Breast Augmentation

breast_augmentationFor women who are unhappy with the size and shape of their breasts, a Breast Augmentation with breast implants (also called breast enhancement) can help acheive the figure they’ve always wanted. But if you are one of these women, you want to make sure that you choose a great surgeon.

Dr. Munasifi has a host of techniques available to him, and he will choose the ones that are best for your anatomy and the results you want. He will also help you make informed choices about the size, shape, and type of implants for your Breast Augmentation.

Breast Augmentation with Dr. Munasifi enhances breast volume to achieve a greater size, better shape, and increased fullness for better figure proportions. Patient results will vary. His training and years of experience allow him to apply both science and art to your surgery.

What procedures complement Breast Augmentation?

Many women have a Breast Augmentation and Breast Lift concurrently. If your natural breasts are sagging, you may wish to combine these surgeries to lift the breasts while also increasing their size.

What are the different types of breast implants?

natrelle-classic_rg_rgbSaline and silicone implants each have their own advantages and disadvantages. Both are safe, and one is not better than the other; it’s simply a matter of preference and what is best for your anatomy and aesthetic goals.

Silicone implants are approved for women age 22 and over. They are filled prior to insertion and feel soft and natural. They are less prone to rippling, but ruptures can only be detected through an MRI. For this reason, women with silicone implants are advised to have an MRI every few years.

Saline implants are approved for women age 18 and over. The shell is inserted and then filled with saline solution, which allows the size to be a bit more customized than silicone. It also means that the incision can be slightly smaller. They are more prone to rippling, but a rupture is immediately apparent, as the implant deflates.

Besides the type of implant, you must also choose size, shape, and projection. Implants come in various anatomical shapes, just like natural breasts. Projection refers to how much of the breast extends outward from the body when you are seen in profile.

The width of your shoulders and your hips, as well as the size of your overall frame, should be taken into account when choosing your implant size, including the width of the implants. Wide breasts look strange on a narrow body frame and vice versa. Dr. Munasifi will discuss all of your options with you and help you make decisions that will leave you happy with your result.

What kind of anesthesia is required for Breast Augmentation?

General anesthesia is used, and Breast Augmentation is an outpatient procedure, which means you can go home the same day. Anesthesia is always provided by a Board-Certified Anesthesiologist.

You will need to have someone available to drive you home, however. Alternatively, we can provide a car service to bring you to your surgery appointment and take you home for a minimal fee, provided you have an adult to accompany you.

What happens during Breast Augmentation?

Dr. Munasifi will customize your Breast Augmentation for your anatomy and goals. There are a variety of options for incision locations. The incision can be made in the fold under the breast (infra-mammary), around the nipple (peri-areolar), or under the arm (trans-axillary, with endoscopic assist). In all cases, the incision is kept as short and inconspicuous as possible.

The implant can be inserted either under the breast tissue (“sub-glandular”), or partially under the pectoral muscle (“sub-pectoral” or “sub-muscular”). When the implant is placed in a sub-muscular position (under the breast tissue and the pectoral muscle), there is a lower chance of capsular contracture (shrinkage of the tissue capsule surrounding the implant, causing the implant and breast to feel unnaturally firm), and mammography may be more reliable. There is also less risk of visible or palpable implant edges through the skin.

Once Dr. Munasifi creates a “pocket” for the breast implant, a temporary “sizer” implant is placed in order to determine the proper shape and volume (size) of the final implant. Then, the final implant is chosen, inserted, and properly positioned within the pocket.

Dr. Munasifi uses the Keller Funnel “No Touch” technique when placing breast implants. This advanced surgical technique minimizes the potential for bacteria to come into contact with the implant during the augmentation procedure, resulting in greatly reduced chances of complications after surgery.

After the implant is placed, he carefully checks to ensure that your breasts have the shape and size you anticipated pre-operatively. The incisions are then carefully closed with multiple layers of hidden sutures and surgical tape.

A supportive wrap will be placed around the chest area after surgery. No surgical drains are needed. After a period of time in our recovery room, you can go home.

When can I return to work after Breast Augmentation?

All of our patients are able to leave the house the day after their procedure. Many of our Breast Augmentation patients return to office work within 4 days.

What is recovery like after Breast Augmentation?

Dr. Munasifi is very particular about patient care after procedures, so he will meet with you multiple times throughout the recovery process to monitor your healing. All surgical follow-up appointments are provided free of charge, as he wants you to feel comfortable with bringing up any concerns or questions you have.

The full recovery period is specific to each individual and the level of activity required for her daily functions. Within your one-week post-operation visit, your gauze dressings will be removed, and you will wear a surgical bra (sports bra) for a few weeks. The sutures are dissolvable, so no suture removal is required. Vigorous exercise such as jogging or aerobics may be resumed in about 4 weeks.

It’s normal to experience some soreness, bruising, tightness, numbness, itching, and swelling. We will give you a prescription for pain medication, but many patients find that non-prescription painkillers such as Tylenol are enough.

You will need to sleep on your back or side for a few weeks as you heal. Since strenuous activity can increase blood pressure, it’s very important to avoid heavy exercise for about 4 weeks. However, being completely inactive is one of the worst things you can do after a procedure. Dr. Munasifi encourages patients to take regular long walks beginning the day after surgery.

Scars are usually not noticeable after enough time has passed for them to mature. We will also give you strategies to help the scars heal faster and better.

Rest assured that we will give you detailed instructions for your recovery, and we will be available to answer your questions and monitor your progress during follow-up examinations. Dr. Munasifi believes in providing the attention you need to feel comfortable about your procedure, and he loves getting to know his patients.

Do you think Breast Augmentation might be right for you? Contact us for a consultation in Arlington or McLean, VA with Dr. Munasifi. He will help you make the right decision for you. Call us today at 703.841.0399.

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