Breast Augmentation in Newport Beach
Also Serving Orange County
If you want breast augmentation in Newport Beach, Dr. Robert Kessler can improve your breasts with plastic surgery. Breast augmentation, or augmentation mammoplasty, is one of the most frequently performed cosmetic surgery procedures in the United States.
Breast enlargement surgery involves using breast implants or fat to increase the size of the breasts.
Breast augmentation surgery can increase fullness and projection, improve balance, and improve self-confidence.
Patients elect to undergo breast augmentation for many reasons, including balancing unsymmetrical breasts, restoring lost volume following mastectomy, pregnancy or weight loss, or to produce a fuller appearance.
How Breast Augmentation is performed
Breast augmentation surgery may be performed in many ways. There are two main variables in the procedure: the location of the incision and the location of the implant. The incision may be made in the breast (inframammary), around the areola (periareolar), the armpit (transaxillary) or the navel (transumbilical). The implant may be placed under the breast tissue, beneath the muscle, or a combination in which the top of the implant is under pectoral muscle.
The procedure itself is performed under local anesthesia with sedation or under general anesthesia. After an initial incision is made, the breast augmentation surgeon will create a pocket and insert the implants, using sutures to reconnect muscle, tissue and skin.
Dr. Kessler will help you decide which technique is best for you.
Types of Breast Implants
Along with determining the best technique for the procedure, there are two main types of breast implants to choose from: saline and silicone implants. Both implants are safe and FDA-approved.
Saline implants are silicone shells filled with sterile salt water and inserted empty, while silicone implants are pre-filled with silicone gel. Many women report silicone implants produce a more natural result as the silicone gel mimics fat.
To help determine which implant type is right for you, review the following overview of the implants we offer.
Round Silicone Implants — Natrelle’s INSPIRA® Line
At Kessler Plastic Surgery, we use Natrelle’s newest line of silicone implants, INSPIRA. Like most silicone implants these round silicone implants consist of an outer silicone shell filled with a silicone gel filling. Unlike other implants, they have a 95 percent average fill, which means they provide more “fullness” than other silicone implant types. This extra fullness prevents rippling from occurring and allows women of every body shape to achieve upper pole fullness in their breast.
INSPIRA silicone implants come in either smooth or textured shells, and five different projections (or implant volumes, which determine the distance the implant extends outward from the patient’s chest). Patients can also choose from two different types of silicone gel fillings: a soft, cohesive gel or firmer, more cohesive gel that holds its shape better.
Shaped Silicone Implants — Natrelle’s 410, Mentor’s CPG and Sientra’s HSC+
Dr. Kessler also offers silicone implants that are anatomically-shaped to match the natural shape of a woman’s breast. The silicone implants we offer come with a choice of either a smooth or textured outer shell and are filled with a highly cohesive silicone gel filling. This thick gel filling maintains the implant’s shape, which most closely matches the shape and feel of a natural breast. We offer the following brands of shaped silicone implants: Natrelle’s 410 implants, Mentor’s CBG implants and Sientra’s HSC+ implants.
- Natrelle’s 410 line of silicone breast implants are the original, and most popular, highly cohesive gel (“gummy bear”) implants on the market. Natrelle’s 410 silicone implant comes in 12 different shapes and sizes, all anatomically shaped and in various widths, heights and projections so that women of different body types can find one that looks the most natural for their build.
- Mentor’s CONTOUR PROFILE™ Gel (CPG) implant, also a “gummy bear” implant filled with thick, highly cohesive silicone gel, is a teardrop-shaped implant that comes in a range of different heights and projections to fit a variety of women, from shorter patients with wide torsos to tall patients with slender torsos, and everything in between.
- Sientra’s HSC+ implants are highly cohesive silicone gel implants that hold their natural breast shape while maintaining the softer feel of a natural breast. These implants provides a more natural silhouette and are less firm to the touch than other “gummy bear” implants.
Why Choose Silicone Implants?
Many women prefer silicone implants over saline implants because they believe that they look and feel the most like natural breasts upon comparison. And the highly cohesive silicone gel implants are popular because they more closely mimic the shape of a woman’s natural breast, for a more natural-looking profile. And since they maintain their shape and position over time, they are less likely to cause rippling or folding.
Round Saline Implants by Natrelle
Along with silicone breast implants, Dr. Kessler also offers his patients the option of saline breast implants. These implants are made of a silicone outer shell (with the patient’s choice of a smooth or textured finish) and, unlike the silicone implants, are inserted into the body empty during the breast augmentation procedure, and then filled with a sterile saline solution once in place. Though Dr. Kessler prefers to use the more-popular and natural-looking silicone implants for his breast augmentation procedure, he offers saline implants as an added choice for patients.
