It can be a daunting task to find a plastic surgeon who can meet your precise expectations and goals for your breast augmentation. After all, plastic surgery makes huge changes to your body. Even after deciding on your size and the type of implant; you still have to find a highly qualified and experienced plastic surgeon.
As an award-winning renowned plastic surgeon in Beverly Hills, Dr. Tim Neavin understands how to craft results and you are sure to receive the best breast augmentation Los Angeles can offer that are personalized for the contours of your body and shape.
There are multiple factors to consider when deciding exactly how you would like your results to look or feel, but as one of the top plastic surgeons in Los Angeles, California, Dr. Neavin can help you feel confident about the aesthetics you choose and guide you toward understanding your options for your procedure.
What is a Breast Augmentation?
A breast augmentation is a surgical procedure that has a goal of increasing the size or perkiness of breasts. This is done either through a fat-transfer or by placing breast implants under the best muscles or breast tissue.
Who are ideal breast augmentation candidates?
Dr. Neavin recommends this procedure for women who lack additional fullness and size in their chest. However, many women who already have reasonable volume desire to increase their cup size or “perkiness”. Whether due to natural aging, genetics, pregnancy or weight loss, sagging of the breasts can occur and lack symmetry or appear disproportionate to the rest of body and thus a breast augmentation can solve this issue.
During your consultation, Dr. Neavin will guide you through your implant choices, the different incision techniques and placement of the implants. With a physical examination and measurements of your current bust, he can suggest a cup size that will look natural while enhancing your appearance.
To gain a better understanding of your ideal outcome and to get the best results, Dr. Neavin may ask you to come to your consultation with photographs of breasts that you like as well as ones that you don’t. The comparison will help Dr. Neavin narrow down the aesthetics you desire and determine the best approach for your surgery.
About the Procedure
If you’re ready to go with your breast augmentation then you’ve probably done some research and you may have chosen your ideal cup size, but what you may not readily consider is which implant will create the perfect look for your form. Choosing between saline or silicone for your procedure will often dictate the shape, texture and consistency of your look, which will further enhance your body.
The shape will influence projection and cleavage for your procedure. That is, size is only one important consideration when it comes to customizing your end look. Saline, silicone, and gummy bear breast implants are all capable of adding volume, but they each have their own unique advantages and disadvantages that are important to examine before you make your final decision.
A saline implant is filled with a sterile saltwater solution that adds fullness. While not popular for the majority of breast enlargement procedures, they are still an option depending on the patient’s desires. In most cases, they do not offer as natural of a look as other implant options that are available. Dr. Neavin will explain all options during your consultation; however, he recommends Silicone (or Gummy Bear) implants if you desire a more natural aesthetic.
Silicone and Gummy Bear Implants
Silicone implants are composed of a thick gel that takes the form of the natural breast; gummy bear implants™ are an offshoot of silicone, which have even greater cohesive qualities.
In some other areas of the world, such as Dubai and many places in Europe, the most common implants used for breast augmentation are textured. But whatever you choose, your anatomy and aesthetic desires must be considered and integrated into the plan properly.
- Smooth implants will drop more readily and are less likely to ripple.
- Textured implants integrate better with the natural tissue and have a lower chance of developing capsular contracture – but tend to ripple more.
This particular procedure requires precise measurements to achieve the desired result. This is why many have chosen Dr. Neavin has he pays extreme attention to detail to provide the best breast augmentation results.
Choosing between Round or Tear Drop Implants
The most appropriate shape of your choice often depends on the size and shape of your natural breasts. Women who are flat-chested will benefit from teardrop or anatomical implants due to the additional contour lift the implant can create on the chest.
Teardrop implants, however, risk developing deformity if they rotate, which may require surgical correction. If a round implant rotates, the alteration will not be noticeable. For this reason, teardrop implants are textured. However, the risk of rotation makes this particular option less desirable. Moreover, the anatomical ones cost more money. Most of the time, patients want to keep cost of surgery lower. Discussions about shaped implant and their risks must be addressed in detail.
By understanding specifically what you want and what will suit your body, Dr. Neavin can recommend the most ideal technique for your breast augmentation procedure. Although he uses all methods for the purpose of fulfilling your individual goals, Dr. Neavin prefers to perform his breast incisions either underneath the breast fold or around the areola since these approaches provide the most direct dissection to the pocket yielding the most precise implant placement.
