more comfortable in your body.

Dr. Adam L. Basner has one of the largest breast surgery practices in the Baltimore area and has helped numerous women achieve beautiful results through breast augmentation. He is proud to be one of the few plastic surgeons who is a member of Mentor’s Preferred Physicians Program. Mentor is a top breast implant manufacturer and only offers this honor to leading practitioners.

Dr. Basner can help you understand all aspects of the breast augmentation procedure and which types of incisions, implants and placement options will be best for your body. To schedule a breast augmentation consultation at our Baltimore office, call 410-616-3000 or use the form on this page.

Benefits of Breast Augmentation

Breast augmentation can help you achieve the fuller, more uniform figure you desire. Women seek breast augmentation for a number of reasons, including:

  • To achieve a more attractive breast size or shape
  • To enhance their body contour and improve their body image
  • To restore lost breast volume after pregnancy, breastfeeding or weight loss
  • To correct asymmetrical breasts
  • To reduce a wide gap between breasts and address a lack of cleavage
  • To improve the shape of breasts that have lost firmness
  • To address disfigured or missing breasts after trauma or surgery
  • To treat congenital abnormalities, including micromastia

Whether you simply want larger breasts and a more feminine form or are looking to address one of the previously mentioned conditions, breast augmentation may be able to help.

Am I a Good Candidate for Breast Augmentation?

You need to be in good general health and at a stable weight before breast augmentation surgery. You should also:

  • Have realistic expectations about what the procedure can do for your body
  • Be a non-smoker or willing to quit smoking for several weeks before surgery and throughout the recovery period
  • Not currently be pregnant or breastfeeding
  • Be free of breast cancer and pre-cancerous breast tissue
  • Have fully developed breasts and enough natural breast tissue to cover your implants

Though breast augmentation won’t affect your ability to have children or breastfeed in the future, you should consider the timing of your procedure. Future pregnancies could affect your results.

While many young women want to alter the size or shape of their breasts in their teenage years, their chests may not yet be finished growing. For this reason, the FDA stipulates that women must be at least 18 years of age for breast augmentation with saline implants and 22 years of age for breast augmentation with silicone implants. If you are old enough for the procedure, Dr. Basner can help you determine which type of implant would be best for your body.

Silicone vs. Saline Breast Implants

To help you achieve a balanced, proportional figure following breast augmentation surgery, it’s important to choose the right implant for your aesthetic goals. We offer both saline and silicone gel breast implants at our Baltimore office.

Silicone gel implants:

  • Consist of a silicone gel material housed inside a silicone shell
  • Are pre-filled by the manufacturer to the exact volume Dr. Basner requests
  • Achieve a more natural looking and feeling outcome than saline implants
  • Are less prone to wrinkling and rippling

Silicone implants tend to maintain their shape in case of rupture, which can be both a pro and con. Since you may not notice a rupture with silicone implants, you will need to schedule periodic MRIs to ensure your implants are intact.

Gummy bear implants are a form of silicone implants that are made with a thicker, more cohesive gel. Gummy bear implants most closely mimic the look and feel of real breasts, and compared to standard silicone implants:

  • Have a more stable shape and form
  • Are less likely to fold or leak
  • Are less prone to rippling

As such, gummy bear implants are often more expensive than their standard silicone counterparts. A larger incision may be required to insert these as well.

Unlike silicone implants, saline implants are filled with a sterile solution at the time of surgery for more precise volume adjustments. If a saline implant tears or ruptures, the fluid is absorbed safely by your body. The rupture is immediately noticeable, so you can address the problem right away.

For women who want to increase volume in their chest without implants, Dr. Basner can use a fat transfer technique to perform breast augmentation. This technique is also a good method for women who want to enhance the contour of their breasts after implant placement.

Dr. Basner uses both Mentor and Sientra breast implants at our office. Because of his extensive experience performing breast augmentation surgery, Dr. Basner is included in Mentor's Preferred Physicians Program.

Our before-and-after photos provide examples of breast augmentation outcomes.

Additional Breast Implant Options

Silicone and saline implants come in different textures and shapes. They can also be placed at various locations on your chest.

After you and Dr. Basner have determined which type of implant is best for you, you will need to discuss and choose between the following:Customized Breast Implant Options

  • Smooth or textured shell: Smooth breast implants have a longer lifespan and are less likely to ripple, making them a popular option. Textured breast implants are less likely to shift and cause misalignment, making them a good complement to teardrop-shaped implants.
     
  • Round or teardrop shape: A round shape is most often preferred because it provides a lifted, fuller appearance. However, teardrop implants are designed to mimic the appearance of natural breasts and can be a good option if you’re looking to correct an asymmetrical chest.
     
  • Low, moderate or high profile: The breast implant profile refers to how far the implant will project from your chest. A moderate profile will typically provide the most natural-looking results. A high profile is a good option for petite women and women with narrow chests, while a low profile is best for women with wider chests.

All of these breast implant options can affect your final results. For additional information, read our Questions About Breast Augmentation page. 

Sizing Your Breast Implants

The goal of breast augmentation is to help you achieve a better breast shape and size, along with more prominent cleavage. As such, a moderately sized breast implant is best for most women, even those seeking a noticeably larger chest. However, if you play high-impact sports, a smaller implant may be a better option for you.

