What is breast augmentation?

Breast augmentation is one of the most frequently performed cosmetic surgery procedures. Either a silicone gel of saline implant can be placed through a variety of different incisions to create more beautiful and youthful appearing breasts. Breast enhancement can result is an improvement in your self-confidence and self-esteem.

Am I candidate for breast augmentation and breast implants?

Women have breast augmentation for a variety of personal reasons. Breast implants can increase the size of your breast, correct the breast volume that may have been lost after pregnancy or weight loss, correct an imbalance or asymmetry in breast size, restore better body proportions, or be performed for revision breast surgery or reconstructive purposes following breast cancer surgery.

Who is not eligible for breast augmentation surgery?

Women who are not eligible for breast augmentation surgery are those who are presently pregnant, breast-feeding, have an active infection anywhere in the body, are under the age of 18, or have a malignant or pre-malignant breast cancer for which they have not yet received adequate treatment.

What should I expect during my initial consultation?

Your selection of a board-certified plastic surgeon is as important as your decision to undergo surgery itself. Your initial consultation with Dr. Hoefflin is an opportunity for you to discuss your desired aesthetic goals. It is helpful to bring a list of questions and concerns that can be specifically addressed during the consult. Commonly discussion topics include saline versus silicone implants, implant placement, incisions, and recovery after your procedure. Additionally, you may bring example before and after photographs of your desired results.

Why is important to chose a board-certified plastic surgeon?

Your selection of a surgeon is as important as your decision to undergo cosmetic surgery itself. Many patients do not know that in most states, a licensed physician may perform plastic surgery without being board-certified in plastic surgery. This means someone not trained in Plastic Surgery could be performing your surgery.

The American Board of Plastic Surgery is the only plastic surgery board recognized by the American Board of Medical Specialties (ABMS). Selecting a surgeon who is certified by the American Board of Plastic Surgery provides that your physician has completed the necessary and extensive training to perform plastic surgery and help you achieve your aesthetic goals.

What are breast implants made of?

Breast implants come in a variety of sizes, shapes, and profiles. They are also available with either a textured or smooth surface shell. Breast implants can either be filled with saline (salt water) or silicone gel, depending upon the patient’s tissue characteristics and desired aesthetic goals.

What are the advantages and disadvantages of saline implants?

The majority of breast augmentations over the last fifteen years have been performed with saline implants. One advantage of saline breast implants is that if ruptured, the saline (salt solution) is absorbed by the body without fear of complication. An additional benefit is the ability to subtly change the implant volume to accommodate for small differences between the breasts within the operating room. A disadvantage is that saline implants are more likely to demonstrate implant rippling in small-breasted patients.

What are silicone gel implants made from?

Silicone gel breast implants use the same silicone elastomer shell as saline breast implants, but use silicone gel instead of saline to fill the implants.

What are cohesive gel breast implants?

Cohesive breast implants were invented in the early 1990′s. These breast implants were designed to provide a long-lasting implant with a more attractive and predictable shape. These implants, also known as gummy bear implants, are more cohesive, meaning they are less liquid like and more solid than their predecessors.

What are the advantages of silicone breast implants?

Silicone gel implants tend to be softer and more natural feeling than saline implants. They are less prone to visible implant rippling or wrinkling. They are lighter than saline breast implants. The unique qualities of today’s silicone gel-filled breast implants help make silicone implants the implant of choice.

Am I candidate for silicone breast implants?

Prior to 2006, it was necessary for patients to enroll in a clinical study in order to receive breast silicone gel implants. The FDA then determined that silicone implants were safe and should be made available for general usage. Now, all women ages 22 and older can elect to undergo breast augmentation with silicone gel implants.

Are breast silicone gel implants safe?

In 2006, the FDA approved silicone gel implants for primary breast augmentation procedures in women who are at least 22 years of age and healthy. The newer generation of silicone breast implants are made with a thicker shell which reduces the spread of the silicone if rupture occurs. Multiple medical studies have demonstrated no connection between silicone implants and various cancers or connective tissue diseases.

