Breast augmentation is a surgical procedure that enhances the native breast volume by placing an implant device underneath the breast tissue. Breast augmentation surgery is commonly performed as a standalone procedure. It can also be combined with other body contouring procedures as part of a Mommy Makeover. Dr. Brenner tailors the procedure to meet each patient’s specific desires, providing some of the finest breast augmentation Los Angeles and Beverly Hills have to offer.
Many variables exist when it comes to breast augmentation surgery. During your office visit, Dr. Brenner will conform the specifics of the operation to your unique needs, with specific attention to location and placement of the planned incision, final location of the implant device, type, size and shape of the implant, breast tissue characteristics, and patient wishes. Every patient is different—so too is every breast surgery.
Before & After Gallery
The best way to determine whether a surgeon is capable of giving you the results you desire is to view his past work and results.View the Before & After Gallery »
Breast implant types
Options for breast implants include saline and silicone breast implant devices. A saline breast implant is a silicone shell that is filled with a saline solution, while a silicone breast implant contains silicone gel. Dr. Brenner is also one of a select few plastic surgeon investigators in an FDA trial of a “hybrid” baffled saline implant designed to look and feel like a silicone implant. During your consultation, you will be able to compare and contrast all three types of implants.
The breast augmentation surgery itself presents the doctor with several options, each of which will be discussed with the patient beforehand. Factors such as breast implant size and patient anatomy play a role, and Dr. Brenner will ensure all options are weighed and the ideal conclusion is reached.
Firstly, it is important for patients to understand incision placement. Dr. Brenner offers two primary incision locations.
- The first is around the nipple-areolar complex, called a periareolar incision. The advantage to this incision is lack of visibility—once it heals the scar will be virtually undetectable. Women with small areolas may not be candidates for this incision.
- The second is an inframammary incision, which is placed under the breast in the fold. While the scar in this incision will be more visible, the inframammary method may be the best method to provide breast symmetry.
The next option concerns placement of the breast implant itself. There are three options involved: submuscular, subglandular and dual plane.
- A submuscular implant is placed beneath the pectoralis major muscle in the chest. This is the generally preferred method by patients for breasts implantation, as it offers lower risk of capsular contracture and rippling.
- A subglandular implant is placed above the muscle and affords patients a shorter recovery time and less pain during recovery. While a subglandular implant generally looks better than a submuscular implant immediately following surgery, it may be more susceptible to sagging as time continues.
- The dual plane technique is a method of incorporating techniques from both the submuscular and subglandular techniques, which may be best for some patients.
Each of these techniques is very distinct. During your initial consultation with Dr. Brenner, please feel free to ask any questions you feel are necessary to gain a full understanding so the two of you can reach the optimal conclusion.
Beyond these options are the aesthetic preferences of the patient, primarily the volume, diameter and profile of the implant. The profile of the breast implant measures its projection outward, and will depend upon the patient’s body type as well as personal preference. The four categories of implant profile are:
- Moderate profile
- Moderate plus profile
- High profile
- Ultra-high profile
How the surgery is performed
After making his initial incision, Dr. Brenner carefully creates a pocket for the breast implant device. This is usually located behind the underlying chest wall muscle. The implant is placed into the pocket using a special funnel that helps to reduce friction on the implant shell, and also helps to reduce the risk of implant contact with the surrounding skin. Once the breast implant is placed, a few stitches close the breast tissue and the incision. The whole procedure takes about an hour. Afterward, a soft padded chest wrap will be applied. This is worn overnight and switched out the next day to a surgical bra at the first follow up office visit.
Following breast augmentation surgery, the recovery process will vary depending upon the exact surgery received. Dr. Brenner makes himself fully available to patients following the operation, ensuring they have everything needed during the weeks following the surgery. He and his staff will take all steps necessary to provide patients with the utmost comfort. Components of the recovery process include:
- Oral pain medication to help reduce any discomfort you may experience, which should subside in a day or two.
- Valium, in the case of a submuscular breast implant, which will help relieve any muscle spasm that can commonly occur.
- Antibiotics should be taken orally for the initial 5-7 days following surgery.
- Some swelling and bruising is expected. Both of these should resolve within a week. Consumption of Arnica Montana and Bromelain helps speed up the resolution.
- Dr. Brenner’s patients are up and moving within an hour after the operation. The only limitations in activity are to minimize heavy lifting and upper body activity. A good rule of thumb is to only lift objects that are lighter than a gallon of milk. Exercise regimens are restricted for 4 to 6 weeks to allow the implant pocket to heal properly.
- A chest wrap will be applied to hold the results in place. It will be removed the day after surgery, and Dr. Brenner will start you in a snug-fitting surgical or sports bra. He recommends that you purchase several sizes of sports bra prior to surgery so you will have a nice selection during the recovery process.
- Sutures will be removed within one week of surgery.
- Scars are an inevitable aspect of any surgery, but they will be small and inconspicuous, and they will gradually fade to become barely noticeable. Dr. Brenner will either recommend a topical scar gel or silicone gel strips to be placed on the incisions once they are fairly healed.
Schedule Your Consultation Today
Contact our offices today to schedule a consultation so that you may get your questions answered and learn more about how Dr. Brenner can help you to achieve your cosmetic goals.Call us at 424-230-7779 today or click here to schedule online