Saber Plastic Surgery

Breast Augmentation

Breast Augmentation

Breast augmentation, or augmentation mammoplasty, increases the fullness and projection of breasts with the placement of silicone or saline implants. In some instances, an augmentation can also be achieved with fat harvested from another region of the patient’s body through liposuction and transferred to the breasts.

The decision to proceed with breast augmentation surgery is a deeply personal one, and the reasons vary significantly from person to person. Whether you are looking for a fuller breast size and shape that is balanced with the rest of your body, you desire to fill out your garments with more feminine curves, you would like to restore some of the volume lost after pregnancy and nursing, or you are seeking breast reconstruction following a surgery or trauma, Dr. Sepideh Saber can provide you with the confidence-boosting enhancement that has made breast augmentation one of the most popular of all plastic surgeries.

Benefits of Breast Augmentation

Although the primary goal of a breast augmentation is to achieve a natural-appearing fullness and projection of the breasts, there are many more benefits to this procedure:

  • Achievement of a harmonious balance of proportions between the breasts and the rest of the body
  • Improvement of symmetry between breasts that were previously asymmetric in terms of size and/or shape
  • Restoration of age-related, pregnancy-related, or weight loss-related deflation of the breasts
  • Reconstruction of the breasts after prior surgery such as mastectomy, trauma, or to address birth defects.
  • Assistance in gender-affirming care
  • Achieving beautiful fullness and cleavage and a better fit for clothing
  • Boost in self-confidence

Types of Incisions

The approach to a breast augmentation surgery may differ depending on the type and size of the implant used, the location of the breast implant pocket, prior scars that may be present, and preference of the patient and surgeon. Dr. Saber typically uses one of two different types of incisions:

  • Inframammary, i.e., along the lower fold of the breast. This incision is typically well hidden in the lower breast crease and allows for accurate placement of implants of any size and shape. The incision may become visible when lifting the breasts or raising the arms in smaller swimsuits or lingerie.
  • Periareolar, i.e., around the areola. This incision is typically well camouflaged as it is strategically placed along the border of the areola. It allows for placement of saline or silicone implants although it may make the placement of larger silicone implants more challenging. There is also a slightly higher risk of capsular contracture with this technique.

Breast Augmentation with Placement of Implants

Many factors weigh in a patient’s decision to choose a silicone gel implant or saline implant. Each type of implant comes in various sizes and shapes. After a thorough discussion and a physical exam that includes the taking of precise measurements, Dr. Saber will take into consideration each patient’s anatomy as well as cosmetic goals and desires to fashion a customized treatment plan which will accommodate the patient’s unique needs.

  • Silicone implants: These are the most widely used choice; most people agree silicone feels extremely similar to natural breast tissue when compared to saline, though this is largely a matter of personal preference. A silicone breast implant includes a shell and a gel filling that are both made from silicone. Dr. Saber uses form-stable silicone gel implants that retain their shape and do not collapse in the rare case of damage to the implant shell.
  • Saline implants: A saline breast implant is essentially a silicone shell that is filled with sterile saltwater. In the rare case of damage to the shell, the implant will collapse as the leaking saline solution is easily absorbed and discarded by the body.

A detailed discussion with Dr. Saber will help you choose the implant type, size, and shape most suitable for your aesthetic goals. During your consultation with Dr. Saber, she will also discuss with you the two different possible locations in which your implants can be placed within the breasts. These are:

  • Submuscular implant placement: This involves the placement of the breast implant beneath the pectoralis muscle of your chest. Depending on the implant size, the implant will be either partially or completely covered by the pectoralis muscle. This location is advantageous when there is not sufficient breast tissue to cover the contours of the breast implant. It also provides a decreased risk of capsular contracture and allows for more ease in mammogram readings. This technique is less preferred in very athletic and muscular patients in which the implant may become temporarily distorted during strenuous physical exercise. The recovery may also be more painful during the first few days after surgery.
  • Subglandular implant placement: This technique involves the placement of the implant on top of the pectoralis muscle of the chest but below the glandular portion of the breast. While the recovery may be easier in the first few days after surgery, this is not a good option for patients with small natural breasts desiring to place a moderately sized implant as the contours of the implant may be either visible or palpable to touch or both. This method may also lead to drooping of the natural breasts over time. It is a good option for a patient with a sufficient amount of natural breast tissue who is seeking a subtle to moderate-sized breast augmentation.

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Breast Augmentation with Fat Transfer to the Breasts

Stubborn and unwanted areas of fat on other areas of the patient’s body can be harvested through liposuction. The patient’s own fat is then transferred to the breasts for a subtle enhancement and a natural feeling result. This approach is best for patients who want a less sizable augmentation and are not interested in implants.

Is Breast Augmentation Right for You?

As with any type of plastic surgery, patients should be in good health and have a realistic understanding of what breast augmentation can achieve for them. Dr. Saber will communicate frankly with patients so that they have a full understanding of both the risks and benefits of a procedure and can make a truly informed decision.

The Breast Augmentation Process

Consultation

At your first meeting, Dr. Saber and you will discuss your goals as well as review your medical history. She will take into consideration your current anatomy and your cosmetic desires in order to map out a customized treatment plan for your aesthetic needs.

The Procedure

A breast augmentation procedure is done on an outpatient basis. It typically requires general anesthesia provided by a board-certified anesthesiologist on Dr. Saber’s team.  Dr. Saber will make a strategic incision in the location previously discussed at your consultation. Under the most sterile conditions and after irrigation of the breast pocket with betadine and antibiotic solution, the appropriate implant will then be placed with the use of a recently developed device called a Keller Funnel in the pocket carefully created to fit its size and shape. The use of thorough irrigation and the specially designed surgical funnel will ensure that the implant has not been touched or handled, which decreases the risk of capsular contracture. Finally, the fine line incision is closed in multiple layers and without any tension.

In the case of a fat transfer, liposuction is first done on areas of the body previously selected in consultation with the patient. Excess fat is removed on areas such as the abdomen, flanks, thighs, or lower back. The fat is then purified before being carefully transferred to the breasts by Dr. Saber for a balanced, natural, and flattering appearance.

What is the Recovery Process Like?

Patients can expect some swelling, bruising, or soreness for the first days following their breast augmentation procedure. Over the following six to twelve weeks after surgery, the implants will continue to settle into their final, slightly lower, and more natural-looking position.

For the first one to two weeks after surgery, we recommend that patients rest at home and avoid any strenuous activities. After two weeks, patients can usually return to their usual routine. Once your incisions have healed, Dr. Saber will continue to monitor their progress to ensure minimal visible scarring.

Breast Augmentation

Find Out What Dr. Saber Can Do for You

As a board-certified female plastic surgeon with a sensitive and thorough approach, Dr. Saber brings a unique perspective and a skilled creative eye to her work. For more information about her services, call the number on your screen or visit our contact page.

Dr.Saber Plastic Surgeon

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Dr. Saber

For more information about Dr. Saber and her services, visit our contact page or call the number on your screen today.