Breast Reduction

Breast Reduction

Alamo Plastic Surgery San Antonio TX | Breast Reduction

When your breasts are causing problems such as neck/shoulder/back pain, painful/unsightly grooves in your shoulders, recurrent rashes, or limiting your mobility and activities with exercise, it may be time to consider a breast reduction. By reducing the weight of the breasts, many of these symptoms will improve and possibly resolve completely.  Incidentally, Dr. Albright will also be able to create a perkier and more youthful appearing breast by lifting the remaining breast tissue and nipple back up where they belong.  Most women undergoing breast reduction surgery are thrilled with their improvement in function and appearance.  The most common response Dr. Albright gets from his reduction patients is “I should have done this YEARS ago!”  It can change your life!  Less well known breast reduction benefits particularly for women with very dense breast tissue is the possibility of detecting an early breast cancer or precancerous lesion, as well as a slight reduction in risk of breast cancer. Get contact with Alamo Plastic Surgery is one of the best plastic surgery clinics for Breast Reduction in San Antonio TX.

Dr. Albright is an expert in multiple breast reduction surgery techniques.  These techniques differ in how the extra skin is removed which determines the scar pattern, as well as how the breast tissue itself is adjusted which affects breast shape.  After discussing your goals, Dr. Albright will examine your breasts to identify the best reduction technique for you with particular emphasis on achieving a long-lasting more youthful breast shape.

Alamo Plastic Surgery is an award-winning plastic surgery in San Antonio, TX. Schedule an appointment at (210)-670-5302.

Breast reduction FAQ’s

When is too young, too young for a breast reduction?

For adolescent women, there are those who are “early bloomers” and develop very large and heavy breasts before their peers. Many of these young women become self-conscious in common social situations like sports or swimming, and may even withdraw from their friends and families. Often, they find it difficult to discuss these issues with their families, as they may feel too “embarrassed”.  They may have unrealistic fears about the risks of breast reduction surgery, specifically scarring, recovery, future breast feeding potential, or getting “botched”. It does not have to be this way!  Some of Dr. Albright’s happiest patients are young women with “juvenile breast hypertrophy” or “gigantomastia” who have decided to improve their lives with breast reduction surgery. He is one of the best surgeons for breast reduction surgery. Come learn more today.

Will insurance cover my breast reduction?

Breast reduction surgery may or may not be covered by your insurance plan. Insurance plans differ in the inclusion and exclusion criteria for who may qualify for a breast reduction. More confusingly, the coverage criteria can change over time, even within the same carrier. It is important to remember that insurance plans only cover for a WEIGHT of tissue to be removed, not a specific VOLUME.  Some women have large droopy breasts that are not very dense or heavy. Alternatively there are those women who have breasts with less droopiness and volume, but their breast tissue is very dense and heavy. Dr. William Albright, one of the best surgeons for breast reduction surgery, will assess these risks and will be happy to give you his honest opinion. 

Dr. Albright recommends you contact your insurance provider to see what criteria must be met for coverage and who is an in-network or out-of-network provider, as your direct costs may vary significantly. Currently Dr. Albright does not accept any insurance and is everything is considered cosmetic. As deductibles continue to rise, the possibility of performing your breast reduction as a cosmetic procedure (pay everything out-of-pocket) may be more affordable than many suspect. Contact our office to find out more.

Will a breast reduction give me better upper pole fullness like a breast implant?

Unfortunately, there is no published technique that will reliably maintain a rounded and full superior pole of the breast. Techniques can occasionally create this look in the short-term, but rarely is it maintained long-term.  The only way to reliably obtain and maintain superior pole fullness is a breast implant.

What scars will I have after breast reduction and what do they look like?

The most frequently used scar pattern by Dr. Albright is a Wise pattern or ‘Inverted T’ scar.  This places a scar around the areola (pigmented skin around the nipple) often helping to reduce the size of the areola to a more youthful size.  There is another vertical scar from the bottom of the areola to the bottom of the breast (the breast fold) where the breast meets the chest wall.  Finally there is a side-to-side scar along this lower breast fold, that is variable in length depending on how much skin has to be removed.  The Wise pattern reduction has been shown to create a more cone-shaped breast with better projection from the body, when compared with other types of skin patterns.  Dr. Albright will describe the procedure for you to better understand why one procedure may be better than another.  