Among the saline implants Dr. Kessler uses is the Natrelle round saline implant line, which includes both a round option as well as a contoured option. This implant line offers a variety of sizes and projections (low, moderate and high) that are further customized as they are filled to match the patient’s anatomy while achieving the desired volume.
Why Choose Saline Implants?
Saline breast implants are considered the most economical choice when considering breast augmentation surgery. They are filled with a non-toxic saline solution that is absorbed by the body should leakage or rupture occur.
How to Choose Your Breast Implant Size
Choosing breast implants is an important and exciting part of the breast augmentation process. Dr. Rob Kessler advises all breast augmentation patients to take the time to research their breast implant options thoroughly before finalizing their decision. This guide will help you select the best implants for your body and goals.
Forget about the Bra Size
When describing your ideal breast implant size, referring to a specific bra-cup size is a good starting point. However, not all bras fit the same, so it’s best not to get attached to a particular bra-cup size. Instead, look for an implant size and shape that makes you look and feel good. Find photos of women whose breast size and shape you like, and bring them to your initial consultation. This can help your plastic surgeon get a better idea of your aesthetic goals.
Look in the Mirror
The size of your breasts affects your overall appearance. This is why it is important to take your body type (height, weight, shoulder and hip width) into consideration when choosing your breast implants. If you are tall with broad shoulders, you may opt for a bigger implant than someone who is shorter with narrower shoulders.
Try Them On for Size
Visualizing is key. We offer a full set of breast implant sizers that you can try on during your initial consultation. This will allow you to visualize what your results will look like with different sizes. To get a better idea of your projected results, bring in a few wardrobe selections, including tops, a dress and a bathing suit.
Breast Augmentation Recovery
Breast augmentation recoveries varies by patient, but most experience an initial recovery period of 24-48 hours, followed by reduced physical activity for several days.* Therefore, it is suggested for your stay to be as comfortable as possible. Here in Newport Beach, CA, the great weather plus our nice staff will make your stay even better.
Now, for the first 4-5 days, you should avoid any lifting or physical work.* Vigorous exercise or heavy lifting should be avoided for at least two weeks.*
Factors that impact the recovery time for breast enlargement include the size of the implants and the technique used. Implants placed under the muscle usually have a slightly longer recovery time, while women who change their breast size dramatically may experience discomfort for a longer period of time due to greater stretching of the skin. If you get a breast lift in conjunction with breast augmentation, recovery time will be longer due to more incisions.
Breast Augmentation Risks
As with any surgical procedure, there are risks associated with breast implants. This includes the following:
- Reduced sensitivity in the nipple or breast. In most cases, this reduced sensitivity is only temporary.
- Sometimes, a capsular contracture can occur around the implant. This is the result of excess scar tissue that builds up after surgery, often changing the breast shape, hardening the area, and creating extra discomfort for the patient. In severe cases of capsular contracture, a secondary surgery may be necessary. Capsular contracture may cause a distorted appearance of the breast and pain.
- Implant ruptures which, while rare, may require revision surgery to replace the damaged implants.
- Difficulty nursing if glands or milk ducts are damaged during the procedure. Nerve damage may also have an impact on nursing.
- Infection occurs in only 2-4 percent of patients, usually as a result of bacteria living on the skin that is transferred internally through the incisions.
- A hematoma, or pocket of blood, forms inside the wound in about 1-6 percent of breast augmentation patients. This complication can increase a patient’s level of discomfort and pain. A hematoma can be easily drained by your surgeon without causing lasting damage to the breast area.
- Seroma, which is the collection of fluid around breast implants, may increase your pain or swelling during recovery. Most often, this collected fluid comes from the nearby blood vessels damaged during surgery. If left untreated, the blister-like seroma can become infected and lead to additional discomfort and complications. Notify your surgeon so that your seromas can be either removed or drained, based on the circumstances.
Tips for Reducing Your Infection Risk
Because your risk of infection is directly related to how your surgery is performed, infections are best prevented by cleanliness and proper procedures. Choosing an experienced and reputable plastic surgeon to perform your breast augmentation is the best way to safeguard yourself against poor conditions that will increase your risk for infection. A trained surgeon will be able to take the measures necessary to ensure safe placement of your incisions and a very low risk of infection.
Some of these steps may include the injection of a single dose of antibiotics before your surgery begins, enabling your body to fight any bacteria that may enter through your wounds. Next, your surgeon will prep the surgical area by swabbing it with an antibiotic solution. With the bacteria now removed from the skin, any transfer is highly unlikely. With respect to breast augmentation, this skin-cleansing step is essential for patients who suffer from chest acne breakouts, which can spread acne bacteria across the skin.
