Balance and beauty are fundamentally intertwined: If your breasts are too small for your frame, you might feel as though you look “bottom-heavy.”
You may also have a hard time finding flattering clothing or feeling confident in a bathing suit. Many women use breast augmentation surgery to overcome these challenges and create more hourglass proportions: This safe, well-understood procedure has been helping women feel better about their bodies for decades.
At his Philadelphia plastic surgery clinic, board-certified surgeon Dr. Subbio provides women with multiple breast augmentation options. Whether your preferred implant is saline or silicone, round or teardrop-shaped, he has the skills and experience needed to create stunning results. To learn more about Dr. Subbio’s approach to breast augmentation, contact him at 610.356.6100 or review the FAQ provided below.
Breast augmentation can increase the size of your breasts by one or more cup sizes, depending on your anatomy. Having a large chest cavity and ample natural breast tissue will make you a good candidate for larger implants. If you have a narrow chest cavity or very small breasts, on the other hand, you may achieve better results with smaller implants.
Implants can be filled with either saline (saltwater) solution or thick silicone gel. Most women prefer silicone implants because they more closely resemble the consistency of natural breast tissue, but saline implants are a better choice for some patients. Breast implants also come in different shapes, allowing each breast augmentation to be customized to suit the patient’s unique body and preferences.
Breast augmentation usually only takes one to two hours to perform, and patients can return home soon after they have surgery. Recovery is typically brief, with only minimal discomfort. Most women report a very high level of satisfaction after having breast augmentation: According to a study published in the journal Plastic and Reconstructive Surgery, 98% of breast augmentation patients say their procedure either met or exceeded their expectations.
After Dr. Subbio makes the agreed-upon incision, he creates a pocket either above or below the chest muscle, which will hold the implant.
He then uses a device called a Keller Funnel, which works similarly to a pastry bag used in baking. The implant is placed in the bag, and the tip of the bag is inserted into the incision. As the bag is squeezed, the implant moves into the pocket without anyone having to touch the implant. This prevents bacteria from entering into the body and possibly causing infection, which could lead to the complication of capsular contracture.
Capsular contracture occurs when scar tissue forms around the implant. While it isn’t a common complication, it usually requires revision breast augmentation to correct it. As mentioned above, the No-Touch technique also allows for a shorter surgery time, shorter incisions (resulting in shorter scars), and less trauma to the tissues, which can result in less prominent scars. After the implants have been placed in both breasts, Dr. Subbio closes the incisions with sutures and covers them with dressings.
If you are dissatisfied with the size of your breasts, breast augmentation might be a good choice for you. Enlarging your breasts can create a more proportional figure, making it easier to find flattering clothes and feel good about your appearance.
Yes, this is an option you can discuss with Dr. Subbio. In this technique, liposuction is used to remove fat from areas where you have more than you want, such as the abdomen, hips, buttocks, or thighs. The fat is removed through small incisions, in which a tube called a cannula is inserted. The cannula is then attached to a suction device that extracts the fat.
The fat is then purified, treated in a centrifuge, and injected into the breasts to make them larger. Dr. Subbio uses his training and experience as an artist to virtually sculpt the breasts. The main advantage of this technique is that no incisions on the breasts are necessary.
This method is not recommended for all women, however, because it produces much more subtle results than conventional breast augmentation. In some cases, fat transfer can be used to enhance breast augmentation with implants to make sure the results are symmetrical and full.
Saline Implants: These are FDA-approved for women who are at least 18 years old. They aren’t available in as many different sizes and come only in a round shape. They may look less natural in patients with little natural breast tissue. They are more prone to rippling. If a rupture complication occurs, it’s easy to detect within a couple of weeks.
Silicone Implants: These are FDA-approved for women who are at least 22 years old. They are available in many different sizes and both round and teardrop shapes. They look and feel natural, even in women with little natural breast tissue. They are less prone to rippling. A periodic MRI is necessary to determine if the implant has ruptured.
Gummy Bear Implants: These are a special type of silicone implant. They are FDA-approved for women who are at least 22 years old. They are called “cohesive” because they hold their shape when you move and are firmer to the touch. They are available in many different sizes and both round and teardrop shapes. They look and feel natural, even in women with little natural breast tissue. They are less prone to rippling. A periodic MRI is necessary to determine if the implant has ruptured.