The scars tend to widen slightly as they mature, particularly along the breast fold incision and T-point.  Occasionally patients may develop hypertrophic scars or even keloid scars.  Both are raised scars.  However, hypertrophic scars are more easily treated, typically with steroid injections.  Keloid scars are much more difficult to treat, and this is why Dr. Albright will generally discourage breast reduction surgery in patients with a family history of keloids.

Most patients have excess skin and subcutaneous fat that continues from the side of the breast around to the bra along the path of a bra strap.  This tissue is not breast tissue and therefore is not removed with a breast reduction.  However it can be removed with an additional cosmetic procedure such as liposuction with or without an upper back lift.  This means that occasionally patients may have some redundant excess skin and fat located under the arm along the path of a bra strap, and this is called a ‘dogear’ or a standing-cone deformity.

Will I lose my nipple / sensation / ability to breastfeed with breast reduction?

For the vast majority of patients, Dr. Albright is able to leave the nipple attached and NOT have to perform a free nipple graft. A free nipple graft is when the nipple and areola are cut-off from the body as a unit and then reattached to another location on the breast like a skin graft. The consequences of such a procedure are loss of erogenous sensation, ability to breast-feed, erectile function of the nipple and some pigment loss of the areola. There is also a very small chance of complete loss of the grafted nipple and resulting scarring.  

Fortunately, if it was not planned before surgery, it is very rare to need a free nipple graft during surgery. Dr. Albright will discuss the likelihood of this with you at your appointment.  If the nipple is left intact at the time of surgery, approximately one-third of patients will develop permanently decreased sensation of one nipple, and not both. Additionally, although Dr. Albright can not guarantee one’s ability to breast-feed after breast reduction surgery, most of his patients are able to breast-feed after breast reduction surgery if they desire.

Exceptional. Compassionate. Trusted.

