În ultimul deceniu, lumea jocurilor de noroc s-a schimbat radical în România, în special cu apariția noi cazinourilor online. Această tendință, alimentată de progresul tehnologic și de comoditatea jucătorilor, a transformat complet modul în care românii se bucură de jocurile lor preferate.

Una dintre caracteristicile marcante ale cele mai cazinouri noi 2023 este folosirea tehnologiilor de ultimă oră. Acestea oferă jucătorilor o experiență fluidă și captivantă, cu grafică impresionantă și sunete imersive. De asemenea, varietatea jocurilor disponibile a crescut semnificativ. De la sloturi tradiționale la jocuri de masă și până la cazinouri live cu dealeri reali, opțiunile par nesfârșite. Însă, nu doar diversitatea jocurilor face apel la jucători. Noile cazinouri online aduc o serie de beneficii incontestabile. Jucătorii pot accesa platformele oricând și de oriunde, având nevoie doar de o conexiune la internet. În plus, promoțiile și bonusurile oferite sunt deseori mult mai generoase decât cele din cazinourile tradiționale, oferind oportunități suplimentare de câștig.

Breast Augmentation

Breast augmentation, also known as augmentation mammaplasty, is a very popular and common procedure that can increase your breast size by one or more sizes. By surgically inserting breast implants beneath the breast tissue or the chest muscle during augmentation, women can achieve larger and shapelier breasts.

What Our
Patients Say

“Dr. Schierle is the best! I had such an amazing experience from start to finish. The professionalism and knowledge from him and all the staff is amazing and really made the process for my 2 surgeries flawless. I would 100% go back to Dr Schierle for future surgeries or procedures. He is someone I would highly recommend. The results were AMAZING as well!”

- Anonymous


Benefits Of Breast Augmentation

For some women, breast augmentation is a way to enhance self-image and self-confidence. For others, breast augmentation is part of breast reconstruction after surgery for breast cancer or other health conditions affecting the breast. Breast augmentation can dramatically improve the appearance of a woman’s breasts. The goal is to create a natural and alluring look. The implant size that will work best for you must be individually determined with your input. During your breast augmentation consultation, you’ll learn more about your options for creating your ideal breast appearance, including: Implant size, style, and shape Implant material (silicone or saline) Implant position (typically below the pectoralis muscle or in a ‘dual-plane’ pocket) Implant incision site


Choosing Breast Implant Size

The goal is to create a natural and alluring look. The implant size that will work best for you must be individually determined with your input. We offer 3D imaging to help each patient choose which size is right for them. We also have a detailed consultation process where our patients can try on gel sizers to better understand how different sizes may feel. The size, shape, style, and type of implant will be decided after a comprehensive examination. Placing implants that are too large for the intended body size has greater chances of capsular contracture, discomfort and longer recovery times.


Breast Implant Shells

Breast Implant Shells

All implant shells are made out of silicone but can be smooth or textured. Smooth implant shells tend to feel softer and are more able to move within the space created for them on the chest. This means that they will move more like a natural breast. They can be pushed into a different position with a bra, for example, to create the appearance of more cleavage. Textured implants feel slightly more firm, but are no longer used in practice.


Textured Implants

Textured Implants

Most breast implants are made with a silicone outer shell. The surface of this shell that is used in practice is a smooth surface. Smooth shells allow movement, creating a more natural look. Textured shells have fallen out of use. Inside the smooth outer shell, the implants can be filled with either silicone or saline.

At Northwestern, we are constantly testing the implants we use to ensure the safety of our patients. Currently, we are not using traditional textured implants as a preventative safety measure. However, we continue to offer nano-textured implants, which are lightly textured, but still allow for some movement within the breast. While we most commonly utilize smooth implants, we may recommend nano-textured implants to some patients, depending on their preferences.

In addition to their texture, implants come in a variety of base widths, fill volumes, and projection amounts. This means that each implant can be customized to perfectly fit the patient’s needs. The best implant will simply be one that’s carefully selected to match your goals and physical frame.


