Dr. Ronan on Breast Augmentation

Insights from a Leading Bay Area Plastic Surgeon

Breast augmentation remains one of the most sought-after cosmetic procedures worldwide. Dr. Stephen J. Ronan, a renowned plastic surgeon at Blackhawk Plastic Surgery, recently shared his extensive knowledge, offering valuable information for those considering this life-changing surgery.

The Art of Choosing Implants

When it comes to implant selection, silicone dominates the field.

“In our practice, we’re using the vast majority silicone,” Dr. Ronan explains.

Over 99% of his patients opt for silicone implants due to their superior feel and appearance. These implants closely mimic natural breast tissue, providing a more realistic look and texture compared to saline alternatives.

However, implant material is just one aspect of the decision-making process. Size and shape play crucial roles in achieving desired results.

Dr. Ronan emphasizes the importance of selecting an implant that complements the patient’s body: “If you pick an implant that’s either too small or too wide, it kind of sticks out and looks less natural. If the implant is around the width of the chest, then it sort of blends in and looks more like it was born there.”

Implant shapes vary between round and anatomical (teardrop-shaped). While some surgeons prefer anatomical implants for their supposedly more natural shape, Dr. Ronan often recommends round implants.

He points out that round implants naturally take on a teardrop shape when the patient is standing due to gravity and flatten out when lying down – mimicking the behavior of natural breasts.

Surgical Techniques: A Unique Approach

Dr. Ronan’s surgical approach sets him apart from many of his peers. While the inframammary fold (under the breast) and periareolar (around the nipple) incisions are common, Dr. Ronan often prefers a less conventional method: the transaxillary approach, or armpit incision.

“The most common one in our practice is through the armpit,” he reveals. This technique offers several advantages:

1. No visible scarring on the breast
2. Reduced risk of sensation loss
3. Preservation of chest muscle integrity

Dr. Ronan elaborates, “When we do it transax, we don’t have to cut your chest muscle, and so your chest muscle acts like a sling holding your implant up against gravity over time.”

This method not only maintains muscle function but may also contribute to better long-term results and a more natural appearance.

Implant Placement: Under the Muscle

When it comes to implant placement, Dr. Ronan typically favors submuscular positioning, where the implant is placed beneath the chest muscle. This approach can provide additional coverage, potentially reducing the risk of visible implant edges, especially in women with minimal existing breast tissue.

The submuscular placement also aligns well with Dr. Ronan’s preference for the transaxillary incision. By going under the muscle, the implant is well-supported and less likely to descend over time, a phenomenon known as “bottoming out.”

Recovery and Pain Management

One of the primary concerns for many women considering breast augmentation is post-operative discomfort. Dr. Ronan’s practice employs an innovative pain management technique to address this issue.

“We actually put a three-day numbing medicine around the implant and around your incision, and that really takes the edge off,” he explains.

This approach significantly reduces sharp pain in the immediate post-operative period. However, patients may still experience some muscle tightness, especially with submuscular placement. Dr. Ronan advises patients to manage this by consciously relaxing their shoulders and gently stretching the chest muscles.

Most patients can return to light activities within a week, with a full return to strenuous exercise typically occurring around 6-8 weeks post-surgery.

Long-term Considerations and Implant Longevity

A common question among potential breast augmentation patients concerns the lifespan of implants. While the FDA recommends exchanging implants every 10 years, Dr. Ronan offers a more nuanced perspective:

“It lasts until you have a problem or need to make a change, and so that could be a very long time.”

Dr. Ronan encourages annual check-ups to ensure the ongoing health and aesthetics of augmented breasts. These visits allow for proactive monitoring of implant condition and early detection of any potential issues.

Breast Augmentation and Future Plans

For women considering breast augmentation but also planning future pregnancies, timing can be a concern. Dr. Ronan reassures us that his preferred transaxillary approach doesn’t interfere with his breastfeeding capabilities. However, he advises against getting implants while actively breastfeeding due to potential complications.

The question of the ideal age for breast augmentation often arises.

Dr. Ronan dispels the notion of a “best” age, stating, “There’s not really a best age. It’s sort of when does it fit your life.” He has performed successful augmentations on adult patients ranging from 18 to their 70s, emphasizing that the procedure can be appropriate at various life stages as long as the patient is healthy and it aligns with their personal goals.

Making an Informed Decision

Breast augmentation is a highly personal decision that can significantly impact a woman’s self-image and confidence. Dr. Ronan’s insights underscore the importance of thorough research and consultation before proceeding with surgery.

Key factors to consider include:

1. Implant type, size, and shape
2. Incision location and implant placement
3. Surgeon’s experience and preferred techniques
4. Recovery time and pain management strategies
5. Long-term maintenance and potential future procedures

While the wealth of information available can seem overwhelming, consulting with a board-certified plastic surgeon remains the best way to navigate these decisions. A skilled surgeon can provide personalized advice based on your unique anatomy, lifestyle, and aesthetic goals.

Dr. Ronan’s approach to breast augmentation exemplifies the evolving nature of plastic surgery. By combining tried-and-true techniques with innovative approaches to incision placement and pain management, he strives to provide his patients with beautiful, natural-looking results and a comfortable surgical experience.

As with any surgical procedure, breast augmentation carries certain risks and requires careful consideration. However, for many women, the boost in confidence and satisfaction with their appearance makes it a worthwhile journey.

With the right plastic surgeon and a clear understanding of the process, breast augmentation can be a transformative experience, helping women feel more comfortable and confident in their own skin.