What is a breast augmentation?
Also known as augmentation mammoplasty, breast augmentation after breastfeeding is a procedure commonly performed during Beverly Hills mommy makeovers that uses implants to increase the volume of the breasts. These implants are placed under the breast gland or under the chest muscle. While breast augmentation has some impact on the shape of the breast, it is generally not a procedure designed to alter the breast shape. If
the breast shape needs to be altered significantly, as is often necessary during a mommy makeover, one must consider a breast augmentation with lift after pregnancy.
Plastic Surgery Uncensored - Episode 6 - The Good, The Bad, and The Ugly - Part 1
Plastic Surgery Uncensored - Episode 7 - The Good, The Bad, and The Ugly - Part 2
Mommy Makeover Breast Augmentation Before & After Results
Breast augmentation after pregnancy is not only a way for women to enhance their image but also improve their proportions. As a general statement, patient satisfaction with breast augmentation is very high and as such it is one of the most frequently performed procedures in plastic surgery.
Am I a candidate for a breast augmentation after pregnancy?
The best candidates for a breast augmentation are in good mental and physical health. While this procedure is often done in conjunction and with the support of one’s partner, it’s important the decision is made based on the patient’s own desire. Additionally, patients undergoing breast augmentation must have fully developed breasts, which usually occurs around age 18.
While a consultation with a plastic surgeon will ultimately determine candidacy, patients with one or more of the following issues are likely good candidates:
- Dissatisfaction with breast size or feeling one’s breasts are too small
- Loss of volume or shape following pregnancy, weight loss, or due to the aging process
- Asymmetrical breasts, in which one appears larger than the other
- Developmental breast condition, in which one or both breasts have failed to fully develop
Before & Afters
Breast augmentation consultation
Note: while each surgeon approaches the consultation process differently, Dr. Rahban feels they should all have the same basic elements, ensuring patients leave very well informed regarding surgery. Below is how Dr. Rahban conducts a consultation.
Your consultation should be done by your plastic surgeon and not by his staff, such as his coordinator. In many cases, patients are offered free consultations, but you must understand that often means you’ll get a hurried consult. As a point of reference, Dr. Rahban on average spends up to an hour with each patient, reviewing not only what the patient came in for, but also explaining all the nuances such as the risks and alternatives to what that patient has requested.
There is no way to accelerate the exchange of knowledge when it can be complicated and is so crucial.
During a mommy makeover breast augmentation consultation, Dr. Rahban covers several crucial points. Firstly, he gathers data regarding your personal cosmetic objectives. Second, after an examination, Dr. Rahban defines the nuances of your anatomy and its limitations with regard to breast augmentation, and any other procedures you are undergoing for a mommy makeover. He begins the process with taking careful, detailed steps to ensure you get the results you want out
of one of the best mommy makeovers Los Angeles can lay claim to.
Next, he lays out your options, including incision/approach options, implant types, implant sizes, location of implant and other factors involved in a breast augmentation. Finally, he will discuss what you can expect from your breast augmentation, both in terms of the cosmetic result, as well as the physical and mental aspects.
As an extension of this, Dr. Rahban also reviews what patients should not expect from surgery. He is well known for telling his patients the truth and establishing a healthy level of expectation. Most patient dissatisfaction is related to inaccurate understanding and expectation of their surgery. Dr. Rahban deals in full disclosure to prevent this from occurring.
Finally, in the interest of helping his patients fully understand the procedure, Dr. Rahban will take this opportunity to review all potential risks. While some risks are quite unlikely, he still wants his patients to be aware of the potential downsides of a breast augmentation mommy makeover. All surgeries come with risks. Therefore, he believes the only time to engage in surgery is if the benefits far outweigh the risks. If you will only have a mild improvement, Dr.
Rahban will most definitely recommend you do not undergo the procedure.
During a consultation, Dr. Rahban has one primary purpose—total patient education. He wants each patient to fully understand the nuances of breast augmentation surgery, as well as every risk and exactly how the procedure applies to them, allowing them to make the best decision for themselves. With his honest, candid approach, Dr. Rahban brings a new level of care to the complicated and confusing world of plastic surgery.
