Letters Don’t Matter: Getting the Size and Shape Right

What's the right breast implant size for you?In the world of breast augmentation surgery, you would think all roads lead to a “C” cup. For a large percentage of women, this represents the “just-right” breast size, not too big, not too small. But a C cup on one woman does not look the same as it does on the next woman. Furthermore, just what is a C cup? Bra manufacturers don’t even know. You may be a C cup in one manufacturer’s bra but a B or D cup in another brand. There is no standardization of cup size so basing your goals/ happiness solely on cup size is fool’s gold.

That’s because the idea of a C cup represents more of an ideal and not an actual size. What many women are really shooting for when they say C cup is the size that comes off as full, but not too full. The same goes for any cup size from A all the way up – it’s not the size, it’s how you want your new breasts to look on your body.

Rather than bra cup size, breast implant size is measured by volume in milliliters or “cc’s.” Breast implants exist in sizes from 100cc up to 800cc, but most women choose something in the 300cc to 500cc range. There are several factors to consider as you decide what size is right for you.

Think about several factors when choosing a breast implant size.Your Frame

Any given breast implant size is going to have a completely different look on a woman who is 5’3” and 115 pounds than it will on a woman who is 5’10” and 170. In addition, if you start out as a full B cup, you won’t need as large an implant as the woman who starts as a size A. If your neighbor’s 400cc implants are perfect for her, it doesn’t mean 400cc implants are right for you.

Your Personality

Are you extroverted and a little showy? You might feel more comfortable with something on the larger size. But if you are uncomfortable calling attention to yourself, a larger implant may make you feel self-conscious. Think about the kinds of clothes you envision yourself wearing and how you hope to look in them. Let this be a guide to what size will work best for you.

Your Lifestyle

If you are extremely active in the outdoors or in physical fitness pursuits, larger implants may become a nuisance for you. If you have a busy social life that requires lots of evening gowns, that might influence your choice in the opposite direction. Take your lifestyle into consideration so that your choice works for you when it is most important. 

Your Profile Preference

Implants come in different shapes as well as sizes. The shape is known as the profile, and some profiles project outward from the chest more than others. So two different 400cc implants could produce a very different appearance. It’s important to consider more than just size – think about the overall look you want to achieve with your implants.

Your  Decision

Fortunately, choosing a breast implant size isn’t all guesswork. There are resources to help you choose the size and shape that best suits you.

Look at Before and After Pictures. Your surgeon should be able to share some pre-and post-implant pictures of women with a similar body type to yours. This will help you get a feel for what the different sizes will look like on you.

Try Some Sizers. Your surgeon should have sizer implants that you can place into your bra to simulate how the various sizes will look on you. You might bring a friend to this event to get feedback from someone who knows you and what results you are hoping for.

If you are interested in playing around with sizers at home, you can make your own with pantyhose and rice. One cup of rice is roughly equivalent to a 250cc implant. You should still try real sizers at your surgeon’s office, but this will give you a chance to see how different sizes feel as you go about some of your regular activities.

Consider Your Surgeon’s Expertise. Make no mistake, the size of your breast implants is a personal choice. It should make you happy. But do remember your surgeon has performed many of these procedures. He’s got years of experience with what works well, what doesn’t work so well, and what doesn’t work at all.

There is a difference between personal opinion and surgical expertise, and a good surgeon will use his expertise to help you achieve your goals, not his.

If you are ready to schedule a consultation for breast augmentation surgery, please contact us. Dr. Slack looks forward to meeting you.

Augmentation, Lift or Both?

Girl with a choice near the forked road - augmentation lift or both?

Pregnancy, weight fluctuations, and aging – the most normal of life events – can cause changes in a woman’s breasts. Genetics and disease can affect breast appearance, too. Whatever the reason, a woman who is unsatisfied with her breasts may seek cosmetic surgery. She hopes it will help her achieve her goals for her appearance and boost her confidence.

Breast Augmentation

Breast augmentation surgery is the most common plastic surgery procedure in the U.S. This procedure involves placement of saline or silicone implants, or a new type of implant called the Ideal Implant. Breast augmentation offers several benefits including increased size and firmness, more fullness and improved shape, and better symmetry of breasts.

As simple as it may sound to place an implant in the breast, there are actually many variables that affect this surgery. The type of incision and placement of the implant (above or below the muscle) are decisions that will be made specific to your circumstances. There is no single type of breast augmentation that works for every woman, and a good surgeon will customize the procedure according to your own anatomy and goals.

