Posts Tagged ‘breast augmentation’

What Is The Cost Of Breast Implants?

Monday, March 11th, 2013

Q: Dr. Eppley, I wanted information about getting breast implants for my wife. How much do they cost and what are the payment options? What size is better for her? How long does it take to do the procedure?

A: The first question about breast implants is what type does your wife want. That is an important decision for various reasons and one of them is cost. Saline breast implants will cost less than silicone breast implants. The size of breast implant any woman wants is a personal one and I can not tell any woman what size breast implant she should have. I can guide her with her decision but she will have to provide some input. The best way to do that is to look at before and after breast augmentation results and show me some of the results that she likes. Otherwise, breast implant surgery is done under general anesthesia and takes one hour to perform.

The typical full cost of breast augmnetation is $4700 for saline implants and $5800 for silicone implants. The most favorable and convenient formk of financing is through Care Credit.

Dr. Barry Eppley

Indianapolis, Indiana

Can I Get Breast Implants And A Tummy Tuck With A Bad Back?

Friday, February 1st, 2013

Q: Dr. Eppley, I am going through back problems at the moment but didn’t know if it was still ok to get breast enlargement and a tummy tuck. I am already on all kinds of medicines and have back pain but I think I am getting to the end of this, finally. I had worked out and walked four miles a day to loose weight and quit smoking then my back started acting up the tummy tuck and breast enlargement is something I have wanted since I had my three kids which I love dearly but ruined my body. I would like to know how long I should wait, I also have a hernia that they said unless it didn’t hurt all the time then don’t come back until it did . I’m sorry but I just feel like my life is on a complete hold while still wanting to look better and feel better about myself. I have to be at the mercy of all of these other problems before I can have my life back and have these things done to make me feel better about myself. Please reply with an honest answer all of what I am going through now is very heartbreaking so a reply soon would be greatly appreciated. Thank you.

A: While breast and abdominal reshaping can make some dramatic changes in any women who has been through three pregnancies, I have numerous concerns in your case if this is appropriate. Your history and ongoing back pain are concerns as well as what medications you are on. Breast augmentation and a tummy tuck are not a cure/treatment for back pain and may well make it worse in the short-term after surgery. I would imagine that some of the medications you are on are for pain relief, which would make any narcotics needed after a breast augmentation and a tummy tuck less effective. A detailed medical and medication history would have to be assessed to see if such body contouring would be advised. In addition, your hernia repair history is also significant for consideration for tummy tuck surgery. Your surgical records for this procedure(s) would need to be reviewed to determine what type of hernia repair was done and if there is any synthetic mesh in your abdominal wall.

Dr. Barry Eppley

Indianapolis, Indiana

What is The Recovery After Breast Augmentation?

Thursday, January 31st, 2013

Q: Dr. Eppley, I’m 25 and have one child, I would like to have breast implants but I’m afraid the cost and recovery time is too long. Can you give me any advice and info on the payment plans and the recovery times. Thank you.

A:  Cost and recovery are always the biggest issues when any women is considering getting breast implants. So every potential patient has to contend with these issues so let me discuss the facts on both of them. The recovery from breast augmentation is really a physical therapy one since the implant is placed under the muscle. (in reality, partially under the pectoralis muscle) So how does one recovery from a muscular injury…use it! I place all patients on arm range of motion exercises the night of surgery and no physical restrictions thereafter. The more you use your arms (within reason) the quicker you will recover. With there be discomfort after surgery…absolutely, but most patients do not find it severe enough to be very limiting for very long. I would have to know what type of work you do to better answer how many days you would need to return to it. From a cost standpoint, the issues are the type of implant where does one get financing to do it. Saline breast implants are the most economical and we have all of our patients use Care Credit for financing. They are a national company that we have found to be the best to work with and has the greatest option of repayment plans.

Dr. Barry Eppley

Indianapolis, Indiana

What Is The Cost Of Botox And Breast Augmentation?

Tuesday, January 15th, 2013

Q: Dr. Eppley, I am curious to the cost of Botox in specific areas on my face. My biggest issue is my  eyes as I am only 31 and am very attractive and often to I don’t look my age but I’m feeling as though I’m beginning to these days :-( . Also, am interested in the cost of breast augmentation. Thank you

A: Thank you for your inquiry. When it comes to Botox, the cost is completely related to the number of units delivered. Such units are usually very consistent for the area treated and so the cost can be well estimated. For between the eyes (glabella), which is the most popular area on the face for Botox injections that will take 20 units with a cost of around $300. For the crow’s feet area (beside the eyes) the number of units usually needed is 16 with a cost of around $225.  When the two are done together, the total units can be reduced to 30 with a cost of around $425. For breast augmentation the cost is completely related to the type of implant used. Total surgical costs for saline breast implants is around $4700 while that of silicone implants is around $5800.

Dr. Barry Eppley

Indianapolis, Indiana

Can I Get Breast Implants, Nose Reshaping and A Sliding Genioplasty During The Same Surgery?

Sunday, December 30th, 2012

Q: Dr. Eppley, I am looking to have breast implants, rhinoplasty and mentoplasty. (no implant) Do you offer mentoplasty? If so would I be able to do these 3 procedures at once or if not I would wait to do the implants. I can  send some detailed pictures if needed.

A: Thank you for your inquiry. You certainly can do breast augmentation, rhinoplasty and chin augmentation all during the same surgery. When you refer to a non-implant mentoplasty, I assume you are referring to a sliding genioplasty in which the chin bone is moved forward. That accounts for about 25% of all chin procedures that I do so it is a chin augmentation technique in which I have great familiarity.

To help prepare accurate quoting, please send me some pictures of these areas so I can see exactly what needs to be done and the time it takes to do it. This is most relevant for the nose as there is great variability in rhinoplasty surgery depending upon how much of the nose structures need to be changed.

