Breast Implants

Will I Need New Implants in 10 Years?

Will I Need New Implants in 10 Years?

Will I Need New Implants in 10 Years?

A popular myth circulating around out there is that implants must be replaced every 10 years.  This is simply not true.  Behind every myth there is a shred of truth (or so they say).  Although you do not have to pencil in an implant switch automatically every 10 years there are some situations where you may need or want to have revision surgery after your breast augmentation.

Implants are manufactured devices just like your TV or the tires on your car.  Eventually they may wear out.  The rupture rate on most implants currently on the market is thought to be around 1% per year cumulative.  So the risk is small initially, but slowly increases with time.  If you are very young when you get a breast augmentation you have a reasonable chance of the implants rupturing by the time you are older.  Unfortunately, no one can predict if and when they will rupture.  It may happen after 5 years, 20 years or never.  If they do rupture they need to be replaced.

Another reason for needing revision surgery after breast augmentation has nothing to do with the shape of the implants and everything to do with the shape of your breasts.  Pun intended.  I’m talking about the actual shape and the condition of the tissues.  As you age, have babies, breast feed, gain weight, lose weight, etc. your breast skin loses elasticity.  After breast feeding you may notice a decrease in breast tissue volume.  If the skin does not contract sufficiently your breasts may appear deflated.  Also, the ligaments that support the weight of the breast (Cooper’s ligaments) stretch and weaken.  These things result in breast sagging.  Plastic surgeons call this ptosis (pronounced toe-sis).    This happens whether or not you have implants.  However, implants add weight to the breast and can accelerate the stretching to some degree, especially larger implants.  There is not an exact cut off, but implants larger than 400-500 cc are probably more likely to do this.

When the condition of the tissues deteriorates the shape of your breasts goes too.  With an implant in place the tissues of the breast can sag lower on the implant creating a “double bubble” or “snoopy-nose” deformity.  This is a problem cosmetically, but only needs to be fixed if it bothers you.  The change will probably not be apparent in clothing.  If you are happy how things look in a bra you may not want to do anything.  If you are unhappy with the appearance a mastopexy (breast lift) is the solution.  If you have had your implants in place for a while (more than five years) it would not be unreasonable to get new implants at the same time.  If they are un-ruptured, however, you do not have to exchange them.

We have discussed a scenario where you need surgery (rupture) and a scenario where you may want surgery (sag).  Capsular contracture is a little of both.  Capsular contracture occurs when the normal thin scar capsule around your breast implant tightens.  This is not a black or white situation—it’s shades of gray.  You may have very mild capsular contracture where the implant feels more noticeable, but the breast looks okay.  You probably would not want surgery for this.  If it progresses, the breast may feel more firm and the shape may become distorted.  If it gets to that extreme you don’t have to have surgery, but you will probably want it.  Sometimes in severe capsular contracture the tightness is very uncomfortable.  In that case you need surgery.

It is not pleasant to consider the possibility that you may need revision surgery in the future.  Some patients have thinner tissues or more sag initially and are more likely to have these problems.  We always point these factors out to our patients before surgery so that they can weigh the pros and cons.  Overall our breast augmentation patients are among our happiest.  When good decisions are made about implant size and proper techniques are used you can get a great result with maximal longevity.

The Dirty Little Secret About Bra Cup Sizes and Breast Augmentation

The Dirty Little Secret About Bra Cup Sizes and Breast Augmentation

The Dirty Little Secret About Bra Cup Sizes and Breast AugmentationBra cup sizing was introduced in 1932 by the S. H. Camp company. They did not refer to the size of breasts at that time, but how pendulous they were. In 1937 the Warner company introduced four cup sizes, A, B, C, and D and these represented four sizes of breasts. A few more sizes have been introduced since then, but the basic idea has not changed all that much.

