Life With Your New Breasts

Life with your new breasts - shopping, exercising, and more.

The hard part is over. You weighed your options, made your plan, and had the surgery. The toughest parts of recovery are behind you, and now you’re ready for the fun part – life with the breasts you’ve always wanted. 

But still, you have questions about day-to-day concerns. Here we offer a few answers.

When should you see your surgeon?

After your final post-op appointment, your surgeon will probably want to see you every year to touch base, answer questions, and look for any issues with your implants.

In addition, your surgeon should be the first person you call if you notice anything unusual or concerning about your breasts. Even if you aren’t sure the problem is related to your implant, your plastic surgeon should be your first stop. He is in the best place to determine if a problem is caused by your implant, and he will be able to refer you for the proper testing if it is not.

What problems should I keep an eye out for?

There are red flags you should watch for and get your surgeon involved if they appear. These include a change in the shape of your breast, rippling, a lump, or hardness around your implant. Anything that seems out of the ordinary should be reported to your surgeon, and you shouldn’t wait until your annual check-up to do so. A ruptured implant, contracting scar tissue, or even a breast lump are better addressed sooner than later.

As long as you are happy with their appearance and none of these issues arise, you can keep your implants indefinitely. Older implants required replacement every ten to fifteen years, but today’s implants have no such “spoils by” date. Do keep in mind that the same forces that affect natural breasts also affect breasts with implants. Gravity, age, and hormones will impact their appearance over the years. At some point down the road you may choose to follow up with your surgeon to address those changes, but it isn’t a requirement.

Can I please go buy some new lingerie now?

You’ve been waiting for this! Your surgeon will let you know after one of your follow-up visits when it’s time for bra shopping. Because there will be swelling early on, you don’t want to rush this. You don’t want a drawer full of bras that won’t fit you next month. After your surgeon has given you the go ahead, you are ready to get out of the less-than-sexy undergarments you’ve been wearing since surgery.

There is one important point to remember when you shop for new bras. Your breasts are still subject to the same forces of nature that non-augmented breasts are – namely gravity. And now, your breasts are heavier than before. So support those girls!

Your breasts will change as you age, just like the rest of your body. But the more you support them, the better they will be able to resist the effects of time.

Can I get back to the gym?

By about two months after surgery, things will start feeling normal, your swelling will be mostly gone, and surgical pain will be only a memory. You’ll probably want to get to the gym so the rest of your body looks as great as your breasts.

But listen carefully to your surgeon about how to ease back into exercise. Often, light cardio will be your first exercise, followed by lower body work. Any exercise that works the upper body – namely the pectoral muscles – will be the last you should add to your regimen, as you don’t want to disrupt any healing.

Remember: the period after breast augmentation is the time you need to scrap the “No Pain, No Gain” attitude. Ease into your new routine, building up slowly, follow your surgeon’s advice, and listen to your body.

The first year after breast augmentation surgery is a time of adjustment. It’s natural to want to speed things up, but doing so can cost time, health, and money. Try to remember that breast augmentation isn’t an event that begins and ends in the operating room. It’s a process that takes about a year to complete. Know that following your surgeon’s recommendations is the best path to get the results you want.

If you are considering breast augmentation surgery, Dr. Slack would offers consultations in his Allen, TX offices to discuss the best options for you. Get in touch to schedule your appointment.

The IDEAL IMPLANT: The Best of Both Worlds

Is the IDEAL IMPLANT on your Christmas wishlist?The decision to have breast augmentation surgery isn’t an easy one to make. You have to answer a lot of questions – Is it safe? Can I get the results I hope for? Do I have a surgeon I trust? How will I pay for it?

Once you’ve answered these questions, it can be discouraging to find you aren’t completely satisfied with the implant options available to you. Silicone implants run the risk of silent rupture. Saline implants may not have the natural feel you are hoping for.

You do have another option when choosing an implant – the IDEAL IMPLANT. Robert Hamas, MD, with help from investigators like Dr. Slack, developed the IDEAL IMPLANT to fill a need he saw in the implant market. As a plastic surgeon, he spent much of his career helping women evaluate the pros and cons of silicone and saline implants. He wanted an implant with the best features of both, without the drawbacks.


The IDEAL IMPLANT design uses the same materials as a saline implant – silicone shells and salt water. However, the implant isn’t just a pouch filled with water. It is structured. There is an inner shell and an outer shell that are each filled with saline. In addition to these shells, there are silicone baffles within the outer shell that decrease the motion of the saline. The result is an implant with a more nature feel than the standard saline implant.


This is of particular benefit for women who start out with smaller breasts, as they don’t have a lot of natural breast tissue to offset the water balloon feeling of a saline implant. The IDEAL IMPLANT’s design feels more natural, even without a lot of natural breast tissue surrounding it.


This design also overcomes the concern of silent rupture associated with silicone implants. The IDEAL IMPLANT can still rupture, but as with any saline implant, the saline is quickly absorbed and poses no health concerns.

Once Dr. Hamas designed the implant, he enlisted respected plastic surgeons around the country to use the implant with selected patients. Dr. Slack was one of these initial investigators. Dr. Slack’s feedback helped ensure the best possible adjustments to the final design as well as its safety. He is one of a limited number of surgeons in North Texas who now offers the IDEAL IMPLANT to his patients.

