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Mansfield Magazine

Questions Answered About Breast Augmentation Surgery

May 11, 2015 04:15PM ● By Michael Thornton
Are you thinking about breast augmentation surgery, but unsure of what changes it may bring to your life? Any reputable cosmetic plastic surgeon will welcome your questions and want you to be completely comfortable with their qualifications. 

You should ask yourself questions like:  What are the surgeon’s credentials, training, and board certification in a particular specialty and what is the surgeon’s experience and specific training in the procedure you are considering and how many procedures has the surgeon performed? 

Finally, review a good variety of the surgeon’s before and after photos and ask where your surgery will be performed. Below, Dr. Michael Thornton of 
Mansfield Cosmetic Surgery answers common questions about the procedure.

“Above the muscle or Below the muscle?”

Breast implants can be placed in two general locations, known as submuscular (below the muscle) or subglandular (above the muscle). One of the main factors that determine where the implant will be placed has to do with how much breast tissue you have to provide effective coverage for the implant.  In my practice, most patients are having implants placed below the pectorals muscle with partial muscle release, which provides a natural and round appearance with appropriate implant coverage.

“Saline vs Silicone..which one is right for me?”

Choosing the best breast implant type for you depends upon your desired results and preference as there are both positive and negative factors between choosing silicone gel breast implants and saline filled breast implants. Breast augmentation using saline implants are intended for females who are at least 18 years old.  However, women who choose silicone implants must be at least 22 years old according to the FDA.  In my practice, most adult patients (age > 22) are selecting silicone gel implants.    

How to pick your “new” size of implant

Choosing the size of implant, measured in volume (cc’s or cubic centimeters) is based upon several important factors and must be individualized for each body type and chest diameter.  The most common requested size implant is a “Full C-cup or small D-cup” which averages to approximately 350cc to 450cc.  In my practice, 450 cc is the most commonly chosen size and I routinely place a high-profile implant to provide the highest projection.

How to know if you need a breast lift

The goal of a breast lift or mastopexy is to reposition or “lift” sagging breasts and the nipple areola complex due to the effects of pregnancy, breast-feeding, and massive weight loss.  Incisions for a breast lift are placed around the dark skin of your areola and along the underside breast crease.  A breast lift in combination with saline or silicone implants is routinely performed for complete breast rejuvenation.

What is the Recovery process?

The initial discomfort following breast augmentation typically lasts one or two weeks.  You may resume normal activity within 6 to 8 weeks and expect complete results in 3 to 4 months to allow the breast tissues and muscles to soften into a natural appearance.

Dr. Thornton has performed many successful breast augmentation, breast lift, breast reduction, and breast revision surgical procedures.  All breast surgery is performed at Baylor Surgicare at Mansfield, an AAAHC and JCAHO accredited surgery center, using only board-certified anesthesia providers.

For more information, visit

About the Author

Dr. Michael L. Thornton is a fellowship-trained, dual board certified Cosmetic Surgeon and Diplomate of the American Board of Cosmetic Surgery and was specifically trained in both traditional and modern techniques in facial cosmetic surgery and face lift surgery during his 12-month advanced cosmetic surgery fellowship. Dr. Thornton attends yearly national cosmetic surgery meetings and participates in advanced courses to offer you the latest techniques in facial cosmetic surgery.

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