Breast Implants in Cleveland

Breast Implants in ClevelandDr. Goldschmidt at Cleveland Cosmetic Surgery specializes in breast implants in Cleveland, Ohio.  He has offices located in Lakewood, Middleburg Heights, and Canton for your convenience.

What are Breast Implants?

Breast implants are one of the most popular cosmetic surgery procedures performed in the area, let alone the United States.  Most women are extremely satisfied and regret that they did not have the procedure performed sooner.  Most may have had children and may have nursed and now are looking to improve their breast shape and enlarge them at the same time.  Before doing so, there are many aspects to consider, but first, and foremost it begins with choosing the right doctor for your breast implants in Cleveland: Dr. Matt Goldschmidt!

Who should provide Breast Implants?

Dr. Goldschmidt is a board certified cosmetic surgeon who provides breast implants in Cleveland.  In addition, he is a board examiner as well.  He has extensive training in cosmetic surgery of the breast and performs these procedures with great frequency.  He has been featured on the radio with WMMS and Rover’s Morning Glory.  A big part of his practice is spent fixing previous breast implants done by other doctors.  He has a thorough understanding of the complexities of breast implant surgery along with the knowledge of breast anatomy.  To go along with his extensive surgical training in breast surgery, he has an artistic ability that helps give his patients the best outcome possible.  Not to mention a beautiful pair of breasts!  But beyond this, one of the best ways to choose a surgeon is by asking previous patients.  His reputation is excellent.  He has a caring nature that will make you feel very comfortable right from the start.  He will be able to show you many before and after photos not only in the office, but also on the clevelandcosmeticsurgery.com.

The staff at Cleveland Cosmetic Surgery will make you feel right at home.  They are easy to talk to, will guide you through the process of implant selection and will be able to help you with all of your pre and post-operative care. They are great resources and will always take the time to answer your questions and address your concerns.  One you come in for a consult, you will realize that there is no better office or doctor than Cleveland Cosmetic Surgery to provide your breast implants in Cleveland, Ohio.

What happens during my Breast Implants Consultation?

When you arrive in the office, you will be greeted by one of our courteous front office staff members.  You will then be seated momentarily and brought into a consultation room.  You are encouraged to bring a friend, relative, or significant other to any and all of your appointments.  Dr. Goldschmidt will listen to your particular goals, examine you, and then discuss with you a treatment plan that fits your needs.

There are many additional factors that you will need to consider with regards to breast implant surgery:

  • Type of breast implant- saline or silicone gel
  • Size of the implants
  • Your lifestyle and physical activity
  • Placement of the implant- “above or below the muscle”
  • Incision site and size
  • Smooth or textured breast implant
  • Round or anatomic (tear-drop) shape
  • The profile of the implant (low, moderate, or high)
  • Future surgeries

What kinds of Breast Implants are available?

Saline vs. Gel Breast Implants:

There are only 2 types of implants approved by the FDA for all patients who wish to enlarge their breast size: saline and gel.  Both implants work well and can achieve the desired results when combined with proper placement, proper size selection, and minimally traumatic surgery.  The saline implant is filled with sterile IV fluid and tends to last 8-10 years before the implant may slowly deflate.  The IV fluid is safe and is taken up by your body without any problems.  These implants are then easily replaced once they deflate.  The saline implant tends to feel a bit firmer and may result in rippling or wrinkling which can be felt but is usually not seen through the skin.  The saline implant is roughly $1000 less than the silicone gel implant.  These implants can be placed through an incision about an inch long.  Another benefit is that the implant size can be adjusted to a small extent in the operating room.

