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Augmentation cosmetic surgery

If you wish your breasts were larger, fuller or had more shape, breast augmentation (breast implants) at our Birmingham, Alabama facility may be your answer.Please take a moment to fill out the form below to get started with Breast Augmentation. We will be happy to answer any questions or concerns you may have.

Before the breast augmentation procedure at the Birmingham, Alabama-area Premier Plastic Surgery Center, patients consult with plastic surgeon Dr. Van Hoy to determine the size and shape of the breast implants that will best suit their needs. Breast augmentation is typically done in our Birmingham area cosmetic surgery facility as an outpatient procedure. Patients are given anesthesia. The breast implants are placed below the pectoral muscle.

Premier Plastic Surgery provides detailed post-operative instructions and follow-up care for its breast augmentation patients. Once healing has occurred, breast augmentation patients can expect their breasts to look fuller, shapelier and have a youthful look.

General Description of breast augmentation (breast implants) surgery

Breast augmentation (breast implants) surgery can be performed on an outpatient (not in the hospital) basis or in a hospital. It can be done under general anesthesia (put to sleep or not aware of having surgery).

Surgery can last from 30 minutes – hour depending on your particular case (your condition, implant choice, incision site, implant placement, etc.).

Before surgery, your doctor should discuss with you the extent of surgery, the estimated time it will take, and the choice of treatment for pain and nausea.

Choosing an Implant

Shape and Size – Depending on the desired shape and size you wish to achieve, you and your surgeon may choose a round or contoured breast augmentation (breast implants) shape of appropriate size (volume). You should be aware that contoured breast augmentation (implants) that are placed submuscular (under the pectoralis major muscle) may assume a round shape after implantation. Your surgeon will also evaluate your existing tissue to determine if you have enough to cover the breast augmentation (breast implants).

Implant Surface – Textured surface breast augmentation (breast implants) were designed to reduce the chance of capsular contracture. Some studies with small numbers of women suggest that surface texturing reduces the chance of severe capsular contracture. However, other studies of a large number of women with saline-filled implants show no difference in the likelihood of developing capsular contracture with textured implants when compared to smooth-surfaced breast augmentation (breast implants).

Implant Palpability/Visibility – The following may cause breast implants to be more palpable (more easily felt) or more visible: textured breast implants; larger volume breast implants; subglandular placement; and thin skin/tissue available to cover the breast implants.

Choosing the Type of Implant Placement

The breast augmentation (breast implants) can be placed either submuscularly or subglandularly. You should discuss with Dr. Van Hoy the pros and cons of the implant placement selected for you.

The sketches below show the differences between subglandular and submuscular placement of your implant compared to a breast before augmentation.

Breast Implant Placement

Choosing the Surgical Incision Site

You should discuss the pros and cons for each incision site you are considering with your surgeon. Your surgeon may recommend an incision site for you depending on whether you will be having breast augmentation (breast implants) or reconstruction.

Breast Augmentation Incision Sites – The three common incision sites are under the arm (transaxillary), around the nipple (periareolar), or within the breast fold (inframammary). The sketch below shows each of these incisions sites.

  • Transaxillary – This incision is less concealed than periareolar but associated with less difficulty than the periareolar incision site when breast feeding.
  • Periareolar – This incision is most concealed but is associated with a higher likelihood of inability to successfully breast feed, as compared to the other incision sites.
  • Inframammary – This incision is less concealed than periareolar but associated with less difficulty with breast feeding than the periareolar incision site.
  • Reconstruction Incision Sites – Most breast augmentation (breast implants) in breast reconstruction use the mastectomy scar either immediately during the mastectomy procedure or after tissue expansion.
Choosing an incision site

Questions to ask Dr. Van Hoy about breast augmentation (breast implants)

The following list of questions may help you to remind you of topics to discuss with Dr. Van Hoy. You may have additional questions as well.