Breast Reduction / Tummy Tuck
“ Dr. Albright first did a breast reduction for me. I was a 32DDD, more then anything I felt uncomfortable in my “skin”. From the first visit he made me feel very comfortable and confident in his ability. After looking at his past patients before and after I knew he would be the best dr for me. I am SO happy with the results. They are back in place (perky)and exactly the size that best fit my body 32c. Months later he did my tummy tuck. Again I am SO happy w my results. He is a perfectionist! ”
Breast Reduction
“ I was thrilled to find Dr. Albright and his team for this procedure. Having always been self-conscious, I was a bit intimidated to bare myself in front of a man other than my husband. Dr. Albright was a true professional. He never made me feel uncomfortable. He was very “business” like in his job – but did not lack the human compassion that is needed to make a person feel at ease. The staff did a great job working with my insurance company to get the proper approval very timely. And they were also super friendly and easy to work with. My husband first met Dr. Albright at the hospital where he was equally impressed in the way that Dr. Albright handled everything. He is meticulous in his surgery, and everyone who we encountered on the hospital staff said that he was the best! My surgery went very well, and I felt that the follow up appointments came at the exact times that I needed them. I got great instructions on how to care for myself to get the optimum results. am beyond pleased and excited for the way things turned out. My back and neck feel tremendously better …and I am finally comfortable with the way I look and feel. Thank you Dr. Albright, Mallory, and Nicole for all that you do! ”
Breast Reduction
“ I had thought about a breast reduction since my 20's. Being 40, I was ready. November 2016 I had my surgery with Dr Albright. Being nervous and self conscious, everyone made me feel comfortable. All the staff and follow up appointments were wonderful and easy. I can't begin to describe how much better I feel. Thank you to all the staff at the office, Mercy, and especially Dr Albright for making this procedure easier than what I had imagined it to be! HIGHLY RECOMMENDED, THANK YOU!! ”
Breast Reduction
“ For many years I have struggled with the size of my chest. It was originally related to my self-image, but as I aged, it also became a health issue. I was large since I was in 7th grade, and was always very unhappy with my appearance. It was also very difficult to play sports – which was one of my passions. However, I was always a firm believer that you deal with what was handed to you in life – so I dealt with it. As I got older and had children – my body broke down with the weight that I was supporting and I started having many issues with my back, my neck, shoulder pitting, rashes under my breast, etc.  For many years I have struggled with the size of my chest. It was originally related to my self-image, but as I aged, it also became a health issue. I was large since I was in 7th grade, and was always very unhappy with my appearance. It was also very difficult to play sports – which was one of my passions. However, I was always a firm believer that you deal with what was handed to you in life – so I dealt with it. As I got older and had children – my body broke down with the weight that I was supporting and I started having many issues with my back, my neck, shoulder pitting, rashes under my breast, etc. ”
Breast Reduction
“ I am so pleased with my results after having a breast reduction. I have suffered with back, neck and shoulder pain for years prior to surgery as I have always had larger breasts even with a skinnier body. I now feel like I have more confidence in myself, I can work out at the gym without my breasts in the way, I can wear cute bras now! So pleased and happy with my experience. This office staff is very helpful and Dr. Albright is very knowledgeable! ”
Breast Reduction
“ I am a 25 year old female. I had 36 DDD/E cups which were way to big for my size and body type. I have had large breasts since I was 12 years old as they came pretty quick. I have scoliosis from them with huge grooves/indents in my shoulders from my bras. They felt super heavy then the average breast. Back pain, neck and shoulder you name it, it hurt. As soon as I heard about breast reduction being a thing I was on top of getting it. I was highly recommended from my PCP to go through Dr Albright. From my first appointment with him to even now, he and his staff have been amazing and super considerate as well as friendly. At 25 years old I am not super familiar with insurance paperwork and so on and they helped me every step of the way. I was concerned for myself that I saw more older women getting reductions than younger but I have never been more happy and impressed with the work that was done. Still to this day I look down and occasionally cry with how they turned out. I feel no pain anymore and I can look like a proportionate woman. No more top heavy, no more to small or too big of clothes. No more hit and miss with finding bras that fit. The healing process went great and I am down to a B/C cup which is exactly what I wanted. Thank you so much Dr. Albright and your amazing staff for taking care of me and helping me become more comfortable with my body and feeling how I always should have from the beginning. I have never been so happy with my body until I met you all. I cannot thank you enough.”
Breast Reduction
“ Dr. Albright did a great job on my surgery. He was very knowledgeable and I would definitely recommend him to other people looking to get a breast reduction! ”
Breast Reduction
“ Dr. Albright performed a breast reduction and lift for me in June 2018. To say I am happy with the results will be an understatement. Dr. Albright and his staff answered all my questions even the ones I thought were silly. Never felt like I was being rushed out the office. Thank you Dr. Albright ”
Breast Reduction
“ Dr. Albright did a great job on my surgery. He was very knowledgeable and I would definitely recommend him to other people looking to get a breast reduction! ”
Breast Reduction
“ I have struggled with back, neck and shoulder pain for years. I was wearing a 40H prior to surgery for almost 5 years. I have always had a larger chest even when I was fresh out of high school. I am beyond happy with my results and how I feel now. Much more confidence, a lot less back pain and I can actually wear cute less expensive bras now!! ”
Alamo Plastic Surgery San Antonio TX | Team - Dr. Albright, Franchesca Espinosa, Juli Albright
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Breast Reduction

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San Antonio, TEXAS

Breast size, shape and proportion play a unique role in every woman’s self-perception, sense of physical balance, femininity, and confidence. The art of Breast Augmentation in Texas is so much more than simply “enlarging” the breasts — it is realized through the profound consideration of each individual’s desires, inherent anatomical forms, and meticulous attention to the techniques and safety of their union.

Breast Reduction San Antonio – Gallery

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These Breast Reduction before and after pictures represent actual patients from Dr. Albright. They will help to assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome. Click on a patient for their specific case details.

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San Antonio Breast Reduction

No two breast augmentations are the same; each is as diverse as a woman's unique goals and physique, and as different as the surgeon who performs them.