Silicone gel breast implants can also be performed safely and with a very natural feel and shape.  Regarding breast implants in Cleveland, Ohio many women prefer silicone gel implants to saline for several reasons.  In the middle of the last decade, the FDA approved silicone gel implants for all patients including those patients undergoing their first breast implant procedure.  The FDA did recommend that after the breast implants were in place for three years, patients should obtain an MRI to insure the implants were not ruptured or damaged.  One of the past thoughts was that silicone gel implants cause hardening and pain in the breast (also known as “Capsular Contracture”). In scientific literature, several studies showed this to be true; however, recent studies may no longer validate this belief. In fact, there is some evidence that the silicone gel implant may not be a higher risk for capsular contracture when compared with the saline implant.  The gel implants feel much more natural and are less likely to wrinkle or ripple.  Allergan, one of the leading manufacturers of silicone gel breast implants, now comes with a lifetime warranty.  One disadvantage is that they are about $1000 more than the saline implants.  The incisions sometimes need to be bigger for the silicone gel implant since they come fully filled from the manufacturer.  The latest device created to aid in placement of these implants is called the Keller Funnel.  With this device, a small incision can be used (same size as the saline implant surgery- about 1 inch).  Dr. Goldschmidt is one of the first breast implant surgeons in the area to begin using the Keller Funnel on a regular basis to minimize the incision length and also to avoid any possible contamination of the breast implants in Cleveland, Ohio.

Above or Below the Muscle

Breast implants are very commonly placed under the pectoralis major muscle.  This placement tends to give a more natural appearance and helps hide the edges of the implant, especially in thinner patients.  The breast sits on top of this muscle, and in some situations it may be advantageous to place the implant on top of the muscle.  Patients can have the implants placed either in the subglandular position (directly under the breast tissue) or in the subfascial position (under the breast tissue and the lining of the pectoralis muscle).  This placement may have a slightly higher risk of capsular contracture (where the scar tissue becomes firm and causes pain and distortion of the breast).  The subfascial position may often an advantage because the lining of the pectoralis is thick enough and may not have as high a risk of capsular contracture as the subglandular position.  The subfascial position is also better for patients that body-build, weight train, and do a lot of upper body exercises.

Incisions and Implants:

Dr. Goldschmidt can provide breast implants in Cleveland using several different incisions. The standard incisions include the armpit (transaxillary), areola (periareolar), crease under the breast (inframammary), and through the belly button (transumbilical). The two most common incisions used are the inframammary and transaxillary sites. Most women in Cleveland, Ohio prefer these sites for breast implant surgery because they are well concealed and usually heal a very inconspicuous manner. The periareolar incision can sometimes be noticeable because it is right on the front of the breast.  It can sometimes thicken or become darker or lighter depending on the patient’s characteristics.  This incision is used commonly in patients who want to have a breast lift inconjunction with an implant.   The transumblical incision (through the belly button) is used for saline implants.  With this incision there is less ability to adjusted the shape of the breast and some patients even end up with an additional scar under the breast.

There are now 3 manufacturers that have been given FDA approval for breast implants: Allergan, Mentor, and Silimed.  All products have proven safety and have similar features.  The implants can be smooth or textured, different sizes and profiles, and have either round or anatomic shapes.  These choices will be made once you have been examined for breast implants in Cleveland.  The goal of the implant selection is to find an implant that fits your goals and your body habitus.  The most commonly used implants are smooth and round.  Some patients who develop capsular contracture may benefit from a textured implant along with patients who request a revision surgery.  The smooth implants tend to be more mobile inside the tissue and may help decrease capsular contracture.  Round implants to be much more widely used in cosmetic patients.  The anatomic or teardrop shaped implant is best for patients with breast cancer who want reconstruction.  The round implant tends to give more fullness in the upper part of the breast- this tends to be the area most women want to augment.

The dimensions of the implant are also important to consider.  Thinner patients who have a very narrow chest, or patients who are very physically active, may be better candidates for the higher profile implant.  Women who also want a very rounded look or more fullness above the nipple may also chose a high profile implant.  The intermediate profile implant tends to be the most common breast implant in Cleveland, Ohio for breast implant surgery.

