Breast Enhancement

Breast EnhancementAlso known as augmentation mammaplasty, breast augmentation surgery involves using breast implants to fulfill your desire for fuller breasts (breast enlargement) or to restore breast volume lost after weight reduction or pregnancy (breast enhancement).

If you are dissatisfied with your breast size, breast augmentation surgery (either breast enhancement or breast enlargement) is a choice to consider. Breast augmentation can:

  • Increase fullness and projection of your breasts
  • Improve the balance of your figure
  • Enhance your self-image and self-confidence
  • Implants also may be used to reconstruct a breast after mastectomy or injury.

Is it right for me?
Breast augmentation is a highly individualized procedure and you should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image.

Breast augmentation may be a good option for you if:

  • You are physically healthy
  • You have realistic expectations
  • Your breasts are fully developed
  • You are bothered by the feeling that your breasts are too small
  • You are dissatisfied with your breasts losing shape and volume after pregnancy, weight loss, or with aging
  • Your breasts vary in size or shape
  • One or both breasts failed to develop normally

What it won't do:
Breast augmentation does not correct severely drooping breasts. If you want your breasts to look fuller and to be lifted due to sagging, a breast lift may be required in conjunction with breast augmentation. Breast lifting can often be done at the same time as your augmentation or may require a separate operation. Your plastic surgeon will assist you in making this decision.

What happens during breast augmentation surgery?

Step 1 - Anesthesia
Medications are administered for your comfort during breast augmentation surgery. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 - The incision
Incisions are made in inconspicuous areas to minimize visible scarring. You and your plastic surgeon will discuss which incision options are appropriate for your desired outcome. Incision options include:


Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference.

Step 3 - Implant choice: Silicone breast implants or saline breast implants?
Breast size and shape are important, so be honest and open about your expectations when talking with Dr. Mueller. Implant type and size will be determined not just on your desired increase in size but more importantly on your breast anatomy, skin elasticity and body type.

Options for Breast Implants

Saline breast implants are filled with sterile salt water. They can be filled with varying amounts of saline which can affect the shape, firmness and feel of the breast. Should the implant shell leak, a saline breast implant will collapse and the saline will be absorbed and naturally expelled by the body.

Silicone breast implants are filled with an elastic gel. The gel feels and moves much like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket.

Implant manufacturers occasionally introduce new styles and types of implants, so there may be additional options available, such as the gummy bear implant that maintains cohesiveness even if it opens up.

Currently Saline breast implants are FDA-approved for augmentation in women 18 years of age and older. Silicone breast implants are FDA-approved for augmentation in women 22 years of age and older.

Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes.

Step 4 - Inserting and placing the breast implant

After the incision is made, a breast implant is inserted into a pocket either:

  • Under the pectoral muscle (a submuscular placement), or
  • Directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement)

The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and Dr. Mueller’s recommendation.

Step 5 - Closing the incisions
Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin. Over time the incision lines will fade.

Step 6 - See the results
The results of breast augmentation surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for fuller breasts.

Breast Lift Surgery

Commonly referred to as a breast lift, mastopexy surgery raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. A woman's breasts often change over time, losing their youthful shape and firmness. These changes and loss of skin elasticity can result from:

  • Pregnancy
  • Breastfeeding
  • Weight fluctuations
  • Aging
  • Gravity
  • Heredity

Sometimes the areola becomes enlarged over time, and a breast lift will reduce this as well. A breast lift can rejuvenate your figure with a breast profile that is youthful and uplifted.

What happens during breast lift surgery?
Your mastopexy surgery can be achieved through a variety of incision patterns and techniques. The appropriate technique for you will be determined based on:

  • Breast size and shape
  • The size and position of your areolas
  • The degree of breast sagging
  • Skin quality and elasticity as well as the amount of extra skin
Breast Reduction Surgery

What happens during breast reduction surgery?
Also known as reduction mammaplasty, breast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts.

Breast reduction surgery is usually performed through incisions on your breasts with surgical removal of the excess fat, glandular tissue and skin.

In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques described below. If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used in the procedure for breast reduction.

The technique used to reduce the size of your breasts will be determined by your individual condition, breast composition, amount of reduction desired, your personal preferences and Dr. Mueller’s advice.

What costs may be involved?
  • Surgeon’s fee.
  • Surgical facility costs.
  • Anesthesia fees.
  • Prescriptions for medication.
  • Medical clearance from your doctor.
  • Medical tests.

Your satisfaction involves more than a fee.
When choosing a plastic surgeon, remember that achieving the desired cosmetic outcome involves many choices. The first and most important decision is selecting a surgeon you can trust.

Choosing Dr. Mueller ensures that you have selected a surgeon who:

  • Has completed at more than seven years of general surgical training with an additional two years specifically in plastic surgery.
  • Has been in private practice for more than fifteen years.
  • Is trained and experienced in all plastic surgery procedures, including breast, body, face and reconstruction.
  • Has keen artistic judgment.
  • Is an inventor and top innovator is the field of facial and neck procedures.
  • Operates only in accredited medical facilities.
  • Adheres to a strict code of ethics.
  • Fulfills continuing medical education requirements, including standards and innovations in patient safety.
  • Is board certified by The American Board of Plastic Surgery ASPS Member Surgeons.

Dr. Mueller’s private practice offers elite care. We provide a highly personalized boutique like experience. Just as important as the final cost of the surgery is your comfort with Dr. Mueller and his team as well as your trust in him.

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