Breast Augmentation Philadelphia


Breast augmentation is the most popular plastic surgery procedure in America, with over 290,000 breast augmentation surgeries performed in 2016. Breast augmentation can be an incredibly rewarding procedure, and many women who undergo it feel more confident in their appearance and more comfortable in their clothes.

If you feel your breasts are too small, uneven, asymmetrical, or have deflated after pregnancy or weight loss, you may benefit from breast augmentation in Philadelphia. Dr. David Bottger has years of experience helping women obtain their ideal breast size and shape in the Philadelphia area, and he will be happy to do the same for you. Call 610-355-1929 today to schedule your initial consultation.

What Is Breast Augmentation?

Breast augmentation is a surgical procedure that enlarges the breasts through placement of an implant. It can be customized in a number of ways, including:

  • Size
  • Shape
  • Incision placement
  • Implant placement

Breast augmentation in Philadelphia is performed on an outpatient basis, and generally takes only a few hours. It may take longer if the augmentation is combined with another surgery such as breast lift.

Benefits of Breast Augmentation

Many women have either naturally small breasts or breasts that have lost volume due to a life event such as pregnancy, weight loss, or simply age. Others may have issues with breasts that:

  • Are uneven
  • Are asymmetrical
  • Have poor cleavage
  • Have a lack of projection

Breast augmentation can help with all of these issues. After having a breast augmentation procedure, many women feel more self-confident, and are able to feel attractive in a wider variety of clothing and swimsuits. They may also feel less self-conscious during social situations.

Are You A Candidate for Breast Augmentation?

The ideal candidate for a breast augmentation procedure is someone who is doing it for herself, not to satisfy anyone else in her life. In addition, a breast augmentation candidate is:

  • Over the age of 18 (22 for silicone implants)
  • In good physical and mental health
  • Not pregnant or nursing
  • Understands the procedure and its risks and benefits

Breast augmentation can provide a boost to your confidence and appearance, but it is important to understand its limitations. If you are going into a breast augmentation procedure expecting it to solve your career or relationship problems, or gain someone’s affection, you’re doing it for the wrong reasons.

Breast augmentation should be done for one person: yourself. When done for the right reasons, it can be a life-changing and rewarding experience. Make sure that you know all of the potential results and benefits and have realistic expectations.

To see what kind of results you can expect from breast augmentation, please view our before and after gallery.

breast implants before and after photos philadelphia

What Type of Implant Is Right For You?

Which type of implant you choose will have a significant impact on your final results, and is one of the most important decisions to make when undergoing breast augmentation. Dr. Bottger will explain in detail the pros and cons of each type of implant, and help you to decide which one will accomplish your goals better.

Due to the superior research and advanced technology available today, both saline and silicone breast implants deliver better results than ever before. The controversies associated with silicone breast implants in the early 90s have led to a greater focus on a product that is extremely safe.

Dr. Bottger places the safety and well-being of his patients first, and only offers implants with a proven safety record that have been FDA approved.

Saline vs Silicone Implants

There are a variety of implant types available, each of which will give you a different result. The main types of implants are:

  • Saline: Saline implants are round and smooth, with a silicone shell filled with sterile salt water. This type of implant is FDA approved for women 18 and older, and requires a smaller incision than silicone gel implants. Saline implants are less expensive than silicone.
  • Silicone: Silicone breast implants are filled with a silicone gel material that tends to look and feel more natural than saline. In addition, they maintain their shape in the case of rupture, and they are less likely to wrinkle or ripple. Silicone implants are FDA approved for women aged 22 and older.

silicone vs saline implants philadelphiaWhile silicone gel implants maintain their shape after a rupture, the downside is that it is harder to tell if a rupture occurs. For this reason, the FDA recommends going for periodic MRIs if you have silicone implants.

On the other hand, if a saline implant ruptures, you can tell immediately because the breast will deflate. Unless you want to walk around with obviously asymmetric breasts, immediate revision is required.

Choosing the Right Size and Shape For Your Implants

Implants are highly customizable, and Dr. Bottger’s goal is to help you find the right type, size, and shape to achieve your ideal results. While he will not choose the implant for you, he will help guide you in deciding what size and shape will best meet your goals.

