Breast Augmentation Overview
Designed to enhance the volume and shape of a woman’s breasts, an augmentation procedure can do so much more. Our board certified plastic surgeon at Scottsdale Plastic Surgeons know that breast implants can have very positive effects on the self-confidence and esteem for women. Events that can change the look of the breasts include pregnancy, nursing, weight loss or aging. Some women are just born with limited breast tissue, or have anatomical features they wish to improve symmetrically. Breast tissue has to be fully developed for Dr. Tsujimura to build a realistic treatment plan as to what can be accomplished through cosmetic surgery, and age is an important consideration for breast augmentation candidates. Dr. Tsujimura also uses a rapid recovery technique, which reduces the post- operative discomfort and allows patients to return to normal activities sooner.
Breast Augmentation Reviews
"Amazing Surgeon - Phoenix, AZ - I was recommended to visit Dr. Tsujimura from a friend who had selected him for her breast augmentation. I am so very glad that I selected him as well. He's very courteous, with amazing bed side manner. He takes his time to answer any questions you may have. Not only is he amazing but so are his nurses and staff. He takes the time to listen to and answer questions and concerns. My surgery went great, I have had no bruising so far! I also experienced hardly any actual physical pain from the surgery. There was discomfort post surgery, but it was manageable. My breasts look amazing already from only being a week post surgery, and I'm very excited to see how they look once they settle! He makes you feel comfortable, and his results are amazing."- S. / RealSelf / Aug 25, 2014
"Dr Tsujimura did a breast augmentation & tummy tuck on me in 2006, I am still to this day very pleased with my results on my breast augmentation. My tummy was amazing as well. I love the corset stitch he did on me, it gave me more of an hour glass figure. But my belly button I am not pleased with, I thought after some years it will get better and look more natural. But that never happen it doesn't look right still after all these years and you can tell it was man made. I have a lot of friends comment on how it looks specially in the summer when I wore a two piece by which I do not anymore due to that reason."- L.C. / Yelp / Jan 05, 2016
"I came to NVPS from the recommendation of a friend. I went in to see Dr. Tsujimura, and everyone I came in contact with were extremely knowledgeable and friendly. I never had to wait for any extended periods. When speaking to Dr. Tsujimura he listened to what I was wanting from my Breast augmentation. He helped me pick out exactly what implants to choose from. I'm so very thankful I chose this facility, and surgeon. I never felt like I couldn't ask a question, and they always have someone you can talk to with any and every post op concern. Dr. Tsujimura's bedside manner is impeccable.. As well as the surgery he performs. Everyone compliments how natural my surgery looks, and that I have chosen the Perfect size. I was worried they were too big initially, but they fit my frame well and I'm so glad I went with Dr. Tsujimura's advice. You are in good hands here, they are all genuinely nice people who want you to have the most positive experience possible. I love my results, and would, and have recommended family and friends here."- B.F. / Yelp / Nov 10, 2014
"Dr. Tsujimura did my breast augmentation in 2013. He recommended 400cc silicone implants and at first I thought that sounded a little big but I trusted my doctor and I'm really happy I did because they are perfect for my body and look phenomenal. Not only that but he always made himself available to answer any questions or concerns I had along the way. He genuinely cares about giving people the best possible result and making sure they feel comfortable with everything, not things I commonly say when it comes to doctors so that's why I'd highly recommend him!!"- C.J. / Yelp / Nov 11, 2014
"I went to Dr. Tsujimura for my breast augmentation and tummy tuck on the recommendation of my cousin, and I am so happy with my results. I went in with just a general idea of what I wanted, and Dr. Tsujimura recommended the size and type of implant that would be right for me. They're perfect for my body, and I love how they look. I'm just as happy, if not more so, with my tummy tuck. I now have the waist and flat stomach I never did before. I didn't have any complications after my surgery, and my recovery went very well. As important as a great result is, the experience and how you're treated is just as important. From my first consultation, to all of my follow-up appointments, Dr. Tsujimura made me feel comfortable and important. He took his time with me every time I saw him and never made me feel rushed. I have recommended many people to him, and will myself go back to him for any plastic surgery in the future."- J.R. / Yelp / Dec 04, 2014
Saline VS. Silicone
Saline Breast Implants
Saline breast implants are filled with sterile saltwater solution and have no risk to the patient in terms of extracapsular spread or silicone leakage. Saline implants are appealing to many because they generally cost less than silicone implants. Since they are also filled when they are in position, incisions are generally smaller. In some patients silicone may be a better option due to the rippling that may occur more frequently with a saline implant that can be visible in thin chested women. Patients considering saline implants must be at least 18 years of age or have proper parental consent.