In breast augmentation, there are four incision options. They are:
This incision is placed in the bottom border of the areola, from the 5:00 to the 7:00 position.
This incision is placed in the inframammary fold or breast crease at the bottom of the breasts.
This incision is placed in the armpit or “axilla.”
This incision is placed through the belly button and is limited only to saline implants.
The incision chosen depends upon several factors, including type of implant, degree of enlargement, patient anatomy, as well as the preference of both patient and surgeon. Other procedures being performed as part of a mommy makeover can also play a role in the incision type. During your initial consultation, Dr. Rahban will thoroughly cover all incision options, helping you understand which may be best for you.
While the transumbilical and transaxillary approaches are used by some surgeons with varying results, Dr. Rahban does not feel like these approaches give consistently excellent results. His preference is only the periareolar or inframmary approach options.
Some patients are concerned that they will lose sensation with the periareolar approach. This is not the case. Loss of sensation of the nipple is unrelated to the incision used during the breast augmentation. It is actually caused by damage to an intercostal nerve located near the armpit, which can occur from any approach if the implant selected is too big.
Implant location and placement
There are three locations where the implant can be placed.
Subglandular/above the muscle
In this instance, the implant tends to be more prominent, as it is closer to the skin and tends to have a more abrupt chest-to-breast transition. Additionally, this approach has a higher rate of capsular contracture, or scar tissue formation. If a patient has too little breast tissue to cover the implant, then rippling--being able to see or feel the implant borders--is much more likely in this location.
Complete submusclar or under the muscle
In this approach, the implant is totally under the pectoralis major muscle. The transition in the chest-to-breast is more natural. However, sometimes the muscle prevents the implant from settling into the bottom of the breast, causing the bottom of the breast to lose roundness and fullness.
Dual-plane or half-half approach
In this technique, you are essentially getting a hybrid of the above techniques. The implant is under the muscle, yet the muscle is released or moved out of the way so the implant can settle into the bottom half of the breast, filling it in a more natural way. This technique tends to be Dr. Rahban’s preferred approach.
Patients sometimes are concerned that releasing the muscle will lead to muscle weakness, which is not the case. The muscle release is insignificant and not functionally relevant in the majority of patients.
Breast implant types
In breast augmentation, there are two primary types of breast implants. These are:
This implant is made from a silicone shell filled with a sterile saline solution. The saline solution is injected into the shell after the shell has already been placed in the breast pocket.
This implant has a silicone shell and is filled with silicone. Today there are two main types—the semi-cohesive soft silicone implant, and the cohesive/gummy bear implants.
A cutting edge development in breast augmentation, gummy bear implants offer an improved texture and appearance for qualifying patients. Be sure to ask your surgeon if gummy bear implants may be right for you.
While the gummy bear implants are considered the newer implants, they are not necessarily better. Newer doesn’t mean better, newer means different. They are simply another implant options with a host of advantages and disadvantages. Patients need the guidance of their physician to determine if this option is right for them.
Saline implants tend to be more round, more prominent and firmer in comparison to their silicone counterparts. Silicone implants tend to be softer, less projecting, and more natural appearing.
The above implants can be broken down into further characteristics. For example, the implant exterior may be textured or smooth. Additionally, there is the obvious consideration of size, and implants come in many different sizes. The size of an implant is measured in cubic centimeters. Every 150-200 cubic centimeters represents approximately one cup size. Yet another parameter is the profile, which refers to how much the implant projects forward. While there are various companies
each with their own profile types, generally implants are classified as low, medium and high profiles. Again, each has an advantage and disadvantage and without a thorough examination there is no good way to know which is best for a given patient.
The most important factor when it comes to implants is safety. With the extensive amounts of research that’s been done, we now know based on many scientific studies that saline and silicone implants are equally safe. Historically, patients were concerned about silicone implants, but that issue was laid to rest many years ago, and silicone implants have not been associated with development of disease such as Lupus or breast cancer as feared in the past.
