Breast Augmentation in Houston, TX
Plastic Surgeon Christopher Hankins, MD, provides natural-looking breast enhancement procedures including enlargement, reduction, breast lift or breast lift with enlargement as well as correction of enlarged male breasts (known as Gynecomastia). Premier Plastic Surgery is located near Houston and serves residents in Pearland, Lake Jackson, and the surrounding neighborhoods of South Houston.
What is a Breast Augmentation?
You may be one of the many women who feels uncomfortable about the size or symmetry of their breasts and are looking for a cosmetic surgical solution. At Premier Plastic Surgery, Dr. Christopher Hankins can help augment your bust line with natural-looking breast enhancement.
Dr. Hankins strongly believes that well-informed and well-advised patients are empowered to make sound decisions that will benefit them for years to come. This is particularly important in breast augmentation, as the specific breast implants used are ultimately the patient’s decision based on their goals under the guidance of the surgeon.
At Premier Plastic Surgery, we utilize the “High-Five” protocol, which is a disciplined and proven approach for determining the right size, projection, and type of breast implant for you. Although artistic ability is important in the determination of the right breast implant, so are the parameters such as symmetry, skin laxity, skin stretch, base width of the breasts, pocket size, and amount of volume needed to fill the breast. Nothing is left to chance in giving you the best possible results.
It is important to realize that over-sized implants will result in long-term atrophy of the breast and muscle. This requires the judgment of an experienced and prudent plastic surgeon to determine what size implants can be safely used without long-term complications induced by excessive pressure in the implant pocket. Most augmentations are done by a short incision in the fold beneath the breast known as the inframammary approach.
About Breast Augmentation Surgery
Dr. Hankins utilizes the Akademikliniken method, originally described by Per Heden in Stockholm, Sweden, for determining when and by how much the fold beneath the breast should be lowered and to place the incision precisely at the level of the new fold.
It is not always necessary to place an implant beneath the muscle. In many instances, provided there is adequate thickness of the native breast tissue, the implant can be placed beneath the breast and over the muscle or the submammary approach.
One of the principle complications of breast augmentation is capsular formation, in which a hard, firm capsule can form around the implant due to a smoldering sub-clinical infection with S. epidermidis. In order to minimize this risk, Dr. Hankins utilizes the “no touch” technique, in which the incision for the breast pocket is re-prepped, gloves are changed, and the implant is delivered into the pocket using a Keller funnel, thus avoiding contact with either gloves or the skin surrounding the incision of the breast pocket.
Disadvantages of the submuscular approach include increased recovery time, increased pain, animation of the breast implants with muscular contraction, and increased risk of a “double bubble” deformity, in which a mound is created beneath the muscle and the breast is literally falling off the mound. These can be avoided by judicious use of a submuscular pocket when placement of the implant in such a pocket only when it is clinically indicated.
There are a number of decisions you will have to make when undergoing breast augmentation surgery. The first decisions are on the type of implant (saline or silicone), the shape of the implant (tear-drop or round) and the texture of the implant (textured or smooth). Dr. Hankins will help you with sizing the implants and decisions on the type of implant.
Additional important decisions are on the surgical techniques and the type of incision. The various types of incisions used in breast augmentation are:
- Inframammary – An incision made at the bottom of the breast near the breast fold. This is the most commonly used incision, as it allows for improved accuracy of implant placement.
- Areolar or Periareolar – An incision made around the edge of the nipples. This incision serves as the entry point for the implant.
- Transaxillary – This type of incision is made in the crease of the armpit where the implant is inserted.
- Transumbilical –This type of incision is referred to as the “scarless” option as the incision is made within the belly button. This approach requires the use of special surgical tools.
Women are often concerned about scarring from their breast enlargement procedure. Dr. Hankins explains that scarring resulting from the breast augmentation depends on which technique is utilized.
- In the submammary approach, the scar is approximately 4 cm or less in length and is placed just above the inframammary fold, i.e., the junction of the breast with the chest wall.
- In the periareolar approach, the scar is located at the junction of the pigmented and non-pigmented skin at the border of the areola.
There are two methods that yield no scarring on the breasts themselves. The two methods by which the breast may be augmented without placing any scars on the breast are called transaxillary and transumbilical (TUBA).
- In the transaxillary approach, an incision is placed in the axilla below the fold of the pectoralis major muscle. A dissection plane can then be readily developed below the pectoralis major (fan-shaped muscle in chest) or, in special circumstances, beneath the pectoralis fascia (thin layer of tissue covering muscle) as in female body builders.
- In the TUBA or transumbilical approach, two incisions are made inside the umbilicus (depression at center of abdomen) at 10 and 2 o’clock. Subcutaneous tunnels are then created from the umbilicus to the breast. Using this approach, it is possible to place the implants either above or below the muscle.
The specific type of incision and approach are based on each patient’s anatomy, size of the enlargement, type of breast implant, and the agreed upon preference of the patient and recommendation of Dr. Hankins. In some patients, a breast lift may need to be combined with breast augmentation surgery to optimize the woman’s breast enhancement goals. In some cases, it is best to accomplish the same goal in two procedures.
Breast augmentation surgery is performed under general anesthesia at an accredited surgical center or hospital. No drains are necessary, and patients are discharged home after the procedure with prescribed pain medication and specific post-surgical care instructions. A surgical bra needs to be worn postoperatively.
About Breast Implant Removal
Another type of breast augmentation is breast implant removal. If you’ve had a breast augmentation in the past and are unhappy with the results or are experiencing complications, Dr. Hankins can remove the implants and perform breast revision surgery to correct the deformity.
Who is a Candidate for Breast Augmentation Surgery?
At Premier Plastic Surgery, Dr. Hankins’ patients typically desire breast surgery to:
- Reshape asymmetrical breasts
- Create a more balanced figure
- Restore lost breast volume due to pregnancy and/or breast-feeding
- Restore lost breast volume after significant weight loss
- Restore lost breast volume and shape due to aging
- Improve self-confidence and body image
If you are concerned about the size and shape of your breasts, schedule a consultation with Dr. Hankins.
How much does breast augmentation cost? Premier Plastic Surgery proudly offers financing options for our patients – call our office for pricing information.
Do you think breast augmentation might be right for you? There’s one way to find out for sure – contact us today and set up a free consultation! We’re happy to discuss all your options so you can make a well-informed decision. Contact the office or come by in person today. Our offices proudly serve residents in Houston, Pearland, Lake Jackson and the surrounding areas of South Houston.