What is breast augmentation in Richmond VA?
Breast Augmentation in Richmond, VA, also known as augmentation mammoplasty, is a surgical procedure to enlarge small breasts, underdeveloped breasts, or breasts that have lost their fullness after pregnancy. The problem of underdeveloped breasts may have significant personal, psychological, and social impacts. Once the breasts have been enlarged, you may enjoy the benefits of a balanced figure, thus facilitating the fitting of blouses, bathing suits, and other attire.
Breast implant surgery was first performed in 1962. Breast implants were invented the year before by Dr. Thomas Cronin and Dr. Frank Gerow in 1961. Since that time, breast implants and the surgical technique have evolved to become a safe, reliable, and aesthetically pleasing procedure.
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Am I a good candidate for breast augmentation in Midlothian, Chesterfield, Bon Air and surrounding cities?
Breast augmentation is a great procedure for improving one’s self-esteem.
Good candidates for breast augmentation include:
- Feel your breasts are small and underdeveloped and you would like larger, bigger breasts
- Have asymmetries between the size of your breasts
- Desire a better proportion between your upper and lower body
- Are unhappy with your breasts losing shape and volume after pregnancy and breastfeeding, weight loss and aging
- Want to lift the breast or nipple which are low or sagging
- Would like your bras and clothes to fit better
- Would like to improve your appearance in your bathing suit and clothes
- Would like to improve your self-esteem and feel more comfortable with your body
- You are in good health.
Are smokers candidates for a breast augmentation surgery?
Smokers are candidates for breast augmentation surgery. However, smokers have a higher risk of infections and wound healing problems which may lead to breast implant exposure, infection, and subsequent breast implant removal. Thus, it is recommended that you stop smoking 6 weeks prior to your breast augmentation surgery and six weeks after breast augmentation.
Who is not a good candidate for a breast augmentation?
You are not a good candidate for breast augmentation if:
- You are pregnant or breastfeeding.
- You have breast cancer or an abnormal mammogram.
- You are sick or have an infection.
- You have unrealistic expectations or doing this for another person’s benefit.
How old do I need to be to have a breast augmentation?
Currently, the FDA requires you to be 18 years old to have saline breast implants and 22 years old to have gel breast implants.
Does the FDA have any requirements or recommendations for those getting gummy bear gel implants?
The FDA currently recommends that individuals who get a breast augmentation with gummy bear gel implants have an MRI or ultrasiund 5 years after having breast augmentation surgery and every 3 years after that. This is to determine the physical characteristics of the implant and to tell if it is ruptured. There are no FDA recommendations for saline implants.
Are breast implants considered permanent devices?
The FDA does not consider breast augmentation saline or silicone breast implants to be a permanent device. The lifespan of breast implants varies from patient to patient and on the style of the breast implant. The average lifespan of breast implants is 10 – 15 years.
How do I pick my breast implant size?
One of the most miscommunicated aspects of breast enlargement surgery between the patient and the surgeon is the size of the breast implant. Implants are based on cubic centimeters (cc). One of the best methods to determine your future breast size and the implant you would like is to use the Rice Test which is described below. The rice conforms to your natural breast thus allowing for a better breast implant sizing. Another option is to use a zip-lock bag and water. One fills the bag with water and places it in the sports bra. Water is added or removed until the desired size is achieved. The water is measured in a measuring cup. One ounce of water is equal to 30cc of water. It is wise to add 10 to the final volume to allow for changes that take place after surgery.
During your preoperative visit, Dr. DeConti will take several measurements of your chest and breast to help determine your optimal breast implant size. You will also be able to use breast implant sizers placed in a sports bra to help you accurately determine the size breast implant you would like.
What is the “Rice Test”?
The Rice Test is a method to accurately determine the breast implant size you would like. In order to perform the Rice Test, first purchase a sports bra the size you desire to wear. You then fill a plastic bag with rice and place it in the bra. The rice will mold to the contour of your breasts. Rice is added or removed until the desired size is achieved. The rice is then measured. One cup of rice equals 250cc and two cups equal 500cc. It is wise to add 10 to 15% to the final figure to allow for the changes seen with surgery. Thus, if you liked the look achieved with 300cc of rice, then you should ask for a 330-345cc implant.
How is a breast augmentation performed?
Dr. DeConti has over two decades of experience in the placement of thousands of breast implants. He posses a meticulous technique and uses a ‘No Touch’ and ‘Minimal Tissue Trauma’ technique to help minimize infection, postoperative pain, and bruising. Dr. DeConti has extensive experience in the placement of larger volume implants as well as the correction of complications associated with breast augmentation procedures.
