About Dr. Bosco

As a Board Certified Plastic Surgeon, Dr. Bosco has over 27 years of experience as a cosmetic surgeon. He has performed thousands of different procedures, from Rhinoplasty to Breast Augmentation. He is widely known for his active contributions to the National Association of Plastic Surgeons.

If you have questions or concerns about your body, Dr. Bosco can help you address those concerns through thoroughly examining you with a free consultation.

If you are not in the area, Dr. Bosco has a team of recommended surgeons over the United States that he can provide (seen below).

Essential Factors to Consider Before Getting a Breast Augmentation

Maintaining a fitting and proportional body remains one of the main considerations in most women in the world. The main two areas that women are cautious about are preventing unnecessary weight gain and taking care of their breast size and shape. Focusing on the latter, asymmetrical breasts may lower a person’s self-esteem when they compare themselves with others especially for women in their 20s. In addition, women’s breasts change overtime by losing their youthful shape due to factors like giving birth, weight fluctuations, aging, breastfeeding, and heredity. "Breast augmentation is among the most preferred cosmetic surgery procedures by women," says Dr. V a board certified surgeon at breast augmentation Atlanta , and girls who desire to increase their breast size or restore their breast volume. Before any consideration, is breast augmentation worth it? It is best for women to consider the following points before the operation.

· Take Length of Time to Recover

One factor that determines the length of time to recover from breast augmentation is the exact area of the operation. Breast augmentation under the chest muscle usually takes more time than normal. Physical condition and the health of a person is another factor to consider. Researches show that patients who are in excellent health and physically fit recover more quickly. In addition, using very large implants requires more surgical dissection thus increasing post-operative discomfort and the recovery time. Women who have had prior pregnancies do not only experience less discomfort, but also recover more quickly for they can tolerate larger implants since their previous pregnancies expanded their breasts.

In addition, the type of one’s job determines the number of days they should rest before resuming their jobs. Women who work in a relaxed environment like in an office can go back at the end of the first week after the operation. Those whose jobs involve pushing, lifting, and pulling should go back to their work after the fifteenth day.

· Breastfeeding Mothers

Breast augmentation is not a bright idea for those girls and young women who intend to have children in the near future. When the surgeons place the implants through an incision around the areola, they may disrupt the milk ducts, which may affect breastfeeding. It is best for these women to wait until their children are through with breast-feeding to consider the operation.

· Implants Type and the Age

There are minimum ages set by the FDA in terms of the implants the surgeon should use in a particular person. The patient should be 18 years old and above to get saline implants and 22 year for silicone implants surgery. One should first discuss with their surgeon to determine the implants that best suit them. Although patients with silicone implants usually take less time to recover, a leak can result to very serious health implications compared to those with saline implants. One needs to be emotionally stable enough to face the risks that may result after the surgery.

· Complications

Some of the most common complications after breast augmentation are loss of sensitivity in the areolas, poor healing, capsular contracture that involves the development of firm scar tissues around the implants, and rupturing of the implants. Other minor complications are like breast pain, bleeding, and scarring. Extrusion of the implant is the most dreaded complication since it may result to implants visibility through the wound. Removing the implants is the only solution in this situation. However, since people are different, most patients do not develop any complications and are happy with the results after the recovery.

· Is it painful?

The operation involves the use of surgical techniques aiming at minimize the pain. One of the main techniques is the use anesthesia to numb the surgical area hence minimizing the discomfort. The pain may also depend on the depth of the operation. Operating under the muscle is a little bit painful than over the muscle surgery.

· The Cost of the Surgery

Although breast operation can sometimes be costly, one should not go for the very cheap operations to save money. Cheap is always expensive in the end. One should try to invest in not very cheap cosmetic surgeries, where they will receive quality services hence preventing the above complications.


One should follow the doctors’ guidelines to minimize the complications and for quick recovery. Although breast augmentation can improve a person’s quality of life, it is never the best method to those who want to correct severely drooping breast. One should consider breast lift since it does not only make the breast full, but it also lifts and corrects sagging. Before the final decision, one should also consider both the surgical and non-surgical breast enlargement techniques, and go for the one they think is the best for their body.

Risks involved in breast augmentation:

There are a number of risks posed by this surgical procedure and these may include:

· Infection
· Rupture or implant leakage
· Breast pain
· Changes in breast and nipple sensation, normally temporary
· Scar tissue which alter shape of breast implant

Correcting any of the above complications may need additional surgery, to replace or remove the implants.
During the procedure: When inserting the implant, the surgeon is going to make a single cut in one of these three places

· Under your arm (axillary)
· Around your nipple (periareolar)
· In the crease that’s under your breast (inframammary)

After the incision has been made, the surgeon is going to separate the breast tissue from the connective tissue and muscles of your chest. This makes a pocket either in front or behind the outermost muscle of your chest wall, called pectoral muscle. The surgeon is going to place the implant into this pocket, and then center it behind the nipple.

There are two types of breast implant. Silicone implants are normally pre-filled with silicone gel, whereas saline implants are placed empty, and then once in place are packed with sterile salt water.

When the breast implant is ready, the cut is closed-normally with stitches (sutures) and bandaged with surgical tape or skin adhesive.

