This petite Baltimore patient enhanced her 5 foot, 98 lb. frame with 375 cc Moderate Profile Silicone Implants inserted through a small incision in her armpit.View Patient Details
Breast Augmentation (Breast Implants)
What is Breast Augmentation?
by Dr. Ricardo L Rodriguez
The Breast Augmentation, or Augmentation Mammoplasty procedure, enlarges your breast. This can be done with either silicone or saline implants, as well as using your own fat. The procedure can also change the shape of your breasts or make them more symmetrical. Dr. Rodriguez performs breast augmentation under IV anesthesia in his AAAASF accredited surgery center in Baltimore, Maryland. By using IV anesthesia instead of General Anesthesia, much of the post op nausea is eliminated. The procedure takes up to two hours and you can go back to work in one week.
I've always felt that my breasts were not in proportion to my body
Use Our Before and After Gallery to Help Determine Size and Shape
Take a look at our before and after breast aug gallery to see photos of patients who have undergone breast augmentation with Dr. Rodriguez, Board Certified Plastic Surgeon with over 20 years of experience. Examining the pictures will help you consider what size and shape might be right for you. Please note that all of the patients featured there have given their written consent to have their photos displayed on our site. We are very grateful for their willingness to participate in patient education!
What decisions do I need to make before my breast augmentation procedure?
Most patients elect to have Breast Augmentation with breast implants, because it is the most affordable option. For those patients who go with implants, Dr. Rodriguez will discuss the following decisions with you during your initial breast augmentation consultation:
- saline or silicone
- size of implants
- round or oval (size of implants)
- textured or smooth (surface of implants)
- under or over the muscle (placement of implants)
- location of incision site (implant placement)
- with or without a lift
- high profile or moderate profile
What is the most popular breast implant style and size?
The most popular type of breast implant in our practice is high profile silicone. We recently did an analysis of our last 125 cases to find out that the most popular breast implant size is 400cc.
How much does Breast Augmentation cost in Baltimore?
The TOTAL cost for breast augmentation depends on the implants which you select. Silicone implants are more expensive than saline implants. In our Facility, Saline Implant Total cost is $4800, and the Total Cost for Silicone Implants is $5800. We believe that these are the best prices in the Baltimore area!
The Total Cost includes Dr. Rodriguez's fee, Operating Room Fee, Anesthesia Fee, the cost of the implants, and all office follow up visits for this procedure. A pain pump can be added for an additional fee. To understand how great our prices are, please see our survey of local Plastic Surgeons to find out the average cost in Baltimore.
What is the difference between moderate profile and high profile silicone implants?
High profile implants are usually selected if you want a lot of projection or if you are a small framed woman with a small chest wall. Dr. Rodriguez provides a detailed description of the difference between moderate and high profile implants in this blog post.
High Profile vs Moderate Profile Implants
If you are having breast augmentation, you should first consider the implant profile type before you select the size of the implant. See Dr. Rodriguez talk about the two types of breast implant profiles and what body types each one is good for in this YouTube video.
Where is Dr. Rodriguez's office and where is the procedure performed?
Your Breast Augmentation Procedure is performed with Dr. Rodriguez in our AAAASF Accredited Surgery center located here in Baltimore, Maryland. Dr. Rodriguez uses IV sedation instead of General Anesthesia to make your recovery as quick as possible. For the utmost safety, you anesthesia is administered only by Board Certified Anesthesiologists.
Are silicone implants safe?
The short answer is yes, but we would like to share some of the history of the silicone implant controversy with you to comfort any concerns you may have.
History of silicone implants for cosmetic surgery
Between 1992 and November 2006, silicone breast implants were banned for use for cosmetic reasons while the FDA gathered information regarding their safety. The only patients who received silicone implants during 1992-November 2006 were reconstructive patients and patients with problems such as capsular contracture and breast asymmetry. These patients were required to enroll in a study where they were followed for 5 years post operatively.
