Cosmetic Surgery Tips

Average cost of breast augmentation in missouri

Missouri is home to many industries, including the medical industry. A common procedure performed in the state is breast augmentation. Many people throughout Missouri seek breast augmentation for a variety of reasons, including gender dysphoria or trans*ition, post-pregnancy changes that leave them unhappy with their shape, and as a result of dissatisfaction with their breasts’ size or appearance.

Blankenship Plastic Surgery offers breast augmentation procedures to help patients reach their desired results.

Our surgeons are board-certified and perform procedures at our facility in Springfield, MO. We have been chosen by U.S.News & World Report as one of the best plastic surgery practices in Missouri

We have offices throughout the state that offer free consultations, and we also accept insurance. Depending on your procedure and your insurance plan’s coverage, you may be able to receive all or some of your procedure at no cost to you.

A basic breast augmentation procedur

e costs $5,500-$7,500 without insurance

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Average cost of breast augmentation in missouri

  • Breast augmentation is the enlargement of the breasts through the insertion of saline or silicone implants.
  • Implants are inserted behind the breast tissue or the chest muscle.
  • Candidates include people who want larger breasts, want to add symmetry to their body shape and proportions, or who have lost breast volume due to weight loss or pregnancy.

Safety

  • Like all surgeries, breast augmentation carries risks. These include scarring, infection, implant rupture, wrinkling of the skin around the implant site, breast pain, and more.
  • The procedure is usually performed under general anesthesia.
  • Breast implants aren’t guaranteed to last forever, so choosing this procedure puts you at risk for follow-up surgical procedures to correct issues with your implants.

Convenience

  • Breast augmentation is easily accessible.
  • It’s important to find a board-certified plastic surgeon to perform your procedure for the best outcome possible.
  • Initial recovery can last for up to one week. Long-term recovery can last several weeks or more.
  • Follow-up appointments will be required to check your healing and assess your breasts for possible scarring and complications.

Cost

  • Breast augmentation costs a minimum of $3,790.00.
  • Costs don’t include the implants themselves, facility fees, anesthesia costs, or peripheral expenses, like garments, prescriptions, or lab work.
  • The procedure is considered an elective cosmetic procedure, so insurance doesn’t cover it.
  • Costs of complications associated with the procedure may also not be covered by insurance.

Efficacy

  • Breast implants are meant to last a long time, but not forever.
  • You may require other surgeries in the future to correct issues like implant rupture.
  • If you experience poor healing or other issues related to your implants, you may opt to reverse the surgery.

What is a breast augmentation?

Breast augmentation is also known as augmentation mammoplasty, or a “boob job.” It’s an elective cosmetic surgical procedure designed to enlarge or bring symmetry to your breasts.

Breast augmentation can be performed either through the transfer of fat from an area of your body or, more commonly, through surgically inserting breast implants.

Candidates are people who simply want to increase the size of their breasts or those who have lost volume in their breasts due to a number of different reasons, which can include:

  • weight loss (sometimes due to surgical weight loss procedures)
  • pregnancy
  • breastfeeding

Other candidates include people who want to even out the balance of their physical proportions. For example, someone who has smaller breasts and wider hips may want to enlarge their breasts.

People who have asymmetrical breasts may also wish to even out the size of their breasts through augmentation. Other candidates include people whose breasts didn’t develop as expected.

A person must have fully developed breasts before augmentation can be performed.

Pictures before and after a breast augmentation

VIEW GALLERY2

How much does a breast augmentation cost?

At a minimum, breast augmentations cost an average of around $3,718.00, notes the American Society of Plastic Surgeons.

Costs can vary, though. The quoted amount doesn’t cover things like fees for:

  • the implants themselves
  • anesthesia
  • the surgical facility or hospital
  • any tests or lab work that needs to be performed
  • medications
  • garments that must be worn during recovery

Health insurance doesn’t cover elective cosmetic procedures. Some insurance carriers also don’t cover conditions or complications that arise after or as a result of cosmetic surgery.

Also, consider the time costs involved in the procedure and recovery. While the initial recovery should only last from about one to five days, it could take a few weeks before the pain and swelling go away.

You’ll need to arrange vacation time away from work for the day of the procedure, as well as several days afterward while you recover from the initial pain.

Additionally, your doctor may prescribe strong pain medication that will make operating a vehicle dangerous. You’ll need a ride to and from your procedure. Someone will need to drive you while you’re taking any necessary pain prescriptions.

