As a leading board-certified plastic surgeon in her field, Dr. Elizabeth Harris has been helping women in San Antonio, TX with breast augmentation for over 20 years. This breast procedure is meant to increase the size of breasts with implants or the transfer of fat. Breast augmentation is often the right procedure for patients that have seen breasts sag due to pregnancy, aging, weight changes, and hormonal fluctuations.
Breast augmentation alone cannot fully restore the shape of the breasts. For those women who would like to increase the size of their breasts as well as restore a firm, more upright position, a breast augmentation in combination with a breast lift can improve body contours and revitalize their appearance. This procedure is called breast lift and augmentation surgery.
Dr. Elizabeth Harris fully customizes every procedure to meet the patient’s individual needs, which is determined in the initial consultation. Due to the personalized nature of breast augmentation surgery, pricing will vary. Whether or not a breast lift is also needed, is another major factor in pricing.
The Center For Cosmetic Surgery accepts CareCredit which can help you pay for a breast augmentation over time.
Patients have various choices relating to breast augmentation. Patients get to choose the implant size as well as silicone vs. saline. Dr. Harris spends time with each patient choosing the implant that would look natural and proportionate. Patients are encouraged to be very involved with the selection process.
Choosing Your Breast Augmentation Size
One of the most important decisions of breast augmentation surgery is the size of the implant. Dr. Elizabeth Harris encourages each patient to describe her goals and expectations of the surgery. After this information is given, the patient then tries on various sizers which give an additional suggestion as to the patient’s desired size.
After breast and chest measurements are taken during the examination, the patient’s implant size is chosen. The patient is shown what implants sizes are available and the final decision is made according to the patient’s goals. Dr. Harris’ patients can rest comfortably the night before knowing the size of the implant will be the size that was chosen in the office prior to surgery.
The surgery is done under general anesthesia by a board-certified doctor of anesthesia in a fully accredited outpatient hospital facility.
The primary incisions are under the arm (endoscopic axillary), lower nipple, or inframammary crease. Some patients might require a mastopexy or a breast lift and this incision resembles a “lollipop” circumferentially around the nipple and extending down vertically at the base of the nipple towards the inframammary crease. This incision is used primarily on breasts that demonstrate extreme sagging and downward positioning of the nipple.
The benefits and trade-offs of each of the incisions; axillary, inframammary, or nipple, are described to each patient and the patient is allowed to make the decision herself as to her preferred incision if she is a candidate for this procedure.
Once the procedure is performed, it will be time to focus on the recovery period. Shortly after the procedure, Dr. Elizabeth Harris will have all your follow-up appointments scheduled as part of your recovery.
Attending follow-up appointments is important to ensure your healing properly. They’re also a great time to raise any questions or concerns you may have. Typically, follow-up appointments are scheduled at the one-week post-surgery mark, then three weeks, six weeks, and three months.
Even cursory research on breast implants can often leave you feeling overwhelmed. There are dozens of materials and implant types you can choose from, each one with its own pros and cons. How do you know which breast implants are right for you? Which can help you get the final results you’re looking for?
Let’s look at the most popular types of breast implants to help answer these common questions.
Saline implants are filled with sterile salt water to the patient’s desired size. Because the salt water cannot camouflage the breast implant wrinkling in the outer shell, saline implants are more easily palpable and the wrinkling might be more noticeable. Placing the implants under the muscle helps to make the implants less noticeable.
Saline implants may ripple and wrinkle over time, and there is also the possibility that they may leak. When this happens, the harmless saline solution would be released into the body. Your surgeon can remove this implant and insert a new one should this occur.
Silicone breast implants use a silicone gel material to create a natural look and feel. The wrinkling of a silicone gel implant is minimal so they’re ideal for patients starting with smaller breasts. Patients must be 22 or older to select silicone implants, according to FDA guidelines.
Gummy Bear Implants
All silicone implants are now designed to be the ‘cohesive gel’ structure which is also referred to as “gummy bear” implants. Early silicone implants were made of liquid silicone which was very difficult to remove if the implant ruptured, and the liquid gel could also migrate. Now all the silicone implants are composed of a solid gel that holds its shape even in the event of a rupture. These implants can be very soft but the wrinkling might be more noticeable with softer gel. Most patients prefer a more moderate softness that also reduces wrinkling.
Smooth implants are designed to offer a softer, more natural feel and can even move along with the breast pocket they’re placed in.
There are two types of breast implant shapes: round and shaped. Round breast implants are round all over, offering a fuller look, but less projection and perk. Shaped implants can be placed strategically to accentuate certain areas or to create a desired shape or projection.
Shaped implants require a textured surface to hold them in place. If a patient’s body does not form proper scar tissue, the implant may shift resulting in another operation. Because of this possible increased risk of surgery, Dr. Elizabeth Harris does not recommend shaped implants.
Implants can be either smooth or textured. Both implants have the potential for a nice aesthetic outcome. The textured implant surface allows for scar tissue to adhere to the outer surface of the implant, offering superior pole fullness of the breasts. There are also risks of textured implants that need to be discussed with your surgeon. These risks vary depending on the patient.
Breast implants are measured in CCs and volume rather than cup size or bra size. This often creates some confusion, but it really just allows surgeons to create the most customized, personalized implant possible for each and every patient.
The right size of implant really depends on the overall outcome you are looking for, as well as your existing breast size and your stature.
Your surgeon will have implant samples for you to see upon consultation. These can help you hone in on the right size and shape for your specific goals and body type.
There are four major breast implant brands to consider: Sientra, Ideal, Mentor, and Natrelle. Each one has its own specialties, your surgeon will recommend a certain brand to meet your specific needs.
Implants can be placed either under or over the pectoral muscle or behind the breast tissue, depending on the desired outcome. Incisions vary from patient to patient as well.
Incisions may be made under or around the areola, at the breast crease, at the armpit or from the areola down to the breast crease. Dr. Elizabeth Harris will attempt to minimize scarring and incisions when possible.
Considering Breast Implants?
As you can see, breast implants can vary greatly in size, shape, material, brand and other factors. Because of this, the exact surgical approach, as well as breast implant cost, can vary greatly as well.
To get a customized estimate as to what your breast implant surgery would entail and cost, schedule a one-to-one consultation with Dr. Elizabeth Harris today.
(5 / 5)
“I had the privilege to be given a breast augmentation by Dr. Elizabeth Harris. She and her staff at her office and her anesthesiologist are absolutely phenomenal and i was in absolutely no pain. The anesthesia is time released thru the following day and made the recovery process and healing for me painless and i also healed extremely quick.” – Carly F. 10/17/18
(5 / 5)
“Dr. Harris and staff truly are one of a kind. Everyone is friendly, helpful, and understanding. No one pressures you into anything and they all work together to achieve what you as a patient wants. Dr. Harris gave me the exact results I was hoping for and went above and beyond in explaining things to me. She has an attention to detail and always puts her patients best interest at heart. Choosing her to do my procedure was definitely worth every penny and I am so very pleased with my results. I would hands down go to her again for any procedures in the future!” – Brittany H. 10/17/18