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Breast Augmentation Procedure Details Newport Beach, Orange County

 

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Breast Augmentation Procedure Details Newport Beach

 

What is Breast Augmentation Surgery?


Breast Augmentation Surgery Details

Breast implants can be placed beneath the breast tissue (subglandular) or may be placed even deeper, beneath the muscle of the chest wall (submuscular). Also, there is a subpectoral (or partially submuscular) placement that some surgeons prefer. This implant is placed beneath the pectoralis major muscle only, leaving the outer, lower 1/3 of the implant not covered by muscle tissue. The decision is a very individual one determined by the natural shape of your breasts and chest wall muscles.

 

Breast Augmentation Procedure Details Image 1 - Newport Beach

 

A cross-sectional diagram of subglandular (left) and submuscular (right) augmentation

 

Whenever possible, Orange County plastic surgeon Dr. Agha prefers to place the implants in a totally submuscular position. Breast implants placed beneath the muscle tend to look and feel more natural. Because there is more of your own tissue covering the implant, it is less likely that you will be able to see or feel the implant. This entire submuscular placement will improve your long-term results and minimize your potential complications. There is also a lower incidence of capsular contracture when the implants are placed totally beneath the muscle. Capsular contracture occurs when the body produces scar tissue around the implant. This may change the shape of the implant and make the breasts asymmetric. Furthermore, submuscular placement of breast implants allows direct insertion of the implants within the created pocket, limiting dissection of the normal breast tissues. This approach is less disruptive to the sensory nerves that supply sensation to the nipples and surrounding breast skin. Finally, submuscular implant placement avoids interference with future mammography.

 

Mammographic examinations are easier and the quality is better when the breast implant is separated from the breast tissue by the additional layer of muscle. Unlike subglandular placement, should you lose weight due to diet or pregnancy, the muscle will support the implant, which reduces the possibility of sagging. Submuscular implant placement is a bit more uncomfortable, but it is the procedure of choice for most patients and surgeons.

 
Breast Augmentation Surgery Details

Breast implants can be placed beneath the breast tissue (subglandular) or may be placed even deeper, beneath the muscle of the chest wall (submuscular). Also, there is a subpectoral (or partially submuscular) placement that some surgeons prefer. This implant is placed beneath the pectoralis major muscle only, leaving the outer, lower 1/3 of the implant not covered by muscle tissue. The decision is a very individual one determined by the natural shape of your breasts and chest wall muscles.

  • An incision in the navel (transumbilical)

  • Under the breast fold (inframammary)

  • Through the arm pit (transaxillary)

  • Around the nipple-areola complex (peri-areolar incision)

  • Through any abdominal incision or scar

  • Through incisions made for a breast lift (mastopexy)

 

Dr. Agha will place an implant of your choosing under the breast tissue or muscular plane. Dr. Agha’s philosophy is to minimize the size of any given incision. His training in endoscopic plastic surgery enables him to complete surgical procedures through well-hidden, minimal access incisions. Most patients with symmetrical breasts are ideal candidates for a transumbilical breast augmentation (TUBA). Dr. Agha is one of the few Board certified Plastic Surgeons in the nation who has extensive experience performing TUBA. However, when it is necessary to change the shape of the breast, an inframammary incision enables him to apply the necessary sutures to enhance breast cleavage and/or to correct for breast asymmetries. Unless specifically requested, Dr. Agha usually performs peri-areolar incisions only in combined breast augmentation and breast lift procedures.

 
Inframammary Breast Augmentation

Many surgeons often choose the inframammary approach to optimize the visual appeal of cleavage. Of the thousands of breast enhancement surgeries performed each year, 70-80% of them are inframammary. Should any complications arise, the surgeon may use the initial incision to correct any problems. The inframammary approach is commonly used for women who are older or have had children since the natural shape and contours of their breasts can often conceal the scars in the lower breast area. Younger women, thinner women, or women who have not yet had children may have a noticeable scar under their breasts. Dr. Agha prefers to use the inframammary approach to perform corrections of breast asymmetry or to enhance the breast cleavage.

 
Transumbilical Breast Augmentation

Transumbilical Breast Augmentation (TUBA) is a relatively new approach for breast augmentation that combines a virtually unnoticeable scar with similar complication rates. Dr. Agha makes a small incision within the belly button, or navel, and creates tunnels all the way to the breasts. He then gently enters the plane under the chest muscles and performs appropriate dissection of this plane. A small fiber optic camera called an endoscope is then used to confirm the plane of dissection. An empty expander is then inserted in to the dissected plane under the muscle. Saline solution is then pumped into the expander, while the shape of the breast is molded. The expander is then replaced with the final implant. The advantage of this technique is that there is no incision on or near the breast. Los Angeles area plastic surgeon Dr. Agha has extensive experience in TUBA surgery and typically performs submuscular implant placement.

 

Peri-Areolar Breast

Breast Augmentation Procedure Details Image 2 - Newport Beach

 
Augmentation

By making an incision at the junction of breast skin and the pink areola, the scar can be well disguised. Many women have found that this type of surgery gives them the breast enlargement they desire but without the telltale scaring commonly caused by inframammary approaches. Implants can be placed above or below the muscle. If revisions are required, the same incision can be used. This approach is particularly suitable for those who need a small breast lift through a crescent mastopexy.

 
Transaxillary Breast Augmentation

Women who seek to have less visible indications of breast implants often elect to receive what is called transaxillary breast enhancement. This involves a small incision directly in the armpit, or the axilla, through which the implant is inserted. This type of procedure allows for both submuscular and subglandular placement of the implant, giving both a more natural appearance and causing fewer complications with nursing. Southern California plastic surgeon Dr. Agha sometimes uses a small fiber optic camera called an endoscope that allows more direct placement of a submuscular implant. Furthermore, younger and thinner women with little breast sag often choose this procedure because it produces a much less noticeable scar than inframammary breast implant procedures.

 
Where Will Your Breast Enlargement Surgery be Performed?

Dr. Agha has been granted staff privileges at several local hospitals and outpatient surgery centers. In the interest of the safety of his patients, he only performs surgery in fully accredited facilities with the proper services and staff.

 
More about Dr. Siamak Agha

Dr. Siamak Agha is a board certified plastic surgeon who performs a range of breast procedures, including breast augmentation, breast reduction and breast lift in Orange County. He is also a premier facial and body contouring surgeon who has helped many Newport Beach facelift,blepharoplastyabdominoplasty and body lift patients look and feel their best. Contact his practice today to schedule a consultation.


 

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