Breast Augmentation

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Breast augmentation or breast enlargement surgery is the plastic surgery placement of breast implants to increase fullness and projection of the breasts or to improve symmetry of the breasts. Breast augmentation is one of the most commonly performed plastic surgery procedures in the United States. As aboard certified plastic surgeon, Dr. Andrew Kaczynski of Advanced Concepts in Plastic Surgery in Sacramento has been performing breast enhancement surgery for over 25 years and has performed breast augmentation surgery thousands of times.  Breast augmentation surgery is also known technically as augmentation mammoplasty.  The procedure is performed as in our AAASF surgery center as an outpatient surgery and includes the insertion of either silicone or saline breast implants.  Breast augmentation sizes are determined by the patient prior to surgery based on the consultation with Dr. Kaczynski. Patients typically require 7-10 days to recover from the initial breast augmentation surgery.  The incisions and scars are completely healed after about 6 weeks, and within several months, they begin to fade noticeably. Cold laser, ointments, and topical medications further assist with the healing process and scarring.

During the recovery period, we advise our breast implant patients to stay away from sunlight, alcohol, strain, swimming, cigarettes, and strenuous exercise.  We also  provide a thorough examination to ensure that the patient is a good candidate for breast augmentation surgery.

Patients who would benefit from breast implants are in two categories: women who have never developed to a breast size they are happy with, and women who have become pregnant, breast fed and lost volume and shape in their breasts.  In the latter case, a breast augmentation may be performed as part of a series of procedures often referred to as a “mommy makeover.” In both cases breast augmentation will benefit them. The breast is made larger by an implant. This is a silicone balloon filled with either silicone gel or saline. Implants have been around since the 1960s and the current design is the best and safest ever made.  There was an implant scare in the 1990s but those claims were thrown out and labeled as junk science.  All implants are now approved by the FDA. Patients have a choice of silicone or saline implants from Mentor and Allergan.

To determine the best breast implants for you it is important to evaluate size, shape and thickness of skin. You can call our office at (916) 925-5522 to schedule a consultation to evaluate these factors.

During breast augmentation surgery, breast implants can be put under or over the chest muscle. The vast majorities are put under the muscle because this best hides the implant best, gives a more natural shape and decreases the chance of scar tissue forming. The incisions or access points to the space under the breast can vary.  There is a choice of periareolar (under the nipple), intramammary (under the breast), axillary (armpits) or umbilical (belly button). Perareolar are the most common in my practice in Sacramento. This usually heals the best and gives the best visual access to the pocket. Intramammary scars can give a good result, but can also ride up and create a very difficult scar to form. They also make subtotal muscular coverage more difficult. Axillary scars are hidden in the armpits, but this incision limits the size of implants and also limit access as well as the amount of muscle release. Umbilical access is only applicable for saline implants. Very few people use this approach and with the return of silicone implants it will be used even less.

Breast augmentation surgery is performed in our AAAHC approved ambulatory surgery center in just a few hours. It is done under general anesthesia to provide the most comfort and muscle relaxation.  Recovery is about one hour in the recovery room and then the patient can be taken home to recover completely. Downtime is a day or so and another three to four days at home. Most people can return to an office job within five days.  Light exercise in two weeks and full exercise (running or lifting weights) after one month.

More questions? You can chat with someone from our office live during business hours or if the button below is green! (Yes OUR office!)

Hospital Privileges
Dr. Kaczynski has operating privileges at Sutter Medical Center, Mercy General and Marshall Medical Center in Placerville, CA.

You can watch part one of Dr. Kaczynski’s video presentation about breast augmentation on YouTube. And here is part 2 of his breast augmentation video.

Breast Augmentation Before & After Pictures

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