As an added precaution, your surgeon might opt to rinse your implant pockets before placing them inside your breasts. A highly effective antibiotic treatment is used to clean the implants, eliminating even the strongest and most resistant strains of infection including both staph and MRSA.
Last but not least, you should expect any plastic surgeon to wear surgical gloves and clothing and use only sterilized surgical instruments during your surgery. A surgeon who is highly experienced and well-trained will take every measure to ensure your total safety during your breast augmentation.
Tips for Preventing Hematoma and Seroma
Unfortunately, both hematomas and seromas are potential risks associated with nearly every type of surgery. The good news is that, as far as complications are concerned, both conditions are also very easy to resolve.
Left untreated, however, a hematoma or seroma can pose more serious risks like infection or tissue damage to the surgical area. To protect yourself against the formation of hematoma or seroma, go over all of your current medications with your surgeon upfront, as some drugs like blood thinners may cause them to form.
Remember that if you do see a hematoma or seroma after your breast augmentation surgery, it’s not reason to panic. The best way to safeguard yourself against more serious risks as a result of these conditions is to be diligent about caring for your surgical wounds and reporting any unexpected changes to your surgeon.
Tips for Preventing Capsular Contracture
While an increased production of scar tissue can affect any surgical patient, the formation of capsular contracture around breast implants is a mystery unique to breast augmentation surgery. Although it is not a common occurrence following surgery, this condition is still troubling to plastic surgeons because its cause remains unknown.
Some surgeons believe that bacterial contamination during surgery encourages this excess scar tissue growth, but there are no definitive answers yet. If this is true, then taking the same measures to reduce your exposure to bacteria in the incisions will help to battle capsular contracture. Rinsing the implants in an antibiotic solution may also decrease your risk.
To take your prevention methods one step further, talk to your doctor about his recommendations for breast implant patients. He might offer you instructions for special exercises for breast implant displacement, exercises which have been shown to keep artificial breasts soft and looking natural.
Common Breast Augmentation Questions
Am I a good candidate for breast enlargement surgery?
A good candidate for breast enlargement is a healthy woman dealing with underdeveloped or asymmetrical breasts or breasts that have lost volume due to weight loss or childbirth. You should also have realistic expectations about what the procedure can do for you with a clear understanding of the benefits, risks and recovery of the procedure.
Can breast augmentation surgery fix drooping breasts?
Breast enhancement cannot correct severely drooping breasts, but it can achieve a lifting effect for some patients.* If your breasts are sagging, a breast lift may be necessary along with breast augmentation surgery.
How can I deal with pain following the procedure?
Dr. Kessler will place a long-acting local anesthetic block in the chest during the procedure to decrease post-operative pain and speed your recovery. You will also be prescribed pain medication, which should be taken regularly for the first 24 to 48 hours. After this, you can switch to over-the-counter non-narcotic pain medication to address any residual discomfort.
When can I return to work after breast augmentation?
The answer to this question depends on the type of work you do, and your own personal recovery, which varies from person to person. Everyone’s results will be different, but patients generally feel well enough to return to work within 4-5 days after a breast augmentation.* If you have a regular desk job with little physical activity, you can typically return to work sooner, if you have a more physically demanding job, you would want to wait longer.*
Dr Kessler recommends that patients take at least a week’s time off from work for recovery.
How bad will scarring be after the surgery?
The post-surgical scarring largely depends on the technique used and the location of the scar. Each patients’ result will vary with some scars taking 18 months to reach their final appearance following the procedure.* Dr. Kessler will provide a scar massage protocol to speed scar resolution.
Are silicone implants safe?
Silicone implants were taken off the market for some time due to concerns over their safety; the FDA has since lifted this ban after finding these concerns unfounded. Silicone implants are FDA-approved as safe and effective, although they do present slightly greater risks for certain complications over saline implants. Silicone implant technology has changed rapidly over the last few years and is now more stable than ever.
Will breast augmentation surgery keep me from breastfeeding?
Most patients are still able to breastfeed following breast enlargement surgery.* This is because breast implants are placed under the breast tissue and do not interfere with milk ducts that allow you to produce milk. This is true whether you get saline or silicone implants, although it is best to avoid a nipple incision to avoid breastfeeding issues.
Can I finance my breast augmentation?
Yes, Kessler Plastic Surgery located in Newport Beach offers great medical financing through CareCredit. With no money down, patients can finance their breast augmentation procedure interest free for twelve months. An application can be submitted online for immediate approval.
*Your Results May Vary