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If you wish your breasts were larger, fuller or had more shape, breast augmentation (breast implants) at our Birmingham, Alabama facility may be your answer.

Before the breast augmentation (breast implants) procedure at the Birmingham, Alabama-area Premier Plastic Surgery Center, patients thoroughly consult with plastic surgeon Dr. Peter Van Hoy to determine the size and shape of the breast implants that will best suit their needs. Breast augmentation (breast implants) is typically done in our Birmingham, Alabama area cosmetic surgery facility as an outpatient procedure. Patients are typically given anesthesia. The breast implants are placed either directly underneath the breast tissue or below the pectoral muscle.

Premier Plastic Surgery provides detailed post-operative instructions and follow-up care for its breast augmentation (breast implants) patients in the Birmingham, Alabama area. Once healing has occurred, breast augmentation (breast implants) patients can expect their breasts to look fuller, shapelier and have a youthful lift.

Breast augmentation (breast implants) surgery, as with all surgeries, carries risks and these risks will be discussed during the initial consultation. If you are considering Breast augmentation (breast implants), it is important to thoroughly consult with an experienced plastic surgeon to ensure your expectations are met. At the Premier Plastic Surgery Center, Dr. Van Hoy performs approximately six times as many breast augmentation (breast implants) surgeries as any other average plastic surgeon. We have extensive experience with this procedure, and breast augmentation (breast implants) is performed in our Birmingham, Alabama facility. Plastic surgeon Dr. Peter Van Hoy and his professional staff are available to discuss your breast implants options in the Birmingham, Alabama area.

View before and after pictures of breast augmentation (implants) procedures by Dr. Van Hoy.
The cosmetic surgery photos in the above link contains partial nudity and may not be appropriate for those under the age of 18.

Here are some breast augmentation (implants) information that might be helpful.
(Courtesy of the FDA breast augmentation (implants) Consumer Handbook)
Asymmetry - Uneven appearance between a woman’s breasts in terms of size, shape, or breast level.
Breast Augmentation (Breast Implants) - Includes cosmetic uses, such as to increase breast size or for ptosis (sagging or drooping of the breast) or asymmetry. Augmentation is one of three indications (clinical uses) for breast augmentation (implants).
Breast pocket - A pocket surgically created to hold the implant.
Breast tissue atrophy - Thinning and shrinking of the skin.
Periareolar - Around the nipple.
Ptosis - Sagging/drooping of the breast
Reconstruction - Includes non-cosmetic uses such as post-mastectomy, a severe injury to the breast, a birth defect that affects the breast, or a medical condition causing a severe breast abnormality. Reconstruction is one of three indications (clinical uses) for breast augmentation (implants).
Redness/ bruising - Bleeding at operative site that causes discoloration and varies in degree and length of time. This is expected following breast implant surgery or breast procedures
Reduction mammoplasty - Surgical procedure to reduce breast size.
Saline-Filled breast augmentation (implants)

The three types of saline-filled breast augmentation (implants) are as follows:

• One type is a single lumen breast augmentation (implants) that is filled during the operation with a fixed volume of saline through a valve. There are no adjustments of the saline volume after the operation.
• A second type is a single lumen breast augmentation (implants) that is filled during the operation with saline through a valve. This type of implant allows for adjustments of the saline volume after the operation.
• A third type is a single lumen breast augmentation (implants) that is prefilled by the manufacturer with a fixed volume of saline. There are no valves for filling during the operation or for adjustments of the saline volume after the operation.

The silicone rubber shell for a saline-filled breast augmentation (implants) has the following general
composition:

• cured polymeric (large) silicones
• approximately 20% of finely powdered silica that is tightly bound to the silicone polymers
• small amounts of smaller silicones
• minute amounts (parts per million) of metals, including a metal catalyst (usually tin, zinc, or platinum) (A catalyst is something that causes a change in material.)
• traces of readily evaporating materials (volatiles), such as xylene and other organic compounds

The filler is sterile saline that should conform to United States Pharmacopeia (USP) standards for Normal Physiological Saline (injection grade).

Silicone Gel-Filled breast augmentation (implants)

The three types of silicone gel-filled breast augmentation (implants) are as follows:

• One type is a single lumen implant that is prefilled by the manufacturer with a fixed volume of silicone gel.
• A second type is a double lumen implant with (1) an inner lumen prefilled by the manufacturer with a fixed volume of silicone gel and (2) an outer lumen that is filled during the operation with a fixed volume of saline through a valve.
• A third type is a double lumen breast augmentation (implants) with (1) an outer lumen prefilled by the manufacturer with a fixed volume of silicone gel and (2) an inner lumen that is filled during the operation with saline through a valve. This type of breast augmentation (implants) allows for adjustments of the saline volume after the operation.

A silicone gel-filled breast augmentation (implants) has a silicone rubber shell with the same general composition as shown in the Saline-Filled breast augmentation (implants) section above.

The filler is silicone gel that has the general composition of:

• silicone oil
• cured polymeric (large) silicones
• small amounts of uncured large and smaller silicone
• minute amounts (parts per million) of metals, including a metal catalyst (usually platinum). (A catalyst is something that causes a change in material.)