Do breast implants come in a variety of different profiles?

Saline and silicone gel breast implants come in a variety of breast implant profiles (or projections):

High profile implants provide patients with more superior fullness and greater projection by using a smaller diameter implant. These implants are ideal in women with a very narrow frame. They are frequently used in those who wish to avoid the lateral fullness or “rounded” appearance of moderate profile implants. An additional benefit of the high profile breast augmentation is that the vertical height of the implant is made higher, which may reduce visible rippling.

Moderate or ‘normal’ profile breast implants are the standard implant used in breast augmentation surgery. With a full and more rounded appearance, they can add a significant amount of dimension and volume to a woman’s breast.

Low profile breast implants have less projection per measurement of base diameter than a moderate profile breast implant, and are typically used in wide framed patients or in breast reconstruction after mastectomy.

During your consultation with Dr. Hoefflin, the various options and techniques for both implant selection and placement for breast augmentation and breast enhancement will be discussed at length.

What is the preferred location of breast implant placement?

Dr. Hoefflin performs a “dual-plane” technique for his breast augmentations. In this specialized approach, a portion of the implant is placed beneath the pectoralis muscle (submuscular), and another portion placed above the muscle (subglandular). The result is a more natural and youthful appearance. This advanced technique avoids the rippling appearance of other surgical approaches. In rare exceptions where patients demonstrate excessive loose and sagging tissue, subglandular (above the muscle) placement may be the preferred approach.

What are the incisions used for breast augmentation?

Breast implants may be placed through one of four different incisions: the lower edge of the areola (periareolar), along the natural breast fold (inframammary), through the armpit (transaxillary), or through the belly button (transumbilical or scarless approach).

What is revision breast augmentation?

According to the American Society of Plastic Surgeons in 2007, more than 350,000 breast augmentations were performed. Inevitably, a substantial portion of women will have to undergo revision breast surgery.

The most common indications for breast augmentation revision surgery are to change the implant size, placement of the implant, or to correct the breast shape or appearance due to implant rippling, capsular contraction or breast asymmetry. Implant rippling can often be visible as the result of saline implants placed in a subglandular position (above the muscle). Dr. Hoefflin may recommend changing to silicone implants in a submuscular (below the muscle) position.

To learn more information about revision breast surgery, click here

What is breast lift surgery?

The effects of aging, weight loss, gravity, and pregnancy can profoundly affect the appearance of a woman’s breasts by causing them to stretch and lose their volume. Dr. Hoefflin performs breast lift surgery (mastopexy) to help improve the both shape of a woman’s sagging breasts as well as reposition the nipple-areolar complex (pigmented areas around the nipple) to a more youthful position. The result is a more youthful, attractive, and shapelier breast.

Can a breast augmentation and breast lift be performed at the same time?

Yes, Dr. Hoefflin frequently performs breast lifts (mastopexy) and breast augmentations at the same time. Because of his expertise in breast surgery, Dr. Hoefflin performs all techniques in achieving beautiful breast lifts, including the periareolar (Benelli, donut), vertical, or keyhole (anchor, wise) pattern techniques. Dr. Hoefflin closes all incisions himself, and makes every effort to make your scars as inconspicuous as possible. Breast lifts are complex operations that should be performed by properly qualified and board-certified plastic surgeons.

To learn more about breast lift procedures, click here.

What is a Mommy Makeover surgery?

Dr. Hoefflin frequently performs mommy makeover procedures in which a tummy tuck, breast augmentation, and breast lift are performed in combination. The pregnancy process often leaves mothers with unacceptable changes in body appearance or self-image. Included in these changes are smaller and deflated breasts, excess abdominal skin and stretched abdominal muscles. It should be noted that even without pregnancy, massive weight loss or aging can lead toward these same results. The mommy-makeover procedure in Los Angeles and Beverly Hills can restore your pre-pregnancy abdominal contours and youthful appearance to your breasts.

