Breast augmentation 411 & breast implants 411 | Northern Virginia

After Breast Augmentation Surgery Expert

Breast implants 411 & Breast augmentation 411 is a section about questions and answers on breast implants and the augmentation surgery. Here you will find some of the most popular and common questions that women ask during their researching about what happen before and after breast augmentation surgery. Hence this is the breast implants 411 or breast augmentation 411 section.  This section of Breast Augmentation Northern Virginia is set up as an FAQ. Simply click the box and the answer will appear. You will most likely see questions about breast implants that you did not even think about yet. These breast implants 411 answers are definitely of value. If you do not see the question, please contact me and I will answer you directly and then post it up on the Breast Augmentation Virginia web site. There is also a previous patient recommendations or suggestions about their breast augmentation experience.

Here is the breast implants 411:  As a rule of thumb you will not be able to see a difference in breast implant appearance unless you go up or down at least 75-150 cc. The height, weight, frame and current implants and desires are what really pushes the meter.

So a small framed women with 300cc ranged devices should be able to see a change with 75 cc. This would be the case if she wanted to fill out the bras better and not necessarily go to the next bra size. If she wanted to go up a size and fill it out, it may be 150+ cc to achieve that.

A larger women with the same sized implants would probably not even notice the 75 cc bump. So their scale would shift and she may need 125 cc to notice some difference and even more to go up and fill the next bra size.

So it is not a cut and dry situation. You would be best served going to see a Dr Brown personally to get the best advice after examination and discussions about what your goals are.

Here is the breast implants 411:  Breast implants should be covered under the warranty.  The warranty is usually a 5 or 10 year warranty with partial replacement compensation and new breast implants. The specifics will vary with each company and the time that they were put in, and if you bought the extra warranty coverage.


Here is the breast implants 411:  It is best to not drive after breast augmentation until after a woman feels that she has good range of motion without tenderness. It is safest to be sure that turning the steering wheel quickly does not cause any pain. Flinching while trying to turn the steering wheel could have life endangering consequences. Technically speaking, it is safest to wait two weeks. However, most women are driving within the first week.

Here is the breast implants 411: Anesthesia is a complicated subject. Anesthesia is used locally in the breast tissues themselves and throughout the body using other drugs. When the drugs are administered through the IV (the vein), most people think that this is ‘IV sedation’ and not a ‘general’ anesthesia. Technically speaking, using an IV does not imply a level or degree of anesthesia but rather a route to administer the drugs. Inhalational agents are another modality or route to administer drugs and sedation. A level of sedation or consciousness is classified by how the body responds/or fails to resond to a stimuli. So there is ‘light sedation’ and ‘deep or general sedation’, the later category is refered to as ‘general anesthesia’. It does not imply a breathing tube but rather a level of unconsciousness. General anesthesia can be achieved using IV medications or inhalational medications. Inhalational delivery of drugs can be entered into the body using specialized airways or ‘breathing tubes’. It is a common misconception that IV medication anesthesia is less anesthesia than inhalational anesthesia. Another common misconception is that if you have general anesthesia, you will be paralyzed and not be able to move if you were to wake up during the breast implant surgery. You do not need to be paralyzed to have general anesthesia.The important thing to remember is that you will be asleep and will not feel anything. If you were to awaken you would be able to move and this would signal to the anesthesiologist that you require more medicine. This is extremely rare, and you would not remember it even if it was to occur. Technically speaking, this breast enhancement surgery is performed under general anesthesia without a breathing tube and without being paralyzed. The anesthesia is administered both using IV and inhalational medications.

Here is the breast implants 411: It depends on the size of the breast implants, the woman’s body, and the plastic surgeon’s technique. It is safe to say that most implants will settle by 3-6 months after breast augmentation surgery, some as early as one month but others rarely as late as one year.

Here is the breast implants 411: Yes, mammograms are possible and recommended for all women over 40. Breast implants do not prevent mammograms. It is recommended to be sure and ask the mammorgrapher if they have experience in performing mammograms on women with breast implants. Occasionally an extra view(s) may be required to allow the radiologist to completely assess the breast for anything suspicious. Both saline and silicone gel breast implants will tolerate the compression of the mammogram. The density of the filler of the breast implants typically does not pose a problem for the radiologists interpretation.

