Breast Surgery FAQs – Dr. Charles Perry

At Chrysalis Cosmetics, Dr. Charles Perry fields many questions from breast surgery patients. Here are the most frequently asked questions and the corresponding responses.

What types of breast implants are available?

There are two types of breast implants available: saline and silicone implants.

Saline breast implants are filled with a sterile saltwater solution. The advantages of saline-filled breast implants are that they can be filled after Dr. Perry inserts them, allowing the surgeon to use smaller incisions, and that the body can naturally absorb the saline filling in case of rupture. On the other hand, saline breast implants may be more prone to visible rippling at the skin's surface.

Silicone breast implants are filled with silicone gel. The principal benefit of silicone implants is that they look and feel more like natural breasts than saline implants do. One of the drawbacks of silicone implants is that they have a higher risk of "silent rupture," a condition in which the outer shell of the breast implant ruptures, but the patient is unaware of it because the filling material stays intact inside the breast implant pocket. To help minimize this risk, Dr. Perry advises anyone with silicone breast implants to undergo regular breast imaging exams (i.e., a mammogram or MRI) every three years, starting three years after the initial breast enhancement surgery.

Do breast implants come in different shapes?

Yes, breast implants are either round or teardrop shaped. Patients who choose round breast implants want more fullness, lift and cleavage in the breast area. Those who choose teardrop-shaped implants want a more anatomically correct look.

Breast implants can have a smooth or textured outer shell. Smooth breast implants usually move somewhat freely within the implant pockets. In contrast, textured breast implants tend to attach to the overlying breast tissue, allowing them to counteract the pull of gravity and stay higher up on the chest. Although some studies assert that textured implants reduce the risk of capsular contracture (a condition in which scar tissue forms around breast implants, causing them to feel hard or even rupture), more evidence is needed to support this claim.

What are the breast implant placement options?

Dr. Perry offers both subglandular and submuscular breast implant placement options. Breast implants with subglandular placement are positioned below the breast (glandular) tissue and over the chest (pectoral) muscle (thus the nickname "overs"). The main benefit of this type of placement is that it provides less trauma to the chest muscle, typically leading to a faster and easier recovery.

With submuscular placement, Dr. Perry places breast implants under the chest muscle (thus the nickname "unders"). This type of placement offers a more natural look and may be especially beneficial for patients with little breast tissue, little body fat or thin skin. Submuscular placement may also decrease the risk of certain complications. However, this type of placement is more invasive and may require a longer recovery period.

What happens during breast augmentation surgery?

Prior to beginning the breast augmentation procedure, general anesthesia is administered, so the patient is comfortable and does not feel anything during surgery.

To start breast enhancement surgery, Dr. Perry creates an incision in an inconspicuous area on or close to each breast, minimizing the appearance of scars. During a preoperative appointment, Dr. Perry and the patient will decide where to make the needed incisions: in the armpit, in the crease of the navel, in the natural fold of the breast or on the edge of the areola. This decision is based on numerous factors, such as the patient's unique physique and the type of breast implant chosen.

Once he has made the necessary incisions, Dr. Perry inserts the breast implants, positioning them either over or under the chest muscle as decided during the preoperative phase. When he is satisfied that the breast implants are properly placed, the Sacramento plastic surgeon closes the incisions with sutures, surgical tape or skin adhesive.

What is the recovery period after breast augmentation surgery like?

The recovery period for breast augmentation varies depending on the placement of breast implants, the incision type and other factors that are unique to each patient. In general, however, patients experience the most discomfort in the first few days following breast augmentation surgery. Dr. Perry may prescribe oral pain medication to relieve any discomfort during that time.

Breast augmentation patients will need a responsible adult to drive them to and from the surgical center, and stay with them the first night following surgery. Patients should expect to take 5-7 days off work, during which time they should rest and avoid strenuous activities. They will gradually resume their regular exercise routine as directed by Dr. Perry. Also, the cosmetic surgeon may advise patients to wear a surgical bra for the first week or two after surgery.

Those who have undergone breast augmentation surgery in Sacramento with Dr. Perry may experience swelling, bruising, soreness and stiffness in the treated area. However, these symptoms are normal and will steadily subside over time.

Dr. Perry or a medical team member will provide patients with thorough instructions regarding how to care for the treated area both before and after surgery. Patients are instructed to avoid smoking for several weeks prior to and following breast augmentation surgery to allow the body to heal properly. They must follow Dr. Perry's instructions closely to achieve the best results possible.

Are breast implants permanent?

No, breast implants are not considered permanent devices. They do last a long time; breast implant manufactures typically guarantee implants for 10 years. However, breast augmentation patients usually have to replace breast implants 10-15 years after the initial surgery. Some patients may need to replace breast implants sooner if the implants rupture or if there are complications.

What are the possible complications with breast augmentation surgery?

Learn more about Breast Augmentation

To schedule a personal consultation with Dr. Perry to find out more about breast surgery, please contact Chrysalis Cosmetics by calling (916) 273-7435 today.

Please use this form to contact the highly experienced Sacramento plastic surgeon Dr. Perry and learn how he can help you realize your aesthetic dreams.


Chrysalis Cosmetics
785 University Avenue
Sacramento, California 95825
Ph. (916) 273-7435
Fx. (916) 760-8218