It has been officially 5 week since my tummy tuck and breast lift. After losing 150lbs I knew I needed this done but never thought it would be possible. After meeting with Dr. Downs and his team my dreams started to seem like reality. Five weeks ago we completed 1 of my 2 suggested surgery’s. My recovery so far has been extremely easy with little to no pain. Dr. Downs has been just the best. He took his time and explained every part of my surgery and what I could expect. It was a pleasant surprise to wake up from surgery and find out he didn’t have to make the vertical incision down my stomach due to all the my weight loss, and lose skin. I’m so happy Dr. Downs is who I decided to go to for this surgery. Can’t wait for him to complete my project.
Reasons to Consider Breast Augmentation
Many women consider breast augmentation for various reasons, as it is often the best solution to restore volume, add fullness, or correct asymmetry. Changes in breast size and shape include pregnancy, breastfeeding, and dramatic weight gain or loss. The surgery can help improve a patient’s self-esteem and body image.
Who is a Good Candidate for Breast Augmentation?
Ideal candidates for breast augmentation are healthy individuals looking to improve the size and shape of their breasts. Patients who are in overall good health, with realistic expectations, have the best outcomes. It’s important that the breasts are fully formed before undergoing surgery, so candidates must be over the age of 18. Smoking can cause issues with your recovery, so it is recommended to stop smoking for at least four weeks prior to surgery. Being at a stable weight will also increase the likelihood of long-lasting results.
Whether you’re seeking to restore volume after pregnancy, improve naturally small breasts, or correct asymmetry, breast augmentation is about helping you feel your best, physically and emotionally. At The Centre PC, we’ve performed thousands of breast augmentations over the years. Take the first step and schedule your consultation today!
Before & Afters
Breast Augmentation
Real Patient Testimonials/Reviews
I had a great experience here, the staff are so friendly and make you feel comfortable. Dr. Downs is the best, I will definitely be returning.
I had a great experience here, the staff are so friendly and make you feel comfortable. Dr. Downs is the best, I will definitely be returning.
Dr. Downs and The Centre, P.C. staff are wonderful to work with for questions/concerns prior to and after surgery during recovery period. Dr. Downs consults with patient prior to surgery to confirm understanding of what results are important to them.
Additionally, Dr. Downs personally follows up after surgery to ensure that things are going well after discharge which I was extremely impressed by. The office/surgical center provides a more discrete and personalized patient environment with a separate door entrance for the follow-up appointment the day after surgery as well.
Dr. Macias is AMAZING!! She is so caring and kind. She listens to her patients and seems to really love her job and cares about her patients. I would highly recommend her. Her staff also has been very wonderful and caring all the time!
I was referred to The Centre by the on call hand Doctor that reviewed my ER case after I split my thumb open. From setting up my appointment to being taken care of by the staff, it was a pleasant experience. Each member of the team I met was attentive, very forthright with any information I needed & were an absolute pleasure to be around. Dr. Downs has an amazing staff!
Dr. Downs is fantastic. He is very knowledgeable and communicates very effectively. The staff made this experience comfortable for me. I am very happy and pleased with the results.
Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
Dr. Macias and her staff helped make this very personal decision easy and comfortable. They took the time to listen and answered all my questions. I was very nervous about having breast surgery but after it was done I was so happy with the results. She truly nailed it. I would highly recommend Dr. Macias to anyone considering any cosmetic surgery.
I received a rhinoplasty from Dr. Macias and my nose is PERFECT. 😍
I enjoyed my whole experience but here are a few specific highlights that stuck out:
- The staff is kind, informative, and responds quickly.
- I loved the simulation they used to show desired results.
- The staff the day of surgery was fun and helped me with my nerves.
- From the little shopping I did, their prices were the best (sometimes by far!).
I recently had a surgical procedure done with Dr. Macias. The staff was absolutely amazing from my consult to surgery everyone was soooo sweet and kind! So very helpful from the front desk to the treatment coordinators to the pre op the whole surgery experience to post op!!
If you are considering on having anything done I highly recommend. I am extremely happy with my results so far and it’s only been a week.
Dr. Downs and his staff are amazing!
He took me on as a patient after another surgeon botched me.
Dr. Downs will take the time to review everything with you and let you know what your options are.
His staff are wonderful and they make you feel so comfortable!
You will be in great hands with Dr. Downs and his team!
The Breast Augmentation Procedure
A breast implant is usually placed through one of two areas: in the inframammary fold (the crease underneath the breast), around the areola (the colored part around the nipple). Our surgeons most commonly use the inframammary fold incision because it is so well hidden.
