Your Breast Surgery Options Explained

A woman’s breasts can impact her self-esteem and self-confidence significantly. There can be changes in the breasts from aging, weight fluctuation, pregnancy, breastfeeding, and even diseases such as cancer. Thankfully, there are numerous surgical options available for women that can give them the breast look they want and improve their quality of life. 

Breast Surgery Options

Every woman’s body and goals are different. There are options for any need. Some surgeries can be combined, as well. Here are breast surgery options that you and your surgeon can choose from:

  1. Breast Augmentation: When your breasts are not the size you want or are asymmetrical, breast augmentation can help. This is one of the most popular surgeries performed because it helps women feel more confident and can give better shape, volume, and contours to the breasts.
  2.  Breast Implant Exchange: After a woman has had augmentation, she may eventually decide on a breast implant exchange, also called a revision. This procedure entails removing the current implant and putting in a new one. Some reasons this surgery is done are due to capsular contracture, rupture, wanting to change the size or shape of the implant, or wanting to change the type of implant.
  3. Breast Implant Removal: Sometimes, a woman may decide to remove the implants permanently. It can be because she experienced problems with her implants, or sometimes she just wants to go back to the natural size and shape of the breasts instead of the current augmented one.
  4. Breast Reduction: When a woman’s breasts become excessively large, they can cause great discomfort to her. The weight can cause back and postural issues that impact the quality of life. If a woman is faced with these problems, she may decide to reduce the size of her breasts surgically to help. This surgery can reduce and eliminate pain and other issues caused by large breasts such as sell-consciousness or the inability to do activities she loves.
  5. Breast Lift: Aging, pregnancy, weight fluctuations, and breastfeeding can impact the firmness and volume of the breasts. They may begin to sag and droop. A breast lift can help them sit higher on the chest and look more youthful and firmer. Sometimes breast lifts are combined with augmentations or reductions to give the best results.
  6. Breast Reconstruction: Breast cancer can sometimes cause a woman to lose her breasts via mastectomy. This is a necessary surgery, but the loss of one or both breasts can impact a woman emotionally. There are methods to reconstruct breasts after mastectomy. The two main options surgeons have are implants or using the patient’s tissues to rebuild and give them a new breast or breasts. Having this surgery can help a woman celebrate survival and also help her heal emotionally at the same time. She will feel more feminine and like her old self again.

Schedule a Consultation

If you are interested in one or more of these procedures, call Lorraine Golosow, MD. and her staff today to book your consultation.

When Do You Need to Replace Your Breast Implants?

Breast implants don’t come with a lifetime guarantee. At some point, there’s a chance you’ll need to replace your implants due to a variety of causes. The longer you have the same implants, the greater the risk of rupture or other complications.

Some lucky women have implants that last a lifetime, but most need to have them replaced every eight to 10 years. Here are some reasons why implants should be replaced sooner than later.


Gravity eventually takes its toll on the appearance of the breasts regardless of whether you’ve undergone breast augmentation in the past. Your current implants won’t always hinder age-related sagging. Significant weight gain or loss can also cause breasts to stretch and sag. One breast may even hang lower than the other. Your nipples may also start pointing in different directions. Implant replacement can help resolve these issues.

Saline Rupture

A saline implant is a silicone shell filled with sterile salt water. If this type of implant ruptures, it will obviously and rapidly deflate like a balloon. A rupture will also cause pronounced asymmetry. In this case, the implants need to be removed and replaced so that the breasts’ shapes can be restored.

Silicone Rupture

A silicone implant is one that is filled with synthetic polymers. If the implant ruptures, its thick gel leaks at a slower rate than saline. This is sometimes called a “silent rupture,” because most people don’t notice it or have any symptoms, and it can only be detected by MRI. If there are symptoms, however, they include:

• Decreased breast size

• Pain or tenderness

• Tingling

• Numbness

Capsular Contracture

Capsular contracture occurs when the capsule, or scar tissue which forms around the implant, hardens and painfully squeezes it. Capsular contracture can trigger burning, tingling, numbing, and swelling. As the condition intensifies, the breast may look distorted or even change shapes. This is true for both saline and silicone implants, and it can affect one or both breasts.

Capsular contracture can occur shortly after surgery, or it can happen years afterward.

According to the FDA, capsular contracture has four stages. In the first and second stages, the breast looks and feels unchanged. In stages three and four, the breast feels hard, looks odd, and is painful.

If you’re experiencing capsular contracture, it’s time to have your implants removed and replaced.

Your Implant is Moving

Has your implant traveled from your chest to your armpit? This is called migrating. It may affect only one breast or both, causing an asymmetrical appearance. Luckily, this problem can be rectified with an implant replacement.

Your Breast’s Surface is Changing

Sometimes, saline implants can wrinkle, ripple or even fold. Wrinkles may also appear on the sides of your breasts when you bend over. If this is happening, you may want to consider replacing your implants.

If the time has come to replace your breast implants, you can entrust the procedure to Dr. Lorraine Golosow of Associates in Cosmetic Surgery in Southwest Florida, regardless of where you had your initial breast augmentation. Dr. Golosow is a renowned plastic surgeon who is experienced, highly educated and exceptionally attuned to her patients needs. Contact us to learn more about how Dr. Golosow can help you get the results you want from implant replacement.