Here is the breast implants 411: Breast implants do not effect the breast feeding, a woman may or may not be able to effectively breast feed. Breast Implants do not influence the breast glands response to the hormones associated with breast feeding. The breast implants are placed under the gland or the chest muscle so they do not interact with the breasts ability to make milk after breast augmentation surgery. It is best to avoid trauma to the breast gland during the breast augmentation surgery, this is achieve by not tunneling through the breast. The inframammary approach allows this to be accomplished.

Here is the breast implants 411: As long as the incision area is covered and protected from the sun’s rays or the tanning bed’s energy, you may resume tanning at your leisure after breast augmentation surgery. It is best not to intensely tan two weeks BEFORE your breast augmentation surgery. The dead skin can flake off during the breast augmentation surgery and may contaminate the breast implants. If this occurs, there is an increased chance of infection.

After breast augmentation surgery, tanning the breast should be done covering the incisions for at least a month is best.

Here is the breast implants 411: It is best and recommended to avoid getting your heart rate or blood pressure up too high after breast augmentation surgery to avoid complications. A bleeding complication may occur at late as 14 days to 3 weeks after breast augmentation surgery. So it is the office policy to recommend avoidance of strenuous exercise for this period of time. Having said that, there are many women to resume aerobic exercise as early as a few days after breast augmentation surgery. Again, it is not recommended. As far as weight lifting, the same 14 day to 3 week time limitation applies. After that, you may do any exercises that you chose. It may hurt you while you are starting up but you will not hurt your result or break the breast implant after breast augmentation surgery.

Here is the breast implants 411: It is best to not have to be the primary care taker of small children for at least 2-5 days after breast augmentation surgery. Picking up a child will not hurt the result but may cause an increase in the pain that a woman experiences when the chest muscles contract. Smaller children (less than 15 pounds) can obviously be picked up a bit easier than a 30-40 pound child. Care should be taken to be sure to check the range of motion and degree of tenderness that a woman has prior to trying to lift any child. Placing a baby or child into a car seat is usually tender for about two weeks, depending on the size of the child. Again, other than the first few days, it will be patient dependent on their own activity level. Having help for car seats, strollers, high chairs, cribs is recommended at least for a week.

Here is the breast implants 411: It is best to be limited to the activities of daily living for the first two weeks after breast augmentation surgery. It is best not to elevate the blood pressure for this two period to avoid a bleeding problem. Most women have expressed concern about strenuous activities up to one month after breast augmentation surgery. These types of activities include kick boxing, karate, tennis, firing a gun, military fitness exams, etc. They may be attempted on an as tolerated activity after the 10 day to 3 week period.

Here is the breast implants 411: Yes. Breast implant shells are made of silicone and do not have any latex in their construction. The operating room equipment and surgical gloves must be latex free and this can be done. The most important thing and is best for the woman to do is make sure everyone knows about all allergies, including latex. The hospital or surgery center will prepare all of the surgical supplies using non-latex materials. The surgeon and surgery personnel all wear non-latex gloves.

Here is the breast implants 411: Usually 3-5 days is a safe amount of time to be sure to be out of the office after breast augmentation. If the job requires using the arms a fair amount, ie nurse, police, construction, flight attendant, it may be better to take off more time from work. The time away from work after breast augmentation surgery is usually directly proportional to the amount of exertional activities that a job requires. Some office based careers allow for the women to return to work as soon as three days. We typically recommend surgery later in the week, recover over the weekend, then return to work on Tuesday or Wednesday. While more strenuous careers need about two weeks for 80% return of strength. Most return to limited duty within a week after breast augmentation surgery. Women that work mostly at desk jobs, computers, etc return within 5 days.

Here is the breast implants 411: There are two types of sensory changes that a woman may experience after breast augmentation surgery. Temporary and permanent changes may occur in the breasts after breast augmentation surgery. These can occur on the skin of the breast and or involve the nipple areolar skin. The most common nerve injuries are temporary and may only last a few days. Some women will note that they have decreased sensation in certain areas of their breast skin or nipple and within a few days it improves and then resolves. Some may note a dulled sensory change that as it heals becomes sensitive to the touch (hypersensitive) that also resolves with time. These hypersensitive changes usually last a few weeks after breast augmentation surgery. Rarely, some women may experience a very sharp, severe pain that truly limits their activities. This type of pain is also short lived and typically goes away within a week or two after breast augmentation surgery. Permanent sensory changes are ones that still exist after a year. They would normally be a loss of sensation in a limited area of the breast or nipple.