Silicone Vs. Saline Implants

Implants can be filled with silicone (gel) or saline (saltwater). Silicone is softer and feels more comfortable and natural than saline, and, in general, is less likely to show rippling through the skin. It also has a lower rupture rate than saline. If saline ruptures, your implant will deflate over time and eventually go flat. This is because saline can be reabsorbed by the body. If silicone ruptures, you may not notice at all, or you may experience a change in the way the implant looks or feels, but the volume will stay the same.


Are Silicone Implants Safe?

Are Silicone Implants Safe?

Patients often ask about safety related to silicone implants. In the past, silicone implants were taken off the market due to concern that they were somehow connected to significant health problems. This claim was very intensely researched, and no connection was found between silicone implants and the reported health issues. Despite the many benefits of silicone implants over saline, however, some patients do still choose saline due to their personal worry about their safety. In general, we counsel patients to choose saline if the idea of silicone makes them nervous despite all evidence suggesting they are safe.


Breast Implant Shape

Breast Implant Shape

In general, implants will appear more round and full at the top than a natural breast. Although this is often desirable, it is less natural in appearance. Shaped implants were designed to provide a more natural shape, but the textured shell is no longer used in practice. We do still offer a nano-textured device that can provide more of a teardrop shape to the upper portion of the breast. They are often also filled with a more cohesive gel, so feel more firm, but have less chance of contributing to visible rippling. For most people, the supposed advantage of a more natural shape may not actually provide the desired result. This is best discussed on an individual basis.


Implants Used At Our Practice

Implants Used At Our Practice

In our practice, the most common implants used are smooth round silicone implants. Most of our patients opt for Mentor Gel and Allergan Inspira implants. On an individual basis, we may recommend Motiva or Ideal implants. Smooth round silicone-filled implants optimize comfort, longevity, and natural feel, and create a shape that is most commonly desired. Although smooth round silicone implants often provide the most comfort and longevity, some patients are still interested in choosing a saline device.


Breast Implant Incisions

At our practice, there are several techniques that we can use during breast augmentation. This
can vary with each patient’s case. The different incisions include:

  • Inframammary Incision
  • Transaxillary Incision
  • Periareolar Incision

Inframmamary Incision

Inframmamary Incision

This incision is commonly thought of as the simplest approach and is made below the breast fold. This incision can be a great choice for women who naturally have a fold where their breast sits on the chest wall. This allows for concealment of the incision. However, if this fold does not exist or is not prominent, it can be considered less ideal.


Transaxillary Incision

This incision is made under the arm. A lighted camera (endoscope) is used to help tunnel through the subcutaneous fat to create a pocket behind the breast where the implant will be placed. Although a more technically challenging approach, our office specializes in this technique and we believe it yields equally excellent results. This approach can be appealing for women who would like to conceal the incision in a natural fold underneath their armpit, therefore avoiding scarring on the breast itself.


Periareolar Incision

This incision site is typically the most concealed due to the natural separation and color change that the eye expects to see between the breast and the areola. However, it is associated with a higher likelihood of affecting sensation in the nipple than the other incision options because the periareolar incision involves cutting through the breast tissue.  This incision is more commonly used when breast augmentation is done in conjunction with a breast lift, because the periareolar incision is utilized for breast lift surgery.


Breast Implant Placement

Breast Implant Placement

When it comes to placing impants, there are two options that can be used: Sub-muscular implant placement: Sub-glandular or Sub-fascial implant placement.


Sub-Muscular Implant Placement

Sub-Muscular Implant Placement

The breast implants are placed partially or wholly under the pectoralis major chest muscle. This is our preferred technique for several reasons. One advantage is a more natural appearance to the upper part of the breast, as there is more tissue in between the skin and the implant. This means you are less likely to see the border of the implant or to see rippling. The action of your muscle will help massage the implant and keep the scar tissue capsule soft. The muscle protects the implant from the natural bacteria in your breast to decrease the risk of infection and capsular contracture. This approach also offers easier mammographic imaging of the breast.


