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Breast augmentation surgery is one of the most frequently performed cosmetic procedures in the United States today. The board-certified surgeons here at Edina Plastic Surgery have a special expertise in breast augmentation. As a result, our clinic was selected to participate in the FDA’s clinical trials for silicone breast implants, and we use only FDA-approved saline and silicone gel implants.

Choosing This Surgery

Women choose breast augmentation mammoplasty because of breast or rib cage asymmetry, volume loss with pregnancy, mild sag or ptosis, small breast size in proportion to the rest of the body, or with breast volume loss from surgery or trauma. Placement of breast implants can increase self-esteem and confidence, improve the fit of clothing and impact gender identity. The satisfaction rate from breast augmentation surgery is extremely high.

Two types of implants are currently available and FDA-approved in the United States: saline-filled implants with a silicone elastomer shell and cohesive silicone gel filled implants with a silicone elastomer shell. The type of implant right for you will depend on your individual goals and circumstances.

A saline implant is less expensive, firmer and has more ripple potential. It can be placed with a smaller incision no matter the size of the implant and is adjustable in volume.

A silicone gel implant is more expensive, tends to be softer and shows ripples less. This implant requires a bigger incision for larger implants. It is the most natural feeling implant because the silicone gel is thicker and more similar to the consistency of body tissues.

Preparing for Surgery

During your initial free consultation with a surgeon at Edina Plastic Surgery, you can discuss your areas of concern and your goals for breast augmentation mammoplasty. You will receive a complete physical examination and the opportunity for virtual 3-D images of your own body showing different sizes/shapes of implants on your own frame. Edina Plastic Surgery is the only plastic surgery practice in the state using the Vectra XT 3D camera, which allows patients to see their “after photos” with sizing implants before surgery.

Surgeries and recoveries are more successful for patients who are as healthy and strong as possible.

> Our tips for preparing for your surgery are available here.

Three incision options are available for placement of a breast implant. Transaxillary is the first option and uses an incision in the under arm area. An endoscope is used to assist in creating the pocket for the implant. Inframammary uses an incision in the breast crease. Periareolar is the third option and uses an incision in the nipple area.

You may be a good candidate for only one or two of these breast surgery approaches – or all three. There are two pocket options for the implant itself: under the pectoralis major muscle (submuscular, partial submuscular or biplanar) and under the breast gland itself (subglandular). Our surgeons have extensive experience in all of the breast augmentation incisions and both pocket placement options.

What you should know

The breast augmentation surgery is conducted at our own in-house AAAASF-approved surgical facility in Minneapolis, which is state-licensed and staffed with our specialty-trained surgery team. Our surgery facility is connected to Fairview Southdale Hospital by an underground tunnel should more extensive medical care be required. One of our board-certified surgeons is on call 24/7 to answer questions and be available should the need arise.

While implant surgery is a common and safe procedure, patients need to be aware of possible risks. Some patients experience ruptures, which will occur at some point if the implants are kept long enough. Ripples, especially along the sides of the breast, may also occur – especially with the saline implant. Tightening of the scar capsule surrounding the breast implant can sometimes form after surgical placement of the implant. Massaging the implant daily after surgery can lower the risk. Infection is another risk that occurs at a rate of less than 0.2% at Edina Plastic Surgery – well below the national average. There can also be skin or nipple areolar sensation changes, potentially causing increased or decreased sensation.

Helping you prepare for and manage any surgery pain is a top priority. We have a variety of treatments and techniques to help make the augmentation mammoplasty as pleasant and pain-free as possible.

In some cases our surgeons may inject a local analgesic into the surgical incision. This local analgesic provides pain relief by numbing the tissue around the surgical site and can control pain for up to 72 hours. Other pain control options include the use of rapid recovery surgical techniques, muscle relaxers, appropriate pain medications and a postoperative recovery plan that gets you back to normal as soon as safely possible.

Before
After

24 yo female silicone gell implants, partial submuscular pocket, inframammary crease incision. Moderate plus profile implants, 350cc on left and 375 on right.
Post-op photos at 2 month photos.

Before
After

34 yo female, 5’5″, 128 lbs. Breast augmentation performed through inframammary crease incision with 325cc saline implants filled to 335cc bilaterally

Before
After

25 yo female, 5’5″, 130 lbs.; breast augmentation with moderate profile saline implants, 300cc size filled to 340cc bilaterally. Pre-op cup size 34B, post-op cup size 34C.

Before
After

22 yo female; pre-op cup size 34A, post-op cup size 34D. Breast augmentation with high profile saline implants, 400cc size filled to 430cc bilaterally.

Before
After

24 yo female, 5’8″, 129 lbs. Breast augmentation performed with 300cc silicone gel implant through inframammary crease incision. Went from 34A to 34C.

Before
After

38 yo female, 5’7″, 139 lbs. Breast augmentation with 375cc silicone gel implant through inframammary crease incision. Went from 36B to 36D.

Before
After

42 yo female, bra size 36B pre-op. Breast augmentation with moderate profile saline implant, 300cc filled to 330cc. Post-op size 36D.

Before
After

19 yo female, 5’3″, 108 lbs.; breast augmentation with moderate profile saline implant 300cc size, filled to 330cc bilaterally. Pre-op cup size 34B, post-op cup size 34D.

Before
After

29 yo female. Bilateral breast augmentation with silicone gel implants; submuscular with inframammary crease incision. Intermediate profile 371cc bilaterally.
Post-op photos at 2 months.

Before
After

23 yo female; breast augmentation with high profile silicone gel implants, 425cc on right and 400cc on left. Inframammary crease incision with partial submuscular pocket.
34A to 34 full C