BREAST AUGMENTATION

Add Volume for the Philadelphia Area

Though your breast shape and size can change over time due to pregnancy, weight loss, or genetics, breast surgery can enhance your figure and restore your poise and self-confidence. Specifically, breast augmentation at the Philadelphia area’s Chapin Aesthetics is a surgical procedure in which Dr. Scott D. Chapin can insert a saline filled or silicone gel breast implant behind the breast to increase volume and improve your appearance.

As a skilled, board-certified surgeon who specializes in breast surgery, Dr. Chapin will minimize the appearance of an incision while placing the breast implants in such a way as to achieve the most natural-looking enhancement possible. It is common for breast augmentation to be performed in conjunction with other procedures such as breast lift, tummy tuck, and part of a Mommy Makeover procedure.

To discuss breast augmentation in the Philadelphia area, contact Chapin Aesthetics in Doylestown today. Call 267.880.0810 or send a message online.

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BEFORE

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AFTER

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* Individual patient results may vary

SEE BEFORE & AFTER

• Amplify the fullness and projection of your breasts
• Improve the proportion of your figure
• Balance asymmetrical breasts
• Boost your self-image and self-confidence
• Restore lost volume

Our Customized Approach to Breast Augmentation

Dr. Chapin is a nationally recognized for his breast surgery experience due to his exclusive, cutting-edge techniques that produce unparalleled patient outcomes. In your breast augmentation consult, Dr. Chapin will walk you through key decision points after listening carefully to your concerns and goals. He will make certain you have a complete understanding of how your new breasts will look and feel to ensure you are satisfied with your decision.

The consultation is the ideal time to bring up any questions you may have, from safety to style options to what breast implants cost.

Delivery of Breast Implants

The original Keller Funnel^™ was created in 2009 to improve breast augmentation procedures. The use of the Keller Funnel^™ provides exceptional short- and long-term benefits for breast augmentation patients. This device allows Dr. Chapin to insert an implant in a significantly gentler and more efficient way than possible with traditional methods. Dr. Chapin was one of the first surgeons in the country to adopt and implement this advanced technique for breast augmentation procedures. The benefits of employing the Keller Funnel^™ for breast augmentation procedures include:

• Small incision site—The Keller Funnel^™ is designed to allow breast implants to be placed in their breast pockets through smaller incision sites, leaving scars that are more easily concealed.
• Reduction of implant damage and capsular contracture—Traditional methods of inserting breast implants involve the breast augmentation surgeon pushing the implant into the pocket with a gloved hand. This can create uneven pressure on the implant contents and outer shell, causing short- and long-term damage to the implant and increasing the chance of future complications. Using the Keller Funnel^™ to insert implants instead ensures uniform pressure during insertion, resulting in less damage to the device. This progressive approach reduces the chance of future implant rupture and capsular contracture following breast augmentation surgery.
• Decreased exposure of breast implants—The Keller Funnel^™ allows Dr. Chapin to place the implant directly into the breast pocket without the implant coming in contact with the skin, which is a potential contaminate. This no-touch technique reduces the exposure time of breast implants and decreases the probability of complications associated with the breast augmentation procedure.

Extensive research indicates that utilizing the Keller Funnel^™ preserves the quality of breast implants and decreases the rate of capsular contracture and other complications associated with breast augmentation.

Implant Material

Dr. Chapin will offer you a wide variety of options for breast implants, including the new cohesive gel (aka “gummy bear”) breast implants and shaped anatomical implants. You can choose between the textured cohesive gel, smooth cohesive gel, or saline breast implants for your breast augmentation.

Dr. Chapin will thoroughly educate you and provide informative data on all your breast augmentation options. Together, you will choose the best selection based on your personal preference and his proven methodology to achieve your objectives with the best possible result.

All three implant options offer unique advantages depending on a variety of factors. Talk to Dr. Chapin to determine which specific implant may be right for you.

Five Risk Factors to Discuss When Considering Implants for Breast Augmentation

Shape Predictability

Some breast implants can fold and lose their shape over time, changing the appearance of the breasts. This can ultimately lead breast augmentation patients to choose breast revision surgery to correct the problem. Certain materials are more likely to change shape than others, and Dr. Chapin can explain the pros and cons of each.

