Because the breasts are often central to a woman’s sense of femininity and attractiveness, when they are not the size or shape a woman wants, it can create significant dissatisfaction with the appearance overall. Whether your breasts have never been in balance with the rest of your body or changes over time have affected your appearance, there are surgical procedures that help you achieve your aesthetic goals. At Jane Weston, M.D., we offer customizable breast enhancement options that address your precise concerns and produce an optimal outcome for you.

Breast augmentation, also known as breast enlargement, is a surgical procedure designed to enhance the breasts by increasing size, improving the shape and correcting breast deformities. Both saline and silicone breast implants may be used for this procedure, which come in a broad array of shapes and sizes to accommodate each patient’s size and body proportions as well as their aesthetic goals. Dr. Weston works individually with each of her patients to select the best options for producing natural, beautiful results.

Making the Right Choice

Breast augmentation could be an appropriate choice for you if you want to enlarge your breast size or restore breast fullness that has been lost through pregnancy, breastfeeding, weight loss or the aging process. This procedure is not the best choice if performed alone for women who exhibit significant sagging of the breasts. However, these patients often find that a combination of a breast lift with augmentation will produce the results they want.

Breast augmentation is one of Dr. Weston’s most frequently requested procedures, which means you will be in experienced hands if you select Jane Weston, M.D. for your breast enhancement. While breast augmentations rank as one of the most complex in terms of pre-operative planning, Dr. Weston, and her expert staff will be with you every step of the way to ensure you have all the information necessary to make an educated choice as you work through the decision-making process toward your breast augmentation surgery.

Is Breast Augmentation Right for You?

Many women consider breast augmentation because they desire bigger breasts, more cleavage and a fuller bustline. However, the benefits of this procedure are often more far-reaching than our patients realize. Breast augmentation can also create more balanced body proportions, create a more attractive breast shape and correct asymmetries and deformities. The outcome of breast augmentation is also long-lasting, so it is vital that patients understand they are making a decision that they will live with for a substantial portion of their lives.

During your consultation, Dr. Weston will evaluate your health and medical history and talk with you about your expectations for breast augmentation. The better you can describe and illustrate your vision for your aesthetic goals, the better Dr. Weston can address your concerns and help you meet them. Dr. Weston’s preference is always to create breasts that both look and feel natural. If your desired appearance involves going bigger and bolder, it is essential to communicate this at your initial consultation so that Dr. Weston can tailor the procedure to what you want. Based on your stated goals, Dr. Weston will guide you through a series of decisions that will ultimately lead to your customized surgical plan.

Choices in Breast Augmentation

Five fundamental decisions will need to be made before you can undergo breast augmentation surgery. You and Dr. Weston will work through the decision-making process together, which will include making choices on the following:

  • Implant Type – options include saline-inflatable, silicone gel or cohesive silicone
  • Implant Surface – shells come in both smooth and textured surfaces
  • Implant Shape – implants come in both round and contoured (also known as anatomical or teardrop-shaped)
  • Implant Placement – implants may be placed under the pectoral muscle (submuscular) or over the pectoral muscles and directly beneath the breast tissue (subglandular)
  • Incision Location – incisions may be located underneath the breast in the breast crease (inframammary) or along the border of the areola (periareolar)

Dr. Weston and her staff will help you choose the breast implant size and type that most closely matches your stated goals. During a visit to the office, you will also have the opportunity to try on breast implants sizers, which will help you visualize how different implant sizes will look and feel on your body. We will work systematically with you to make the correct choices necessary to provide you with a beautiful outcome that you will be happy with for many years to come.

What to Expect During Breast Implant Surgery

With the extensive amount of time you spend with our team to plan your procedure, you will come in on your surgery day with an accurate idea of what to expect. The operation is performed on an outpatient basis under general anesthesia, ensuring you are comfortably asleep throughout your surgery. This process also means you will be able to go home or to a local hotel under the care of a responsible adult that will be available to attend to your needs during the first 24 hours after your operation.