Here is the breast implants 411: Yes, breast implants do not prevent breast biopsies. Breast biopsies can be performed by a surgeon using an open technique or a radiologist using a needle aspiration technique. Breast implants above the muscle are just under the breast gland so they are more at risk during one of these biopsy procedures. Breast implants below the muscle have an extra layer of tissue to protect them and makes puncturing the breast implants less likely. Rarely the breast implant may be punctured during the needle localization process or while the surgeon is removing the lump. This is not a problem and can be replaced after the cancer risk has been determined. Breast implants above the muscle can cause more problems for biopsies that breast implants placed below the muscle.

Here is the breast implants 411: Sleeping on the tummy may be started as soon as the woman can tolerate the added pressure of the breast implants. Most will start sleeping on their backs, then their sides and eventually make it to the belly. It usually depends on the woman and how firm the mattress is. There are no physical limitations and it may be done as tolerated. Most of the woman will be able to sleep on their tummy by the third or fourth week after breast augmentation surgery.

Here is the breast implants 411: No, there are no problems with flying or scuba diving with breast implants in. These activities may be performed when ever the woman feels up to them after breast augmentation surgery. The change of pressures do not cause a problem to the implants.

Here is the breast implants 411: Good question. Tension across the wound is perhaps the worst thing for a healing wound. Keeping tape or a steri-strip or silicone sheeting probably help the best during the initial healing phase after breast augmentation surgery. Some women will use their special ointment, vitamin E, etc to improve the scar. If the ointment or cream can penetrate the skin, then it may be of some limited benefit. Keeping the tape over the incision for a month really works the best. Unfortunately, most women prefer to remove the tape for comfort. Then apply the ointments, etc.

Here is the breast implants 411: No. There is no known link or association of breast implants and the formation of any cancers. There are actually studies which have looked into this subject and have found that the women with breast implants have a slightly lower risk of developing breast cancer.

Here is the breast implants 411: Non exertional sex without elevations in breast pressure may be entertained when a woman decides that she is interested. As with other forms of exercise and elevations in blood pressure, it is best to not experience elevated blood pressure for 10-14 days after breast augmentation surgery. As an important side note, antibiotics taken after the breast augmentation may make birth control pills ineffective. So it is best to use other sources of birth control during the first month after antibiotics.

Here is the breast implants 411: No, there is no such thing as rejection of a breast implant. A woman may experience an infection which results in requiring to remove the implants but this is not a rejection. Scar tissue around the breast implant is also not a sign of rejection but rather a localized response to the implant. Rejection means that the body has created specific cells designed to destroy something. This is not the case with breast implants.

Here is the breast implants 411: It is recommended to avoid getting your heart rate or blood pressure up too high after breast implant surgery to avoid complications. A bleeding complication may occur at late as 10 days to 3 weeks after breast augmentation surgery. So it is the office policy to recommend avoidance of strenuous exercise for this period of time. Having said that, there are many women to resume aerobic exercise as early as a few days after breast augmentation surgery. Again, it is not recommended. As far as weight lifting, the same 14 day to 3 week time limitation applies. After that, you may do any exercises that you choose. It may hurt you while you are starting up but you will not hurt your result or break the breast implant.

Here is the breast implants 411: Yes, it is possible that new stretch marks can occur after breast augmentation surgery. It depends on the size of the breast implants and the quality of the woman’s breast tissue and skin. It is more common that women with previous stretch marks may notice that the marks get red again after breast augmentation surgery. Over time these stretch marks typically become less red and fade into the natural color of the woman’s skin. There are photos of stretch marks in the photo library to look at.

Here is the breast implants 411: Depending on what the problem may be, it is usually best to wait at least 3-6 months prior to a second breast implant plastic surgery. Some revisions should be done sooner, but it is usually best to allow the scar tissue capsule to form. Some types of corrections are easier to make when the capsule is well established. Waiting too long for some corrective revision breast implant surgeries is not good because the breast skin may stretch too much and this will cause nipple areolar drift to a sub optimal position. If a woman just wants to be larger, the plastic surgeon may elect to go to surgery even sooner. It depends on the woman’s concerns and her anatomy and implant desires.

