Breast Augmentation
 There has been a constant evolution in breast augmentation techniques since the procedure was developed in the late 1960s. Today, patients and surgeons must consider numerous types of implants, approaches and alternatives. No single technique or implant type is right for every woman, and the choices can be confusing and overwhelming. To help you feel more comfortable about your decision to have breast augmentation, here is a brief outline of the options we offer at Cosmedical as well as an overview of what happens before and after surgery.
The Consultation
We begin with an in-depth consultation that includes a "try-on session," where patients have the opportunity to look in the mirror and select their post-op breast size. We discuss how the surgery will be performed as well as the expected timeline for recuperation and the return to work and leisure activities.
Implant Types
Both saline-filled and silicone-filled implants are available. We provide samples of both types of implant for patients to feel, and we supply plenty of information so patients can make a well-informed decision.
Surgical Approaches
Next, we explain the various incisions that can be used during the operation and go over the common complications of each. One of our specialties is TUBA (trans-umbilical breast augmentation), or the "scarless approach," which is the only truly hidden incision. TUBA is performed endoscopically through a small opening in the belly button. It has been the established breast augmentation technique for over 15 years. Because TUBA is performed only by certain specially trained doctors and is not generally available in this country, we see people from all over the United States.
The Surgery
We perform all of our breast operations in our own certified surgery center. Dr. Sherwood Baxt performs all surgeries; there is no assistant surgeon.
Anesthesia
We have successfully performed thousands of breast augmentations using "twilight" anesthesia, where patients have no awareness of the surgery being performed but do not risk the potentially serious side effects of general anesthesia. We also apply a long-acting local anesthetic, so when patients awaken from their operations, they feel little or no pain. Anesthesia is always administered by board-certified M.D. anesthesiologists.
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