Plastic Surgery Breast Augmentation ChicagoBefore & After Videos Testimonials
Female breast augmentation, or breast enlargement, is a surgical procedure to enhance the size and shape of a woman’s breasts. Women may select breast augmentation surgery to enhance their breast size or to fill out skin that is now empty following pregnancy or weight loss. By inserting an implant filled with saline or silicone behind each breast, Dr. Casas is able to improve the shape of a female’s breasts as well as to increase the woman’s bustline by one or more bra cup sizes.
Dr. Laurie A. Casas was recognized by the New York Times as “One of the Top 4 Cosmetic Surgeons for Breast Implants in the USA”. In an initial consultation, Dr. Casas will talk to you about your expectations and will examine your breasts. She will consider many factors such as:
- the quality of your skin
- the symmetry between your breasts
- the quantity and quality of your breast tissue
- your nipple size and position
- your muscle and chest size
If you are considering breast augmentation in Chicago you must be at least 18 yrs or older and in good health.
Dr. Casas may recommend a breast lift in conjunction with augmentation if you have excess or loose skin. She will stress that a breast implant is not a lifetime device and will at some point require reoperation and replacement.
Your choice of implant enlargement size, shape, and other features will be determined based on your breast anatomy, your body type, and your desired increase in size. Your lifestyle, goals, and personal preferences, as well as Dr. Casas’ recommendations are also determining factors. Breast implants are medical devices with a solid silicone rubber shell. The implant shell may be filled with either saline solution (sterile salt water) or elastic silicone gel. Both saline and silicone gel breast implants are approved by the U.S. Food and Drug Administration (FDA). The size of a breast implant is measured in cubic centimeters (ccs) based on the volume of the saline or silicone filler. Breast implants vary both by filler and by size, and Dr. Casas will review your options with you.
Two weeks prior to breast augmentation surgery, Dr. Casas will provide you with a list of vitamins to take and a list of foods and medications to avoid. This will assure you are in optimal health and will provide for optimal healing.
Typically, breast augmentation patients in Chicago undergo general anesthesia for surgery. When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Your breasts will be wrapped in gauze dressings and a surgical bra. A night’s stay is optional with the procedure, but women with small children often elect to stay an extra night or two to help avoid excess exercise too soon after surgery.
Dr Casas’s Chicago clinic will provide you with a schedule of follow-up visits and appointments with a lymphatic massage therapist prior to your procedure. The massage is helpful in healing and in reducing fluids and swelling around the implants. Bandages will be removed within a few days, and you may be instructed to wear a support bra and be given exercises and self-massage to administer at home. Stitches will be removed in two to four weeks.
It is often possible to return to work within a week. Vigorous exercise, especially arm movement, may be restricted for two to four weeks. Dr. Casas will detail your schedule for return to normal activities based on the breast augmentation procedure performed.
Manual Lymphatic Drainage, administered by massage, is used after each procedure to reduce swelling. The number of sessions is individualized. It is important that patients follow a healthy lifestyle leading up to and following procedures, including non-smoking, a healthy diet and daily vitamins. Click here to learn more.
Preoperative Sizing for Breast Augmentation
By Dr. Laurie Casas, M.D.
Drs. Hidalgo and Spector demonstrate a valuable adjunct technique for preoperative sizing in breast augmentation in the June of 2010 issue of Plastic and Reconstructive Surgery. Their approach is a patient-centric process that allows the patient to be the key decision-maker in a critical step in the implant-selection process. Unfortunately, the study design has significant flaws, including use of a nonvalidated questionnaire and use of small cohorts that yield insignificant numbers for statistical analysis. These shortcomings of this “scientific article” should not deter the reader from understanding that this important patient-centric process is extremely valuable; however, “preoperative sizing” must be coupled with objective data from measurements and assessments of the patient’s chest wall; breast skin; tissue quality, quantity, and adherence; and nipple-areola position, size, and shape.
The finesse in the preoperative implant-selection process evolves as the plastic surgeon allows the patient to actively participate in the process while only offering patients implants to use for sizing that are tissue and dimensionally appropriate in width, height, projection, and volume so that the implant ultimately selected will fulfill the patient’s preexisting soft-tissue and chest wall requirements. Many patients will only reveal their unrealistic expectations through this type of patient-centric preoperative sizing process. Three-dimensional imaging may also help to evaluate patient expectations; however, the software is costly.
To achieve high rates of patient satisfaction and low reoperation rates for size dissatisfaction, the plastic surgeon must actively involve the patient. This method does provide the patient with that important decision-making power, but it must be masterminded by the plastic surgeon who has measured and evaluated the objective data from the clinical examination so that the patient is guided to choose the appropriate implant that will safely fill her unique breast dimensions yet provide her with an aesthetic result with which she is satisfied. As always, as plastic surgeons, we must not only merge scientific data with the artistry of plastic surgery but also practice the art of medicine in our approach to patient care. Bravo to Drs. Hidalgo and Spector for reminding us that the patient’s desires are a critical part of this implant-selection process.
Laurie A. Casas, M.D.
2050 Pfingsten Road
Glenview, Ill. 60025-1324
Additional Information – The Safety of Silicone Breast Implants:
FDA Affirms Safety of Breast Implants – The New York Times
Breast Enlargement / Augmentation Galleries
- Breast Augmentation Gallery
- Breast Augmentation Revision Gallery
- Breast Reduction Gallery
- Breast Lift Gallery
- Nipple Correction Gallery
Breast Enlargement / Augmentation Information Resources
- Breast Augmentation – Predictors for Reoperation
- Breast Augmentation
- Breast Implant Revision
- Breast Reduction
- Breast Lift
- Nipple Correction