Cosmetic Surgery Tips

Best plastic surgeons breast augmentation

The best plastic surgeons for breast augmentation are those who specialize in breast augmentation. This is because they know exactly what you’re looking to achieve and they have the experience required to ensure you get it. The best plastic surgeons will also be able to provide you with a detailed list of their credentials and qualifications, as well as any awards or recognition they have received. They should also be able to provide references from previous patients who have undergone the same procedure, so that you can get an idea of what results other people have achieved with them.

When choosing a breast augmentation surgeon, visit their website or social media pages to see if they post photos of their work – this will give you an idea of whether they are capable of achieving the results that interest you. It will also help you see if their office is clean and professional looking, which is important when deciding if a doctor’s office represents them well enough for them to operate on your body! There are many ways to find out about different plastic surgeons: ask friends and family members about their experiences; look up reviews on websites such as Yelp and Angie’s List; contact local hospitals or doctors’ offices and ask if they know any good plastic surgeons; even call plastic surgery

You may find it hard to access the right information on the internet, so we are here to help you in the following article, providing the best and updated information on best plastic surgeons breast augmentation, what are common breast implant problems. Read on to learn more. We at cosmeticsurgerytips have all the information that you need about breast Implant Revision. Read on to learn more.

Best plastic surgeons breast augmentation

Attractive Woman Wearing bra Large Breasts

Breast augmentation separates the wheat from the chaff. That is to say, it is a primary index of a plastic surgeon’s skill. Breast surgeons are a dime a dozen. Proficient, intuitive breast surgeons are one in a million, and this is borne out by the astronomical revision rate of breast enhancement procedures.

Patient Before Procedure
Patient After Procedure

Dr. Fisher has earned worldwide acclaim for his exceptional Beverly Hills breast augmentation results. Additionally, he has become the ‘go-to’ plastic surgeon for difficult implant revision cases.

Breast revision is much more complicated and difficult than primary surgery. Revision surgery corrects problems in nipple placement, capsular contracture, asymmetric breast location and implant movement.

Experienced breast surgeon

Dr. Fisher is considered one of the best breast augmentation surgeons in the world, and has successfully handled scores of unsatisfactory results providing relief for his many grateful patients. His advice to women considering breast implant surgery is to be very selective in choosing their surgeon to avoid future problems.

Dr. Fisher is a board certified plastic surgeon in Beverly Hills, with over two decades of experience in the specialized field of cosmetic surgery. His astounding results have led to appearances on Oprah, Access Hollywood, as well as the honor of being the original plastic surgeon on the ABC hit, Extreme Makeover.

Achieving an aesthetic goal

Dr. Fisher is selective in his acceptance of surgical candidates. He believes that providing among the finest breast implants depends upon establishing mutual objectives between doctor and patient. This relationship results in very high patient satisfaction since the goals are well established prior to surgery.

Being at the epicenter of the entertainment world, Dr. Fisher has no lack of prospective breast augmentation patients wanting to achieve an unachievable aesthetic goal. If he does not feel he can help a patient obtain the aesthetic goal they envision, he will recommend a realistic alternative path.

If you are reading this, you have found one of those rare surgeons who is a true artist in the field of breast implant surgery. In fact, over his lengthy career, breast augmentation has been among Dr. Fisher’s most popular procedures at his Beverly Hills practice. The word “natural” doesn’t even begin to describe his results—he is a perfectionist. With his combination of aesthetic taste and technical competence, you would be hard pressed to find a better outcome from breast augmentation in Beverly Hills or the world.

Making the Right Decisionduring your breast implant surgery

When it comes to breast enhancement, a patient’s eligibility is fairly easy to determine. Beyond surgical health requirements, a patient is a candidate for breast augmentation when she feels her breasts are lacking in some way. Specifically, this can include the following:

  • Breasts with inadequate volume
  • Volume loss after pregnancy
  • Asymmetrical breasts
  • Tuberous breast deformity

Through decades of experience, Dr. Fisher has developed a unique surgical philosophy, important to anyone aspiring to be the world’s best breast surgeon. Rather than accepting any patient for surgery based on their ability to pay, he goes above and beyond to determine what’s truly the best course of action. After a rigorous consultation process, his surgical plan must be in coordination with his patient’s goals, and his confidence to achieve their goals must be absolute. If Dr. Fisher accepts a patient for surgery, it is because he is certain he can provide her with among the best breast implants Beverly Hills and the world have to offer.

