Breast Augmentation

Enhancement of the breasts should be done judiciously to make a truly beautiful breast. Augmentation is usually done for patients who never had full breasts or who have had loss of the volume of their breasts with aging, pregnancy or breast feeding. Asymmetry and congenital deformity of the breasts can also be corrected with implants. Three types of implants are available: saline, gel or cohesive gel. Dr. Remington spends a great deal of time educating patients in their consultations about the advantages and disadvantages of each type of implant, as well as discussing incisional approaches and placement above (subglandular) or below (subpectoral) the chest muscle. Learn more about Breast Augmentation. Dr. Remington has been involved as a principal investigator in saline, gel and cohesive studies for the FDA since 1993. He is one of the few plastic surgeons in the Northwest to be able to offer cohesive gel implants to patients (for information regarding cohesive implants, click here to view an article in the Seattle Times). There are advantages and disadvantages of each type of implant and one type of implant may be best suited to each patient. 

Breast augmentation is usually performed under a general anesthetic and takes about 1.5-2 hours. Recovery is about two weeks and a support or sports bra is helpful to wear for that time for comfort.  One may shower/shampoo in 24-48 hours.  Absorbable sutures are used, therefore there are no stitches to be removed.  Return to vigorous physical activities, the gym, etc. usually can be done at two to three weeks.  Most patients take about a week off work, although some return sooner.  The final result often takes about four months for the tissue to relax and adjust to the implant. 

This is a 28 year old lady that desired increased fullness of her breasts. A subpectoral location, midrange profile regular gel implants (253 cc) and inferior periareolar incisions were chosen.  She  has gone from an A bra cup size to a C cup size and is shown before and one year after the breast augmentation:

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This is a 44 year old lady who had had two children, wore a padded A bra cup and desired to be a large C cup. She elected to have regular gel implants and  high profile projection 340 cc implants were chosen, placing the implants subpectorally through an inframammary incisional approach.  Also note that the inframammary folds (the creases below the breast) have been lowered to provide a natural position for the implants.  She is shown pre-operatively and one year post-operatively:

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Below is a 40 year old patient shown before and one year after a cohesive gel (245 cc) breast augmentation. The subpectoral location, cohesive implant and inframammary incision were chosen because of the amount of tissue and areola size. The thinner and less breast tissue one has, the greater the advantages of using a cohesive breast implant which has the least rippling and wrinkling of any available implant.

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