Breast Implants – Dr. Leila Kasrai

Enhancing the Look of Your Breasts With Breast Implants

Do you feel frustrated that your petite breasts do not fill out certain blouses, dresses or bikini tops, so your clothes always look too loose on you? Are you constantly fiddling with your bra because one cup fits better than the other? Are you concerned that your breasts look flat and deflated as a result of massive weight loss, breastfeeding or simply the aging process?

If you can relate to any of these concerns, you might want to consider undergoing breast augmentation surgery with breast implants surgeon Dr. Leila Kasrai. You can enhance the look of your breasts in a number of ways with the placement of breast implants: They can improve the size, symmetry and shape of your breasts, so you adore your figure.

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Examining Your Breast Implant Options

There are many choices to make when undergoing breast augmentation surgery. During consultation, Dr. Kasrai will review all the available breast implant choices as well as your medical history, distinct body type and unique aesthetic desires to help you decide on a proper course of surgical treatment that best meets your needs. In the meantime, however, here is some general information about the available breast implant options to get you started.

Size – You should choose a size of breast implants that is appropriate for your frame. Choosing breast implants that are too large for your body type can result in an extremely unnatural, disproportionate look. Be sure to wear a stretchy sports bra to your consultation appointment, so you can try on different "sizers," or breast prosthetics, to help determine the right size for you.

Type – There are two main types of breast implants available: saline and silicone. Saline breast implants have a silicone outer shell and are filled with saline, or sterile saltwater, solution. One of the principal advantages of saline-filled breast implants is that they can be inserted before being filled, so the breast implants surgeon is able to use smaller incisions than she does with silicone implants. Another benefit of saline breast implants is that the body is able to absorb the filling material naturally in case the implant leaks or ruptures. The main disadvantage of saline-filled implants is that they are more prone to rippling underneath the skin's surface.

Silicone breast implants also have a silicone outer shell, but they are filled with silicone gel as well. The main advantage of silicone breast implants is that they more closely resemble the look and feel of natural breasts.

On the other hand, one of the principal drawbacks of silicone-filled implants is that the manufacturer fills them before surgery, so Dr. Kasrai must use larger incisions to insert the pre-filled silicone breast implants than she does with saline implants. Another drawback of silicone implants is that when they rupture, the filling material stays mostly intact inside the implant pocket, so it is difficult to determine when they have ruptured. Also, the body cannot naturally absorb silicone, so any leaked material will be present in the body until it can be surgically removed.

Due to these concerns, the breast augmentation surgeon recommends that patients with silicone implants undergo a breast imaging exam, such as an MRI or mammogram, every three years, starting the third year after the initial augmentation procedure.

Shape and Texture – Breast implants are available in two shapes: round and teardrop. Round breast implants provide the most fullness and cleavage throughout the top region of breasts. Teardrop-shaped implants are more anatomically correct than their round counterparts, so they provide a more natural look.

In addition to the shape of implants, you must also decide whether to use smooth implants or those with a rough, textured outer shell. Smooth implants move freely within the breast implant pocket. Textured implants tend to affix to the overlying tissue, allowing them to stay higher up on the chest wall over time.

Placement – The two main implant-placement options are subglandular placement and submuscular placement. With subglandular placement, Dr. Kasrai positions the breast implants underneath the glandular (breast) tissue and over the pectoral (chest) muscle. This placement method is less invasive than submuscular placement, so the recovery period is generally quicker and easier.

In contrast, submuscular placement involves positioning breast implants underneath the chest muscle, which inflicts more trauma on the surrounding muscles and tissue. Thus, this type of positioning typically requires a lengthier and perhaps more intense recovery period. Nevertheless, submuscular placement may be a better option for women with thin skin or little body fat. If there is an insufficient amount of skin, fat or tissue to cover breast implants, they may be visible beneath the surface of the skin.

Incision Approach – Dr. Kasrai offers two incision approaches from which to choose. The first incision approach involves making the required incision around the border of the areola, or the more darkly colored skin surrounding the nipple. The second incision approach involves making the required incision under the natural breast fold. The plastic surgeon will help you decide which incision approach is right for you; the approach taken largely depends on which type of breast implant and which placement method you choose.

With both incision approaches, Dr. Kasrai strategically positions the incision so that any resulting scarring is easily concealed – either by the darker color of the areola or by the natural shape of the breast itself.

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What to Expect During the Breast Implants Procedure

The specific duration of breast augmentation surgery with breast implants varies slightly depending on which type of breast implant, placement method and incision approach you choose. It also depends on whether you are undergoing breast augmentation by itself or in conjunction with another procedure such as breast lift.

Generally speaking, however, it takes Dr. Kasrai about two to three hours to complete breast augmentation surgery. She performs breast implants surgery on an outpatient basis under general anesthesia, which is administered by a board-certified anesthesiologist.

To begin the procedure, Dr. Kasrai makes the previously agreed-upon incision pattern. She then inserts the breast implant in an implant pocket either behind the breast tissue or behind the chest muscle, as previously discussed. She closes any incisions made in the breast tissue with layered stitches. She closes the incisions on the skin with stitches, surgical tape or skin adhesive before dressing the treated area with bandages. The breast augmentation surgeon also places a surgical bra over the bandages, which you will need to wear for several weeks until you are otherwise directed by Dr. Kasrai.

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What to Expect During the Breast Implants Recovery Period

Once the effects of the anesthesia have subsided, you are released into the care of an authorized individual. You will also need someone to stay with you the first night following the procedure. You should arrange to take about one week off from work or your usual routine.

The most intense period of recovery occurs in the initial three to five days following the breast augmentation procedure. During this initial recovery period, you should get plenty of rest and abstain from any rigorous activity including heavy lifting. That said, you should also be sure to walk around the house periodically to help decrease the risk of developing blood clots.

You may notice that the treated area is bruised, swollen, tender, numb or painful, but these are common symptoms that should diminish over time. You can take oral pain medication as directed by Dr. Kasrai to relieve any postoperative discomfort. You can resume your normal activities, including your exercise routine, gradually when Dr. Kasrai lets you know that it is okay to do so.

Although surgical complications are generally uncommon, there are certain risks associated with any surgery. Dr. Kasrai takes every precaution to minimize surgical risks. On your end, be sure to follow all Dr. Kasrai's instructions strictly, both before and after surgery. This will help further minimize the risks associated with breast implant surgery.

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Let's Discuss Results!

You will notice some of the aesthetic benefits of breast augmentation surgery immediately after surgery. For instance, breasts will be fuller and more voluptuous. However, the final cosmetic results of breast implants surgery will not become actualized until approximately six months following the procedure. This is how long it takes for the body to heal, swelling to subside entirely and breast implants to settle into their final, more natural-looking position.

Note that the required incisions may result in scarring. However, Dr. Kasrai takes meticulous care to position the incisions in areas of the body that help to conceal any scars. Furthermore, with proper care (no sun exposure!), scars will fade from their initial pink color to the color of your skin, so they will be almost invisible to others.

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Attaining Your Dream Breasts

Because Dr. Kasrai is a woman herself, she is the most appropriate person to help you attain your dream breasts. She understands the breast aesthetic that most women desire, so she can help you achieve a more voluptuous yet natural-looking breast profile.

However, you cannot achieve a fuller, more feminine breast contour without taking the first step toward attaining your dream breasts. Fortunately, taking the first step is easy! Simply contact Dr. Kasrai to learn more about your available breast implant options.

To arrange a one-on-one consultation with Dr. Kasrai to learn more about your breast implant options, please contact her practice by calling (416) 323-3532 today.

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