In addition, there are concerns about breast appearance that simply can’t be solved with an implant. Many women seeking augmentation complain of droopiness and sagging of the breast. But in these cases, it isn’t necessarily size that’s the problem. It’s more of an issue of getting everything back where it belongs.

Breast Lift (Mastopexy)

In these circumstances, a breast lift is most likely to offer the desired results. Women whose nipple is below the breast fold or who have a significant amount of skin below the breast fold may feel like an augmentation will improve everything. However, an augmentation alone can make matters worse. The extra weight of the implant will just cause more sagging and stretching of skin.

The breast lift is actually a bit of a breast reduction, in that excess skin is removed from around the nipple and the lower part of the breast. In addition, the nipple is moved up to a more youthful position and is made smaller. The reduction in sagging and improved firmness often provide pleasing results without the need for implants.

Breast Augmentation with Lift

For women who are unhappy with the size of their breasts, lack fullness in the upper part of their breasts, and who have sagging, excess skin, a combination of augmentation and lift may be the right choice.

This combined procedure is a bit more complicated than either procedure alone. The surgeon is tightening skin with the lift, yet stretching it with the implant. There is an art to balancing these procedures, but a skilled surgeon can use them to create excellent results.

Once again, this procedure is not a one-size-fits-all proposition. Choosing an implant, determining how much skin to remove, and placing incisions are all dependent upon your specific circumstances. Sometimes a follow-up surgery to tighten skin after it relaxes around the implant will be required. In some cases the best results are achieved when the two procedures are done at least nine months apart. These decisions must be made based on your individual situation.

 

Just like everything else about you, your breasts are unique and so are your desires for your appearance. An augmentaiton, lift, or both might provide the results you are looking for. A consultation with a highly trained and experienced plastic surgeon is the best first step to choosing the right path for you.

Impact of Smoking on Plastic Surgery Outcomes

Impact of Smoking on plastic surgery is not to be underestimated. Quit today.
No doubt about it, smoking is going out of fashion. You can’t smoke in most buildings, trains or airplanes anymore, and more people are trying to quit than ever before. Nicotine replacement in the form of gum, patches and electronic cigarettes is big business. This is because quitting is hard. We know that.

Even so, quitting is one of the most important things you can do to prepare for any plastic surgery procedure. It is so important, in fact, that if you are a long-time smoker, you may not be a good candidate for certain procedures.

Any plastic surgeon worth his or her salt will require you to quit smoking for some period before and after your procedure. Some will even go as far as to test a patient’s urine for nicotine the morning of surgery. If it is positive they will cancel the surgery.

Here’s why.

Smokers suffer significantly more complications during and after surgery–any kind of surgery, but plastic surgery in particular. The opposite is true for those who have never smoked and to a large degree, even for those who quit at least four weeks before surgery.

Cigarette smoke contains hundreds of chemical toxins. Nicotine is the most well known, but other nasties include carbon monoxide, hydrogen cyanide, and nitric oxide. These chemicals impair your body’s ability to heal, make you more susceptible to infection and blood clots, and leave your body with an overall shortage of oxygen.

That all sounds bad enough on a good day, but it is much worse when you tax the body further like any surgical procedure does. This is even more true with plastic surgery because these procedures have a big impact on blood supply to begin with.

Plastic surgery often involves the removal of skin and some of the blood vessels that nourish it– think about a tummy tuck, facelift, or breast reduction. With these procedures, skin is separated from the tissues below in order to tighten it. In doing so, some of the normal blood supply to the skin is removed.

The body then has to work a little harder to compensate for this decreased blood supply. This isn’t usually a problem under healthy conditions, but a history of smoking can push your body beyond its ability to recover well and get the results you want.

Many research studies have shown significantly higher surgical complication rates for smokers. For example, in 2013 researchers at Johns Hopkins followed 415 plastic surgery patients for three months after surgery. The 54 patients who were active smokers showed much higher rates of tissue death and were more likely to require re-operation. Other studies have shown a 50% higher complication rate for smokers than non-smokers.

That’s the bad news. The good news is, even if you are currently a smoker, quitting before surgery can help.

The time to quit is now, if you are seriously considering any kind of plastic surgery. Most surgeons agree that at least four weeks before surgery is best. And of course, you need to continue to keep away from tobacco until you have completely healed from surgery. Your doctor will be able to give you a more specific timeline.

