Women in Memphis and throughout the Mid-South and western Tennessee have trusted Dr. Ronald J. Johnson for breast augmentation for nearly 30 years. He has performed more than 3,000 breast augmentation procedures in his distinguished career, with consistently beautiful and natural looking results.
If you are considering breast augmentation surgery, request a consultation online to meet with Dr. Johnson at his Germantown location, or call (901) 737-1050 and one of our friendly staff members will help schedule an appointment.
Breast Augmentation Options
Many women consider their breasts an essential part of their self-image. For women who aren't satisfied with the size of their breasts, cosmetic augmentation surgery is a safe and effective option. Breast augmentation can:
- Increase fullness and projection of your breasts
- Improve the proportions of your figure
- Enhance your self-image and self confidence
Dr. Johnson's career spans nearly 30 years and in that time technological advances resulted in breast implants that look and feel more natural than ever. We offer various styles of implants so our patients have several options when it comes to size, implant profile and filler material. While nothing made by human beings will ever be perfect, the overwhelming majority of our breast enhancement patients are extremely satisfied with their results.
Although implants help lift breasts that are slightly sagging, patients whose breasts have moderate to severe sagging will need to combine a breast lift with augmentation to get aesthetically pleasing results.
Types of Implants
Implants are either filled with saline or cohesive silicone gel.
- Saline implants are filled after Dr. Johnson inserts them into a pocket he creates during the surgery. Patients benefit because incisions are slightly smaller than those needed for silicone gel implants, which are filled before being inserted.
- Cohesive silicone gel implants are a popular option because many women believe they look and feel more like natural breasts than saline implants. Highly cohesive gel implants — sometimes called "gummy bear" implants — are the latest generation of silicone implants.
These implants have certain disadvantages also, which Dr. Johnson will discuss with you during your consultation.
Dr. Johnson offers 3 options for the location of incisions for breast augmentation.
- Inframammary crease: This is the most common location. Dr. Johnson makes a small horizontal incision on the underside of the breast near the base when breast skin connects to the chest.
- Periareolar: In some cases Dr. Johnson makes an incision on the lower edge of the areola, the darker skin surrounding the nipple. An experienced surgeon such as Dr. Johnson makes a precise incision so that the resulting scar eventually blends with the areolar border.
- Transaxillary: Less common is an armpit incision. Dr. Johnson uses a long, thin tube with a camera at the end — called an endoscope — to carefully insert the implant. This incision is possible in selected cases, but if sagging of the breast is a problem, this alternative may not be best for you.
Dr. Johnson creates a small envelope either in front of the pectoral muscle (subglandular) or behind it (submuscular).
- Subglandular: Patients with adequate existing breast tissue may want a subglandular placement (above the pectoral muscle) because recovery typically takes less time and is more comfortable than following a submuscular augmentation.
- Submuscular: The implants are usually placed under the pectoral muscle on the chest, since this technique provides better coverage of the implants and results in decreased incidence of scar capsule contracture. Capsular contracture is the most common complaint following breast augmentation and is the result of the body's normal healing process and its natural tendency to 'wall off' anything not a part of itself. The prevailing opinion among surgeons is that placing the implant under the muscle keeps it from forming such a hard layer of scar tissue and makes the tissue more pliable.
Women without much existing breast tissue, or who have thin skin, also benefit by placing the implants behind the muscle because it significantly decreases the chances of rippling — a situation in which the implant's wrinkles are visible. Placing implants behind the chest muscle also helps prevent the implant from moving.
The breast augmentation procedure is outpatient cosmetic surgery, best performed under general anesthesia, and most patients can return to office jobs or light housekeeping work in 4 or 5 days. If you choose to have breast augmentation as part of a mommy makeover, recuperation will take a little longer.
Dr. Johnson uses a device called the Keller Funnel® during breast augmentation with silicone implants to improve outcomes and reduce the risk of complications. The Keller Funnel is a sterile, single‐use medical device that looks a bit like a pastry bag. During surgery, Dr. Johnson positions the tip of the funnel at the incision and delivers the implant to the breast pocket. By eliminating direct contact with the implant, the Keller Funnel can reduce the risk of infection and capsular contracture. It also allows Dr. Johnson to keep incisions small. Dr. Johnson is a Keller Funnel Partner in Education Advocate, which means he's attended many meetings, workshops, and conferences to educate his colleagues on the proper use of the device.
The operation itself takes about an hour. Patients then spend 1 to 2 hours in the recovery room before going home. An adult caregiver must drive the patient home and stay the night with the patient. Most patients can be left alone, if necessary, on the next day.
Frequently Asked Questions
Are silicone breast implants safe?
Much has been made of the breast implant controversy. The scientific evidence wing silicone implants with connective-tissue disorders is still lacking. A recent study by European scientists confirmed the safety of implants.
Will breast augmentation lift sagging breasts?
A slight degree of sagging of the breast can be helped by breast implants. Basically, if the nipple rides below the crease underneath the breast in the upright position, without a bra on, a procedure to lift the breast skin may be necessary in addition to the implant. This is called a breast lift or mastopexy, and is commonly performed in conjunction with breast augmentation.
What happens if an implant ruptures?
Today's silicone gel implants retain their shape, even if the implant is pierced, torn, or cut. The gel will not leave the capsule, and rupture can only be detected through imaging tests. When a saline implant ruptures, the body absorbs the salt water quickly and uneventfully. When this occurs, the patient only notices that one side is not the same size as it was.