There are many reasons that women choose to undergo breast augmentations. Breast augmentation, also known as augmentation mammaplasty, is a surgical procedure that involves the use of breast implants or fat transfer to increase the size, shape, or fullness of the breasts. Women may want to improve their proportions, feel shapelier, or fit better in their clothes. Many women also opt for breast augmentations following childbirth and nursing since the breasts may either change following the increased size during pregnancy or suffer from atrophy and/or deflation subsequent to nursing.
Breast augmentation offers numerous benefits, including:
You might be a good candidate for breast augmentation if you:
There are several different types of implants that can be used during a Orange County Breast Augmentation. These include saline implants as well as silicone implants. Silicone implants have become much more popular over the past 15 years with the FDA approval of silicone implants for all women 22 and older.
There still are some women who opt for saline breast augmentations. However, silicone breast implants provide a much more natural feel to the breasts and may even give an improved, more natural shape.
I prefer the dual plane approach for most of my patients as it provides a more natural-looking, sloped breast appearance. This method involves placing the implant partially under the muscle, achieving a balanced and natural look that many patients desire.
The subfascial position involves placing the implant under the fascia, a connective tissue layer over the muscle. This approach can provide a natural look with a bit more support than subglandular placement, while still maintaining a softer contour than the submuscular position.
Breast implants can be placed on top of the muscle, known as the subglandular position. This placement can achieve certain aesthetic results but may not always provide the same natural look as other options.
Another option is to place the implants under the muscle, referred to as the submuscular or subpectoral position. This can provide a more natural contour by placing the implant entirely under the pectoralis major muscle.
The periareolar approach involves placing implants via an incision around the nipple. This method can be advantageous for women with an adequately sized areola and is useful when combined with breast lifts or mastopexies.
The inframammary approach involves placing implants through an incision in the fold under the breast. This technique hides the scar in the natural fold, making it less visible. It is an optimal approach for many patients due to its discreet placement.
I utilize the transaxillary approach for a select group of women. This technique involves an incision in the underarm and is performed with endoscopic assistance, allowing for precise dissection and minimal bleeding. The incision length varies depending on whether saline or silicone implants are used.
Breast implants come in different profiles as well. There are several different companies that offer breast implants in the United States that include Allergan, Mentor, and Sientra; Allergan and Mentor offer both silicone and saline implants, and Sientra only offers silicone implants. All 3 companies have FDA approval to provide implants to the United States for different types of implants. Saline implants were more popular back in the 1990’s and 2000’s as there was a temporary ban on silicone implants in 1992. However, about fifteen years ago, the FDA approved silicone implants for use by all women 22 and older, and for some women under 22 given reconstructive purposes, and since that time, more and more women are undergoing silicone breast augmentations. In my practice, over 95% of my patients elect to have breast augmentations utilizing a silicone implant as it gives them a much more natural feel and appearance.
All implants are warranteed by the US manufacturers for their lifetime, so if there is ever a failure, rupture or a deflation of an implant, the company will replace the implant at no charge. There is no set rule as to when somebody needs to replace their breast implants. With earlier generations of silicone implants, it was noted that there was a high rupture rate by 10 years, and in the past, it was recommended that women switch out of their silicone implants within the first 10 years of augmentation. Today, that is not necessarily the case as we know that breast implants are much sturdier and after 10 years have only a 5 to 15% rate of rupture. Thus, one may choose to wait a little bit longer and undergo radiographic evaluation of the implant to determine if an implant exchange is required.
Breast implants come in different profiles. There are low profile, moderate profile, moderate plus profile, high profile, and extra high or ultra-high profile implants. What varies, is the width and the projection of these implants. A low profile implant is much flatter and wider whereas an extra high profile implant is much narrower and has more projection. Dr. Grover will select a certain type of implant for a patient depending on the width of their chest, the width of their breasts, the desired appearance that they hope to achieve, and the amount of breast tissue they may have.
Saline implants are more prone to rippling especially in a thin patient and lower profile implants. Silicone implants have much less rippling. However, in certain patients, one can still notice rippling in the lower part, lateral part, or the outer part of the breast with a silicone implant, and this is more common with the low profile implants than with the high or ultra-high profile implants.
A new addition or option for women is the Gummy Bear breast implants or the cohesive gel-shaped silicone breast implants. There are multiple names for this including Gummy Bear, form-stable shaped implants, cohesive gel implants, etc. This implant has been approved by the FDA over the past few years. The first company to receive its approval of their shaped implant was Sientra (in 2012), and Allergan (in 2013) obtained their approval for their shaped 410 cohesive gel-shaped implants. Both of these companies provide different shapes and profiles of their shaped implants which allow for a more natural or tear-drop shape. This type of implant may be more suitable for women who hope to achieve a more natural appearance and who do not have much breast tissue, to begin with. The implant is placed via the inframammary approach as it does require a slightly larger incision. It has been touted to maintain its shape over a longer period of time over multiple years versus the other round type of silicone implants. It does require more precision in the pocket dissection and in the determination of the sizing. It is important that you have a Newport Beach Breast Augmentation surgeon who is comfortable utilizing these implants to achieve the best breast implant results possible. These implants have a much lower rupture rate than the other round silicone implants and have also been shown to have a lower capsular contracture rate.
Many patients desire a teardrop or natural look for their breast augmentation results. Achieving this appearance can be done through various methods.
