If you’ve decided you’re ready to get breast augmentation from our Charlotte practice, you most likely have a lot of questions to ask. At Ditesheim Plastic Surgery, board certified plastic surgeon Dr. Jeffrey A. Ditesheim will take the time to address all your concerns so you can feel confident about your decision to move forward with cosmetic surgery.

Am I a candidate?

If you’ve noticed a change in the size or shape of your breasts, especially after pregnancy or nursing, you may be a candidate for breast augmentation. Breasts can also lose fullness and volume over the years as part of the normal aging process. Some women pursue breast augmentation to improve asymmetry in their breasts. The best candidates for breast enlargement should be in good health physically and mentally, and should have realistic expectations about their likely results.

How do I know which breast implant size is best for me?

Choosing the right breast implant size is one of the most important decisions you’ll make during your breast augmentation, and it’s one of the hardest decisions as well. During your consultation, Dr. Ditesheim will explain more about how to pick the perfect breast implants to meet your individual appearance goals taking into account your natural anatomy and existing breast measurements. You’ll also get to try on implants right in our office so you can see how different sizes, shapes and profiles will look on your body.

What’s the difference between saline vs. silicone?

Dr. Ditesheim has performed hundreds of breast augmentations using both saline and silicone breast implants, either of which can deliver beautiful, natural-looking results in the right candidates. Together, you and Dr. Ditesheim will go over the details of each implant type in order to determine if there’s one that might better meet your goals for breast augmentation surgery.

  • Saline implants are less expensive than silicone, and are FDA-approved for cosmetic use in women 18 and older. Since the implants are inserted empty and filled after placement, women who opt for saline implants typically have smaller scars. Filling after placement also allows for more precisely symmetrical results, particularly in women with significant asymmetry prior to surgery. Although saline implants can sometimes show visible surface rippling or wrinkles, they remain a cost-effective choice that can deliver beautiful results in the right candidate.
  • Silicone implants are FDA-approved for cosmetic use in women 22 and older, and are currently the more popular choice for breast augmentation among women in Charlotte. Filled with a thick silicone gel that has a jelly-like texture, silicone implants won’t wrinkle, and the contents are designed to stay in place even in the unlikely event of a breach in the outer implant shell.
  • Gummy bear implants offer a third choice for women considering breast augmentation. Another type of silicone implant, the form-stable silicone gel in gummy bear implants is firm yet soft, much like the gummy candies they’re nicknamed after. Unlike saline or silicone gel implants, gummy bear implants have a teardrop shape that mimics the anatomical curves of the natural breast.

There really isn’t one type of implant that’s considered “best,” only the implant that’s best for your body.

Will implants make my breasts less saggy?

Implants can restore volume to breasts that look deflated for a fuller look, but won’t actually change the placement of your breasts. For women with significant drooping in the breasts, nipples that point downward or an elongated breast shape, Dr. Ditesheim may recommend combining a breast lift with your augmentation. A breast lift raises and reshapes your natural breast tissue for a perkier look and firmer texture, while implants can increase your cup size.

How will my augmented breasts look and feel?

Between the superior quality of today’s breast implants and the advances in modern-day surgical technique, there’s never been a better time to enjoy breast augmentation results that look and feel more natural than ever before. Dr. Ditesheim is a skilled breast augmentation specialist who can help you feel more proportionately balanced, restore fullness to your figure following weight fluctuations or pregnancy and improve symmetry between breasts.

Will I have scars?

Any surgery leaves scars behind, and that includes breast augmentation. However, Dr. Ditesheim offers three options for discreet incision placement to ensure results look as scar-free as possible:

  • A periareolar incision follows the curve of the nipple and areola, where it can be camouflaged by the darker pigmentation of the skin after healing.
  • An inframammary incision is hidden in the natural crease under the breast, so your natural contours should provide excellent coverage.
  • The transaxillary incision is placed in the armpit for breast augmentation that leaves the surface of the breast completely free of incisions.

How long until I can see my results?

You’ll notice a difference in your figure immediately after surgery, although some amount of post-operative swelling may disguise your final results at first. Most women can return to work within a week or less, with more vigorous activities following after a few more weeks. As recovery progresses and swelling dissipates, your implants should settle into their final placement by about 1 to 3 months after surgery.