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Breast Augmentation Specialists In San Antonio

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Breast Augmentation At San Antonio Plastic Surgery Institute

Dr. Michael E. Decherd and Dr. Matthew H. Isakson have earned a reputation as surgeons that produce beautiful outcomes for women seeking fuller, shapelier breasts. Breast augmentation continues to be one of the top cosmetic procedures, and more than 300,000 women undergo this surgery each year in the U.S. With their skill and the latest innovations in breast implants, San Antonio women can enjoy beautiful, natural-looking breast augmentation results.

Meet Dr. Matthew H. Isakson

Dr. Matthew H. Isakson is a board-certified plastic surgeon with specialized fellowship training and extensive experience in aesthetic surgery. He specializes exclusively in aesthetic surgery of the face, breast and body with a focus on mommy makeover surgery, abdominoplasty, liposuction, breast augmentation, breast lift, fat transfer to breast, buttocks and labia, labiaplasty, gynecomastia as well as any body contouring procedures related to weight loss.

  • Board certified by the American Board of Plastic Surgery
  • Active member in the American Society of Plastic Surgery
  • Active member in The Aesthetic Society

Breast Lift Surgery

Breast lift surgery is a common cosmetic procedure for women following pregnancy, nursing, weight loss and aging. This is because many women find themselves feeling disappointed and insecure by sagging, deflated breasts and consider surgery to correct this. A breast lift reshapes the breast and brings it “back to life” with a tighter, shapelier appearance. Dr. Michael E. Decherd and Dr. Matthew H. Isakson have helped many women achieve their aesthetic goals through breast lift surgery. Some women may not be certain they need a lift. A good rule of thumb, is that if the nipple is above the fold, it does not need a lift. If it is well below the fold, then it may benefit from a lift.

The goal of a breast lift, or mastopexy, is twofold: The breast should be mechanically repositioned and the nipple/areola moved higher up (toward the neck); and second, the goal is to create a projecting, pleasing-shaped breast. To do this, excess skin is excised and the nipple and areola are repositioned upward. During this process, the breast is reshaped so that it creates projection. This is not always easy and in some cases, implants may be used. During a breast lift, the areola can be made smaller and any asymmetry between the breasts can be lessened.

Breast Augmentation Frequently Asked Questions

Options include beneath the breast, around the areola (nipple), or in the armpit. Most of the time, especially for silicone implants, we need to go beneath the breast in the inframammary fold (where the bottom of the breast meets the chest). This allows for a longer incision for these pre-filled implants. In most cases, especially if the breast has any degree of sag, the patient almost never sees this incision.

Implants come round or shaped (such as a tear shape). While some women think that a shaped implant will be better, we often recommend a round shape. First, the implant has to be textured to prevent rotation after surgery (a problem a round implant does not have). Also, they seem not to give enough fullness to the bottom half of the breast. By contrast, a round implant under the muscle essentially assumes a teardrop shape, but can rotate without causing a problem.

The implant pocket can be created either under the muscle or on top of the muscle. However, it is a common approach to almost always go under the muscle on a first-time breast augmentation. Even under the muscle, there are some areas in the lower and outer quadrant where the pectoral muscle does not cover the implant, but the muscle helps fill in the upper pole of the breast. An under-the-muscle placement also helps prevent capsular contracture.

Usually women feel pretty good pretty quickly after breast augmentation surgery. What this means is that patients should take it easy for the first day once they are released and resting at home. Most patients feel pretty good but will be tired, sore and feel as though they just had a vigorous workout. Patients should get up and moving soon to help with circulation. Exercise will need to be avoided for several weeks or longer to prevent any possible bleeding.

It is common for many women to feel anxious right after surgery. This is because there is swelling, and the implants ride high at first, so they appear larger and higher than they will once they assume their final position. It takes about 3-4 months for the implants to settle and take on a natural look. Women typically love their new breasts once this occurs. The results for most women are long lasting. Today’s implants are manufactured well. The average implant can last between 10-15 years or longer.

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