It may turn out that a traditional saline or silicone implant really is the right choice for you. But don’t let the idea that they are the only choices stop you from achieving the look and feel you want. The IDEAL IMPLANT offers another option.

If you think the IDEAL IMPLANT will work for you, Dr. Slack is running a special during the holiday season. Choose to have breast augmentation with IDEAL IMPLANTS and receive $500 off through the end of 2016!

The very best way to make this choice is in  with an experienced plastic surgeon. Dr. Slack would like to offer that opportunity for you. Please schedule a consultation with him to discuss the choice that will help you best achieve your goals.

Saline or Silicone: Choosing the Right Breast Implant for You

Saline or Silicone: What's the right choice?Once you’ve weighed the pros and cons of breast augmentation and know you want to go forward with the procedure, you might think the decision-making is over. But breast augmentation is not a one-size-fits-all procedure. You will have a few more decisions to make along the way.

The Three F’s of Implants

One of the first sets of options you’ll have to weigh is whether you prefer silicone or saline filled implants. Both silicone implants and saline implants have flexible silicone shells. It’s what’s inside of the implants that varies.

Silicone implants are filled with silicone gel, while saline implants are filled with sterile saltwater. This filling is responsible for some key differences between the two implant types. Consider the Three F’s – Feel, Flexibility, and Follow-up – as you decide which implant is right for your specific circumstances:


Most people agree that gel-filled silicone implants feel more like a woman’s natural breasts than saline implants do. If you are starting out with more breast tissue, this difference won’t be so noticeable.

However, women who start off with smaller breasts might notice that saline implants don’t feel quite the same as their natural breasts. They may have a more “watery “ feel. They also have a little higher potential for developing visible rippling.


Silicone implants are already filled when inserted into the breast. This means the size is fixed and there is no way to adjust it.

Saline implants are inserted empty and then filled. This gives the surgeon some adjustability in the size of the implants. This can compensate for the natural differences in breast size that many women have.

This flexibility increases the risk that a saline implant will ripple or fold once inserted, resulting in an unpleasing appearance. Understanding the risks and benefits of these choices is key to getting the results you want.


Both types of implants have been known to rupture, but a rupture in a silicone implant might not be noticeable. This is because the silicone gel is “cohesive” and tends to cling together. As a result it often does not leak out of the implant unless there is a large tear. If it does leak, it usually remains contained in the scar tissue capsule that forms around the implant. This is what is known as a “silent rupture.” A leaking silicone implant is not dangerous to your health, but if identified the implant should be replaced.

Identifying a ruptured silicone implant by examination alone is difficult if not impossible. Often times an MRI is required to make the diagnosis. For this reason, the FDA recommends that women with silicone implants have an MRI every three years to check for leakage. This is only a recommendation and not a requirement. Insurance does not typically cover these MRIs. If there are no symptoms that might hint at a possible rupture (change in breast shape or new pain) then Dr. Slack does not push for an MRI unless a patient is worried about it.

If a saline implant ruptures, the water leaks out fairly quickly and the body absorbs it with no ill effects. In this case, the implant will deflate, causing a noticeable change in the size and shape of the breast within a day or two. Since this is easily noticeable, MRIs are not necessary to find leaks in saline implants.

Silicone Safety

In 1992, FDA investigated silicone implants because of increasing safety concerns. They concluded that there was inadequate data to assess the safety of silicone implants, and restricted their use to certain circumstances.

However, time and research demonstrated that there was no association between silicone implants and the health problems that prompted their restricted use. In 2006, the FDA approved the use of silicone implants for the general public once again.

This does not mean that silicone implants are free of risk. As the FDA explains, it simply means “the benefits and risks of breast implants are sufficiently well understood for women to make informed decisions about their use.”

If you are concerned about the safety of silicone implants or any aspect of breast augmentation, it is best to have a discussion with your surgeon about the risks you might face as a result of the surgery.

Another Option: The IDEAL IMPLANT®

If you have concerns about a saline or silicone implant, the IDEAL IMPLANT® is a unique design that addresses some of the shortcomings of traditional saline implants. In addition to a flexible silicone outer shell, this implant has a network of silicone membranes within the implant. This structure gives it a feel similar to a silicone implant even though it is filled with saline. It is an excellent option for those wanting a better feeling saline implant without the uncertainties of silicone gel.

Because they are filled with saline and not silicone gel, MRIs are not necessary to detect leakage in the IDEAL IMPLANT®. In addition, the surgeon has some flexibility when filling the implant to adjust its size.

Dr. Slack was involved with the clinical research needed to bring these implants to market, so he is one of the few plastic surgeons in the Allen, McKinney, Plano and Frisco area with the training necessary to offer this option to his patients.

The most important thing to remember as you make the decisions about your breast augmentation is that you are unique. Your choices should reflect what is best for you and your particular circumstances.

Dr. Slack is available to help you sort through all of your options. Schedule a consultation today to discuss saline, silicone, and any other questions you might have about breast augmentation.

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.