Can I increase the size of my implants without going too large?

Dr. Hoefflin places an emphasis on natural and youthful attractive breasts. Changing your current breast implant size is one of the more common reasons for undergoing breast augmentation revision surgery.

Breast implants are offered in an assortment of sizes. At the lower volume range, many implants are produced in 25cc increments, i.e., 200cc, 225cc, 250cc, 275cc, etc. It is unlikely if you upsize your implants by 25cc’s, that you’ll see an appreciable difference. However, by increasing your current size by 50cc or 100cc’s will make the difference noticeable.

Can a woman breast-feed after breast augmentation?

Yes, if a woman is deemed capable of breast feeding prior to her breast augmentation surgery, then the breast implants should not interfere with the breast feeding process. However, up a substantial portion of small-breasted women are not able to breast-feed successfully before surgery. It is likely that breast implants will not have any affect on the breast-feeding process.

Does Dr. Hoefflin use drains with breast augmentations?

Drains are not routinely used on primary (or initial) breast augmentations. However, drains are may used in revision breast augmentations or breast reconstructions.

What types of anesthesia are used?

Dr. Hoefflin performs breast augmentation as an outpatient procedure under general anesthesia, as administered by a board-certified anesthesiologist. The procedure generally takes about one hour. All operations are performed in fully credentialed and state-of-the-art surgical facilities.

Should I expect pain after the procedure?

Our patients are surprisingly free of pain due to the tumescent local anesthesia that is used. Most patients describe the recovery process as a mild discomfort. Most patients tell us they feel much better than expected following their surgery and are able to return to work and social activities within several days following surgery. Light exercise can be resumed after several weeks and an unrestricted return to all activities within six weeks.

What is the recovery like after a breast augmentation?

Patients are discharged home with light dressings and a comfortable, form-fitting bra. Soft bra support (without underwires) is encouraged for 4 to 6 weeks. Meticulously placed self-absorbing sutures are placed. Slight to moderate bruising and swelling are common for several weeks. A self-massaging protocol is initiated after several weeks to maintain both breast and implant softness.

When can I wear an underwire bra?

Breast augmentation patients should wait 6 weeks after their surgery before wearing underwire bras. For the first several months after breast implant surgery, your body will be forming scar tissue around the implant. During this time, During this time the pressure of the wires could cause the scar tissue to form in such a way that an indentation from the wires could become permanent.

How long should I wait to resume exercise after breast implant surgery?

Patients can return back to light or non-strenuous workouts after several weeks, with a full return to all activities after four to six weeks.

What are the risks associated with breast augmentation surgery?

When performed by a qualified plastic surgeon, the risk of serious problems after a Los Angeles breast augmentation are rare. Most complications are minor, temporary, and can be easily resolved. Complications may include infection, hematoma, capsular contraction, symmetry, symmastia, implant malposition, or the need for additional or revision breast surgery. You can reduce your risk of complications by closely following your surgeon’s instructions both before and after surgery.

What is capsular contraction?

The body’s normal healing response is to create a capsule around your breast implants. This capsule is composed of protein and collagen. In some patients, capsular contracture may occur in which the capsule tightens, and subsequently may cause pain and aesthetic deformity. Capsular contracture is more common following infection, hematoma, or seroma. It is also seen more frequently following subglandular (above the muscle) implant placement. Surgery may be necessary in cases where pain and firmness is severe.

What can I do to minimize my risk of bruising?

Aspirin, Motrin, ibuprofen, Advil, and virtually all non-steroidal anti-inflammatory agents thin the blood and can promote bruising. In addition, anything herbal, red wine, and homeopathic medications can do the same. To minimize bruising, it’s advisable to avoid these products for 10 days before a treatment.

Does Dr. Hoefflin offer financing?

Yes, we offer financing to make our plastic surgery procedures more affordable to our patients. To learn more about our financing programs, click here.

How can I get more information about a breast augmentation?

To learn if you are a candidate for breast augmentation surgery , contact our offices for a complimentary consultation.