You can begin normal activities again once you have the all-clear from your plastic surgeon. They’ll let you know when it’s safe to begin activities like exercising again.

How does a breast augmentation work?

In breast augmentation, an implant or fat from your body is surgically inserted behind each of your breasts. The implants sit either behind the muscles in your chest or behind the tissue of your natural breasts. This can raise your breast size by a cup or more.

You can choose a contoured or round breast implant. The implant material works to boost the size of your breasts as well as provide shape in areas that may have previously felt “empty.”

Keep in mind breast augmentation isn’t the same procedure as a breast lift. A lift works to correct sagging breasts.

Implants are generally soft, flexible shells made of silicone that are filled with either saline or silicone. While there’s been some controversy surrounding the use of silicone implants, they’re still widely popular among people who choose breast augmentation surgery.

Procedure for a breast augmentation

If you elect to have breast augmentation surgery, you’re most likely to have it done in an outpatient surgical center or similar facility. Most of the time, people are able to go home the same day as the procedure.

The procedure will most likely be performed under general anesthesia so you don’t feel any pain. Follow your surgeon’s instructions to prepare in the 24 hours before your procedure.

Your surgeon will place your breast implants using one of three types of incisions:

  • inframammary (beneath your breast)
  • axillary (in the underarm)
  • periareolar (in the tissue surrounding your nipples)

Your surgeon will then create a pocket by separating the tissue of your breast from your chest muscles and tissue. Your implants will be placed inside these pockets and centered inside your breasts.

If you’ve opted for saline implants, your surgeon will fill them with sterile saline solution once the shell has been placed successfully. If you choose silicone, they’ll already be filled.

After your surgeon has placed your implants successfully, they’ll close your incisions with stitches, and then bandage them securely with surgical tape and surgical glue. You’ll be monitored in recovery, and then released to go home once the anesthesia wears off enough.

Are there any risks or side effects?

A common risk with breast augmentation surgery is the need for follow-up surgical procedures to correct any complications that may arise. Some people also later desire a different size implant or a lift as their skin stretches over time.

Other risks and side effects include:

  • bleeding and bruising
  • pain in your breasts
  • infection at the surgical site or surrounding the implant
  • capsular contracture, or the formation of scar tissue inside the breast (this can cause your implants to become misshapen, displaced, painful or more visible)
  • rupture or leaking of the implant
  • alteration of the feeling in your breasts (often temporary following surgery)
  • “rippling” of the skin over where the implant is placed, often beneath the breast
  • incorrect placement or movement of the implant
  • buildup of fluid around the implant
  • difficulty healing at the incision site
  • discharge from the breast or at the incision site
  • severe scarring of the skin
  • severe nighttime sweating

As with any surgical procedure, the use of general anesthesia also carries risks, including death during the procedure.

Call your surgeon immediately if you:

  • begin running a fever
  • see redness in or around your breast, especially red streaking on the skin
  • feel a warm sensation around the incision site

These could all indicate an infection.

After you’ve healed, any pain in the breast or armpit or change in breast size or shape needs to be evaluated by your surgeon. These could indicate a ruptured implant. It isn’t always easy to identify rupture right away, as implants tend to leak slowly.

Other rare complications include chest pain and shortness of breath. These are medical emergencies that may require hospitalization.

There’s also the risk of anaplastic large cell lymphoma (ALCL). It’s a newly recognized, rare form of blood cell cancer that’s been associated with long-term presence of breast implants, most commonly textured silicone implants.

At this time, there have been 414 reported cases worldwide that the U.S. Food and Drug Administration (FDA) is tracking. Based upon these reports, the estimated risk of getting ALCL associated with breast implants is between 1 in 3800 and 1 in 30,000 patientsTrusted Source. To date, there have been 17 patient deaths thought to be linked with breast implant-associated ALCL.

The majority of these patients were diagnosed after they developed swelling, or fluid, in the breast around the implant, within 7–8 years after the implants were placed. With ALCL, the cancer usually stays within the tissue around the breast implant, although in some of the patients it did spread throughout the body.

Patients with breast implants should observe their breasts and see their doctor for any changes or new enlargement, swelling, or pain.

What to expect after a breast augmentation

After your breast augmentation procedure, your surgeon will probably advise you to wear a bandage that compresses your breasts or a sports bra for the support you need during recovery. They may prescribe medication for pain, too.

Your surgeon will also make recommendations regarding when to return to regular work and recreational activities. Most people may go back to work in a few days, but you might need up to a week off for recovery. If your job is more physical, you might require longer time off work to heal.