As a leading board certified plastic surgeon in central Texas, Dr. Albright consistently delivers life-changing surgical results and an exceptional plastic surgery experience for his patients. After training with plastic surgeons from around the world, Dr. Albright wanted to bring his expertise back to his hometown of San Antonio.

Check our blog article about Breast Augmentation:
5 Tips for Breast Augmentation

Women seek breast enhancement (augmentation mammoplasty) for a variety of reasons. For many women, it is not just to increase the size of their breasts, but may be to feel more comfortable in a swimsuit or confident out of clothes.  It may be to return to their pre-pregnancy shape and volume. Some aim to correct an asymmetry or abnormal breast development that has plagued them since adolescence. Whether a woman wants people to know they’ve had a “boob job” or prefers a more reserved look, Dr. Albright will assist you in achieving your specific goals with breast augmentation in San Antonio TX.

Given the variety of goals and body shapes, breast augmentation may seem a bit overwhelming.

Relax! Dr. Albright, one of the best breast augmentation surgeons in San Antonio, TX, has the skills and experience to walk you through the options that are best for you.  He will explain breast implants and augmentation techniques in a way that makes sense. Breast lift, Breast Augmentation with Breast Lift, or Breast Fat Graft might be another option for you. Dr. Albright takes the time to explain the relative risks and benefits of different breast augmentation techniques so you can make the best decision for you.

Check out Dr. Albright's YouTube video for a brief introduction to Breast Augmentation:

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When planning your breast augmentation,
there are four primary components that are essential to consider:

The two primary breast implant options available for cosmetic breast augmentation are silicone implants and saline implants. Both breast implants are safe, FDA approved devices that are excellent choices for breast enlargement. The current generation of silicone breast implant is pre-filled with a cohesive silicone gel, and saline implants are filled with salt water solution at the time of surgery. Each has a similar silicone elastomer outer shell. At comparable volumes, the look of each implant is virtually identical. To the touch, the silicone gel implants have a more natural, breast-like feel.

Breast augmentation can be performed using incisions in the lower crease beneath the breast (inframammary crease incision), along the lowest border of the pigmented areola (periareolar incision), or within the underarm (transaxillary incision). In consideration of a variety of factors including areolar size, breast shape, breast glandular density, inframammary fold definition, size goals, implant selection, and personal preferences, Dr. Kolker will advise you on the best breast augmentation incision options.

To minimize incision length and to gently introduce silicone gel implants with a minimal or “no-touch” technique, a Keller Funnel is uniformly used. The Keller Funnel is an implant insertion device with a slick, low-friction surface that enables the placement of silicone breast implants through smaller incisions. Using these devices since 2010, Dr. Kolker uses the Keller Funnel for every breast augmentation.

Breast implants can be placed below the muscle (submuscular augmentation), or above the muscle (subglandular augmentation). Submuscular augmentation confers the following benefits:Provides increased coverage of the breast implantsSoftens the upper pole of the breast leading to a more seamless, natural transition from collar bone to nippleMaintains long term stability of the breast pocketMarkedly decreases rates of capsular contractureLessens influence on mammographyDr. Kolker uniformly utilizes a submuscular pocket plane. “Dual plane” augmentation is a form of submuscular augmentation that allows for maximal coverage of the upper pole of the implant by muscle, and direct effacement of the lower breast gland; this maneuver is employed when there is minor lower pole soft tissue excess or mild droop (ptosis) of the breast.

Breast implants are available in a wide array of shapes, profiles, and sizes. Round implants or anatomical implants can be used. Both implants assume a tear-drop shape when upright. Implant profile refers to the projection of an implant for a given base dimension. Choices are made from among three profiles, corresponding to low or moderate projection (less volume and anterior convexity), midrange or moderate plus projection (intermediate volume and convexity), and high profile (maximum volume and convexity). Considering the nuances of your anatomy and the subtleties of your specific desires, Dr. Kolker will advise you on the best breast implant style, profile, and projection options to achieve your goals.