How to Choose the Right Implant Size
Most women who review breast augmentation options with their plastic surgeon end up saying, “I want to be a full C”. But does anyone really know what that means? The truth is, there is not standard measurement for cup size. Thus, cup sizes can never be predicted. For instance, a C bra at Victoria’s Secret may be a different size at another store. The best way to convey size is by showing photos of desired breast sizes. The second way is to “try on” implants in the office with a sports bra and a t-shirt.
What Incision Options are Best?
The implant can be placed above or below the pectoral muscle, in a standard or dual plane approach. Dr. Neavin’s incision approach to insert your breast implants will vary and might be located underneath the breast, in the armpit or around the areola. While incisions can be placed through the belly button, termed a TUBA (transumbilical augmentation), this approach is reserved for saline implants only. Depending on the candidate, many patients find themselves stuck on deciding the right shape and texture.
There are several ways to insert breast implants, and the method chosen quite often has to do with one’s anatomy as well as surgeon preference for breast augmentation procedures.
TUBA: The transumbilical approach, or TUBA, requires that a surgeon place the breast implant through the belly button, which means that the implant must travel from the abdomen to the chest.
The TUBA technique is therefore performed blindly. There is little reference to how the implant travels under the skin. But, because the scar is hidden along the abdomen, the approach is desirable to some patients. With a blind insertion, however, the pocket for the implant can be imprecise. This may increase the chances of implant malposition.
Transaxillary: The same is true for the transaxillary incision method, which involves an incision in the underarm. Implantation is, at times, unpredictable due to blind or poorly visualized pocket dissection. It’s possible only for saline to be placed with TUBA approaches. With transaxillary methods, generally only small silicone implants can be placed, as well as all sizes of saline implants. This is because saline implants come “empty” and are filled once inside the body during surgery, unlike their silicone cousins which come filled with silicone.
Inframammary Incision: Dr. Neavin prefers this incision for most breast procedures. He places the incision just a few millimeters above the breast fold. The incision at this location will results in the scar just above the fold, on the under-surface. This will allow women to wear virtually any type of bikini without exposing the scar. The incision in this area generally heals very well. It is well hidden. Revisions in this area are made easily. However, it is rare that a patient desires a scar revision from the inframammary (IMF) incision.
Periareolar Incision: The periareolar incision refers to the incision that extends from 4 to 8 o’clock along the border of the areola. The incision is placed where the dark skin meets the light skin. In women with dark skin, this incision may yield a dark raised scar. There are few advantages to this incision. The main one is that it provides no additional scars if combined with other procedures.
Is it possible to hide the breast augmentation scars?
Although these techniques are beneficial in some circumstances — mostly for the purpose of hiding breast augmentation scars from surgery — Dr. Neavin prioritizes creating symmetry between the breasts and forming the most attractive shape. That’s not to say that fold and periareolar incisions leave large, visible scars. If performed diligently, the incisions are equally inconspicuous. They also provide direct access to the implant pocket, giving Dr. Neavin more control during the breast augmentation procedure. There is much to learn about breast augmentation, and the best way to fully understand the procedure is to schedule a consultation at Artisan of Beauty. Call 310‑858‑8811 or text 323-975-1287 to begin your journey.
What are some potential risks of breast augmentation surgery?
Capsular contracture is a condition in which the tissues around the breast implant become hard. When this happens, the implant can become distorted and the tissue around it, painful. In some cases the pain or deformity is so bad that surgery is required to remove the capsule and or implant. Fortunately, the rate of this occurring when undergoing breast augmentation surgery is low and there are ways for you and the surgeon to reduce this risk. There are many theories as to why capsular contracture develops after breast augmentation surgery.
The most common etiology is probably bacteria. One of the leading thoughts is that some bacteria from surgery contaminate the breast implants. The body responds with inflammation in the region that is contaminated. Inflammation can lead to a more aggressive scar response within the breast pocket. For this reason, meticulous care for sterility is the rule when operating. Antibiotics certainly reduce this risk but cannot eliminate it. Even under the most meticulous circumstances bacteria can contaminate the breast implants.
Fortunately, infections after breast surgery are rare events. If they do occur, most are treated with antibiotics and resolve. In cases where the breast implant itself becomes infected, additional surgery is required and the breast implant may need to be removed.
Schedule Your Complimentary Consultation
If you are interested in discussing your options for a breast augmentation procedure, please don’t hesitate to contact Artisan of Beauty© at: 310-858-8811.
Breast Augmentation FAQ
What is the average cost of breast augmentation?