Cup Size

Patients commonly request to be a specific size, for example “34D”.  However, implants are not sold in this fashion.  They are sold by volume (i.e. 300cc).  To make matters more confusing, the manufacturers of bras, do not standardize their sizing.  Similar to shoe manufacturers, a 34C in one brand may be similar size to a 36B. As a result, patients need to consider where they buy their bras from, along with finding the right volume to obtain their desired result. In the consultation, Dr. Goldschmidt and his staff will allow you to try on varying sizes of implants with sizing bras and clothing.  They will help guide you in this process so you can get an idea as to the size you would like to be after your breast implant surgery.  Unfortunately, there are no guarantees as to your final bra size, but be assured that when you look in the mirror, you will achieve the look you desire!

You can contact Dr. Goldschmidt at Cleveland Cosmetic Surgery by calling the office at 216-227-3333 or emailing him at info@clevelandcosmeticsurgery.com.  A free consultation can easily be arranged at your convenience so that you can discuss all of your concerns and your desired outcomes related to breast implants in Cleveland.  Dr. Goldschmidt and his staff have many before and after images you can look at from other women who have had breast implant surgery by Dr. Goldschmidt in Cleveland, Ohio.  They may also be able to arrange for you to speak with a previous patient or even see video testimonials from other previous patients.

What are the risks?

There are many choices to make when considering a breast augmentation in Cleveland Ohio, but the decision to undergo this procedure cannot be made without adequate consideration of the risks of the procedure.

Medical and anesthetic risks with breast enhancement in Ohio.

Every surgery carries risks of bleeding, infection, and anesthetic complications. Bleeding after breast augmentation in Cleveland, Ohio can require a return to the operating room to stop bleeding and can even require transfusion. Infection around a breast implant can require removal of the implant, which has to be left out for weeks to months to ensure that the infection clears. There have even been case reports of implants becoming infected years after augmentation. Anethetic complications can involve allergic reactions to medications, pneumonia, blood clots, heart attacks, and other issues. All of these types of complications are rare, but real with surgery.

Implant leak and longevity with breast augmentation in Cleveland, Ohio.

As a rule of thumb, implants leak at a rate of about 1% per year per implant. If saline implants leak, the patient sees deflation and urinates out the fluid. If silicone leaks, the implant usually will maintain its size, and the leak will go unnoticed until a change in shape occurs or until capsular contracture develops.

Realistically, most patients must consider that breast augmentation in Cleveland, Ohio implants will not last the patient’s lifetime. Almost every breast augmentation patient in Ohio will require further breast surgery over her lifetime, following augmentation. This may be due to implant leak, breast aging around the implants (requiring breast lift), capsular contracture, or other causes.

Nipple sensitivity after breast enhancement in Ohio.

Changes in nipple sensitivity are common after breast augmentation in Cleveland, Ohio. Many patients note hypersensitivity, which usually subsides after several weeks. A small percentage of patients will experience permanent nipple numbness in one or both nipples. This is more common if a breast lift is performed with the augmentation.

Mammography after breast implants in Cleveland, Ohio.

Mammography is more difficult to read once breast implants are placed. Special views are required. No large study has shown a delay in breast cancer diagnosis in augmented patients, but patients are more likely to require ultrasonography or MRI if any abnormalities are seen on mammogram.

Breast feeding and breast enhancement in Ohio.

Breast augmentation in Cleveland, Ohio does not interfere with breast feeding as long as nipple sensation is normal, however, patients who have implants are more likely to require subsequent breast lift if their breasts enlarge with pregnancy and lactation because the combination of breast enlargement from an implant and lactation causes more stretch on the skin.

Cosmetic issues and revisions of breast implants in Ohio.

The most common issues affecting patient satisfaction after breast augmentation relate to size, shape, symmetry, and contour. A large proportion of Dr. Goldman’s patients have had prior surgery elsewhere and seek correction of various problems. Some of these patients have implant malposition (distortion of the breast because the implant is not placed in the ideal location or pocket). Some of these patients have leak or capsular contracture. Photographs of some of these patients are in our before and after gallery, and can provide an idea of the kinds of cosmetic and long term problems implants may have. While many patients do feel that they may have gone “a little larger,” this reflects the fact that their breasts feel natural after augmentation. Most patients are at or near their original size goal, if they had a specific size goal. Patient satisfaction depends on the overall appearance of the breast size, shape, and contour.

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