The exact type and size of implant will be determined during your initial consultation, as it is your doctor’s responsibility to help guide you on these matters. You should be given all options and fully educated on what you can expect from each type of implant. If you are given a bunch of implants and asked to fill your bra and then made to make a decision, you will likely make a mistake. There is a science to the art of breast augmentation and it is important you select the
correct implant. Many of the most preventable complications with breast augmentation are implant related.
Used by Dr. Rahban during a case
Implant sizing is probably the most crucial step in pre-breast augmentation decisions. Usually patients are allowed to make whatever size selection they want, simply based on the fact that they are paying for the surgery. This is an incorrect approach to breast augmentation. We know that every chest has its own measurements, and there is a maximum size appropriate for each individual’s anatomy. Therefore your physician must measure you, then guide you as to the limits of your breast
augmentation. Dr. Rahban strongly believes that sizing is not about what you want, but what you should have.
Dr. Rahban does not operate based on a patient’s desired CCs (cubic centimeters), nor cup size. In other words, he won’t operate to give you a certain CC or a bra size. He operates with the final shape and aesthetics of the breast in mind.
Most physicians will ask the patient to select the implant size prior to augmentation, and subsequently insert that implant intraoperatively. If this implant is incorrect, then the responsibility falls onto the patient. What Dr. Rahban does is different--he uses implant sizers during surgery. Here is what that means:
During the consultation, he asks the patient to choose several photos of the breasts she would like to have. These are before and after pictures of breasts without clothes so there is no confusion as to what the breasts actually look like. He then uses those photos as a guide during surgery to achieve the correct size for the patient.
During surgery, he has a full array of sterile “sizer” implants. He inserts a sizer and sits the patients up, continuously comparing them to the photos they selected. He will exchange sizers until he is confident that the size is consistent with the desired look--not cup size--the patient desired. As such, he is not bound by a limited number of implants he pre-selected or worse, what the patient thought was the appropriate size during the consultation. With this time consuming but
thorough method, Dr Rahban has virtually eliminated sizing issues in his practice.
The error in operating based on cup size is that manufacturers don’t make breast implants based on cup size. They are simply measured in cubic centimeters, which doesn’t directly translate to cup size. In breast augmentation, the goal is a visual, cosmetic result. It is not a number or a bra size. Unfortunately, not all surgeons operate this way. Therefore, lots of errors are made during sizing, leading to unhappy patients.
Breast augmentation procedure
Note: while no two surgeons perform this procedure identically, most techniques have a similar series of steps. Below is a brief overview of Dr. Rahban’s technique, allowing you to gain a more detailed understanding regarding how your surgery will be performed. The more you know, the more control you have.
During the breast augmentation procedure, the first step is the incision. During your earlier consultation, you and Dr. Rahban will have chosen
which incision is the best choice for you. This decision will be based on Dr. Rahban’s professional opinion, along with your personal
Once the incision is made, Dr. Rahban dissects through the breast gland until he locates your pectoralis muscle. If the implant is to be placed
above the muscle, the pocket for the implant is created on top of the muscle. If the implant is being placed below, which is the more common
location, the muscle is lifted and the pocket is created underneath.
As mentioned earlier, Dr Rahban prefers the dual plane technique in order to create a more natural result therefore he will incrementally release
some of the muscle attachments along the bottom of the breast. This will allow the implant to sit in the correct location and give the tear drop
appearance that many patients are trying to achieve.
Once the pocket is created, Dr. Rahban will refer to the photos you have given him and insert a sterile sizer implant consistent with the size he
believes will accomplish the goal. He will then sit you up while you are asleep and look at the photos and compare to determine if the size is
correct. If need be, he will repeat this procedure with various sizers until he feels confident that your size is appropriate and that both breasts
are symmetrical in size. This time-consuming step is what allows for more accurate sizing outcomes, hence patient satisfaction.
To ensure his patients get an ideal result, Dr. Rahban has a consignment of ALL implant sizes. He never wants to place an incorrect implant simply
because he doesn’t have the right size. This is yet another unique indication of his commitment to patient satisfaction.