Breast Augmentation Results

Following your procedure with Dr. Garth Fisher, you can expect to possess beautiful breasts that are larger, fuller and more shapely. And because your breasts will look and feel exceptionally natural, you’ll also love the way they fit and move with your body.

Here is a closer look at a few of the most common reasons women seek breast augmentation surgery, along with the exquisite results you can expect to achieve when you undergo the procedure with world-renowned plastic surgeon, Dr. Fisher:


Size. A common request among women, size is perhaps the top reason women seek breast implants in Beverly Hills and around the world. In these cases, Dr. Fisher will artfully enhance the size of your breasts to create the figure you desire, without compromising a natural appearance.


In addition to requesting larger breasts, many women are also interested in obtaining rounder, fuller and more shapely breasts. In these cases, Dr. Fisher will meticulously sculpt the breasts to achieve the precise look you desire, with or without adding a cup size.


Breast asymmetry is a common complaint among women of all ages. If your breasts are asymmetrical or malformed, a breast augmentation with Dr. Fisher will create two perfectly balanced breasts, restoring a harmonious, natural look.

Breast Cancer

Following breast cancer surgery or a preventative mastectomy (the removal of one or both breasts) it is very common for women to desire breast augmentation during their reconstruction procedures. In these cases, Dr. Fisher will enhance your breasts to restore a full, beautiful and natural look that delivers an enormous boost of confidence.

Weight Loss

Although substantial weight loss is a welcomed change, the impact it has on the breasts can be alarming. Weight loss can significantly alter the size and shape of your breasts, often creating a deflated and misshapen appearance. When this occurs, Dr. Fisher will artfully create perkier, younger-looking breasts that better suit your beautiful new figure.


Pregnancy can certainly take a toll on a woman’s breasts, causing them to deflate and lose a great deal of volume. Often performed as part of a Mommy Makeover, breast augmentation with Dr. Fisher will restore your breasts to their pre-pregnancy state – enhancing them, shaping them and adding the perfect amount of volume to achieve the most natural result possible.

Breast Implant OptionsBeverly Hills, CA

Breast augmentation with implants cannot be a one-size-fits-all, cookie-cutter procedure. Patients have a wide range of options as to type of implant, size and shape, location and placement, and the surgical approach employed. Whether you are looking to get a Beverly Hills mommy makeover or just a little more volume, it is always best to educate yourself on all the breast implant types there are available to you.

Types of Breast Implants

Our Beverly Hills breast implants are available in a variety of sizes, shapes, and feel. There are three basic types of breast implants.

Saline Implants

A saline implant is a silicone shell that is filled with sterile saline solution after the shell has been placed in the breast pocket. This type of implant has several advantages:

  • Size flexibility: As saline implants are inserted as empty shells and then filled with saline solution, adjustments in size can be made after the implants are in place.
  • Natural saline solution: In case of implant leak or rupture, saline solution can be easily and safely absorbed by the body.
  • Leak detection: If a leak or rupture develops with saline implants, it will become immediately apparent and the issue can be resolved quickly.
  • Incision options: As saline implants are inserted as empty shells, they will require smaller incisions, and can be placed through hidden incision sites.

Silicone Gel Implants

These implants consist of a silicone shell filled with semi-cohesive, soft silicone gel. Advantages of silicone gel implants are:

  • Softer and more natural look and feel
  • Less rippling and wrinkling
  • Can be placed over the muscle in women who have modest breast tissue
  • Lower risk of downward displacement (silicone is lighter than saline)

Gummy Bear Implants

Also known as anatomical or shaped breast implants, gummy bear implants are a new type of silicone implant, filled with a strong cohesive silicone gel. Advantages of anatomical implants include:

  • Teardrop shape that mimics the natural contour of the female breast
  • Natural look and feel
  • Low risk of ripples, wrinkles, and creases
  • Ruptures and leaks are unlikely to occur

Location and Placement of Implants

Black and White side view photo of Attractive woman with large breasts

Placement of breast implants can be subglandular (above the muscle), submuscular (under the muscle), or dual-plane (under the muscle with the muscle released so the implant can settle to the bottom half of the breast).

