Best Breast Augmentation Surgeons In Portland Or

Breast augmentation is a procedure that enlarges the size of the breast with implants. Breast implants are silicone shells filled with either saline (salt water) or silicone gel. They are placed behind each breast, underneath either breast tissue or the chest wall muscle. The procedure generally lasts one to two hours and is typically performed with general anesthesia.

Women may elect to undergo breast augmentation for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass after pregnancy, weight loss, or surgery. It is common for women after childbirth and breastfeeding to have loss of breast tissue or deflated breasts. A breast augmentation will correct the deflated breasts. After surgery, the patient’s bustline may be increased by one or more cup sizes depending on their desired aesthetic outcome. The procedure may be combined with others such as a breast lift, or tummy tuck, as part of a Mommy Makeover surgery, for more satisfying results.

Breast implants are not “one size fits all”; there are different options depending on the patient’s body type, physique, and personal preference.

Breast augmentation patients have the option to choose their preferred implant, incision location, and implant placement. Below is a brief description of each. These will be explained in more detail during your consultation with Dr. Lopez, with your consultation customized to your goals and anatomy, based on an examination by Dr. Lopez.

At Aesthetic Laser Center, we offer both saline and silicone implants and only use FDA approved breast implants. A saline implant is a silicone shell that is inserted (using the No Touch technique) into the breast pocket empty and then filled with sterile saline solution. A silicone implant is also a silicone shell but is prefilled with a soft silicone gel. Both options are safe and offer natural-looking results. The type chosen for an individual case depends on the patient’s physique, medical history, and personal preference.

Smooth or Textured

The exterior of the breast implant can be smooth, so the implant moves naturally in the pocket or textured, which adheres to the breast tissue slightly, like velcro.

Shape

Saline and silicone implants come in either a round or anatomic or teardrop breast implant. A round implant is just that, with a round base, and choice of projection ranging from low, moderate, moderate plus, and high. The anatomic breast implants have a textured exterior surface and are sloped; the teardrop implant is closer to the anatomical shape of a breast, with more projection at the base and less at the top of the breast (near the clavicle.)

Size

The size of implants ranges from 100cc to 900cc. Implants are accurately measured in cubic centimeters; they are not measured by cup size because cup size varies between stores. The implants Dr. Lopez uses are all FDA approved and sterile.

What Happens During Evaluation for Breast Enhancement?

• Evaluation of overall health
• Detailed examination of the breast and chest to identify any asymmetry which needs to be corrected
• A thorough discussion of all breast implant types, including:
  • Teardrop breast implants
  • Anatomic breast implants
  • Silicone gel breast implants
  • Textured breast implants
  • High profile breast implants
  • And more
• Selection of the right breast implant to enhance your bust line using chest wall measurements, evaluation of the skin thickness and breast volume.

WHAT ARE MY BREAST AUGMENTATION CHOICES?

Women today have more options for breast augmentation with implants. After a one-on-one consultation and careful evaluation of your anatomy, our Board-certified Portland plastic surgeon, Dr. Matthew Lewis, can advise you about your best options as to implant type, size, and position to achieve fuller, beautifully-shaped breasts that look and feel natural.

IMPLANT TYPE

Patients today can choose between three basic types of breast implants, each with its own pros and cons:

• Saline-filled implants: As they can be filled after they are placed in the breasts, saline implants require smaller incisions, allow for minor adjustments in volume after implant placement, and allow for a wider range of incision placement options. MRIs are not needed to detect a possible leak or rupture, as saline implants collapse when a rupture occurs, and the sterile saline solution can be safely absorbed by the body. The main disadvantage of saline implants is they tend to look and feel less natural than silicone implants, are slightly heavier, and may not be the best choice for women with less breast tissue.
• Silicone gel-filled implants: The main advantages of silicone implants are aesthetic – they look and feel soft and natural. They also have a lower rate of rippling or wrinkling and downward displacement than can occur with saline implants. On the downside, silicone gel implants are costlier and require larger incisions than saline implants, and they also require periodic MRIs to detect a possible rupture.
• Gummy bear implants: Named for their consistency resembling gummy bear candy, gummy bear implants are the latest advancement and the thickest type of silicone gel implant. This thick, cohesive silicone-gel filled implant will not leak if the capsule ruptures and is less prone to rippling and wrinkling. The primary disadvantages of gummy bear implants are that they feel stiffer than regular silicone gel implants and require larger incisions than saline or standard silicone implants.

IMPLANT SIZE

Breast implant size is one the most important factors affecting results achieved in a breast augmentation procedure. Many women want to enhance the appearance of their breasts without looking false or unnaturally large. Taking all factors into consideration, including your body shape and size and the quantity of natural breast tissue, Dr. Lewis can advise on the best choice of implant size for your breast augmentation in Portland Oregon.

INCISION PLACEMENT

Our Board-certified Portland plastic surgeon, Dr. Matthew Lewis, offers patients two incision placement options:

• Inframammary (in the crease under the breast) is the most versatile and common incision placement.
• Transaxillary is a less common placement, in which the pocket for the implant is created endoscopically through an incision well-hidden within the armpit.

Using either incision placement, breast implants can be placed above or below the chest muscle. Dr. Lewis recommends submuscular placement for women who want the most natural-looking appearance.

OTHER BREAST IMPLANT OPTIONS

In addition to implant type, size, and placement, patients also have choices as to implant texture and shape. Smooth implants have a slightly lower rate of rupture, while textured implants are less prone to implant displacement (moving within the breast implant pocket).

Women have a choice between round implants with a symmetrical shape or contoured, anatomical breast implants, shaped to more closely resemble natural breasts. Both implant shapes have pros and cons. When you come to Dr. Matthew Lewis, he can custom-tailor a surgical plan specifically for you in order to give you the best breast augmentation Portland has to offer.

How Should I Prepare for Breast Augmentation?

• Mammogram prior to surgery as needed
• Must stop smoking at least six weeks prior to surgery
• Must stop all blood thinning agents such as aspirin or vitamin E

How Does Breast Augmentation Work?

Our surgeons place a variety of breast implants, using different techniques, as he believes breast augmentation is as much an art as it is a science and the operation must be uniquely tailored to your needs.

Options for breast implant placement include:

• Behind the muscle
• In front of the muscle
• Dual plane – partly behind the muscle and partly behind the breast tissue

At our breast augmentation practice, implants may be placed through three different types of incision:

• A small incision in the armpit (using an endoscope)
• The fold of the breast
• Around the nipple

Breast Augmentation surgery takes approximately 1-2 hours and is performed under general anesthesia, on an outpatient basis.