Breast Augmentation with Dr. Guy Cappuccino

If you’re located In Frederick, Mount Airy, or the nearby Maryland areas and you’re considering breast augmentation surgery, Dr. Guy Cappuccino brings an exceptional level of experience and training to the table, having been in practice for over a decade. Dr. Cappuccino and his staff have spent that time earning a reputation for excellent results, and they’ll call upon their wide range of experience to create your ideal surgical outcome.

To learn more about how we can create your ideal figure, reach out and set up your consultation at Guy Cappuccino MD Plastic and Reconstructive Surgery today.

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Breast Surgery with Dr. Guy Cappuccino

Dr. Guy Cappuccino is an expert in breast surgery in Mount Airy, Maryland that provides various breast procedures including breast augmentation, breast lift, breast reduction, and more. Breast surgery can provide transformative results, and can help patients improve symmetry, shape, position, firmness, and more. Those interested in breast surgery should always meet with a board-certified plastic surgeon to discuss how to achieve their desired results.

When to Consider Breast Augmentation

Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure that enhances the size and shape of a woman's bust. You’re an ideal candidate for this procedure if you:

  • Feel your breasts are too small
  • Want to restore lost volume after weight loss or pregnancy
  • Wish to achieve increased symmetry between breasts
  • Have breasts that are moderately disproportionate in size and shape
  • Want to improve shape, position, and/or firmness
  • Wish to create the appearance of a breast that is missing or disfigured due to trauma, heredity, or congenital abnormalities

The Best Candidates for Breast Augmentation

A breast augmentation in Maryland by Dr. Cappuccino can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you're physically healthy and realistic in your expectations, you may be a good candidate. Before your procedure, Dr. Cappuccino will carefully guide you through what to expect.

Before & After

Types of Implants

The choice of implant filler, implant size, shape, and other features will be determined based on your breast anatomy, body type, and your desired increase in size. Your lifestyle, goals, and personal preferences, will also be determining factors. Dr. Cappuccino offers a choice between silicone and saline implants. During your preoperative consultation, Dr. Cappuccino will talk you through the features of each implant type, and help you make the choice that suits you best.

Breast implants are medical devices with a solid silicone, rubber shell which can be filled with either saline solution (sterile salt water) or elastic silicone gel. Both saline and silicone gel breast implants are approved by the U.S. FDA, meaning they have been rigorously researched and tested, and reviewed by an independent panel of physicians for safety.

Patients should wait until their breasts are fully developed to consider augmentation. Saline implants are FDA approved for augmentation in women 18 years of age and older. Silicone implants are FDA approved for augmentation in women age 22 and older. Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes.

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Considering Various Implant Features

The size of a breast implant is measured in cubic centimeters (ccs) based on the volume of the saline or silicone filler. Breast implants vary both by filler and in size, but there are additional features to consider:

  • Texture: the implant shell may be smooth or textured
  • Shape: the implant may have a round profile or one that is more anatomic (teardrop or tapered shape)
  • Profile: the implant may have a low, medium, or high projection (the depth of the implant from the base to the highest point of the implant curve)
  • Diameter: the width of the implant measured across its base (the side of the implant that will be positioned over the chest wall)
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Living with Breast Implants

You should be aware that breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Regular examinations for breast health and to evaluate the condition of your implants are important whether you have chosen saline or silicone breast implants.

Dr. Cappuccino takes a particularly patient-centric approach and will work closely with you to guide you through each and every aspect of your cosmetic journey. After your surgery, Dr. Cappuccino and his team will set up a series of follow-up appointments. Not only will this enable them to monitor your healing progress, but it will also give Dr. Cappuccino the opportunity to ensure that you continue to enjoy your ideal results far into the future.

How the Keller Funnel™ Improves the Breast Augmentation Procedure

Dr. Cappuccino’s goal is always to make the smallest possible incision—and resulting scar—during breast augmentation. That is one reason why he uses the Keller Funnel, a patented device that helps ensure optimal safety and beautiful results.

Reduced Incision Lengths

Using the Keller Funnel enables Dr. Cappuccino to make smaller incisions, similar to those used for saline implants.

Increased Sterility

The Keller Funnel maximizes sterility by reducing the amount of handling necessary to insert the implant. There is less chance of bacterial contamination if the implant is touched less.

Increased Options for Incision Placement

Easier insertion through smaller openings offers more opportunities to conceal the incisions. This is especially useful for women who may scar easily.

Minimize the Potential for Implant Damage

According to an engineering study conducted by Keller Medical, Inc., the Keller Funnel uses less force than traditional implant delivery methods. This creates less stress on the implant shell, which reduces both short- and long-term complications associated with mishandled implants.

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Potential Risks

Breast augmentation is relatively straightforward. As with any operation, however, there are risks associated with surgery and specific complications associated with this procedure.

The most common problem, capsular contracture, occurs if the scar or capsule around the implant begins to tighten, squeezing the soft implant and causing the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or "scoring" of the scar tissue, or removal or replacement of the implant. As with any surgical procedure, excessive bleeding following the operation may cause some swelling and pain.

