Dr. Wilder's Philosophy on Breast Procedures
As far as breast augmentations, Dr. Wilder says if he could have his preference, no one would even know his patients have had surgery. They would just look like they have a great figure, but look “in proportion”.
Dr. Wilder also believes “less is more”. What he means by this is if he can do less surgery for a patient and the patient be happy, it is a win! He educates them on their options. For example, if a patient could do a mastopexy (breast lift) alone and lift their own tissue without adding volume (augmentation) he gives them that option. Even though that is less surgery now and in the future for him, he is thinking what is best for the patient.
Breast Procedure FAQ
How do I know what incision is right for me?
Unless you are having a breast lift at the time of your implant placement, Dr. Wilder usually recommends an incision hidden in the crease under your breast. This incision allows the most direct access to the implant space, avoids scars on the breast itself, allows for revisions in the future, and is visible only to someone with whom you are intimate.
How do I choose the size of implant?
Dr. Wilder chooses implant sizes and styles based on a patient’s preoperative appearance combined with “wish” photographs of what the patient would like to look like after the surgery. This is done by looking at the before -and-after gallery of photos and finding women who have a similar appearance to the patient in the “before” picture and selecting one that most closely resembles what they would like to see as their own “after” picture. Trying implants on in a bra for size may come close, but it doesn’t give you any idea of what your breasts will actually look like with those implants inside of you.
What is the difference between silicone and saline breast implants?
All implants currently are made entirely of silicone. The saline implants are an empty shell of silicone rubber that are filled with saline (salt water) during the actual operation. The silicone gel implants have a similar silicone rubber shell, but are pre-filled at the factory with additional silicone in the form of a gel designed to approximate the feel of normal breasts. The gel-filled implants therefore have a more natural feel which is especially noticeable in thinner patients.
How long do I have to wait until I can exercise again?
While you can go for walks and use your arms immediately after surgery, Dr. Wilder recommends avoiding any exercise that elevates your heart rate, causes you to sweat, or involves lifting more than 10 pounds for three weeks following surgery.