Breast Blog

Can you make me a full C cup?

Posted by on Jun 29, 2017 in Blog, Videos | 0 comments

When women come in for their breast augmentation consultation, most tell me that they want to be a “full C cup.” They want to look proportional, and they think this means they will wear a C cup bra after surgery.

Problem #1: There is no standard bra cup-sizing system.
“C cup” can mean one thing if it’s made by Victoria’s Secret and another if it’s made by Vanity Fair. You might need a B cup in a full-coverage bra and a C cup in a demi bra, even if the same company makes both styles. Your cup size is also affected by how tight you make the band. If you wear it tighter, it will push your breasts deeper into the cup and you’ll need a bigger cup size.

Problem #2: What looks proportional varies from person to person.
Think of “proportional” as a “C look” rather than a “C cup.” To achieve the C look, a 5-foot woman with a small frame might only need a B cup while a 5-foot-8-inch woman with a large frame might need a D cup.

During each breast augmentation consultation, I show prospective patients before-and-after photographs of women who started out similar to them in height, weight, frame size and breast volume. Each photo notes the size of the implants that I used. Women look at the pictures and tell me, “too big,” “too small” or “just right.” It’s almost like looking through a magic mirror into the future. A woman is almost always consistent with the number of cubic centimeters (ccs) she likes, so I know what size saline or silicone breast implants to order to give her the look she wants on her body.

When we are finished, women almost always ask, “What cup size will I be?” This is where they can get into trouble. The letter doesn’t matter. They chose a look, and it looked right to them.

Here’s an example of that trouble: A 5’ 9” tall woman with a large frame wanted to be a full C. She liked eight different pictures; all had the same size implants and would give her a C look on her body. When I told her she’d probably wear a D cup, she said, “I don’t want to be a D.” She was stuck on the cup size. She decided to go smaller and was disappointed after surgery.

A woman with a small frame also wanted to be a full C. After voting on the pictures, she asked for her final cup size. I told her she’d probably wear a B. “Can you show me something bigger?” she asked. She had looked at larger implants, but didn’t like the pictures that were even a tiny bit bigger. She decided to stick with the size she liked in the pictures and was happy with her decision.

After my breast augmentation, do I have to sleep on my back?

Posted by on Jun 15, 2017 in Blog | 0 comments

There’s a myth that after breast augmentation surgery, you’ll need to sleep on your back for a week or longer. Many of my patients believe it, and they are worried that they won’t be able to get to sleep, because they normally lie on their side or their stomach.

They are not alone. According to the Better Sleep Council, fewer than 15 percent of people prefer to sleep on their back.

Let’s bust this myth: You don’t have to sleep on your back after breast augmentation surgery. You don’t have to stay up all night to make sure you don’t doze off and turn over onto your stomach. You can sleep any way you want.

Saline and silicone breast implants won’t pop if you sleep on them; they are extremely durable and can withstand a lot of weight. In fact, Allergan, an implant manufacturer, tests its implants by exerting 55 pounds of force on them repeatedly, up to 6.5 million times. (That would be equivalent to sleeping on your stomach for the next 17,808 years.)

Just as your contact lens can’t slip behind your eye, your breast implants can’t disappear into your body. They are carefully positioned in a space (a pocket) behind the pectoral muscle. Just like contact lenses, the implants can’t go anywhere because they bounded by muscle and strong tissues. The normal movement in the pocket won’t disrupt your healing.

The only factor limiting your sleep position is comfort. Most women tell me that they are fully comfortable sleeping on their stomach in about three weeks on average. They are comfortable sleeping on their side much sooner.

Sweet dreams.

The information above  is what I tell my patients to do and to expect after breast augmentation surgery: Each doctor has his or her specific postoperative protocol, and it might vary greatly from what you read here. It’s imperative that you follow your doctor’s instructions.

Breast Augmentation: It’s Easier the Second Time Around

Posted by on Jun 1, 2017 in Blog | 0 comments

Breast Augmentation: It’s Easier the Second Time Around

Times change. And so may your breast size – especially if you’ve been pregnant or had a significant change in your weight.