  • What are the risks and complications associated with having breast augmentation (breast implants)?
  • How many additional operations of my breast augmentation (breast implants) can I expect over my lifetime?
  • How will my breasts look if I choose to have the breast augmentation (breast implants) removed without replacement?
  • What shape, size, surface texturing, incision site, and placement site is recommended for me?
  • How will my ability to breast feed be affected?
  • How can I expect my breast augmentation (breast implants) to look over time?
  • How can I expect my breast augmentation (breast implants) to look after pregnancy? After breastfeeding?
  • What are my options if I am dissatisfied with the cosmetic outcome of my breast augmentation (breast implants)?
  • What alternate procedures or products are available if I choose not to have breast augmentation (breast implants)?
  • Do you have before and after photos I can look at for each procedure and what results are reasonable for me?

Breast augmentation surgery, as with all surgeries, carries risks and these risks will be discussed during the initial consultation. If you are considering breast augmentation, it is important to thoroughly consult with an experienced plastic surgeon to ensure your expectations are met. At the Premier Plastic Surgery Center in Birmingham, Alabama, Dr. Van Hoy performs approximately six times as many breast augmentation surgeries as any other average plastic surgeon. We have extensive experience with this procedure, and breast augmentation is performed in our Birmingham, Alabama facility. Plastic surgeon Dr. Van Hoy and his professional staff are available to discuss your breast implants options in the Birmingham, Alabama area.

Here are some breast augmentation (breast implants) information that might be helpful.
(Courtesy of the FDA breast augmentation (breast implants) Consumer Handbook)

Asymmetry – Uneven appearance between a woman’s breasts in terms of size, shape, or breast level.
Breast Augmentation (Breast Implants) – Includes cosmetic uses, such as to increase breast size or for asymmetry. Augmentation is one of two indications (clinical uses) for breast augmentation (breast implants).
Breast pocket – A pocket surgically created to hold the implant.
Breast tissue atrophy – Thinning and shrinking of the breast tissue.
Periareolar – Around the nipple.
Ptosis – Sagging/drooping of the breast.
Reconstruction – Includes non-cosmetic uses such as post-mastectomy, a severe injury to the breast, a birth defect that affects the breast, or a medical condition causing a severe breast abnormality. Reconstruction is one of three indications (clinical uses) for breast augmentation (breast implants).
Redness/ bruising – Bleeding at operative site that causes discoloration and varies in degree and length of time. This is expected following breast implant surgery or breast procedures
Reduction mammoplasty – Surgical procedure to reduce breast size.

Saline-Filled breast augmentation (implants)

A single lumen (breast implants) that is filled during the operation with saline through a valve. This type of implant allows for adjustments of the saline volume during the operation.

The filler is sterile saline that should conform to United States Pharmacopeia (USP) standards for Normal Physiological Saline (injection grade).

Silicone Gel-Filled breast augmentation (breast implants)
Single lumen implant that is prefilled by the manufacturer with a fixed volume of silicone gel.

Subglandular – When the breast augmentation (implants) is placed under and within the breast glands but on top of the chest muscles.
Submuscular – When the breast augmentation (implants) is placed underneath the chest muscles.
Transaxillary – Under the arm.