Cutting back on the amount you smoke is not a substitute for quitting. The oxygen starving effects of one cigarette can last up to eight hours. Cutting back from a pack-a-day habit to three cigarettes sounds good, but from a blood flow/oxygen standpoint you are still underwater most of the day. This is not good for healing.

So what about nicotine replacement therapy (NRT)?

Nicotine gum and patches were among the products studied by Mayo Clinic researchers in 2015. They looked at the safety and efficacy of nicotine replacement therapy used before surgery, and they found it helped people quit.

It is important to note, however, that many physicians urge caution when using forms of nicotine replacement before any kind of plastic surgery. This is because the main ingredient, nicotine, is the very same chemical that causes poor wound healing and other complications associated with smoking.

That said, the 2015 Mayo study reported no increase in surgical complications with the use of nicotine replacement products. The authors admit that the data on this is still somewhat limited, but given the dangers of smoking, they recommend considering NRT.

Nicotine replacement therapy may or may not be a good idea for you. Make sure you discuss this issue with a physician who knows your medical history and the risks involved with any surgical procedure you are considering.

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If you are wondering about your smoking history and how it may affect plastic surgery outcomes for you, schedule a consultation with Dr. Slack to develop a specific plan.

How to Choose a Plastic Surgeon

How to choose a plastic surgeon

You’ve decided to take the plunge, to put yourself first and get your eyes done, change your cup size, or any other body enhancement you’ve thought about for a while now. The next step is to find the right plastic surgeon, and for that you are going to need to do a little homework.

In the state of Texas, anyone with a medical license is allowed to perform cosmetic surgery. Special training and board certification are not required. This means, if you are not careful, you could end up with someone less than qualified to perform these delicate procedures. And you may not get the results you want.

What should you look for?

Board Certification

The first thing you should find out about a surgeon is whether or not he or she is certified by the American Board of Plastic Surgery (ABPS). Be careful here because you may see a certification in cosmetic surgery which is not the same thing. According to the American Society of Plastic Surgeons, cosmetic surgery can be performed by all kinds of physicians (and sometimes by people with no medical training.)

The American Board of Plastic Surgery is the only board acknowledged and approved by the National [American] Board of Medical Specialties. That means members certified by that board are held to the highest standards as it pertains to skills, knowledge, judgment, safety and ethics in that particular specialty.” — American Society of Plastic Surgeons

To earn board certification by the American Board of Plastic Surgery, a physician must pass arduous written and oral exams. They must have completed a 6-year accredited residency training program (that’s after graduating from medical school).

They must have specific training in plastic surgery and patient safety, and they must be recommended by specialists in their field. To maintain their certification, members then need to provide proof of continued medical education.

Watch out for this point of confusion

In your search for a plastic surgeon you may come across The American Academy of Cosmetic Surgery (AACS). This organization was primarily created to bring doctors who perform cosmetic surgery together.

They offer certification but it is not nearly as rigorous as that of the American Board of Plastic Surgery. The AACS is not a part of the recognized American specially boards, and they do not require any formal plastic surgery residency after medical school.

asps-logoLook for the special symbol of the American Society of Plastic Surgeons at right. Only members certified by the American Board of Plastic Surgery can use it.

You can learn more about board certification and find Dr. Slack’s listing here.

Hospital Privileges

Plastic surgery procedures can be more or less complicated, and they can be performed in a variety of settings. Even if you are having an in-office procedure, you need to know your physician’s hospital privileges.

That is, which hospitals in your area have granted your surgeon permission to use their facilities: to admit patients and perform procedures.

No surgeon should perform a cosmetic procedure on you if they don’t have privileges to perform that same procedure at a reputable hospital.” — American Society of Plastic Surgeons

Hospital privileges tell you two things about your plastic surgeon:

  1. He or she is in good medical standing.
  2. He or she has the expertise and permission to take care of you in a hospital if any problem occurs.

Dr. Slack has privileges at the following hospitals here in Texas:

Texas Health Presbyterian Allen
Baylor McKinney
Methodist McKinney Hospital

Professional Membership

Finally, it is a good idea to check that your plastic surgeon is a member of relevant professional organizations. This tells you that he or she is committed to continuing education and upholding the standards put forth by those groups. Dr. Slack is a member of the following esteemed organizations:

The American Society of Plastic Surgeons
Texas Society of Plastic Surgeons
Texas Medical Association
Dallas Society of Plastic Surgeons

Choosing the right plastic surgeon is a very personal decision. Take your time, ask around, and above all do your homework. You’ll be glad you did.