When it comes to exercise and physical activity, you’ll need to avoid anything strenuous for two weeks at minimum. Following invasive surgery, you’ll want to avoid raising your blood pressure or pulse. Aside from that, too much movement will be very painful for your breasts.

It’s possible that you may need to have your stitches removed at a follow-up appointment with your surgeon. In some cases, surgeons may opt to put drainage tubes near the surgical sites. If you have those, they’ll need to be removed, too.

You’ll see results from your procedure immediately. Swelling and tenderness may make it difficult to assess final results until after you’ve had a chance to begin healing.

While results should be long-lasting, breast implants aren’t guaranteed to last forever. You may need follow-up surgeries to replace implants in the future. Some people also opt to reverse the surgery at a later time.

After surgery, maintain a healthy lifestyle. If you smoke cigarettes, quit. Smoking can delay healing.

Preparing for a breast augmentation

To prepare for your procedure, you’ll need to follow preoperative instructions from your surgeon. You’ll probably be advised not to eat or drink starting at midnight the night before your procedure.

In the weeks before breast augmentation, your surgeon will advise you to stop smoking. Smoking raises your risk of complications and restricts blood flow in the body. This can prolong recovery after surgery. It’s also possible that smoking lowers your immunity, which raises your risk of developing an infection.

How to find a provider

You can find a board-certified plastic surgeon through the American Society of Plastic Surgeons or American Board of Plastic Surgery.

Be sure to research the providers you consider. Read their patient reviews, and check out before and after photos of past patients.

Aside from reviews and qualifications, be sure you’re comfortable with your surgeon and confident in their abilities. Schedule a consultation to be sure you really want to work with a particular doctor. Breast augmentation is a delicate and private procedure. You’ll want to carefully choose a practitioner who’s right for you.

Last medically reviewed on August 15, 2018

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Overview

Getting breast implants can change a person’s life for the better. But in recent years, some people have suspected that their breast implants have made them very ill with diseases such as:

  • rheumatoid arthritis
  • scleroderma
  • Sjögren’s syndrome

Older studies showed no clear scientific evidence connecting these conditions to breast implants — silicone or saline-filled. However, newer studies from different sources have found an association between silicone breast implants and certain autoimmune diseases.

These studies suggest that silicone breast implants potentially raise your risk of developing an autoimmune disease such as rheumatoid arthritis, Sjögren’s syndrome, scleroderma, and sarcoidosis.

On the other hand, another sourceTrusted Source notes that the FDA is not able to say there’s a direct relationship between silicone implants and autoimmune diseases.

The same source notes that other experts don’t think the evidence is strong enough at this time to conclusively show an association between these breast implants and autoimmune disease.

The World Health Organization and the U.S. Food and Drug Administration have identified another possible cause for concernTrusted Source. This relates breast implants to a rare cancer called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).

Additionally, breast implants are known to cause other potential risks such as:

  • scarring
  • breast pain
  • infection
  • sensory changes
  • implant leakage or rupture

What causes BIA-ALCL?

Scientists say the exact causes of BIA-ALCL aren’t well understood. However, it does appear that textured implants are associated with more cases of BIA-ALCL than smooth implants.

Scientists say this could be due to the fact that textured implants have a greater surface area on which a bacterial infection can form. Infections could trigger a type of immune response that ultimately, in very rare cases, results in BIA-ALCL.

Regardless of implant type, smooth or textured, it’s essential to prevent infection. Infection is a much more common illness related to breast implants. Any surgery comes with infection risks, including breast augmentation. Infections can occur when a surgery site isn’t kept clean or if bacteria enters your breast during surgery.

Besides infection, other complications associated with breast implants may occur. These include:

  • bruising
  • bleeding
  • blood clots
  • skin necrosis
  • slowed wound healing
  • scar tissue buildup (capsular contracture)
  • implant deflation and rupture
  • change in breast shape, volume, or sensation
  • thinning of your breast tissue and skin
  • calcium deposits
  • breast discomfort
  • nipple discharge
  • dropping or bottoming out of the implant
  • asymmetry
  • need for further surgery

What are the symptoms of breast implant illness?