Breast Augmentation Richmond Va takes about forty minutes and you are placed under general anesthesia for optimum management and comfort. The procedure is performed in an accredited, private surgery center with an anesthesiologist. Dr. DeConti will meet with you and mark the location of your incisions and the breast pocket for your implants while standing. You will then be taken back to the operating room suite.
The anesthesiologist and nurse anesthetist will then gently put you to sleep with an LMA. After you are asleep, you will be prepped with a skin cleanser and sterilely draped. The incisions are then marked. The breasts and incisions are then infiltrated with a Xylocaine and Marcan mixture to help with postoperative pain control. Epinephrine is also used to help maximize the effect of the Xylocaine and Marcan and minimize postoperative bruising.
Dr. DeConti uses three types of incisions: inframammary, trans-axillary, and periareolar, for breast augmentation depending on your preference. If an inframammary incision is chosen, it is usually less than one inch in length. If saline implants are used they can be rolled up like a ‘cigar’ smaller than their actual size, placed in the breast pocket, then unrolled and inflated with saline. The incision will be larger with silicone gel implants because they cannot be compressed and made smaller. A Keller Funnel is used to help insert gel breast implants through a smaller incision. Inframammary incisions are associated with a lower risk of nipple sensation loss because it is less likely to cut the nerves to the breast and nipple.
If you choose a trans-axillary incision, Dr. DeConti has additional experience and training to place breast implants with the Endoscopic Camera System. Traditionally surgeons have dissected the pocket bluntly and blindly with a long instrument because of the distance from the armpit to the implant pocket under the nipple. This can lead to an increased risk of complications including bleeding, malposition, and bottoming out. The endoscopic camera system allows the implant pocket to be dissected under direct vision which minimizes bleeding and tissue damage, and over dissection of the pocket, thus effectively decreasing postoperative complications. It also allows visualization of placement of the implant for accuracy.
The periareolar incision is mainly used when you require a breast lift. Since this incision is on the front of your breast around your nipple, it is more visible than the inframammary or trans-axillary incision. It is also associated with a higher incidence of infection. This is because it cuts through ducts that have bacteria in them, thus causing infection.
Once the incisions are made, the pocket is created. The majority of implants are placed under the pectoralis muscle. Under the muscle breast augmentation helps to give them greater tissue coverage so they appear more natural, may decrease the risk of rippling by producing a constant mild compression on the implant, and make reading mammograms easier due to the additional tissue plane between the implant and the breast. Implants may be placed on top of the muscle to prevent movement with the contraction of the pectoralis muscle. However, implants placed on top of the muscle have a higher incidence of palpable and visible rippling. Also, breast implants are more easily felt when they are on top of the muscle.
After the pocket is dissected, the inner inferior portion of the pectoralis muscle is released. This prevents the contraction of the pectoralis muscle from pushing on the implant and moving it down and towards the side of the chest. It helps prevent Bottoming Out. This is especially important in trans-axillary augmentation, which has a greater risk for this displacement. It should be noted that only a small portion of the muscle is released and it does not interfere or change one’s strength, shape, or function or cause malposition or bottoming out. The pocket is then irrigated with saline and visualized for bleeding, which is controlled. Triple antibiotic solution is then used to irrigate the pocket to help prevent infection.
Dr. DeConti uses smooth, round, saline or gel implants – gummy bear implants. He uses both Allergan and Mentor breast implants. You choose your breast implant style during your preoperative visit based on your personal desires.
The breast implant is opened and utilizing the ‘No Touch’ technique is rolled and inserted through the less than one-inch incision into the subpectoral pocket. The breast implant is not allowed to touch anything including your skin to help minimize any risk of infection. After being inserted, it is inflated with saline to the manufactures recommended fill volume using a closed technique.
The tissues are then released to allow redraping of the skin over the breast implant. After the opposite side is completed in a similar manner, you are visualized in both a sitting and lying down position to check for proper breast implant placement and orientation.
The incisions are then closed with a deep layer of absorbable sutures. A second layer of absorbable suture is used to close the deep dermis, and a final third layer of absorbable suture is used to close the dermis just under the skin. There are no exposed sutures to be seen or to be removed. Small butterfly tape dressings are placed over the incision.
You are visualized one last time in the sitting and lying down position to make sure the breast implants are symmetric and in the proper position. A gauze dressing is then placed over the incisions. You are gently awakened from the anesthesia and taken to the recovery room. You will be in the recovery room for about one hour.
How are saline breast implants filled?
