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Breast augmentation, or augmentation mammoplasty, is one of the most frequently performed cosmetic surgical procedures at Kessler Plastic Surgery. Women elect to undergo breast augmentation for many reasons, including restoring lost volume following pregnancy or weight loss, achieving symmetry between the breasts or to simply enhance what they already.
How Breast Augmentation is Performed
Breast augmentation surgery may be performed in many ways but surgical technique determines the final appearance of the breast. There are three important variables in the procedure: the location of the incision, the type of implant and the space the implant is placed in. Although incisions can be made in the breast fold (inframammary), around the areola (periareolar), the armpit (transaxillary) or the navel (transumbilical), Dr. Kessler prefers the fold incision. Dr. Kessler does not perform the transaxillary or the transumbilical approach. As far as implants are concerned, he prefers the smooth round cohesive silicone breast implants to saline. Although implants can be placed under the breast tissue or under the muscle, Dr. Kessler prefers the Dual Plane Technique. The attachment of the pectoralis muscle along the fold of the breast is divided. This does not diminish strength but allows the implant to fall into the lower pole of the breast. The upper 60% of the implant is covered by muscle which minimizes the appearance of implant rippling but also compresses the upper part of the round implant essentially changing its appearance to more of a tear drop or anatomic shape. This technique avoids animation issues seen with implants that are completely below the muscle. According to Dr. Kessler, this gives the most natural appearance to the breast with the best long term results. The procedure is performed under general anesthesia but a long acting local anesthetic block is placed during surgery. Most woman emerge from anesthesia with a feeling of tightness or pressure but minimal pain. The block works 85-90% of the time. Recovery is easier and faster when it works as the need for narcotic pain medication is reduced and range of motion is greatly improved immediately after surgery.
Types of Breast Implants
There are two main types of breast implants to choose from: saline and silicone. Both implants are safe and FDA-approved.
Saline implants have silicone shells and are filled with sterile salt water at the time of surgery. Silicone implants are pre-filled with silicone gel. Saline implants were once considered safer as implant rupture was easily detected by an apparent deflation of the breast whereas silicone implants could leak into the breast capsule. Concerns about silicone implant safety have reemerged with the discovery of BIA ALCL, which is a type of cancer associated with the texturing of breast implants, which Dr Kessler does not use. The new cohesive gel implants are superior to all previous generations of silicone implants. Studies into the safety of these implants are ongoing and Dr. Kessler remains current on the literature.
There are now five profiles of breast implants to choose from giving you more control over your results than ever before. Determining the proper implant requires measurements of the breast and defining your goals when in consultation with Dr. Kessler. This is done best with images of breasts you like of individuals that most resemble you. Dr. Kessler spends time with you during this process helping you chose the right implant for you.
Your Breast Augmentation will be performed in Dr. Robert Kessler's surgery center located in Corona Del Mar.
Breast Augmentation Recovery
Breast augmentation recovery has been dramatically improved with the local anesthetic block placed at the time of surgery. Most women are off all pain meds by 5 days and back to work at a week. Activity is limited for the first 2 weeks. Lower extremity and core work can begin at 2 weeks but upper body strength exercise begins after the 4th week. Energy level is back to normal by 4-6 weeks.
Before & After Gallery
View before-and-after pictures of real patients of Kessler Plastic Surgery
01 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.
02 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.
03 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.
04 When can I return to work after breast augmentation?
Patients generally feel well enough to return to work within 4-5 days after a breast augmentation, but a week’s time off is recommended.
05 How bad will scarring be after the surgery?
This depends on the technique used and the location of the scar. Some scars can take 18 months to reach their final appearance and but most will be close to the final result by 3-6 months following the procedure. Dr. Kessler will provide a scar massage protocol to speed scar resolution. You may also use scar therapy cream.
06 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.
07 How soon can I return to work?
The answer to this question depends on the type of work you do, and your own personal recovery, which varies from person to person. If you have a regular desk job with little physical activity, you can typically return to work in less than a week. If you have a physically demanding job, you may need 2-3 weeks to recover.
08 Will breast augmentation surgery keep me from breastfeeding?
In most cases, you can still 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.
09 Can I finance my breast augmentation?
Yes, Kessler Plastic Surgery located here in Newport Beach, CA 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.
It has been a year since my breast augmentation with dr Kessler and I’m so in love with the results. I felt I was lacking volume after losing weight. Being a young woman I wanted to feel that femininity again up top. Dr Kessler was so helpful in getting the look I wanted. I didn’t want to go too big, I like a natural look and modest shape. He was also one of the only drs who ordered 3 implant sizes for surgery (the size we chose, one bigger, and one smaller). After surgery he ended up going with the smaller size because it was more proportional to my frame.
I was only out of work for less than 2 weeks. I have a high pain threshold but I would say recovery was easy breezing and I would do it again in a heart beat! Best of all, Dr Kessler only uses top of the line implants that are SAFE in your body!
I’ve been able to go back to the gym and lift heavy without restrictions and my breasts have maintained perfectly !! Thank you dr Kessler for the exemplary experience and treatment I’ve received by you and your staff the past year !