Breast Augmentation

Are you dreaming of a more shapely, feminine figure?  Or wanting to restore what pregnancy and breastfeeding has taken away?

Through a combination of listening to your appearance goals, careful measurements, and extensive experience, Dr. Varkony can help you achieve your new look. The Plastic Surgery Center offers a full selection of FDA-approved breast implants, including both saline and silicone.

If you are interested in a breast augmentation, request a consultation online with Dr. Steven Varkony, or call our office at (818) 907-9090 to schedule your complimentary consultation today, and be on the way to the new you!

You deserve it!

Frequently asked questions about the breast augmentation procedure.

Here you’ll find some of the most commonly asked questions regarding the breast augmentation procedure, but feel free to contact our office with any unanswered queries. We are here to help in any way we can.

Am I a good candidate for breast augmentation?

If you are in good health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

The following are some of the reasons to consider a breast augmentation;

  • You believe your breasts are too small for your body.
  • You feel self-conscious wearing a swimsuit or form-fitting or low-cut tops.
  • Clothes that fit your hips are too large at the bust line.
  • Your breasts have become smaller or less firm after you’ve had children.
  • Your breasts have become smaller due to weight loss.
  • One of your breasts is noticeably smaller than the other.
Does breast augmentation lift the breasts? Can it replace a breast lift?

No, if the breast is droopy and the nipple position is low, typically a breast lift is needed.  Sometimes a breast lift and a breast augmentation are combined in the same surgery.  A breast augmentation, by itself, just gives you a “larger version of what you already have”.  It will give you a small lift but if you have significant amounts of tissue sagging, you may need a breast lift at the same time.

How will I determine what size implant is right for me?

It starts with an open discussion between you and Dr. Varkony.  Most women have a pretty good idea of the shape and size they’re hoping for.  Most commonly, we hear “a full C cup – something that is proportional for me”.  For some patients, it’s more conservative, and some ladies want a very full, round and voluptuous look.

The key concept is to start by matching the width of the implant to the width of the patient.  It’s about measurements, not cc’s, of the implant at this stage.  For example, a petite lady, who has a narrower breast width needs a smaller diameter implant than a broad-shouldered lady who has a wider breast width.  Using this measurement-based approach helps us get nice cleavage without excessive space between the breasts. It also helps avoid unwanted excess fullness at the side of the breast, aka “side boob”.

Once the width of the implant has been determined, then we can talk about the implant shape, or “profile”.  Higher profile implants give more fullness in the upper part of the breast.  Lower profile implants give less fullness and a very “natural, nonsurgical” look.  Women who want a much fuller, rounder shape may want to look at the high-profile implants.

Often, the selection is a matter of the patient’s personal preference and taste.  There may be several implants that could potentially look good for a particular patient, and they can pick the one they like the best.

We spend a lot of time with our patients, having them “try on” implant sizers.  We find this is a helpful method to figure out the optimal implant for each person and explains the effects that different sizes and implant profiles will have.

Where is the location of the incision?

Dr. Varkony’s preferred incision site is typically placed in the armpit to avoid any scars on the breasts. The incision is placed in a natural avenue and when it heals, it is hard to see the incision in many patients. You can also choose to go through the areolar or the crease in the breast fold. Each option will be thoroughly discussed with you during your examination with Dr. Varkony, to determine what would be the best option to give you the results you desire.

How will my implants be placed?

The selected implant is carefully inserted either above or below the pectoral muscles, in a precisely-tailored tissue pocket. During your examination, Dr. Varkony will go over your options and help you choose the best for your desired results.

What are my breast implant choices?

Choosing a breast implant is an individual process. At The Plastic Surgery Center, we offer both saline and silicone implants to our patients. Before choosing one over the other, it is good to know the benefits of both, so that you can make your decision based on the look and feel that you want.

Silicone breast implants come pre-filled and are implanted in the body that way. They are filled with a thick, cohesive but flexible silicone gel. Although more expensive than saline, many women prefer silicone implants, insisting that they look and feel more natural. There has been some controversy in the past over whether silicone implants are safe to use. However, the FDA has tested and approved their safety for use in breast augmentation surgeries for women 22 years of age and over. In addition, as a silicone implant is made of cohesive, solid gel, no harmful fluids or substances will enter the woman’s body if the implant is damaged.

Saline breast implants are filled with salt water. The implant is placed empty and then filled to the proper size when in place in the body. One benefit of saline breast implants is that they require a smaller incision than silicone implants, which means a smaller scar. They generally feel slightly firmer than silicone implants, and they cost significantly less. And since they are filled with sterile salt water, they won’t harm the body if they leak.