Once I have received the photos, I will do some computer imaging for the nose and chin and have my assistant send you a collective cost quote.

Dr. Barry Eppley

Indianapolis,Indiana

Can I Make Payments For My Breast Implants?

Tuesday, December 25th, 2012

Q: Dr. Eppley, I am interested in getting breast implants. I am trying to find out pricing on getting implants and to see about payment. Most offices require full payment, however, I have heard of a few that will do payment plans. I didn’t know if this office was one of them?

A: When it comes to elective cosmetic surgery, including breast augmentation, you will find virtually no plastic surgery practices that take payment plans. A plastic surgery practice is not a bank or a credit agency that has any ability to finance and ensure that payments are received over time on a non-returnable service like surgery once it is provided. Full payment is required in advance of the actual surgery date. However, every plastic surgery practice recognizes that many patients can’t pay the full fee up front and work with independent loan agencies that do provide financing. One of the most common cosmetic surgery financing companies is Care Credit. You can go online with the amount you need to finance and apply and qualify. You can choose from a wide variety of terms up to 36 to 48 months. Many patients opt for the interest-free financing which extends out to 6 or 12 months. Our office has worked with many lending institutions over time but have found none that are as easy to work for our patients as Care Credit.

Dr. Barry Eppley

Indianapolis, Indiana

Which Breast Implant Size Should I Choose, 450cc or 500ccs?

Wednesday, December 5th, 2012

Q: Dr. Eppley, I am getting breast augmentation next week and I can’t  decide between two breast implant sizers. I am 5’ 6” and weigh 135 lbs. I am currently an A cup but lost much of my original volume due to children so they are flat with some loose skin.  I am torn between 450cc or 500cc silicone gummy bear breast implants. They are going under the muscle so I am wondering if more volume is needed because they will be covered by more tissue. I don't want to look too big in my clothes but do want to have a wow factor without my clothes :) Also, I hoping to achieve close to a full size D cup and I know if 450cc or 500cc will get me closer that. What do you think?

A: The difference of 50

cc between breast implant sizes in the 500cc range is very small as that constitutes less than a 10% volume difference when you do the mathematical ratio. That is barely if at all visible. But in the debate between these two sizes, you have stated several important factors that make it clear to me as to which is best for you…the desire for a full D cup, wanting a wow factor and the very fact that you are asking this question. These suggest that you are afraid of not being big enough. In addition you have a lot of loose skin on your breasts of which it always take more volume to fill them out. Therefore, between those two sizes I would opt for the slightly larger one and choose the 500cc implants.

Dr. Barry Eppley

Indianapolis,Indiana

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Is There A Good Weight To Be At To Have Breast Implants Done?

Saturday, December 1st, 2012

Q: Dr. Eppley, I am wondering if I should be at my ideal weight before having breast augmentation?

A: In regards to getting breast implants and your ideal body weight, I think that answer depends on how much weight loss you are anticipating and what your breasts look like now. If you plan to lose a lot of weight (greater than 20 to 25 lbs) and you have some significant breast sagging, then you may be wise to wait until you achieve that weight loss. You do not want to put in implants that will later develop additional breast sagging as the we

ight loss may cause the breast tissue to slide off of the underlying implant support or ledge, maing the sagging look worse. Also additional weight loss may tip the balance between a marginal breast lift candidate with their implants versus someone who definitely needs a lift with their implants. If the breasts have little to no sagging and the desired weight loss is fairly minimal, then you could proceed with breast implants at any time.

Dr. Barry Eppley

Indianapolis, Indiana

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How Can I Improve The Shape of My Breasts That Already Have Implants?

Monday, October 8th, 2012

Q: Dr. Eppley, I am 5’9” weigh 146 pounds and am a 36D. I had breast implants that were placed three years ago and were 500cc moderate silicone gel implants. Although I like the size, they look flat to me. My breasts are very wide and require a push up bra, otherwise they look flat in my shirt. They have given me reasonable cleavage but they are just so flat. What is the best way to improve their shape? What type of new implant do I need?

A: Moderate projection/profile implants have the  lowest projection and widest base of any of the breast implants. Because they are so wide, I actually never use in my breast augmentation patients. Changing breast implants to a more narrow base with higher projection seems logical. It would also be important to go up in volume somewhat so you get more outer and upward push of the breast mound. Therefore I would change to a high projection implant with a volume of 600ccs. This will provide more upper pole fullness and may even narrow your existing width somewhat. With your body frame, a 600cc implant would not be much bigger than your existing breasts…just more towards the shape you want.    

Dr. Barry Eppley

Indianapolis, Indiana

Can Breast Implants Be Done In Someone With A Pectus Excavatum Chest Deformity?

Monday, October 8th, 2012

Q: Dr. Eppley, I would like a consultation for a breast augmentation. I have pectus excavatum and didn’t realize this until early adulthood. At this point in my life I would prefer cosmetic surgery as opposed to a more invasive surgery to correct my deformity.
Thank you and I look forward to hearing from you!

A: Breast augmentation can do a good job of masking/hiding minor to moderate degrees of a pectus excavatum deformity. When the chest plane is fairly flat with minimal breast mounds, a inward curvature or depression of the sternum (pectus excavatum) can be very noticeable. One would think that increasing the size of the breast mounds would make the sternal depression more obvious…but it doesn’t. Conversely it has the opposite effect and makes it ‘disappear’. This is because enlargement of the breast mound with an implant pushes up the inner aspect of the breast mound and part of the skin that makes up the edges of the pectus deformity. With two mounds emerging right next to the sternum, the deepest part of the pectus deformity now creates a natural cleavage effect and the sternal depression has now ‘disappeared’.

Dr. Barry Eppley

Indianapolis,Indiana