When inserting the implant, especially silicone implants, the implant is large and the opening is small, requiring force to insert the implant
into the pocket. This jeopardizes the integrity of the implant, and often causes damage to the skin of the incision which results in unsightly
scars. Dr. Rahban uses a product called the Keller Funnel™ which is a device that facilitates the insertion of the silicone implant into the pocket
with great ease. He strongly believes that this device enhances the outcome of his breast augmentation surgical results. Patients should ask for
this funnel to be used no matter who their surgeon is.
Once Dr. Rahban is satisfied with the size and the final implant is inserted, he closes the incision. It is very important that your surgeon--not
his assistant--closes both your incisions. In many cases, surgeons have someone else close the incision to expedite the process.
A breast augmentation with Dr. Rahban takes an average of two hours. The typical plastic surgeon performs this procedure in under an hour. This length of time will be higher if the breast augmentation is being performed in conjunction with other procedures, such as part of a mommy makeover. Make
sure your surgeon is not in a rush, as a faster procedure does not mean it is better.
Preparing for a breast augmentation
For patients undergoing a breast augmentation, preparation begins about a month before the procedure. Our office will provide you with a full list of actions to take as well as what to avoid. Each item on the list is intended to ensure you get a beautiful cosmetic result and that the surgery is as safe as possible. A few basic preparatory steps are listed below to give you an idea of what will be expected.
- Stop taking certain medications, such as aspirin and anti-inflammatories, as these can contribute to excessive bleeding.
- If you are 40 or over, a mammogram is necessary in order to make certain that your breasts are in good health and that no underlying disease is
missed. If you have a family history of breast cancer, a mammogram at an earlier age may be indicated.
- Quit smoking, as this can slow the healing process.
- Make arrangements for the recovery process, including details such as a ride home following surgery.
- It must be at least three months since the last time you’ve seen milk come out of your breasts.
- Breast augmentation patients should be relatively close to their ideal body weight.
If you have any questions prior to your surgery, our office is available to you. Call or email us any time, and we will help with anything you need. Our goal is for you to have a successful surgery, which we believe is contingent on research and preparation. Your success is predicated on doing your homework and being prepared. We strive to provide total peace of mind for our patients, as well as a safe, successful procedure.
Healing and recovery
Note: the recovery listed below is according to Dr. Rahban’s routine. Other surgeons may have a different approach to the recovery process.
Directly after surgery, you will awaken from anesthesia, at which point you will have little to no pain, as both the general anesthesia and the local anesthesia are still present in the breasts. You will have on a surgical bra, as well as bandages underneath your bra. Dr. Rahban’s approach is to leave everything in place for one week until he sees you for your first post-operative visit.
During this initial post-operative period, many patients feel as though their incisions are getting dirty, making them want to wash the incision. When patients leave the operating room, the incisions are sterile and well covered by dressings. Because most infections occur from contamination, patients who “clean” their wounds actually introduce bacteria from their hands and water, increasing the risk of early infection. Therefore, the incision will remain clean if the dressing is
simply left alone, allowing the wounds to begin healing in a sterile fashion.
Note: While some doctors may use drains, Dr. Rahban does not with his breast augmentation. He feels that with meticulous hemostasis or control of bleeding and accurate technique, drains are not necessary with breast surgery. Only in rare cases of complex revision does he use drains.
At one week, you will see Dr. Rahban, at which time your bandages will be removed along with your sutures. He will then begin telling you how to care for your scars. Refer to Dr. Rahban’s scar management protocol for more information.
During the first week, you will experience mild to moderate discomfort. It is normal to notice fullness along the upper breast as there is both swelling and the implants have yet to settle. Over the next 6 weeks, the fullness will start to improve, but the implants usually take about three months to fully settle. With the dual plane approach, the breasts eventually create a teardrop shape.
Most patients return to work after about 7 days. During this time, you will still be wearing your surgical bra, but it can be taken off to shower. It may seem counterintuitive, but there is nothing magical about this bra. It does not hold the breasts in a specific position, nor does it provide proper support. In fact, it’s what this bra DOESN’T do that makes it special. If a normal bra or sports bra were to be worn during this period, it may lead to the implants healing higher than
one would like. Therefore, this surgical bra allows the breasts to heal properly and settle with time.