Choosing the correct breast implant size is a process that begins with your initial consultation. Dr. Kolker is fastidious about getting to know the nuances of every individual’s wishes and goals. These desires are married with the careful anatomical measurements and tissue assessment to establish an initial size “range”. At a preoperative visit approximately two weeks before surgery, the goal is further confirmed with a series of neoprene bead-filled sacs used as “sizers” that are placed into a special brassiere; you will try a range of sizes to get a better sense of dimension and proportion. Finally, Dr. Kolker uses silicone gel or saline implant sizers during surgery to confirm the size selection. As a rule in realizing the most beautiful endpoint, Dr. Kolker strives to achieve natural and proportional size and shape, directed by your thoroughly considered desires and goals. With his years of experience and attention to detail, Dr. Kolker has earned a reputation amongst his patients for providing high quality breast implants and cosmetic surgery.


Frequently asked questions about breast augmentation

What is the recovery time and activity restrictions after breast implants?

Dr. Albright wants all of his patients to get the best result possible.  What we do after breast augmentation surgery is just as important as the surgery itself.  Although there are slight variations in breast augmentation techniques, patients will have 2 weeks with minimal reaching/pulling with the arms, and less than 20 pounds lifting of weight.  This is followed by 2 more weeks of less than 45 pounds lifting, but during this time you may reach and pull with the arms.  In total, there will be 4 weeks of no intense exercise and you will be in a bra 24/7 except for showering.  After these 4 weeks, most patients may begin regular exercise as tolerated. See below for quick 4 minute video from Dr. Albright on recovery:

What type of breast implant is the best choice, silicone or saline?

During your consultation, Dr. Albright, one of the best breast implant surgeons in Texas, he will discuss the differences between salt-water (saline) filled versus silicone gel filled breast implants. For most patients the choice will boil down to the overall comfort level with risks/benefits of the implant fill material.  Here is a brief comparison of saline versus silicone breast implants. For further information check out our blog article on the different types of implants.

1. Breast Implants and Rupture
For saline implants, if the implant were to rupture, your body would slowly absorb the salt-water and you would notice a “deflation” or loss of volume in the affected breast. Conversely, with newer cohesive silicone implants, implant ruptures are often “silent”, meaning you may not be able to see or feel a difference in the implant after a rupture.  The FDA recommends scheduled MRI surveillance of silicone implants to help detect these silent ruptures.  If your silicone implant ruptures, the FDA recommends having it removed with or without replacement.  The recommended MRI’s are not covered by insurance and will have to be paid out of pocket.

2. Breast Implant Cost
Saline implants are typically less expensive to purchase than silicone implants (typically several hundred dollars) but may have less extensive warranty coverage.  An exception to the cheaper initial cost for saline-filled implants is the new “Ideal Implant”, which is a “structured”saline-filled implant that is purported to feel more like a silicone implant and has a similar overall cost to silicone implants.

3. Breast Implant Feel
Silicone implants, including gummy bear breast implants, are widely accepted as feeling more “natural” or“breast-like” particularly when squeezed or prodded. However, this is likely an over simplification. The overall implant feel is also affected by implant pocket selection, implant fill characteristics (over-filled vs under-filled saline and more or less cohesive silicone gel), and overall soft tissue coverage.  Dr. Albright typically reserves saline-filled implant use to below the muscle (total submuscular) to minimize any unnatural feel.  Furthermore, he discourages using saline implants in a dual-plane pocket as these implants may migrate more quickly due to a water hammer effect from the saline fluid on the surrounding soft tissue.

4. Breast Implant Weight
The implant fill density (typically grams per cc of volume) is very similar between 0.9% Normal Saline, and cohesive silicone gel.  Both approximate 1g per cc.  Since saline implants come deflated and are filled with salt water during the procedure, they have a range of fill volumes that can be placed and are more adjustable, whereas silicone implants come pre filled and have a fixed volume. But even with these variables, differences between implant weight (at least within the range of most implant sizes) are negligible.

5. Implant Rippling
Alamo Plastic Surgery is the one of the best places to get breast implants in Texas. Every breast implant has the risk for rippling/scalloping/waviness/folding in its shell.  This is why ensuring adequate soft tissue coverage to “hide” the implant is so important. There are certainly differences in overall risk of seeing or feeling these ripples or folds. Underfilled-saline implants are at greater risk than over-filled saline implants.  Less cohesive silicone gel filled implants are at greater risk than more cohesive silicone gel implants.

