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Breast Augmentation

Breast augmentation in Louisville, Kentucky. Information on breast implants, incision site, implant placement, warranty, results and more.

Breast Augmentation can enhance one's appearance and help build self-confidence and self esteem. Dr. Wermeling offers women a number of options to achieve their goals for breast augmentation.

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  • A woman who has small breasts due to lack of development.
  • A woman who is looking for improvement in her figure and is bothered by the feeling that her breasts are too small or she does not fill out bathing suits and other clothing adequately.
  • A woman who seeks to restore the size and shape of her breasts, which has been lost due to pregnancy, weight loss or aging changes.
  • A woman with a congenital condition (Poland's Syndrome) in which one breast fails to develop and is much smaller than the other. Occasionally insurance companies may cover reconstruction for this procedure.
  • A woman with a small, narrow base of the breast with elongation of the projection, usually with an enlarged nipple areolar complex, called a tubular breast.

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Breast Augmentation Before and After Gallery


Breast Augmentation can enhance your appearance and help build your self-confidence and self esteem by giving you more aesthetically pleasing breasts that are larger, but still in proportion to her body.


Each individual breast augmentation patient deserves the choice of implant filling that is perfect for her. The FDA has approved Allergan's Silicone-Filled Breast Implants and Mentor's MemoryGel® Breast Implants as well as Saline-Filled Implants for breast augmentation and reconstruction surgery. Now women, like you, have more options than ever to ensure that you get your choice of either saline or gel filled implants. .

Additional information about breast implants is available at


  • Your breast augmentation will be done in the safety of an accredited outpatient surgical facility or hospital under general anesthesia or local anesthesia with sedation.

  • The procedure is done through a small incision that is hidden at the edge of the areola or the fold beneath the breast.

  • After the incision is made, a pocket is created either under the breast tissue or under the pectoralis muscle. This pocket is made just large enough to accommodate the implant.

  • The implant is then positioned to give the best cosmetic result.

  • Saline filled silicone breast implants (prostheses) and Silicone gel filled implants are both FDA approved.


  • Immediately after your procedure, you will have dressings applied to the incision sites and be placed in a bra for support. Sometimes an elastic garment that wraps around the top of your breast is used over your bra so as to contour the implant position and stretch the tissues.

  • Immediately after surgery, the enlarged breasts will also appear somewhat swollen and firmer. The final size will be more apparent in several weeks. The final shape and softness may take up to 3 months to evolve.

  • You will be able to shower the day following the surgery.

  • Initial discomfort is easily controlled by oral medications.

  • Activities requiring raising the arm above the level of the upper chest should be avoided for 10 days after surgery. Clothes that button in the front are better that those that pull over your head. With great care, you can drive in about 7 days after surgery. Patients can usually return to work in 3 to 4 days unless your occupation requires particularly strenuous movements and/or lifting.


Lifting the breast and nipple arealor complex plus enlargement may be the goal of some women whose breasts have sagged due to pregnancy or weight changes. Some women will get enough of a lift with breast augmentation alone, while other will want the nipple repositioned and the breast mound more defined with both augmentation and lifting.

When the natural breast has experienced a large amount of sag with the level of the nipple near or below the fold beneath the breast, they may choose to have a breast augmentation with a lift. This procedure is called a breast augmentation with mastopexy (breast lift).

NOTE: The specific risks and the suitability of this procedure for you may be determined only at the time of consultation. All surgical procedures have some degree of risk. All of this web site content, and any email responses to your inquiries are strictly for general informational and educational purposes. It is not medical advice and should not be taken as medical advice. It should not be used to diagnose or treat a health problem or disease. It is not meant to be a substitute for professional medical care.

Today's Silicone Gel-Filled Breast Implants — An Approved Option of Breast Implant Surgery

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