In summary, all of the FDA studies led researchers to conclude that silicone breast implants did not cause any kind of disease. Studies showed that there was no greater incidence of any type of disease in women with silicone breast implants compared to the general female population. Silicone implants were determined to be medically safe.
Dr. Rodriguez is very experienced with silicone implants
Dr. Rodriguez has been using silicone implants since 1988. Prior to the ban in 1992, Dr. Rodriguez used silicone implants as the implant of choice for cosmetic patients because of their natural feel. Since 1992 he had scores of patients involved in the FDA study. Read more about the historical perspective on the silicone implant controversy.
Who are typical candidates for the breast augmentation procedure?
Most women who undergo breast implant surgery in our Baltimore Office fall into one of two groups. The largest group comprises women in their thirties with children. They have noticed a loss in skin tone with sagging of the breast. They often notice a decrease in size of the breast (most noticeable in the upper and outer portion). Sometimes the breast augmentation procedure is combined with a breast lift. The second group consists of women in their twenties who want larger breasts to balance the rest of their body.
When can I go back to work after my breast implant procedure?
You must plan to be out of work for 5 to 7 days. You should not drive for one week and you can resume your regular activities within 4 weeks. Breast augmentation at the Baltimore office has a very high satisfaction rate. After the surgery many patients say they wish they had done it sooner!
How are silicone breast implants different from saline implants?
Silicone implants have a much more natural feel than saline implants. Please read Dr. Rodriguez's blog post to understand the differences between saline implants vs. silicone implants. Dr. Rodriguez has worked extensively with silicone implants and believes they are the best choice for many women.
What types of complications can occur with breast augmentation?
Millions of breast implants have been placed in women in the USA alone, and millions more placed in women in other countries. Breast implants have been used for over 40 years. Most women have no problems. The most common problem that we see is tightening of the capsule that surrounds the implant. This often responds to massage, but may occasionally need surgery to remove the capsule. Other rare problems include deflation of the implant. Detailed questions about possible complications can be discussed at your consultation.
How do I know what bra size I will be with breast implants?
Your breast size after surgery depends on two main factors: how big you were before surgery and the volume of implant inserted.
The volumes of the breast implants are measured in CCs, (30cc = 1oz). The most popular implant size is 400 cc. You can get a rough idea of how big you might look by placing the desired volume in a freezer bag and placing it in the lower part of your bra.
In our Baltimore office patients try on actual implants by placing them inside different bra sizes that you will try during your consult. You should bring two different types of tops (a blouse and a tank top) with you to your consultation. This will help you make your decision about the implant size.
Is it better to place the implant over the muscle or under the muscle?
Each approach offers some benefits, however Dr. Rodriguez recommends going under the muscle. Placing the implants under the muscle provides the most natural and long term result. Additionally, it is usually easier to obtain a mammogram.
Where do you make the breast incision to insert the implants?
There are three main choices of incision locations: inframammary, infraareolar, axillary, and TUBA. Dr. Rodriguez rarely performs the TUBA as he prefers to work through the nipple, especially since most of his patients select silicone implants. Please read Dr. Rodriguez's blog post on breast augmentation incision choices.
Is there a way to reduce the pain after surgery?
Patients have the option to purchase a pain pump which dramatically reduces your pain in the first 2 days following your surgery and help you recover in a lesser number of days. Please see Dr. Rodriguez's comments on why pain pumps help in breast augmentation.
Can I finance my Breast Augmentation surgery?
Yes, we work with a number of finance companies such that you can have a low affordable monthly payment. Please call the office at 410-494-8100 or see our financing section for more information.
Make arrangements for your breast augmentation consultation with Dr. Rodriguez in Baltimore by giving us a call at 410-494-8100. We also offer a virtual consultation option.
updated August 28, 2013
by Dr Ricardo L Rodriguez MD
Board Certified Plastic Surgeon