Breast Augmentation

Conveniently located to serve Waldorf, St. Charles, and White Plains

Surgery of the Breast

Plastic surgery of the breast involves:

a. Surgery to enlarge size = Breast Augmentation
b. Surgery to enlarge & shape = Breast Augmentation + Mastopexy
c. Surgery to reduce size = Breast Reduction
d. Surgery to shape = Breast Mastopexy ( lift)
e. Surgery to create = Breast Reconstruction

Breast Augmentation

With the help of breast augmentation, Maryland patients can achieve larger breasts with increased projection. Breast augmentation is the most popular of all breast procedures and, in fact, the most popular cosmetic operation in the United States. In 2008, 355,671 breast augmentations were performed. Contrary to popular belief, the typical breast augmentation patient is a happily married woman between 30-40 with two children. She has decided not to have more children and has the time and economic means to begin to think about herself, in addition to her family.

In my experience, there are generally three body types who request breast augmentation:

Type I – Very thin, somewhat muscular women with very little fat and very small boy-like breasts.

Before & After
Before & After
* Individual results may vary.

Photo Gallery

View before-and-after pictures of real patients of Don Fontana, MD

View Before & Afters

Type II – Well proportioned women with small, but shapely breasts

Before & After
Before & After
* Individual results may vary.

Photo Gallery

View before-and-after pictures of real patients of Don Fontana, MD

View Before & Afters

Type III – Women with adequate size breasts desiring larger breasts to balance their body size.

Before & After
Before & After
* Individual results may vary.

Photo Gallery

View before-and-after pictures of real patients of Don Fontana, MD

View Before & Afters

Among these types, there are numerous shapes of breasts which make the operation challenging in some cases. As a patient, the more attractive your breasts are prior to surgery independent of their size, the more attractive they will be after surgery. In addition, it is far more common to have two breasts of different size and shape than to have two perfectly symmetric breasts. For this reason, I will frequently use implants of different size, shape, projection and volume.

Breast Implant Options

Breast implants are highly customizable, which allows surgeons to find the best breast implants for each unique patient. While some patients benefit more from large breast implants, many find that best results can be achieved with small breast implants. Smooth and textured implants are available, along with round and anatomical implants and low, moderate, and high profile breast implants.

In terms of type, silicone breast implants are quite popular as a result of their more natural feel. Saline breast implants also offer a variety of benefits, including the ability to change their volume during breast augmentation surgery.

Technique

I employ the technique of submuscular augmentation in 95% of the cases. The implant (saline or silicone) is placed beneath the pectoralis muscle of the chest. This placement allows a greater ease of palpating a breast mass, easier mammagrams, a better cosmetic appearance compared to placing the implant on top of the muscle, and the muscle and skin supports the weight of the implant, thereby slowing down the sagging of the breast over time.

You gave me the confidence in myself…I was always lacking

5 5 Star Rating Written on February 18, 2019

Though I have known you for a very short time, you have brought so much happiness to my life. Through my breast augmentation surgery, you made me feel like a woman I never knew I could be. You gave me the confidence in myself that I was always lacking. Because of you, I was able to walk down the aisle wearing a wedding dress that showed off my figure and I felt ‘beautiful.’ Both my husband and I value your opinion and expertise and felt total trust in you as the professional that you are. From our first office visit to the last, you made me feel comfortable and answered all of our questions thoroughly. Thank you for giving me ‘happy ever after.’

by

Breast Augmentation with Breast Lift (Mastopexy)

There is a large group of women who have either lost considerable weight or who have experienced breast volume loss because of pregnancy and nursing. The result is often small sagging breasts which can not be reshaped into attractive breasts with augmentation alone but require a breast lift (mastopexy). A breast augmentation with lift, or breast lift and implants, reduces sag while increasing size. If the patient exhibits only a small amount of sagging, a modest augmentation may be adequate to both enlarge and lift the breast. The amount of breast sagging will determine the techniques used to lift the breast. Mastopexy with or without breast augmentation is a “trade-off” operation, that is, improved breast shape versus the potential for scars, some of which can be unsatisfactory. If it does not feel worth the worry, a breast lift without implants is still quite effective for shaping.

Mastopexy Procedures

The type of operation is dependent upon the extent of breast sagging (mammary ptosis), with or without breast augmentation. Another way to explain breast ptosis, is to ask the question, “How far must the nipple-areolar complex (NAC) be moved to place it at the apex of the breast mound.” When a mastopexy is performed without breast augmentation, there is an apparent decrease in the size (volume) of the breast even though only skin is removed.

1. Concentric, Doughnut, Purse-String or Benelli Type Mastopexy
If the distance that the NAC must be moved is short ,this type of procedure can be used, frequently together with a breast augmentation. Incisions are entirely around the areola . While the scarring is generally very good, the procedure must be performed by an experienced plastic surgeon, otherwise the risks of stretching the nipple-areolar complex to a larger diameter and flattening the shape of the breast is possible.

2. Short Scar or Vertical Scar Mastopexy
Patients having considerably greater sagging require not only a lifting of the nipple/areolar complex (NAC) but also significant tightening of the loose breast in a horizontal direction. The vertical or short scar mastopexy procedure achieves this without requiring a long scar below the breast.This is Dr. Fontana’s preferred technique. It is done with or without breast augmentation. The vertical or short scar mastopexy eliminates the scars in the fold of the breast. The shape of the breast is less dependent on the tightness of the skin and the scars are significantly better.

Anchor Scar Mastopexy

If you have the opportunity of viewing either breast reduction scars or mastopexy scars, you may have come upon the term “anchor scar”. This technique produces scars around the areola, a vertical scar down the front of the breast and a long scar extending along the fold of the breast from the breast bone to the underarms. In the majority of patients, the scar is unsightly and unnecessary. The long term aesthetic results are not consistently good. This technique should NOT be used.

Recovery and Healing

After a breast enlargement procedure, patients must rest and recover. During this time, patients must follow all post-surgical care directions closely in order to avoid complications, achieve the best possible results, and experience a more comfortable recovery process. Bruising and swelling will be present for a time, and patients must wear a supportive bra without underwire. Additionally, time off from work will be needed, and strenuous physical activities must be avoided.

Breast Augmentation Cost

The cost of increasing breast size with implants is dependent on a number of factors. Breast implant price, techniques utilized, and total procedure time all play a role in the final price.

Saline Implants

Silicone Implants

Dr. Fontana regularly performs breast augmentation in Maryland, along with a number of other procedures, is a leading expert in non-surgical facial enhancement. If you are interested in any of our cosmetic treatments, please contact us today or call 301.870.0600 for your complimentary consultation. We look forward to meeting you!

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