Silicone gel or saline implants can be placed below or above the muscle. Your plastic surgeon will create a pocket for the implant and place it centered behind your nipple and areola complex. The incision is then closed with an absorbable suture and surgical glue. The bandages are laid down over the area and held in place by a surgical bra.
Breast augmentation is performed as an outpatient procedure, and you will be able to return home the same day. Your plastic surgery team will provide you with recovery instructions and follow-up appointments to ensure your recovery is smooth and without complications.
Women who are looking for improvement in their appearance are good candidates for a breast augmentation procedure. Before deciding, carefully consider your expectations and discuss them with your plastic surgeon.
Our practice offers you the choice of either saline or silicone gel breast implants. Our surgeons most commonly use silicone gel breast implants because they look and feel more natural than saline implants and are less likely to have visible ripples. Silicone implants come pre-filled in four profiles: moderate classic, moderate plus, high, and ultra-high. The implants our surgeons use are round and have a smooth shell.
Preview Your Breast Augmentation Results in 3D
See your potential results before surgery with our advanced VECTRA 3D imaging system. During your breast augmentation consultation, we’ll create a personalized 3D model of your body, allowing you to visualize changes in breast size, shape, and symmetry. This powerful tool helps you make confident, informed decisions by “trying on” different implant sizes and styles—all before your procedure begins.
Saline vs. Silicone Implants
Saline breast implants are filled with a sterile saltwater solution that matches the saline fluids in the body. This means that if an implant were ever to rupture, which is rare, that saline solution would be easily and safely absorbed by the body.
The FDA has approved silicone implants for all women aged 22 and over, as of November 17, 2006. Silicone implants contain a gel which closely resembles breast tissue in its consistency. They look and feel very natural.
If a silicone implant were ever to rupture, also known as a silent rupture, the gel would continue to hold its shape. This is why it is referred to as a silent rupture, because many women do not know they have one until it is picked up on a mammogram or MRI. At The Centre PC, you can choose which type of implant you’d prefer to have; however, our surgeons most commonly use silicone implants.
Incision Placement
Our surgeons most commonly place the incisions in the inframammary fold. The incision is typically a few inches long. In this location, the resulting scar will be barely visible.
Implant Placement: Above vs. Under Muscle
Our surgeons almost always place implants above the muscle, even if a patient has very little breast tissue. When implants are placed under the muscle, the recovery time is longer and more painful since the muscle must be disrupted during the procedure. During your consultation, we will review your options regarding implant placement and be sure to involve you in the decision.
Recovery and Aftercare
You will likely experience soreness and swelling for a few weeks to a month after surgery. Your surgeon will provide you with detailed recovery instructions, including when to resume normal activity, how to care for your breasts following your augmentation, and when to be seen in the office for follow-ups.
Your physician will see you a day or two after surgery to ensure everything is healing well. You will return within seven to ten days to have your progress checked. You may resume normal activities generally within one week and strenuous activity within 4 weeks.
Possible Risks, Side Effects, and Complications
Like any surgery, there are small risks associated with breast augmentation, including breast pain or sensation changes. Patients should also be aware of more severe complications that could occur after a breast augmentation procedure, such as a hematoma or an infection. This is why it is extremely important to follow all of your postoperative instructions carefully. We also make sure you are monitored by your surgeon through the entire recovery process.
After breast augmentation, it is normal for your body to create scar tissue around the implant. In a small subset of women, their body creates too much scar tissue, which can distort the appearance of the implant and sometimes become painful. This is called capsular contracture and typically requires additional surgery to break up the scar tissue.
Combining Breast Augmentation With a Breast Lift
For women who experience ptosis, or breast droopiness, a breast augmentation alone may not be the best surgical solution. Breast augmentation increases breast size, adds volume, and enhances contours, but does not address breast position or remove excess skin.
Ptosis is best treated by combining breast augmentation with a breast lift to create a fuller, more lifted look. If a patient chooses to combine procedures, our board-certified plastic surgeons can perform both during one operation to minimize surgical risks and recovery times.
Contact Our Comprehensive Plastic Surgery Practice!
If you are considering breast augmentation, contact The Centre, P.C. Our Indiana State Licensed and AAAHC Certified Ambulatory Surgery Center is unmatched in the quality of care we provide to our patients throughout Indiana and the surrounding states. Call today at 574-968-9100
Frequently Asked Questions
Breast Augmentation in Mishawaka, IN
Breast augmentation is an outpatient procedure – patients return home the same day. You will likely feel tired and sore for a few days following the surgery. Postoperative medication will be prescribed to help control the discomfort but is typically only needed for a few days.
There is no set life expectancy or expiration date for either saline or silicone implants. Some women do have their breast implants replaced because, as we age, the body changes and some implant adjustment might be necessary.