Before and after pictures

  • Before-Patient 1 - Correction of Asymmetry and Nipple Areola Lift Lt 540cc Implant RT, 460cc Implant LT
    After-Patient 1 - Correction of Asymmetry and Nipple Areola Lift Lt 540cc Implant RT, 460cc Implant LT
    BeforePatient 1 - Correction of Asymmetry and Nipple Areola Lift Lt 540cc Implant RT, 460cc Implant LT After
  • Before-Patient 2 - 480cc size implants, Nipple Areola Lift Left
    After-Patient 2 - 480cc size implants, Nipple Areola Lift Left
    BeforePatient 2 - 480cc size implants, Nipple Areola Lift Left After
  • Before-Patient 3 -  correction of Asymmetry 480cc Implant RT, 450cc Implant LT
    After-Patient 3 -  correction of Asymmetry 480cc Implant RT, 450cc Implant LT
    BeforePatient 3 - correction of Asymmetry 480cc Implant RT, 450cc Implant LT After
  • Before-Patient 4 - 360cc RT, 390cc LT
    After-Patient 4 - 360cc RT, 390cc LT
    BeforePatient 4 - 360cc RT, 390cc LT After
  • Before-Patient 5 -  450cc Implants
    After-Patient 5 -  450cc Implants
    BeforePatient 5 - 450cc Implants After
  • Before-Patient 6 - 390cc RT, 330cc Lt
    After-Patient 6 - 390cc RT, 330cc Lt
    BeforePatient 6 - 390cc RT, 330cc Lt After
  • Before-Patient 7 - 390cc Implants Bilaterally
    After-Patient 7 - 390cc Implants Bilaterally
    BeforePatient 7 - 390cc Implants Bilaterally After
  • Before-Patient 8 - Correction of asymmetry 540cc Implant RT, 510cc Implant LT
    After-Patient 8 - Correction of asymmetry 540cc Implant RT, 510cc Implant LT
    BeforePatient 8 - Correction of asymmetry 540cc Implant RT, 510cc Implant LT After
  • Before-Patient 9 - 360cc Implant RT, 390cc Implant LT
    After-Patient 9 - 360cc Implant RT, 390cc Implant LT
    BeforePatient 9 - 360cc Implant RT, 390cc Implant LT After
  • Before-Patient 10 - Correction of Asymmetry 420cc Implant Rt, 390cc Implant Lt
    After-Patient 10 - Correction of Asymmetry 420cc Implant Rt, 390cc Implant Lt
    BeforePatient 10 - Correction of Asymmetry 420cc Implant Rt, 390cc Implant Lt After
  • Before-Patient 11 - Correction of Asymmetry 480cc Rt, 510cc Lt
    After-Patient 11 - Correction of Asymmetry 480cc Rt, 510cc Lt
    BeforePatient 11 - Correction of Asymmetry 480cc Rt, 510cc Lt After
  • Before-Patient 12 - Correction of Asymmetry 540cc Implant RT, 510cc Implant LT
    After-Patient 12 - Correction of Asymmetry 540cc Implant RT, 510cc Implant LT
    BeforePatient 12 - Correction of Asymmetry 540cc Implant RT, 510cc Implant LT After
  • Before-Patient 13 - Correction of Asymmetry 540cc Implant RT, 520cc Implant LT
    After-Patient 13 - Correction of Asymmetry 540cc Implant RT, 520cc Implant LT
    BeforePatient 13 - Correction of Asymmetry 540cc Implant RT, 520cc Implant LT After
  • Before-Patient 14 - Correction of Asymmetry 540cc Implant RT, 520cc Implant LT
    After-Patient 14 - Correction of Asymmetry 540cc Implant RT, 520cc Implant LT
    BeforePatient 14 - Correction of Asymmetry 540cc Implant RT, 520cc Implant LT After
  • Before-Patient 15 - Correction of Asymmetry 500cc Implant RT, 450cc Implant LT
    After-Patient 15 - Correction of Asymmetry 500cc Implant RT, 450cc Implant LT
    BeforePatient 15 - Correction of Asymmetry 500cc Implant RT, 450cc Implant LT After
  • Before-Patient 16-  Correction of Asymmetry 500cc Implant RT, 450cc Implant LT
    After-Patient 16-  Correction of Asymmetry 500cc Implant RT, 450cc Implant LT
