Rucker MD Plastic Surgery Clinic
Because many females with small breasts have dissatisfaction with their body image and feel limited in their fashion choices, they elect for a breast augmentation. Wisconsin women who are making this big decision are advised to get the care of a board certified surgeon. Breast Augmentation is a cosmetic procedure designed to enlarge a woman's breast through the surgical placement of a breast implant.
Recommended Treatment For:
The Goals of Breast Augmentation
The primary goal of this procedure is to enhance breast fullness and projection and secondly, to place the chest and body in a more proportional state. Clinically referred to as augmentation mammoplasty, this cosmetic procedure aims to:
- Enlarge a naturally small breast, which is most commonly the result of an inherited condition
- Restore breast volume following pregnancy, as a result of breast-feeding or weight loss
- Achieve better symmetry when breasts are moderately disproportionate in size and shape
Breast augmentation does not correct the sagging of breasts. In those women who desire an improved contour as well as increased fullness, a breast lift in conjunction with breast augmentation may be the proper choice.
Adult woman of any age can benefit from breast augmentation. It is recommended however, that breasts be fully developed prior to a breast augmentation. Women who wish to have children should know that breast augmentation does not generally interfere with a woman's ability to breastfeed.
- Women who choose breast augmentation to fulfill their own desire for enhanced breast size, not the desire of others.
- Healthy women who do not have a life-threatening illness or medical condition that can hamper healing.
- Women with a positive outlook and specific goals in mind for improving their own body image.
The breast consists of milk ducts and glands, surrounded by fatty tissue that provides its shape and soft feel. Situated beneath the breast is the pectoralis major muscle. The skin envelope surrounds the breast mound and the nipple areola complex is connected to the underlying system of milk ducts.
Before undergoing breast augmentation all patients will enjoy a personal pre-operative consultation. We'll review your medical history and perform a physical examination to ascertain if you are indeed a candidate for augmentation mammoplasty. During your initial consultation, the procedure, recovery, expected outcome and risk of possible complications will be discussed.
Dr. Rucker completed his Plastic Surgery Residency in 1984 and pursued a desire to devote a large portion of his practice to Restorative Breast Surgery. He chose to attend a fellowship in Breast Surgery in Atlanta, Georgia, became board certified in Plastic and Reconstructive Surgery in 1986 and attained the position of Fellow in the American College of Surgeons in 1989. During his 30 years of practice, Dr. Rucker has performed approximately 1000 breast augmentation procedures.
Our office will provide you with information regarding potential dates for performing the procedure, a detailed list of pre and postoperative instructions, and they will highlight any required preoperative tests.
If you would like to talk with someone who has already undergone this procedure, our office will direct you to another patient who may be able to answer additional personal questions you may have. Our staff is available to provide you with information on the type of anesthetic that will be used, where the surgery will take place and a more detailed outline of what to expect after your breast augmentation.
Breast augmentation is performed under a general anesthetic in our fully licensed in-office operatory on an outpatient basis. In the preoperative holding area, any last minute concerns are discussed with the patient and the chest wall is then carefully marked to ensure accurate breast implant placement. Although there are several ways to insert the implant, Dr. Rucker prefers to make a small (2 inch) incision beneath the breast. The implant is then placed behind the chest wall muscle. Dr. Rucker prefers this approach for several reasons:
It is easier to develop the pocket to house the implant from this approach
The avoidance of the nerve which gives sensation to the nipple is easier with this approach
There is no nipple areola distortion, which may occur when placing the entrance incision around the nipple.
The placement of the implant behind the chest wall muscle, Dr. Rucker feels, gives a more natural (not operated on) look. (see above diagram)
The procedure takes about one hour to perform. Care is taken to make the breasts symmetrical and to preserve sensation to the nipple. Following the procedure, a support bra is placed on the patient and they are subsequently discharged about 2 hours after the procedure.
Available Breast Implants:
Silicone vs. Saline - 90% of my patients has chosen Silicone over Saline filled implants. A significant number of patients that have chosen Saline over Silicone return in 1 to 3 years and request an exchange to Silicone implants. My rationale for choosing Silicone over Saline is:
Silicone is much more natural feeling
In my experience, there is less of a chance of leakage
There is a smaller chance of detecting rippling on the side of the breast with the use of Silicone.
Over the past year I have chosen to use High Tension Silicone Gel Implants (Gummy Bear) in many of my patients for the following reasons:
It has the same natural feel as the older silicone implant
In the event of a rare rupture, the gel has a tendency to hold its shape and does not leak for the shell
It has a lower rate of scarring around the implant.
During the initial consultation the patient’s height, weight and shoulder width are evaluated to give us a better idea of what size breast implant will produce a proportional augmentation result. Also, test implants of varying sizes are placed beneath the patient’s Bra in order to give her a reasonable estimation of her desired outcome. It is interesting to note that the most common concern prior to breast augmentation is that the surgeon will overly enlarge the breast and the most common response after augmentation is: “You could have made me just a little larger”. We attribute this to the immediate moderate swelling after augmentation that eventually resolves.
Most patients rate the pain intensity as a level 5 on a scale of 1 to 10. All patients are given detailed postoperative written instructions, prescriptions for pain control, and an antibiotic. Light activity is tolerated well in the first week. Most patients are never so incapacitated that they can't take care of their own basic needs. We see you one week after your procedure. At that time, all of your dressing and your sutures are carefully removed, your postoperative recovery and activity levels are again reviewed and an anticipated date for your return to work is discussed. Light employment is tolerated after one week with heavy lifting and regular activity in 3 to 5 weeks. You are also given detailed instructions for care of your suture lines so as to help prevent excessive scarring. Your final consultation usually occurs 5 months after your procedure.
There is a potential for complications in any operative procedure. The most common complications are infection, scarring and sensation changes. During your consultation, a detailed discussion of these potential risks will be given to you.
Dr. Rucker and the staff of the Restorative Breast Center hope that this information will be of help to you if you are considering breast augmentation. Wisconsin women have come to us from all around the state because our staff has gained a considerable amount of knowledge regarding breast augmentation during their experience in helping nearly 1,000 patients undergoing this procedure. Your inquiries are welcome.
Frontal 350cc Augmentation Before & After
Lateral 350cc Augmentation Before & After
Frontal 370cc Augmentation Before & After
Oblique 370cc Augmentation Before & After
Breast Augmentation Frontal View Before & After
Breast Augmentation Oblique View Before & After
Above: 24 y/o female requesting augmentation to go from a B cup to a full C cup. Underwent subpectoral augmentation mammoplasty with 350cc gel implants. Post-op photo taken at 3 months.
Above: 35 y/o female requesting breast lift and augmentation: Underwent bilateral breast lift and bilateral subpectoral augmentation with 275 cc gel implants. Post-operative photo taken at 3 months.
Above: 25 y/o female requesting augmentation from A cup to large C cup. Underwent bilateral subpectoral augmentation with 360 cc gel implants. Post -operative photograph taken at at 3 months.
Above: 32 y/o female requested to go from B cup to large C cup. Underwent bilateral subpectoral augmentation with 370 cc gel implants. Postop photograph taken at 4 months.
Before: Patient requested to go from a A cup to a full C cup
After: after 375 cc breast augmentation
Before: Bilateral Breast Augmentation
After: Bilateral Breast Augmentation
Before Breast Augmentation After 370cc Augmentation
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"Thank you for your wonderful work…. I am very much appreciative for you making me feel complete..."