And the operation has evolved in recent years.
(You may have seen surgeons on social talking about subfascial breast augmentation.
That last part is crucial, but often overlooked, says board-certified Beverly Hills plastic surgeonKelly Killeen, MD.
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Some women have told me theres like this mind-body dissociation, he says.
Turns out, deconstructing the chest muscle during surgery can sometimes affect the biomechanics of the shoulder.
But not any more, he says: I think we can do better.
internal bras, which are absorbable materials designed to support the implants, like little hammocks, during healing.
(More on that soon.)
The look for 2024: Did she or didnt she?
Halle Berry and Kaley Cuoco for a bit more oomph.
Emily Ratajkowski for fullness that doesnt scream fake.
Women are choosing implants that fit their frame, lifestyle, and overall aesthetic.
They dont want a bolt-on, she says.
They just want to fit in their clothing better and [for their implants to] not be noticed.
Cleavage, however discreet, is a must for their patients.
His patients want to have this kind of hidden secret, he adds.
They dont want to be scaring kids at the pool with overdone breasts.
Its like an accessory instead of just big breasts.
In Houston, board-certified plastic surgeonKristy Hamilton, MD, frequently fields similar requests.
For some, getting the look may meanremovingimplants.
Many women start to feel too bigtheyll use the word matronly, he says.
They want to look svelte and sporty in their Lululemon or Alo.
Other surgeons report the same: Cleavage, however discreet, is a must for their patients.
Even those who had breast reductions or explant surgery (i.e.
It is newly available in the US, having beenapprovedby the FDA in September.)
Back then, the technique was associated with high rates of capsular contracture and implant visibility.
As exercise preferences have evolved, animation deformitythe implant bouncing around when the muscle flexeshas become a greater concern.
But others tell me that women are increasingly rejecting the technique and its animation issues.
The pushback began around 2014, with breast reconstruction patients leading the charge.
In doing so, he not only alleviated animation worries, but provided a shorter andless painfulrecovery.
Doctors Gordon and Chidester say Dr. Sigaloves work convinced them to adopt the subfascial technique.
Now, she and her patients are sold on the technique.
She finds subfascial works particularly well for women with certain breast asymmetries.
In the articles included in the meta-analysis, patient follow-ups ranged from approximately one month to seven years.
In his opinion, subfascial is here to stay.
Weve gotten so much savvier in terms of how we execute this operation, says Dr. Pittman.
Were now at our lowestratesof implant rupture, capsular contracture, and reoperation in history.
Theres no perfect optiontheres just options and you have to figure out what fits best into your life.
Those of us who do a huge number of revisions see it every single day, he says.
Dr. Edwards preference for the dual plane is admittedly flavored by the blunders he fixes.
You pick your poison with breast augmentation, summarizes Dr. Killeen.
There are potential issues no matter where you place an implant.
Dr. Killeen agrees: Disproportionate implants are associated with more troubles, no matter where you put them.
Everybody needed drains [to remove the fluid], he says.
Its still too early to judge their performance, surgeons say.
None of these scaffolds is FDA approved for use in the breast, Dr. Gordon points out.
Rather, theyre approved for general soft tissue support (in hernia repairs, for instance).
Galaflex will reportedly begin breast-specific trials within the year.
Likewise, Dr. Killeen doesnt think scaffolds are necessary for basic boob jobs on first-timers.
This is typically a simple surgeryand my advice is dont make it complicated.