The second is 2 weeks after your surgery, at which time your pain is significantly less, and the focus is on wound care. During this visit, Dr. Rahban will continue to ensure you know how to care for your incisions. As many of his patients come from out of town, it is usually this two week milestone that marks their return home. Ideally, he wants patients to remain close to his office for the first two weeks after surgery to monitor their healing and ensure they are on the right
At 6 weeks you should essentially have no more pain. Your scars should be well healed, and therefore you can begin to resume all previous activities with the exception of lying completely flat on your breasts, such as during a massage. Dr. Rahban doesn’t recommend this kind of activity until 3-5 months after the procedure as you will notice discomfort when doing so.
By this 6-week mark, your implants have begun to settle and have a more natural appearance. However, they may still not have the final teardrop appearance that you are looking for. You will be able to resume all strenuous activities and exercise. Additionally, you will be able to buy your first set of bras, as you will be wearing the surgical bra until this point.
Note that at this juncture, your scars will start to become more inflamed, and perhaps more obvious, as your body is beginning to do its healing work. Refer to Dr. Rahban’s timeline on wound healing in the wounds section for more information.
Wound healing & scar management »
After three months, the implants will have settled into place and the swelling will have subsided. You will be enjoying the full results of your breast augmentation around this time. Please note the incisions may be slightly red or inflamed. This is because they are still healing fully. But rest assured, after several more months, they will be virtually invisible.
After one year, Dr. Rahban will see you for your final appointment. He will check the integrity of your breast implants and makes sure everything is as it should be. He makes sure there is no scar formation or any other complication such as rupture.
On average, it’s recommend that implants be replaced every 10 or 15 years. While there is no exact time, it’s good to remove them before they break. If they do break, it is not dangerous, but they are a little more complex to replace.
Your relationship with Dr. Rahban continues long after your breast augmentation is over. At any point after your surgery, he and his office are available to help with any questions or concerns that arise. Even several years later, his door is open to patients who have concerns about their implants.
Breast augmentation risks
Breast augmentation risks include but are not limited to:
Also quite rare, infection is thoroughly combatted before, during and after surgery. The night before surgery, we have patients wash themselves with an antiseptic soap. We give patients antibiotics directly prior to surgery, as well as after. Additionally, Dr. Rahban has very strict post-operative instructions regarding wound management that he believes reduce the risk of infection.
This means the right and left breasts will not be identical in size or shape. No two breasts are ever identical before surgery, nor will they be after surgery. The goal, however, is for the breasts to be very close in size and shape. Hence, if there is any asymmetry to begin with, Dr. Rahban will attempt to correct it. This may include using different sized implants.
Rippling comes in two forms: palpable and visible. Most women have some degree of palpable rippling. That means when you feel your breasts, you can feel the implant to some degree. This is more common with saline implants than silicone implants. This usually occurs along the bottom of the breast near the inframammary fold as well as in the axilla or side of the breast, where there is no muscle present. Visible rippling occurs much more seldom and usually occurs in very thin
patients who have very little breast tissue covering their implants. Visual rippling usually occurs more on the outer part of the breasts near the axilla, or armpit.
Over time, breast implants can rupture. However, the rupture rate with the new generation of implants is quite infrequent and rare. Despite this, it is recommend that patients replace their implants every 10 to 15 years.
While an inevitability of surgery, the issue is not whether you will have a scar, but rather the quality of your scar. The goal is for you to have a well-healed, faint or fair scar with time. In order to prevent the unsightly scar that so many people are worried about, Dr. Rahban takes several steps to minimize it.
He believes in a 50-50 rule. Fifty percent of scar healing has to do with the technique of your surgeon’s closure, or how well the incised tissues are brought back together. The other fifty percent is the patient’s biology. Because a patient has little control over her biology, there is a lot of emphasis placed on your surgeon and his closure technique. While many surgeons place their emphasis on post-operative scar management--like lasers and creams--there is very little science
that any of these modalities actually work. Therefore, Dr. Rahban focuses on an unusually fastidious closure technique to ensure that all tissues heal with minimal scarring. Additionally, he is the only person to close the incisions, as opposed to the surgical tech who is frequently allowed to close with other surgeons.
