Dr. Ellen Ozolins from Star Plastic Surgery in Novi tells SEEN everything you want to know but are too afraid to ask about breast augmentations.
By Cassie Kunze
Photography by Brett Mountain
Sponsored by Star Plastic Surgery
Breast augmentation is one of the more common cosmetic surgeries. However, there are several questions women are too embarrassed to ask. It comes as no surprise it is a large commitment and you want to make the decision fully informed. So, if you’ve been considering a change, SEEN spoke with Dr. Ellen Ozolins from Star Plastic Surgery in Novi to find out answers to questions you want to know but may be too nervous to ask.
What is breast augmentation?
Breast augmentation is a procedure designed to increase the volume and improve the shape of the breasts. The most common procedure is placement of either a saline or silicone breast implant, but it can also be done using fat grafting.
Is it meant only to enlarge?
Breast augmentation can certainly be used to enlarge the breasts, but we also use implants as a way to improve the shape of the breast. Often, the implant is used to give back fullness to the upper half of the
breast as well as create a rounder, fuller shape without dramatically changing the size.
What are implants made of? Are there different types?
There are two different types of implants: silicone and saline. They both have the same outer shell but are filled with different materials. Silicone implants come pre-filled with a silicone gel, which is more of a semi-solid material that feels very similar to the natural breast. Saline implants have the same outer shell as a silicone implant; however, they come empty from the manufacturer and we fill them at the time of surgery using IV saline. This allows the volume of the implant to be customized during surgery.
Are there different incision options? Do they leave any scarring?
There multiple different incision locations, including along the inframammary fold, which is the crease under the breast, a periareolar incision located at the edge of the areola and an axillary incision, which is under the arm. Whenever any surgeon makes an incision, there is going to be a mark on the skin, but we strategically place the incisions in an area to conceal and minimize the scar.
Will they look fake?
Everyone has a different image of how they want to look after surgery. Some people are looking for a subtle change, whereas other people are looking for a more dramatic result. There are so many different choices of implant sizes and styles — this allows us to customize the surgery and give you the look you desire.
How long is recovery?
I recommend between several days to a week off of work depending on your level of activity. It usually takes several weeks of healing before you can return to lifting and exercising and will take months for the swelling to resolve. You can expect to see a dramatic change in appearance right after surgery, but your results continue to get better and better as everything heals.
Will I still be able to breastfeed?
You should be able to breastfeed after breast augmentation. By placing the incision under the fold of the breast and placing the implant behind the muscle, the actual breast tissue has not been altered, but there is always a small chance you will not be able to breastfeed.
Will they still look natural if I lose or gain weight?
Pregnancy or changes in weight can change the appearance of the breast, making them appear larger, smaller or sometimes lower on the chest wall. Depending on the changes, there are many options to improve the results such as changing the size of the implants or performing a breast lift.
How long do they last? Do I ever need to “update” them?
It is unlikely that an implant will last your lifetime. Expect you will probably need it replaced at some point. On average, once an implant reaches 10 years of age, the rupture rate increases significantly, but if the implants are intact and not ruptured, they don’t need to be immediately replaced.
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