Baltimore, Maryland Breast Augmentation Surgery Dr. Adam Summers
Dr. Summers is considered a highly skilled Annapolis / Baltimore breast implant specialist. In fact, Dr. Summers was the first breast augmentation surgeon in Maryland to complete the FDA certification for silicone gel filled breast implants. He is highly skilled at performing many different types of breast augmentation procedures. At the Maryland Plastic Surgery Center, Dr. Summers treats numerous breast augmentation patients, including patients in Townson, Lutherville, Columbia, Owing Mills, Howard County, Ellicott City, Baltimore, and Annapolis. Combining superior surgical-skill and exceptional, patient-focused care, Dr. Summers has helped these patients to enjoy a more shapely figure. Dr. Summers also provides before and after photos of breast implants patients on other pages of this website.
Breast Augmentation: Introduction
Breast augmentation with implants, also known as an augmentation mammoplasty, is a surgical procedure that accentuates the size and shape of a woman’s breasts to provide a more proportioned figure. Saline-filled or silicone gel-filled implants are placed to make breasts fuller and enhance their shape, and make it easier to wear certain styles of clothing. The incision is typically made under the breast or at the margin of the areola. Alternatively, the incision can be made under the arm in a skin crease, so that there is no scar on the chest.
In addition to making the breasts larger, Dr. Summers has developed specialized techniques that can move the breasts closer together and slightly lift sagging breasts in selected patients without any additional incisions (normally a breast lift procedure is required to obtain these results). Breast augmentation is a tremendous help to patients in Baltimore, Maryland who desire a fuller profile, who have lost breast volume due to pregnancy or nursing, or who have undergone breast reconstruction and want to restore their natural appearance.
- Enhance body shape if breasts are too small.
- Increase breast volume after pregnancy and nursing.
- Equalize a difference in breast size (cup size).
- Reconstruct breasts following a mastectomy or injury.
Breast augmentation involves making a small incision to insert a breast implant in order to enlarge the breast. The surgery is performed in the safety and comfort of the Maryland Plastic Surgery Center while the patient is asleep under a general anesthesia. There are several possible locations for the small incision that will be used for inserting the breast implant. The best technique will be decided when you meet with Dr. Summers for your consultation.
During surgery, the breast tissue is raised to create a pocket under the breast tissue or beneath the chest wall muscle. Inserting an implant behind the breast typically increases a woman’s breast size by one or more bra cup sizes. Either saline or silicone gel-filled implants may be used, depending on your preference. In some circumstances, particularly those in which there is breast asymmetry (uneven breast size), an adjustable implant (Mentor Spectrum Post-Op Adjustable Implant) may be used to allow Dr. Summers to change the level of inflation after surgery to obtain breast symmetry and balance. Surgery typically lasts from 1 to 2 hours.
Click here for a more extensive review of the literature regarding breast implants as well as a review of the risks and complications associated with breast implant surgery.
An ACE wrap is applied right after surgery to help prevent bleeding and swelling. The next day, the ACE is replaced with a bra, which will be worn 24-hours daily for the next week. The bra may be removed for showers. Strenuous activity is to be avoided. Any pain is typically treated effectively with oral medication, with most patients relying only on ibuprofen by the second post-operative day. While complications are rare, patients can minimize potential problems by carefully following the pre-operative and post-operative directions.
Implant Type Approximate Charge
Saline Filled: $6,900
Silicone-Gel Filled: $7,900
The above fees are for a routine breast augmentation procedure. Because not every case is “routine”, the above noted charges are approximations — a detailed quotation will be provided at the time of your consultation. The charge includes all of the following: facility fee at the Maryland Plastic Surgery Center, anesthesia with a board certified anesthesiologist, saline breast implants of any size, surgeon’s fee, and all office visits. No additional fees are charged for incision location (under the arm, under the areola, or under the breast fold) or for implant location (above the muscle or under the muscle).
The only other expenses you will incur are pharmacy related for prescription medications (antibiotics and pain medication) and laboratory related for routine blood tests prior to your breast implant surgery. Patients who are over 40 years of age or who have pre-existing medical conditions will also need to have a medical clearance, which includes an EKG and additional bood tests.
