Breast Augmentation: Address Underdeveloped Breasts and Enjoy Natural-Looking Results
Small breasts can make you feel self-conscious, deter you from wearing certain clothes, and make it harder to achieve a proportional silhouette.
Board-certified plastic surgeon Dr. Roger J. Oldham can help you enhance the size, shape, and symmetry of your bust by performing breast augmentation at our Bethesda, MD, practice.
Find out what makes this procedure life-changing for so many patients throughout Maryland and Washington, DC...
Transform Your Appearance & Confidence
Customize Shape & Size
You can choose from a wide variety of sizes and shapes of saline or silicone implants to achieve the most flattering volume and curvature.
Many women are unhappy with their uneven breasts. Breast augmentation can allow you to achieve symmetry between your breasts and more balanced proportions.
Restore Breast Tissue
Whether breast tissue was lost due to cancer or an injury, breast implants can be used to restore shape and volume for a more feminine figure.
Achieving the bust you desire can help you overcome insecurities and feel more confident in your body. Improved self-confidence often contributes to a better overall quality of life.
There are two ways to place breast implants...
Is the thought of breast augmentation intimidating?
Typically, Patients Are Highly Satisfied with Their Results
85 percent of women studied said they felt their new breast size was "just right."
Wondering whether implants are right for you?
Breast Augmentation Can Address a Variety of Issues
If you have small or disproportionate breasts, Dr. Oldham can use implants to increase the size of your bust so it better complements your frame and provides a curvier figure.
In addition to increasing size, breast augmentation can adjust the balance between your breasts so they have a more symmetrical appearance.
Recent Weight Loss
Losing a significant amount of weight can affect your bust line. An augmentation procedure can restore volume lost due to pregnancy or lifestyle changes.
Addressing Unsatisfactory Results
If you have already undergone cosmetic surgery and are unhappy with the results, Dr. Oldham can perform a revisionary breast augmentation procedure to help you achieve your cosmetic goals. He may recommend combining an augmentation with another procedure, such as a breast lift to create beautiful, natural-looking effects.
So how do you know if you qualify for implants?
Suitable candidates for breast augmentation at our practice include women who:
Are in Good Health
Certain health conditions can increase your risk of complications after cosmetic surgery.
Have Realistic Expectations
While breast augmentation can offer dramatic results, it may not address all of your concerns.
Are Not Pregnant
Pregnancy and breastfeeding can affect the size and shape of your breasts.
Do Not Have Severe Sagging
Stretched or sagging skin may not respond well to breast augmentation. However, we also offer breast lifts to address these concerns.
Breast Implants Are a Reliable Treatment Option
Both silicone and saline implants have been the subjects of extensive studies by the Food & Drug Administration (FDA) and have been found to be very safe. While you will likely need to replace your implants at some point, some patients keep their original implants for up to 20 to 30 years. Dr. Oldham can discuss any concerns you have about the procedure during your initial consultation at our Bethesda practice, serving Maryland and Washington, DC.
Let's dive deeper into this procedure...
The Type of Implant You Choose Largely Shapes Your Results
Dr. Oldham offers both silicone and saline implants for breast augmentation patients. Each type of implant offers a unique set of advantages. The best way to find out which implant is right for you is to discuss your priorities and desired results with Dr. Oldham. He can educate you about your options so you can make an informed decision.
Every step of your plastic surgery procedure will be customized to your needs...
The Breast Enhancement Procedure
We know the idea of plastic surgery can be intimidating, but our surgeon and his highly trained team will be with you every step of the way to help you feel educated and excited about your cosmetic enhancement. Although the process will vary from patient to patient, here is what you can typically expect from start to finish.
Dr. Oldham offers both saline and silicone gel breast implants to his patients and he wants his patients to have the freedom to make the choice that is best for them. During your initial consultation with Dr. Oldham, you will have the opportunity to discuss your goals for the procedure and learn how those goals can most effectively be met. He will also explain your options for the positioning of the implants and the incisions through which they will be placed. There are aesthetic and practical advantages and disadvantages to each, and this will be described to you in detail during your consultation.
Preparing for Surgery
To ensure that your upcoming plastic surgery procedure goes smoothly, our Bethesda team serving Maryland and Washington, DC, will provide detailed pre-operative instructions:
- Do not take any aspirin (including any medication containing aspirin) for seven days prior to surgery and two days after surgery because aspirin always interferes with normal blood clotting.