Here is the breast implants 411: It is always better to stop smoking before any surgery, but it is not required. It is the best thing to do. If a woman stops or cuts back on her smoking she will cough less and experience less discomfort. Wound healing has also been shown to be compromised in people who are actively smoking during the healing process. Smoking causes blood vessel constriction and this leads to less blood flow, delayed wound healing, and increase chances of an infection.

Here is the breast implants 411: If at any time a woman requests that her breast implants be removed, it can be done. Her individual characteristics, genetics and breast implant history, will be the primary indicator of the final result. A breast lift may be necessary to re-position the breast gland and remove excess skin. Please visit <a href=”” title=”breast implants removal virginia” />breast implant removal</a> for more information.

Here is the breast implants 411: No, most women’s colored areolar tissue remains the same width. The areola may widen slightly when larger breast implants have been placed. In some women though there can be widening with breast implants because their tissues are so thin. This consequence does not need to be treated. There may be considerable widening of the areolas, it depends on the women and the breast implants that she selects.

Here is the breast implants 411: Yes, veins may look larger in some women however, it is not very common that the veins appear larger. It tends to occur in the women who had a history of lots of veins showing with a pregnancy or breast feeding. It may also be more apparent on women with fair skin. There is no treatment necessary for the veins. There are some photos of this in the photo library on this web site.

Here is the breast implants 411: Yes, if a woman would like to have one or both breast augmentation scars revised 6 months after breast augmentation surgery, it can be done in the office. It is seldom necessary to revise these types of small scars. Unfortunately, some other plastic surgeons use larger incisions which leads to longer scars. The areolar scar has a reputation of healing poorly or is often misaligned and is visible. When placed properly though, the three typical ways to place a breast implant yields a small inconspicuous scar.

Here is the breast implants 411: These types of products may be started usually about 4-5 days after breast augmentation surgery . During the initial few days it is best to allow the wounds edges to heal completely prior to starting to apply scar improving treatments.

Here is the breast implants 411: Although it is possible to rupture a breast implant with a blunt trauma to the chest, it is extremely unlikely. The force required would have very severe consequences to other areas of the body that would also be injured. If such a force was applied to that area there would be more significant injury concerns than the ruptured breast implants. There are reports that shrapnel from bombs have been stopped by the breast implants. Therefore, breast implants could save your life if you are around bombs after breast augmentation surgery.

Here is the breast implants 411: Other than exercise limitations for a brief period of time, it is recommended to avoid the medications on the ‘Medications to Avoid List’ before breast augmentation surgery. These medications have been shown to increase the chances of a bleeding problem. After about 4 days you may resume taking some of these medications again. It is always best to check with Dr. Brown prior to resuming those types of medications.

Here is the breast implants 411: As with any other woman, there is no way to determine what will happen to the breasts after a woman gets pregnant. Previous pregnancies may prove to be some guide but some women will have different experiences with each pregnancy. Breast implants do not influence the breast glands response to hormones. So the glands will respond as they would normally do. The breast skin will typically contract down again afterwards, but it may or may not be a return to the previous shape. No crystal balls.

Here is the breast implants 411: There is not limitation to touching the breasts after the breast augmentation surgery. Most women will touch the breast gently at first to determine how much it hurts. There are some times questions about when a husband or significant other can touch thebreasts. It is up to the woman to determine when she is willing or interested in being touched. There is no medical reason that prohibits touching.