Are You a Good Candidate for Breast Enhancement Surgery?

Young woman considering the choice to have breast enhancement surgery

If you are like most women considering breast enhancement surgery, you probably have a lot of questions. How painful is it? How is the recovery? Will it look natural? How much will it cost? But the first and most important question you can ask is: “Is it right for me?”

Who Can Breast Enhancement Work For?

Most people simply consider breast enhancement as a way to increase breast size, and it is a good choice when you feel your breasts are too small. But according to the American Society of Plastic Surgeons, breast enhancement surgery can be beneficial in a number of other situations.

Pregnancy, weight loss, and aging are all beautiful, natural processes. But they can take their toll on breasts, causing them to lose shape, firmness and volume. Breast enhancement surgery can help restore their more youthful appearance.

Occasionally, the upper part of the breast may appear empty, and more fullness would make you feel better about your appearance. There are ways to approach breast enhancement that can solve this problem.

Did you know everyone has asymmetrical breasts? But for some women the difference between breasts is more noticeable than for others. Surgery can create a more symmetrical appearance, making any differences more subtle and difficult to notice.

A small number of women have developmental issues that caused abnormalities with the size and shape of the breast. These issues can often be particularly difficult for young women. Breast enhancement can provide a pleasing solution that helps restore body confidence for these women.

Any number of situations may cause women to consider breast enhancement. This is no cookie-cutter surgery, so Dr. Slack customizes the approach to help each woman reach her goals for her appearance.

When is Breast Enhancement Surgery Not a Good Idea?

Although there are a number of reasons a person might consider breast enhancement, there are certain circumstances where it is not a good idea. You should postpone or avoid breast enhancement if:

  • You are pregnant or breastfeeding;
  • You have an abnormal mammogram or undiagnosed breast condition;
  • You currently have breast cancer that has not been treated; or
  • You have an infection or health problems that would make surgery dangerous.

In addition, it’s important to consider who the surgery is for. Like Dr. Slack points out, “Breast enhancement won’t fix your relationship or save your job.” So be sure that whatever decision you make, you make for yourself.

Help with the Decision

If you are considering breast enhancement surgery, but don’t know if it’s right for you, it’s a good idea to consult with an expert. A surgeon with years of experience performing successful breast enhancement surgery will help you understand what surgery can and cannot do for you. Realistic expectations are the key to making a decision you will be happy with for years to come.

Be sure to look for the seal of the American Society of Plastic Surgeons when you choose a surgeon to consult with. Only surgeons who are certified by the American Board of Plastic Surgery, like Dr. Slack, are permitted to display this seal. It represents years of training and continuing improvement of skills and knowledge. It may come as a surprise, but not all doctors who perform cosmetic surgery have this certification and the training it signifies.

In the end, the decision to have breast enhancement surgery is a personal choice. Be sure you have accurate and detailed information so the choice you make is the right one for you.


If you are wondering whether breast enhancement surgery could benefit you, schedule a consultation with Dr. Slack.

Liposuction or Tummy Tuck?

Many prospective patients wonder whether or not they need a tummy tuck or liposuction in order to improve the appearance of their abdomen. Their confusion is not surprising given some of the misinformation and mis-understanding that exists about both procedures. Hopefully, this article can clarify what each procedure can realistically accomplish as well as what each involves so that you can have a better understanding of which one would work for you.

When evaluating a patient for any procedure it is important to find out what they are hoping to accomplish and what they are willing to accept in recovery time, scars and expense. I call these the trade offs.

Each patient is different and therefore the result they can expect to achieve will be different. For instance, an overweight patient bothered by overhanging abdominal skin should not expect a tummy tuck to make them skinny; however, it will remove all of the excess lower abdominal skin and fatty tissue. This will certainly help with their appearance and hygiene as well as allow them to wear different styles of clothes that they may not have felt comfortable in prior to surgery.

Similarly, liposuction should not be viewed as a means of losing weight or tightening skin. It is a procedure used to shape areas of the body that are full due to excess fat. Many patients ask the question “how much weight will I lose?“ These patients are likely to be very unhappy if their main motivation is weight loss. Realistic expectations are key to being happy with your result and your decision to have surgery. Open dialogue with your plastic surgeon, a thorough examination and honesty about what can and can’t be achieved are paramount to a good outcome and a happy patient.