BIA-ALCL is often contained inside the tissue surrounding the implant. However, it can spread to other parts of your body’s lymphatic system, including the lymph nodes. The main symptoms include:

  • continuous swelling or pain around your breast implant, which may occur long after a surgical incision has healed or many years after implants are inserted
  • fluid collection around your breast implant
  • capsular contracture, which can cause a lump under your skin or thick scar tissue around the implant resulting in a misshapen appearance

Symptoms of other breast implant complications vary. As noted above, infection is one complication associated with BIA-ALCL. It’s important to treat any breast implant complications that arise. If you experience any of the following symptoms, call your doctor right away:

  • redness
  • swelling
  • pain
  • discharge
  • change in breast shape or color
  • fever

Regarding autoimmune symptoms to look for, one studyTrusted Source notes that silicone breast implants can cause symptoms of autoimmune diseases in some patients. These symptoms include:

  • fatigue
  • cognitive impairment
  • arthralgias, myalgias
  • pyrexia
  • dry eyes
  • dry mouth

Silicone also has the potential to leak from the implant throughout the body, possibly leading to a chronic inflammatory condition.

If you experience any of the connective tissue inflammatory symptoms above, let your doctor know.

How is breast implant illness diagnosed?

BIA-ALCL is classified as a T-cell lymphoma. It may develop following the surgical insertion of breast implants.

T-cell lymphomas are cancers that form in your T cells, a type of immune system white blood cell. These cancers tend to be fast growing per the American Cancer SocietyTrusted Source. The outlook for a person diagnosed with BIA-ALCL depends on the stage of their cancer at diagnosis and how aggressive it is.

Half of all reported cases of BIA-ALCL are reported within 7 to 8 yearsTrusted Source of the insertion of breast implants. Because the symptoms of BIA-ALCL are relatively nonspecific, experts say these diagnoses may be complicated and delayed.

But as scientific knowledge about it has grown in recent years, experts have begun to establish diagnosis standards.

When a doctor suspects BIA-ALCL, they’ll run a variety of tests to rule out any other causes of your symptoms. These tests may include:

  • An ultrasound-guided aspiration of fluid that’s collected around your breast implant. A cancerous T cell presence in this fluid can tip off your doctor to BIA-ALCL.
  • Thick scarring that’s apparent around your implant.
  • If an abnormal breast mass is found, your doctor may test the tissue for lymphoma using a biopsy.

For autoimmune disease, various blood tests can be performed. These are done alongside a thorough history and physical examination. Doctors look for the clinical symptoms and signs occurring for each individual. Depending on the type and location of inflammatory symptoms, imaging testing may be of use as well.

How are breast implant illnesses treated?

If you’re diagnosed with BIA-ALCL, your doctor will recommend a PET-CT scan. This imaging test checks for signs of lymphoma in other parts of your body. This cancer, while rare, may be aggressive and can spread.

For most people with BIA-ALCL that’s confined to the tissues surrounding one or both breasts, surgical removal of one or both implants is necessary. With an earlier stage 1 diagnosis, implant removal is typically enough to stop the progression of the disease.

However, for cancer at stage 2 or higher that’s spread, more aggressive treatment is necessary. In addition to implant removal, chemotherapy may be able to slow or stop disease progression.

Other complications associated with breast implants are typically treated on a symptom-by-symptom basis. Antibiotics are often used to treat infection, though in severe cases, surgery might be necessary to remove the implants that have caused infection.

Regarding potential autoimmune response, one study noted that for 75 percentTrusted Source of patients affected, removal of their silicone breast implants provided significant relief of systemic symptoms. Symptoms included arthralgia, myalgia, fatigue, and neurological symptoms, during an observation period of 14 months following removal of the implants.

However, making a diagnosis and forming a treatment plan — whether medical or surgical — needs to be a well-thought-out process between a patient and their doctor.

How can you prevent a breast implant illness?

The survival rate for people with BIA-ALCL is relatively high at 89 percent at 5 years, in general for any stage of this cancer. The survival rate is even higher for people with stage 1 cancer who have a complete removal of their affected implant or implants and cancerous breast tissues.

However, cancer treatment is challenging, expensive, and not always effective.

Although there are risks associated with breast augmentation, it’s still considered a safe procedure. Before your procedure, make sure you understand your risks for complications. Keep in mind that the risk for BIA-ALCL is exceedingly rare.

Regarding the risk for autoimmune disease, recent research shows an association with breast implants, silicone in particular. However, the conclusiveness of the data is controversial and will likely require further studies to more specifically investigate and pinpoint a definite direct cause-and-effect relationship.

To minimize your risk for infection, implant rupture, and breast cancer illness, closely monitor your breasts after your procedure. Follow your surgeon’s aftercare instructions closely. See your doctor right away if you notice any changes in your breasts or health, especially if you experience signs of infection.

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