    BeforePatient 16- Correction of Asymmetry 500cc Implant RT, 450cc Implant LT After
  • Before-Patient 17 - Correction of Asymmetry 500cc Implant RT, 450cc Implant LT
    After-Patient 17 - Correction of Asymmetry 500cc Implant RT, 450cc Implant LT
    BeforePatient 17 - Correction of Asymmetry 500cc Implant RT, 450cc Implant LT After
  • Before-Patient 18 - Correction of Asymmetry Silicone Gel Implants 265cc Implant RT, 234cc Implant LT
    After-Patient 18 - Correction of Asymmetry Silicone Gel Implants 265cc Implant RT, 234cc Implant LT
    BeforePatient 18 - Correction of Asymmetry Silicone Gel Implants 265cc Implant RT, 234cc Implant LT After
  • Before-Patient 19 - Correction of Asymmetry and Left Nipple Areola Lift, 420cc Implants RT, 360cc Implant LT
    After-Patient 19 - Correction of Asymmetry and Left Nipple Areola Lift, 420cc Implants RT, 360cc Implant LT
    BeforePatient 19 - Correction of Asymmetry and Left Nipple Areola Lift, 420cc Implants RT, 360cc Implant LT After
  • Before-Patient 20 - Correction of Asymmetry and Left Nipple Areola Lift, 420cc Implants RT, 360cc Implant LT
    After-Patient 20 - Correction of Asymmetry and Left Nipple Areola Lift, 420cc Implants RT, 360cc Implant LT
    BeforePatient 20 - Correction of Asymmetry and Left Nipple Areola Lift, 420cc Implants RT, 360cc Implant LT After
  • Before-Patient 21 - Correction of Asymmetry 420cc Implant RT, 360cc Implant LT
    After-Patient 21 - Correction of Asymmetry 420cc Implant RT, 360cc Implant LT
    BeforePatient 21 - Correction of Asymmetry 420cc Implant RT, 360cc Implant LT After
  • Before-Patient 22 - Correction of Asymmetry 420cc Implant RT, 390cc Implant LT
    After-Patient 22 - Correction of Asymmetry 420cc Implant RT, 390cc Implant LT
    BeforePatient 22 - Correction of Asymmetry 420cc Implant RT, 390cc Implant LT After
  • Before-Patient 23 - Correction of Asymmetry 300cc Implant RT, 330cc Implant LT
    After-Patient 23 - Correction of Asymmetry 300cc Implant RT, 330cc Implant LT
    BeforePatient 23 - Correction of Asymmetry 300cc Implant RT, 330cc Implant LT After
  • Before-Patient 24 - Concentric Nipple Areola Lift, 400cc Implants
    After-Patient 24 - Concentric Nipple Areola Lift, 400cc Implants
    BeforePatient 24 - Concentric Nipple Areola Lift, 400cc Implants After
  • Before-Patient 25 - Correction of Asymmetry 480cc Implant RT, 450cc Implant LT
    After-Patient 25 - Correction of Asymmetry 480cc Implant RT, 450cc Implant LT
    BeforePatient 25 - Correction of Asymmetry 480cc Implant RT, 450cc Implant LT After
  • Before-Patient 26 - Nipple Areola Lift Bilaterally, 360cc Implant LT 390cc Implant RT
    After-Patient 26 - Nipple Areola Lift Bilaterally, 360cc Implant LT 390cc Implant RT
    BeforePatient 26 - Nipple Areola Lift Bilaterally, 360cc Implant LT 390cc Implant RT After
  • Before-Patient 27 - 450cc implant right 420cc implant left
    After-Patient 27 - 450cc implant right 420cc implant left
    BeforePatient 27 - 450cc implant right 420cc implant left After
  • Before-Patient 28 - 480cc implant right 420cc implant left
    After-Patient 28 - 480cc implant right 420cc implant left
    BeforePatient 28 - 480cc implant right 420cc implant left After
  • Before-Patient 29 - Silicone Gel Implants 397cc
    After-Patient 29 - Silicone Gel Implants 397cc
    BeforePatient 29 - Silicone Gel Implants 397cc After
  • Before-Patient 30 - 390 cc saline breast implants
