Cosmetic Surgery Tips

Best plastic surgeons in los angeles for breast augmentation

Breast augmentation is the process of adding volume and projection to the breasts. It can be performed using either saline or silicone gel implants, with saline being the most common choice. The procedure is usually done under general anesthesia, but can also be done with local anesthesia if desired.

There are several different techniques for performing breast augmentation, but all include creating an incision around the nipple area and then inserting an implant through that incision. The size of the implant and where it is placed will determine how much volume you get in your breasts. As a result, it’s important to discuss your goals with your plastic surgeon before undergoing this procedure.

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 in los angeles for breast augmentation, Breast augmentation recovery and results. Read on to learn more. We at cosmeticsurgerytips have all the information that you need about Natural looking breast implants. Read on to learn more.

Best plastic surgeons in los angeles for breast augmentation

Studio shot of an attractive young woman posing in her bra against a gray background

There are several variations in breast enlargement, also known as breast augmentation, allowing a variety of alternatives to customize each procedure. There are several distinctively different breast implants currently available and two very different positions for implant placement.

The sculpting of the implant space is critical to shaping the breast. We do not perform the “belly button” approach because of a very high likelihood of irregular breast shape, or even deformity. Issues such as available recovery time, skin quality and desired shape will determine which type of breast augmentation is best for you. Our main objective is to create the most beautiful breast possible based on your unique starting anatomy.

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Breast augmentation surgery involves the placement of the implant either under the pectoralis muscle or on top of it. There are many implants to choose from and each has its own advantages and disadvantages.

Who Is An Ideal Candidate For Breast Augmentation?

Several factors help determine the feasibility of breast augmentation for prospective patients. Generally, the best candidates are in good physical health and have had a normal mammogram. During our consultation, we discuss with each patient what they can and cannot expect from breast augmentation to help set realistic expectations.

How Is Breast Augmentation Performed?

Breast augmentation is performed as an outpatient procedure at our Dallas plastic surgery center. Patients are given general anesthesia. The procedure involves making an incision to place implants. There are several possible locations for incisions. Location choice depends on the type of implant selected. Smaller implants may be inserted through a periareolar incision made just around the colored skin on the breast. The inframammary incision is quite common. This incision is made along the crease beneath each breast.

During breast augmentation surgery, tissue is raised to make a pocket. Implants may be placed just beneath the superficial tissue or in a pocket beneath the muscle. After closing the incisions, the surgical team applies a compression garment and the patient is moved to a monitored recovery area. The procedure takes 1 to 3 hours.

Different Breast Implant Options

The most common implant in use is a smooth surfaced round implant which most find to have a softer more natural feel and a lower tendency to show ripples through the skin in thin individuals.

Textured surface implants may slightly discourage capsular contracture (scar tissue firming up around the implant over time) but tend to be easier to feel and more likely to show surface ripples.

Anatomically contoured implants were designed in an attempt to create a more sloped or natural upper pole but most plastic surgeons do not believe they are very successful in this regard. They occasionally shift position and create unsatisfactory shapes.

We also use medium and high profile round implants in individuals with certain starting anatomy to get a fuller result when the breast is limited in it’s diameter. High profile implants may allow larger breast augmentations in a petite individual.

Silicone gel is increasingly popular and makes up 70% of my augmentation practice at this time. It is no longer limited by the FDA.

Saline vs. Silicone Gel Implants

Breast implants are generally categorized by their “fill.” Patients primary options to consider are saline and silicone. WIthin these categories are additional features that influence the outcome of surgery.

Saline Breast Implants

Saline breast implants contain a sterile salt-water fill. This type of implant is approved by the FDA for patients between age 18 and 22. In addition to being approved for younger patients, saline breast implants may be preferred by some for their safety. An implant leak results in a flattened breast. The body naturally absorbs the saline. Another benefit of saline implants is that they tend to provide optimal upper pole fullness. Because this type of implant is filled after it has been situated, the surgeon can adjust size according to need. This option may be good for women with unequal breast size.

Patients should be aware that saline breast implants typically do not feel as soft and natural as silicone implants. There is also a risk of rippling under the skin. While saline implants may initially offer more projection and upper pole fullness, their weight can cause the breasts to eventually become more bottom-heavy.