With this in mind, how do you know what is right for you? Let’s start by looking at the three basic components of the abdomen that create problems with its appearance. The first, and most obvious, is the amount of fat present. Excess fat can be treated either with liposuction or by direct excision (a tummy tuck). Either method removes only the fat between the skin and the abdominal musculature.

Intra-abdominal fat (fat around the intestines) is not addressed by either procedure. If this is a significant contributing factor to the fullness of your abdomen then neither procedure may be for you. This is particularly common in men with very rotund rounded abdomens or “beer bellies”. Although this is more common in men, women are not immune to this problem.

To evaluate this, tighten your abdominal muscles and see how thick the tissues are that you can pinch between your fingers. If you are not getting much more than an inch then you will likely be better served with a good weight loss and exercise program than with surgery. The second component to look at is the quality of your skin. More specifically, what is the elastic quality of your skin? Nice elastic skin snaps back fairly rapidly when pulled away from the body and is of paramount importance to successful liposuction.

Contrary to many claims, liposuction of any kind has not been shown to tighten skin. If your abdominal skin is already overhanging, loose or damaged by stretch marks, liposuction will not improve and will likely worsen these problems. I like to use the analogy of deflating a balloon. If you blow up a new balloon and deflate it soon thereafter, it will snap back to its original size but if you wait several hours before you let the air out, it will have lost some of its elasticity and will not return to the original size. It will look loose and stretched out. Similarly, if your skin elasticity is poor it will not contract to its original size after liposuction. In this case an abdominoplasty—in which the loose skin is removed—will be required in order to get the desired result.

The final component that needs evaluation is the condition of the abdominal muscles, specifically whether or not there is a bulge caused by separation of the rectus abdominus muscles. This separation is called a diastasis and it is not considered a hernia.

Caused by pregnancy or excessive weight, it can produce a lower abdominal bulge or even an upper abdominal bulge depending on how large it is. The muscle edges move away from each other to accommodate the excess intra abdominal volume.

In some “lucky” patients the edges of the muscles return to their normal position after giving birth or losing weight, but in many they remain separated, leaving them with an unpleasant bulge that no amount of abdominal exercise will improve. Correcting this problem requires realigning the muscles back to their intended position. Muscle tightening or realignment is part of most tummy tucks but is not part of a liposuction procedure.

One of the biggest trade-offs of having a tummy tuck is a lower abdominal scar. The length of the scar can vary depending on how much skin needs to be removed. A mini abdominoplasty will produce a scar similar in size to a caesarian section. With this procedure abdominal muscles can be tightened and liposuction is performed as needed. Very little if any skin is removed.

A modified abdominoplasty removes more skin and as a consequence, the scar is longer but still remains confined to the pelvis for the most part. Muscles are tightened and liposuction is performed to address muscle laxity and excess fat if indicated.

A full abdominoplasty removes all the skin and underlying fat from just above the belly button to the upper pelvic area. This provides maximal tightening of the upper abdominal skin and some elevation/rejuvenation of the pubic area and anterior thighs. Excision of this much skin results in a scar that goes across the lower abdomen from hip to hip and a scar around the belly button.

Recovery from these procedures is a very individual thing, but for the most part it gets tougher as you move from liposuction to abdominoplasty. Liposuction patients can feel generally pretty good after 2-3 days. Most are getting around normally at this stage with only minor soreness and stiffness.

A full abdominoplasty generally requires 2 weeks to feel reasonable and the first five days are generally pretty tough. Patients need help getting out of bed and typically walk a little bent over for the first 7-10 days, until the tightness and swelling begin to resolve. Most are driving themselves by 2 weeks, if not sooner, and have resumed non-strenuous everyday activities. Mini and modified abdominoplasties fall in between liposuction and full abdominoplasties in their recovery time. With these procedures patients feel less tight; this helps them recover more quickly.

As you can see, there are multiple factors that go into deciding whether liposuction or a tummy tuck is for you. Both procedures can produce excellent results when performed on the right patient for the right reasons. If you are thinking about having either procedure you should seek consultation with a plastic surgeon certified by the American Board of Plastic and Reconstructive Surgery. During your consultation the surgeon should examine you, go over why they are recommending a particular procedure, discuss the risks and benefits of the procedure, what to expect during your recovery and all the financial aspects of the procedure.