In addition to treating breast augmentation patients, Dr. Summers offers other breast procedures at his Baltimore plastic surgery center. Please visit these pages to learn about how Dr. Summers helps Baltimore breast lift, breast reduction and male breast reduction patients.
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Occassionally, patients request that other procedures be combined with their breast augmentation surgery. At the Maryland Plastic Surgery Center, procedures which Dr. Summers has combined safely with breast implant surgery include liposuction and tummy-tuck (abdominoplasty).
However, cosmetic breast enhancement with implants is typically reserved for women who have completed growing and are emotionally mature. The youngest patient accepted for routine breast implant surgery is 18 years old.
Silicone-gel filled implants were re-approved for use in 2006. There has been no evidence based research that demonstrates a link between silicone gel-filled implants and autoimmune diseases (lupus, arthritis, etc.) or breast cancer. And, because silicone-gel filled implants are softer than saline-filled implants, many patients at the Maryland Plastic Surgery Center elect to have their breast augmentation procedure performed with silicone gel-filled implants.
Rarely, an implant will rupture or leak. With saline implants, the saline is safely absorbed into the body. If the leak is significant, a deflation of the affected breast is noted immediately.
With silicone gel-filled implants, the silicone typically remains in the implant pocket, so a deflation is usually not noticed immediately. Over time, some patients develop an inflammatory response and the implant pocket will shrink around the silicone gel. An MRI may be obtained to verify that a leak has occurred.
In either case, the deflated/ruptured implant may be removed and replaced with a new implant. The implant manufacturer will provide the new implant at no charge to the patient. Additionally, the implant warranty will cover the cost of surgery to have the implant replaced, so (aside from medications and laboratory/radiology studies, if needed) there are no additional out-of-pocket expense for replacing a deflated/ruptured breast implant.
Dr. Summers has significant experience working with both saline-filled breast implants and silicone-gel filled breast implants. In fact, Dr. Summers was the very first plastic surgeon in Maryland to be certified by both Allergan/Inamed and Mentor Corporation (the two companies which manufacture breast implants for use in patients in the United States) to implant silicone gel-filled breast implants.
The rates of autoimmune diseases (lupus, rheumatoid arthritis, etc.) among breast implant patients are the same as the rates of autoimmune diseases in the general population. Many studies have reviewed the presence of autoimmune diseases, and it has been established that neither saline breast implants nor silicone gel filled breast implants cause autoimmune diseases.
In the event of saline-filled implants, harmless salt water will be absorbed by the surrounding tissues – in this case the leak is easily noticed and the defective implant would be replaced with a new implant.
In the event of silicone gel-filled implants, the silicone typically remains in the implant pocket and is not absorbed by the body nor will it migrate into any other part of the body. If an implant rupture is confirmed (usually with an MRI), or is strongly suspected (due to concurrent capsular contracture), the implant can be inspected, removed if necessary, and replaced with a new implant.
Note: Saline breast implant patients have an option to “upgrade” their warranty. We recommend that you take advantage of this additional valuable warranty coverage as described in the warranty booklet – please review the implant company’s literature we provide to you on your first post-operative visit for more information.
Please call us at any time if you have any questions. However, we definitely need to hear from you as soon as possible if you notice any of the following:
- Fever over 101-degrees
- Increased swelling in one breast
- Pain not controlled by pain pills
- Persistent nausea or vomiting
- Drainage from your incision
The amount of swelling and bruising is quite variable. Some patients have almost no bruising, while others have significant bruising that persists for several weeks. This is related to the amount of work performed and your own body’s natural response to trauma. In general, most patients notice complete resolution of bruising within 2 weeks. The swelling can persist for several months.
Please note, most patients have minor abdominal swelling for the first two days after their procedure. This is normal and is nothing to be concerned about.
Avoid strenuous activities for three weeks after surgery. Specifically:
- No biking
- No horseback riding
- Avoid activities that cause sweating
- No mowing the lawn or vacuuming the house
- No lifting of laundry baskets or heavy bags of groceries
- No upper body exercises (e.g. weight lifting, swimming, etc.)