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Breasts contribute significantly to a woman’s outer beauty, confidence and self-image. If you wish to enhance your breast shape or size due to change after pregnancy or your breasts are naturally too small, consider breast augmentation in Appleton and Oshkosh, WI at Fox Valley Plastic Surgery. Since 1993, we have performed breast enhancement procedures to help women restore a formerly perky profile, attain the shapely curves that just never developed, and even out asymmetrical figures.
Our board-certified plastic surgeons are ready to help you perfect your personal Renaissance. Women visit us for breast augmentation from places such as Green Bay, Fond du Lac, and Sheboygan. To get started, request your consultation in either the Oshkosh or Appleton office using our online form or contact us at (920) 233-1540. The non-refundable $80 cosmetic consultation fee can be applied towards the cost of the procedure.
Medically known as augmentation mammoplasty, breast augmentation is a procedure that enlarges small or underdeveloped breasts with silicone gel or saline implants. Dr. Janssen or Dr. Doubek will make an incision in the skin, create a pocket for the implant under or above the chest muscle, insert the implant, and suture the incision closed. The surgery is usually done under general anesthesia and takes one to two hours.
We also perform implant removal, implant replacement, and implant repositioning. Pricing is determined by the type of implant, if the implant is ruptured, and if the original surgery was done by FVPS. Please call us at 920-233-1540 for a consultation because this pricing is too varied and patient specific to post.
A breast augmentation is a cosmetic procedure, which is not paid for by insurance. In general, a breast augmentation costs approximately $8000. The price includes the surgeon’s fee, round silicone implants, the facility fee at the Theda Care Surgery Center, and anesthesia. Shaped silicone implants generally add $600 to the procedure. The pricing is subject to change, and will change if the surgery is done at another facility, if different implants are used, if there are unique circumstances surrounding the surgery, etc. Exparel®, which can be added to the surgical site to alleviate post-operative pain, costs $350.
The use of Stratamed® immediately after wound closure and for several weeks afterwards, is highly recommended for optimal healing. Stratamed is the first film-forming silicone gel-based wound dressing approved for the use on open wounds and compromised skin. Depending on the length of the incision, a tube of Stratamed® costs $35-$95.
There are also multiple procedure discounts: 15% off the surgeon’s fee for the 2nd procedure, and 30% off the surgeon’s fee for the 3rd procedure. There is a 50% discount off the facility fee for the 2nd procedure. Anesthesia is based solely on time. There are financing options, such as Care Credit available. However, payment by cash gives the patient an additional 5% discount. There could be additional discounts, which are too varied to be mentioned here.
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The non-refundable $80 cosmetic consultation fee can be applied towards the cost of the procedure.
Breast augmentation does not correct ptosis or sagging of the breasts. A mastopexy (or breast lift) is a procedure that can correct droopy breasts. A breast lift can be done along with a breast augmentation or as a separate procedure depending on the desired results of the patient.
Dr. David Janssen and Dr. William Doubek combine experience, refined surgical techniques, and artistry to produce beautiful results for their plastic and reconstructive surgery patients.
There are many different types, shapes, sizes, and brands of implants. Come in for a consultation to see and feel the implants. “Test” out the implants on yourself with our Vectra 3D imaging system. You and your surgeon will decide on the implants most appropriate for your needs.
Saline breast implants are filled with sterile salt water. Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body. Saline breast implants provide a uniform shape, firmness and feel, and are FDA-approved for augmentation in women age 18 or older.
Silicone breast implants are filled with silicone gel. The gel feels a bit more like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket. A leaking implant filled with silicone gel will not collapse. An ultrasound or MRI screening can assess the condition of breast implants. Silicone breast implants are FDA-approved for augmentation in women age 22 and older.
The overwhelming majority of our breast augmentations are done with Mentor silicone implants, which are made in the US. MENTOR® MemoryGel® Breast Implants are available with either a textured or smooth surface shell, and come in a wide range of sizes and profiles to fit your body.
Form stable breast implants are sometimes referred to as gummy bear breast implants, because they maintain their shape even when the implant shell is broken. The consistency of the silicone gel inside the implant is thicker than traditional silicone gel implants. These implants are also firmer than traditional implants, but are thought to be less likely to break. Form stable breast implants are shaped rather than round. They have more projection at the bottom and are tapered towards the top. If a shaped implant rotates, it may lead to an unusual appearance of the breast. Placement of form stable implants requires a longer incision in the skin.
Round breast implants have a tendency to make breasts appear fuller than form-stable implants. Higher profile options can achieve even more projection. Because round implants are the same shape all over, there is less concern about them rotating out of place.
Smooth breast implants are the softest feeling. These implants can move with the breast implant pocket, which may give more natural movement. Smooth implants may have some palpable or visible rippling.
Textured breast implants develop scar tissue to stick to the implant, making them less likely to move around inside of the breast and get repositioned. Texturing offers some advantage in diminishing the risk of a tight scar capsule. Specific Allergan textured implants are being voluntarily recalled. Only Allergan implants are being recalled because those textured implants are six times more likely to cause BIA-ALCL than implants from other manufacturers.
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Anesthesia is administered for the patient’s comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. The anesthesiologist will recommend the best option.
Incisions are made in inconspicuous areas to minimize visible scarring. The surgeon will discuss which incision options are appropriate for the desired outcome. Incision options include periareolar, inframammary, and transaxillary.
Incisions vary based on the type of breast implant, degree of enlargement desired, patient anatomy and patient-surgeon preference.
