plastic surgery Chicago, IL (breast augmentation and tummy tuck specialist)

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Cosmetic & Plastic Surgeon Chicago IL
Dr. Anh-Tuan Truong Cosmetic Surgeon Chicago

Chicago Cosmetic Surgeon

Dr. Anh-Tuan Truong | Breast & Body Specialist | M.D. | F.A.C.S. | F.A.A.C.S.

Patients from all over the country come to renowned Chicago breast and body specialist,  Dr. Anh-Tuan Truong.

He is certified by the American Board of Surgery and the American Board of Cosmetic Surgery. He completed his surgery residency at the University of Illinois in Chicago.

Dr. Truong is known as the "breast and body specialist" because of his expertise in breast augmentation, tummy tucks, and full body liposculpting.

He employs the latest technologies in aesthetic surgery including Mentor Memory Gel implants, Cynosure SmartLipo, Cellulaze, and Precision Laser-Assisted Body Sculpting. He is one of the few triple fellowship-trained Cosmetic Surgeons in Chicago. Dr. Truong is a Fellow of the American College of Surgeons and a Fellow of the American Academy of Cosmetic Surgery.  |  MEET DR. TRUONG >>

Dr. Truong changed my world!  I went to Dr. Truong for a tummy tuck, got 2 other opinions and felt Dr. Truong was the right Doctor and office. The change in looking in the mirror is awesome - I am very happy with my decision and the outcome. The staff and the Doctor are really wonderful. If you are thinking of surgery - go see DR TRUONG!!

Berniece, Review from Vitals

I want to give praise to Dr. Truong and his staff for changing my life and the way I feel about myself. I had wanted a tummy tuck for 11 years and never thought my tummy would be as beautiful as it is today, and that being said, in only a month from the surgery. I strongly and highly recommend Dr. Truong and staff for any procedure that is needed or wanted.

Jan. 11th, Review from Vitals



Breast Augmentation Chicago – The Basics You Should Know

What is Breast Augmentation?

Breast Augmentation, or augmentation mammoplasty, is a procedure in which implants are placed in order to change the size and shape of the breasts. “Augmentation” is a term used in plastic surgery Chicago that means to change or enhance an existing body part. In some cases, however, breast augmentation can also be considered a “restorative” procedure in which breasts that have lost volume or shape due to weight changes, pregnancy, or other causes are restored to a more youthful state. Other, more unscientific terms used are “breast enhancement,” “breast implants,” and “breast enlargement” which essentially describe the same procedure.

The decision to undergo breast augmentation and the surgeon you choose are very important, but the decisions don’t stop there.   There are many other factors to consider and choices to make regarding this surgery.  During your consultation, your surgeon should discuss these options with you and fully educate you on every option so that you can make the decisions that are right for you. Make sure you are fully aware of the following:

Anesthesia is the first step when undergoing breast augmentation

Step 1 – Anesthesia

Breast augmentation is typically done under general anesthesia with an anesthesiologist who will put you completely asleep, using a temporary breathing tube.  Very rarely are breast augmentations done under local or tumescent anesthesia with sedation.  Not every surgeon has privileges at a facility accredited for general anesthesia so be sure to ask if this is the case with the surgeon you are thinking of using.   Medication is administered for your comfort before, during, and after your surgery.  In healthy patients with no significant medical history, the risks of general anesthesia are very low and complications from anesthesia are rare.

Step 2 – The Location of Incision

Incisions are made in inconspicuous locations to lessen noticeable scarring.   You and your surgeon will go over which incision location options are available for your individual anatomy and desired result. Incision alternatives consist of:

  • Inframammary incision.  This incision is ideal for most patients with a well-defined inframammary fold and those who do not want a scar around the areola or nipple.  It generally heals very well and is hidden in the fold underneath the breast.  It can be used easily for silicone implants and can be used repeatedly for future replacements or revisions.
  • Transaxillary incision.  This is ideal for patients who don’t want any scars on or around the breast.  The incision may be visible when in a swimsuit or sleeveless dress but only when you raise your arm.  It is more difficult to place silicone implants through this incision and also difficult to perform revisions since it offers less direct vision of the pocket.  Some surgeons use a camera or endoscope to perform this approach.
  • Periareolar incision.  This is also known as the nipple incision and is placed from 3 o’clock to 9 o’clock around the areola.  It generally heals very well and can be used to place silicone or saline implants, and can be used for revisions easily as well.  Because of the placement on the border of the areola, these incisions are barely visible once healed.  There is a slightly higher risk of nipple numbness and a slight increase of incidence of infection with the nipple incision, since the milk ducts do contain a small amount of bacteria.
This picture shows the three different Chicago breast Augmentation incision locations: The Periareolar, Inframammary, and Transaxillary

Not depicted here is the trans-umbilical or belly button incision, which is only done by a few surgeons and can only be done using saline implants.

