The size and shape of a woman’s breasts can be enhanced with the placement of silicone or saline implants, known as breast augmentation. While some women are genetically predisposed to underdeveloped breast tissue, other women's breasts are altered by pregnancy, breast feeding, significant weight loss, or natural aging. Plastic surgeon Dr. Paresi performs skillful breast augmentation for their patients at Dr. Robert J Paresi, Jr. MD in Chicago to enhance a woman's curves for a natural, proportionate appearance. With over 365,000 breast augmentation surgeries performed in America every year, breast implants help women boost their confidence and self-image.
Breast Augmentation Reviews
"The whole team at Dr. Paresi’s office is extremely friendly and very knowledgeable. I was very worried about having breast augmentation but from the first appointment Dr. Paresi and his staff took the time to answer all my questions and made sure I felt comfortable and confident."- C.V. / Google / Dec 12, 2018
"Love my Boobs - I went with the 400 cc high profile silicone mentor implant under the muscle - From the beginning, my experience with Dr Paresi and his staff was fantastic. I found him and his staff to be very professional and informative as I was researching the possibility of having breast augmentation for the past 15 years. I am 5'4, 110 LBS 31 year old female and was a 32 double A aka no boobs flat chested. He had the 3D imaging which really helped me with my size. My surgery was in May 2020, so I am about 2 months out from the operation. My recovery has been exactly as they had prepared me for, if not better than anticipated. The size is absolutely perfect! I went with the 400 cc high profile silicone mentor implant under the muscle."- H. / RealSelf / Jul 08, 2020
"Dr. Paresi and all of his staff are absolutely amazing. They truly take the time to get to know you and your needs. Dr. Paresi is very professional and respectful. I had a breast augmentation and he really listened to what I wanted and I could not be more happy with the results. All of the staff make you feel very comfortable. I also went back a few months later and got lip filler. I wanted to keep my natural shape, but just have them a little fuller and Dr. Paresi did just that. He’s very talented at what he does and I will never go anywhere else for cosmetic procedures."- C.Z. / Google / Jul 16, 2020
"Excellent Work and Very Professional! - I'm very happy that I chose Dr. Paresi for my breast augmentation revision! I had my original augmentation in August of 2018 with a different plastic surgeon and went through a revision on my right side due to capsular contracture in March of 2019 with the previous surgeon as well. Both surgeries were not without complications, so of course I was unsure if I wanted to risk trying it again, but I'm glad that I did. Dr. Paresi was very thorough and took the time to answer all of my questions and was very clear about my risk. Dr. Paresi's team was also very friendly and professional throughout my visits. Surgery went well and thankfully there were no complications! Today they look and feel 10x better than they did before and I am beyond happy. I'd definitely recommend Dr. Paresi if you're considering an augmentation."- M. / RealSelf / Aug 11, 2020
"Exceptional Plastic Surgeon & Staff! - Phenomenal bedside manor! Highly recommending Dr. Paresi & staff. I felt extremely comfortable and all of my questions were answered. He spend a lot of time explaining the breast augmentation procedure and made recommendations as to what would fit my body frame. It’s been 5 weeks since my surgery and I couldn’t be happier! My breasts look & feel natural. He did a phenomenal job! I will be seeing him again for my tummy tuck early next year!"- M. / RealSelf / Sep 22, 2020
Saline VS. Silicone
Saline Breast Implants
Saline breast implants are filled with a sterile saltwater solution and offer no risk to the patient in terms of extracapsular spread or silicone leakage. Saline implants are appealing to many because they generally cost less than silicone implants. In some patients, silicone may be a better option due to the rippling that may occur along the edges of the saline implant that can be visible in thin-chested women. Patients considering saline implants must be at least 18 years of age.
Silicone Breast Implants
Silicone breast implants are filled with a gel substance that looks and feels similar to natural breast tissue. They are ideal for women who are thin-chested. Silicone implants are specially engineered so that if the shell should become compromised (a surface crack), the silicone will remain intact within the implant (known as cohesive gel implants). Silicone implant defects are rare and can only be found through an MRI, unlike saline implants which will deflate. Patients must be at least 22 years of age to receive silicone implants.
- Saline: MENTOR® or Allergan (branded as Natrelle®)
- Silicone: Allergan (branded as Natrelle® Gel), Mentor (branded as MemoryGel®) and Sientra, known simply as Silicone Gel Breast Implants
An implant profile depicts the distance the breast will project forward from the chest wall. Implants are made in low, moderate, high and extra high profiles.
Breast implants come in two shapes. Round implants tend to offer more fullness on the top of the breast, while teardrop implants are touted to mimic the shape and look of natural breasts.
Breast implants are made with a smooth or textured surface. Round implants can be chosen with either surface, while teardrop implants are made with a textured surface only.
- Submammary (Subglandular): Under the mammary gland, over the muscle
- Subfascial (Retrofacial): Under the fascia of the muscle
- Dual Plane: Along two planes/layers
- Submuscular (Retromuscular): Mostly under the muscle
- Complete Submuscular (Full retromuscular): Completely under the muscle
- Inframammary: The incision is made in the breast crease where the breast meets the torso
- Periareolar: The incision is made just under and along the areola
- Transaxillary: The incision is made in the armpit
- Transumbilical: The incision is made in the belly button
Breast augmentation is performed under general anesthesia in an accredited surgical facility and typically takes between 1-2 hours to complete. It is considered an outpatient procedure. After surgery, patients will need to rest for a couple of days, but will be encouraged to move around in order to promote circulation. As the skin adjusts to the new breast size, it is normal to feel tightness in the chest area. Patients may resume their normal exercise routines within 4-6 weeks. It typically takes around 6 months for the breasts to fall into their final position. The result is a softer, natural looking breast appearance.
Plan Your Procedure
Breast Augmentation FAQs
Is Silicone Safe?
Patients sometimes have concerns about the safety of silicone breast implants because of the attention they received in the media years ago. However, the FDA did approve their safety. In addition, no evidence has ever been found to link silicone breast implants to cancer, auto-immune deficiency disease, or any other illness. Ultimately, 62% of today’s breast augmentation patients choose silicone over saline. For reconstruction cases, they choose them 3 times more often.
Breast Aug or Lift?
Breast augmentation will help with size, but it will not correct sagging. If you are happy with the shape and laxity of your breasts, then implants alone may meet your cosmetic goals. If sagging is what is most bothersome to you, then you may be considered for a breast lift. During your consult, we will determine if you are better suited for breast augmentation, a lift, or a combination of the two.
Risk of Rupture?
Modern engineering creates strong and durable implants. With proper care and regular check-ups, the risks for rupture are rare. If a saline implant does rupture, the solution will be absorbed by the body and the implant will deflate, becoming visibly noticeable. If a silicone implant ruptures, the cohesive gel will stay intact and will not leak into the body. An MRI will be necessary to detect a silicone defect.
How Long do They Last?
Most implants will last about 10 to 15 years. Some can last even longer. If there is no rupture, leakage, deflation, or any other visible defects (such as rippling), then there is no need to change the implant or have any type of secondary surgery.
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