  • Placement above the muscle carries more risk of rippling and capsular contracture (shrinking and tightening of scar tissue around the implant) and may look unnatural in women who have limited breast tissue.
  • Placement under the muscle creates a more natural appearance, but the muscle may prevent the implant from settling, causing a loss of fullness and roundness in the bottom of the breast.
  • Dual-plane (half-and-half) placement is a hybrid of subglandular and submuscular techniques. The implant is under the muscle for a more natural look and feel, yet the muscle is moved out of the way, allowing the implant to settle into place for fuller, rounder, natural-looking breasts.

Incisions and Surgical Approach

There are 4 different incision placements in breast augmentation:

  • Periareolar – at the bottom of the areola;
  • Inframammary – in the fold at the bottom of the breast;
  • Transaxillary – in the armpit; and
  • Transumbilical – through the navel.

Choice of incision placement is based on the type of implant, the patient’s anatomy, the degree of enlargement, and the preferences of both the patient and the surgeon. The transumbilical incision is limited to saline implants, which are filled after placement. The periareolar approach does not cause loss of sensation in most cases, as some believe. This is caused by damage to a nerve near the armpit, which can occur by placing an implant that is too large. After carefully considering all factors, Dr. Fisher will recommend the best incision placement for you.

What are common breast implant problems

breast implant problems

Breast implant surgery continues to be one of the most popular cosmetic surgery procedures in the UK to enhance breast volume. Many women tell us how they have developed a significant boost in self-confidence and emotional well-being from having larger breasts that help them to feel more feminine. Having said that, it is important to remember that breast implant surgery carries certain risks with up to one in five women needing to have either breast implant removal or breast implant replacement within ten years of their first procedure. Women can ensure they can enjoy the results of breast augmentation in the long term by choosing an expert breast surgeon who carries out all types of breast surgery regularly. It is important to bear in mind that implants may undergo changes over time which means that certain breast implant problems will require corrective breast surgery and this should not be viewed as a failure of the original operation.

Common types of breast implant problems may need revision breast surgery and it is therefore important that women are able to recognise the symptoms of potential problems with their breast implants. Undiagnosed breast implant problems that go undetected for many years may result in medical harm. Breast implants can potentially last a very long time in excess of twenty years provided you have never had any problems with them. Most women however can expect an average breast implant lifespan of between ten and twenty years with modern fifth-generation implants. During this period, you may wish to explore potential options for either breast implant removal or replacing old breast implants with brand-new ones, especially if you would like to go larger or smaller. Many women who already have breast implants often wonder when they should consider having their breast implants replaced.

What are the potential breast implant problems that women may face?

Having your breast implant procedure performed by an experienced plastic surgeon at Centre for Surgery means you are receiving the very best possible medical care for your breast surgery. This helps to minimise the risk of complications occurring. Women who choose to have the surgery carried out abroad, especially in Turkey, have a much higher risk of developing serious breast implant problems, including implant-related infection, due to a lack of sterile precautions. Patients who choose their surgeon and clinic based on cheaper prices than what is found in the UK open themselves up to massive potential risks, many of which may not be correctable with revision breast surgery. Breast implant problems can also present in other ways and women often choose to have breast implant removal or replacement for reasons other than acute medical complications occurring soon after their surgery.

  • Implant-related complications – breast implants can develop capsular contracture or undergo implant rupture which most commonly needs corrective breast surgery.
  • Replacing old breast implants – breast implants may cause no issues even after 15 to 20 years although we would recommend having old breast implants replaced with new implants or have them removed if you no longer wish to have breast implants to prevent medical complications.
  • Removal of PIP implants – the PIP breast implant scandal left many thousands of women with substandard breast implants containing industrial-grade silicone. These types of implants have a high risk of complications, including implant rupture, compared with FDA-approved breast implants. Many women choose to have breast implant replacement or removal to ensure they do not suffer complications of PIP implants.
  • Cosmetic appearance – many women may feel they no longer like how their breasts look, which often leads to consideration of revision breast surgery to remove old breast implants and replace them if desired. Women may be unhappy with the outcome of the first breast procedure or may no longer like how their breasts look now that implants have been inserted.

How to recognise common breast implant problems?

It is equally important for women to have knowledge of both the different types of breast implant problems that can occur as well as being able to recognise the features of a potential breast implant problem. If you are confident in being able to recognise clinical features of a developing problem with your breast implants, then you will be better placed to have an earlier consultation with a breast specialist to treat the problem. In our experience, early recognition of breast implant complications leads to better treatment of implant issues. Many types of breast implant problems can be accurately detected with high-resolution ultrasound scanning performed at Centre for Surgery.