Here is the breast implants 411: Yes, Northern Virginia plastic surgeon, Dr. Michael J. Brown will meet with you and discuss your goals and the size you wish to become. In most cases, a woman can “pick” the size she wishes. There are infrequent occasions when the physical examination of the patient limits the ability to achieve a certain size. Selecting a breast implant size can lead to some anxiety in some women. The fear that they will be too large is most often the initial concern. Shortly after that concern is controlled, then the issue becomes going large enough. This is a difficult process and must be undertaken with a great deal of thought. An implant size on one woman may look entirely different on another. Using bra size as a guide can provide some assistance, but since all bras are made by different companies, there is no standard. Therefore, there are no guarantees about a specific bra size. Usually looking at photographs help establish a look guideline. A natural breast fullness is overwhelmingly the choice that is selected. The majority of women will request ‘a full C’ look or into the ‘small D’. Again, there are no guarantees about these sizes but they do assist in communicating the goals. Some women will want to be ‘large’. All women must understand that selecting larger than recommended breast implants may result in long term consequences that may be undesirable. Stretch marks, implant settling, and asymmetries are usually worsened long term with larger breast implants. some women will come to their breast augmentation surgery consultation with a breast implant size in mind. They have done some ‘surfing’ and believe that they have deduced the correct breast implant size. The most important aspect for an exceptional breast augmentation result is pleasing the woman by creating the size breast mound that she desires. So it is actually more important for the woman to have photos of the look that she would like to achieve from the breast enhancement surgery rather than a breast implant size. From this position, the correct implant size can typically be selected.

Here is the breast implants 411: From the breast augmentation plastic surgery on. Typically it is recommended to not wear a bra for the first few weeks. After the breast implants start to settle, a bra may be worn for comfort. If a woman has very thin tissues, a bra is recommended to prevent the implants from stretching the skin too much. Some plastic surgeons will ask the women to wear bras, day and night and not take them off. Plastic surgeon, Dr. Michael J. Brown believes that is unnecessary and does not recommend that.

Here is the breast implants 411: Nearly everyday that I meet with women for breast augmentation consultations I am asked about which breast implant size will make them a ‘full C’ or ‘full C-small D’. These women are intelligent and have been doing their ‘homework’ on the internet trying to determine which breast implant size they need to go with. They are also concerned about shape, shell types and implant fills of saline or silicone. The round & smooth aspects of the breast implants are usually the easy part for the women to decide about. The size and fill may be the difficult ones. But size definitely causes the most anxiety. The women have been all over the web, taken notes, selected pictures of various examples and may have even compared body frames to aide in their decisions. All of which are great helps and serve to alleviate the anxiety.

One of the most important aspects of this site is to teach women that their pre-existing anatomy is one of the most important determinants in how their breast will look. The full C dilemma is difficult to grasp for several reasons. There is no industry standard for bra sizes, women will be fit differently at different stores and wear different sizes of bra bought on the same day, in the same mall, purchased at different stores or even the same department store. Since I do not wear bras nor buy them, I am not the industry expert either. What is best is to take all of these bras and history of bra wearing and physical exam to aide in determining which implant size will provide the ‘look and feel’ that they are looking for. If you achieve that, then does it matter if you are wearing a full C? or a small D? Perhaps at some store the result yields a ‘medium C’. The point is that it really does not matter what size bra you wear, it is how it looks on you.

If you have natural tissue and wear a small B cup, then you would need a different breast implant size than a woman who wears a double A. What also adds to this problem is that as your breast gets larger it gets wider and this may require a back size increase. So a woman may come in wearing a 34 A/B and afterwards wears a 36 C. She may look and feel great in that bra size. Now if she tried on a 34 back, she may be a 34D. It may not feel comfortable so she opts for the 36 C bra. This example happens and is common. So she is happy in both bras but she still only has the one set of breasts. Remember your body and knowing what ‘look’ you want is more important than the number. I make a point of this on my site, because there are not many bra size letters or numbers. That is not the point of this surgery. It is how you would look.

Here is the breast implants 411: Every so often I will have a previous breast augmentation patient contact me with concerns about a new pregnancy. They are typically apprehensive about what will happen to their breasts because of the weight gain and the hormones associated with the pregnancy and after delivery, when the milk comes in. The only answer that I can give them with certainty is that I do not know what will happen. There are no crystal balls.  What I can and do tell them is that over the past 15 years, I do not have a lot of patients coming back needing to have their breasts lifted. Some of the women may have lost more breast volume and want to go with larger breast implants. While others (most) are completely content with the shape and size of their breasts.

As for breast feeding? I tell them that breast feeding is a personal choice that would benefit the baby. While the breasts may take a ‘hit’ they typically do not get ‘destroyed’. As I mentioned above, most women will not require additional breast implants surgery after a pregnancy. It more pregnancies are planned, then the risks for secondary breast surgery will go up. If you want to consider breast implants or revisions to breast implants, I recommend that you get back to your regular weight and condition. This way I will have the best chance to provide you the aesthetic enhancement that you are looking for.