The idea behind lettered bra cup sizes is mostly unchanged. To begin, measure over top the breasts and just under the breasts. The underneath measurement is the bra band size, and the over top subtracted from the band is the bra cup size. A one inch difference between these is an A cup, two inches is a B, three inches is a C, a four inch difference is a D. That’s where we get into to trouble. First of all, standardization really only agrees on these four sizes, after that it gets far more loosely defined, and it varies by country. Secondly, even within these sizes, these letters and numbers don’t tell the whole story.

Where It All Goes Wrong

When they come in for breast augmentation, many women tell their plastic surgeon that they would like a “full C cup.” Ostensibly, this is simple enough. That would be a three inch difference between her band size and the final, augmented measurement over the breast.

But this is not always so clear cut. To begin with, bra sizes do not so much represent the size of breasts as the size of a bra. That is to say, they are for fitting undergarments, not for accurately representing the body. Secondly, many people have a misleading idea of what bra cup sizes mean, because many wear the wrong size bra to begin with. Third, it is often difficult to sum up the variety of factors that breast augmentation entails, like implant volume, shape, placement, projection, and more, with a single letter representation.

What To Tell Your Plastic Surgeon

Breast size is a more than a letter-and-number combination for fitting a bra, and working with your plastic surgeon, you’ll go over a variety of factors that influence the final shape and size that will work with your goals and what your body can handle. You’ll discuss implant volume, shape, and placement, along with aesthetics. You may try on various sizers and outfits to see just how variable breasts can be. Instead of relying on cup size, research and think about what will work best for you, and always remember to talk with your surgeon.

Breast Implants? Breast Lift? Both? Which Is Right For You?

A better bosom is no doubt desirable. With the various options available to you, however, it may feel a bit overwhelming and intimidating when trying to decide which procedure to get. With a bit of information about these two types of breast surgeries, they are easy to understand.

Breast Implants

Breast implant, silicone breast implant

Breast implants augment the size of breasts, but not their position on the chest.

Breast implants are silicone or saline medical devices that are inserted either over or under the chest muscles to make the breasts larger. They usually look like small bags, with silicone implants coming pre-filled from the manufacturer, and the surgeon fills saline implants after their insertion into the body.

Implants augment, or add to, the breast and make them physically larger. This is beneficial to those looking for increased volume and a fuller bust. This could be because of a loss of volume due to breastfeeding or simply because you feel your breasts are not at the size you wish them to be. Breast implants come in many varieties of shape, feel, and size and when speaking with Dr. Vennemeyer, you’ll go over these options so that you both can ensure the result will be to your satisfaction.

Breast Lift

Breast lift chart

A breast lift re-positions the breasts on the chest to a more youthful, perky place.

A breast lift moves the breasts up. Sometimes, due to age, pregnancy, or other factors, the breasts can sag and sit lower than their initial natural position on the chest. This can make fitting clothes, bras, and dresses difficult.

To lift the breasts, the surgeon removes excess skin and may also move around and re-position your breast tissue. This procedure creates perkier breasts that look more youthful. If you are satisfied with the size of your breasts, but would like them to be perkier and sit higher on your chest, a breast lift is ideal. When working with Dr. Vennemeyer, you’ll decide on how much lift is right for you.


Breast Augmentation Vennemeyer Plastic Surgery

Both procedures may be right for you if both size and position are concerns.

If you feel that your breasts are both smaller and less perky than you’d like, both procedures combined could be your best route. In a combined procedure, the breasts are moved up and augmented. This combined process is often best when the breasts are smaller than you like and are sitting down further on the chest as well. Dr. Vennemeyer will provide advice and options to determine if a lift and augmentation are right for you. Keep in mind there still may be more than one surgery required.

When going over your options, be sure to ask Dr. Vennemeyer any questions you may have. Breasts that you want and that feel like the truest expression of you are possible, and lifts and implants have their place, sometimes together.