During pregnancy, breasts enlarge from hormonal changes and milk production. Afterward, they could return to their original size or get smaller or bigger. Because breasts are made up mostly of fatty tissue, they will get bigger or smaller as you gain or lose weight. In fact, they are often the first indicators.

Although your breasts may change, your breast implants will remain the same. They don’t need to be replaced every 10 years. I recently changed a woman’s implants after 23 years – she had a child, got smaller and wanted to go bigger – and the implants looked the same as they did the day I put them in.

About 10 percent of my breast augmentation patients come in for a consultation to get information about making a change. The average time elapsed is about 10 years, though it varies greatly.

They tell me, “I’ve gained a lot of weight, and I’m much bigger than I want to be. I’d like to go a little smaller.”

Or, “After my two children, my breasts got smaller. I just want to get my pre-pregnancy size back – and maybe a little extra.”

Others say, “I went for the gusto 15 years ago. I’ve enjoyed them and they served their purpose, but now that I’m 50something, I just want them a little smaller.”

Like the first time, we look at before and after photographs of women who started out similar to them in height, weight, frame size and breast volume. They tell me, “too big,” too small” or “just right” so I know what size implants to order.

Breast augmentation surgery is easier the second time around. Here’s what’s involved in upsizing or downsizing:

Less discomfort: To change each implant, I go through the same incision that I made initially in the crease beneath the breast. I don’t have to make a pocket beneath the chest muscle for the implant, so there is less manipulation of breast tissue and therefore less discomfort post-op. All you’ll feel is the incision. Consequently, you’ll likely need less medication after surgery for discomfort.

Shorter procedure time: This second surgery takes less time than your initial breast augmentation surgery, which means less anesthesia and a lower possibility of post-operative nausea and vomiting.

Shorter recovery time: You should still take it easy for a week, but you could probably get back to work on the third day because there is much less chance of bleeding. So if your surgery is on a Friday, you could return to work on Monday. First-timers are generally back to work in an office setting in 5 days. And you don’t have to wait until the sixth week to do upper body weights. You can start up again after three weeks.

Quicker results: Because your skin and chest muscles have already stretched to accommodate your implants, the implants won’t start off high like they did the first time. You’ll pretty much see the final result when you get home. After surgery, I’ll have you wear something supportive like a sports bra for three weeks to protect your incision. At that time, you’ll be able to wear and do anything and everything you want. No waiting eight weeks this time to go shopping for new bras and bathing suits.

10 Things to Consider Before Breast Lift Surgery

Posted by on May 10, 2017 in Blog | 0 comments

Are you a candidate for a breast lift? Should you also consider implants? What can you expect during recovery? Here are 10 things consider.

  1. A breast lift, or mastopexy, raises and firms your breasts, giving them a more youthful look. Dr. Ted Eisenberg accomplishes this by removing the excess skin, moving the nipples to a new, higher position, and suturing the remaining tissue together to create a sling – essentially a natural support bra – that raises and reshapes your breasts.
  1. To determine if you are a candidate for a lift, try the “pencil test.” Take off your bra and look in the mirror. Place a pencil horizontally along the crease under your breast where your bra band would rest. Does your nipple – not your areola – rest above, below, or at the pencil?
  1. If your nipple is above the pencil, relax. You are probably not a candidate for breast lift surgery. Use some of the money you save for new, uplifting bras.
  1. If your nipple hangs below the pencil, your breasts would be considered moderately to severely ptotic (or droopy) and you would need a breast lift to raise and reshape your breasts.
  1. If your nipple is at the pencil and your breasts are mildly droopy, it’s a borderline situation. You might get a good result with breast implants alone because a breast augmentation can give the illusion of a lift. As the implant fills out the upper portion of the breast, it also fills out the lower portion, which makes it appear as if the nipple is located higher on the breast. After about 9 months, when the implant has settled, you’ll have a better idea if you are perky enough. You can always get a lift later if needed.
  1. After a lift, your breasts will be the same size as they were before surgery, because only excess, stretched skin is removed during a breast lift; no breast tissue is taken away. You’ll look exactly how you look before surgery when you are wearing a good bra.
  1. To determine if you need a breast lift and implants, put on your bra and look in the mirror. If you are satisfied with the size of your breasts, then a breast lift alone might be the right procedure for you. If you wish your breasts were bigger, you are probably a candidate for a breast lift and implants (an augmentation mastopexy).

