Breast Augmentation or Breast Enhancement Surgery with Breast Implants remains one of the most popular plastic surgery procedures. Dr. Vennemeyer is considered one of the top board certified plastic surgeons nationally based on his annual surgical volume of breast augmentations and breast augmentations with lifts.
When you close your eyes and picture your ideal breasts, what do you envision? Knowing what you want to achieve is the first step in getting the right result. Maybe you want a natural-looking breast augmentation or to replace lost volume as a result of breastfeeding. Or, perhaps a Mommy Makeover, combining rejuvenation of your breasts and body, is a better fit. Let us help you discover what is possible.
With great financing options and low monthly payments starting from $130/month a breast augmentation can fit into any budget. Depending on pre-approval, you may have as little as zero down! Check pre-approval here.
How to pick the right breast implants for you
Have you ever seen breast augmentation results that look amazing? Many things have to come together for this to happen, but one of the biggest factors is implant fit. Which jeans look best on you? The pair that fits your waist, hips and thighs just right always shows off your body the best. We look at breast implant sizing the same way.
Does (breast) implant size matter?
Of course size matters! For most women, their final breast size is the most important thing that impacts their happiness with the final results of a breast augmentation. Often, our patients have a perfect cup size in mind when they arrive for their first consultation. This is a helpful place to start, but breast implant volumes do not translate directly into cup sizes. This is the case because final cup size depends on how much tissue you have to start with combined with the volume added by the implants.
In our experience, women are happiest with their final breast size when we use estimated cup size as a starting point to pick a range of implants. Next, we use implant sizers to narrow it down to the size they like best. Sizers give you the opportunity to “try on” your new breasts before you have the procedure. Our sizing room has multiple mirrors like a dressing room, giving you the unique opportunity to try on different sizes to see which ones give you the proportions you want. Be sure to bring some different outfits with you the day of your consultation. We suggest a range of 2-3 tops or dresses.
Fine tuning breast implants
Implants that "fit" your breasts well can make the difference between a good and a great breast augmentation. Ideally, your implants are slightly narrower than your breasts so that they fit inside just right and provide the optimal natural breast augmentation. We want your implants to fill out your breasts and fit on your chest in the best way possible. To achieve this, we have a range of implants with different dimensions and sizes to find the best fit possible for every woman. These different dimensions are called implant "profiles". High, moderate-plus, moderate and low profile implants are available.
Dr. Vennemeyer will take a series of detailed breast and chest measurements during your consultation to determine the range of implants that will fit you the best. Next, we invite you to try on the different sizes and different profiles that fit your body to determine which implants give you the result you are seeking. We have found this a very accurate method for choosing size with a high degree of patient satisfaction.
Silicone versus Saline
Most women requesting breast augmentation in our practice choose silicone breast implants because they feel softer and more natural. Silicone implants also have the advantages of weighing less and forming fewer, milder ripples. Round silicone implants are filled with a very thick "cohesive" gel that closely mimics the feel of natural breast tissue. Teardrop shaped silicone implants, filled with a more highly cohesive gel, are also available. These are commonly referred to as "gummy bear" implants because the thicker gel has a firmer consistency. Silicone implants have a distinct advantage over saline implants in women with thinner tissues. If you already have saline implants and are considering a switch to silicone, you can learn more on our breast augmentation revision page.
Saline implants tend to feel firmer, less natural and weigh more. They have been declining in popularity over the past several years, but can provide a good result in the right patient.
What are “gummy” or “gummy bear” breast implants?
Gummy breast implants are silicone implants that have thicker gel than previous generations of silicone breast implants. The thicker gel feels natural and forms less ripples than thinner gel silicone implants. In the event of rupture, gummy implants have reduced leakage of gel.
Should I choose gummy breast implants for my breast augmentation?
Absolutely! The better question is how gummy should you go? Most modern silicone implants can be considered “gummy” because they have more cohesive gel than in the past. There are multiple varieties of gummy implants that range in thickness or cohesivity. They range from very soft to slightly more firm. Dr. Vennemeyer can help you determine the right amount of “gummy-ness” for you.
What are the advantages of gummy breast implants?
The thicker gel in gummy breast implants reduces the formation of ripples or folds with movement of the gel. The more cohesive the gel, the fewer ripples. More cohesive also means the implants hold their round shape to a greater degree. This gives Dr. Vennemeyer more artistic control to create your desired shape when performing your breast augmentation, whether you want a more rounded or a more teardrop shaped result.
What are the different types of gummy breast implants?
There are 3 levels of “gummy-ness.” They are all great choices for breast augmentation, but there may be advantages for a specific level of cohesiveness in your case.
- Gummy: Inspira (Softest)
- Best option for most women
- These are the most popular and softest silicone breast implants from Allergan.
- The gel is very thick, but still has a little flow to it.
- Less ripples than saline implants and older generation silicone implants.
- Forms more teardrop shape when you stand; more round when you lie flat.
