Breast Augmentation with Natural Results
During your consultation, you can also discuss the typical cost in Colorado. With so many options available, Dr. Murphy can customize the breast augmentation procedure to each individual patient, resulting in breasts that look and feel natural and just how you’ve always wanted them to.*
Many of our Denver breast augmentation patients have graciously consented to before and after pictures being posted. You can view these before and after breast augmentation photos here. Through Dr. Murphy’s commitment to excellence in his work, he has become one of the most respected cosmetic breast surgeons in Colorado.*
The Gummy Bear Implant
The Gummy Bear Implant offers the patient the most highly advanced Silicone Gel Implant available on the market today. The Gummy Bear implant is form stable due to its extensively cross-linked Silicone Gel making it the longest-lasting implant available. These gel implants are another addition to the realm of implants from which Dr. Murphy can choose to help his patients get the most natural looking and best results possible from breast augmentation. The Allergan highly cohesive Silicone-gel implants are approved for their safety and effectiveness by the Food and Drug Administration. Of particular interest for our patients is that Dr. Murphy has been deeply involved in the process as the FDA has approved the Allergan 410 style “gummy bear” implants and was one of a select few doctors from the Denver area that were brought in for input on the studies using the 410 implant. We are especially proud because Dr. Murphy was the only primary investigator in the state of Colorado that was on the original study that got the approval and has received special recognition for that role!*
Contact us today and learn more about this latest development in silicone-gel breast augmentation and the benefits they offer.*
WHAT BREAST SIZE OR SHAPE IS RIGHT FOR YOU?
For women who are dissatisfied with the size or, in some cases, the shape of their breasts, breast enhancement surgery is an appropriate surgical choice for them. A natural shape that matches their body habitus is typically the goal of these patients. Their breasts may have never achieved the size they desire or, as is very common, their breast size and shape may have changed over time, possibly related to pregnancy, gravity or weight fluctuations. Despite the reason for a patient requesting the procedure, the results of breast augmentation are some of the most predictable that we can attain.*
SILICON, GEL, LIFTS, IMPLANTS, WHICH IS RIGHT FOR YOU?
Never have there been more implant options available to the breast implant patient. The reintroduction of silicone gel-filled breast implants to accompany the popularity of saline filled breast implants has brought to us a truly dizzying array of choices for each breast enlargement patient. The key to achieving the best result possible is the ability to fit the exactly appropriate breast implant to each patient. Dr. Murphy uses his extensive experience with all of the available shapes, sizes and fillers to bring his patients the outstanding result they seek. Breast augmentation is the most common procedure that Dr. Murphy performs, having helped literally thousands of women feel more confident and happy with their breast shape and body image.*
IMPORTANT DECISIONS ABOUT YOUR BREAST AUGMENTATION.
During your initial consultation, Dr. Murphy will emphasize the importance of decisions made prior to breast enhancement surgery, such as the best incision to be used and whether to place the breast implant beneath the muscle of the chest wall as well as the breast tissue. The most important decisions are related to the choice of the breast implant itself. The first decision, and that which most determines the naturalness of the ultimate look, continues to be the size and proportion of the breast implant. The use of breast implant sizers as well as chest and breast measurements help identify the appropriate profile and volume of the breast implant. The availability of silicone breast implants helps many patients achieve the most natural feel with the least likelihood of breast implant rippling or visibility.*
PRIVATE COSMETIC SURGICAL SUITE.
Breast augmentation is performed in Dr. Murphy’s private surgical suite in Englewood, Colorado. The breast augmentation surgery takes approximately an hour and fifteen minutes and patients go home following surgery. Most breast augmentation patients resume normal activities within three or four days although more strenuous activities may need to wait four to six weeks.*
For more information on breast augmentation surgery at Murphy Plastic Surgery, we encourage you to read some of our articles, especially Keys to a Successful Breast Augmentation, What Is The Best Incision For Breast Implants?, Size & Proportion: Breast Augmentation. We are also excited to announce the Murphy Plastic Surgery now offers Allergan’s NATRELLE INSPIRA™ Round Gel-Filled Breast Implants.*
Will I be satisfied with the result?