This is a very rare complication. Despite this, we take action to minimize the risk as much as possible. This primarily includes having the patient stop all medications that promote bleeding at least two weeks in advance, such as anti-inflammatories, aspirin and supplements.
Loss of sensation to the nipple
As mentioned previously, the loss of sensation to the nipple has nothing to do with the incision used in the breast augmentation. The majority of the sensation to the nipple comes from the fourth intercostal nerve located near the armpit within the breast pocket. Most loss of sensation is due to picking too large an implant and therefore damaging the nerve when the pocket for the implant is created. This is why size selection is so crucial when deciding to proceed with breast
Decreased breast milk
When the periareolar incision is used, some of the ducts are transected as the pocket is created, and therefore some breast milk reduction occurs. The only way to avoid this complication is to use the inframammary fold approach, thereby going under the the gland and avoiding the ducts all together.
When an implant is placed within the body, the body recognizes it as a foreign object. Therefore, it tries to protect you from the foreign material. It does this by creating a capsule or scar tissue around the implant. Any medical device that goes into your body, such as a pacemaker, a prosthetic knee, or a heart valve, causes the body to create a capsule or scar tissue around it. Therefore, all women with breast implants have this capsule which is normal.
For reasons that aren’t clear, some women create a thicker capsule than others. This is not a rejection, but rather the body making a more aggressive scar tissue envelope. This can become of concern to the patient when the capsule causes the implant to feel firm and sometimes displace or move the implant upwards, creating an unsightly breast. The degree of capsular contracture can vary from mild to severe. When it is severe, the only solution is to remove the scar tissue and replace
the implant. While this phenomenon can recur, it usually does not.
Massaging the breasts has never been proven to reduce the rate of capsular contracture. While many patients think that massaging the breast will reduce the risk of capsular contracture formation, unfortunately there is no science that shows us the case.
The rate of capsular contracture when the implant is placed below the muscle is approximately 5% to 15% and approximately 40% when placed above the muscle.
Dr. Rahban’s philosophy
I won’t allow you to make a bad choice. Sometimes patients want something that isn’t right for them. If your size selection is too big, I will tell you. Most complications occur based on having an implant that is too big. Loss of sensation to your nipple, bottoming out, etc. It’s all about bad choices.
“I use implant sizers during your surgery to help select the appropriate size. While this is a time-consuming step, it minimizes the chances of
“I prefer the dual plane technique when performing a submuscular augmentation, which I believe allows the breasts to settle into a much more
natural teardrop shape rather the half melon look many patients dread.”
Breast augmentation cost
There is no standard breast augmentation cost as there are many unique variables. Below is a list of the elements that will determine your breast augmentation cost so you understand what exactly you are paying for.
- The skillset of your surgeon. Is he or she a plastic surgeon or a cosmetic surgeon? Is he or she board certified? A board certified plastic surgeon will often be more expensive.
- How long it takes to perform the procedure. Generally the faster your surgeon, the less facility and anesthesia fees and the greater the surgeon’s profit. Therefore, surgeons have an incentive to work more quickly. When it comes to surgery, faster is not better. Be sure to ask your surgeon how long the procedure will take and be wary if it seems too quick. The average time for breast augmentation is 2hrs.
- The anesthesia provider. There are many types of anesthesia providers. An anesthesiologist who is a medical doctor will be more expensive than a nurse anesthetist. Do your research and find out who provides anesthesia for your plastic surgeon. Dr Rahban is partial to using an anesthesiologist as opposed to a nurse anesthetist.
- The facility in which your operation is performed. Unfortunately, surgery centers and hospitals are not all created equal. The more sophisticated the facility, the more expensive its hourly fee. Facilities that are Medicare-certified tend to be more costly as well.
Questions to ask your surgeon
Below are specific questions to ask your surgeon during your consultation. Each of these will allow you to understand his or her approach and thus make an informed decision. To print these questions so you can ask your surgeon, see link below to download a copy take with you to your consultation.
Am I a candidate for a dual-plane breast augmentation?