  • Capsular contracture – capsular contracture refers to the formation of thickened scar tissue affecting one or both breast implants. This breast implant problem develops due to the body’s normal reaction to a foreign object. The formation of a scar capsule around the implant is designed to protect the body against any harmful components of the implant. Recognised clinical features of capsular contracture include pain in one or both breasts, a feeling of tightness, localised areas of tenderness or an abnormal breast shape due to the capsule causing deformation of the underlying implant.
  • Silicone implant rupture – silicone implants are composed of a cohesive gel-like material which has a much thicker consistency compared with saline implants. If an implant ruptures, any internal material inside the implant remains inside and does not leak out. This means that many patients may not know that they have an implant rupture as silicone implant ruptures are often silent ruptures without any symptoms. Symptoms that may occur include localised tenderness, a swollen appearance, pain in the breast, a reduction in the size of the breast, and a burning sensation or numbness.
  • Saline implant rupture – saline implants contain a sterile salt water solution encapsulated in an outer silicone shell. When saline implants rupture, the saline solution is safely reabsorbed by the body with no risk of medical complications. Possible signs of saline ruptures include a significant change in the shape of the affected breast with a reduction in size. Saline breast implants are not commonly used in the UK and have been superseded by silicone implants. Silicone implants have a more natural feel, consistency and texture.

Why do women have old breast implants replaced?

One of the most common reasons to have cosmetic breast surgery is to eliminate saggy breasts, which commonly develop as a result of the ageing process. Breast lift surgery is a highly effective treatment for improving the perkiness of the breasts which makes breasts sit higher up on the chest wall to give them a more youthful appearance. No type of cosmetic surgery, including a breast lift can stop or reverse the natural ageing process. Many women find they are no longer happy with the appearance of their breasts and would like to have the old breast implants replaced with new ones or removed.

The elasticity of the breasts naturally decreases as women get older and the presence of old breast implants can accentuate breast sagging. A similar effect occurs in women who have large and heavy breasts resulting in the development of breast sagging. Breast asymmetry may develop gradually over time, and the best treatment for both conditions is a breast implant replacement combined with breast uplift.

When is revision breast surgery needed to correct breast implant problems?

Breast implant replacement surgery is the most appropriate treatment for women with breast implant problems and women who want to change the size of their implants. The procedure involves the removal of old breast implants before being replaced with new implants. Implant exchange surgery takes approximately 1 to 2 hours to carry out and is performed under a general anaesthetic as a day case procedure. Surgery for capsular contracture may take longer especially if an en-bloc removal of both implant and capsule in one piece is performed. The surgeon will use your old incision to remove and replace the implants so there will be no additional scarring following the procedure.

Breast Implant Revision

Some women who undergo breast enlargement surgery are dissatisfied with the final appearance of their breasts or can experience unwanted complications such as saline implant deflation or capsular contracture. Breast augmentation revision surgery is offered at Minneapolis Plastic Surgery, LTD. in Minnesota to yield a more natural and soft breast appearance. What is involved in each surgery depends on the individual treatment needed, but our final goal is always the same — to restore the positive self-image of our patients.

Candidates for Breast Augmentation Revision Surgery

Women interested in corrective breast surgery have had their breasts augmented surgically but are dissatisfied with their results or have experienced complications. They may want their implants to be replaced or removed entirely. Our American Board  of Plastic Surgery-certified plastic surgeons Dr. Richard H. Tholen and Dr. Douglas L. Gervais have extensive experience in correcting breast augmentation problems, often in patients who received their surgery elsewhere and do not wish to return to their initial surgeon. Since no surgeon is “perfect” and cannot truthfully boast of “no complications,” this can occur in a few of our own patients as well. Our experience in improving the results of patients with problems after breast implants has decreased the incidence of these problems in our own patients. The reasons for breast augmentation revision may include any of the following:

  • Breast asymmetry, Poland’s Syndrome, or Tuberous Breasts
  • Dissatisfaction with the size, shape, or feel of breasts
  • Results that do not look natural, or are out of proportion
  • Switch from saline to silicone implants (or from silicone to saline implants)
  • Capsular Contracture (tight or painful scar around implants, often causing distortion)
  • Implant rupture, deflation, or leakage (saline)
  • Infection
  • Malposition or shifting of implants (double bubble; too-low or too-high crease)
  • Symmastia (loss of cleavage), often termed “uni-boob” or “breadloafing”
  • Wrinkling of the implants (most commonly saline)
  • Unsatisfactory external scars
  • Persistent ptosis (sagging or droop) requiring breast lift

Not every implant problem is able to be completely corrected, but virtually every one can be improved, sometimes substantially. With over 55 combined years of experience with literally thousands of saline and silicone breast augmentation patients, our American Board of Plastic Surgery-certified plastic surgeons can assess your concerns, formulate a precise surgical plan, and carefully operate with specific goals in mind. More than one re-operation may be necessary in challenging cases.