Mommy makeover breast dallas fort worth

After Pregnancy

Mommy Makeover

Mommy Makeovers - Dallas, Fort Worth, Southlake

You love your kids, right? We are guessing that you feel less affectionate about the effects of pregnancy on your body… mommy makeovers in Dallas / Fort Worth are popular procedures that address the areas most commonly affected by pregnancy—namely your breasts and tummy. In one procedure, you can restore breast fullness and perkiness, a flatter tummy and a smaller waist.


Plastic Surgeon Dallas TX

The female body is incredibly resilient but sometimes it doesn't come back to its natural shape. Many of our clients come here after pregnancy to regain their natural appearance or even improve their appearance with breast augmentation following breast feeding and pregnancy. Breast augmentation is incredibly popular after breastfeeding and pregnancy. Here are a few facts about the impact of breastfeeding and pregnancy on breast shape:

•    Most women look deflated after breastfeeding
•    Many women have less volume after breastfeeding and pregnancy
•    Some women have extra skin and sagging after breastfeeding and pregnancy Breast augmentation can be helpful if you fit into any of these categories.

Breast implants can have the following benefits:

•    Breast implants can restore the volume lost after having children and enhance fullness to improve a deflated appearance.
•    Breast implants have benefits beyond increasing the size of your breasts. Implants can also improve the shape of your breasts.
•    Most women with sagging who want a lift to be perkier can benefit from breast implants to enhance fullness and cleavage.

Here are some answers to common questions women ask when they are considering breast augmentation after pregnancy and breastfeeding:

Can I breastfeed after a breast augmentation?

If you have more children you can most likely breastfeed again, if you choose. The risk of breast augmentation affecting your ability to breastfeed is low.

Will a breast augmentation make my breasts perkier?

Breast augmentation makes your breasts larger and more full, it does not make them perkier. Breast lifts (mastopexy) make breasts perkier by moving your nipples up and reducing or eliminating any breast tissue hanging over your breast creases (inframammary folds). The procedures are often combined to enhance fullness and perkiness.

How can I tell if I need a lift?

o    Perkiness is determined by two factors: the level of your nipples and whether your breasts hang over the inframammary folds.
o    If your nipples and breast tissue are above your inframammary folds, you probably do not need a lift.
o    If your nipples and/or breast tissue hangs below the level of your inframammary folds you probably need a mastopexy to get a good result with breast implants.

Will stretch marks get worse with breast augmentation?

Stretch marks can occur after breast augmentation. They are most common in women who are prone to stretch marks. The risk of breast stretch marks increases when you have tight skin and choose relatively large implants for your breasts. If you already have stretch marks, the appearance of your stretch marks can change when the skin becomes tighter after breast augmentation. You can get an idea of this by pulling a section of skin tight to spread the stretch marks. This makes the stretch marks less obvious in some women and more obvious in others. The presence of stretch marks on your breasts before augmentation does not mean you will get more stretch marks. This is tough to predict and depends mostly on your skin and the size of implants you choose. Larger implants stretch your skin more and increase the risk.

Is there anything that I can put on my breasts to reduce stretch marks?

Unfortunately there is not any product that will eliminate stretch marks. Massaging skin with lotion and giving it time usually results in lightening of any pink or purplish coloration. The over-priced stretch mark products on the market do not do much from what we’ve seen.

Should I get silicone or saline breast implants after pregnancy?

Most moms select silicone breast implants after pregnancy and breastfeeding because they feel much softer than saline implants. Silicone implants also have less wrinkling and rippling than saline. “Gummy bear” breast implants are silicone implants with a thicker gel and tear drop shape that gives a very perky and natural result. These are popular with our patients who want fuller breasts, but do not want to look like they had a breast augmentation.

Vennemeyer Plastic Surgery has a tremendous amount of experience with moms post pregnancy wanting to get their pre-pregnancy looks back. We hope this information helps you understand the issues and the possibilities with your procedures. We know it doesn't answer every question you might have that is why we suggest a consultation. If you live in Dallas, Fort Worth or anywhere within driving distance, we'd be happy to discuss with you in person some of the procedures associated with the mommy makeover. Call us today! You won't regret it.

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