Breast augmentation is a surgical procedure to enlarge and enhance the breasts, and is ideal for women who feel their natural breasts are too small or not the right shape, or women whose breasts have decreased following childbirth or breastfeeding. This treatment enhances the size and shape of a woman’s breasts using implants. Dr. Coville can increase a woman’s bust by one or more bra cup sizes.
Altering your breasts’ size or shape can change your entire appearance, the way you dress, and even how you carry yourself. While this may improve your self-confidence, remember it can’t transform who you are or change your life’s circumstances. Please discuss your expectations thoroughly with Dr. Coville before deciding.
The most suitable breast augmentation patients are physically healthy, emotionally stable women who are realistic about what the surgery can accomplish. You should be looking for improvement, not perfection. Dr. Coville will analyze your unique concerns and health history during your initial consultation to determine if breast augmentation is the best option for you.
A breast implant is a silicone elastomer shell filled with medical-grade silicone gel or saline. Medical-grade silicone is the least reactive substance in the human body of any artificial material. Many people believe silicone-filled implants give breasts a more natural look and feel than other types.
Dr. Coville uses saline-filled implants in certain circumstances and per what you, the patient, ultimately desire. However, he does believe silicone gel-filled implants achieve a more natural appearance and texture. With extensive experience abroad, Dr. Coville has an excellent familiarity with silicone-gel-filled breast implants as they are the most commonly used implant around the world. Additionally, they have proven to be incredibly safe when used correctly for the appropriate patient.
Cornerstone Plastic Surgery & Aesthetic Medicine in New Jersey uses only the highest quality silicone gel implants, which are manufactured by Sientra and are only available to thoroughly trained plastic surgeons in an ACGME (Accreditation Council for Graduate Medical Education) approved program and are either Board Eligible or Board Certified. Although Dr. Coville will use other implants at your request, such as those manufactured by Allergan or Mentor, he prefers Sientra for their quality and warranty.
How your new breast implants will be inserted and positioned depends on factors such as your anatomy, your preferences, and Dr. Coville’s recommendations. For this reason, it is vital for you and the doctor to understand each other fully. Dr. Coville believes that having both the surgeon and the patient “on the same page” in terms of expectations, goals, and risk factors is the key to avoiding any problems or disappointing outcomes.
A short incision is made in the crease under the breast, around the areola (the dark skin surrounding the nipple), or in the armpit. Regardless of the incision location, Dr. Coville makes every effort to keep the resulting scars inconspicuous. Once the incision is made, Dr. Coville lifts your breast tissue and skin to create a pocket, either directly behind the breast tissue (subglandular) or underneath your pectoral muscle (submuscular).
Each option has its own benefits, which he will discuss with you before surgery to make sure you fully understand the implications of each. Rarely are drainage tubes needed following this operation, which usually takes about one hour to complete.
Dr. Coville will initially evaluate your health and recommend which surgical techniques are best for you based on your age, prior medical or surgical history, your breasts’ condition, and your skin tone. If your breasts are sagging, he may also recommend a breast lift. Discuss your expectations fully and frankly with Dr. Coville, and he will be equally frank with you about your choices and their risks and limitations.
You will also receive a copy of the implant manufacturer’s usage instructions and additional crucial information that comes with the implants you’ve chosen. Cornerstone Plastic Surgery & Aesthetic Medicine will also provide you with information to keep you fully informed every step of the way. Dr. Coville will also explain the type of anesthesia to be used, the facility where he will perform the surgery, and the associated costs.
Most insurance companies do not consider breast augmentation medically necessary and do not generally cover this procedure. However, patients having breast augmentation as part of reconstruction after a mastectomy may have insurance coverage. Ask our staff about available financing options that may be appropriate for your particular situation.
Every patient and every physician will have a different view of the most desirable size and shape of breasts. It is essential, therefore, to discuss your expectations thoroughly and frankly with Dr. Coville. He will examine and measure your breasts and discuss the variables that may affect the procedure, such as your age, the size and shape of your breasts, and your skin’s condition. During your consultation in Linwood and Toms River, NJ, Dr. Coville will describe the treatments he feels will work for you in detail and explain any risks or limitations.
Dr. Coville will also ask you about any medical conditions that could cause problems during or after surgery, such as high blood pressure, blood-clotting issues, or any tendency to form excessive scars. Be open, particularly about smoking and any drugs, medications, or vitamins you are taking. Aspirin, for example, can affect clotting. We encourage you to ask any questions you may have about discomfort, healing time, and so on.
