Breast Augmentation

Reasons for getting it done
Many women today are considering breast enhancement to increase their self esteem and boost their self image.  Dr. Fox is board certified in plastic surgery; she gives her patients beautiful, natural looking results. Each surgical procedure is customized to your specific breast type and shape.  All of her patients receive caring, individualized attention.

The most important results in breast augmentation are to achieve the perfect size, and excellent cleavage.  Dr. Elizabeth Fox makes sure that she does not dissect the lateral, outer portion of the breast, therefore the breast implant is placed more towards the center, giving better cleavage. (see before and after photos)

Ideal candidates for the surgery include patients who:

• Have small breasts

• Have a loss in breast volume after childbirth

• Have a difference in size of their breasts (asymmetry)

• Want to look better and fit better in clothing

• Desire fuller breasts with enhanced cleavage

• To lift breasts

Saline vs. Silicone
Breast Implants come in different sizes and shapes.  They can be filled with either saline or can be silicone gel.  Saline and silicone breast implants can be placed below the pectoral muscle, in a sub-pectoral pocket.  At Fox Plastic Surgery Center in Naples, FL; Dr. Elizabeth Fox can help you choose which option is better for you.  There are advantages and benefits for both types of implants such as:

Saline Breast Implants

• Possible to achieve a high round look

• Smaller incision therefore, smaller scar

• Less expensive than silicone

• Scar is located around the areola; camouflages well

Silicone Breast Implants

• Look and Feel more like natural breast tissue

• Less rippling and wrinkling than saline implants

• Can be placed either above or below the muscle

• Dr. Fox prefers smooth, round silicone implants for the best results

• Gummy Bear breasts implants or cohesive gel implants

• Natrelle Silicone gel breast implants by Allergan

• Memory Gel Silicone breast implants by Mentor

• Approved by the FDA in 2006 for patients with asymmetry and normal breasts

• Implant Placement

Dr. Fox can increase the volume and fullness of your breasts by placing a saline or silicone breast implant either above or below the pectoral muscle.  At her AAAA certified surgical facility in Naples, Dr. Fox mostly places breast implants beneath the muscle for the following reasons:

Below the Pectoral Muscle

• Looks more like natural breast tissue

• Better visualization on mammography

• Slows breast drooping in the future

• Helps impede breasts from sagging in the future

• Less wrinkling and rippling

Above the Muscle

• An implant may be placed above the muscle if you are trying to avoid the incisions of a breast lift in the immediate future

• Increases chance of rippling and wrinkling

• More palpable (can be felt easier than if under the muscle)

• May require a breast lift in the future

Incision Sites
There are four basic incision sites used for breast augmentation.  Dr. Elizabeth Fox will discuss your options with you and help you decide which is best for you.

Transumbilical or Endoscopic

• An incision is made in the belly button and the surgeon tunnels through the abdominal tissue to reach the proper placement

• No warranty is honored on implants when the transumbilical approach is used

• Very unlikely that implant will be placed under the muscle

Axillary Approach

• An incision is made in the axillary (underarm) area and the surgeon makes the pocket from the side

• Less likely to achieve adequate cleavage, implant is placed in a more lateral (out to the sides) position

• More than six weeks of discomfort after surgery, longer healing time

• Tearing of muscle, too much destruction of tissue

• You may have a visible scar when you wear a sleeveless shirt

Periareolar

• An incision is made on the side of the areola (the colored part of the nipple)

• May be used for saline implants or small silicone implants

• Heals beautifully and scar may be barely visible

• Scar blends well with natural change in skin color surrounding the nipple

• Allows for placement of the implants under the muscle or under the glandular tissue

• Perfect incision site for saline implants (see before and after pictures)

Inframammary

• An incision is made under the crease of the breasts, in the natural fold under the breast

• Allows for placement of the implants under the muscle or under the glandular tissue

• Dr. Fox can create beautiful cleavage when using this approach

• Can place silicone implant with ease

• Easy to hide the scar (see before and after pictures)

Revisional Surgery
Dr. Fox is an expert at revisional surgery; she often performs corrective surgery on women who have had multiple surgeries by other surgeons.  At the Fox Plastic Surgery Center, in Southwest Fl, Dr. Fox takes great care in making your breasts the best that they can be.  Her patients often site the welcoming atmosphere in her office, and say they can feel the genuine concern Dr. Fox and her staff show towards all.  Dr. Fox can perform revisonal surgery to:

• Correct Asymmetry (when one breast is larger than the other)

• Correct Symmastia (when both breasts connect across the midline)

• Correct Bottoming out (when a breast implant slips below the natural mammary fold)

• Correct rippling of implants (can be corrected with a larger sized implant or replacement with silicone implants)

Anesthesia
Dr. Elizabeth Fox believes in providing the best for her patients, therefore, she only uses IV Sedation with Propofol.  Similar to the anesthesia used for a colonoscopy, IV sedation is a lighter type of sedation than general anesthesia; while the patient remains totally asleep.  At Fox Plastic Surgery Center in South Florida, our all female staff of five nurses and a female anesthetist is nurturing, efficient and experienced in plastic surgery patient care.  We have a AAAA certified surgery center for your comfort and safety.  All of the Surgical Staff are advanced cardiac life support (ACLS) certified because Dr. Fox demands only the best for her patients.  

IV Sedation (Used by Dr. Fox)

• Does not require a tube down your throat

• Only type of anesthesia used at the Fox Plastic Surgery Center

• Allows you to breathe on your own

• Does not alter your pulse and blood pressure levels like general anesthesia

• Typically does not cause nausea or that "sick" feeling caused by general anesthesia

• Is more expensive for the surgeon, therefore it is not used by all surgeons

• Patients wake up more alert

• You sleep through the procedure and do not feel any pain

• Patients wake up in as little as five minutes

General Anesthesia (Not used by Dr. Fox)

• Not used at the Fox Plastic Surgery Center

• Requires a tube down your throat

• Alters your normal pulse and blood pressure levels

• Requires you to breathe noxious gasses

• Typically causes nausea and a "sick" feeling for many days after

• Slower recovery then IV sedation

Recovery
Dr. Fox and her nursing staff will go over everything with you in great detail before your surgery.  We've thought of everything, so you will be prepared emotionally and physically for your surgery.  You will want to be home to rest and do very little activity for the first 5-7 days. Here are a few more pointers:

• Dr. Fox uses only dissolvable sutures for her patients; all sutures will be under the skin

• Dissolvable sutures lead to a better result, less visible scar without stitch marks

• You will go home with a surgical garment that looks like a tight tube top, it is a pressure dressing

• Pain medicine is prescribed for your comfort

• No strenuous exercise or heavy lifting for 4-6 weeks

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