Female Tummy Tuck

Tummy Tuck (Abdominoplasty) in San Antonio, TX

Alamo Plastic Surgery San Antonio TX | Tummy Tuck

For women with loose, damaged skin on the belly, whether it is from multiple pregnancies or weight loss, a tummy tuck (abdominoplasty) may be the best way to get a more youthful and attractive stomach.  For these women, there really is no “minimally invasive” or non-surgical substitute for a tummy tuck.  Women rave about ‘getting their bodies back’ and being able to wear ‘regular’ clothes or even a two-piece swimsuit again with confidence!  

A tummy tuck or abdominoplasty is a cosmetic surgery that will remove excess skin and stretch marks, typically from the lower part of the abdomen and leave a scar that can be hidden under most underwear and bikini bottoms.  While loose skin is being removed, a stretched or damaged looking belly button (umbilicus) can often be rejuvenated.  Also, if there has been separation of the abdominal muscles from pregnancies (rectus diastasis), Dr. Albright can improve this with ‘rectus plication’ helping to narrow and feminize the waistline.  Full or droopy pubic mound (mons pubis)? Dr. Albright will see about flattening this during the abdominoplasty surgery. Therefore, a tummy tuck is plastic surgery that can rejuvenate the entire abdominal area!

As one of the top board-certified plastic surgeons in San Antonio, Dr. Albright may suggest combining the tummy tuck with liposuction to get an even better result if a patient will benefit from additional body contouring.

Dr. William Albright, MD, is a San Antonio, TX, plastic surgeon. With years of experience and expertise in cosmetic and body surgery, Dr. Albright can help you achieve your desired look.

What is a tummy tuck surgery?

A tummy tuck, or abdominoplasty, is a cosmetic surgical procedure to improve the abdomen's appearance. It involves removing excess skin and fat from the abdominal area and tightening the abdominal muscles to create a smoother and firmer abdominal profile.

How long does a tummy tuck last?

The common scar pattern is a horizontal (side-to-side) scar located above the pubic mound near where a C-section scar would be placed. The scar is contoured and positioned so that it should be fairly easy to hide with most types of underwear and bikini bottoms. 

The scar is longer than a C section scar, and the length depends on how much skin needs to be removed with a "mini abdominoplasty" having the shortest length scar. Occasionally, if the belly button is being relocated, a short vertical scar may be necessary between the belly button and the low horizontal scar, and a scar will be placed around the ‘new’ belly button. 

Other scar options are a “reverse tummy tuck” where the scar is placed, redundant skin is moved upward, and a horizontal scar is placed under the breasts. This is far less common than the traditional lower body scar.  

Finally, for patients  who have had dramatic weight-loss success including after bariatric surgery, it may be necessary to perform a “fleur-de-lis” incision which combines a traditional lower side-to-side incision with a long vertical incision creating an upside down ‘T’ pattern.  This is sometimes needed to address not only top-down skin excess but also side-to-side skin excess. 

Although the scar pattern is more visible and difficult to hide out-of-clothing, the resulting improvement in shape and waist definition is usually considered a fair trade by these patients.  Please check out video below from Dr. Albright's patient who is one year out:

Average cost of a tummy tuck in San Antonio, TX

The cost of a tummy tuck varies widely depending on the surgeon's experience, the geographic location, and the specific needs of the patient. 

Non-surgical alternatives to a tummy tuck surgery

Non-surgical options, such as CoolSculpting, radiofrequency, and laser treatments, can reduce fat and tighten skin to some extent but are usually less effective than a tummy tuck for significant skin excess or muscle separation.

Difference between a tummy tuck and liposuction

A tummy tuck is a comprehensive procedure that removes excess skin and fat and tightens abdominal muscles. Conversely, liposuction focuses solely on removing fat from targeted areas and does not address skin or muscle laxity.

How long does the surgery typically take?

A tummy tuck surgery typically takes two to four hours, depending on the extent of the surgery and whether additional procedures are performed simultaneously.

What happens during tummy tuck or abdominoplasty procedures?

During a tummy tuck, an incision is made across the lower abdomen, from hip to hip. Excess skin and fat are removed, and the abdominal muscles are tightened. The remaining skin is then repositioned to create a more toned look.

Preparing for your Abdominoplasty Surgery

Preparation for a tummy tuck surgery includes discussing your medical history and goals with your surgeon, getting lab testing or a medical evaluation, taking certain medications or adjusting your current medications, and cessation of all nicotine use.

Find the best tummy tuck surgeon for you

Whether you want to enhance your breasts, flatten your tummy, or get a mommy makeover, Dr. Albright can help you achieve your aesthetic goals. Book your appointment at (210)-670-5302 and take the first step towards your dream body.