- Do not take any prescription or over-the-counter anti-inflammatory medications for three days before surgery and for two days after surgery for the same reason. These drugs are used primarily to treat inflammation, mild to moderate pain, and fever. Examples of these over-the-counter medications are Motrin, Advil, Aleve, etc.
- Stop any Vitamin E and herbal supplements for three weeks before and one week after surgery. Please check any multi-vitamin you may be taking.
- Smokers should stop smoking as far in advance of the surgery date as possible to minimize complications from the anesthesia and to help minimize scarring. Be sure to inform Dr. Oldham if you smoke.
Immediately report any signs of a cold, infection, boils or pustules appearing within two weeks of surgery.
Do not eat or drink anything (including water) after midnight. Also, refrain from chewing gum.
Arrange for someone to drive you home after the surgery. Someone will also need to stay with you the first night.
For two days before and morning of your surgery, cleanse your body with an anti-bacterial soap called Hibiclens (Chlorhexidine). This is available at most drug stores. If Dr. Oldham has done pre-operative marking, do not use the soap directly on the marks and pat your skin dry over the marks instead of rubbing. Do not apply the anti-bacterial soap near your face, eyes or ears. Do not use any lotion, moisturizer, make-up or other products on your skin.
Breast augmentation is performed as an outpatient procedure and generally requires between one to two hours. Incisions can be made in the crease beneath the breast or around the areola. Dr. Oldham uses advanced techniques that help ensure a safe, comfortable recovery, and the most natural-looking, aesthetically pleasing results.
For women who only wish only to increase the size of their breasts, breast augmentation provides a safe and highly effective means of doing so. However, for those women who also wish to rejuvenate breasts that have begun to sag, the procedure may also be combined with breast lift surgery. Breast augmentation can also be performed as part of a more comprehensive body contouring plan, including such treatments as tummy tuck (also known as abdominoplasty). Choosing to add these procedures will also increase the length of your surgery.
Because breast augmentation is an outpatient procedure, you can go home on the same day of surgery. However, you play an important role in your recovery...
9 Important Suggestions for Your Recovery
As with any cosmetic procedure, some level of discomfort is to be expected after your surgery. Our Bethesda plastic surgery team serving Maryland and Washington, DC, wants your recovery to be as comfortable and complication-free as possible, so we've complied a list of suggestions:
- If your pain is mild take extra-strength Tylenol. For more significant pain, take the prescription pain medication given to you by Dr. Oldham, but be sure to take it after eating to minimize nausea, which is always a risk after taking any stronger pain medication. Regardless of whether you are taking extra-strength Tylenol, the prescription pain medication from Dr. Oldham, or alternating between the two, it is important to wait four (4) hours between doses in order to avoid potentially harmful over-dose of Tylenol (Acetaminophen).
- Do not raise your arms straight over your head for three days after the surgery.
- Since most strong pain medication causes some degree of constipation, it is advisable to start taking Colace 100mg. (an over-the-counter stool softener) on the evening of your surgery and then take one, twice a day each day after, until you are no longer taking pain medication and you are having normal bowel movements.
- If you normally have a bowel movement every day or two and you have not had a bowel movement approximately the third day after your surgery, you should take two tablespoons of milk of magnesia at bedtime. If you do not have a bowel movement the following morning, take four tablespoons of milk of magnesia that morning.
- You may remove the bra and gauze pads over the incision the day after the surgery and shower. Simply replace the bra afterward without any gauze, but leave the Steri-strip tapes in place on the incision. Continue wearing the surgical bra until your post-operative appointment.
- Avoid strenuous activity for two weeks. You may, however, do light exercise after four days, avoiding upper body and arm exercises for two weeks. You may sleep on your back, of course, or you may sleep on your side if it is not painful to do so.
- Do not use cold, warm, or hot compresses on the breasts immediately after the surgery or for three months thereafter.
- Avoid any sun exposure of your incisions for several months to prevent discoloration or redness of the scars (you may spend time in the sun if you apply a sunscreen often and 30 minutes before exposure).
- Some people experience brief episodes of depression or anxiety following surgery, similar to the well-known post-partum depression. This is quite normal as your body adjusts to the physiological changes taking place.
Following these tips can expedite your healing time, minimize your scarring, and give you the best possible results. We take great pride in helping patients throughout Bethesda, Maryland, and Washington, DC, experience the many benefits of breast augmentation.
The results can be life-changing...
