Here in Dallas, Texas, breast augmentation (technically called augmentation mammoplasty) is one of the most commonly performed of all cosmetic procedures. Although the details of each surgery differ, breast augmentation involves the careful insertion of implants to enlarge the breasts. Choosing an experienced, board-certified plastic surgeon such as Dr. Jeffrey Kenkel ensures natural-looking results that last for years.
Am I a good candidate for the surgery?
The best candidates for breast augmentation are women who are in search of aesthetic improvement rather than perfection. Other important factors include good physical health and realistic expectations. During your consultation, Dr. Kenkel will discuss your goals and lifestyle with you at length to determine if breast augmentation is right for you.
Before you decide to have surgery, think carefully about your expectations and share them with Dr. Kenkel.
What should I expect from my consultation?
Your consultation is the first step in getting the results you want. During this appointment, you and Dr. Kenkel spend plenty of time discussing your desired breast size as well as other concerns you'd like to address. This discussion helps Dr. Kenkel understand your expectations and determine whether they can realistically be achieved. Your consultation isn't just an informative appointment for you — it's also an opportunity for Dr. Kenkel to get to know you and listen to your story.
Dr. Kenkel also performs a physical examination during your consultation. He considers such factors as size and shape, skin quality, and the position of your nipples and areolas. If your breasts sag, he may recommend a combined breast augmentation and lift to improve the size, shape, and position of your breasts. If you have other areas of your body that you'd like to improve, you may be better suited to a mommy makeover.
After your meeting with Dr. Kenkel, a member of our staff will take photographs to be kept with your records.
It's important to come to your consultation prepared to discuss your medical history, including current and past conditions, drug allergies, treatments and procedures you've undergone, and any medications and supplements you currently take. You'll discuss your family history of breast cancer and, if you're over 40, the results of any mammograms you've had.
How is the surgery performed?
Breast augmentation is a very personalized procedure. You and Dr. Kenkel will work together to make the best choices for your particular circumstances. Your options include:
- Implant material: saline or silicone
- Implant shape: round or anatomically shaped
- Implant placement: above or below the chest muscle
- Incision location: around the areola, below the breast crease, or in the armpit
Using the incision that you decided on when planning your surgery, Dr. Kenkel accesses your breast tissue to create a pocket for the implant. He inserts the implants into these pockets. If you selected saline implants, their shells are inserted empty and filled with the sterile saltwater solution once they're placed. Once he's satisfied with the position, size, and symmetry of your implants, he closes the incisions with sutures. Breast augmentation typically takes about 2 hours to complete.
How will I learn about the safety of breast implants?
Dr. Kenkel uses only FDA-approved breast implants. These devices have been subjected to a series of rigorous tests, and their long-term safety has been proven repeatedly. If you have specific questions or concerns about implant safety, Dr. Kenkel is happy to discuss them during your consultation.
What happens the day of surgery?
Your breast augmentation will be performed in the hospital as an outpatient procedure. Be sure to arrange for someone to drive you home after surgery and stay with you for at least a night. Our breast augmentation document explains how you can further prepare yourself for surgery. If you smoke, you must stop several weeks in advance of surgery in order to avoid serious complications. Dr. Kenkel may also ask you to temporarily discontinue the use of certain medications.
Just before your procedure, we administer medications to enhance your comfort and decrease any feelings of anxiety you have. The procedure is performed while you are under general anesthesia. Once your surgery is over, you're moved to a recovery area where your recuperation is closely monitored. In most cases, you'll be able to return home soon after surgery, but in some cases you and Dr. Kenkel may decide that it's best for you to spend a night in our hotel-like aftercare facility.
What is the recovery like?
In the immediate days after surgery, you'll likely feel sore and groggy, but you'll be able to move about your home. Most discomfort is controllable with prescribed medications, and many patients say they can easily transition to over-the-counter products after just a few days.
After 2 to 3 days, you may remove your surgical bra and take a shower. However, Dr. Kenkel encourages the use of special bandages to reduce the potential for scars. After 3 or 4 days, you'll visit Dr. Kenkel for a follow-up appointment. He removes your sutures after about a week.
You should be sure to avoid very vigorous activities, especially those that involve heavy lifting or arm movement, for up to 3 weeks. Swelling gradually decreases over the course of a month.
What should I know about my results?
Your results should be quite long-lasting, as today's implants have been shown to hold their shape and structure for upwards of 15 years. However, they aren't meant to be permanent. Over time, gravity, aging, and other factors will alter the size and shape of your breasts. In the future, you may choose to "upgrade" your implants to more modern versions or remove them altogether. In any case, maintaining healthy lifestyle habits is vital to enjoying your beautiful results for as long as possible.
For some patients, Dr. Kenkel recommends a baseline mammogram before surgery and another several months afterward. This helps detect any changes in your breast tissue. After surgery, you will still be able to perform monthly self-checks and routine mammograms, although you may need to undergo a modified version of the procedure.
How many visits do I have after surgery?
You'll need to return for follow-up visits 3 to 4 days after surgery, then again in 7 to 10 days for suture removal. During your postoperative visits, Dr. Kenkel discusses further postoperative activity and addresses any concerns you may have. Following this visit, you'll need to return at approximately 6 weeks, 3 months, 6 months, and 1 year after surgery. However, you can contact our office with questions or concerns at any time during your recuperation.
How much does breast augmentation cost?
During your initial consultation, you're quoted a price that includes Dr. Kenkel's fee as well as hospital and anesthesia fees. All fees are due 3 weeks prior to your surgery. We accept cash, checks, money orders, and credit cards. A $500.00 deposit will reserve a specific time and date for your surgery.