There are several advantages to the No-Touch method, so named because it allows breast implants to be placed without being touched by human hands:
|Back to work:||3-5 days|
|Physical contact with breasts:||3-4 weeks|
|No upper body exercising:||3-4 weeks|
|Fading of scars:||several months to a year or more.|
Yes. He will measure you and discuss all of the pros and cons of different implant sizes and types so that you can feel confident that you’ve made the right decision.
The width of the implant is very important, for example, because if you choose a wider or narrower implant than your natural breasts, the result will look strange.
The height of the implant is also important, or it won’t look right on your body frame. You will also choose the “projection” of the implant, which means the amount that the breast projects from the chest when you stand in profile.
The results of breast augmentation develop in stages. Immediately after your procedure, your breasts will be swollen, making them look larger than they are. You’ll be able to see your actual breast size four to six weeks after surgery, once this swelling subsides.
Your breasts will continue to change for up to six months following breast augmentation surgery. At first, your breasts will look higher and rounder than you expected. As your implants descend fully into the breast pocket and the tissue around them expands, your breasts will take on a more natural slope. This process is sometimes called “dropping and fluffing.”
Absolutely! During your consultation, Dr. Subbio can hand-draw a projected result right in the office or use Vectra 3D technology to help you choose the implant size you prefer.
Yes, they do. Rounder implants provide more cleavage. Implants with a teardrop shape provide less cleavage but are thought to look more natural. The one you choose is simply a matter of preference.
No. Breast Augmentation is usually performed using local anesthesia and sedation.
No. Breast Augmentation is an outpatient procedure, so after a short period of recovery time, you can go home the same day, provided you have someone available to drive you home.
There are different types of incisions used in breast enlargement surgery. Dr. Subbio will recommend incisions for you based on your anatomy, medical history, type of implant, and your preference.
Periareolar incisions are made around the darker skin of the areolas. Inframammary incisions are made under the crease of the breasts. Transaxillary incisions are made under the armpits. The incisions are made under the armpits.
This is a decision that you and Dr. Subbio will make together. When the implants are placed over the chest muscle, it’s called subglandular placement. Since this placement means there will be less natural breast tissue over the implant, it works best with silicone implants because they have a more natural feel.
When the implants are placed under the chest muscle, it’s called submuscular or subpectoral placement. This position may be better for women getting saline implants or women who have small natural breasts because the placement will provide more natural breast tissue over the implants. This allows the breasts to feel more like real breasts.
You’ll be anesthetized during your surgery, so you’ll feel no pain. All surgeries involve some discomfort after the anesthesia wears off, though. Most women find that the discomfort after breast augmentation is less than they expected, and we’ll give you pain medication to help you get through your recovery as easy as possible. Plus, you can text or call Dr. Subbio at any time with your questions.
The surgery usually takes about 1 hour.
Definitely! Dr. Subbio is dedicated to making sure you recover as easily as possible with excellent results at his Philadelphia practice.
Some women return to work within three to four days, while others need to rest for a week. Your age and overall health will determine how quickly you recover from surgery.
We ask that you refrain from strenuous exercise or heavy lifting for about a month.
Yes. Your implants shouldn’t affect pregnancy or breastfeeding.
Yes, but you should tell your doctor that you have breast implants. Breast implants can make standard mammograms harder to read, so your doctor will need to adjust his or her mammography methods to obtain accurate results. For this reason, it’s a good idea to have a mammogram prior to breast augmentation if you’re over 40.
Today’s implants usually last 10-20 years.
Breast lift is often combined with breast augmentation to lift sagging breasts while also increasing their size.
You can expect some swelling, bruising, and a feeling of tightness for a week or two. Sutures will either dissolve on their own, or we’ll remove them about a week after your surgery.
You will wear a special support bra for a few weeks.
You can expect some bruising after Breast Augmentation, but it’s usually minimal and goes away quickly.
There are scars, but under the breast crease or around the areolas, the scars are discreet. Over time, the scars will also flatten, fade, and become less noticeable.
Yes, but it’s better if you sleep on your back for about 4 weeks.
Yes, but it will take a few weeks for all of the swellings to resolve. Until then, you will not be able to see your final results.
3734 West Chester Pike, Newtown Square, PA 19073
In our office, you will be treated like a part of our family. It’s a relaxing, pressure-free haven where you can feel comfortable to ask all of your questions. We think you’ll sense immediately that we care as much about your safety and your beautiful results as you do. Contact us today for a consultation, and find out why Dr. Subbio has earned a reputation as one of Philadelphia’s most trusted and skilled plastic surgeons.