The incisions will be placed as planned during your consultation appointments and Dr. Weston will take care to ensure they will be as inconspicuous as possible. Through the incisions, she will create pockets either over or under your pectoral muscles where the implants will be placed. If you have chosen saline implants, they will be filled with the sterile solution after the shells are in place. Silicone implants come pre-filled, so they will be put into the pocket using techniques to lower your risk for infection after surgery.

Once the implants are in the appropriate position in the breast pocket, Dr. Weston will use layered sutures to close the incisions. This technique typically ensures better healing, fewer complications and less noticeable scarring. You will be dressed in a surgical bra to accommodate the new size of your breasts, and a circumferential wrap will be fashioned around your chest to minimize swelling and provide additional comfort during the first several days after your surgery.

Breast Augmentation Recovery

Pain following breast augmentation varies from patient to patient, but some women find the discomfort is more significant during the early recovery period. When implants are placed beneath the muscle, the pain tends to be more intense, and you could experience some muscle spasms as well. Dr. Weston prescribes pain medication and muscle relaxants after surgery to improve post-op comfort so that patients can rest a bit easier in those first several days after their procedure.

When the breast implants are placed above the muscle, pain is usually less severe. If this is your placement choice, you will still receive pain medication to take for the first few days to ensure a comfortable start to your recovery process. Patients who have not had children before breast surgery also may find that the tighter tissue of the pre-pregnancy breasts may lead to a higher level of discomfort, but this also varies. Please note that while you are taking prescribed pain medication, you will not be able to drive.

No matter how intense your discomfort might be after breast surgery, rest assured it will likely subside within about four days. Patients who have subglandular implant placement may experience relief even sooner. We advise our patients to enlist help with household tasks and childcare during the first few days after breast augmentation to provide ample time for rest and recuperation.

Your ability to return to work varies with your choice of implant placement and the type of work you perform. If implants are placed above the muscle, it is reasonable to expect to return to work within three to seven days if your job is not overly strenuous. Patients who have implants placed underneath the muscle typically return to work within five to 10 days. If your occupation requires heavy lifting or active use of the arms (such as hairdressers, chefs and personal trainers), you will need to plan for some additional time off.

All patients should be able to return to normal daily activities and light exercise, such as walking, within two weeks. Vigorous activity needs to wait for about four to six weeks. Dr. Weston will advise you at your post-op appointments as to when your body is ready to resume this type of activity level. Bruising and swelling, which are common side effects of breast surgery, typically resolve without the need for any treatment in approximately six weeks.

Enjoying Your Results

It takes three to six months to complete the breast augmentation recovery process and judge your final look. Scars from breast augmentation will continue to mature and fade for as long as one year. If your implants are smooth and round, you will be instructed during one of your early post-op visits on how to move the implants within the pockets. Mastering this skill will help you maintain a natural appearance to your breasts and keep your implants soft for many years to come.

Breast augmentation promises long-lasting results for most patients who undergo the procedure. While manufacturers may put a 10-year life expectancy on their implants, it is not necessary to remove them unless you experience problems. Some women are entirely satisfied with their implants for an extended period, while others decide sooner to remove or replace their implants for a variety of personal reasons. There will not be a substantial amount of maintenance required in the years following breast surgery. The FDA does recommend that women with silicone implants schedule an MRI every two years to screen for possible silent rupture, but this step is not necessary with saline implants. If a saline implant ruptures, the results will quickly become evident in the appearance of the breast.

Breast augmentation is a procedure that boasts a high patient satisfaction rate due to the dramatic, long-lasting results it provides. To learn more about your choices for breast augmentation, contact Dr. Jane Weston today at Jane Weston, M.D. at 650-363-0300.

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Jane Weston, MD

585 Glenwood Ave, Menlo Park CA 94025


Dr. Weston invites you to contact her to ask questions or schedule a consultation by calling our office today or filling out the form below to send us an email.