Sub-Glandular Implant Placement

Sub-Glandular Implant Placement

The breast implant location is between your chest muscle and your breast tissue (under the gland, above the muscle). It may be less painful than sub-muscular placement and may make your breast implants easier to access if re-operation is necessary. However, implants that are sub-glandular may be easier to see and feel through your skin. This means you may be able to see the border of the implant or see rippling. There is also a slightly higher risk of capsular contraction with this approach.


Breast Augmentation With Breast Lift

Breast implants won’t prevent your breasts from sagging. A breast lift may be needed in addition to breast augmentation to correct sagging breasts. Performing an augmentation along with a breast lift can create a breast that has more upper pole fullness, which is often desired.


Recovery After Breast Augmentation

Recovery After Breast Augmentation

Your surgeon will give you specific guidelines to follow during your recovery based on your personal needs. In general, you can expect to return to your usual routine after a few days, but try to avoid excessive lifting to minimize tension on incision lines.

Feeling tired and mild soreness following breast augmentation surgery is common. Pain medication will be prescribed to help alleviate discomfort. A pain pump, placed at the time of surgery, is also available to deliver local anesthesia to the breasts if desired. It is advised that you remain in a support bra with no underwires for approximately four to six weeks. Breast swelling may take up to five weeks to subside. Scars usually stay firm and pink for at least six weeks and will begin to fade after several months, taking on a flesh tone by 6 to 9 months postoperatively.


Breast Augmentation Risks

Breast Augmentation Risks

Each year thousands of women undergo successful breast augmentation surgery, experience no major problems and are happy with the results. Significant complications from breast augmentation are infrequent. However, make sure you understand what surgery involves, including possible risks, complications and follow-up care. Breast augmentation poses various risks, including:

  • Capsular contracture (a tightening of the scar tissue which can make the breast feel hard and can distort the shape of the breast implant)
  • Changes in nipple and breast sensation (usually temporary)
  • Breast pain
  • Rare implant leakage or rupture

Correcting any of these complications might require additional surgery, either to remove or replace the implants.

Like any major surgery, breast augmentation surgery poses a risk of bleeding, infection and an adverse reaction to anesthesia. It’s also possible to have an allergic reaction to the surgical tape or other materials used during or after the procedure.


Other Considerations For Breast Augmentation Surgery

Other Considerations For Breast Augmentation Surgery

  • Breast implants aren’t guaranteed to last a lifetime. In addition to the possibility of implant rupture or leakage, factors such as aging, weight gain, and/or weight loss may further change the way your breasts look. Any of these issues might lead to additional surgery.
  • Mammograms might be more complicated. If you have breast implants, routine mammograms might require additional, specialized views. However, placing the implant below the muscle allows for easier mammographic imaging as it presses the breast tissue up.
  • Breast implants could hamper breastfeeding. Most women are able to successfully breastfeed after breast augmentation. For others, however, breastfeeding can be a challenge.
  • Insurance might not cover breast implants. Unless it’s medically necessary, such as the need for implant reconstruction after a mastectomy, breast augmentation is not covered by insurance. Be prepared to handle any expenses that accompany breast augmentation, including related surgeries or future imaging tests.
  • Additional surgery may be needed after breast implant removal. If you decide to have your implants removed at a later time in your life, you might need a breast lift or other corrective surgery to help your breasts maintain an aesthetically pleasing appearance.


Breast Augmentation FAQs

Read All FAQs →

How Long Is Breast Augmentation Surgery?

