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Breast Augmentation

One of the most frequently performed cosmetic surgery procedures in the U.S., breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of saline or silicone implants in the breast.

Patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast mass after pregnancy or surgery, and correcting a congenital breast defect. Under Dr. Gonzalez's expert care, patients enjoy great-looking, natural-feeling breasts that are one or more cup sizes larger after the operation.

Fully Customized Breast Enhancement

Every woman is unique in both her desires and her body shape. With that in mind, Dr. Gonzalez takes the time during the pre-operative consultations to learn what each patient hopes to gain from breast augmentation surgery and to decide which implant type, size and placement is best. In this way, each patient enjoys completely customized treatment designed with her specific goals in mind.

During your consultation with Dr. Gonzalez, you will make decisions together about the type, size, incision and placement of your implants.  Your anatomy plays a major role in these decisions. Dr. Gonzalez will talk with you about the options for breast augmentation surgery — depending on your current measurements, your body frame, and your expectations.

Complementary Procedures

Breast augmentation can achieve dramatic and beautiful results on its own as well as in conjunction with other cosmetic surgery or non-invasive procedures. We sometimes recommend combining breast augmentation with other procedures such as a breast lift for more satisfying results. This is most commonly recommended to treat any sagging that has resulted from aging or pregnancy. During this combined procedure, some breast tissue is removed, the breast skin is tightened and lifted, and an implant is inserted.

Saline and Silicone Gel Breast Implants

Breast implants are silicone shells filled with either saline (salt water) or silicone gel. Both implant types are very safe, and each offers its own advantages. Dr. Gonzalez will help you decide which kind is right for you. During surgery, the implants will be placed behind each breast, underneath either the breast tissue or the chest wall muscle.

 An advantage of saline breast implants is that, if ruptured, the saline (salt solution) is dissolved by the body. A disadvantage is that saline breast implants may appear less natural in small-breasted or reconstructive patients. This is especially important for very thin women who have little breast tissue to cover the implant, or for women who have a breast injury or need breast reconstruction.

 Silicone gel-filled implants may provide a more natural feel and is the implant choice of most of Dr. Gonzalez's patients. After many years, the U.S. Food and Drug Administration (FDA) has approved silicone breast implants for breast augmentation surgery. Dr. Gonzalez  is proud to offer patients the option of silicone gel-filled breast implants, since they are much softer and feel more natural than saline-filled breast implants.

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Breast Augmentation Surgery - Incision Techniques

The breast augmentation procedure lasts one to two hours and is typically performed with general anesthesia. Incisions are made in inconspicuous places on the breast to minimize scar visibility. These incisions may be located:

 · In the armpit (transaxillary). To perform breast augmentation with a transaxillary incision, the incision is made in the natural folds of the armpit tissue. A channel is then created up to the breast. This procedure is sometimes performed with an endoscope, or a small tube with a surgical light and camera embedded in the end, to provide visibility through the channel. The biggest advantage of breast augmentation with a transaxillary incision is that the scar is not on the breast.

 · In the crease on the underside of the breast (inframammary). Breast augmentation with an inframammary incision is performed with an incision made under the breast and close to the inframammary fold. The incision is made here to secure proper placement of the implant, but also to reduce scar visibility. An advantage of breast augmentation with an inframammary incision is that the surgeon works close to the breast, allowing for optimal visibility while working.

 ·Around the areola, the dark skin around the nipple (periareolar). The goal of breast augmentation with a periareolar incision is to place the incision in the transition area between the dark areola and surrounding breast skin where it can be hidden. As with the inframammary incision, this incision allows the implant to be placed in precise pocket formation and provides for absolute controlled bleeding.

 After the incision, a pocket is created for the breast implant. The implant is slid through the incision and then centered behind the nipple.

 Saline implants may also be placed endoscopically through an incision in the navel. This minimally invasive breast enhancement technique is known as a transumbilical breast augmentation or TUBA approach.

Breast Augmentation Surgery - Placement Options

Implant placement beneath the muscle of the chest offers a few advantages over placement beneath the breast tissue only. These include reduced risk of capsular contracture (post-operative tightening around the implant) and less interference with mammogram examinations. Possible disadvantages include need for drainage tubes and elevated pain in the first few days following surgery. Dr. Gonzalez will help you decide which option may be best for you.

 In the TUBA procedure, implants cannot be placed beneath the chest wall.

After the implants have been inserted and positioned beneath the nipples, the incisions are stitched closed, then taped and bandaged. In a few days, these bandages may be replaced with a surgical bra.

Breast Implant Shape and Profile 

When choosing breast implants, shape is an important consideration. The two basic breast implant shapes are round and teardrop. Breasts differ greatly from woman to woman, so the ideal breast implant shape for each patient must be determined with care. 

· Round Breast Implants. Of the two breast implant shapes, the round breast implant is the most common type used for breast augmentation. Many women choose round implants because they tend to provide the greatest amount of lift, fullness, and cleavage. Some women, however, feel that the results produced with round implants appear artificial, so they seek out more natural-looking alternatives.

A round breast implant can have a smooth or textured surface. Due to a round implant's symmetrical shape, it does not pose the risk of implant rotation.

Round implants come in three different variations of shape: low, medium, and high profile. A higher profile can enhance the forward projection of the breasts, which would otherwise require larger breast implants with wider bases.

· Teardrop Breast Implants. As the name indicates, a teardrop breast implant, also known as a contoured breast implant, is shaped like a teardrop. Breasts attain a more gently sloping contour with teardrop breast implants. Although the upper portion of breasts that have teardrop implants are not as full as breasts that have round implants, teardrop-shaped implants often provide greater projection by volume. For women who want more naturally shaped teardrop breasts, these implants may be the ideal choice.

A teardrop implant requires a textured surface to prevent rotation because breasts can become distorted if the implant rotates. This is not a concern with round breast implants.

To learn more about Breast Augmentation, please contact our office today.


Breast Lift

Pregnancy, nursing, excessive weight loss or gain or the natural aging process can cause breasts to lose their natural elasticity. Breasts may begin to sag or hang. Breast lift can take years off your appearance by correcting a drooping bust line and restoring your curves to their youthful state.

During the procedure, excess skin and tissue are trimmed away and the bustline is tightened and lifted. Breast lift can also reduce the size of the areola. Remaining tissue and the nipples will be repositioned to create the most natural looking results. Risks include scarring, temporary bruising, swelling and loss of feeling in the breasts and nipples. Nonetheless, breast lift is considered a safe and effective procedure. The procedure takes two or more hours to complete and is often performed in conjunction with breast augmentation to increase both firmness and size. Dr. Gonzalez can remove excess skin, reposition the nipple, and recontour the breast, creating a more lifted, youthful, and shapely figure. Typically performed as an outpatient procedure using general anesthesia, mastopexy can cause temporary swelling, numbness, and bruising. Most patients are able to return to daily activities in about one week

To learn more about breast lift, please contact our office today.