BREAST AUGMENTATION in Bellevue

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BREAST AUGMENTATION BELLEVUE  

The breasts go through many changes throughout a woman’s life. Often, due to  genetics ,aging, having children, sun exposure, and the laws of gravity. Often the breasts  may lose volume resulting in added sagging and dramatic changes in a woman’s overall  bodily appearance and contour. To remedy these changes, women may seek breast  augmentation surgery to restore breast volume and enhance the shape of the breasts. Dr. Ludwig Allegra at Northwest Face & Body is a Bellevue cosmetic surgeon with two decades  of experience performing breast surgeries, including breast augmentation. Northwest Face  & Body provides the best breast augmentation Bellevue offers.  

OVERVIEW: BREAST AUGMENTATION  

The ultimate goal of a breast augmentation procedure is to restore or add volume to the  breasts. Most breast augmentation surgeries use breast implants. Traditional breast  implants have the additional benefit of altering the shape of the breasts if the patient  desires. For example, if a woman desires more cleavage, breast implants can often achieve  this. Conversely, if a woman wants to maintain the natural shape of her breasts, while  wanting a size increase, Bellevue breast augmentation can achieve this as well.  

A common motivation for breast augmentation is that a woman sees her breast volume  decrease following childbirth and breastfeeding. Breast implants can restore lost breast  tissue and still look natural. Other motivations women have for seeking breast  augmentation in Bellevue include:  

  • Asymmetric breasts 
  • Breasts are disproportionate to their body 
  • Desire for clothing to fit better 
  • Breast changes due to weight loss 
  • Reconstructive surgery after cancer or injury 
  • Desire for more cleavage 

The inframammary approach, or IMF breast augmentation, places the incision in the breast  crease. The length of the incision depends on the size of the breast implant and other  surgical factors. Most breast augmentations in the United States use this approach because  it offers the surgeon the most control.  

Nearly every breast augmentation patient is a candidate for this procedure. The scar is also  easily concealed within the natural folds of the body and most bras or swimsuits. It allows  for the most precise placement of breast implants. In cases of large implants, this method  will likely be preferred. 

The periareolar breast augmentation approach includes an incision that circles the bottom  of the areola in a half moon shape. This minimal incision is often preferred by many  patients. Due to the natural color changes where the areola meets the skin, future scarring  is usually well hidden.  

This approach allows for the quick and easy placement of breast implants. It does carry the  most risk to the nipple and milk ducts. Therefore, for women who hope to breastfeed in the  future, other breast augmentation methods may better suit them. This approach is not  possible in individuals who have smaller diameter areolae.

A transaxillary breast augmentation positions the incision in the armpit. This keeps  incisions and possible scarring off the breasts; however the incision may be visible as one  raises their arms. This approach is generally limited to for saline implants.  

This method may be ideal for certain patients, but is not often favored for most breast  augmentations at Northwest Face & Body. Dr. Allegra can discuss if the transaxillary  incision is right for your Bellevue breast augmentation. 

Saline breast implants consist of a shell made of silicone that is filled with saline during  surgery. For many years, saline implants were the standard of breast augmentation.  Following the re-introduction of silicone breast implants in the early 2000s, most patients  tend to favor silicone implants. Saline implants have tend to be potentially more evident  and perhaps less “natural”. There may be a greater tendency to “scalloping” along the  edges that could be seen or felt. 

Potential advantages would include: 

  • A potentially smaller incision and alternative approaches 
  • Hesitation surrounding silicone implants 
  • Patients under 22 years old 
  • Least expensive option desired
  • Easily diagnosed if there was a leak

Most women who receive breast augmentations today choose a type of silicone breast  implant. Silicone implants usually look and feel more natural. Generally one is unable to  detect an implant and the breasts feel completely normal.  

Silicone gel choices also include the degree of “cohesiveness” which is essentially the  amount of firmness desired. This ranges from the standard (softest), the XTRA series  (somewhat firmer) to the “gummy Bear” (firmest). Silicone breast implants are usually  preferred in situations such as:  

  • Patients who are particularly petite or have little breast tissue 
  • More shape, size, and profile options needed or desired 
  • Patients wanting the most natural looking results
  • Better options of cohesiveness (feel)

FREQUENTLY ASKED QUESTIONS ABOUT BREAST AUGMENTATION BELLEVUE

Cosmetic surgeons place breast implants either above or under the chest muscles. Breast  implants are rarely placed on top of the muscle. The benefits of the under the muscle  placement largely outweigh those of the over the muscle placement. Breast implants  placed over the muscle generally tend to have a more “artificial” appearance. The main  benefit of the over the muscle placement is for individuals who are serious body builders,  and those who may desire very large implants.

Any cosmetic surgery, including breast augmentation, will come with some risk. Surgery  comes with risks like:  

  • Infection 
  • Scarring 
  • Complications from general anesthesia 
  • Bleeding or Fluid collection 
  • Sensory decrease 
  • Mal-position of implants

However, when under the supervision of an experienced surgeon like Dr. Allegra, these surgical risks are rare. Dr. Allegra also works to prevent complications through patient screening and aftercare instructions. 

Risks that are associated with breast implant surgery specifically include: 

  • Loss of nipple sensation
  • Capsular contracture 
  • Implant Rupture 
  • Rippling 

Dr. Allegra’s screening during the consultation and the use of Vectra 3D imaging reduces  the chances of these complications. Combining preoperative imaging with the most gentile  and precise surgical techniques outcomes become highly predictable and flattering.

Most Kirkland breast augmentation patients find that they can return to work in around a  week or less. However, this depends on your individual healing and the physical activity  required at your job.  

During your post-operative appointments, Dr. Allegra will assess your progress and  healing to provide a timeline of when you can return to work. 

Overall, patients remain comfortable during their breast augmentation recovery. Dr.  Allegra will prescribe antibiotics to prevent infection and pain medication. You can expect  some side effects such as swelling and general achy discomfort. Initial swelling  dramatically resolves over some weeks. There is usually no bruising. 

Dr. Allegra will require that you refrain from lifting anything over ten pounds for a number  of weeks. You should also avoid strenuous exercise for at least two weeks following  surgery, or until Dr. Allegra gives the okay.