Should my breast implants be placed over or under the muscle?

Implant pocket is the most important determinant of outcome and is described by the relationship of the implant to the pectoralis muscle on the chest.  The “pec” muscle is a flat fan-shaped chest muscle connected to the front of the chest on three sides (collar bone, outside border of the breast bone, and along the ribs near the lower part of the breast).  The muscle is not connected to the chest wall on the side toward your armpit (you can pinch the muscle between your fingers on the side) as it spans over the armpit to connect the chest to your upper arm.  Placing the implant above this muscle is called subglandular or prepectoral.

Placing the implant below the muscle is called submuscular or subpectoral, and can be further differentiated by being completely under the muscle (total submuscular), or partly under the muscle (dual-plane). When an implant is placed below the muscle, the procedure is more painful and you may need more pain medication. However, for most women, the pain is temporary and there is no difference in pain long term. By changing the pocket, you can change the overall breast look as well as the relative short and long term risks and benefits of the procedure.

During your consultation from the breast implant specialist, Dr. Albright will help you decide which implant pocket is best for you.

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What is the right size breast implant for my body?

Although most women worry about specific implant volume, implant pocket and implant dimensions are more important considerations - especially if you have a particular “look” you are trying to achieve.  To this end, a simple exercise for patients considering breast augmentation is to begin collecting photos of models you like, in clothes/swimsuits/underwear/naked. You can also view Dr Albright’s B&A gallery online or in the office to get additional examples. Together you and Dr. Albright, who owns Alamo Plastic Surgery (one of the best places to get breast augmentation) will figure out how to achieve your best look.

Please see 3 minute video below from Dr. Albright on sizing implants:

Do I need a breast lift with my breast augmentation procedure?

This is the first question to answer when considering a breast augmentation. Dr. Albright will assess your breast tissue, the skin of the breast and the position of the nipple to help you decide which of breast augmentation, breast lift, or breast lift with breast augmentation would be best.

The ideal breast augmentation candidate is a patient that desires more breast volume. If you desire to wear a larger cup size, then more volume will be needed. If you are happy with the volume of breast tissue in a bra, but not with the droopiness of the breast out of clothing, then a breast lift is best. Do you want more volume and need to fix a little breast droop? Typically, if the nipple position is below the fold of the breast while standing in front of a mirror and you want larger breasts, a lift with an implant (augmentation mastopexy) procedure will likely be needed.

Visit Alamo Plastic Surgery for an affordable breast augmentation quote with financing starting at $257/month. For a full explanation visit Dr. Albright's YouTube explanation on breast implants with lift versus breast augmentation.

Please see short 4 minute video below on how to tell if you need a lift with breast augmentation:

Why do breast implants move/displace over time?

Gravity, muscle contraction, and soft tissue resistance to these forces.

All implants will have a natural tendency to displace over time due to gravity.  Implants are weights.  In fact, implants are typically more dense (weigh more given same volume) than breast tissue!  Implant pocket will affect the degree of implant displacement due to gravity.  When the implant is placed completely underneath the pectoralis muscle (the lower part of the muscle is still connected to the ribs near the bottom fold of the breast), the implant will be supported by these muscle fiber attachments and resist downward movement of the implant due to gravity.  Subglandular and Dual Plane Submuscular pockets do not have this lower muscle support and therefore will be more likely to allow implants to move down the chest. Get your breast implantation surgery from the one of the top rated breast implant surgeons in Texas - Dr. Albright.