After the incision is made, all air is removed from the implant and it is rolled up like a cigar. This significantly decreases the size of the implant, thus allowing the use of a smaller incision as compared to the incision used for a gel implant. It is then placed through the incision into the new breast pocket and unrolled. A silicone sleeve may be used to protect the implant during insertion. A hollow-fill tube has been connected to the valve of the implant. The other end is connected to a syringe or Fill Kit. The syringe is then disconnected from the tube, filled with saline, reconnected to the tube, and the saline is injected into the implant. This step is repeated until the desired volume is achieved. This is considered an ‘open technique’ since the saline comes in contact with air. This may increase the risk of implant contamination or infection. The fill tube is removed from the implant and the valve is closed.
The Fill Kit technique is a ‘closed system’. The Fill Kit is connected directly to the saline bag with IV tubing and the kit has a special one-way valve. This allows the saline to be injected directly from the saline bag into the implant without being exposed to air. This may have the theoretical benefit of decreasing the risk of implant contamination or infection.
Where is the procedure performed?
Breast augmentation Richmond VA, Laureal, Mechanicsville, Lakeside, Highland Springs and other areas is performed on an outpatient basis at an outpatient surgery center. The operation is done under general anesthesia. Breast augmentation surgical time is usually less than 1 hour.
What should I expect immediately after my breast augmentation?
After the procedure, you will be wearing a special dressing placed by Dr. DeConti. You will have medication to help with any nausea or discomfort you experience after the procedure. The discomfort is mainly due to the implants being placed under the muscle. The implants stretch the muscle which feels like a dull muscle pain on the chest. Dr. DeConti does perform a nerve block which helps with the discomfort. The majority of Dr. DeConti’s patients state the discomfort is not as bad as they had thought since he performs a nerve block to minimize any discomfort. The breasts will have swelling which will improve over the next few weeks. You will be able to move your arms around and above your head. Dr. DeConti recommends limited activity for the first few days after the procedure and lifting no more than a magazine or book.
At your first postoperative visit, your dressing will be removed. Your breasts will be swollen and the implants may appear “high”. They will gradually “drop” over the next few weeks to months. Due to Dr. DeConti’s experience and meticulous “no-Touch” technique, there will be essentially no bruising. You will be able to shower and gradually increase your activity. You will then wear a soft camisole or sports bra. The stitches are placed under the skin and are dissolvable. Thus, there are no stitches to be removed. You can usually return to work in a week. Strenuous activity is limited for four weeks. Massage therapy may be started after two weeks if needed. You will then be followed regularly by Dr. DeConti for the next year.
What to Expect During Recovery from a Breast Augmentation
Why Breast Augmentation Recovery Matters
Breast Augmentation Recovery Timeline
- What to Expect: You’ll wake up in a recovery room, likely wearing a surgical bra or compression garment to minimize swelling and support your new implants. Mild to moderate discomfort, tightness, or pressure in the chest is normal due to tissue stretching. Pain is typically manageable with prescribed medications.
- Tips:
- Arrange for someone to drive you home and assist you for the first 24-48 hours.
- Rest in a semi-upright position (propped up with pillows) to reduce swelling.
- Avoid lifting your arms above shoulder level to prevent strain on incisions.
- What to Expect: Swelling and bruising peak during this time, and you may feel sore or fatigued. Incisions (often under the breast, around the areola, or in the armpit) will be tender, and you may notice temporary changes in nipple sensation. Most patients can return to light activities, like walking, within a few days but should avoid strenuous tasks.
- Tips:
- Take prescribed pain medications as directed and transition to over-the-counter options like ibuprofen if approved by your surgeon.
- Wear your surgical bra 24/7 (as advised) to stabilize implants and promote healing.
- Keep incisions clean and dry to prevent infection. Follow your surgeon’s wound care instructions.
- Stay hydrated and eat a balanced diet rich in protein to support tissue repair.
- What to Expect: Swelling begins to subside, and discomfort decreases significantly. Your breasts may feel firm or sit higher than expected as implants settle into their final position (a process called “dropping and fluffing”). You may be cleared for light exercise, like walking or stretching, but heavy lifting and high-impact activities are still off-limits.
- Tips:
- Attend follow-up appointments to ensure proper healing and implant placement.
- Begin gentle scar massage (if recommended by your surgeon) to minimize scar tissue formation.
- Avoid sleeping on your stomach or side to prevent pressure on implants.
- Be patient with asymmetry or tightness, as these are normal during this phase.
- What to Expect: By this point, most patients feel close to normal and can resume non-strenuous work or social activities. Implants continue to settle, and your breasts will start to look and feel more natural. Scars begin to fade, though they may still be pink or raised.
- Tips:
- Gradually reintroduce exercise (e.g., light cardio) with your surgeon’s approval, avoiding chest-focused workouts.