Tummy tuck FAQ’s

Am I a good candidate for a tummy tuck?

Good candidates for a tummy tuck are women who are finished with child-bearing (not planning future pregnancies) and at a stable, preferably ideal, body weight. For the best cosmetic results, patients should have a body mass index (BMI) less than 30, and have most of their fat located under the skin instead of inside the abdominal wall. Alamo Plastic Surgery is one of the best plastic surgery clinics for tummy tuck surgery for women in San Antonio, TX. Dr. Albright will assess this during the physical exam.  As safety is of utmost importance to Dr. Albright, patients should be medically healthy enough for general anesthesia, and should not have had major abdominal surgeries or mesh-based large hernia repairs. Patients who have had bariatric surgery, should be at least 1 year after their procedure, and have stable weight with adequate follow up and laboratory studies by their bariatric surgeons prior to considering body contouring procedures.

What do the tummy tuck scars look like?

The common scar pattern is a horizontal (side-to-side) scar located above the pubic mound near where a C-section scar would be placed. The scar is contoured and positioned so that it should be fairly easy to hide with most types of underwear and bikini bottoms.  The scar is longer than a C section scar, and the length depends on how much skin needs to be removed with a "mini abdominoplasty" having the shortest length scar. Occasionally, if the belly button is being relocated, a short vertical scar may be necessary between the belly button and the low horizontal scar, and a scar will be placed around the ‘new’ belly button.  

Other scar options are a “reverse tummy tuck” where the scar is placed redundant skin is moved upward, and a horizontal scar is placed under the breasts. This is far less common than the traditional lower body scar.  Finally, for patients  who have had dramatic weight-loss success including after bariatric surgery, it may be necessary to perform a “fleur-de-lis” incision which combines a traditional lower side-to-side incision with a long vertical incision creating an upside down ‘T’ pattern.  This is sometimes needed to address not only top-down skin excess but also side-to-side skin excess. Although the scar pattern is more visible and difficult to hide out-of-clothing, the resulting improvement in shape and waist definition is usually considered a fair trade by these patients.  

What is the recovery time like for a tummy tuck and when can I resume exercise / weightlifting?

In the first week after surgery, the patient will need to maintain a flexed waist (bent-over) position while standing, sitting and lying down. In the days following surgery if drains are used, they will typically be removed by the second week.  In the first week patients will wear an abdominal binder 24/7, followed by 5 weeks of a compression garment.   Walking exercise may be resumed by 4 weeks in most patients, followed by advancing to strenuous activities at 6 weeks.  Most patients will be unrestricted by 2 months after surgery (out of compression and performing all normal exercise activities).  However, if a rectus diastasis repair was performed, Dr. A will recommend avoiding intense abdominal bracing movements like heavy weightlifting, until 3 months after surgery, and with precautions.
One of the biggest reasons for the tremendous growth in non-surgical or minimally-invasive body contouring procedures is the longer recovery involved with surgery.  However the surgical result can not be replicated with these other technologies.  Every month, Dr A works with patients who have high work / life demands, including parental responsibilities.  Although individual recommendations may vary, most patients will need at least 2 weeks to recover from surgery prior to resuming less physically demanding work assignments, regular household chores and primary child care.  Ideally the patient’s younger children do not need to be lifted routinely, and are able to climb in and out of their car seat without help.  Most patients benefit from the assistance of a spouse or partner for the first week, and a family member for the second week.  
What is Tummy Tuck infographicsWhat is Tummy Tuck infographics

When will I see my Tummy Tuck results?

As the proverb goes, good things come to those who wait. The healing process takes time.  The initial swelling from surgery is the body’s response to inflammation caused by surgical injury. When a surgically created space is made and inflammation is present, the body will allow clear fluid (serous fluid) from your circulation to move into the space. Swelling may take as long as 3-5 months after surgery to completely resolve and reveal your postoperative figure. Additionally, the scars will continue to mature their appearance over 8-12 month time period. Dr. Albright and his staff will help you through this transition period. He will tailor the procedures to best fit your goals! He is one of the best Tummy Tuck surgeons in San Antonio TX.

Can I get other surgery procedures like breast surgery or arm lift, thigh lift, buttock lift at the same time as my tummy tuck?

Yes, it is common to combine procedures as there is usually less total expense and only one postoperative recovery period. Additionally, patients will have a much more profound body makeover.  The most common procedures performed with a tummy tuck plastic surgery are breast surgeries (breast augmentation, breast lift, augmentation mastopexy or fat transfer to the breasts) and is commonly described as a “mommy makeover”. However, there are drawbacks to combining procedures and it may not be ideal for all patients.  The complications from combined surgeries is slightly higher than doing the procedures independently especially for blood clots.  Dr. William Albright, one of the best surgeons for tummy tuck surgery, and he will assess these risks and will be happy to give you his honest opinion.

