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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

33 yo 5’1” 32B to a 32D. using an Allergan Natrelle cohesive silicone gel, smooth surface and a bi-planar technique SSLP265cc on the right and an SSLP 250 cc on the left. After photos are 2-month post-surgery.

Before
After

This 33-year-old patient is 5’1” 110 lbs. and underwent a breast lift (mastopexy) and breast augmentation. She wanted improved shape and larger breasts. Her after photos are 2-months after surgery.

Before
After

27 yo mother with involutional changes of the breast has ptosis but would like to avoid a lift if possible. We used high profile Allergan Natrelle cohesive silicone gel implants: SSF 385ccs on the right and a 365ccs on the left. This was done through an infra-mammary approach and bi-planar technique. She went from a 34A to a 34D.

Before
After

38 yo S/P childbirth has involutional changes to the breast after breast feeding. Implants selected with the aid of the Vectra imaging system are Sientra 355 ccs moderate profile cohesive silicone gel done through an infra-mammary approach and a bi-planar technique. 36 small A to small D. Photos are at 7 weeks.

Before
After

38 yo 38 A/B has changes from pregnancy. Implants selected with the aid of the Vectra imaging machine. She has an Allergan (Natrelle) 445 ccs SSM done through an infra-mammary approach and a bi-planar technique. Now a 38 small D. 2 month photos.

Before
After

35-year-old lost volume with breast feeding. Was 32A, went to 32 full C with an Allergan (Natrelle) SSM 275 cohesive silicone gel done through an infra-mammary approach and a bi-planar technique. 2 month post-op photos.

Before
After

35 yo 5’6” 130 lbs. 2-month photos from sub-muscular, dual plane pocket (which means the implant and tissue relationships were adjusted to ensure adequate soft-tissue coverage while optimizing implant) with an infra-mammary approach using Sientra HSC+ 355 MP cohesive silicone gels, smooth surface.

Before
After

36yo 5’7″ 150 lbs. Augmentation mammoplasty by inframammary approach and bi-planar technique using mentor 630cc HP saline with 650cc fill. 2 month photos.

Before
After

40yo 5’5″ 121 lbs. Augmentation mammoplasty using inframammary approach and bi-planar technique with mentor saline implants 500HP with 540cc fill right side; 425cc moderate plus with 425cc fill left. 34B to 34 DD 2 month photos.

Before
After

6yo 5’9″ 136lbs. Augmentation mammoplasty using inframammary approach bi-planar technique and Inamed style 20 cohesive gel silicone implants 550cc right side and 600cc left side. 2 month photos.