Before and After

This patient is a 24 year old woman who wished to have an increase from 32 B to 32 C.  She is 5'3" and weighs 100 lbs.  Dr. Mills used a 390cc filled to 400cc saline implant using the transaxillary approach.  For more before and after photographs please visit www.danmillsmd.com.

Silicone vs. Saline

Breast implants will not last forever and will likely need to be replaced with a subsequent surgery.  The FDA approved silicone implants for breast augmentation surgery in November 2006, following years of controlled clinical studies called the Adjuct Studies.  All women age 22 years and older have the choice of using saline-filled implants or silicone-filled implants.   Saline implants are made of a silicone shell and filled with sterile saltwater.  Silicone gel-filled implants are made of a silicone shell and filled with a cohesive silicone gel.  Silicone is a naturally occuring element found in sand, quartz and rock.  Silicone can be manufactured in a variety of ways, including oils, gels and solids.  Silicone products have been shown to be bio-compatible, reliable, flexible and easy to sterilize, making them an ideal choice for implantable and non implantable medical devices.  You can also talk with Dr. Mills about the latest in implant research and development, including the form stable cohesive gel implant.  If you have any implant related questions or concerns Dr. Mills would be happy to discuss these and provide you with information on the latest research.

What to Expect at Your Consultation with Dr. Mills

During your consultation and other pre-operative visits, you will select your implant size and type.  Dr. Mills will review all of your implant options and choose which style and size that best fits your needs.  To aid you in the decision, you will be given the time and opportunity to try on different 'breast sizers',  which will give you a better idea of how your new shape will fill out your clothing and bathing suits.  (We recommend that you bring different types of shirts to your initial consultation to try on with the breast sizers and see your "enhanced" look.)  It can also be helpful for you to bring in pictures of breasts that demonstrate what your expectations are for the outcome of the surgery.  Dr. Mills can review these with you and let you know if this would be a realistic result for you.

Dr. Mills' Preferred Technique for Breast Augmentation

There are many surgical approaches for breast augmentation, which include inconspicuous incisions in the armpit, underneath the breast, around the areola or in the belly button.  Dr. Mills can perform all these approaches, but prefers the transaxillary approach.  Referred to as a TransAxillary SubPectoral Augmentation (TASPA), this technique involves making a small incision in the armpit to place a breast implant beneath the chest wall muscle.  Dr. Mills feels that a TASPA generally yields the most natural-looking result with minimal scarring.

Reasons for Breast Augmentation

Many women wish to increase the size and/or fullness of their breasts to make them more proportional to the rest of their body.  Women of all ages come to our office desiring to enlarge their breasts for a number of reasons.  Generally women that have a genetic pre-disposition toward small breasts tell us that they desire to better fill out their clothing or bathing suits.  Women that have lost breast volume after weight loss or breast feeding typically tell us that they want to regain their breast fullness and/or cleavage.  In all these cases, breast augmentation is usually the optimal way to increase your breast size, which can improve the way you look and feel about yourself.