Silicone gel implants have slightly thicker shells than the ones used before 1992. They also contain an improved gel that does not disintegrate or leak if the implant does ever rupture. If you have any problems with your implants, you should certainly let your plastic surgeon know immediately, so the issue can be addressed right away. That being said, if you have a ruptured implant, whether saline or silicone, you are not in danger; however, we do recommend having the implant removed and replaced.
Implants usually have no effect on the ability to breastfeed. If a woman had the ability before surgery, then she will likely retain that ability following surgery. Likewise, if a woman was not able to breastfeed prior to breast augmentation, then surgery will not improve her ability to breastfeed.
There is no scientific evidence that either saline or silicone gel implants increase the risk of breast cancer. While silicone gel implants were restricted by the FDA between 1992 and 2006, multiple safety studies were conducted to determine whether silicone implants cause any diseases or medical conditions. No study established any connection whatsoever between silicone implants and any disease process.
There is evidence to show that women with textured implants have a higher risk of developing a rare type of cancer known as anaplastic large cell lymphoma (ALCL.) The cancer is cured by removing the implant and surrounding tissue. However, for this reason, our surgeons do not use textured implants.
Women with implants generally have additional images taken during a mammogram. Also, implants may obscure underlying breast tissue and/or compress overlying tissue, thus making the interpretation of the image more complicated. It is important to have your mammogram done at an accredited mammography center. An imaging center that specializes in mammograms will likely have more experience screening women with implants. To find one near you, call the National Cancer Institute at (800) 422.6237.
If you have implants, you should always advise your mammography technician ahead of time. Prior to any breast surgery, if you are over the age of 40, you will be required to have a mammogram done, as you cannot have another mammogram for at least six months after surgery.
The chance of an implant rupturing during a mammogram is small. Experts say the cause is most likely a faulty implant, not the mammogram itself.
The American Cancer Society recommends that women aged 40 and older should have a screening mammogram done every year and should continue to do so for as long as they are in good health. Women in their 20s and 30s should have a clinical breast exam by a health professional, preferably every three years.
Women who have breast implants should still perform self-breast exams. To do this correctly, ask your plastic surgeon to help you distinguish the implant from your own breast tissue.
The following is a list of breast-exam steps, as recommended by the American Cancer Society.
-
- Lie down with a pillow under your right shoulder and place your right arm behind your head.
- Use the finger pads of the three middle fingers on your left hand to feel for lumps in the right breast.
- Press firmly enough to know how your breast feels. A firm ridge in the lower curve of each breast is normal. If you’re not sure how much pressure to apply, talk with your doctor or nurse.
- Move the breast in a circular, up and down in line, or wedge pattern. Be sure to do it the same way every time. Check the entire breast area and try to remember how your breast feels from month to month.
- Move the pillow under your left shoulder and repeat the exam on your left breast using the finger pads of the right hand.
- Repeat the examination of both breasts while standing, with your one arm behind your head. The upright position makes it easier to check the upper and outer part of the breasts (toward your armpit). This is where about half of cancerous lumps are found. You may want to do the standing part of the exam while you are in the shower. Some breast changes can be felt more easily this way.
Though breast augmentation does restore volume, it does not totally correct breast position unless combined with a breast lift. If you have concerns with your degree of breast droopiness or “ptosis,” a combined procedure may be the best option.
One factor to consider when getting breast implants is the risk of deformity if you decide to remove them later. Typically, breasts where implants have been removed appear deflated due to the skin and tissues stretching to accommodate the size of the breast implants. If you choose to remove your implants, your surgeon will have an extensive consultation with you to discuss the risks and complications.
Some changes in sensation are not unusual. Some patients have increased sensitivity, others decreased, and others have no change at all. For those who do experience a change, normal sensation may return after several months. Rarely, partial or permanent loss of nipple sensation does occur.
Ideal candidates for breast enlargement surgery are women who are looking for improvement in the size and shape of their breasts. Before you decide on breast augmentation, think carefully about your expectations and discuss them with your plastic surgeon.
The cost of breast augmentation at The Centre, P.C. typically ranges from $6,400 to $8,000, depending on several factors. This price generally includes the surgeon’s fees, anesthesia, facility costs, and the type of implants chosen.
The expertise of your board-certified plastic surgeon, along with the use of our AAAHC-certified and Indiana state-licensed surgical center – The Centre, LLC, ensures a high standard of care and safety. While health insurance usually does not cover elective breast augmentation unless it is reconstructive, we offer flexible financing options to make the procedure more accessible.
Schedule a consultation today to receive a personalized quote and take the first step toward achieving your aesthetic goals.