Keep in mind that for optimal safety and appearance, there may be a maximum recommended implant size for your frame.

Dr. Bottger offers:

  • Round implants: This implant shape is that of a flattened sphere. Its main advantage is that it will maintain its shape even if it moves within the implant pocket. It can create a very natural shape, as the fill material will pool in the bottom of the implant, creating a teardrop shape. Round implants can be smooth or textured.
  • Contoured implants: These implants are shaped like a teardrop. They are always textured in order to maintain their shape. While contoured implants can provide a more natural look, and there is less risk of the implant moving due to the texture, the disadvantage is that if the implant does move it will look misshapen and often require revision surgery.

In general, textured implants are more prone to rupture as well as to rippling. Dr. Bottger will go into more detail about the benefits and drawbacks of smooth vs textured implants during your consultation.

Implant and Incision Placement

Breast implants can be placed either partially under the pectoralis major muscle (submuscular placement) or under the breast glands and on top of the muscle (subglandular placement). Generally, Dr. Bottger prefers submuscular placement, but in some cases subglandular may be preferable. He will discuss both options in detail during your consultation.

There are a variety of breast implant incision options, including:

  • Inframammary: This type of incision is made in the fold under the breast. The incision is one to two inches long, and a pocket is made through it. The implant is then inserted into the pocket and inflated.
  • Periareolar: This incision is made at the margin of the pigmented portion of the areola and the skin of the breast. The pocket is then made and the implant inserted through the incision. Periareolar incisions have the benefit of very little visible scarring. However, this approach may not be advisable for women with small areolas or who are getting larger implants.
  • Axillary: An axillary incision is made through a crease in the armpit. The advantage of this approach is that no scars are left on the breast. Axillary incisions allow for a high degree of accuracy through the use of a fiber optic endoscopic system.
  • Umbilical: An umbilical incision is made in the belly button. A special instrument is used to tunnel from the incision to the breasts. Dr. Bottger generally does not perform this type of incision, as the lack of visualization creates a greater chance for asymmetrical pockets. In addition, bleeding cannot be controlled as well, which may lead to post-operative problems.

Breast Augmentation Recovery

Breast augmentation recovery varies from person to person, but generally most of Dr. Bottger’s patients are up and moving within a day.  The recovery timeline usually goes like this:

Immediately following your breast augmentation surgery in Philadelphia, a dressing and elastic bandage are applied which must be worn for 24 to 48 hours.  After this, you will switch to a support bra.

Swelling and bruising after breast augmentation is normal, and most of the time will disappear within a few weeks.

Strenuous activity and heavy lifting should be avoided for approximately three weeks, although you can perform light exercise such as walking immediately after your surgery.

It’s normal for your breasts to feel somewhat firm after breast augmentation. This firmness diminishes with time.

Your breasts may seem to be sitting too high on your chest after surgery. Give it time, and they will “drop” into a more natural position.

Breast Augmentation vs. Breast Lift

Breast augmentation and breast lift are two separate procedures that accomplish different things. Dr. Bottger performs both of these procedures, often at the same time, but it is important to know the difference between the two.

Breast augmentation, also known as breast enlargement or breast enhancement, is a procedure solely designed to make the breasts larger and more symmetrical. It is most often accomplished through the use of silicone or saline breast implants.

A breast lift, on the other hand, is used to lift sagging, drooping breasts. If your breasts have started to succumb to gravity and drop down on your chest, a breast lift can restore them to a more youthful position.

Breast augmentation will not significantly lift sagging breasts, and a breast lift will not make small breasts larger. However, when performed together, Dr. Bottger can both lift your breasts and enlarge them. Combining these two procedures is popular in older women and post-pregnancy women whose breasts have both lost volume and begun to sag.

Schedule Your Breast Augmentation Consultation in Philadelphia

If you are considering breast augmentation in Philadelphia, don’t hesitate to contact Dr. Bottger at 610-355-1929 for your initial consultation. He will help guide you through your options, and will be there for you at every step of your surgery.

Dr. Bottger serves patients in Philadelphia, Newtown Square, and nearby areas of Pennsylvania. Get directions to our breast augmentation surgeon from Google Maps

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