Rupture Rate

Should a saline implant rupture, it will typically completely deflate. Although the body harmlessly absorbs the saline, the breast augmentation patient will require immediate implant replacement due to the cosmetic discrepancy the deflation creates.

The newest generation of gel silicone implants is comprised of a strong silicone shell that surrounds the solid, yet soft and rubbery cohesive silicone gel filler—with a consistency that resembles a gummy bear candy. These cohesive gel implants will not leak, even if they are cut in half, which can make tears difficult to notice. In many cases, tears in these implants are discovered via MRI, after which women may pursue replacement or further observe the implant over time.

Capsular Contracture

Capsular contracture occurs when the scar tissue around the implant becomes inflamed and creates a thickened, hard shell. The most common capsular contracture symptoms breast augmentation patients may experience are:

• the breast becoming hardened and losing its soft, natural feel
• the breast changing in appearance and becoming distorted
• feelings of tightening and discomfort

Capsular contracture is an unpredictable breast augmentation complication. Presently, we do not know exactly why capsular contracture may form in one patient and not in another—or even why capsular contracture may only occur in one breast and not the other. Capsular contracture may require breast augmentation patients to undergo surgery to remove the scar tissue and exchange the implant. However, there are some proven operative techniques that have reduced the risk of capsular contracture in our patients.

The use of antibiotic solutions, the Keller Funnel^™, and inframammary (under the breast) incisions all contribute to a decreased chance of a patient developing capsular contracture. Dr. Chapin routinely employs all of these maneuvers during breast augmentation surgery to decrease chances of the complication.

Migration

Certain breast implants are more likely than others to move from their original position in the pocket, creating a condition known medically as malposition, laterization, or supine shift. If the implant has shifted in the breast pocket, the patient may notice a change in location or appearance of the implant. When laterization has occurred, the breast augmentation patient may need to undergo surgery to correct the placement.

Rippling

Rippling refers to breast implants that develop folds or wrinkles that are visible through the skin. Typically, rippling is the most noticeable on the bottom or sides of an implant, but it may also occur in other areas, such as the middle or near the cleavage region. Although rippling can happen to any breast augmentation patient, research supports the idea that certain factors increase the chance of implant rippling:

• Overfilling of the breast implant—Overfilling occurs when more saline is inserted into the implant than what was recommended by the manufacturer. This can cause the edge of the breast to pull, which can induce rippling at some point after breast augmentation surgery. A thorough and careful plastic surgeon will lessen the chances of this problem occurring.
• Underfilling the breast implant—When a saline implant is underfilled, it leaves the shell emptier than intended, resulting in wrinkling and folds. Again, the skill of the plastic surgeon plays a role.
• Poor tissue coverage—This can occur with either saline or silicone breast implants, but is most often seen in women with small breasts, simply due to the fact that there is not as much breast tissue to cover the implant.
• Subglandular (over the muscle) breast implant placement—Breast implants are most often placed under the muscle for a variety of benefits. However, in rare situations, it may be recommended to place the implant over the muscle. Breast implants that are placed over the muscle provide the least amount of coverage for the implant, which increases the chance of visible rippling.

Breast Implant Sizes

Choosing the size of your breast implants is the most emotional part of the breast augmentation decision making process. Dr. Chapin’s goal is to give you a look that makes you feel comfortable. This, of course, is different for each woman. The size of the implant should relatively match the width of your breast. Going too large or too small can cause long-term complications.

Your desired look will help determine what size would fit your best. At Chapin Aesthetics, we use the Crisalix system during your breast augmentation consultation so you can see your potential result from a variety of angles in 3D—or even 4D! This will help show you what size would fit your body best and is an extremely accurate representation of your potential look after breast augmentation surgery.

Please keep in mind that when breast augmentation surgeons reference implant sizes, they use cc’s rather than cup size as a measurement tool. Cup size may vary among bra manufacturing companies, so it is not an accurate way to measure breast volume. Dr. Chapin’s most critical piece of advice when choosing your implant size is that he can get your cup size wrong, but your look right, and you will be thrilled with your breast enlargement.