Subglandular - When the breast augmentation (implants) is placed under and within the breast glands but on top of the chest muscles.
Submuscular - When the breast augmentation (implants) is placed underneath the chest muscles.
Transaxillary - Under the arm

Choosing an Implant
You should consider the following when you and your surgeon are discussing implant options.
Implant Status – Whether or not an implant is PMA-approved or investigational (not PMA-approved) should be something you consider. An breast augmentation (implants) that is investigational means you will need to be part of a clinical study to get these implants. In addition, the surgeon of your choice may work with only specific breast augmentation (implants).
Shape and Size - Depending on the desired shape and size you wish to achieve, you and your surgeon may choose a round or contoured breast augmentation (implants) shape of appropriate size (volume). You should be aware that contoured breast augmentation (implants) that are placed submuscular (under the pectoralis major muscle) may assume a round shape after implantation. Your surgeon will also evaluate your existing tissue to determine if you have enough to cover the breast augmentation (implants).
Implant Surface - Textured surface breast augmentation (implants) were designed to reduce the chance of capsular contracture. Some studies with small numbers of women suggest that surface texturing reduces the chance of severe capsular contracture. However, other studies of a large number of women with saline-filled implants show no difference in the likelihood of developing capsular contracture with textured implants when compared to smooth-surfaced breast augmentation (implants).
Implant Palpability/Visibility - The following may cause breast augmentation (implants) to be more palpable (more easily felt) or more visible: textured breast augmentation (implants); larger breast augmentation (implants); subglandular placement; and smaller amount of skin/tissue available to cover the breast augmentation (implants).

General Description of breast augmentation (implants) surgery

Breast implants surgery can be performed on an outpatient (not in the hospital) basis or in a hospital. It can be done under local anesthesia (only the breast area is numbed) or under general anesthesia (put to sleep or not aware of having surgery).

breast augmentation (implants) surgery can last from one to several hours depending on your particular case (your condition, implant choice, incision site, implant placement, etc.).

If the surgery is done in a hospital, the length of the hospital stay will vary according to the type of surgery, the development of any postoperative (after surgery) complications, and your general health. The length of the hospital stay may also depend on the type of coverage your insurance provides.

Before surgery, your doctor should discuss with you the extent of surgery, the estimated time it will take, and the choice of treatment for pain and nausea.

Choosing the Surgical Incision Site
You should discuss the pros and cons for each incision site you are considering with your surgeon. Your surgeon may recommend an incision site for you depending on whether you will be having breast augmentation (implants) or reconstruction.
breast augmentation (implants) Incision Sites – The three common incision sites are under the arm (transaxillary), around the nipple (periareolar), or within the breast fold (inframammary). The sketch below shows each of these incisions sites.

• Transaxillary – This incision is less concealed than periareolar but associated with less difficulty than the periareolar incision site when breast feeding.
• Periareolar – This incision is most concealed but is associated with a higher likelihood of inability to successfully breast feed, as compared to the other incision sites.
• Inframammary – This incision is less concealed than periareolar but associated with less difficulty with breast feeding than the periareolar incision site.

The umbilical/endoscopic incision site is not recommended by companies.

• Reconstruction Incision Sites - Most breast augmentation (implants) in breast reconstruction use the mastectomy scar either immediately during the mastectomy procedure or after tissue expansion.
  
  

Choosing the Type of Implant Placement
The breast implant can be placed either submuscularly or subglandularly. You should discuss with your surgeon the pros and cons of the implant placement selected for you.

The sketches below show the differences between subglandular and submuscular placement of your implant compared to a breast before augmentation

After the breast augmentation (breast implants) surgery
Dr. Van Hoy should describe the usual postoperative recovery process, the possible complications that can arise, and the expected recovery period. Following the operation, as with any surgery, you can expect some pain, swelling, bruising, and tenderness. These complications may last for a month or longer, but they should disappear with time. In addition, scarring is a natural outcome of surgery. Ask Dr. Van Hoy to describe the location, size, and appearance of the scars you can expect to have. For most women, scars will fade over time to thin lines, although the darker your skin, the more prominent the scars are likely to be.

Dr. Van Hoy may prescribe medications for pain and nausea. Some women may experience bleeding and some may experience fever, warmth, or redness of the breast, or other symptoms of infection. You should report these symptoms immediately to your doctor. Dr. Van Hoy should tell you about wound healing and how to care for your wound. Drains may be used for a few days.

You may need a post-operative bra, compression bandage, or jog bra for extra support and positioning while you heal. At Dr. Van Hoy’s recommendation, you will most likely be able to return to work within a few days, although you should avoid any strenuous activities that could raise your pulse and blood pressure for at least a couple of weeks. Your doctor may also recommend breast massage exercises.

Ask Dr. Van Hoy about a schedule of follow-up examinations, limits on your activities, precautions you should take, and when you can return to your normal routine, including exercising. (If you are enrolled in a clinical study, Dr. Van Hoy should give you a schedule for follow-up examinations set by the study plan.)

Questions to ask your Surgeon about Breast breast augmentation (implants)
The following list of questions may help you to remind you of topics to discuss with Dr. Van Hoy. You may have additional questions as well.

• What are the risks and complications associated with having breast augmentation (implants)?
• How many additional operations of my breast augmentation (implants) can I expect over my lifetime?
• How will my breasts look if I choose to have the breast augmentation (implants) removed without replacement?
• What shape, size, surface texturing, incision site, and placement site is recommended for me?
• How will my ability to breast feed be affected?
• How can I expect my breast augmentation (implants) to look over time?
• How can I expect my breast augmentation (implants) to look after pregnancy? After breastfeeding?
• What are my options if I am dissatisfied with the cosmetic outcome of my breast augmentation (implants)?
• What alternate procedures or products are available if I choose not to have breast augmentation (implants)?
• Do you have before and after photos I can look at for each procedure and what results are reasonable for me?