If excessive bleeding continues, another operation may be needed to control the bleeding and remove the accumulated blood. A small percentage of women develop an infection around an implant. This may occur at any time but is most often seen within a week after surgery. Often this is treated with antibiotics, but in rare cases, the implant may need to be removed for several months until the infection clears. A new implant can then be inserted.

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Potential Breakage or Leaking

Occasionally, breast implants may break or leak. Rupture can occur as a result of injury or even from the normal compression and movement of your breast and implant, causing the man-made shell to leak. If a saline-filled implant breaks, the implant will deflate in a few hours and the saltwater will be absorbed and naturally expelled by the body.

If a silicone-gel-filled implant leaks or breaks, the newest generation, highly cohesive silicone gel usually remains within the implant shell. A ruptured implant filled with silicone gel may not deflate and may not be noticeable except through imaging techniques such as an MRI.

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Breastfeeding with Implants

Some women report that their nipples become oversensitive, undersensitive, or even numb after undergoing a breast augmentation procedure at Dr. Cappuccino’s Maryland operating facility. You may also notice small patches of numbness near your incisions. These symptoms usually disappear within time, but may be permanent in some patients.

Breast implants do not generally interfere with a woman's ability to breastfeed or present a health hazard during pregnancy to a woman or her baby. However, pregnancy and the associated changes to a woman's body can potentially alter the results of any breast surgery. If you are interested in becoming pregnant and breastfeeding in the future, it’s important to discuss this aspect of your procedure with Dr. Cappuccino during your preoperative consultations so he can thoroughly guide you through what to expect.

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Post-Augmentation Mammography

Following the placement of your breast implants, mammography may be more difficult, and obtaining the best possible results will require specialized techniques and additional views. You must be candid about your implants when undergoing any diagnostic breast exam. In many cases, an ultrasound exam or MRI may be recommended in addition to mammography.

Your Preoperative Consultation with Dr. Cappuccino

During your initial consultation, Dr. Cappuccino will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, Dr. Cappuccino may also recommend a breast lift to complement your augmentation.

Be sure to discuss your expectations frankly with Dr. Cappuccino during your consultation. He’s committed to fully educating his patients about their upcoming procedure, and he’ll take time to, describe your alternatives, along with the risks and limitations of each. It will also be important to let Dr. Cappuccino know whether you smoke and if you're taking any medications, vitamins, or other drugs. Dr. Cappuccino will then explain the type of anesthesia to be used, incision placement, and any other details pertaining to your breast augmentation experience.

The Breast Augmentation Surgery Itself

Breast augmentation can be performed with general anesthesia, so you'll sleep through the entire operation. Prior to incision, Dr. Cappuccino places two sets of ultrasound guided blocks to improve surgical outcomes and minimize post-op pain. He places a PEC1 block (relaxes the chest muscles) and SAP block (serrates anterior plane) which numbs the breast itself. The method of inserting and positioning your implant will depend on your anatomy and Dr. Cappuccino’s recommendation. The incision can be made either in the crease where the breast meets the chest or around the areola (the dark skin surrounding the nipple). Dr. Cappuccino will make every effort to minimize scarring as much as possible.

Working through the incision, Dr. Cappuccino will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue (submammary or subglandular placement) ,beneath the pectoral muscle and on top of the chest wall (submuscular placement), partially behind the muscle (partial-submuscular), or below the covering of the muscle only (sub-fascial). Once the implant is positioned within this pocket, the incisions are closed with sutures, skin adhesive, and/or surgical tape. A gauze bandage may be applied over your breasts to help with healing. The surgery usually takes one to two hours to complete.

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After Your Breast Augmentation Surgery

You're likely to feel a little sore for a few days following your surgery, but you'll be up and around in 24 to 48 hours. Dr. Cappuccino will ensure that you have the medication required to manage discomfort and most patients use only Tylenol and Motrin.

Within 24 hours, any gauze dressings will be removed and you may shower. A surgical bra will be placed after surgery to help with the healing process. You may experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades.

Your stitches will dissolve. There will be swelling in your breasts after surgery that may take three to five weeks to disappear. During your consultation, Dr. Cappuccino will give you a very clear idea of your recovery process.

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Getting Back to Normal

You should be able to return to work within a few days, depending on the level of activity required for your job. Every procedure is different, so Dr. Cappuccino will give you specific instructions for your recovery period. 

Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery.

Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, your scars will begin to fade, although they will never disappear completely.

Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group, although the mammography technician should use a special technique to assure that you get a reliable reading, as discussed earlier.

Enjoying Your New Look

For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance. If you think a breast augmentation might be the right way to enjoy a curvier, more feminine silhouette, Dr. Cappuccino and his highly experienced surgical staff are ready to consult with you. To set up your in-person consultation, reach out to Dr. Cappuccino at his Mt. Airy office and schedule your appointment today.

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