Problems after breast augmentation can occur in any patient, and with any plastic surgeon. The best breast augmentation surgeons are those who have not only years of experience in improving poor outcomes from other doctors, but also have learned to incorporate that experience to minimize the potential for those same problems in our own patients.


Prior to consideration of any surgery, our American Board of Plastic Surgery-certified plastic surgeons with over 45 combined years of breast augmentation experience will carefully examine you, identify your concerns and anatomic or implant issues, and review options and make recommendations. These recommendations are based on extensive experience with breast surgery of all kinds, and may require removal or replacement of implants.  In many cases, breast revision surgery can be done through already-existing scars. Unsightly or misplaced scars may be revised or removed entirely.

A pre-operative history and physical examination by your family doctor, internist, or gynecologist is necessary to ensure the safest possible conditions for anesthesia and surgery. This should be completed within two weeks prior to your breast implant revision surgery. You should also avoid aspirin or ibuprofen-containing products, as well as any tobacco or nicotine products, for a minimum of two weeks prior to surgery. You will need someone to bring you home after discharge who will also stay with you the entire night after your operation, and who can bring you back to the office for recheck the following day when recommended.

In cases where implants require removal, the internal scar tissue surrounding the old implants (capsule) may be removed along with the breast implants. Women who have their breast implants removed or implant size decreased may need to consider breast lift surgery to create a shapelier look and counteract any deflation or sagging that may result. These procedures can, in virtually all cases, be safely performed in Minneapolis Plastic Surgery’s nationally-accredited (AAAASF) on-site breast surgery center.

While many patients hope that touch-up or revisionary surgery will be less serious or complicated than the original surgery, with more rapid and less uncomfortable recovery, secondary surgery actually often presents significantly more challenging problems and anatomic considerations to be understood and skillfully dealt with. This is not “quick and easy” surgery; rather, it often requires more adroit technique, operative time, and breast surgery experience to satisfactorily improve the issues that arise from poor outcomes obtained elsewhere.

Recovery and Results

For any woman having breast revision surgery, the recovery period and activity limitations will be similar (not less) to the recovery after her first breast surgery, even when post-operative discomfort is less. Patients should refrain from exercise and heavy lifting for several weeks. Detailed instructions are given to all patients after surgery to guide them through the recovery process. Some patients may require more than one operation, and not every problem has an easy solution, but the plastic surgeons at Minneapolis Plastic Surgery, LTD. have over 55 years of combined experience with many patients who have had less than ideal outcomes elsewhere. No surgeon (anywhere) should offer guarantees, nor should patients ever feel their payment is for a specified outcome or result. You should seek careful examination and measurements, thoughtful and experienced analysis, detailed recommendation, and skillful surgical technique, which is what you receive at Minneapolis Plastic Surgery, LTD. Though this does not guarantee a desired result, this approach offers the highest likelihood of success and the outcome we strive for.

Cost of Breast Implant Revision Surgery

Breast implant revision can be as simple as local anesthesia implant exchange, for which total cost may be even less than initial breast augmentation (around $7500—saline or $8500—silicone). If your original surgery was performed by our plastic surgeons, surgeon’s fees for revisionary surgery are often reduced or waived; however, implant, operating room (and anesthesia fees, if requested or necessary) are each patient’s responsibility.

Revision of breast lift plus implants, treatment of tuberous breasts, or surgery for capsular contracture are examples of revisionary operations that are often much more complex than the initial surgery, and costs are correspondingly higher. Each of the many conditions and reasons for revision discussed above are as individual as each patient’s unique situation; personal examination is necessary in each case to identify the problem(s) and determine the appropriate surgical plan for treatment, as well as the amount of operating room time needed to complete the surgery. Exact costs are available at the time of complimentary consultation with our American Board of Plastic Surgery-certified plastic surgeons. The most complex revisions can cost $9000-$15,000 or more, depending on the severity of the problem.

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