- Marsh
- Procedures
- Breast
- Breast augmentation
Breast augmentation
Silicone or saline implants, or fat transfer, sized to your frame with a three-dimensional simulation before you decide.
- Operating time
- 1 to 1.5 hours
- Anesthesia
- General anesthesia
- After surgery
- Home the same day
- Back to desk work
- 5 to 7 days
- Exercise
- Lower body at 2 weeks, upper body at 6 weeks
- Final result
- Implants settle over 3 to 6 months
How Dr. Marsh approaches it
Augmentation is a planning exercise before it is an operation. Dr. Marsh measures the chest and breast dimensions and uses those measurements, not a cup size, to narrow the implant choice, then simulates the options so you can see them on your own body. Implants are placed under the muscle in most cases through a short incision in the breast fold. Fat transfer is offered for modest enhancement in suitable candidates.
Usually a good candidate
- Small breasts relative to the frame
- Volume lost after pregnancy or weight loss
- Asymmetry
- Modest enhancement with your own fat
What we will discuss honestly
- Implants will need monitoring and likely replacement in time
- Capsular contracture, rippling, and implant rupture are known risks
- Larger implants age less well; Dr. Marsh will say so
- Breast cancer screening is discussed, including implant-related lymphoma, which is rare but real
- Every operation carries risks of bleeding, infection, scarring, anesthesia complications, and the need for revision. They are specific to you and are reviewed in writing before you consent.
How long it lasts
Implants are not lifetime devices; plan on review at 10 years. Ageing continues; the operation resets the clock rather than stopping it. Weight stability, sun protection, and not smoking are the three things that most protect a result.
The path
- Consultation. Ninety minutes with Dr. Marsh. Measurements, photographs, simulation where relevant, and a written plan with the complete fee. $250, credited toward surgery.
- Pre-operative visit. Two weeks before: labs, medical clearance where needed, consent, prescriptions, and the plan reviewed once more.
- Surgery. In an accredited surgery center with a board-certified anesthesiologist. Home the same day.
- Follow-up. Day one or two, one week, two weeks, six weeks, three months, six months, and a year. All included.
Fictional procedure description on a website concept. Not medical advice. Results vary, and a consultation with a board-certified plastic surgeon is required.
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