- Transition to a supportive sports bra for daily wear, ensuring it’s non-underwire unless approved.
- Use silicone scar sheets or gels to improve scar appearance, if recommended.
- What to Expect: Swelling is minimal, and implants should be fully settled, giving your breasts their final shape. Scars continue to fade, and most patients can resume all normal activities, including high-impact exercise. Nipple sensation typically stabilizes, though some changes may persist.
- Tips:
- Continue scar care to achieve the best aesthetic outcome.
- Schedule a check-up to confirm your results and discuss long-term care.
- Invest in well-fitting bras to maintain comfort and support.
- What to Expect: Your breasts should look and feel natural, with scars fading to thin, pale lines. Long-term maintenance includes monitoring for rare complications like capsular contracture (hardening around the implant) or implant rupture.
- Tips:
- Attend annual check-ups with your surgeon.
- Be aware of changes in breast appearance or feel, and contact your surgeon if concerns arise.
- Enjoy your new confidence, but maintain a healthy lifestyle to preserve your results.
- Prepare Your Recovery Space: Before surgery, set up a comfortable area with pillows, blankets, and essentials like water, snacks, and medications within easy reach. A recliner or adjustable bed can help with sleeping upright.
- Follow Activity Restrictions: Avoid lifting anything heavier than 5-10 pounds for at least 4-6 weeks. Refrain from exercises like push-ups, weightlifting, or running until cleared by your surgeon (typically 6-8 weeks).
- Manage Pain and Swelling:
- Use ice packs (wrapped in a cloth) for 20-minute intervals to reduce swelling in the first few days.
- Take medications as prescribed and avoid NSAIDs like aspirin unless approved, as they may increase bleeding risk.
- Support Your Body’s Healing:
- Eat nutrient-rich foods like lean proteins, fruits, and vegetables to promote tissue repair.
- Avoid smoking and alcohol, as they can impair healing and increase complication risks.
- Mental and Emotional Care:
- It’s normal to feel emotional or experience “post-surgery blues” due to physical discomfort or temporary changes in appearance. Connect with supportive friends or a counselor if needed.
- Join online communities or forums for breast augmentation patients to share experiences and tips.
- Asymmetry or High-Riding Implants: Implants often sit high initially and may appear uneven. This typically resolves as they drop and settle. Consult your surgeon if concerns persist beyond 3 months.
- Scarring: Incisions heal differently for everyone. Use recommended scar treatments and avoid sun exposure to minimize visibility.
- Changes in Sensation: Temporary numbness or hypersensitivity in the nipples or breast skin is common and usually improves within 6-12 months.
- Swelling or Bruising: These are normal and peak in the first week. Persistent or worsening swelling should be evaluated by your surgeon.
Final Thoughts
Understanding Your Concerns: Beyond the Common Questions
Considering breast augmentation is as much an emotional journey as a physical one. We know your questions go beyond surgery details and recovery times—they touch on private hopes and unspoken worries that feel too vulnerable to voice.
Many women quietly wonder:
“Will I still feel like myself?”—concerned about changes to their identity or feeling “authentic.”
“What if I’m disappointed?”—fearing unexpected outcomes or complications.
“How will this affect my relationships?”—from intimacy to how friends and colleagues might perceive them.
“Am I doing this for the right reasons?”—seeking clarity that their choice is truly for themselves.
These feelings are normal, valid, and deserve a safe space to be heard. An essential part of our consultation process is creating that space—where no question is off-limits, and no fear is too small. We listen first, because understanding your emotional landscape is just as important as planning for your physical transformation.
We explore these topics in greater depth in our blog:
The Unspoken Fears Before a Breast Augmentation: What No One Talks About Aloud
What are the complications and risks of breast augmentation?
Breast augmentation is very safe and has a very high satisfaction rate. Rarely, one may experience complications after breast implant surgery.
Breast augmentation risks and complications include:
- Bleeding
- Infection
- Breast and implant asymmetry
- Capsular contracture. This is scar tissue that can tighten around the implant. This can range from being imperceptible to increased firmness in the breast.
- Changes in nipple sensation.
- Implant rupture
- Implant malposition including Bottoming Out, Double Bubble, Uniboob, and Symmastia.
- Scars may widen or thicken.
- BIA-ALCL Breast Implant-Associated Anaplastic Large Cell Lymphoma
In order to decrease your risks of surgery Dr. DeConti performs all surgeries:
- In a highly accredited out-patient surgery center accredited at the same level as the hospital.
- With a Board Certified Anesthesiologist and Board Certified Nurse Anesthetist to ensure the safest anesthesia.
