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Breast Augmentation Fort Worth & Southlake

Breast Augmentation Information and FAQs as provided by board certified plastic surgeon, Dr. Jonathan Heistein

Breast augmentation involving implants is one of the most common procedures performed by Dr. Jonathan Heistein.

Breast augmentation is a wonderful way to regain confidence about yourself and your body. Many women find they cannot fit into all types of clothes or swimwear due to their breast size. These women many times find that a procedure for breast augmentation with breast implants provides the self-confidence boost that they have been seeking. Breast augmentation is performed with the insertion of breast implants to increase the size of the breast, or to replace volume lost following pregnancy or weight loss. After breast augmentation surgery, patients find that they soon can wear all types of clothing styles because their breasts are proportional to the rest of their body. Finally, clothes will fit perfectly!

If you would like to discuss breast augmentation and the latest in breast implants, contact our office today for an informative consultation.

The First Step: A Breast Augmentation Consultation

More and more women are choosing breast augmentation surgery with breast implants every year. You may still not be sure if this is the right step for you. That’s normal. At our offices in Fort Worth and Southlake, Texas, our professionals understand that this is a very important decision for you. During your initial consultation, we will first help you to understand all of the facts about breast implants, details about breast augmentation surgery, and what you can expect should you decide to undergo a cosmetic procedure. Next, Dr. Heistein and his staff will help you determine if breast augmentation surgery is right for you.

Should you choose Dr. Heistein as your surgeon, his staff will be with you through every step of your breast augmentation procedure. At our office, serving Tarrant County and beyond, our staff will make sure all your needs are met. After your breast augmentation surgery, all you have to do is relax and heal.

Choosing a Surgeon for Breast Implants

An important step for those considering breast implants is finding the best surgeon to take care of their needs. In fact, this can be the most important step a patient takes. There is a lot of important information you must obtain about your physician BEFORE you go to your appointment. Here, you may view a list of frequently asked questions that are important to ask a surgeon.

Once you have found the right breast augmentation surgeon for you, the next step is to understand all of your options. There are many choices that you need to make before enhancing your figure with breast implants. It is important to understand each choice in order to find what is right for you.

If you would like to speak with Dr. Heistein about his breast augmentation procedures and the different types of breast implants he provides, contact us today for a consultation.

The types of implants

There are two types of breast implants; those made of saline (filled with salt water) and those made of silicone (filled with a cohesive silicone gel). The shell (the outer covering of the implant) is made of silicone and is the same for both types of implants. Saline implants feel very natural. However, many people agree that silicone implants feel softer. Dr. Heistein currently uses both saline and silicone breast implants. At your consultation, he can help you decide which will be best for you.

Breast Augmentation Incisions

In performing breast augmentation surgery, Dr. Heistein can make the incision in a number of different ways. There are three common techniques: an incision can be made in the natural breast crease, around the areola (the dark circle surrounding the nipple), or through the armpit. The breast crease incision (also known as an inframammary fold incision) is most commonly used because it has the least amount of complications and heals wonderfully. For most women who undergo surgery to place breast implants, the crease incision is barely visible two years after surgery. Dr. Heistein many times prefers this type of breast augmentation surgery because it allows him to more precisely place breast implants in the desired location for the best possible look.

The next most common incision used for breast augmentation is the areolar incision. Risks associated with this technique are minimal and primarily consist of an increased chance of losing feeling to the nipple and areola, and a higher chance of not being able to breastfeed.

Breast augmentation with breast implants can also be performed through an armpit incision. The benefit of this incision is that it is well away from the breast, so the remaining scar is well concealed. The drawback of this technique is that the incision is far away from the breast, and there is a greater chance that the implants will be a little farther apart from each other than you would like.

Some surgeons make the incision at the belly button. In the information they provide to the medical community , breast implant manufacturers place a warning against belly button incisions for this type of procedure which states that this procedure is still investigational and NOT recommended.

Choosing the Location of Your Breast Implants

You are almost ready for your breast augmentation procedure! There is just a little more information that you need to know! You still have to decide if your breast implants should be placed above or below the chest muscles. Placing breast implants under the chest muscle has four distinct advantages: this technique makes breast implants look much more natural; less hardening and rippling occur in the implants; and the technique is better for achieving good mammogram results than when breast implants are placed over the muscle. For these reasons and more, Dr. Heistein believes putting breast implants under the muscles during breast augmentation surgery is the best choice. However, he will carefully analyze your individual case to help you determine what technique is right for you. If you are a weightlifter, for example, placing breast implants under the muscle will decrease the strength of the pectoralis major muscle. In this case, putting breast implants over the muscle tissue may be a better choice.

Choosing the Size of Your Breast Implants

Choosing the size of your breast implants is a very personal decision, and there are a number of ways to go about choosing the right size. Breast implants do not come in cup sizes, but instead come in cc’s (cubic centimeters). You can get a general idea what bra size you would like to have after your surgery by going to any lingerie store to be measured for your current bra size. Another way to figure out which size breast implants are right for you is to look at before and after pictures from breast augmentation surgeries. When you have a good idea of the look you want to achieve, you can convey this information to Dr. Heistein.