A well-known Philadelphia DJ chose Dr. Eisenberg to do her breast lift surgery. Watch her intimate video blog about her experience.

  1. Women report minimal discomfort after breast lift surgery. That’s because a breast lift involves removing only loose, stretched skin. If implants are added at the same time, the skin and muscle will be stretched, which may cause a little more discomfort.
  2. More than 90 percent of my patients are back to work on the fifth day after surgery if they work in an office setting. Women whose work requires lifting, pushing or pulling usually go back to work toward the end of the second week.
  3. It’s very likely that breast lift surgery won’t affect your ability to breastfeed because your milk ducts, which run from the mammary glands to the nipple, are not disturbed. Only skin from the perimeter of the areola is removed, and there are no milk ducts there.

See before and after photos of breast lift surgery and breast lift with implant surgery by Dr. Ted Eisenberg.

 

Timing Your Breast Augmentation Surgery

Posted by on Apr 24, 2017 in Blog | 0 comments

Whether you are planning a wedding or a beach vacation, hoping to get pregnant or lose weight, or entering a sports competition, timing is everything when you are considering breast augmentation surgery.

Taking a Beach Vacation

Around three weeks after surgery, you can go in a hot tub or swimming pool. At that time, the incision will be healed enough so that water won’t penetrate it and possibly cause an infection. You can go tanning as early as three weeks after surgery, too. Ultraviolet light, whether from the tanning bed or the sun at the beach, can make a scar redder for a longer period of time, so protect your incisions with sunscreen that has a sun protection factor (SPF) of 15 or higher.

It’s best to wait at least eight weeks before making a major investment in new bras and swimsuits. At that time, you will be able to more accurately determine your postoperative size and shape and get a truer fit.

Weight Loss

When you lose weight, it not only reduces the size of your waist and thighs, but it might also reduce the size of your breasts because breasts are made up mostly of fatty tissue. If this happens, you might be left with saggy breasts and stretched skin. If you’re planning to lose 10 percent or more of your body weight, it makes sense to wait until you have reached your goal before you have breast augmentation surgery. To choose breast implants that will make you proportional, you need to know your true starting size.

Wedding Planning

It takes about eight weeks for breast implants to begin to settle into their new size and shape. If you want to get a true fit, it would be unwise to go wedding gown shopping before then. Since wedding planning calendars usually recommend that you order your gown 8-10 months out, it means your surgery should be a year before the big day.

If you can’t plan that far ahead, you could schedule surgery anywhere up to about four months before the wedding. That way, you’ll be able to get your gown’s bodice adjusted at the fitting, which is usually done about 6-8 weeks before the ceremony.

Pregnancy and Breastfeeding

If you are thinking about having a child in the next year or working on it now, I would suggest that you wait because your post-pregnancy breasts might look different from your current pair. During pregnancy, your breasts will enlarge from hormonal changes and milk production. Afterward, they might return to their original size or get smaller, bigger or droopier. You won’t know the verdict until six months after you have stopped breastfeeding or, if you are not breastfeeding, six months after childbirth.

If parenthood is further in your future and you are anxious to enjoy new breasts now, you don’t have to wait. Just understand that you might need a revision after pregnancy. To see before and after photos of breast augmentation surgery by Dr. Ted Eisenberg, click here.

Training for a Competition

Three weeks after surgery, it’s OK for you to do aerobic activity (treadmill, stationary bike, etc.), running and lower-body weight training. Women are usually comfortable doing arm exercises (upper-body weights) starting about six weeks after surgery. Among my patients are Triple Crown bodybuilders and kickboxers who go back into competition after getting implants. They start with light training at six weeks and heavier training after eight weeks. None of their implants has deflated.