One effective technique for attaining a teardrop-shaped result involves using anatomically shaped silicone implants. However, it's important to note that only a limited number of U.S. surgeons use these implants due to their association with a rare form of lymphoma called ALCL (anaplastic large cell lymphoma). This association arises from the textured surface required on anatomical implants to prevent rotation. In contrast, round implants don't necessitate a textured surface and can remain smooth.
An alternative approach to achieve a natural or teardrop breast appearance is by opting for a 'dual-plane' implant placement. Dual-plane positioning refers to partially situating the implant beneath the pectoralis muscle. By releasing the lower attachment of the pectoralis muscle from the chest wall, the implant avoids an unnaturally high position and can be situated lower behind the breast, ultimately delivering the desired natural teardrop appearance.
This is a relatively new and unique type of saline implant. The Ideal Implant is designed for those who are uncomfortable with getting silicone implants, which provide the most natural and realistic feel and shape. The exterior is a soft, silicone gel, providing a round, smooth surface. The interior is made of one to three nested “baffle” shells, or floating layers within the implant. This baffle structure is designed to control movement of the saline so that there is no unnatural bouncing. These baffle shells also support the implants and keep the upper part of the breast looking round and full.
Ideal Implants have a lower rupture and capsule contracture risk, and because they are saline instead of silicone, there is instant rupture detection. They have a lower rupture rate and higher rupture strength. Ideal Implants provide a youthful shape, and they also feel and appear more natural than other saline implants.
When Dr. Grover sees a patient for an initial consultation for Breast Augmentation in Orange County, he likes to get an idea of what shape, size and appearance of the breasts the patient has in mind. He also likes to see the patient’s desired result by viewing their preferred breast images from the before/after gallery on the Grover Aesthetics' website and/or even magazine photos.
There are certain tools that can be used to help determine sizing including a sizing kit developed by Mentor where one can place silicone forms or implants in a bra to help determine the size that they feel comfortable with and the size that will provide them with some of the best breast implant results Orange County can offer. However, Dr. Grover’s ultimate preference is to have a multiple sizes and options of implants available during surgery so that he can create a pocket in the patient’s breasts and place temporary implant sizers in each in order to determine which sizes fit the patient’s expectations and offer the most symmetry.
Many of our Newport Beach breast augmentation patients have underlying asymmetries that they are not aware of. They may have a different amount of breast tissue on each side. Additionally, many women have some sort of chest asymmetry or chest deformity that most women do not realize until Dr. Grover references it at their initial consultation. By using temporary silicone implant sizers, it helps Dr. Grover select the final implants to get the most symmetric result.
The procedure is performed using general anesthesia in an outpatient setting.
Check out our new Natrelle Breast Implant Simulator!
Getting a breast augmentation is a big decision and it’s important to become fully informed. Dr. Grover, a Breast Implant Newport Beach specialist, will answer any questions that you may have about surgery. Click here to contact Dr. Grover and setup a consultation today!
“My entire experience with Dr. Grover was impeccable. The post-surgery care was by far the best I have ever received…My augmentation was the best investment that I’ve ever made!!!”
“Words could never express my feelings & gratitude for the “miracle” that you have performed on me. I knew from the moment I had my first visit that I was in good hands…You are a master in your profession, a miracle worker and a wonderful man! Thank you very much.”
“I am enjoying being a woman every day. You are a great doctor. Thank you. You changed my life…”
“I have nothing but great things to say about Dr. Grover and his staff. I feel I received excellent care and the entire staff is outstanding!…I am nothing but amazed and very satisfied with my results. I would highly recommend the practice to others and look forward to coming back to you in the future.”
“I could never thank Dr. Grover enough for what he has done for me and given me. He has given me the perfect shape that I have always wanted and a beautiful, hard, flat, stomach that so many people dream of having…I have had two children, and I thought that after pregnancy my breasts and stomach would never look the same. I was right. Thanks to Dr. Grover my breasts and stomach look better than they have ever looked before. Dr. Grover has given me a type of self confidence that I had never had before. I have never met such a kind, caring, respectful physician/surgeon who is not only a perfectionist, he believes in the natural look. Thanks Dr. Grover!”
One of the most popular cosmetic procedures done in the United States is Breast Enlargement. Many women in Newport Beach desire to increase the size of their breasts for many personal reasons. Some women are born with naturally small breasts that are out of proportion with the rest of their body. Some women may experience a decrease in breast size after weight loss or nursing. Sometimes breast augmentation procedures may even be done to bring symmetry to asymmetrical breasts in which one breast is notably smaller than the other. For all of these reasons and many more, breast augmentation has become one of the most popular procedures in the United States today. Dr. Grover is a board-certified plastic surgeon and serves patients in both Los Angeles and Orange County. Dr. Grover is very well known for his beautiful breast augmentation results – view them here: Newport Beach Breast Augmentation Photos.
Ideal candidates for this procedure are in good health both physically and mentally, and should have realistic expectations for the procedure and its potential outcome. Breast implants may be able to help women who have long been bothered by the naturally small size or their breasts, women whose breasts are disproportionately small compared to the rest of their body, women who have difficulty finding clothes or swimsuits that fit on top, women whose breasts have decreased in size and/or firmness after weight loss or having children, and women with one breast significantly smaller than the other.
The most important step in your breast augmentation journey is finding the right board-certified plastic surgeon. We encourage you to have a one on one consultation with Dr. Grover.
We suggest visiting Dr. Grover’s extensive before and after gallery and also the testimonials page of happy plastic surgery patients from Newport Beach, Los Angeles and throughout the world.
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