Breast Augmentation
in Bryn Mawr & Philadelphia, PA

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What Is Breast Augmentation?

Breast augmentation, also known as boob job, is a cosmetic procedure that improves the size and shape of a woman’s breasts. It can be done with implants that are filled with saline or silicone gel. Another method is natural fat transfer using the patient’s own tissue. The main goal of breast augmentation is to make your breast look more youthful and attractive. This surgery usually lasts 1.5 hours and involves a wide range of techniques.

Breast Augmentation Types

Breast Implant Surgery
Breast augmentation is typically performed using saline or silicone implants. We also offer more innovative options, such as “gummy bear” augments. Within each category, there are different options with various sizes and shapes. Every implant is tailored to the patient’s unique body type and goals.
Saline Breast Implants
Saline breast implants consist of a silicone shell filled with sterile saltwater. They are inserted empty into the breast pocket during surgery and then filled with saline to the appropriate volume. The size can also be adjusted after surgery to fine-tune aesthetic results. The saltwater filling can be easily absorbed into the body in the event of a rupture without significant health risks. Saline implants tend to have more rippling and wrinkling, but the incision required for insertion is smaller since the implants are filled after they are placed. The results can appear slightly less natural than silicone, but saline implants remain popular due to smaller incisions and rupture safety.
These implants have an outer silicone shell filled with a thick silicone gel. The filler is designed to mimic the look and feel of natural breast tissue more closely than saline implants. Silicone is also less likely to wrinkle or ripple. However, such implants require a larger incision for insertion. In general, many patients seeking breast augmentation or reconstruction choose them due to their natural look and feel.
“Gummy bear” implants are currently the most popular. They received this name because the silicone gel inside them is thicker and more cohesive, similar to gummy bear candies. Unlike traditional silicone implants that have a softer filler, “gummy bear” implants can better retain their shape over time. They provide many benefits, such as a more natural texture, reduced risk of rupture, and longer-lasting results.

Natural fat transfer, also known as fat grafting, is a breast augmentation technique that uses a woman’s own tissue to enhance breast size. During this procedure, fat is removed from the abdomen, thighs, or back via liposuction. The harvested tissue is then processed and injected into the breasts to increase volume and improve contours. This is considered natural breast augmentation since it uses the patient’s own material. 

Some advantages of this technique include a lower risk of complications and a more natural feel and appearance compared to breast implants. However, the surgery is longer, and there is a chance that the transferred fat will be reabsorbed by the body over time, requiring additional procedures to maintain results. In addition, this method can increase breasts by no more than one cup size. Still, for women seeking a subtle boost in size without implants, fat transfer can be the most favorable option.

Breast augmentation is typically performed using saline or silicone implants. We also offer more innovative options, such as “gummy bear” augments. Within each category, there are different options with various sizes and shapes. Every implant is tailored to the patient’s unique body type and goals.
Saline Breast Implants
Saline breast implants consist of a silicone shell filled with sterile saltwater. They are inserted empty into the breast pocket during surgery and then filled with saline to the appropriate volume. The size can also be adjusted after surgery to fine-tune aesthetic results. The saltwater filling can be easily absorbed into the body in the event of a rupture without significant health risks. Saline implants tend to have more rippling and wrinkling, but the incision required for insertion is smaller since the implants are filled after they are placed. The results can appear slightly less natural than silicone, but saline implants remain popular due to smaller incisions and rupture safety.
These implants have an outer silicone shell filled with a thick silicone gel. The filler is designed to mimic the look and feel of natural breast tissue more closely than saline implants. Silicone is also less likely to wrinkle or ripple. However, such implants require a larger incision for insertion. In general, many patients seeking breast augmentation or reconstruction choose them due to their natural look and feel.
“Gummy bear” implants are currently the most popular. They received this name because the silicone gel inside them is thicker and more cohesive, similar to gummy bear candies. Unlike traditional silicone implants that have a softer filler, “gummy bear” implants can better retain their shape over time. They provide many benefits, such as a more natural texture, reduced risk of rupture, and longer-lasting results.

Natural fat transfer, also known as fat grafting, is a breast augmentation technique that uses a woman’s own tissue to enhance breast size. During this procedure, fat is removed from the abdomen, thighs, or back via liposuction. The harvested tissue is then processed and injected into the breasts to increase volume and improve contours. This is considered natural breast augmentation since it uses the patient’s own material. 