Implant Shape

You have the option to choose between the traditional round implants or shaped implants for breast augmentation. The shape of your implant will affect your overall look after surgery. The majority of women have round implants, which often gives more volume and upper pole fullness to the breast. Generally speaking, shaped implants are ideal for patients who are seeking a natural look and do not want an abundance of superior fullness.

Dr. Chapin has found with his extensive breast augmentation experience that shaped implants are helpful with patients who have nipples lower on the breast mound and for patients who do not have a large amount of natural breast tissue, because they offer more shape inferiorly. However, the best way to determine what shape is best for you is to have a
candid discussion during your breast augmentation consultation about what look you are seeking.

Implant Position

There are three options for positioning breast implants during breast augmentation:

• Submuscular (behind the muscle)—Placing the implant under the pectoralis muscle gives a more natural appearance, as the muscle tends to mask the
  implant and provide a smoother appearance to the upper pole of the breast. Another advantage of this breast augmentation positioning is that it is less likely to create a drooping or waterfall effect due to the breast tissue stretching over time. Also, placing the implant under the muscle decreases the chance of capsular contracture or interference with breast exams and mammography.
• Subglandular (in front of the muscle and behind breast tissue)—The advantage of this placement is that it can increase volume to the area of the breast
  behind the nipple. However, this placement of the implant makes it more easily visible and felt due to the lack of muscle covering it in the upper pole of the breast. Additionally, there is an increased risk of capsular contracture after breast augmentation with the subglandular breast implant position.
• Dual Plane (the implant is placed beneath the pectoralis major muscle superiorly but lies directly under the breast tissue inferiorly)—Although dual
  plane offers several advantages, many breast augmentation surgeons do not offer this specialized technique. Dr. Chapin is part of the small minority of plastic surgeons who educate patients and perform dual plane implant positioning. Dual plane allows Dr. Chapin to be the most accurate with implant placement and provides the best shaping of the inferior portion of the breast. It allows the breast tissue to ride up relative to the implant so that it does not appear that tissue is drooping off. The breast augmentation patient will still benefit from all the advantages of submuscular position, such as decreased visibility and reduced risk of capsular contracture. Also, for patients who present a small amount of breast sag, a dual plane is an ideal method to allow the implant to still be placed under the muscle and give a lift to the breast while avoiding the need for a breast lift procedure.

Incision Placement

There are three options for incision placement in breast augmentation surgery:

• Axillary (underarm)—An endoscope (lighted camera) is utilized to help tunnel through the subcutaneous fat to construct a pocket behind the breast. This incision site is most often used to place unfilled saline breast implants.
• Periareolar (around the nipple)—Although this incision type can be the most concealed, it is linked to an increased risk of breastfeeding difficulties over other incision options because periareolar incision involves cutting through the breast tissue. Increased risks with this incision type also include capsular contracture and a higher likelihood that nipple sensation will be affected after breast augmentation surgery.
• Inframammary (under the breast)—This is the most common incision type today, and the incision sits right under the breast fold. This is an optimal
  choice because it may cause fewer breastfeeding difficulties than the periareolar incision, reduce risk of capsular contracture, and allow the breast augmentation procedure to be more straightforward and precise.

The Day of Your Breast Augmentation Procedure

Dr. Chapin’s breast augmentation patients go under general anesthesia at a Bucks County or Montgomery County AAA-certified facility. On the day of your procedure, Dr. Chapin and his highly trained team will meet with you to review all details and answer any questions before surgery. Generally, breast augmentation takes one hour to perform.

You will receive exceptional and comprehensive care following your procedure to ensure your comfort and outcome.

Breast Augmentation Recovery

You may experience the feeling of pressure or discomfort for one to three days after your procedure, and although you will be mobile, it may be difficult to lift your arms. Generally, women can return to a sedentary job five to seven days after breast augmentation surgery. Light workouts can be initiated two weeks after surgery, and high impact exercise can begin three to four weeks after surgery. Dr. Chapin will provide complete preoperative and postoperative care instructions. He will monitor and advise when patients can gradually resume their daily activities, including exercise.

Dr. Scott Chapin serves patients from Philadelphia, Bucks, and Montgomery counties. To learn more about breast augmentation in the Philadelphia area or to schedule a complimentary cosmetic consultation, contact Chapin Aesthetics today by calling 267.880.0810 or sending a message online.

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