Silicone Breast Implants
Silicone breast implants are filled with a gel substance that looks and feels similar to natural breast tissue and are ideal for women who are thin chested. Siicone implants are specially engineered so that if the shell should become compromised (a surface crack), the silicone will remain intact in the implant (known as cohesive gel implants). There are more cohesive implants that are also available (gummy-bear). Silicone implant leaks are rare and can be found through an MRI, unlike saline implants which will deflate.
Dr. Tsujimura will help choose the right implant (silicone or saline) for the patient and their desired outcome.
Breast Augmentation Product Information
- Saline: MENTOR® or Allergan (branded as Natrelle®)
- Silicone: Allergan (branded as Natrelle® Gel), Mentor (branded as MemoryGel®) and Sientra, known simply as Silicone Gel Breast Implants
An implant profile depicts the distance the breast will project forward from the chest wall. Implants are made in low, moderate, high and extra high profiles.
Breast implants come in two shapes. Round implants tend to offer more fullness on the top of the breast, while teardrop implants are touted to mimic the shape and look of natural breasts. There are pros and cons to each and should be discussed with Dr. Tsujimura.
Breast implants are made with smooth or textured surface. Round implants can be chosen with either surface while teardrop implants are made with textured surface only. The textured surface is designed to keep the implant from moving or rotating.
- Submammary (Subglandular): Under the mammary gland, over the muscle
- Subfascial (Retrofacial): Under the fascia of the muscle
- Dual Plane: Along two planes/layers
- Submuscular (Retromuscular): Mostly under the muscle
- Complete Submuscular (Full retromuscular): Completely under the muscle
- Inframammary: The incision is made in the breast crease where the breast meets the torso
- Periareolar: The incision is made just under and along the areola
- Transaxillary: The incision is made in the armpit
- Transumbilical: The incision is made in the belly button, which is not a recommended route since it will void all implant warranties.
Breast Augmentation During/After Surgery
Breast augmentation is performed under sedation in our surgical facility and typically takes between 1-2 hours to complete. It is done with a rapid reocery technique and is considered an outpatient procedure. After surgery, patients will need to rest for a couple of days, but will be encouraged to move around in order to promote circulation. As the skin adjusts to the new breast size, it is normal to feel tightness in the chest area. Patients may resume their normal exercise routines within 4-6 weeks. It can take several months for the breasts to fall into their final position, however the majority fall within 2-4 weeks. The result is a fuller and soft, natural looking breast appearance.
Breast Augmentation Expected Cost
The cost for breast augmentation surgery will vary depending on whether saline implants or silicone implants are used. The average cost for breast augmentation is about $5,300-$6,200.
Plan Your Procedure
Breast Augmentation FAQs
Is Silicone Safe?
Patients sometimes have concerns about the safety of silicone breast implants because of the attention they received in the media years ago. However, the FDA did approve their safety. In addition, no evidence has ever been found to link silicone breast implants to cancer, auto-immune deficiency disease, or any other illness. Ultimately, 62% of today’s breast augmentation patients choose silicone over saline. For reconstruction cases, they choose them 3 times more often.
Breast Aug or Lift?
Breast augmentation will help with size, but it will not correct sagging. If you are happy with the shape and laxity of your breasts, then implants alone may meet your cosmetic goals. If sagging is what is most bothersome to you, then you may be considered for a breast lift. During your consult, we will determine if you are better suited for breast augmentation, a lift, or a combination of the two.
Risk of Rupture?
Modern engineering creates strong and durable implants. With proper care and regular check-ups, the risks for rupture are rare approximately 1% per year. If a saline implant does rupture, the solution will be absorbed by the body and the implant will deflate, becoming visibly noticeable. If a silicone implant ruptures, the cohesive gel will stay intact and will not leak into the body. An MRI will be necessary to detect a silicone defect
How Long do They Last?
There is no set time or half -life for implants. The risk of leak is 1% per year, which increases by 1% each year (10% at 10 years). If there is no rupture, leakage, or deflation, or any other visible deflects (such as rippling), then there is no need to change the implant or have any type of secondary surgery. At 10-15 years, the implant can be evaluated with a non -invasive MRI. Should a leak occur, the manufacturer’s warranty the implants for life. There are other warranties on the implants, which will be discussed.