Breast augmentation can be done in a surgical center or hospital outpatient facility. Surgery usually takes one to two hours, and is performed under general anesthesia. You will most likely go home the same day of your surgery

With aging, a woman’s breasts naturally flatten somewhat. More of the mass tends to descend to the bottom of the breasts. If this sagging is extreme, a breast lift with augmentation will be necessary to remove the excess sagging skin. In mild flattening, augmentation with breast implants can return the volume to the upper area of the breasts, without looking unnatural. That is the main goal of augmentation — to add volume and shape to the breasts. At Northwestern Specialists in Plastic Surgery, our sole focus is to satisfy our patients’ goals for their augmentation. We strive for a natural increase in breast size that fits proportionally with your figure but adds shape and volume. Of course, if you would like to add extra volume, we’ll make that happen and help you with decisions such as projection and the like. If you’re concerned about the asymmetry between your breasts, we can address that, although this is best done with a breast lift with augmentation. Finally, if you’ve always wanted a curvier, shapelier figure, augmentation can surely provide that and Dr. Schierle and Dr. Fine will put their board-certified surgical expertise to use helping you realize the figure you’ve always dreamed of.

A breast lift addresses flattening and sagging in the breasts that is a result of pregnancy and breastfeeding, the gain and subsequent loss of a good deal of weight, or simply the passage of time. The goal of these procedures is to return the breasts to a higher position on the chest, removing excess sagging skin and possibly some breast tissue.Breast lifts do not return the volume to the breasts, however. By bringing the breast mass back up from the settling and sagging that has created pendulous breasts with most of the volume in the lower part of the breast, the patient may actually decrease a bra cup size, although the breasts now look much younger and perkier. Augmentation involves the insertion of breast implants to return volume, shape, and sometimes projection to the breasts. Augmentation returns the volume to the upper area of the breasts that have flattened somewhat with age. Some women assume that augmentation can rejuvenate flattened, sagging breasts, but this is not the case. Because lifts don’t add volume, many women come to us for a breast lift with augmentation. This not only removes the sagging skin and reshapes some of the breast tissue, but implants return or add volume. A nice side benefit of adding implants during your breast lift procedure is that it is simple for Dr. Schierle or Dr. Fine to place the implants using the incisions already made for your breast lift. Plus, you’re basically having two procedures with just a single recovery.

For women who have had children and wonder who stole their pre-baby figure, mommy makeovers are our most popular combination of procedures. Our mommy makeovers usually combine a breast lift with augmentation, a tummy tuck, and liposuction. They target all the areas most affected by pregnancy and childbirth. If you’d like to combine augmentation with other procedures such as liposuction that may also be possible. During your consultation, we’ll discuss your goals and possibilities.

Recovery from augmentation surgery is not as difficult as you might assume. For the first few days, you will have some discomfort, but it doesn’t usually require serious pain medication. Many of our augmentation patients say the feeling equates to the feeling a day or two after a very hard upper body workout at the gym. Your chest will likely feel tight, but this is perfectly normal as the tissue needs to stretch and the implants need to settle into place. When you first look at your new breasts, they may appear too high on the chest. But this is also normal, as settling will bring the implants down somewhat. Most patients can return to work in just four or five days. You can begin the non-impact activity in a week or so, but impact exercise needs to wait for at least one month. A good guideline for return to activities is pain. If you have some pain when you do something such as lifting an object, then you need to stop and come back to it in a few days or a week.

Breast implants, whether saline or silicone, provide the most predictable results for augmentation. We know the size and characteristics of all FDA-approved implants.The breasts can be augmented with the patient’s own fat, as well. Fat is harvested from an unwanted area such as the lower abdomen, purified, and is then injected into the breasts. Fat cells that acquire a blood supply will permanently “take.” Other fat doesn’t take, however, and is absorbed by the body. That makes the results of fat grafting for augmentation somewhat inconsistent.

Contact Us Today!

Northwestern Specialists
in Plastic Surgery

676 N St Clair Street, Suite 1575
Chicago, IL 60611

Monday-Friday: 8a-5p
Saturday & Sunday: Closed

Northwestern Med Spa Streeterville

676 N St Clair Street, Suite 1575
Chicago, IL 60611

Monday: 8a-6p
Tuesday-Thursday: 8a-7p
Friday: 9a-5p
Saturday: 9a-2p
Sunday: Closed

Northwestern Med Spa River North

3 E Huron Street, 3rd Floor
Chicago, IL 60611

Monday-Thursday: 10a-7p
Friday: 9a-5p
Saturday: 9a-2p
Sunday: Closed

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