Muscle Contraction
When an implant is placed underneath the pectoralis muscle and the muscle contracts, the muscle fibers will shorten and create a pressure on the implant.  The implant will want to go where there is less pressure, and this is typically where there is no muscle coverage.  Imagine squeezing a balloon in your fist, the balloon will be pushed out through the open side of your fist.  Both total submuscular implants and partial submuscular (dual plane) implants are subjected to this force from contracting muscle.  These two implant pockets will tend to push the implants toward the armpits over time.  Additionally, for dual plane implants, where there is no longer muscle support from the bottom side of the breast, and therefore, the implant can also be pushed out from under the breast toward the belly.  This creates a “double-bubble” deformity.  When an implant is placed above the muscle, it is not squeezed by the muscle and actively displaced by muscle contraction. Dr. Albright has great skills and expertise in breast implantation and he is considered as one of the best breast implant surgeons in Texas.

Soft Tissue Resistance
The only thing resisting gravity and muscle contraction is soft tissue (skin, fascia and scar tissue). The skin and fascia of the breast are designed to stretch to allow for possible milk production, and are therefore not ideal counter-forces. Women with damaged skin and stretch marks on the breasts are particularly at risk. The only remaining soft tissue support is the scar tissue that forms around the implant. When an implant is placed in your body, your body will start to wall it off with scar tissue. This scar tissue is called the implant capsule.  Patients differ in how robust this scar tissue layer is.
Plastic surgeons’ do not have a way to predict how thick or robust this scar tissue will be for patients.  If you happen to produce a thin/flimsy capsule, your implant will be more likely to migrate out of position. Plastic surgeons’ have tried to create a thicker capsules by using textured surfaces to the implants, and a variety of meshes to reinforce the capsule. Textured surfaces on the implant allow a more intimate connection between the scar tissue and the implant thereby resisting movement of the implant. However, these textured surfaces have been implicated in a very rare type of cancer. The lone remaining viable option is  to use a mesh to support the implant and resist displacement due to muscle contraction.  Meshes are either biologic or synthetic and all have unique benefits and drawbacks.

Dr. William Albright is one of the premier plastic surgeons in Texas and offers first-class plastic surgery services in a comfortable and private environment.

Please see video below from Dr. William Albright on breast implant migration factors:

Which breast augmentation incision is best for me?

Dr Albright recommends placing the breast augmentation incision along the lower breast fold (inframammary fold). This affords the best control of implant pocket dissection, a critical step during breast augmentation. Additionally this incision is associated with the lowest risk of developing capsular contracture, which is a progressive pathologic thickening of the scar tissue around the implant (the capsule).

The most widely accepted cause of capsular contracture is chronic inflammation in the scar tissue around the implant due to bacteria colonizing the surface of the implant. The bacteria may be encountered during implant placement either through milk ducts around the areola or in hair bearing pores / sweat glands in the armpit (axilla). Accessing the breast pocket through the belly button (umbilicus) or TUBA (transumbilical breast augmentation), has been criticized for difficulty with pocket development, and limits implant selection to saline implants.

How can I maintain my results from breast augmentation?

Understanding that the biology of aging can’t be reversed with a scalpel, there are some common sense precautions you can take to prolong the longevity of your result.  Breast tissue and breast implants have weight.  In fact, breast implants are typically heavier than native breast tissue for the same volume.

Fat transfer breast augmentation has gravity and activities will move this weight over time, and eventually overpower the soft tissue support creating droopiness and a poorly positioned implant. For this reason, Dr. Albright recommends wearing breast support as much as possible, including at night, for life. Related to this concept of soft tissue strain, one should avoid significant weight fluctuations either up or down.

Finally, we can avoid unnecessary damage to the soft tissue by limiting nicotine exposure and tanning.

When will I see results from my Breast Augmentation?

For most patients there will be initial swelling from breast augmentation surgery followed by gradual resolution of the swelling with a resulting loss of volume. Around 2 months, most of the swelling has resolved and you will be at your approximate breast size. At this point you can go out and purchase your new wardrobe (bras, bikinis, etc)!

However, even at this point, you may not have your final breast SHAPE out-of-clothes (how the breast will look when standing naked).  This is because the overlying soft tissues are still adjusting to the implant which takes about 2-3 months for above-the-muscle implants to about 4-6 months for below-the-muscle implants.

Depending on your goals, this may help you figure out when to schedule your breast augmentation surgery Stone Oak, TX.


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19016 Stone Oak Parkway Suite 240, San Antonio, TX 78258
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