- Great for natural appearing results
- Least expensive
- Gummier: Soft Touch (Medium soft)
- "Soft Touch" breast implants are more cohesive (thicker) than the Inspira implants with less resulting flow of the gel.
- Slightly firmer feel
- Slightly less rippling
- Balances characteristics of Inspira and Cohesive for those who want an intermediate option, cannot decide or don't want to spring for the extra cost of the cohesive.
- Intermediate cost between Cohesive and Inspira
- Gummiest: Cohesive (Firmest, but still soft)
- Cohesive (thick) gel that does not flow
- Least ripples—advantageous for women with very thin tissues.
- Holds rounder shape in all positions—good for women who want a very rounded shape.
- Shape stability can help women with shape problems, like constricted breasts, where a molding effect can help create a better final breast shape.
- Good for women who want maximum upper breast fullness
- Thought to have less potential for rupture
- Most expensive
How do I choose which cohesive breast implants are best for me?
Dr. Vennemeyer will make it easy to choose which implants are best for you during your consultation.
- He combines your goals along with important factors from your unique body and recommends a plan to get the best results possible.
- Feel confident knowing that most often any of the gummy implants will give you a good result.
- Patients often prefer the feel of one versus the other as the deciding factor.
Choosing the right incision
Figure : Inframammary fold scar hidden in crease shown at 2 months post-op. 375 cc High Profile Silicone Breast Implants.
Breast augmentation incisions are commonly located in the breast crease (inframammary fold), around the areola, or in the armpit. The most common incision is the breast crease. In our opinion, this location hides the scar best. Also, some studies have shown lower infection rates when implants are inserted through the breast crease compared to the armpit or areola. Capsular contracture rates may also be lower when the breast crease incision is used. For these reasons, we recommend the breast crease incision for most women; however, the areolar incision or armpit incision may be preferred or have advantages in select cases.
Using some muscle...
When plastic surgeons talk about over or under the muscle in breast augmentations, the muscle they are referring to is the pectoralis major or "pec". There are a lot of advantages to placing breast implants under your pec muscles. For women with thin tissues, the muscle adds an extra layer of padding to reduce the likelihood of visible ripples in the upper breasts or cleavage area, resulting in a more natural breast augmentation. The pressure of the muscles on the upper portion of the implants can also improve your breast shape. Additionally, studies have shown lower rates of capsular contracture in women who have their implants under the muscle.
Rapid Recovery after Breast Augmentation
- Do your procedure Friday -> Back to work Monday!
Rapid recovery after breast augmentation involves return to most normal activities of daily living within 24 hours of your procedure. This means that you can go shopping, go out to dinner, go to a movie and go for a long walk within 24 hours of surgery. Most patients can avoid narcotic pain medicine after 24 hours with the use of anti-inflammatories and Tylenol. You can drive as soon as you feel comfortable and safe doing so, as long as you have not taken any narcotics within the previous 24 hours. This could be as soon as 24 hours after surgery if you avoid narcotics entirely.
Special techniques are used to minimize pain and inflammation. During your procedure, Dr. Vennemeyer strives for the following things to facilitate a rapid recovery for his patients:
- Less than ½ teaspoon of blood loss during surgery
- Very precise formation of pocket with great care to avoid unnecessary trauma to tissues
- Using breast implants that fit your body, respecting the limits of your tissues
- Intra-operative injections to minimize breast discomfort post-op
- Medications to help you recovery fast with minimal discomfort
An Excellent physcian should get Excellent reviews. I cant thank him enough! I loved the website and comparing there website to other sites, this one laid everything out on the table. I was great! I have already recommend Dr. V to friends of my and plan to call for a consultation. I looked on the Loftus website and found so much helpful information, I made an appt for a consulation and I knew the moment I hung up the phone I made the right choice! Everyone in the office and Dr. Vennemeyer where so great, they made me feel so comfortable in the decision that I was making. Very professional!.. They helped me pick my size perfect for my body. They listened to my concerns and took there time with me to answer all my questions. The surgery went very smoothly and the recover went just as they had told me. Dr. Vennemeyer seemed like he would take his time and do the surgery until it was absolutely perfect. My results are proof of that. After surgery Dr. Vennemeyer called me at home and gave me his personal phone number and told me to call him anytime for anything. I couldn’t be more pleased with the outcome! One of the best decisions I have made for myself…and my husband seems happy too! I take my shirt off in front of my husband all the time now… WITH CONFIDENCE! I just recently had my last follow up appt with Dr. V and I am a little sad I wont see him or the office staff but once a year now. Dr. V helped my realize that its not a vanity issue to want to look better, but its a confidence booster and I am worth it!
Dr. Vennemeyer and his staff are absolutely amazing! Dr. Vennemeyer is so easy to talk to and extremely professional. He is also very talented and his work looks very natural too. I recommend him to anyone looking for a 5 star experience!
So very pleased with this amazing office in Southlake. Staff was helpful and full of knowledge. Dr. Vennemeyer was so detailed and professional. He sat with me to find out what my needs and concerns were and gave me options of how to move forward. I highly recommend everyone to go and visit this office.