After the procedure: Swelling and soreness are likely to be experienced for some few weeks after the procedure. You should also expect bruising. The scars are going to gradually fade with time, though they are not going to completely disappear. When you are healing, it may help to put on a sports bra or compression bandage for additional support of the implants. The surgeon may also prescribe pain medication. Follow the surgeon’s instruction about returning for your normal activities. When you do not have a physically demanding work, you may be able to go back to work within some few days to one week. You should avoid exhausting activities- for some two weeks or more. When healing, do not forget that your breasts are going to be sensitive to jarring movements and physical contact. When you notice redness and warmth in the breasts or you have a fever, you may have an infection. You should make appointment with your surgeon. You should also contact the surgeon when you experience chest pain or shortness of breath

Understanding When You Need a Breast Lift

Breast lifting has become a common procedure among many women with sagging breasts. Breasts tend to sag in varying degrees depending on many factors. Dr. Edwards of BA San Diego has performed more breast lift than breast augmentation this year, due to an increase of older woman interested in this procedure.

As breasts grow in young women, they tend to be perkier because the overlying skin is yet to be stretched from pregnancy or weight gain. In addition, the supportive tissue has also not been stretched. If a woman stops to breast feed or lose some weight, in most cases the skin fails to shrink back to its former shape leading to the sagginess of the breasts. If the breast is sagging or stretching, that will determine if you require a breast lift or not. Some women need smaller lifts, while others require a full lift also referred as mastopexy. The most effective way to understand if you require a lift or not is to visit your doctor who will also be able to advise you on the type of lift that will be most effective for you. However, this article will give you some tips that will help you make an informed choice. So, how do you know if you need a breast lift?

Your level of ptosis or sagginess

The first step is to find your infra-mammary crease, which is located directly below the breasts. The simplest way is to use a ruler and place the highest edge against the junction of the ribcage and the breast directly. In case, the central point of your nipple is above the top of the ruler, you may have grade one Ptosis, which does not require a lift.

If the center point of your nipple is 1 to 4 centimeters, underneath the top of the ruler, you have grade 2 ptosis. This means that you will require breast lift especially if you decide to have breast augmentation to avoid the lower breast from sagging or making the implant sit lower on your chest.

In case the central point of your nipple is more than 4 centimeters below the top of your ruler, it means that you have grade 3 ptosis and you will need a major breast lift together with breast augmentation. The areola size gets reduced in breast lift procedures. This will make you have a scar around the smaller areola, in the middle of the breast and in some cases below in the breast fold.

There is also severe or grade 4 ptosis in which your nipples have dropped far below the top of the ruler or the infra-mammary fold. In this case, the nipples point to the floor. In this case, you will like your breasts to look bigger. If you have this level of ptosis, you will also require major breast lift together with breasts augmentation. The implants may be done later on after some few months after the breast lift, to get the desired results.

Point to note

If your only problem is sagging of the breasts without reduction in size, you will only need breast lift without implants. However, if the size is also affected you will need both procedures to get fuller breasts with better shape.

You can read more about what Dr. Edwards thinks about this topic here.

Breast Lift vs. Breast Augmentaiton

Most women dream to acquire a pair of beautiful breasts and which are positioned perfectly. Women who have issues with their breasts will consider to have a breast augmentation or breast lift. Both procedures are meant to enhance the appearance of the breasts hence the need to know the benefits of each one of them. Below are differences between a breast lift and a breast augmentation.

Breast lift: It is usually difficult for a woman to maintain the perkiness of their breasts as they get older. This is because they eventually succumb to gravity, droop or sag. Majority of women eventually become conscious about their appearance. Medically, this process is referred to as ptosis. Surgeons would recommend a breast lift surgery for the above condition.

Other people that can benefit from the above procedure include women who do not have firm breasts, those with sagging breasts as a result of weight loss, aging or pregnancy. The procedure involves cutting of excess skin and tissue and mends overstretched ligaments. Additionally, a breast lift enhances the nipple areolar complex also known as NAC, and arranges it at higher level. This helps restore perkiness.

There are two approaches involved in a breast lift surgery. They include a modified breast lift and full breast lift. The difference in both procedures is the incision plan. A full breast lift is less invasive compared to the modified breast lift.

Generally, a breast lift surgery will make breasts appear perkier. A woman is able to acquire a youthful and fit bust.

Breast augmentation: A breast augmentation surgery is ideal for women with a smaller chest. The procedure uses implants made of saline or silicon. An incision is made on the breast and implants are placed strategically in the breast pocket. The surgery enables an individual to achieve a bigger and fuller bust size. This enhances a woman’s physique making her more confident. The surgery does not necessarily change the appearance of a woman rather enhance their body.

Perfect candidates for the above procedure should have realistic expectations and want to acquire a fuller chest. The procedure does not lift sagging breasts or bring them close to each other rather enhance projection of the nipples and make them fairly rigid. Also known as a boob job, breast augmentation is usually done under anesthesia. However, it can also be done under local anesthesia.

Both procedures have their own benefits and you could choose to have both procedures done to you. Lifting of the breasts can be done on breasts that already have implants in them. This improves the overall appearance of the breasts.

Research has been conducted by http://breastaugmentationinflorida.net the Food and Drug administration on breast implants. They are considered fairly safe for use during surgery. However, the implants are not safe for use for every woman. There is a limitation of time when it comes to implants. Therefore, they should be removed before they become toxic to the body or rupture. The silicone gel is removed after three years of expiry.

However, in order to achieve results that you desire, it is essential to find a professional surgeon. The outcome of the surgery is determined by the ideal eye for aesthetics, expertise and skills.