Satisfaction rates with breast implant surgery are typically the highest reported, reaching above 90% in many studies. Dr. Murphy has very few patients who are unhappy with their breast implants. The time spent determining the appropriate breast implant size and shape helps keep our re-operation rate to a minimum. Despite placing thousands of breast implants over the last 20 years, Dr. Murphy can think of only two patients who had their breast implants removed and not replaced.*
Why do women have breast augmentation?
Contrary to the opinion of many people, most women want to have breast augmentation simply to balance their physique and be confident in their appearance. Many patients were once confident but may have lost that due to age, child birth, etc. Breast augmentation patients comfortably wear more youthful and current styles of clothing and feel good about themselves in swimsuits and various lingerie. Breast enhancement allows them to be more self-assured and body-positive be it at the beach, dressed to the nines at a formal event, exercising or just selecting their wardrobe on a day-to-day basis. Patients who have had a breast augmentation love the freedom.*
Why might breast augmentation not be appropriate for me?
It is important that your goals for breast enlargement surgery are realistic. You need to ask yourself why you are considering a breast augmentation. Are you pursuing breast augmentation surgery to help meet your own personal desires rather than trying to affect the opinion of others? It is not going to dramatically change your life or how others think of you. There is a chance that your anatomy is not appropriate for solely a breast enlargement and you may require other complementary surgeries such as a breast lift, also known as a mastopexy.*
What are the benefits of silicone implants?
Silicone breast implants offer patients the best option to have the most natural feeling, and often most natural appearing breasts. In relatively thin patients who do not have much existing breast tissue and especially if they wish to have larger implants, silicone breast implants are particularly beneficial. Silicone breast implants are much less likely to show any visible rippling around the edges and it is less likely that the implant will be felt under the muscle. In the rare case that we place the breast implant above the muscle and in these patients, with the loss of the padding effect of the muscle, silicone breast implants are more appropriate.*
What about Gummy Bear implants?
The Gummy Bear Highly Cohesive Silicone Gel implant offered by Natrelle is arguably the most advanced breast implant available at this time. Dr. Murphy is pleased to offer this FDA-approved implant to his patients. He was on the FDA study panel which ultimately led to the approval of this implant. The gummy-like gel is form stable and holds its shape better than regular silicone implants thus helping to maintain upper pole fullness while still providing the patient with the look and feel they desire. If you cut this type of implant in half, the gel retains its shape, similar to gummy bear candy. Patients tend to feel at ease with these implants knowing that in the off-chance they develop a hole in the shell, what’s inside the implant will stay in place.*
Are silicone breast implants safe?
The available silicone breast implants currently on the market today are the safest and most reliable ever produced. Silicone breast implants have been rigorously investigated and thoroughly reviewed by the FDA. Overwhelming research evidence has shown no increase in systemic illnesses in women with silicone breast implants as compared to the rest of the population. A few years ago, the editor of The New England Journal of Medicine supported the safety of silicone breast implants. The leakage rates of silicone breast implants in patients having breast augmentation are extremely low (less than 1% per year). The silicone gel currently used inside silicone breast implants is cross-linked and thicker than the silicone gel used in older silicone breast implants. Therefore, even silicone breast implants that have leaked are much less likely to migrate or cause any problem in the breast than the older breast implants did.*
What about saline breast implants?
Saline breast implants are seldomly selected by Dr. Murphy’s patients simply because they do not look and feel as much like natural breast tissue compared to traditional and “gummy bear” silicone gel implants. Patients who do choose this type of implant often select it because of the cost or because they desire to achieve a certain look and/or size that silicone implants cannot offer. Many patients are reassured that should their breast implants leak, the saline inside is harmlessly absorbed by the body and the leak is easy to determine. Replacing saline breast implants is typically easy to perform under local anesthesia with minimal recovery.*
Will my implants leak?
Dr. Murphy tells all his patients that breast augmentation is an operation you go into with the understanding that there is a good likelihood you will need another surgery at some point in the future. This is related to the likelihood of breast implant leakage. Although the chance breast implants will leak over the next 15 – 20 years is small, they may eventually leak. Leakage is more easily noticed with saline breast implants because as the body absorbs the saline the breast will visibly shrink. Leakage in silicone gel breast implants can be fairly accurately determined by MRI and all patients with silicone breast implants should consider regular assessments to be sure their implants are intact. Once any leakage has been established, the implants can be replaced during an office procedure. Breast Implant manufacturers also include warranties against leakage. My office staff can help clarify any questions on these breast implant warranties.*
Does breast augmentation increase my risk of breast cancer?