With the dual-plane approach, the implant is under the muscle, yet the muscle is released or moved out of the way so the implant can settle into the bottom half of the breast, filling it in a more natural way. This technique tends to be Dr. Rahban’s preferred approach. Note that there are varying degrees of dual plane and this depends on your anatomy and your surgeon’s experience.
How do you help me determine which size is right for me, both cosmetically and physically?
During surgery, he has a full array of sterile “sizer” implants. He inserts a sizer and sits the patients up, continuously comparing them to the photos they selected. He will exchange sizers until he is confident that the size is consistent with the desired look--not cup size--the patient desired. As such, he is not bound by a limited number of implants he pre-selected or worse, what the patient thought was the appropriate size during the consultation. With this time consuming
but thorough method, Dr. Rahban has virtually eliminated sizing issues in his practice.
Do you sit me up during surgery so you can see how the implants sit?
At this point, he will refer to the photos you have given him, and will insert the size of implant he believes will accomplish the goal. He will then sit you up while you are asleep and look at the photos and compare to determine if the size is correct. If need be, he will repeat this procedure with various sizers until he feels confident that your size is consistent with what you selected, and that both breasts are symmetrical in size.
Do you use a Keller Funnel?
When inserting the implant, especially silicone implants, the implant is large and the opening is small, requiring force to insert the implant into the pocket. This jeopardizes the integrity of the implant, and often causes damage to the skin of the incision. Dr. Rahban uses a product called the Keller Funnel™ which is a device that facilitates the insertion of the silicone implant into the pocket
with great ease.
Do you close my incision or does someone else?
In closing the incision, Dr. Rahban carefully sutures each underlying layer from the inside out, maximizing support. It is crucial that your surgeon personally closes both breasts, as there are some plastic surgeons who allow a surgical tech or surgical assistant to close.
Tell me about your closing technique.
In closing the outer skin, Dr. Rahban uses an enormous number of sutures. This high number of sutures ensures there is very little tension on each individual stitch. This lack of tension produces minimal scarring, and the incision is virtually invisible once the healing process is complete.
Do you offer a second consultation prior to my procedure?
Every patient goes through a thorough pre-operative process. This begins with a pre-op visit two weeks prior to surgery. This is similar to a second consult. During this time, you will go over the details of your surgery with Dr. Rahban, and you will get a second opportunity to ask questions and go over your procedure, thus ensuring a complete understanding.
How many follow-up appointments do we have?
After a breast augmentation, Dr. Rahban schedules a total of five follow-up appointments. Most plastic surgeons schedule two follow-ups, during which time you may not even see the doctor. During every follow-up appointment, Dr. Rabhan sees his patients personally.
Breast Augmentation After Pregnancy
Mothers watch their bodies change over the term of a pregnancy. However, a great number of new mothers are surprised to discover that their breasts are smaller after having children. This physical change is not uncommon, especially for mothers who have breastfed their children. To restore the fullness of your breasts, or increase the size of your breasts to the size you always wanted, Beauty After Baby offers breast augmentation after pregnancy.
At Beauty After Baby, we only use the most high-tech, modern medical equipment, and patient health and safety guides us in every procedure we perform. We are dedicated to getting the beautiful results. Our cosmetic surgeon is an experienced mommy makeover specialist in breast augmentation after pregnancy surgery. Each year, we help many women feel more confident and pleased with their breast size, and appearance of their body after
Why Should I Consider Breast Augmentation?
Mothers can have significant body changes after pregnancy. During pregnancy, the breasts swell to produce milk. Many women enjoy the fuller breasts they have during pregnancy and breastfeeding. Unfortunately, breastfeeding can leave your breasts sagging, and smaller than they were prior to pregnancy. These changes can be distressing, and leave your body in a condition that makes you unhappy. At Beauty After Baby, breast augmentation is a common procedure chosen by our patients. This
surgery has allowed many mothers to restore or enhance their figures, and have fuller, rounder breasts after baby.
Reasons to Consider Breast Augmentation after Pregnancy
There are several reasons why women choose to have a breast augmentation procedure after pregnancy and breastfeeding. Pregnancy and breastfeeding impact every woman’s body differently. Many women find themselves dissatisfied with the appearance and size of their breasts after pregnancy and nursing. Breast augmentation surgery can help mothers restore the more youthful, high, full appearance of the breasts.