Breast implants are measured in cubic centimeters rather than cup size. This is because cup sizes vary among bra manufacturers, and cubic centimeters give a more precise measurement. Dr. Basner will use your height, weight and chest size to determine the best implant size for you.

Incision Locations

The location of your surgical incisions will determine where scarring occurs. Though scars should fade over time, this is a concern for some women.

Your incision location may also affect surgical outcomes since it will determine how your breast implants are inserted and where they will sit against your body. Dr. Basner uses the following incision methods:

  • Inframammary: This incision is placed in the crease beneath your breast, where it’s hidden in your breast’s natural fold.
     
  • Periareolar: These small incisions are placed around your areola, where they’re hidden in the color change between your areola and skin.
     
  • Transaxillary: These incisions are placed in your underarms and made as small as possible so they can blend into the texture of your skin.

While the inframammary incision tends to give Dr. Basner the most control over your implant placement and breast symmetry, he will help you choose the right incision location to achieve your unique aesthetic goals.

For certain women, Dr. Basner may use the Keller Funnel® to insert breast implants. The funnel minimizes contact, makes for an easier insertion process and may allow for smaller incisions.

Implant Placement Options

After Dr. Basner has made the incisions, he will insert your implants either:Schedule a Breast Augmentation Consultation

  • Under your breast tissue and over the chest muscle (subglandular placement)
  • Under or partially under your chest muscle (submuscular placement)

Subglandular placement is a good option for women with a substantial amount of natural breast tissue and is recommended for athletic women who don’t want to worry about contracting chest muscles interfering with their implants. This placement option also has a faster recovery time.

Submuscular placement has a longer recovery time, but it does reduce your risk of capsular contracture and implant rippling. It can also make future mammograms easier. For thin women with minimal breast tissue, this placement option may yield more natural-looking results. 

Recovery After Breast Augmentation

Breast augmentation is a surgical procedure that will require a recovery period for you to heal properly. You should expect soreness and swelling to last several weeks after your procedure, but more immediate pain should subside within a matter of days.

Avoid bending, lifting and straining immediately after your surgery. You will need to wear gauze dressing over your chest for several days while the initial healing occurs.

It’s recommended that you wait until your breasts are no longer sensitive before resuming physical activity. This means avoiding high-intensity exercise, including upper body movements, heavy lifting and running, for three to four weeks. You can resume lighter exercise as your body feels ready.

If you have a job that does not involve strenuous activity, you should be able to return to work within one to two weeks of surgery. Dr. Basner will give you specific post-operative instructions that will take into account your lifestyle and working environment.

Final results are typically visible two months after surgery. As your implants settle, you may continue to notice mild changes in the appearance of your breasts for up to six months.

Breast Augmentation With a Lift

Breast augmentation is only meant to address mild sagging or dropping. If you’re looking to enhance the size and positioning of your breasts, breast augmentation with a breast lift may be the best option for you.

One of the advantages of a combined approach to these two procedures is that you only have one recovery period. In certain cases, however, the two procedures may need to be performed at different stages.

Dr. Basner can determine if you are a good candidate for breast augmentation with a lift. After your initial consultation, he will recommend the treatment plan that will best accomplish your goals and give you the most visually appealing results.

Improving Breast Augmentation Results With Strattice™

Strattice™ is a device used by Dr. Basner to address problems caused by weak or inadequate tissue during breast augmentation, breast augmentation with a lift or breast surgery revision. When you have weak or inadequate tissue around your breasts, Strattice can be used to reinforce and strengthen the tissue. The device can also be used to repair or replace damaged tissue.

The device works by providing the necessary implant and tissue support to revise your surgical results or treat common aesthetic complications. The tissue matrix can also help hold a breast implant in the desired position, and it can conceal any implant contours showing beneath thin skin.

Strattice can repair the problems caused by:

  • Capsular contracture
  • Bottoming out
  • Symmastia
  • Implant wrinkling and rippling
  • Undesirable breast fold location

If you have developed capsular contracture after breast augmentation, Strattice can be especially beneficial. In years past, there were not many effective ways to treat capsular contracture. Dr. Basner's Strattice technique is effective whether you have a newly developed or existing breast implant capsule.

Why Choose Dr. Basner

Dr. Basner is regarded as a leading plastic surgeon in the Baltimore area. He was selected to be a featured surgeon on ABC's "Dramatic Makeover" and is consistently named a top doctor by Baltimore Magazine. In addition to his private practice, he serves as the chief of Sinai Hospital’s plastic surgery division.

On top of his professional expertise, Dr. Basner provides compassionate and personalized care to each of his patients. He strives to always be available to you and is committed to providing you with the one-on-one time you deserve to learn about him, our practice and the surgical options for enhancing your breasts.

Breast Augmentation in Baltimore

Dr. Basner is a board-certified plastic surgeon committed to providing you with beautiful results that look and feel like natural breasts. Call 410-616-3000 or use the form on this page to schedule a breast augmentation consultation at our Baltimore office. We serve clients in Baltimore, Owings Mills, Towson, Columbia and surrounding areas of Maryland.

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