Can additional procedures be performed at the same time?

Yes, many patients combine a breast lift, if necessary, to get the result they are trying to achieve. Additionally, this can be done in combination with multiple procedures, which is sometimes referred to as a mommy makeover.

How long does a breast augmentation take?

Breast augmentation is a 30-minute procedure, but longer if additional procedures are added to the surgery.

What type of anesthesia is used?

General anesthesia will be used, which means you will be completely asleep and pain-free during the entire case. During surgery, you will be closely monitored by one of our board-certified MD anesthesiologists.

Where is the procedure performed?

Procedures are done in our fully certified out- patient surgical center, along with board-certified anesthesiologists, and certified registered nurses.

What is the cost of a breast augmentation?

The cost for a breast augmentation depends on the type of implant you choose. During your examination, Dr. Varkony will go over your options and help you choose the best for your desired results.

How is the breast augmentation surgery performed?

Breast augmentation is performed by Dr. Varkony in our on-site fully certified, hospital-grade operating room, under general anesthesia. The anesthesia is provided by one of our board-certified MD anesthesiologists, for optimal safety. The selected implant is carefully inserted either above or below the breast and pectoral muscles, in a precisely-tailored tissue pocket.  The incision is typically placed in the armpit to avoid any scars on the breasts.

Surgery typically takes 30 minutes with another hour or so for recovery from anesthesia.  A responsible adult then takes the patient home.  With the modern techniques used, most patients are pleasantly surprised that the recovery from breast augmentation is much easier than they expected.  With our enhanced recovery protocol, most patients use very few prescription pain meds at all!

What is the recovery process like?

Your breasts will appear firmer and fuller immediately following your breast augmentation. As with any cosmetic surgery procedure, some swelling and bruising can be anticipated. Your breasts may not attain their final feel or shape for three to four months. Be sure to address any questions or concerns with Dr. Varkony immediately. Your health and happiness are the most important considerations at any time.

You may be uncomfortable when you awaken after your breast augmentation. Dr. Varkony will provide medication to relieve any discomfort. You will receive specific instructions to follow during your recovery including rest and sleeping positions, raising your arms, bathing and showering techniques, and breast manipulation.

Dr. Varkony will want to examine you at regular intervals during the first 90 days following your breast augmentation. Our patients return sometime after the third day so that a Dr. Varkony can remove any bandages and check the incision area. Your breasts may be swollen for approximately two weeks.

In most patients, the scars from the breast augmentation incisions will be pink for about six months and gradually fade after that. The scars are usually inconspicuous. Nevertheless, you should know that all scars are permanent and their height, width, and final color are not totally predictable.

As with any surgical procedure, small nerves to the skin are interrupted during surgery. Portions of the nipple area may feel numb or have less than a full feeling. Sensitivity usually returns over several weeks.

If you sunbathe or utilize a tanning bed, you must not do so until any numbness of the breast is gone (to avoid burning). After this point, you must protect the incision site with a sunscreen of SPF 50 or more for at least six months.

Do I need to see my own doctor before a breast augmentation?

All patients require basic lab tests, medical clearance, and history & physical from their primary care physician. If the patient is over the age of 45 we require an EKG along with the standard testing.

What are the potential risks of breast augmentation?

Even though most breast augmentation patients find that their bodies tolerate their breast implants well, your body’s natural reaction to any foreign material is to surround it with a thin membrane called a “capsule” to stay in the desired pocket. The formation of this capsule is not a problem and occurs in every patient. In some cases, for reasons that are not yet completely understood, this capsule can shrink around one or both implants, compressing the implant and making it round and firm. This is called capsular contracture and can occur in varying degrees. Although some women may consider some firmness desirable, the capsule can cause the breast to become unnaturally firm, misshapen or uncomfortable. Capsular contracture may occur from a few weeks to several years after the initial procedure.

There is no way to predict your body’s reaction after breast augmentation, and no test to determine if you will develop capsular contracture. If a patient does develop capsular contracture, surgical intervention may be required.

The opposite of capsular contracture can also occur when breast implants are in a satisfactory position, but several months later there is a spontaneous expansion of the capsule. This is described medically as an inferior and lateral migration of the implants. If this happens, the breast enlargement patient will require the closure of the breast pocket to reposition the implant either through the original incision or a small inframammary incision.

Will I need someone caring for me after the procedure?

Yes. It is very important to have a family member, friend, or medical professional care for you during the first 24 to 48 hours following your procedure.

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