Breast augmentation

Augmentation Mammoplasty

Model. Not actual patient.

The Benefits of Breast Augmentation

Before and After Breast Augmentation Tennessee

Before and After Breast Augmentation Tennessee

Before and After Breast Augmentation Tennessee

Year after year, breast augmentation is one of the most popular plastic surgery procedures in the United States. If you’re thinking about getting  breast implants yourself, you’ll be joining over 300,000 women – just this year – who have undergone a breast augmentation too.

A reason for this popularity is thanks to the benefits a natural looking transformation can create. For most patients, the benefits of a breast augmentation will look something like this:

  • A natural looking increase in the size of your breasts.
  • Your enhanced breasts will blend in seamlessly with your body and proportions. They might look so natural that no one will ever guess you’ve had work done. They’ll just know you look amazing!
  • Breast augmentation can increase your confidence and self esteem, making you feel more like a “woman”.
  • You might finally feel comfortable in your own skin, especially if you think that your exterior appearance really reflects your self image.
  • Many patients enjoy improved breast symmetry and shape.
  • Your overall proportions may look a little more youthful (and make you feel a little younger as a result).

The benefits of your breast augmentation procedure will be tailored to your body and your goals, helping you achieve an individualized, natural looking transformation.

Techniques Tailored to Your Transformation

Every patient is unique. In order to help you achieve a stunning transformation, a mixture of different surgical techniques will be used.

We work with you to make sure you understand what’s happening and why during your breast augmentation in Tennessee. That way we can work with you to make informed decisions about the best way to proceed with your transformation.

Model. Not actual patient.

Implant Placement Location

One big decision you and Dr. Endara or Dr. Fulks will tackle is how deeply to place your implant. Most patients will choose one of these two options:

  1. On top of your pectoral muscle: With this implant placement technique, the breast implant is placed between your breast tissue and your pectoral muscle. This technique is seldom used, and it’s usually reserved for anyone who really needs to preserve the strength and appearance of the pectoral muscles (body builders, for example).
  2. Beneath the pectoral muscle: This is the preferred option for most patients, leading to a more natural looking result. Placing your breast implant beneath the pectoral muscle will also minimize certain complications (such as visible rippling or capsular contracture).

Breast Augmentation Incision Placement and the Location of the Resulting Scar

There are several breast augmentation incision placements. The three main options are usually:

  • Fold of the Breast (Inframammary): The preferred method for nearly all breast augmentation procedures is inframammary. This technique allows for the most flexibility in terms of implant placement and the lowest rate of complications, according to medical research. Inframammary incisions are usually, but not always, the most reliable and effective incision option. Our surgeons know that any breast implant will change the shape of the breast (by design), so we make incisions where the “new” fold will be. That way, your inframammary incision and resulting scar will remain well hidden within the fold.
  • Armpit (Transaxillary): A small incision is made in the armpit. Transaxillary incisions can be tempting because they are easy to hide, but they are only viable with saline implants and can often lead to higher complication rates related to poor placement and displacement.
  • Areola/Nipple (Periareolar): An incision is made around the areola. This technique may be appropriate for some instances, but can lead to a higher rate of capsular contracture, due to contaminants on the tissue of the skin.

We typically prefer the inframammary incision for the majority of breast augmentation patients because of its placement accuracy, reduced risk rate and consistently high satisfaction rate.

Breast Implant Types Available: Silicone or Saline?

Maybe the biggest decision you’ll have to make about your breast augmentation is the type of implant you want. Usually, you’ll have one of two options: saline or silicone. While they fulfill the same basic role, saline and silicone implants are quite different.

  • Saline implants: Saline is, essentially, medically purified salt water. The benefit of an implant filled with saline is that, in the event of a rupture, the implant material is quite easily (and safely) absorbed by the body. Generally, saline implants are not the first choice of most surgeons, though they are appropriate to use in specific circumstances, such as in patients under the age of 22.
  • Silicone implants: More often than not, silicone-based breast implants are going to be the implant of choice. Silicone looks and feels more natural than saline. And patients then have more options in terms of possible sizes. Silicone also has a well deserved reputation for being a safe and reliable option.

As you’re deciding on your implant type, you’ll probably also spend some time thinking about the size of your implants. Most of our patients are trying to achieve natural looking results, and that means finding the perfect size for your frame and for your proportions. You’ll be able to try on variety of sizers while wearing a sports bra so you can determine the right fit for you.  When choosing a size, we'll examine how the breast implant looks and how it will look in the future, taking into consideration how the size improves the upper portion of your breast. (If necessary, we can even perform fat transfer to the upper pole to create a smoother contour!).

The Breast Augmentation Surgery

Your breast augmentation procedure will be performed on an outpatient basis, so you’ll probably get to return home the same day as your procedure. Surgery itself will probably take a couple of hours, and it will be performed under general anesthesia.