Liposuction and tummy tucks are both powerful procedures that can dramatically improve your appearance as well as your psyche. One just needs to understand what to expect going in to surgery to be happy coming out of surgery.

Closing the Loop on Breast Cancer

National BRA Day is October 15th, 2014

Fall is finally here and while we start to think about sweaters and jackets we also must think about what’s underneath them: bras. Breast Reconstruction Awareness (BRA) Day is a national movement to increase women’s awareness of their breast reconstruction options following a mastectomy. Less than 25% of women fully understand their options for reconstruction after surgery and only 19% of women understand that the timing of their decision to undergo surgery greatly impacts their results. Whether you decide to undergo breast reconstruction or not, it is important you know all your options before it’s too late to make a decision.

Breast reconstruction is a surgical procedure that recreates the breasts for a woman following a mastectomy. There are three main steps:

  • Creation of a new breast mound
  • Touch-ups of the reconstruction, and possible modification of the opposite breast (lift, reduction) in patients having a mastectomy of one side (optional)
  • Creation of a new nipple and areola (optional)

Reconstructed breasts cannot replace the real thing – but they come pretty close. A reconstructed breast(s) will not have the same sensation or feel like a real breast, and you will have incision lines, although they can be concealed in the areola. The look and feel may be a little different and some women report a loss of sensation in the chest.

There are three main types of breast reconstruction:

  • Reconstruction Using Implants: Uses an implant filled with silicone gel or saline to recreate the breast mound.
  • Autologous Reconstruction: Breast mound is built using tissue “borrowed” from another part of your body. This type usually can produce more natural-looking breasts than implants.
  • Autologous Tissue with Implant: Uses smaller tissue expander/implant with your own upper back tissue because of the limited volume of your back tissue.

Recovering from breast reconstruction can last anywhere from one week to eight weeks, depending on your specific case and procedure. Hospital stays can last a few nights and you’ll want to be prepared for this by taking off work and finding childcare or pet care. You must have time to rest after surgery.

In addition to physical recovery, you’ll also need a support team and time to recovery emotionally. You may need a caregiver or trusted friend to help you complete tasks and you’ll need to maintain a healthy diet. There is a list of medicines Dr. Slack will provide prior to surgery that you must stop taking and if you smoke, you must quit prior to surgery. You’ll also need certain cleansers and ointments to clean your surgery site.
The Many Shapes and Sizes of Breast Augmentation 

Many women go through life feeling embarrassed about small or disproportionate breasts. Small or unshapely breasts can make clothes, bras and bathing suits unflattering and uncomfortable.

A breast augmentation can be many different things: a breast lift, lift with augmentation, reduction, or reconstruction. An augmentation can increase the overall size of the breasts, restore volume after pregnancy or weight loss, improve the shape of the breasts, balance the breast-to-hip ratio, correct asymmetry, create a new breast following a mastectomy, or just to improve the breast’s appearance. Breast augmentation is one of the most affordable and common procedures performed by members of the American Society for Aesthetic Plastic Surgery.

Some clients have long been frustrated with the look and fit of their clothing, especially in swimsuits, and seek a more balanced, eye-catching figure. If you would like to feel more confident both in and out of your clothing, let Dr. Slack show you how transformative breast augmentation can be. All of the options for breast augmentation can be overwhelming. Dr. Slack will help you choose the correct implant size and procedure. There are several factors that can help you decide what size is right for you:

  • your breast anatomy
  • your body type
  • your desired increase in size
  • your lifestyle
  • your breast implant and incision preferences

 

You will have a choice between saline or silicone gel implants. Choice of implant depends on the individual situation and desired outcome. Implants come in a range of sizes, and women can choose to increase their breasts by one or more cup size. The surgery itself and implant placement depend on individual anatomy and body shape. To begin, Dr. Slack makes an incision in the skin to create a pocket where the implant is inserted. This is generally directly under the breast or beneath the chest muscle. The operation is performed under general anesthesia and takes about one hour.

Dr. Charles Slack — certified by the American Board of Plastic Surgery — is highly experienced in breast augmentation surgeries. Following his plastic surgery residency he was accepted into the Georgetown fellowship for cosmetic and reconstructive surgery of the breast, providing an excellent foundation for his many years of experience performing such surgeries for residents of Plano, McKinney, and the communities surrounding his Allen, Texas office. He is an expert in breast augmentations and is looking forward to discussing your breast augmentation options with you.