Some advantages of this technique include a lower risk of complications and a more natural feel and appearance compared to breast implants. However, the surgery is longer, and there is a chance that the transferred fat will be reabsorbed by the body over time, requiring additional procedures to maintain results. In addition, this method can increase breasts by no more than one cup size. Still, for women seeking a subtle boost in size without implants, fat transfer can be the most favorable option.

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Pre-Operative Procedures

Consultation
During a breast augmentation consultation, the patient meets with Dr. Jean to discuss their aesthetic goals and determine if they are a good candidate. The surgeon examines the breasts and takes measurements. He also explains the procedure, where the incisions will be placed, what type of anesthesia will be used, and what the recovery process entails. In addition, Dr. Jean discusses the potential risks and complications associated with breast implants. The patient has an opportunity to review before-and-after photos and ask any questions they may have.

One of the most exciting steps in breast augmentation is implant fitting, which happens during the first consultation. The patient’s satisfaction with the results depends on the right choice of implant type, size, and shape. Dr. Jean guides each individual through the fitting process, but the patient makes the final decision. 

We use the Mentor Sizing System, which has 18 volume sizers that give the best possible representation of breast augmentation results. These sizers are molds placed over the breasts using a special bra so the patient can see how their new breasts will actually look like. Dr. Jean can show up to 24 variations of breast volume using this method.

Our medical staff and Dr. Jean walk the patient through all of the preparation steps for their breast augmentation. There are several ways they can get ready:

  • Stock the home with nutritious foods that are easy to make. Patients may also pre-cook their favorite meals and freeze them so they are readily available during recovery.

  • Fill any prescriptions beforehand and have over-the-counter pain medications that contain acetaminophen, such as Tylenol.

  • Ask a friend or family member for assistance. For the first 48 hours, patients need someone to help around the home.

  • Rearrange the house so that all essential items are on one floor.

  • Create a recovery area with extra pillows to stay slightly elevated during sleep or rest.

     

Breast Augmentation Procedure

Anesthesia
During a breast augmentation, patients are asleep under general anesthesia. They are fully unconscious and do not feel any pain. This method ensures maximum comfort and safety while enabling the surgeon to perform delicate operations.
This technique employs a specialized numbing protocol where the entire breast, including breast tissue and underlying muscle, is thoroughly anesthetized using a combination of local anesthetics. This comprehensive numbing minimizes pain and discomfort during and after the surgery, significantly reducing the need for postoperative medications and allowing patients to engage in light activities and experience a faster, more comfortable recovery.

Dr. Jean can make one of the three types of incisions: inframammary, peri-areolar, and transaxillary. The most appropriate option is selected based on the patient’s anatomy, implant choice, and desired results. Each of them has its benefits and drawbacks:

  • An inframammary incision is located under the breast in the natural fold (where the breast meets with the chest). This allows Dr. Jean to work as close to the breast as possible and provides exceptional visibility and accuracy. The inframammary incision is typically 1.5-2 inches, depending on implant size and type. It is well hidden in the fold beneath the breast.

  • A peri-areolar incision is made around the areola. This option gives Dr. Jean great precision for positioning the implant. Because the opening is made in that place, it can be easily concealed in the darker color of the areola when it is healed.

The surgeon uses the incision to carefully create one of two types of pockets: submuscular or subglandular. Dr. Jean considers a wide range of factors to select the most suitable option. It depends on the patient’s anatomy, amount of natural breast tissue, and implant size. 

In submuscular placement, the implant is put underneath the pectoral muscle. This approach can result in a more natural shape and less visible implant edges while also providing an extra layer over the implant for protection and support. However, submuscular placement often requires a longer recovery time due to the cutting and lifting of the muscle during surgery.

In subglandular placement, the implant is put directly behind the breast gland tissue, on top of the pectoral muscle. While recovery may be faster with this technique, the edges of the breast implant are more likely to be visible or palpable.

The implant is inserted slowly and methodically to avoid damaging the pocket. Dr. Jean may use surgical instruments like a Keller Funnel to guide the breast implant and reduce skin contact. Once fully inserted, the implant is positioned to provide a natural, proportional look.
Dr. Jean carefully closes the incisions using sutures to accurately realign the tissue and skin. The type of stitches can vary depending on the location of the incision and the surgeon’s preference. After sealing, surgical tape or skin glue is applied over the incision site to promote healing and minimize scarring.
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Add-On Procedure: Breast Lift

Many women choose to pair a breast lift (mastopexy) with their breast augmentation to further enhance the results. During a mastopexy, Dr. Jean removes excess skin and reshapes the breast tissue to make it look more youthful and perky. This is a crucial procedure because many women are left with sagging skin after pregnancy or major weight loss. Combining breast lift and augmentation leads to improved contour, shape, and symmetry.