Our South Jersey Shore team will give you specific instructions on preparing for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding specific vitamins and medications. Be sure to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.
Breast augmentation is relatively straightforward. Nevertheless, all surgery carries risks and specific possible complications. The most common problem, capsular contracture, occurs if the scar or capsule around the implant begins to tighten, causing the breast to feel hard. Treatments for capsular contracture include removing or ‘scoring’ the capsule scar tissue, or removing or replacing the implant entirely. Capsule formation and possible capsular contracture are something that Dr. Coville will explain to you in great detail during your initial breast augmentation consultation.
As with any surgical procedure, excessive bleeding is possible and may occur following the operation. Frederick A. Coville, MD, does everything possible to ensure no vessels are bleeding when he completes your surgery. However, the human body is incredibly complex. Many things, such as your blood pressure rising too quickly in response to pain, or simply doing too much in the way of activity right after a procedure, can cause some post-operative bleeding.
You will feel a bit tired and sore for a few days but should be up and around in 24 to 48 hours. Dr. Coville prescribes pain medication and antibiotics if necessary before the surgery to control your discomfort. Generally, women who have had the breast implants inserted under the breast tissue but above the chest muscle (subglandular) have less pain and discomfort than those with implants placed under the chest wall muscle (submuscular).
Either way, any dressings will be removed within a few days, though you will still support your breasts with a light surgical bra. Our team may ask you to wear a light strap across the top of your breasts if you have had a submuscular breast augmentation. Please make sure you wear it as directed. Some patients may experience a burning sensation in their nipples for about two weeks—this will subside as the bruising goes away. The swelling in your breasts may take a couple of months to resolve completely.
Most patients can return to work within a few days. Follow the advice given to you by Dr. Coville and his Atlantic County team on when to begin exercises and other routine activities. Your breasts will probably feel sensitive for two to three weeks, so you should avoid most physical contact. By three to four weeks after surgery, they should no longer be sore.
Your scars will be firm and pink for at least six weeks. However, those with very fair skin, such as redheads, may have scars that stay pink a bit longer. If you have darker skin coloring, you may find that the wounds begin to take on a darker pigmentation. Let us know about these changes, as Dr. Coville is an expert at making scars as unnoticeable as possible. These marks may remain the same size for several months or even appear to widen. After several months, your scars will begin to fade, but they will never disappear completely.
Routine mammograms should continue after breast augmentation for women who are in the appropriate age group. Dr. Coville will make sure you are clear as to your responsibility for mammograms in the future.
Many women find having larger breasts satisfying, even exhilarating. Some women may experience a short but limited period of sadness after their surgery. This usually passes very quickly, and our patients are exceedingly happy with their breast augmentation. Regular examination by your surgeon and regular mammograms for those in the appropriate age groups will ensure any complications, if they occur, can be detected and treated early.
Breast implants are not permanent, but typically last several years. Some patients choose to have their implants replaced or to have a breast lift if their breasts sag with age or weight fluctuations.
Your decision to have breast augmentation is a highly personal one. Not everyone will understand. The important thing is how you feel about it. If you have met your goals, then your surgery is a success.
Written By: Dr. Frederick Coville
Frederick A. Coville, M.D., Cornerstone Plastic Surgery’s Owner and Medical Director
Frederick A. Coville, M.D., Cornerstone Plastic Surgery’s Owner and Medical Director, has been an Aesthetic and Reconstructive Plastic Surgeon for over 25 years. He firmly believes each of us possesses an inner “Foundational Beauty.”
As a student of beauty all his life, he calls upon his naturally artistic eye and God-given talents as a surgeon to deliver the results you demand. Dr. Fred likes to say, “It’s my job to help you find Your Beautiful!”
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Dr. Fred Coville, is a renowned Aesthetic and Reconstructive Plastic Surgeon. He proudly extends his services to Toms River, Atlantic County, Cape May County, Ocean County, South Jersey and the greater Philadelphia area. With a distinguished career spanning 25 years, Dr. Coville is a trusted professional delivering personalized and natural-looking results. His expertise caters to clients in locations such as Atlantic City, Trenton, Toms River, Vineland, Bridgeton, Hammonton, Cape May, and Cherry Hill.
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