    After-Patient 30 - 390 cc saline breast implants
    BeforePatient 30 - 390 cc saline breast implants After
  • Before-Patient 31 - Correction of Asymmetry 390cc Implant RT, 360cc Implant LT
    After-Patient 31 - Correction of Asymmetry 390cc Implant RT, 360cc Implant LT
    BeforePatient 31 - Correction of Asymmetry 390cc Implant RT, 360cc Implant LT After
  • Before-Patient 32 - Correction of Asymmetry 420cc Implant RT, 325cc Implant LT
    After-Patient 32 - Correction of Asymmetry 420cc Implant RT, 325cc Implant LT
    BeforePatient 32 - Correction of Asymmetry 420cc Implant RT, 325cc Implant LT After
  • Before-Patient 33 - 390cc Implants
    After-Patient 33 - 390cc Implants
    BeforePatient 33 - 390cc Implants After
  • Before-Patient 34 - 480cc Left breast 490cc Right Breast - Saline Implants
    After-Patient 34 - 480cc Left breast 490cc Right Breast - Saline Implants
    BeforePatient 34 - 480cc Left breast 490cc Right Breast - Saline Implants After
  • Before-Patient 35 - 480cc Left breast 490cc Right Breast - Saline Implants
    After-Patient 35 - 480cc Left breast 490cc Right Breast - Saline Implants
    BeforePatient 35 - 480cc Left breast 490cc Right Breast - Saline Implants After
  • Before-Patient 36 - Correction of Asymmetry 421cc Right Implant, 457cc Left Implant
    After-Patient 36 - Correction of Asymmetry 421cc Right Implant, 457cc Left Implant
    BeforePatient 36 - Correction of Asymmetry 421cc Right Implant, 457cc Left Implant After
  • Before-Patient 37 - Correction of Asymmetry 421cc Right Implant, 457cc Left Implant
    After-Patient 37 - Correction of Asymmetry 421cc Right Implant, 457cc Left Implant
    BeforePatient 37 - Correction of Asymmetry 421cc Right Implant, 457cc Left Implant After
  • Before-Patient 38 - Correction of asymmetry, Natrelle Inspira Impants 415cc LT, 450cc RT
    After-Patient 38 - Correction of asymmetry, Natrelle Inspira Impants 415cc LT, 450cc RT
    BeforePatient 38 - Correction of asymmetry, Natrelle Inspira Impants 415cc LT, 450cc RTAfter
  • Before-Patient 39 - Natrelle Inspira Implants 310cc
    After-Patient 39 - Natrelle Inspira Implants 310cc
    BeforePatient 39 - Natrelle Inspira Implants 310ccAfter
  • Before-Patient 40 - Natrelle Inspira Implants 310cc
    After-Patient 40 - Natrelle Inspira Implants 310cc
    BeforePatient 40 - Natrelle Inspira Implants 310ccAfter
  • Before-Patient 41 - Breast Augmentation with Inspira (GEL) Implants 485cc
    After-Patient 41 - Breast Augmentation with Inspira (GEL) Implants 485cc
    BeforePatient 41 - Breast Augmentation with Inspira (GEL) Implants 485ccAfter
  • Before-Patient 42 - Breast Augmentation with Inspira (GEL) Implants 485cc
    After-Patient 42 - Breast Augmentation with Inspira (GEL) Implants 485cc
    BeforePatient 42 - Breast Augmentation with Inspira (GEL) Implants 485ccAfter
  • Before-Patient 43 - Asymmetry Breast Augmentation Saline Implants 360cc right breast, 330cc left breast
    After-Patient 43 - Asymmetry Breast Augmentation Saline Implants 360cc right breast, 330cc left breast
    BeforePatient 43 - Asymmetry Breast Augmentation Saline Implants 360cc right breast, 330cc left breastAfter

Please take a moment to fill out the form below to get started with Breast Augmentation (Breast Implants). We will be happy to answer any questions or concerns you may have.

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