Once anesthesia has kicked in, we use a lighted protractor-enabled technique to keep your incisions as short as possible (ensuring your recovery is as speedy as we can make it). The pectoral muscle is released up to the sternum to ensure the implant looks natural when sitting on or beneath the muscle. We then use direction vision to create a precisely-sized pocket for the implant. A process called lateral dissection, which ensures the implant has a stable pocket to sit in, is performed. Other surgeons may use directed thermal energy, such as lasers, to accomplish this step, but our methods limit the thermal energy your breast is exposed to. That means there’s less chance of damage to the nerves during the procedure so the risk of nerve damage is dramatically reduced.

Our surgeons use manual breast implant insertion methods and do not use extra devices such as the Keller Funnel. This ensures we have maximum control when placing your implant.

A Sterile Process

The breast implant is unpackaged and prepped at the last possible moment to avoid any possible contamination from the environment. The waiting breast pocket will also be thoroughly irrigated with 50-50 betadine and flushed twice with a triple antibiotic solution. This helps reduce the risk of infection.

Three Steps to Protecting Your Results

After the implant is inserted, a “three-layer” closure process is performed:

First, the breast capsule is sutured to the fascia attached to the rib beneath the fold of the breast. This helps keep the implant from sliding out of place or causing “double bubble” and ensures your implants remain securely in their intended pocket.

Second we’ll suture the subcutaneous tissue to the chest wall. This helps keep everything in place as intended.

Finally, we close the incision with monofilament absorbable sutures, which resist infection and dissolve over time. That means you’ll be able to avoid the sometimes painful process of having sutures removed!

Breast Augmentation Risks and Considerations

Hundreds of thousands of breast augmentation surgeries are successfully performed every year around the world. This procedure has a great satisfaction rate, which is why it's consistently in the top 3 most popular plastic surgery procedures performed in North America.

However, like any surgery, there are risks that you should be aware of. These include the following:

  • Bleeding and an unusual amount of bruising
  • Hematoma and seroma (excessive accumulation of blood or fluid)
  • Infection
  • Changes in sensation, which may include permanent numbness
  • Abnormal scarring
  • Implant displacement
  • The abnormal formation of scar tissue, a condition known as capsular contracture
  •  Undesirable results, such as wrinkling, double bubble and a visible outline of the implant (we perform specialized techniques to reduce these risks)

Another important consideration to note is that breast implants aren't manufactured as lifetime devices. While many of our patients are happy with their implants for a long time or permanently, you should know that your implants may need to be changed at some point in your life. This may not be in 10 years, as most people think. It could be sooner or later than that, depending on the situation.

Possible reasons for breast implant exchange or removal:

  • Rupture or deflation
  • Capsular contracture
  • Desire to increase or decrease size

A comprehensive list of risks and side effects will be provided to you before your surgery. Being aware of them will help you make an informed decision on your breast augmentation.


Model. Not actual patient.

Your Breast Augmentation Recovery

During your recovery, you can expect:

  • Being instructed to avoid showering for roughly 48 hours after your procedure
  • To be instructed how to apply antibacterial gauze (steristrips and zeroform) to your incision site.
  • Wearing a compression garment for up to three weeks to help control swelling
  • That your first checkup will probably be scheduled about three weeks after your procedure
  • How to massage silicone cream on your incision site, in order to help scars fade more quickly
  • To be given personalized and detailed instructions, so you will know exactly what you can and cannot do (and when) during your recovery.

Your Breast Augmentation Results

You'll be able to see that you have larger breasts immediately after surgery, even though they'll be covered up with bandages and a compression bra. However, your breasts may look a little strange. They may have a flattened out or take on a squarish appearance. They may also sit abnormal high on your chest and look swollen. Don't be alarmed — this is totally normal in the first stage of your recovery.

It takes a few months for your body to accommodate the implants. To do this, your tissues will need to relax and stretch out, allowing the implants more space. The process is commonly known as drop and fluff. As your tissues relax, the implants gradually become less compressed and settle into their surgically formed pockets with the force of gravity. As it does this, your breasts "fluff out", taking on the more natural shape that you hoped for. Swelling and bruising will also disappear.

The drop and fluff process typically takes about 3-4 months, but it may be a little longer for patients who have firmer skin and naturally smaller breasts. If the breasts continue to sit a bit too high, Dr. Endara or Dr. Fulks may recommend that you wear a bandeau across the top of your breasts to help push them down a bit. However, this is usually not necessary.

Once your breasts have settled into position and swelling disappears, you'll be able to see your desired improvement.

Breast Augmentation FAQ

Breast augmentation is a plastic surgery procedure that enhances the size of the breasts. It can also improve the shape of the breasts to a certain extent. 

There’s nothing more exciting than seeing the results of your breast enhancement!

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1601 Hatcher Ln.
Columbia, TN 38401

1601 Hatcher Ln.
Columbia, TN 38401

T: 931-381-2802


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