After the incision is made, a breast implant is inserted into a pocket either under the pectoral muscle (a submuscular placement), or directly behind the breast tissue, over the pectoral muscle (a submammary/subglandular placement). The method for inserting and positioning breast implants depends on the type of implant, degree of enlargement desired, the patient’s body type and surgeon recommendation.
Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin.
Preparing for surgery with a clear, complex-carb rich beverage will keep you strong and enhance your recovery. Drinking ClearFast PreOp prior to your medical procedure is a safe way to speed up recovery time, nourish your body, and reduce post-operative nausea and vomiting. It is available at Hometown Pharmacy on N. Sawyer Street, Oshkosh at $8 a bottle. The recommended dosage is one bottle the night before your surgery once you are in the fasting window, and a second bottle two hours before surgery. Consult with your anesthetist before taking the beverage. Afternoon surgery patients are encouraged to take this beverage.
After surgery the breasts will be wrapped in gauze dressings and a compression bandeau bra to minimize swelling and support the breasts as they heal. The implants may be riding very high in the chest. This is due to swelling and spasms of the pectoral muscle. Wearing a compression bandeau bra helps keep the implants from riding up. As the swelling decreases, the implants will slowly move down into a more natural looking position usually within 3-6 weeks after surgery.
The support bra must be worn continually for the first week or two. It will be important to cleanse the incision sites and apply ointment as directed. Be sure to follow all instructions carefully. While it is important to rest frequently during the first week, patients must walk 15-20 minutes four times a day to help to prevent blood clots from forming.
The ability to return to work at a desk job depends on whether the implant was placed under or over the pectoral muscle, and the patient’s pain tolerance and motivation. When implants are placed over the muscle (subglandular), the patient should take off 2-3 days before returning to her desk job. The patient can return to her desk job on the next day only if she is highly motivated; the patient will feel uncomfortable. When the implants are placed under the muscle (submuscular), a patient should not return to work for 5-7 days because the patient may still be using narcotics. Thin women are more likely to have their implants placed under the muscle to better conceal the implants. Lifting is absolutely forbidden for the first 7-10 days, so an early return to work is not suggested for patients with active jobs. Strenuous activity should be avoided for the first two weeks. Lifting anything heavier than 10 pounds should be avoided for the first 6 weeks.
At your personal consultation, all your questions about breast augmentation will be answered by an experienced board certified plastic surgeon. Contact Fox Valley Plastic Surgery today at (920) 233-1540 to schedule a consultation.
Breast implants are not designed to last a lifetime. Patients should plan for an annual examination to evaluate breast health and implant integrity. Over time, breasts will change due to aging, weight fluctuations, hormonal factors and gravity.
Smoking increases the risk of having a complication post breast augmentation. Smokers are asked to stop one to two months prior to surgery and one month post to insure proper healing and an optimal outcome.
Patients will be asked to sign consent forms to ensure that they fully understand the procedure and any risks and potential complications. Possible breast augmentation surgery risks include:
The FDA’s longstanding position is that implants are essentially safe as long as women understand they can have complications, including scarring, pain, swelling and implant rupture. However, the FDA has been grappling with how to manage a recently confirmed link to a rare cancer and the thousands of unconfirmed complaints of other health problems. FDA regulators said it is “impossible” for them to determine how frequently the cancer — a form of lymphoma — occurs because the U.S. does not track the total number of implants on the market. Estimates of the frequency of the disease range from 1 in 3,000 women to 1 in 30,000.
As of July 2019, the FDA requested that Allergan voluntarily recall certain breast implants and tissue expanders from the market. More information about breast implant removal can be found here.
Most confirmed cases of the disease, known as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), have involved a particular style of implants from Allergan with a textured surface, designed to reduce scar tissue and slippage. But the FDA said it has also received reports of the disease in smooth implants, which account for most of the U.S. market, raising questions about whether the cancer is a risk with both implant types. The disease is not breast cancer, but a form of cancer that attacks the immune system and usually forms in the scar tissue surrounding implants. It grows slowly and can usually be successfully treated by surgically removing the implants.
More research and studies need to be conducted, but right now, the FDA is not recommending removal of implants unless there are adverse symptoms. Mentor implants are not being recalled because incidents with BIA-ALCL have been rare with Mentor products.
Other important considerations:
Read about Mandy’s experience with her breast augmentation and other real patient stories in the Real Patient Stories section of our website. Although she was an employee of ours, we treated her like we would any other patient. She got her breast augmentation for all the right reasons, and is thrilled with the results.
You can now have a VIRTUAL CONSULTATION via Doxy.me with Dr. Janssen, Dr. Doubek, or Amanda Olsen (PA). This encrypted telemedicine system is an easy-to-use online tool that allows you to schedule a HIPAA compliant video call with no download required. Please call the office at 920-233-1540 or email us at firstname.lastname@example.org for instructions on how to proceed.
Like an in-office visit, we will usually need your 1) demographics, 2) insurance information (if applicable), 3) area(s) of concern, 4) photos of the area(s) of concern, and 5) complete health history. We’re here for you more than ever.
As experts with many breast enhancement surgeries to their credit, Dr. Janssen and Dr. Doubek look forward to educating you and working with you to make important choices. During a breast augmentation consultation, be prepared to discuss:
The surgeon will also:
In order to get a definitive quote for breast augmentation, please call for an individual consult with one of our surgeons. The non-refundable $80 cosmetic consultation fee can be applied towards the cost of the procedure. Find out how breast augmentation with Dr. David Janssen or Dr. William Doubek at Fox Valley Plastic Surgery can improve the way your breasts look by calling (920) 233-1540. Our board certified Wisconsin plastic surgeons are helping women from all over the upper Midwest to perfect their personal Renaissance. Request your consultation today.