What if I become pregnant after a tummy tuck?

Congratulations on the pregnancy! But now what?  Your body will accommodate the growing fetus and may do what it did with any previous pregnancies. This includes allowing the tissue (fascia) between the ab muscles (rectus abdominis) to stretch which produces “rectus diastasis” or “diastasis recti”. Depending on the type of tummy tuck plastic surgery you had (rectus plication or mesh for hernia repair), there is a chance that this repair could fail and you would develop similar issues that you had before your tummy tuck surgery. Additionally, skin on the belly will stretch again and with or without significant weight loss, you may develop some skin redundancy again.  Dr. Albright, one of the best tummy tuck doctors and tummy tuck surgeons, may need to perform a touch up to return you to your prepregnancy result.

Exceptional. Compassionate. Trusted.

Tummy Tuck
“ I had two Singleton pregnancies and my last pregnancy was twins measuring at 47 weeks. I pumped for 43 months total. I am beyond happy with my results. He did an AMAZING job and I am still in shock!! ”
Tummy Tuck  
“ Dr. Albright was very professional and, knowledgeable as well as very nice, caring and patient. He answered all of my questions (which I had many). I never felt like he was hurried. The office staff were kind and caring (and a good sense of humor) as well. I had a tummy tuck. I could not wait to get rid of the excess skin from having twins. Dr. Albright did a fantastic job. I had tears when I saw my new stomach! I look and feel better than ever! Recommendation is a definite--YES!! ”
Cathy L
Tummy Tuck / Liposuction / Implant Replacement
“ My motivation is to feel the best, and look the best I have felt in a long time! I started having children at age 19 and that transformed my body. Now 20 years later, and losing 40 pounds, I am ready to have that self confidence, and body I have not seen in a long time ”
Tummy Tuck  
“ I had fleur de lis abdominoplasty with Dr Albright in March of 2018. Having met with several other surgeons and doing lots of research, I felt certain Dr Albright was my surgeon. He was professional and knowledgeable. He listened to me. I am a massive weight loss patient with an exceedingly nervous husband and Dr Albright made each of us feel safe and comfortable. My results are perfect and I had zero complications and minimal discomfort. I plan to see him again for further skin removal.”
Tummy Tuck  
“ Dr. Albright and his staff are extremely skilled and knowledge. Being a nurse and knowing details about surgical complications and post op infection risks, I wouldn’t go to any other plastic surgeons in town. He absolutely wants the best results and is willing to take the time needed to achieve that goal. Dr. Albright is realistic about expectations and outcomes and takes the time during procedures to do it right. I highly recommend Dr. Albright without reservations. ”
Tummy Tuck  
“ After losing 141 pounds through diet and exercise alone, I was left with an empty, hanging flap of belly skin. Every day, I would look in the mirror, grab my belly skin, and cringe..... Even after losing all that weight, my self-esteem needed a boost. For me, deciding to do the surgery was just as much a journey in mental and physical health as it was losing the weight itself.  Before going through with the surgery, I decided to wait about 1.5-2 years post-weight loss to see how much my skin would bounce back. While a lot of my other body parts bounced back OK, my belly did not. I saw multiple surgeons, many of which tried to up sale every other part of my body or be more invasive than I needed. Dr. Albright did not. He listened to what my needs were and kept treatment conservative. I knew right away I wanted him to do my surgery. He suggested a Fleur De Lys Abdominoplasty, no muscle repair. As you can see by my pictures, the results are phenomenal. They speak for themselves. Its like I'm a whole new person. I enjoy running now, I feel confident in my clothing and swimsuits, I feel confident in my body. The results have helped me significantly with self-esteem struggles....a large weight has been lifted off of me (in more ways than one).  The office staff is knowledgeable, pleasant, and always fast and efficient. Dr. Albright himself has the best bedside manner of any surgeon I've ever met. Dr. Albright is highly knowledgeable. I'd say he's artist in this field. I would recommend him, hands down, over any other plastic surgeon. While my recovery was fairly easy and uneventful, anytime I did have concerns or questions, the office or Dr. Albright himself were very fast to respond. I would recommend anyone considering a plastics procedure to visit Dr. Albright and the staff. This procedure has changed my life in so many positive ways, I can't thank Dr. William Albright and staff enough! ”
Tummy Tuck / Breast Reduction
“ 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! ”
Alamo Plastic Surgery San Antonio TX | Team - Dr. Albright, Franchesca Espinosa, Juli Albright
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Breast Augmentation

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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 Augmentation San Antonio – Breast Implants

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These Breast Augmentation 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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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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210 670 5302

To schedule a private consultation with Dr. Albright, please call the office or request an appointment online. We welcome your visit.

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