- With the same preop, postop, and operating room team members who understand the procedures, instruments, and Dr. DeConti’s routine in order to provide the safest and most personalized care.
All patients are followed closely after surgery to ensure a safe and speedy recovery with the most optimum results.
Will I be able to breastfeed after breast augmentation surgery?
The majority of females can breast-feed after breast augmentation surgery. The inframammary and transaxillary incisions cause the least amount of trauma to the breast nerves and ducts.
According to a study in the December 2016 issue of Plastic and Reconstructive Surgery, the authors found a high percentage of woman with breast implants achieved breastfeeding.
The prospective cohort study compared breastfeeding in 100 patients with breast implants to 100 patients without breast implants. The study found that 93% of patients with breast implants could successfully breastfeed their babies versus 99% of patients without breast implants could successfully breastfeed. There were no statistical differences between the two groups.
Does breast augmentation increase the risk of breast cancer?
There is no evidence that breast implants increase the risk of breast cancer. In fact, studies have shown there is less risk of breast cancer in patients who have undergone breast augmentation than the general population. This is most likely due to breast augmentation patients have less breast tissue to begin with, thus fewer breast cells which can later form breast cancer.
Will there be scarring and what will my breast augmentation scars look like?
Dr. DeConti uses the most delicate and meticulous technique to prevent and minimize scar formation. However, anytime the skin is cut, you will heal with a scar. Since the scars are placed in natural tissue lines, inframammary, periareolar, and transaxillary, they should heal as a fine white line. Initially, the scar will have a pink color and may be raised. It then gradually fades and flattens to a white scar over a year. If you elect to use saline breast implants the scars will be about an inch in length. Placement of Gel breast implants will require about a three-inch scar.
What can I do to limit breast augmentation scar formation?
- Avoiding smoking for several weeks before and after your procedure
- Stay out of the sun and wear sunscreen to protect the incisions
- Eat nutritious foods and drink plenty of water during recovery
- Follow Dr. DeConti’s physical activity guidelines after breast augmentation
What are my options if I do form bad scars?
The following are options to help reduce breast augmentation scar formation;
- Mederma or Scarguard
- Silicone gel sheeting
- Laser skin resurfacing
- IPL treatments
How much does a breast augmentation cost near me in Richmond, Henrico, Short Pump, Glen Allen and surrounding cities?
Understanding Breast Augmentation Costs in 2025: A Complete Guide
- Surgeon’s Fee Only: The national average for breast augmentation with implants is $4,875, per ASPS 2025 statistics. This covers the plastic surgeon’s expertise but excludes other expenses.
- Total Procedure Cost: When including anesthesia, facility fees, implants, and post-op care, expect $7,000–$12,000 for a standard procedure. Fat transfer augmentation (using your own body fat) averages slightly higher at $5,719 for the surgeon’s fee, with totals up to $13,000.
- Implant-Specific Breakdown:
- Saline implants: ~$1,000 per pair (more affordable and adjustable).
- Silicone implants: ~$2,000 per pair (feel more natural).
- Gummy bear (cohesive gel) implants: Starting at $2,000 per pair (premium for shape retention).
Factor | Impact on Cost | Example Ranges (2025) |
|---|---|---|
Location | Higher in urban/high-cost areas (e.g., LA, NYC) due to living expenses and demand. Lower in rural/mid-sized cities. | $4000–$10,000 |
Surgeon Experience | Board-certified experts charge more for better results and safety. | $4,000-$6000 |
Facility Type | Hospitals cost more than accredited outpatient centers. | Outpatient: $2,000–$3,000 Hospital: $5000 |
Anesthesia & Add-Ons | General anesthesia adds $1,000–$2,000 | Basic: Included in totals |
Post-Op & Hidden Fees | Medications, garments, and recovery time (e.g., lost wages) can add $500–$2,000. | Varies; plan for 1–2 weeks off work. |
- Insurance Coverage: Rarely covered, as it’s elective (not medically necessary). Exceptions for reconstruction post-mastectomy for breast cancer.
- Payment Plans: Dr. DeConti offers financing via CareCredit or in-house payments.
- Choose ASPS-certified surgeons like Dr. DeConti and prioritize experience over price.
- Opt for saline if budget is tight; it’s FDA-approved and effective.
- Factor in long-term: High-quality implants reduce revision needs (average $5,000–$8,000 later).
- Avoid “deals” under $6,000—they often cut corners on safety.
The average breast augmentation cost in Virginia is $7000 to $10000. This breast augmentation cost includes the operating room, anesthesia, breast implant, and procedure fees. There is an additional fee if you have a breast lift and augmentation. Cohesive silicone gel implants, i.e gummy bear implants, cost more than saline implants. DeConti Plastic Surgery does offer breast augmentation financing through CareCredit.
