This document provides information about breast augmentation surgery. It discusses why women choose the procedure, including having small breasts or wanting a larger size. It also covers choices that must be made prior to surgery, such as saline or silicone implants, incision location, implant profile, and size selection. Details are given on the surgery process, including consultations, the outpatient procedure, anesthesia used, and recovery expectations. Risks, safety records, and the qualifications of the plastic surgeon are also outlined.

1. Everything you ever wanted to
know about BREAST
AUGMENTATION
Darshan Shah, MD Plastic and Reconstructive Surgeon

2. Why Do We Do Breast Augmentation?
 Small breasts
 Woman wants a larger size
 Tubular breasts
 Asymmetry
 Empty skin envelope (weight
loss or pregnancy)
Why Do We Do Breast Augmentation?
Tubular breasts
Small breasts C cup- wants bigger
Asymmetry
Empty skin envelope

3. Choices you have to make before
surgery
 Saline or Silicone?
 Incision Location?
 High Profile or Low Profile?
 What Size Do I Choose?

4. Saline vs. Silicone
Saline Implants
 Filled with salt water
(same as IV)
 Size can be adjusted
 Higher chance of rippling
 Heavier
 Can deflate
Silicone Implants
 Filled with cohesive
silicone gel
 Softer, more natural feel
 Can not adjust size
 Less rippling
 Does not “deflate”

5. Incision Location
Around the areola
 Scar can be visible
 Higher chance of sensation loss, infection
 Damages breast tissue
Axilla (Armpit)
 Far from pocket, more damage to body
 Higher chance of infection, malposition
 More painful, visible
Belly Button
 Far from pocket, more damage to body
 Higher chance of infection, malposition, pain

6. Incision Location
We Recommend Under the Breast
 Hides very well
 Short (approximately one inch) incision
 Heals beautifully
 Safest method of insertion
 Most direct route to pocket, less damage
 Least painful, fastest recovery
 Minimize chances for complications
 Least chance of malposition
 Least chance of sensation loss
 Least chance of capsule

7. Healing of the Under Breast Incision
1 week 3 weeks 6 weeks
3 months

8. High or Low Profile?
High Profile
 Narrower
 More projection
 Recommended
Moderate & Low Profile
 Flatter
 Wider

9. What Size Do I Choose?
 Sizing is done by knowing and
communicating your expectations with
your doctor
 Doctor will measure your breast width
 Doctor will recommend sizes based
on your desires, body frame and
measurements
 Try them on!

10. Having Realistic Expectations
 Your breast skin has limits to
how much it can be
stretched. There will be limits
to the size you can choose
 The more skin you have on
your breast to start with, the
more “natural” they will look.
(Stretching vs. filling)
 The look of a cup size and
cc’s vary greatly from person
to person
Stretching
Filling

11. What “look” do you want?

12. What “look” do you want?

13. Do I Need a Lift?
 Will be determined by your
doctor
 Depends on relation of your
areola to your breast fold

14. The Surgery Process
 After consult, you will select a
date for your surgery!
 Pre-op visit 2 weeks before
surgery to review instructions,
check blood work, get
medications
 Surgery performed at
Beautologie Surgery Center
 One hour out patient
procedure, you will be with us
3 to 4 hours

15. Beautologie Surgery Center
 Our surgery center is AAAHC
accredited (like a hospital)
with all emergency facilities
 We have a perfect safety
record
 Comfortable, patient focused
environment
 All staff have years of
experience

16. Anesthesia
 Extremely safe. You are with an
anesthetist the entire time, and
trained trauma doctors
 Track record of over 8000 surgeries
with no major anesthesia issues
 Monitored closely so there is no
chance of “waking up”
 Plastic surgery anesthesia is
different than major surgery
anesthesia
 Much safer and more comfortable
than other techniques (“local”)

17. Recovery
Our techniques minimize recovery and discomfort
 First two days minimize activity
 Back to desk job in 4-5 days
 No lifting for 3-4 weeks
 No heavy exercise until after 4 weeks
 Minimal to no bruising
 Swelling for one week
At your follow-up appointments:
 We will teach you how to care for your scar
 All sutures dissolve (do not need removal)
 Massage to prevent scar tissue
 Bra to maintain position
What you’ll be saying after 4-6 weeks:
“best thing I ever did!”
“should have done it years ago!”
“much easier than I thought!”
“amazing boost in my self confidence!”

18. Darshan R Shah, MD, FACS
 Trained in Plastic Surgery at the
world famous Mayo Clinic
 Voted BEST IN TOWN 10 years in a
row
 Performed over 3500 breast
augmentation surgeries
 Over 99% satisfaction rate
 Treats every patient like family

19. Thank you.
Beautologie Medical Group, Inc