Here is the breast implants 411: Over the past 20 years, I have had several thousand breast augmentation consultations and have been fortunate enough to have operated on most of these women. A common question that I am asked is why or why I do not use different incisions. Or why do I have a preference for one. Most of my patients are well informed and have found my practice by word of mouth and the power of the internet. My results and detail oriented personality appeals to people who are looking for the best result that they can get.

I have performed breast augmentation using all of the current popular techniques. Those being the inframammary, periareolar and transaxillary approaches.  These 3 ways have their own pluses and minuses, visit the breast implant incisions page in breast implant info section.  I have not done it two ways which, in my opinion are too risky and less likely to deliver the type of consistent breast augmentation results that my patients travel for me to deliver. The first way that I would not perform a breast augmentation is through the belly button. I have a friend in Beverly Hills that does it that way and he believes that it is fine. It is too unpredictable and not precise enough for me to use. I would not use it on my wife, so I will not use it on anyone else. It is a blind procedure in that the plastic surgeon can not see what he/she is doing and is ‘gambling’ that the equipment will be in the correct place and hopefully the muscle will be torn away just right, and that all of the bleeding that they will have will eventually stop. Since they can not see what they are doing, it is truly nothing more than an educated guess. This is not right for me or my patients. In general, it is a marketing tool that is naturally appealing to women desire no scar. The problem is when something is not correct, and a second surgery is needed (perhaps as an emergency) then the woman would have a larger scar and more expenses than they should have had if the breast augmentation was done in a more controlled fashion to begin with.  The armpit incision (transaxillary) is a good and safe incision when used with an endoscope, it is nearly equally as bad as the belly button incision because it too is a blind procedure and has the same risk profile. It too is a marketing tool that is too risky for me. In my practice which specializes in breast augmentations and secondary breast surgery revisions, I see too many women who have had problems with these two approaches.  In my mind, I like to see what I am doing, feel what I am doing, cut what and where I want to cut, and compare sides simultaneously. The inframammary or below the breast incision allows me to do this and offer breast augmentation results that my patients want and expect.

Here is the breast implants 411: Most nerve issues are related to the rapid stretching of the nerves. Some are related to micro tears in the nerves and other may be from big tears or even having the nerves completely torn apart or cut. With each and every type of nerve injury a person will have a different nerve recovery.

Simple degree nerve injuries will recover relatively quickly and may last only a few weeks. The more significant the injury to the nerve, the longer the recovery. This is because nerves are very slow growing tissues. When the nerves are divided, the injuries or sensory changes may be permanent.

Removing breast implants or exchanging to smaller breast implants may indeed my the sensory changes go away. I have seen this in both cases. I have also seen no improvement in the sensory changes.

Here is the breast implants 411: Massaging of breast mounds after breast augmentation is indicated to maintain the pocket that was created to place the breast implant into. The idea is that Smooth Round Implants (saline or silicone) will be able to move freely within the pocket and provide a more natural appearing, feeling and moving breast mound. The thought is that a full breast mound will have some natural movement in it with activity, and move in clothes and garments. So smooth round implants should be moved and moved often as tolerated by the patient in the early post op period. After roughly 30 days, the movement is less important because the pocket will have had the scar tissue heal the limits of the pocket. At that point, moving the implants can be done with a quick movement in the shower or wherever and can be done just once. Not a big deal at that point.

The motions we recommend are to move the implants ‘up, down and in’. This is a routine movement pattern. These are the three primary directions you want the have mobility. You really do not have to move implants outward because the contraction of the chest muscle will always push the implant ‘down and out’. The only time we do not want any inward pushing is when there is a symmastia risk or concern. In those rare patients, we have them only push up and down.

Textured shelled implants, round or anatomic shaped should not be moved because it completely contradicts the purpose that they were put in for. Which is to create a tight interface between the implant shell and the scar tissue pocket. The idea was that this would minimize capsular contracture.  This is why most surgeons will not use textured shells. They are designed, in my opinion, to create a non-natural feeling breast mound that will hopefully not get a capsular contracture. Since the incidence of capsular contracture is so low in my practice, the cons of the textured shelled implants outweigh any theoretical benefit of those devices.