We are back to using silicone gel filled implants under the muscle . I have seen the full circle, including a period where we basically removed a lot of implants and not much was done as augmentation.

Both saline filled and silicone filled implants are safe and can be used, depending on the coverage over the implant. If the patient is very thin and has very little breast tissue, Silicone is preferred because one may feel some of the folds of the implants through the skin with saline implants. The pros and cons should be discussed with the patient and a final decision should be made.

The subpectoral breast augmentation is the preferred position since the complications are rare and the results extremely natural. I always believe that if you can tell a person has breast implants, that is not a natural result. The tendency to develop a "contracture" following a submammary (under breast tissue) augmentation is 20 times higher. This complication, the most common after an augmentation, consists of hardening of the implant due to very thick internal scar formation. It needs surgical correction for complete relief.

The next decision for a breast augmentation is the incision for the insertion. Most patients prefer the inframammary incision which has the least complication rate. The scar fades considerably in time and has been well accepted by hundreds of thousands.

Finally, the decision of size is important. This turns out to be a highly personal matter and the surgeon has to respect the patients' desires. Most people choose to go to a full C cup, sometimes to a B or D. The key is to look at a lot of pictures with the surgeon and all involved. Proportions are crucial to the decision.

One thing to keep in mind is that all implants are under guarantee for 10 yrs and all costs for a change of implant resulting from the failure of the said implant are covered by the manufacturers.

Breast augmentation surgery is the most popular surgical cosmetic procedure in North America. Choosing to undergo a breast augmentation is a very personal decision. Whether you wish to increase the size of your breasts, correct asymmetry or enhance your appearance after pregnancy and breast feeding, Dr. Karaca will work closely with you to determine your ideal shape.

There are two types of implants available for breast augmentation: silicone and saline. Many patients choose silicone implants for their soft, natural look and feel. Patients who choose saline breast implants are often attracted to the smaller incision area required. When it comes to placing the implant there are two common techniques. The implant can be inserted through an incision made underneath the breast, where it is inconspicuous. The other insertion site is the lower edge of the areola, the pigmented skin surrounding the nipple.

As with any surgical procedure, it is important to be treated by a physician with experience and a proven track record for great results. Dr. Karaca believes plastic surgery is a process that will enhance a patient's natural beauty. Through excellence in patient care, a commitment to the highest surgical standards, a personal and caring staff, and a discrete professional environment, Dr. Karaca will help you see the results you are looking for.

Are you interested in breast augmentation/enhancement? Feel free to call us at our Birmingham, MI office to schedule an intial consultation regarding breast augmentation, inquire about cost, or other questions. You can also click on the GenBook icon on the right to easily schedule online right now. We'll be glad to have the opportunity to inform you.