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How Long Do Breast Implants Last?
Average Lifespan by Implant Type
Implant Type | Expected Duration | Key Notes (2025 Insights) |
|---|---|---|
Saline | 10–15 years | Filled with sterile saltwater; easier to detect ruptures (deflates visibly). FDA-approved since 2000; |
Silicone (Traditional Gel) | 10–20 years | Feels more natural; “silent ruptures” possible (no visible change). |
Gummy Bear (Cohesive Gel/Form-Stable) | 15–25+ years | Lowest rupture rates. Popular in 2025 for longevity, but pricier. |
Fat Transfer (Autologous) | 5–10 years (partial retention) | Not true “implants”—uses your fat; 50–70% volume lasts permanently, but touch-ups common. Less predictable lifespan. |
Factors Affecting How Long Implants Last
- Age and Body Changes: Younger patients (under 30) may need earlier replacements due to pregnancy, weight fluctuations, or aging (e.g., sagging adds a lift procedure).
- Lifestyle: High-impact activities (running, weightlifting) can accelerate wear; smoking reduces healing and increases capsular contracture risk (scar tissue hardening, affecting 5–10% of cases).
- Surgical Technique: Submuscular placement (under muscle) often lasts longer than subglandular (over muscle) by reducing rippling.
- Manufacturer Warranties: Brands like Allergan (Natrelle) or Sientra offer lifetime replacement for ruptures, plus 10–20 years for capsular contracture (up to $5,000 coverage).
- Complications: Rupture rates are low (1–2% per year post-10 years for silicone, per FDA); BIA-ALCL (rare lymphoma linked to textured implants) has led to recalls—smooth implants are safer in 2025.
- Maintenance: Annual check-ups after year 10; MRI or ultrasound recommended every 3 years for silicone (starting year 5) to catch silent issues.
Signs It’s Time for Replacement or Removal
Don’t wait for a crisis—monitor for:
- Pain, swelling, or hardness (capsular contracture).
- Shape changes, rippling, or asymmetry.
- Rupture symptoms (for saline: deflation; silicone: often asymptomatic—needs imaging).
- Implant fatigue from age (e.g., after 15 years, even if fine).
- Personal preference (size change or removal for “explant” trends).
Tips for Maximizing Implant Longevity
- Choose FDA-approved, high-quality implants from reputable surgeons (check ASPS directory).
- Follow post-op care: Wear support bras, avoid trauma, maintain stable weight.
- Schedule regular exams: Mammograms adapted for implants (displacement views).
- Consider “en bloc” removal if issues arise—preserves health.
- Emerging Tech: 2025 bio-engineered implants (e.g., lighter composites) promise 20–30 year lifespans in trials, but stick to proven options for now.
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What is Mondor’s Cord or Mondor’s Disease?
Mondor’s Cord or Mondor’s /Disease is a spontaneous thrombophlebitis of the superficial veins of the breast, anterior chest wall, and abdomen. It occurs in 1 to 2 percent of breast augment patients, and is self-limiting. It usually involves a vein extending from the inframammary breast crease to the upper abdomen. It looks and feels like a cord. It poses no danger of systemic embolization. It will resolve without treatment in several weeks. Warm compresses and non-steroidal anti-inflammatory agents can be used for symptomatic relief.
What do perfect breasts look like?
The concept of perfect breasts, or the perfect breast, is subjective and varies greatly depending on personal preferences, cultural norms, and individual perspectives. There’s no universal standard for what makes the perfect natural breast, as beauty and aesthetics differ from person to person.
Some people may consider certain proportions or shapes ideal, while others prioritize different features. In some cultures, larger breasts (breast big size) may be seen as desirable, while in others, smaller breast size or more proportionate sizes are preferred. There is no perfect breast size or perfect breast shape. Additionally, symmetry, firmness, and shape (like round or teardrop) are often elements that people use to define ideal breasts, but these traits also vary widely.
What matters most is how you feel about your body. Many people find that confidence and comfort with one’s appearance are more important than adhering to any societal or cultural ideals.
What are the effects of pregnancy on breast augmentation?
The augmented breasts after breastfeeding will initially engorge or swell as they normally do with any pregnancy. They will become more firm as they fill with milk. The areola complex will also get larger and become darker. One may be able to visualize more vessels in the skin, especially veins, as well as stretch marks. Breastfeeding may also contribute to these changes. After the pregnancy and/or breastfeeding, the breasts will lose their volume. They may return to their pre-pregnancy state. However, if they lose a significant amount of volume, the breast tissue and skin may stretch and sag. This may make the implants also sag and rest too low on the chest wall. If the implants remain in their original position, then only the nipples and breast tissue may sag down over the implant. This causes the nipple to be too low in relation to the implant causing a ‘snoopy dog’ deformity. These situations may require either replacement with a larger implant or a breast lift procedure.