Recovery After Breast Augmentation Surgery

Dr. Jean uses the rapid recovery breast augmentation technique when performing this procedure, which helps our patients get back to their daily lives within 3 days, sometimes less. He accomplishes this through less-invasive surgical techniques and advanced post-operative care. Patients can expect the following:

  • After being discharged, they will need someone to drive them home and help for the first 24hrs. Most activities will be restricted except walking slowly.

  • There will be some pain and discomfort that is managed with prescription oral medication for 48-72 hrs. Tightness and swelling are normal as well.

  • Strenuous activity and exercise should be avoided for 2-4 weeks to allow the implants to stabilize and the incisions to heal fully. Most patients can return to work within 3 days.

  • Results appear immediately but will continue to improve over the next few months as the swelling goes down and the implants settle into position.

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Candidates for Breast Enhancement

Most women are good candidates for breast augmentation. However, some factors can make this procedure less effective or even harmful. Here are the main restrictions that should be considered:
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AGE

The FDA has approved saline implants for patients over the age of 18 and silicone implants for those who are 22 and older. However, women with certain concerns, such as breast asymmetry, may be eligible during late adolescence with parental consent.
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Serious Medical
Conditions

Candidates may not qualify for breast enhancement if they have a severe medical condition that may increase the risk of complications. For example, those with uncontrolled diabetes, autoimmune disorders, bleeding problems, or very recent breast cancer may be advised to postpone or avoid breast augmentation.
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Pregnancy and
Breastfeeding Plans

Since nursing can alter breast shape and size, we recommend waiting until after pregnancy and breastfeeding to undergo augmentation. Candidates who are planning a baby in the future may wish to time their surgery accordingly.

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Lifestyle
Factors

Smoking, drug use, or medical non-compliance may increase the risk of complications. Therefore, it is crucial to make sure that these issues are addressed before surgery. Dr. Jean will do a full health assessment to determine if breast implants are safe or if precautions are needed.

Benefits of Breast Augmentation

Improves Body Contour
Breast augmentation allows women to achieve a more balanced shape and feminine proportions. Patients who are concerned that their lower body looks disproportionate compared to their smaller breasts can address this issue through plastic surgery. Properly sized implants will create beautiful curves and a harmonious hourglass shape.
Many people choose to get breast augmentation because it can greatly boost their self-confidence. Having larger, shapelier breasts makes women feel better about their appearance, femininity, and body image. The change in figure and proportion after this surgery leads to increased self-esteem and elevated mood.
Some women have one breast that is visibly smaller than the other. This asymmetry may be addressed by using implants of different sizes. Dr. Jean will select and place them skillfully to achieve stunning improvements. We can fix asymmetry and give the breasts a beautiful, proportionate appearance.
Pregnancy and nursing may alter a woman’s breast volume and cause sagging. Therefore, breast augmentation procedure is a good option for mothers who wish to restore the perky, youthful shape they had before kids. The implants can fill up deflated breasts and make them look fuller.
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Breast Augmentation Cost in Bryn Mawr & Philadelphia

Breast augmentation cost in Bryn Mawr and Philadelphia ranges from $9,500 to $10,500. This price includes the surgeon’s fee, operating room charges, anesthesia, and other expenses. The type of breast implants also impacts cost. More advanced silicone gel and “gummy bear” implants are priced higher than basic saline options. Our experienced staff helps patients make the right choice and explore all financing options. We accept cash, checks, and major debit and credit cards. There is also an opportunity to use CareCredit plans to break down expenses over the long term.

What Makes Our Breast Augmentation Different From Others?

Dr. Jean has many years of experience in breast surgery and judges our success by the satisfaction of our patients. He supports each individual and is always available to answer their questions throughout the entire process. Dr. Jean performs the entire surgery himself, which means that our patients get the highest quality of treatment from a board-certified professional.
Main Line Plastic Surgery is an excellent choice for women considering breast augmentation. Our state-of-the-art facility was designed specifically for comfort, privacy, and optimal results. Patients can feel at ease knowing that our practice has a spotless safety record and a highly talented surgeon.
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What our patients are saying