Breast Augmentation Pittsburgh
Is a Breast Augmentation Right For You?
For women with small or deflated breasts, a breast augmentation offers a chance to feel womanly, slightly voluptuous, and have a balanced figure again. For young women who never developed much breast tissue, an augmentation changes their life. For women who have lost breast tissue after nursing, it is a means to get their pre-pregnancy figure back. For the massive-weight loss patient, it may be necessary with a mastopexy to re-mold their upper torso.
In general, you’re likely a good candidate for breast augmentation if you
- Have asymmetrical breasts
- Want to achieve larger, more sensual looking breasts
- Are bothered by sagging, deflated breasts
- Want to restore breast volume after pregnancy, breast feeding or major weight loss
- Want breasts that are more proportionate to your body
Dr. Cherup is considered by her patients to be one of Pittsburgh’s top breast augmentation plastic surgeons. Schedule your consultation using our online form or by calling the office at 412.220.8181.
Breast Augmentation ConsultationDr. Lori Cherup uses an evaluation system that is unique. It is a combination of her Touch MD instructional video system, the breast evaluation and measurement system of Dr. John Tebbetts and Allergan and her own extensive experience. She will inform you of the key events of the surgery and go over the manageable risks of choosing implants. She will measure your breasts and chest wall and determine your breast shape, existing volume, and significant asymmetries that must be dealt with. Dr. Cherup or Jennifer, her surgical technician, will then image your breasts in our VECTRA 3-D* imaging system. Your computer image will be “augmented” with a few different sizes and shapes of implants to help you and Dr. Cherup visualize the changes that are possible and that you prefer. See our VECTRA demonstration on our website. You will then look at photos of other patients similar to you that Dr. Cherup has treated, and determine if there is a shape or size you prefer. You will leave the consultation with the full understanding of your anatomy, your best options, a VECTRA image of yourself augmented, and an Inform & Enhance booklet reviewing all risks and providing a price sheet for your specific surgery. At your second consultation, Dr. Cherup will reexamine you. Now is when you and Dr. Cherup finalize your breast implant choice, and rationalize your decision. Any need for mastopexy will be discussed. Photos will be taken to use in this operating room. A history and physical will be done. You will meet with Kristy or Maureen, our coordinators, sign your consents, and make your deposit. Financing options with CareCredit (see our web site information) or payment in full three weeks before the surgery will be planned. Any questions you will have will be answered by Dr. Cherup and our staff.
Choosing An Implant ShapeYour silicone-shelled implant by Allergan or Sientra is filled with saline or silicone. There are also two basic shapes – tear drop (anatomical), or round. Of these four variations, how do you choose? We will help you.
- Fills the implant with salt water, the same solution we put in your IV fluid.
- If implant ruptures, the saline is absorbed by your body.
- Least costly.
- Often gives a more augmented look.
- Better if you have enough breast tissue to cover the implants.
- This cohesive gel will never travel outside the breast capsule if the implant is ruptured.
- Most advanced technology to date.
- Better for thinner patients with little breast tissue.
- Lighter in weight – feels most natural.
- More costly.
- Available in saline and silicone (as of four years ago).
- Provides a rounder, fuller upper breast.
- Good if you have a depleted upper pole, or you want more cleavage.
Anatomical or Teardrop Shape
- Now available in saline and silicone (since 2013).
- Provides a more natural breast shape with the most projection in the bottom half of the breast.
- Good for tuberous breasts and poorly developed breasts.
Utilizing your exam and your VECTRA imaging, and surveying photos of other patients, you and Dr. Cherup will decide which shape and which fill of implants will give you your desired result given your anatomy. If Dr. Cherup recommends a mastopexy, whether it would be a periareolar or full mastopexy, you will see the benefits of performing or not performing it. John Tebbetts, M.D., has written extensively about the negative effects of very large implants on breast tissues. Essentially, the larger the implant, the heavier it is, and the less likely your tissues will be able to support the weight of the implant. Your skin and muscle pocket will stretch. If it stretches inferiorly, the implants will bottom out. If it stretches laterally, the implants will migrate to underneath your armpits. If the pocket stretches anteriorly, your nipple-areola complex will stretch in size. Dr. Cherup does not like to use very large implants because she believes it only makes the patient look matronly, like a grandmother. Very, very large breasts do not make most people look youthful, they make them look older. Dr. Cherup’s goal is to make your figure look beautiful by augmenting your breasts to the point where your breasts match the circumference of your hips. Usually, this can be done with an implant less than 500 cc in volume.
Breast Augmentation Surgical ProcedureA breast augmentation is performed at Radiance Surgery Center under general anesthesia, and usually takes one to one-and-a-half hours. Dr. Cherup employs an inframammary incision through which she will dissect a perfectly-sized pocket under your pectoralis major muscle for the implants. Saline implants are filled by a sterile closed system once placed inside the body; silicone implants are introduced with the Keller® Funnel. Dr. Cherup sits you up by elevating the back of the OR table and checking that the symmetry of right versus left is as good as possible. Sometimes, this involves using different volumes in each breast. If a mastopexy is to be performed, it is done just before all the incisions are closed with buried sutures. Dr. Cherup injects your incisions and chest wall with Marcaine to decrease your immediate postop pain.
Post Operative CareDr. Cherup will see you two days after your breast augmentation surgery to remove your tape and Steri-Strips. You can bring a sports bra by Nike, Champion, or Under Armour that zips in the front, or you can buy one of ours that is supportive and pushes you together for cleavage. The second week Dr. Cherup will see you and check for symmetry and any problems. Massaging exercises to decrease capsular contracture will be taught. At two weeks, the sutures will be removed. Here are some brief post operative breast augmentation care reminders:
During your first week after breast augmentation surgery, attempt to sleep on your back instead of on your side. We want your breast implants to stay in position during the initial healing process. This is not a life or death issue, however. If you cannot sleep on your back, sleep in another comfortable position.
Avoid heavy lifting and straining for a minimum of two weeks. You may, however, do normal activities at any time if they cause no pain or discomfort. Let your body tell you what you can or cannot do.
You will have Steri-Strips on your inframammary incision that will stay on for two weeks. They will stay on even in the shower. The bra acts as a dressing, holding the breasts and implants in a perfect position. Try to keep the bra evenly positioned on your chest. If the bra feels too tight or uncomfortable, switch immediately to any bra that feels comfortable. We want you to wear a bra at all times for two weeks. After two weeks, you may sleep without the bra. You should not go braless during the day for four to six weeks after breast augmentation surgery. It is probably more comfortable not to wear an underwire bra.
Showering and bathing:
You may shower the day that Dr. Cherup sees you for the first time after the surgery. If you prefer to bathe in a bathtub, do not allow the incision lines to soak for more than a few seconds in the bath water. Leave the Steri-Strips on your skin. If you have any questions about your breast augmentation, don’t hesitate to contact Dr. Cherup and her staff!
Schedule a Consultation
For more information on scheduling your breast augmentation, contact surgeon Lori L. Cherup M.D. at her main office in Pittsburgh, Pennsylvania.
Call Dr. Cherup at (412) 220-8181 or (877) 441-0639 or use our online form below.
From Our Patients…
“I had an amazing experience with Dr.Cherup. She listened to exactly what I wanted and treated me with kindness and respect. I felt completely comfortable from the first consultation. I will never regret my choice to go to Radiance.”