Incisions differ based on the kind of implant, degree of enlargement desired, your pre-existing anatomy, and patient-surgeon preference. Each incision has advantages and disadvantages, so be sure to discuss all of these options with your surgeon.

picture of saline & silicone breast implants

The FDA currently approves saline implants for augmentation in women 18 years of age and older.

The FDA currently approves silicone implants for augmentation in women 22 years of age and older.

Be sure to discuss the pros and cons of each implant type with your surgeon to determine the right type for you.

Step 3 – Implant selection: Silicone breast implants or saline breast implants?

Saline implants are essentially made of a silicone “shell” that has a valve much like a balloon through which sterile saline or salt solution is injected after the implant is in place.  They can be filled with different quantities of saline which can impact the shape, suppleness and feel of the breast.   If the implant happens to leak, which is rare, the saline will be harmlessly absorbed by the body since it is essentially the same composition as the water in your body.   If this happens, the implant can be replaced immediately.

Silicone or “gel” implants  are made of the same silicone “shell” but are pre-filled with a silicone gel solution which is an elastic semi-solid material.  Silicone gel implants do not have a valve and cannot be adjusted.  Silicone gel implants are more pliable and feel more like natural breast tissue compared to saline implants.  A leaking silicone implant may not collapse. Because the gel is a solid, it will generally stay confined inside the shell and does not “flow” out like a liquid.  You should see your cosmetic surgeon regularly to ensure the implants remain intact. An ultrasound or MRI screening can examine the condition of implants breast augmentation and the time frame of such check-ups may vary.

Implants not only come in different sizes, but also can have different shapes such as "round" or "tear-drop" and can have different “profiles.” The profile of the implant determines its height or projection relative to its width. Your surgeon can recommend the best shape and profile for you based on your anatomy and your measurements.

Implant suppliers or inventors occasionally introduce brand-new designs and types of implants, so there may be extra options available, so be sure to ask your surgeon if this is the case.

Step 4 – Placement of the Breast Implant and Pocket Type

After the incison is made, a “pocket” is created beneath the breast in order to place the implant. This pocket can be created either in the submuscular plane (behind the pectoralis muscle), or in the subglandular plane (above the muscle, but directly beneath the breast tissue), or in a “dual plane” in which the upper part of the implant is partially covered by the muscle and the lower part is subglandular.

In general, submuscular or dual-plane placement is preferred due to increased tissue coverage of the implant.  In this method, approximately 10% of the pectoralis muscle is cut or “released” at its inferior and medial attachment to the sternum in order to make room for the implant.  There may be mild movement of the implant when flexing the chest muscles, but this is generally not bothersome to most patients.  Most patients also do not notice a significant change in strength of the muscle.

In some cases the subglandular placement is preferred, such as when there is mild ptosis and no lift is being done, or in body-builders and males who have thick pectoralis muscles or need full function of these muscles.

picture of saline & silicone breast implants

Make sure you discuss this very important aspect of the implant placement with your surgeon as each surgeon may have a different preference or insight.

Step 5 – Size of the Implant

Once the type of implant, incision, and placement of the implant is decided, the size of the implant needs to be determined.  This should be done using measurements of the chest and breast(s) as well as sizers or simulators to approximate the final result.  Keep in mind that your surgeon should help you realize your aesthetic goal, but there are limitations on the size of implants that can be placed, especially if your breasts are very small and your skin is very tight.  Your surgeon will help guide you in making a good aesthetic decision to achieve your desired look, while not exceeding the safe range in terms of your pre-existing anatomy.

Step 6 – Set Your Date & Prepare for Breast Augmentation Recovery

Remember that although it is a cosmetic and elective procedure, it is still a surgical procedure so you must plan accordingly.  When choosing your date, make sure to allow plenty of time for recovery as well as time for the breasts to settle into their final result.  A good rule of thumb is to plan your schedule around your surgery and not the other way around.  

Because it is a surgical procedure, there is always the possibility of an unpredictable healing process or complications that are unforeseen, so be prepared for additional healing time if necessary.  If you have significant medical history or have certain risk factors, you may need to do some pre-operative tests such as an EKG or a mammogram prior to your surgery.

Overall, breast augmentation is a very safe procedure for most with a very high satisfaction rate.  You will increase your chances of being satisfied with your result if you take the time to educate yourself on what to expect and the options you have.  A good surgeon will guide you through the decision-making process and make sure you are fully educated in your decisions.

Best of luck on your journey! For more information on breast augmentation and how you can get a complimentary consultation to see what options are right for you, please go here

Chicago IL Breast Augmentation Before and after picture
Breast Augmentation Chicago IL Before and after Picture

Want to be fully educated with the medical terms for this procedure? Visit the following link for the run down:

time to set the dat for your plastic surgery

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