The range is generally $5,000 dollars to $8,500 for standard saline or silicone breast implants. This range should include the surgeon’s fee, anesthesiologist, breast implants, and all operating room expenses. If a price is advertised for below $5,000 you will want to know why. Is the surgeon a plastic surgeon or a cosmetic surgeon? The difference between the two specialties is something you will want to understand. Any revision breast surgery adds time, liability, and cost to the procedure.
What is the downtime from surgery?
Breast augmentation surgery is performed on an outpatient basis, which means you will go home the same day. General anesthesia is usually the anesthetic of choice, so you will need someone to stay with you overnight after your procedure. The next day, you are generally seen in the office to make sure there are no bleeding problems or acute infections. Everyone has a different pain threshold, but it is the rare occasion where oral narcotics can’t control pain. Some women feel very little pain at all, while others say they feel sore. Soreness generally lasts less than three days. While strenuous activity should be avoided for the first week, you could and should be walking right from recovery.
What is the best implant?
The topic of breast augmentation can be extensive. There are many different types of breast implants on the market today. Choosing to have breast augmentation can be a daunting experience if you spend the time to do your research – and you should. There are silicone breast implants and there are saline (salt-water-filled) breast implants. Today’s silicone breast implants are mostly form stable, meaning that they generally don’t leak from a compromised implant shell.
What does “Bottoming Out” mean?
Bottoming out refers to a descent of the breast implants below their normal position. The breast implant should sit directly behind the nipple. The implant usually starts off too high after surgery. Over time, the implant drops to a position that is ideal. The breast fold generally supports the implant. In some cases the implant drops below the fold and creates a new, lower fold. Bottoming out is often seen in very large implants that are not supported after surgery. Early stages of bottoming out can be corrected with certain bras. Advanced cases must be corrected with surgery. Surgery entails the creation of a new fold.
Are there any non-surgical options available?
Yes. There are no magic pills, but there is an external device called the BRAVA system. This is a pump that works externally to expand breasts with the use of suction. However, one must wear the device for 10 to 12 hours a day for weeks to months to see a difference. The long term effectiveness of this device is not clear. There has been a recent surge in interest over this device as it may help prepare the breasts for fat grafting.
Fat grafting is an alternative to breast implants. Fat can be harvested from an unwanted area of the body such as the abdomen or hips and then injected into the breasts. While this sounds like an effective solution, the idea isn’t without limitations. First, the patient needs adequate fat. Many thin women simply don’t have enough fat in their body for this procedure to be a real alternative. Several hundred ccs of fat are required to see a sizable difference in the breast.
In addition, not all fat cells that are grafted will survive. Perhaps up to 50 or 60 percent of fat that is injected will die. This means that one needs to over-correct in order to end up with the desired outcome. Sometimes more than one fat grafting procedure is necessary to obtain desired results. More operations means more time and money. Fat grafting is best utilized for touch ups from the unwanted effects of implant wrinkling or rippling.
What is the best placement of the implant?
The advantage of placing a breast implant under the muscle is that it provides more padding. This in turn reduces the chance of implant visibility (in the form of rippling). The other advantage is that implants placed under the muscle have a lower incidence of forming capsular contractures. Then why would anyone place a breast implant OVER the muscle?
An implant can be placed over the muscle to eliminate animation deformities. Animation deformities refer to implant movement from actions of the pectorals major muscle contracting. This is mainly a problem in women who do a lot of upper body exercise. However, with sub pectoral placement (under the muscle), it is rare to see significant implant movement with regular activities if at all.
Placing the implant OVER the muscle has some advantages, too. It *may* lift the nipple a bit more. One way this advantage can be be achieved is by still placing the implant below the muscle through a “dual plane” approach. Here, the plastic surgeon will elevate the breast off the muscle but still place the implant below the muscle.
One last thing to consider is mammography. Breast implants placed over the muscle in a subglandular position may make it more difficult for radiologists to see 100% of the breast. Some claim that up to 10% of the breast isn’t visualized with a subglandular breast augmentation.
These are just some of the things to consider. Other things you want to review with your doctor are risks, benefits, and alternatives.
How do you prevent capsular contracture?
Sometimes you can’t. Bacterial contamination, blood from surgery, and genetics are not under your control. However, daily massaging and regular follow ups with your plastic surgeon will help reduce this risk. Every plastic surgeon has their own massaging protocol but the ideas among them share a common goal; massage your implants to break up and soften the capsule.
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