No, breast augmentation has not been shown to increase the risk of breast cancer. Similar studies have also shown that should you get breast cancer, the stage at diagnosis, treatment and outcome are no different in patients with breast implants as compared to those without. Dr. Murphy recommends all patients follow the guidelines of the American Cancer society regarding timing of mammograms both before and after their breast augmentation surgery. Screening exams such as mammography need to be performed in a facility familiar with patients with breast implants, and other modalities such as ultrasound may also be used. Remember that all of the breast tissue is over the top of the breast implant and is easily palpated during breast self exam.*
What is the best incision?
Areolar (around the margin of the flat part of the nipple) or inframammary (in the fold beneath the breast) incisions have been proven to be the best due to the exposure they offer to the area where the breast implant needs to be placed. Each one typically heals with a barely noticeable scar. Frequently the final decision is made based upon the patient’s anatomy, personal desires or the implant chosen. Dr. Murphy has not found any difference in the occurrence of nipple numbness (about 1% in his practice) or infection or bleeding with either breast augmentation incision.*
Is it important to place the implant under the muscle?
During a breast augmentation Dr. Murphy routinely places the breast implant under the muscle. With saline breast implants submuscular placement has proven very helpful to camouflage the shape of the breast implant and give the breast a more natural shape and feel. It makes it less likely there will be rippling or visibility of the breast implant. In some patients, the anatomy necessitates only partial placement under the muscle (dual plane technique). Submuscular placement of silicone gel breast implants remains important because it allows for better mammographic screening, and the breast implants are much less likely to become hardened if placed under the muscle.*
Will I need a breast lift or mastopexy as well as a breast augmentation?
The shape of the breast and location of the nipple give us very definite landmarks to help determine if a mastopexy (breast lift) is necessary for you. If your nipple seems to lie lower than the fold beneath your breast when you are standing, a breast lift may be necessary. Although this occasionally happens as the breast matures, it is more common after major fluctuations in weight or pregnancy. Most women have a good idea as to whether they need a breast lift along with a breast augmentation before they come in, and Dr. Murphy can help to assess this during your consultation.*
What happens after the surgery?
At the completion of the breast augmentation surgery we wrap the chest in a snug dressing designed to help keep the breast implants in place. We check all breast augmentation patients the first post-operative day to assure that all is going well. The initial dressing is removed after four or five days and a supportive bra is placed. At eight to ten days any sutures are removed and the patient is taught to massage the breast implants around in the pocket to help keep them soft. During each early postoperative visit instructions regarding wound care and activities are reinforced. We continue to follow all breast enlargement patients at regular intervals over the first year and then yearly follow ups are offered. There are never any charges for follow-up visits in our office. Most patients take it easy in the house for few days but by five to seven days are driving and back to work. Exercising can start at 10 -14 days but more strenuous lifting and bouncing should be put off for six weeks after surgery to ensure that the implants do not migrate.*
What about pain?
Dr. Murphy performs breast augmentation surgery with patient comfort in mind. He attempts to minimize pain, but all breast augmentation patients require some medications to help ease the discomfort. Pain control is paramount in Dr. Murphy’s practice and for all surgeries. He typically prescribes two pain medications, a long acting anti-inflammatory pain medication and a narcotic for more acute discomfort. Breast augmentation patients are given Valium tablets to help control muscle spasms and help in pain control. Although rarely necessary for breast augmentation patients, we have pain pumps available which pump in long-acting local anesthetic into the breast implant pocket for the first few days. Medications to help control nausea are also prescribed along with antibiotics.*
Are there any other risks of breast augmentation surgery that should concern me?
There are small risks of infection or bleeding, both of which are less than 1 in 1000 at Dr. Murphy’s practice. Breast augmentation patients routinely complain of increased or decreased nipple sensation early after the procedure. The sensitivity almost always settles down. There is about a 1% incidence of permanent decreased nipple sensation after breast enlargement surgery. Studies have shown only a negligible change in ability to breast feed after breast augmentation. There is a small possibility of a thickened/tightened layer of scar tissue forming around the breast implant (capsular contracture), which is reported to occur approximately 3% of the time after breast augmentation. Capsular contracture after breast augmentation surgery is typically corrected with a minimal surgery in the office.*