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Breast Augmentation

Breast Augmentation Brookfield

For many different reasons and over time, women can become unhappy with the look of their breasts and wish to enhance or restore their natural shape and size with Breast Augmentation (augmentation mammoplasty). With the use of saline or silicone gel breast implants you may attain a fuller, more aesthetically pleasing breast contour.  Dr. Bonness, as a double board certified female plastic surgeon has the skill and technique to provide the results you  are looking for.  Take a look at our before and after breast augmentation gallery to see a variety of patient transformations.


Before and After Cosmetic Surgery Button

Who is a Candidate?

Breast Augmentation is recommended for patients that are at least 18 years of age and are unhappy with the size or loss of volume of their breasts. To ensure you are an appropriate candidate for a Breast Augmentation we would begin with an initial consultation.

The initial consultation is a 45 minute appointment. You will spend the first 30 Minutes meeting with Dr. Bonness and our Medical Assistant. During this time we will collect a health history and do a physical assessment. Dr. Bonness will cover all of the basic aspects of Breast Augmentation Surgery, and you will be able to ask any questions that you may have regarding the surgery. After Dr. Bonness has completed her portion of the consultation you will meet with one of our patient coordinators. During this time we will provide you with a quote for your surgery, discuss financing options and explain the next steps in moving forward with your surgery scheduling.


Factors to Consider

Some of the most important factors to take into consideration with considering Breast Augmentation are the type of implant, location of incision and placement of implant.

Breast implants come in both saline and silicone gel. Each implant provides a different type of look dependent on your body type. You can read more about Types of Breast Implants here. After your physical assessment and listening to your concerns, Dr. Bonness will recommend which type of implant would be most appropriate for you.

Over the years there have been a variety of incision sites used for Breast Augmentation surgery. Dr. Bonness has found that the best placement for the incision is in the Inframammory Fold located underneath the breast. This location provides for minimal visible scaring and the lowest risk of complication. While she strongly encourages this incision site, other options such as through the areola can be discussed.

There are two choices for implant placement, above the muscle or below the muscle. Dr. Bonness encourages placement below the muscle for best long-term results. Placement below the muscle provides for a more natural look and feel, less chance of wrinkling and implant visibility, less scar tissue formation around the implant and better visibility on future imaging such as mammograms.


Types of Breast Implants WaukeshaPreferred Plastic Surgeon Milwaukee

There are two types of implants available today for breast augmentation: saline implants filled with sterile salt water and silicone gel implants filled with Silicone gel. It is important to note that both types of implants have a shell made of silicone.

Prior to December 2006, silicone gel implants were only available in studies to women needing breast reconstruction. As of December 2006, they are available to all women seeking breast augmentation.

The new gel implant has a much thicker shell and is made from a cohesive gel that is firmer and doesn't spill into the pocket if a rupture would occur as opposed to the old gel implants.

Silicone gel implants are widely considered “better” implants in terms of providing a more natural look and feel with less implant palpability and wrinkling. There are no additional risks associated with using a gel implant vs. a saline implant.

What Happens When a Breast Implant Ruptures?

When a saline implant ruptures, or leaks, the saline leaves the shell of the implant and is absorbed into your body. This poses no risk or harm to your body. You will know immediately if a saline implant has ruptured because it will deflate. The surgery to exchange a saline implant is very straightforward: The old implant is removed and a new one is put into its place.


Unlike saline, when a gel implant ruptures there is no significant change in the shape or feel of the breast. The gel is cohesive and therefore does not leave the shell of the implant and stays within the capsule that the implant is placed in. Nothing is absorbed into your body. It is difficult to tell if a gel implant has ruptured because there are usually no symptoms or visible changes.

Advanced radiology techniques like an MRI are required to help determine if a gel implant has leaked. It is recommended, but not mandated, that an MRI be performed every two to three years for women with silicone gel breast implants. This is an FDA recommendation and will be discussed with you at your consult. Be assured, however, silicone gel implants are safe and that they do not make you “sick” - gel implants do not cause autoimmune diseases.

Surgical exchange of a leaking gel implant may be more involved than for a saline implant as some of the leaked gel must be cleaned out. The bottom line is: gel implants are very safe and attractive, but they may require more maintenance.

Post Breast Augmentation Surgery in Brookfield

During the recovery period after your procedure, it is common for the implants to be high on the chest, feel firm, and be swollen for a few weeks. As time passes, the muscle stretches and adjusts to the new shape and size. The breast implants will settle into a more relaxed position and become very soft. Most of these changes occur within in the first two weeks, but it takes months for implants to settle into their final position.

It is important to refrain from strenuous activities in order to prevent infections, bleeding and implant shifting. However, should there be any complications be sure to contact Dr. Bonness immediately.

Risks of Breast Augmentation Surgery410 Shaped Gel Breast Implants Milwaukee

Before our cosmetic surgery patients undergo the procedure, Dr. Bonness explains all the risks of breast augmentation. Every patient is fully informed of possible side effects of the procedure. Unfortunately, there are occasions when complications occur and must be corrected as soon as possible.

Although it is a rare risk, capsular contracture is the most commonly developed problem. This happens when there is too much scar tissue forming around the implant and it becomes hard and painful. The scar tissue that forms around the implant is called the capsule. Scar tissue formation is a normal response to a foreign body. The same scar tissue forms around pacemakers and hip replacements. Normally, the scar tissue remains thin and soft, but when the scar tissue around the implant tightens down, thickens and squeezes on the implant it is called capsular contracture.

This tightening can be severe, causing significant firmness to the breast, pain and distortion with implant displacement. Fortunately, capsular contraction is very rare because today most implants are placed under the muscle.

Capsular contracture can happen any time after surgery, but it most commonly occurs within the first 3 years. It can happen in one breast and not the other. In some cases, we know the cause (infection, bleeding, and radiation), but in most cases, there is no obvious reason.

The best ways to prevent capsular contracture are to have the implant placed under the muscle, massage the area after surgery, and stop smoking.

Textured implants can also help prevent capsular contracture, but they are not necessary when the implants are placed under the muscle.

Capsular Contracture TreatmentRound Gel Breast Implants Milwaukee

To treat a capsular contracture causing pain or distortion to the breast, Dr. Bonness will remove the implant and scar tissue, and then replace the breast implant.

The new implant can be placed either at the same time or on a later date. This is determined based on the amount of scar tissue which formed around the implant and whether the breast implant needs to be moved below the muscle.


Whether you are interested in undergoing your first breast enhancement surgery or have experienced unsatisfactory results from a previous surgery, contact Dr. Bonness.

Financing Your Breast Enhancement in Milwaukee

At Bonness Cosmetic Surgery, we are pleased to be able to offer a range of payment option to our patients. We accept cash, check, and all major credit cards. We also are able to offer financing options through CareCredit. CareCredit provides several different payment plans including no interest financing for healthcare services.

If you are looking at possibly financing the cost of your breast augmentation surgery, learn more about out cost effective plastic surgery financing options.

Other Wisconsin Plastic Surgery Services

Compare breast implants vs breast lift surgery to find out which is right for you. Along with breast augmentation, our skilled cosmetic surgeon provides a variety of other procedures for patients from Brookfield, Milwaukee, Waukesha, Oconomowoc, and throughout Wisconsin, including:

Schedule a consultation with Dr. Bonness near Milwaukee to discuss the best plastic surgery option to achieve your desired result.

SkinMedica Products for Enhanced Beauty

For safe cosmetic surgeries and professional laser skin treatments, trust Dr. Bonness, your board certified, experienced and comprehensive Plastic Surgeon in Brookfield, Wisconsin.
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