Women who lose breast volume after pregnancy, weight change, or aging often want to restore their proportions without an obvious “I’ve-had-surgery” look. Those considering breast augmentation in Wellington, FL have options when it comes to implant type, placement, and incision.
Why Volume Changes and What Surgery Can Address
After pregnancy, the glandular tissue often shrinks while the skin envelope stays stretched. The breast thus sits lower, looks empty in the upper pole, and no longer matches the chest or hips. Weight loss, as good as it is in itself, can produce the same mismatch. Some women also have long-standing asymmetry that is simply genetic.
Surgery increases the volume of the breast, but it does not move the breasts closer together or lift a drooping mound unless you add a lift to the procedure, which you may choose to do. At your initial consult, your surgeon will normally take measurements of the base width, soft-tissue thickness, nipple-to-fold distance, and the degree of droop. One to two cup sizes of change usually looks proportional on most women.
Implant Fill, Shell, and Profile
Saline devices are made of a silicone shell filled with sterile salt water, and this is done after the shell is inserted in the pocket, so the opening can be smaller. A leak is very obvious and easy to spot with this type, as the breast deflates, but rippling does show more readily if the coverage is thin. Silicone gel devices, including cohesive gels that hold their shape if the shell is compromised, are approved for augmentation in women 22 and older. Cohesive gel is the filler most often chosen when the aim is to get a soft, tissue-like feel.
Low-profile implants spread the volume across a wider base. Moderate profiles add forward projection without a steep upper-pole shelf. High-profile devices create more cleavage and a rounder outline. Women who want a result that looks like their own tissue will usually want to stay in the low-to-moderate range unless the chest is very narrow. Fat transfer can add about one cup size using the patient’s own fat; some of the graft is reabsorbed. Click here to learn more.
Pocket Plane and Incision
The pocket can sit behind the gland or behind the pectoralis major. Placement behind the gland means a recovery with less tightness, and the implant won’t move when you flex your arms. However, it also shows rippling more easily in slender patients. A pocket behind the muscle hides the upper edge of the implant when the upper pole is empty after pregnancy, but the tradeoff is more tightness in the first weeks.
The crease under the breast gives a direct view of the pocket and hides well in clothing, and an incision along the lower border of the areola can blend with that color change. An incision in the armpit keeps the scar off the breast but limits access for large gel devices. Cohesive gel usually needs a longer opening than a saline shell.
A short visit with a board-certified plastic surgeon is the first step, and a good surgeon will build the plan from actual measurements, not from a catalog page. Contact a local board-certified surgeon to find out more and make the right decision for you.