The main reasons our clients choose to have breast augmentation after pregnancy and childbirth include:
- Restore a more youthful silhouette
- Increase volume of breasts after pregnancy and nursing
- Make breasts more symmetrical
Should I get a Breast Augmentation before or after I have kids?
How soon can I have Breast Surgery after having kids?
Will a Breast Surgery reduce my ability to breastfeed?
The Breast Augmentation Procedure
Modern medical technology has evolved to the point that your breast augmentation is a routine, safe procedure. During the procedure, our skilled cosmetic surgeon will first put you under a general anesthetic so the procedure is painless. Then, a small surgical incision is made in the breast. The incision point is the location where the breast implant will be inserted into your breasts. Our breast augmentation surgeon will select the appropriate location to make the incision, based
on what is needed.
In many cases, the incision is in the lower portion of the breast, below the areola. The incision can also be made in the armpit, around the areola, or the belly button. Any technique is geared to decrease the appearance of scarring from the surgical incision. The technique employed by your cosmetic surgeon will depend on which body location makes it possible to achieve the result you envision for your new breasts. During your pre-surgery consultation, you and your surgeon will
discuss the pros and cons of each option.
How Breast Augmentation after Surgery Procedure Works
In recent years, there have been several innovations in breast augmentation surgery. At Beauty After Baby, our highly-skilled cosmetic surgeon is exceptionally qualified to perform all types of breast augmentation surgeries. We ensure our patients understand every detail of the procedure, as well as recovery time.
Our consultation with you will include a discussion about the following issues:
- Implant incision location options
- Implant placement (over or under the breast muscle)
- Implant size
- Implant shape
- Implant texture
- Saline implants
- Silicone implants
Along with breast augmentation, post-operative care, and other details, our surgeon is open to discussing other treatments such as liposuction or a tummy tuck to complete a full Mommy Makeover.
Deflated Breasts after Pregnancy
One of the most common reasons clients contact Beauty After Baby is the deflated, saggy appearance they have after pregnancy. If the youthful, perky appearance of your breasts has disappeared after having a baby, breast augmentation surgery can bring back that youthful appeal, as well as add volume. Some mother will require both breast augmentation surgery and a breast lift for the most visually appealing, youthful result.
Over the Muscle or Under the Muscle Breast Augmentation
Depending on the condition of your breasts and what you envision, our cosmetic surgeon may choose to place your implant either over or under the pectoral muscle. Traditionally, breast augmentations are performed sub-muscular (under the muscle).
Under the muscle implants have a more natural look, as the implants will be covered by breast tissue and the pectoral muscle. Subglandular (over the muscle) breast augmentation may be recommended for some for post-pregnancy surgeries. For fuller-breasted women, a dual approach may be performed where implants are placed both over and under the pectoral muscle. Whether your implant is placed over or under the muscle can only be determined by an evaluation of the current condition of
your breasts and body structure.
Silicone or Saline Breast Augmentation?
There are two choices in the type of implant to place in breast augmentation surgery. Women choose between silicone and saline filled implants.
Silicone is a rubber-like material containing silicone, carbon, hydrogen and oxygen. These implants have come a long way since first developed, and are now available in more sizes and shapes than ever. These implants are often the best choice for women who lack and abundance of soft tissue.
Saline is a salt water solution. The two types usually require different surgical procedures, as the saline implants can be placed and then filled, while silicone implants are filled prior to being put in place, and require a larger incision.
Silicone breast augmentations often feel and look more natural, as they mimic the feel of natural breast tissue. Silicone weighs less than saline, and has the advantage of being less susceptible to moving down over time from the pull of gravity. Saline breast implants could be the appropriate option, as the more recently developed implants have a thicker shell than earlier versions, which allow them to feel more like natural breast tissue. Saline implants typically create a more
Schedule a Consultation about After-Baby Breast Augmentation
At Beauty After Baby, Dr. Rahban has focused his professional practice upon helping mothers restore their bodies after pregnancy, childbirth, and nursing have taken a toll. Contact us and schedule a consultation at our Los Angeles clinic.