FAQ
Whether you need to massage your breasts after a breast augmentation depends on several factors, including the type of implant, the placement of the implant, and your surgeon’s specific recommendations.
Reasons for Breast Massage
- Preventing Capsular Contracture: Breast massage is often recommended to help reduce the risk of capsular contracture, a condition where scar tissue forms around the implant, making it feel firm or hard.
- Implant Settling: Massaging can help the implants settle into a more natural position, especially in the early stages of recovery.
- Maintaining Implant Mobility: Regular massage can help keep the implant pocket open and ensure the implants remain mobile, which can contribute to a more natural look and feel.
Factors Influencing the Need for Massage
- Type of Implant: Some surgeons recommend massaging only for certain types of implants. For example, round implants may benefit more from massage than anatomically shaped (teardrop) implants, which could lose their shape if manipulated too much.
- Placement: Implants placed under the muscle (submuscular) are sometimes less likely to need massage than those placed over the muscle (subglandular) because the muscle helps keep the implant in place.
- Surgeon’s Preference: Some surgeons believe that modern implants and surgical techniques have reduced the need for post-operative breast massage, while others continue to recommend it as a standard part of recovery.
What Your Surgeon May Recommend
- Personalized Instructions: Your surgeon will provide specific instructions based on your surgery. These instructions may include whether or not to massage, how to perform it, and how often it should be done.
- Monitoring: Even if massage is recommended, it should be done gently and according to your surgeon’s guidelines. Any discomfort or unusual symptoms should be reported immediately.
It’s essential to follow your surgeon’s specific recommendations, as they will tailor their advice to your unique situation.
Breast massage after augmentation is often recommended by surgeons to help with the settling of the implants, reduce the risk of capsular contracture (hardening around the implant), and promote a more natural appearance.
Here is a general guide on how to massage your breasts post-augmentation, but it’s essential to follow the specific advice of your surgeon.
When to Start
- Timing: Typically, surgeons recommend starting breast massages a few days to a few weeks after surgery, depending on the specific procedure and your healing progress. Always follow your surgeon’s advice on when to begin.
How to Perform Breast Massage
Upward Massage (Implant Mobility):
- Cup the Breast: Place your hands below the breast, cupping it gently.
- Push Upward: Lift the breast upwards toward the collarbone, holding it in this position for a few seconds. This helps to keep the implant mobile and prevent it from settling too low.
Downward Massage (Prevention of Capsular Contracture):
- Top Pressure: Place your hands at the top of your breast, just above the nipple.
- Press Downward: Gently but firmly press the breast downward toward the ribcage and hold for a few seconds. This helps to expand the pocket in which the implant sits.
Side-to-Side Massage (Maintaining Pocket Size):
- Lateral Movement: With your hands on each side of the breast, gently push the breast towards the center of your chest (medial massage), hold for a few seconds, and then push it outwards toward the armpit (lateral massage) and hold.
Circular Massage (General Implant Mobility):
- Circular Motions: Place your hand over the breast and move it in a circular motion, pressing gently in all directions—up, down, left, and right. This helps keep the implant mobile within the breast pocket.
Frequency and Duration
- Frequency: Massages are often recommended multiple times a day, especially in the first few weeks post-surgery.
- Duration: Each massage session should last a few minutes, and consistency over weeks and months is key for the best results.
Precautions
- Gentleness: Always be gentle, especially in the early stages of recovery. Overly aggressive massage can lead to complications.
- Pain and Discomfort: If you experience significant pain during massage, stop and consult your surgeon.
- Follow-Up: Regular follow-ups with your surgeon are important to ensure proper healing and to get personalized advice.
Always consult with your surgeon before starting any massage routine to ensure it is appropriate for your specific situation.
The time it takes to return to work after a breast augmentation varies depending on the nature of your job, your personal healing process, and the specific recommendations of your surgeon.
Here is a general guideline:
Desk Job or Light Work
- 1 to 2 Weeks: If your job is sedentary, such as an office or desk job, you may be able to return to work within a week to 10 days after surgery. Some patients feel well enough to return even earlier, around 3-5 days post-surgery, but it’s important to listen to your body and not rush the process.
Physically Demanding Jobs
- 2 to 4 Weeks: If your job involves heavy lifting, strenuous physical activity, or raising your arms above your head frequently, you may need to take more time off—typically 2 to 4 weeks. It’s crucial to avoid any activity that could strain your chest muscles or impact the healing implants.