Our staff will use their years of experience to give you direction and guidance during your decision-making process. If you see a photo that represents the breast size you would like to achieve, bring that picture in to your consultation so that Dr. Heistein will be able to help you determine the implant size that might produce a similar result. It is important to remember that this result will not be exact. For example, if you like the way 400cc breast implants looks on one person, the same size implant will not necessarily give you the same look. This occurs because of variations in each breast that include: the amount of breast tissue, the shape of the chest wall, deformities of the chest wall, and weight, to identify only a few. Basically, your existing breast tissue and anatomy dictate what size breast implants you need to achieve a certain look after breast augmentation surgery. Dr. Heistein and his staff have the experience that allows them to accurately judge the size implant that should be used to achieve the look their patients desire.

At your consultation, you will be able to try on the different sizes of implants to see which looks the best on you. This will give you an accurate idea of what size you will be after your breast augmentation surgery.

The most important thing to remember is that the size you choose is your decision. You should not base this decision on what your friends or family think you should do, but on your own beliefs about what you would like. You must always live with your body. Pick the procedure that is right for you! When it comes to breast augmentation, Dr. Heistein will always respect your needs and wishes.

Frequently Asked Questions Regarding Breast Implants

Are silicone breast implants safe? I heard that they were taken off the market.

After extensive scientific clinical studies silicone breast implants were determined to be safe and are approved by the FDA for use in breast augmentation. For more information on the safety of silicone please see www.breastimplantsafety.org

Why would I choose silicone breast implants over saline or saline breast implants over silicone for my breast augmentation?

This is a personal decision. Some patients prefer the look and feel of one over the other. During your breast augmentation consultation with Dr. Heistein, you will be able to see and feel both types of breast implants as well as ask any questions you may have. Dr. Heistein will be able to tell you the pros and cons of silicone and saline implants.

After having two children my breasts are sagging. Will breast augmentation lift my breasts?

Breast augmentation can sometimes create the appearance of lift in sagging breasts by filling in lost volume in the upper portion of the breasts. If your breasts are only slightly sagging due to lost volume, the correct breast implant size and placement should create a bit of lift in your breasts. However, in breasts with true breast ptosis (breast sag), breast augmentation alone will not lift your breasts and a breast lift (with or without implants) may be needed. Dr. Heistein frequently performs breast augmentation and breast lift and will be happy to discuss this with you during your consultation.

After having two children my breasts have changed shape and lost fullness. I would like to improve the size and shape of my breasts, but I still want them to look natural—not fake. Is this possible through breast augmentation/breast implants?

Dr. Heistein sees many women who share your same concerns. Breasts often change in size and shape after pregnancies and many women seek breast augmentation to restore their breast to their former shape.

During your private consultation, Dr. Heistein will answer any questions you have about breast implants, breast augmentation surgery and recovery and he will carefully listen to your desired results and concerns. This is the best way to ensure patient satisfaction.

Dr. Heistein does not believe in a “one size fits all” approach to plastic surgery and understands that no two patients are exactly alike. With Dr. Heistein, natural looking results are completely possible through breast augmentation.

I am considering breast augmentation surgery, but I am not certain that I am finished having children. Do breast implants interfere with breastfeeding?

Many women with breast implants are able to breastfeed. Occasionally, breast augmentation can interfere with breast feeding.

Will pregnancy affect my breast implants?

There are two important parts to keep in mind when it comes to pregnancy and breast implants. The first is whether implants will allow you to have a normal pregnancy. The answer to this is simple: implants will not affect your pregnancy in any way, so you will be able to have a normal, healthy child.

The second question many of Dr. Heistein’s patients have is, “What will the pregnancy do to my implants?” Many people think that pregnancy will totally ruin their implants if they get pregnant after getting breast enhancement. This is absolutely not true. In general, pregnancy does not do anything to the implants. In fact, they will stay the same shape, size, and position after the pregnancy that they were before the pregnancy. However, the shape of your breast may change significantly. That is, most women, when they get pregnant will have breast that are enlarged or engorged. After you deliver the baby, or finish breast feeding, your breasts will usually deflate or lose volume. This means that the skin was stretched out for 9 months plus the time for breast feeding, and then the fluid inside the breast goes away. When it does, you may have some breast sag, if your skin does not shrink down. This would be the same if you had breast implants for over a year and then decided to remove the implants-you may have some breast sag.

So, after pregnancy, you may have some breast sag, but the implants will be fine. That is why some people choose to have a breast lift by Dr. Heistein.

My breasts are two different cup sizes. Can this be fixed through breast augmentation?

Yes. Breast augmentation is frequently and effectively used to achieve symmetry of the breasts.

Is it safe to have breast augmentation surgery during the same setting when I am having another cosmetic surgery?

Generally yes, but it depends on the individual patient and the length and difficulty of the planned operations. Dr. Heistein will be happy to discuss this with you. Many women like to combine plastic surgical procedures in order to take less time off from work or to reduce the amount of time that they will need help with childcare. It can also reduce the overall cost.

