Breast Augmentation Specialist
Over the years, Dr. Jerome Lamb’s commitment to producing the safest and most aesthetically appealing breast augmentations has led him to consistently adopt new and advanced surgical techniques.
In the early 1990s, Dr. Lamb became the first plastic surgeon in the Kansas City area to insert breast implants endoscopically using the transaxillary approach. This innovative method involves making a short incision at the lower edge of the armpit and utilizing a small endoscope/video camera to ensure proper placement of the breast implant.
His subsequent development of special instrumentation further simplified and strengthened the transaxillary process. The benefits of this approach include virtually invisible scars and minimal risk for nipple sensory disruption.
In the mid-2000s, Dr. Lamb continued to innovate by becoming the first area plastic surgeon to implement dual plane breast augmentation, a procedure designed to dynamically lift post-childbearing breast sag and deflation. The dual plane approach allows many women to avoid a traditional breast lift and resulting incisions.
For most procedures, Dr. Lamb utilizes the On-Q pain pump to administer Marcaine. Carried in a fanny pack, the On-Q system provides mobile and consistent application of non-narcotic pain medications helps patients feel better faster while reducing the side effects often associated with narcotic use. These can include including nausea, vomiting, constipation and grogginess.
Breast Augmentation Consultation
Women interested in breast augmentation begin the process with a comprehensive screening and personal consultation. Dr. Lamb considers a range of factors, including personal and family history of breast disease, pregnancies, breast-feeding and any previous history of breast surgeries.
Because every person is different and each chest wall unique, careful measurements are made during the consultation to ensure the optimal implants are selected. The shape, volume and symmetry of the native breasts also influence both the size selection and outcome of the breast augmentation procedure. With the help of diagrams and sizers, the proposed procedure is thoroughly explained and the results simulated with a special demonstration bra.
Sub-muscular Placement of Breast Implants
Placing the implant under the pectoralis muscle creates what amounts to an internal bra, thereby minimizing excess motion and creating support for the implant. Other advantages of sub-muscular placement include ease of placement, a natural transition along the upper edge of the implant, natural breast shape, minimal rippling of implant surface and minimal mammography interference.
The most common procedures for sub-muscular placement are transaxillary and inframammary techniques. Transaxillary is effective with individuals who don’t have significant vertical breast elongation and maintain relatively uniform thickness of the native breast tissue.
Alternatively, the inframammary approach provides the surgeon with greater access to the undersurface of the pectoralis muscle, which may afford the development of enhanced cleavage. Dual plane dissection likewise allows for a greater degree of expansion in the lower portion of the breast, which can be desirable in a breast deflated by breast-feeding.
Breast Implants over the Muscle
Although placing breast implants over the muscle typically does not afford many of the advantages presented by sub-muscular placement, those patients who previously have undergone this type of procedure and seek implant replacements can usually preserve the over-the-muscle location.
Type of Implant: Saline vs. Silicone
Determining the kind of implant that is best for you is a decision that will be explored during your consultation. Fortunately, implant technology has evolved dramatically since the 1970s, when silicone leakage and hardening caused significant medical problems for a large number of women.
Today’s saline devices – which are available to women over age 18 on a Food and Drug Administration-approval basis -- are manufactured with thicker, vulcanized, silicone elastomer and filled with saline after the implant is placed in the body.
Another technology, known as the form stable cohesive silicone-gel implant, is available for patients age 22 and older. Selecting the appropriate implant is determined by multiple factors, including the desired size and shape of the augmented breasts and existing physical characteristics.
No matter what type of implant is selected, it is important to understand that the device has a finite lifespan and that ultimately replacements will likely be necessary.
Your Breast Augmentation Procedure
In-depth consultation with Dr. Lamb provides an opportunity to identify the most effective approach for your augmentation procedure. Together, you will decide about the type and size of implants. Risk factors, including capsular contracture, post-operative bleeding, nipple sensation loss, infection and the nature and location of scars also will be discussed.
Dr. Lamb will likewise brief you on the procedure itself, as well as what to expect during the recovery process. Importantly, post-operative pain and nausea are minimized though the use of the On-Q pain pump system. At your initial post-op visit, usually the day after surgery, an instructional video is downloaded to your smart phone or computer to provide detailed care guidance for the week ahead.
In most cases, patients are able to return to nonstrenuous jobs on day five or six and can increase their exercise and physical activity within two weeks. Most patients should anticipate a swimsuit-ready appearance within four weeks of their procedure.
Discovering the New You
Breast augmentation surgery represents a powerful means of enhancing your personal appearance in a way that is both safe and immediately perceptible. For many, breast augmentation creates an improved self-image and greater self-confidence. This, in turn, can lead to a new and more positive outlook on life. Are you ready to became the best person you can be? To schedule a breast augmentation consultation with Dr. Lamb, either fill out the form on the right or call (816) 795-5262.