Factors to Consider
- Post-Surgical Pain and Discomfort: Some patients experience more discomfort than others, which can affect their ability to return to work.
- Swelling and Bruising: These are common in the first few weeks and may limit mobility or comfort.
- Energy Levels: General anesthesia and the body’s healing process can leave you feeling fatigued for several days to weeks.
Surgeon’s Advice
- Your surgeon will give you the most accurate timeline based on how your surgery went and how you’re healing. They may also schedule follow-up appointments to monitor your progress before you return to work.
Returning to your workout routine after a breast augmentation requires careful consideration and should be done gradually to avoid complications.
Here is a general timeline, but it’s important to follow your surgeon’s specific advice:
First Week Post-Surgery
- No Exercise: During the first week, you should focus entirely on rest and recovery. Light walking around the house is fine and even encouraged to promote circulation, but avoid any strenuous activity.
Weeks 2-3 Post-Surgery
- Light Activity: You can usually start with light activities such as gentle walking, but avoid any exercise that involves bouncing, lifting, or straining the chest muscles. Upper body exercises are generally off-limits during this period.
Weeks 4-6 Post-Surgery
- Lower Body Exercises: By this time, you may gradually resume lower body workouts, such as leg exercises or stationary biking, as long as they don’t involve any heavy lifting or significant jarring movements. You should still avoid exercises that involve the chest, such as push-ups, bench presses, or even running.
6 Weeks and Beyond
- Full Activity: After 6 weeks, most patients can start to gradually return to their full workout routine, including chest exercises, but it should be done slowly and with caution. Start with light weights and low impact, gradually increasing intensity as your body adapts.
Important Considerations
- Listen to Your Body: Pay attention to any discomfort, swelling, or pain. If you experience any of these, stop the activity and consult your surgeon.
- Supportive Clothing: Wear a supportive sports bra during any physical activity to minimize movement and support the healing tissues.
- Surgeon’s Approval: Before resuming any specific exercise, especially those targeting the chest, it’s crucial to get the green light from your surgeon during a follow-up appointment.
Remember that everyone’s healing process is different, so personalized advice from your surgeon is essential for a safe recovery.
- Breast Lift (Mastopexy) – Removes excess skin and repositions the nipple for a perkier, more youthful breast shape. The #1 most popular combination with augmentation.
- Tummy Tuck (Abdominoplasty) – Flattens and tightens the abdomen. Ideal “Mommy Makeover” pairing after pregnancy/weight loss.
- Liposuction (abdomen, flanks/love handles, thighs, or back) – Contours surrounding areas for an hourglass figure.
- Brazilian Butt Lift (BBL) or Fat Transfer to Buttocks – Uses the fat removed during liposuction to enhance the buttocks.
- Labiaplasty – Reduces and reshapes excess labial tissue (often added to Mommy Makeovers).
- Arm Lift (Brachioplasty) or Thigh Lift – Removes sagging skin on arms or inner thighs.
- Facial Procedures (Blepharoplasty, Brow Lift, Mini-Facelift) – Some patients combine upper-body and facial rejuvenation in one anesthesia session.
- Nipple/Areola Correction – Reduction, repositioning, or reconstruction at the same time as implants.
Dr. DeConti’s experience with breast augmentation
Dr. DeConti is considered one of the best breast augmentation surgeons and has over 30 years of experience. He has performed over 6000 breast augmentation procedures. As a highly credentialed surgeon with the American Board of Plastic Surgery and specialized training in Cosmetic Breast Surgery and Body Contouring, he is an expert in the intimate details of breast and body anatomy. This knowledge allows Dr. DeConti to perform breast and body cosmetic surgery for the finest and most optimum results with the least amount of risk.
Contact Us to Learn More About Breast Augmentation
To learn more about how Breast Implants and Breast Augmentation can help you look your best, call 804 673-8000 and schedule a consultation at DeConti Plastic Surgery today.
Learn more:
Breast Augmentation Before and After Photos
The Myths vs. Reality About Breast Augmentation
Breast Augment Technique 3D Animation Video
The American Society of Plastic Surgery
The Aesthetic Society of Plastic Surgeons
Dr. DeConti explains what you can expect during your breast augmentation recovery.
DeConti Plastic Surgery
Breast Augmentation Specialist in Richmond, VA
Proudly serving patients from Henrico County, Chesterfield County, Midlothian, Short Pump, Glen Allen, Mechanicsville, Bon Air, Lakeside and all communities in Central Virginia.
7229 Forest Ave STE 101 Richmond, VA
804 673-8000