Breast enhancement surgery performed by Dr. Jaime Perez involves placing implants to change the size or shape of the breasts. Implants can be made of either silicone or saline. Dr. Perez can discuss the different options for your surgery and help you determine the most appropriate choice for your goals.
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Interviewer: How do I know if I'm a good candidate for breast augmentation?
Dr. Perez: Breast augmentation is a surgery for women, older than 18 years of age for saline implants. For silicone, it's usually 22 years of age or older, providing they're healthy with no significant past medical history. They want to do this procedure because they usually have small breasts. So a lot of people really become a candidate for this procedure.
Interviewer: If I am a good candidate, how do you know which size best fits my frame?
Dr. Perez: Well, it depends on what the patient wants, but it also depends on the patient's measurements, the measurements of her thorax, her trunk, the width of the breast, the tissue characteristics of her breast, and the amount of thickness of the tissue that she has.
Interviewer: And do you use saline or silicone implants?
Dr. Perez: Well, the choice of implant, the kind of implant, whether it is saline or silicone, is basically the woman's choice. I really don't have a strong preference for one or another unless there is a particular scenario. In other words, saline implants are different than silicone, obviously, but some patients might benefit using silicone instead of saline. Some other patients may be better candidates for saline.
A silicone implant is filled with silicone polymer which is essentially more viscus than water or saline solution, in this case a saline implant. Either saline or silicone implant would be most appropriate for almost everybody else, for every woman. Now, in some instances, silicone will be best for a woman who has very thin tissues and even if you place this under the pectoralis major muscle, there is less risk of ripping with silicone. Essentially, it's basically the woman's choice, what they prefer. If they approve, one is more expensive than the other. If I have to say anything about the silicone is that it feels more natural.
Interviewer: Do you recommend over the muscle or under the muscle?
Dr. Perez: Most implants are placed under the pectoralis major muscle for protection. The implants have more tissue to be protected and there is less risk of capsular contracture, especially in the saline implants.
Interviewer: If you go under the muscle, does that affect my mammography results?
Dr. Perez: For a mammography, it is better to be under the pectoralis major muscle. The question is what do I do to help healing while I'm healing after a breast augmentation? I'll say, obviously, don't do anything that will inhibit healing such as smoking or refraining from heavy exercising during the first few weeks. The recovery time after breast augmentation, I would say, is only a few days, probably a week. But healing takes a long time, complete healing takes a long time as well as the breast change. But after three months you will see more or less what they are going to look like.
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