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 you decide the size you want your breasts to be surgery or the type of breast implants you desire, you still have to find a highly qualified and experienced plastic surgeon. As an award-winning renowned breast augmentation Los Angeles surgeon, Dr. Neavin understands how to craft results 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 breast augmentation 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 surgical procedure.
Ideal Breast Augmentation Candidates
Dr. Neavin recommends a breast augmentation 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 can occur and lack symmetry or appear disproportionate to the rest of body.
Dr. Neavin will guide you through your implant choices, incision techniques and implant placements. With a physical examination and measurements of your 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 breast augmentation procedure.
Choosing Between Saline and Silicone Implants
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. The material you choose 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.
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.
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.
Breast enlargement procedures requires precise measurements to achieve a desired result. That’s why choosing Dr. Neavin as your surgeon will provide you the best breast augmentation results in Los Angeles.
Choosing Between Round vs Tear Drop Breast Implants
The most appropriate shape of your implants often depends on the size and shape of your natural breasts. Women who are flat-chested will benefit from teardrop implants 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 implant less desirable for breast augmentation. 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 augmentation 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.
Breast Augmentation Incision Techniques
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 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 breast augmentation patients find themselves stuck on deciding the right shape and texture.
There are several ways to insert implants, and the method chosen quite often has to do with one’s anatomy as well as surgeon preference for breast augmentation procedures. The transumbilical approach, or TUBA, requires that a surgeon place the 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.
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 come “empty” and are filled once inside the body during surgery, unlike their silicone cousins which come filled with silicone.
Breast Fold (Inframammary Incision): Dr. Neavin prefers this incision for most 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 of the breast. 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.
TUBA , TRANS-AXILLARY, IMF (inframammary fold), PERI-AREOLAR
Scars from Breast Augmentation Surgery
Although these techniques are beneficial in some circumstances — mostly for the purpose of hiding surgery scars — 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 on the breasts. If performed diligently, the incisions are equally inconspicuous on the breast. They also provide direct access to the implant pocket, giving Dr. Neavin more control over the 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.
Capsular Contracture in Implants
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.
ABOVE: GRADE 4 CAPSULAR CONTRACTURE
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.
Risks & Complications of Breast Enlargement Surgery
Other risk factors include the type of implant, the placement of the implant, and the incision used. Silicone may have a slightly higher capsular contracture rate than saline – at least the older generation silicone products, might. While the differences in cases between saline and silicone are small, it is not zero. Of either saline or silicone, smooth implants have a higher case rate that textured ones. Surrounding tissues will adhere to the textured implants but not a smooth implant. This may offer more protection from bacterial growth or bio-film development. That is, textured implants have a lower case rate than smooth implants.
Fortunately, infections after surgery are rare events. If they do occur, most are treated with antibiotics and resolve. In cases where the implant itself becomes infected, additional surgery is required and the breast implant may need to be removed from the breasts. After waiting at least 3 months, the implant generally can be replaced.
Bottoming Out: Bottoming out refers to a descent of the 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.
Visit Us at our Los Angeles Office for a Complimentary Consultation
Dr. Neavin’s goal is to offer patients the best breast augmentation Los Angeles has to offer. 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.
“I am so happy to find Dr. Neavin after moving to Los Angeles, he is AMAZING!!! He is a true artist and a very skilled Plastic Surgeon! I went with gummy bear breast implants and I had my breast augmentation done with Dr. Neavin. I am very happy with my new breasts and I am extremely pleased with my breast augmentation results and continue to go to him and send ALL of my friends and family! He is extremely kind, takes his time with patients and is very honest! In my opinion, he is the best plastic surgeon!!!!”