Common procedures performed in conjunction with breast augmentation include tummy-tuck and liposuction. Breast augmentation performed with a tummy tuck is commonly referred to as a “mommy makeover.”

Can I get better cleavage with breast implants or bring my breasts closer together?

Many of Dr. Heistein’s patients wonder if they can have better cleavage or bring their breast closer together with breast augmentation or implants. Cleavage for most women is created by a good push up bra. After implants, that will still be the situation. Unfortunately, there are many women with small breasts that are too far apart for a even the best push up bra! Fortunately, implants can significantly help the situation. The most important part is how the surgeon performs the breast augmentation. That is why it is important to have your breast augmentation surgery by Dr. Heistein. Dr. Heistein takes great care uses his years of experience to give try and give you the exact amount of cleavage you want. During the consultation, Dr. Heistein will discuss what type of cleavage you will have after your surgery. It also depends on the size of the implants and how far apart the breasts are currently. For example, if you have breasts that are far apart, you would need an implant that is wide, so that the implant will “be” your new cleavage.

Will I have to have surgery every 10 years?

There are a number of websites on the Internet that claim women with breast implants need surgery every 10 years. This is not absolutely true. For patients who have breast implants, there are two reasons why surgery may become necessary. The first is if capsular contracture occurs (fibrous, scar-like tissue that squeezes the implants), and the second reason is if an implant leaks. Additionally, a patient might want to have another surgery is because she wants to remedy a problem. Breast sag is the most common reason a patient would want another surgery. Larger breasts are more affected by gravity and, over a long period of time, a patient may wish to undergo another surgery in order to counteract the sagging effect that can take place. It is difficult to predict how much time will pass before sagging occurs – if it occurs at all – because skin type, nutritional habits, sun damage, smoking, breast implant size, and how much support the patient wears can all influence whether breast sag occurs. Undergoing surgery to correct an increase in breast sag is something many patients choose to do nothing about – because it simply does not bother them. Therefore, you do not absolutely have to have breast surgery every 10 years.

Are breast implants safe?

Saline breast implants are very safe. They are filled with salt water that is naturally absorbed by the body, so a leak poses no danger to the patient. There is currently no research which shows saline breast implants to be unsafe.

Silicone breast implants are also considered safe by the medical community. Most plastic surgeons agree that silicone breast implants do not cause any cancer or diseases. In fact, the FDA has approved silicone breast implants for general use. If you would like to learn more about the difference between saline and silicone breast implants for breast augmentation surgery, Dr. Heistein would be happy to speak with you.

Can I have breast implants if someone in my family has had breast cancer?

If someone in your family has had breast cancer, then you may be at a higher risk for getting breast cancer, whether or not you have breast augmentation surgery. If such is your case, it is very important to discuss your family’s medical history with Dr. Heistein. Usually, after being informed of the risks and benefits, you will be able to undergo breast augmentation surgery.

Will I be able to exercise after breast augmentation surgery?

Definitely! After you heal, you will be able to exercise as much as you like.

Does Dr. Heistein perform many breast augmentations?

Dr. Heistein performs a large number of breast augmentation each year, and is experienced and skilled in the latest breast augmentation techniques. Many other plastic surgeons only perform a few breast augmentation procedures each year. Because of this, they lack the vital experience an expert surgeon needs to provide optimal results.

Do you have hospital privileges and, if so, with which hospitals?

This is important because a surgeon who does not have privileges at a hospital (that is, the right to use the hospital’s facilities) may not be adequately trained. A hospital will always thoroughly check the credentials of a surgeon. Sometimes, when a surgeon operates in his or her own facility, there is no guarantee that the surgeon is adequately trained.

If you have considered breast implants, you can rest assured that Dr. Heistein has been credentialed by and has privileges at most of the major hospitals in and around Fort Worth and Southlake, Texas.

Do you have before and after photos available for viewing?

Photos from before and after breast augmentation procedures will allow you to assess a surgeon’s work and determine what look you would like to achieve for yourself. However, there are two considerations that are important above all others: you must be comfortable with your surgeon and your surgeon must listen to your needs. Making sure that these occur will help to ensure that you get exactly the results you want!

I do not live in the Fort Worth or Southlake areas. Can Dr. Heistein still perform my breast augmentation?

Dr. Heistein has many patients who travel from outside the Fort Worth or Southlake areas to have breast augmentation surgery as well as other plastic surgery procedures. Because of this we have several options available to meet your individual needs. Feel free to ask about this at your consultation.

How can I find out more about breast augmentation?

The best source of information is a consultation with a board certified plastic surgeon. To schedule an appointment for a consultation, contact our office at 817-820-0000.

Our offices are located in Fort Worth and Southlake, Texas. In addition to breast augmentation Dr. Heistein provides liposuction, tummy tucks, facelifts, and more.

Our Office Locations

Fort Worth

800 8th Ave. Suite 240, Fort Worth, TX 76104
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Southlake

521 West Southlake Blvd. Suite 175, Southlake, TX 76092
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