Before & After Breast Augmentation
The Importance of Aftercare
If you choose to undergo breast augmentation, you must schedule time for recovery. Aftercare is a significant part of this process. Gauze dressings are applied immediately after surgery to support your breasts and allow them to heal. You will have a follow-up appointment with your plastic surgeon within the next few days, at which time the dressings are usually removed. Some patients may require an elastic bandage or a special support bra for several weeks to provide continued support and minimize swelling. Your surgeon may prescribe medication to prevent infection, as well as pain relievers to minimize discomfort. It is also important to avoid smoking and excessive alcohol consumption until healing is complete.
Most importantly, patients must rest and avoid strenuous activities or exercise for at least a month or until your physician provides approval. Bending, lifting, and straining can increase pain and slow the healing process. While most are able to return to work within a week or so, patients whose jobs involve more taxing activities may need more time. Your surgeon can provide further instructions and a timeline that is specific to your needs.
Timeline for Recovery
The First Few Weeks
The timeline for breast augmentation recovery is highly variable. Depending on the type of implant placement, recovery may take months. In the first few weeks following surgery, patients may experience a variety of side effects, including:
- Breast pain or discomfort
- Burning sensation in nipples immediately after surgery
- To feel the implant in the lower one-third of the breast
- Some degree of asymmetry in size and shape if you have any pre-operative asymmetry
- One breast to be less uncomfortable than the other on
These symptoms may last anywhere from a few days to several weeks. The first 48 hours in particular can be rough on a patient. You may want to ask a spouse, family member, or friend to help care for you during this time.
After seven to ten days, the surgeon may remove stitches at a follow-up appointment, though this is not always necessary. Follow-up appointments are also important so your doctor can check you are healing free of complications.
The Following Months
During the first few months, your breasts will remain fairly sensitive. Until this sensitivity fades, patients should minimize physical contact with their breasts to reduce the risk of injury or delayed recovery.
Patients should keep in mind that the surgical scars will remain after a full recovery is made. However, these scars are artfully placed in well-concealed areas under the breast crease, in the armpit, or along the border of the areola to make less noticeable. Visible scars usually fade significantly in the months following surgery.
Once you have recovered from your breast augmentation, it is important to keep long-term health in mind. Women 40 years or older should receive mammograms every year to check on their breast health. Those who have undergone breast augmentation should visit special radiology centers capable of performing mammograms on patients with breast implants. It is also important to have your implants periodically checked to maintain their integrity.
Breast Augmentation Costs
Breast augmentation costs are influenced by several factors, including the type of implant and texture, as well as:
One of the factors that influence the cost of the procedure is the surgical venue. Dr. Oldham will perform your breast augmentation at a surgery center or hospital. The facility you choose to undergo surgery will have its own fees and anesthesia costs. The length of surgery is different for each patient, which contributes to variability in the cost of the procedure.
Another important consideration is whether you undergo breast augmentation with implants as a stand-alone procedure or if it is combined with another surgery, such as a breast lift, tummy tuck, or liposuction. Combining procedures can achieve dramatic results, but will increase the overall cost. It is also important to consider that while breast implants provide long-lasting results, they will not last for a lifetime. Patients should be aware of the future cost of replacement so that they can budget accordingly.
Our Breast Implant Warranty
Recipients of both saline and silicone implants do receive a limited warranty that includes a life-time replacement of any size of implant in the same style at no charge for a confirmed deflation/rupture. Additional benefits are also available for financial assistance for the facility and anesthesia fees that occur when replacing deflated/ruptured implants.
We understand that cosmetic surgery is an investment in your confidence and quality of life. We accept financing through CareCredit℠ and MedicalFinancing.com™, both of which offer payment plans to fit your budget.
During your consultation, you will have the opportunity to discuss the specific components of breast augmentation in detail and how they each influence the cost of your procedure.
Roger J. Oldham, M.D.
Dr. Roger J. Oldham is a board-certified plastic surgeon who has been in private practice since 1977. He is affiliated with several prestigious organizations, including the:
- American College of Surgeons (Fellow)
- American Board of Plastic Surgery
- American Society for Aesthetic Plastic Surgery
- American Society of Plastic Surgeons
- Accreditation Association for Ambulatory Health Care
- Aesthetic Surgery Educational and Research Foundation
- International Society of Aesthetic Plastic Surgery
To experience this high level of care firsthand, schedule a consultation with Dr. Oldham online or call our practice at (301) 530-6100.