Silicone Breast Implants

Silicone breast implants are approved for patients over the age of 22. THey are pre-filled with a silicone material that feels soft to the touch. Silicone implants are round so, should they rotate, the shape of the breast should be unchanged. Breast shape is also unchanged if a leak were to occur. For this reason, it can be difficult to identify a leak or rupture. Women who receive silicone breast implants are advised to have regular MRI tests for this reason.

Highly Cohesive Silicone Gel Breast Implants

In recent years, manufacturers developed a highly cohesive gel material for breast implants. These are commonly referred to as “gummy bear” implants because they resemble the consistency of a gummy bear. Form-stable implants may be round or teardrop shaped. They are slightly thicker and firmer, so may not feel as natural as standard silicone breast implants. However, if the implant were to rupture, silicone remains intact.

Dr. Walker insists on each of her patients having an unparalleled experience. Breast augmentation is a big decision. It is met with meaningful conversation regarding the desired outcome and how to achieve it.

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Silicone gel breast implants have changed dramatically since their introduction in the 1960s. Silicone can be manipulated chemically to be a liquid or solid rubber or anything in between.

Earlier versions of the contained silicone gel were less formed and could flow out of a tiny crack in the implant. The earliest models could even “seep” through the intact rubber shell, a process called gel bleed.

The newer implants, which are a fourth generation device, have gel so thick that, like Jell-O, it maintains its shape for a prolonged period, even if cut in half. The silicone rubber shell is far more durable too, further decreasing the risk of leakage.

Current data show that over 94% of today’s gel implants are still intact at 10 years. Studies also show conclusively that silicone has no relationship to the development of any known disease or illness, one of the main factors leading to the FDA’s approval.

The advantages of silicone gel breast implants include a more tissue-like quality which feels more like breast tissue, and a lower risk of feeling the implant folds or seeing them through the skin (rippling).

Each woman must weigh these pros and cons to determine the choice of implant which is right for her.

Patient Testimonial

“I got a breast augmentation & I’m absolutely in love with the results. If I could give this place 100 stars I would! Everyone here is so warm & welcoming! From the receptionists, to the assistants, to the injectable nurses & the lovely surgeon Mrs.Walker. They really are an amazing team. Nothing but positive things to say about my experience here! If you are looking to get any procedure done I would highly recommend coming here if you want the best of the BEST. I am so happy with my results! Thank you Plastic Surgery Center of Dallas!💜  “

Click here to read more reviews.

The Plastic Surgery Center of Dallas has an extensive catalog of before and after photographs demonstrating the possibilities. We also perform different breast lifting procedures which can tighten the sagging breast, creating a youthful, more beautiful breast with or without implants.

Breast Augmentation – Myths and Truths

Breast augmentation is now the most common cosmetic surgery performed in the world! According to the American Society of Plastic Surgeons, approximately 300,000 of these are performed per year in the U.S. alone. It is estimated that nearly 3 million American women have breast implants.

Since the “implant crisis” of the early ’90s, studies have been completed which show that there is in fact no association between breast implants and autoimmune or other diseases. With this reassurance, the popularity of breast augmentation has been steadily increased in popularity.

Why Do Women Get Breast Implants?

Surprisingly, it is usually not to attract men or primarily for the appearance of the exposed breast. Most women want breast implants to create a better body proportion and look good in their outfits. A lot of my patients answer that question by saying they just want to look normal.

Relatively few outfits “off the rack” will properly fit a woman with very minimal breast tissue. An equal number want implants to restore the breast volume and shape they lost following pregnancy.

Interestingly, husbands and boyfriends sometimes put up resistance because they completely misunderstand and assume their mate wants to be more attractive to other men. For many women, this is not even an issue. As a rule, breast implants are chosen for proportional and relatively natural-looking in the vast majority of my patients.

Breast augmentation is one of the most popular breast surgeries in the U.S. for many reasons. Some women decide on breast surgery to create symmetry between the two breasts which frequently differ slightly. Most just want better body proportion. There is often a dramatic improvement in self image. The improvement in proportion often gives the illusion of a smaller waist.

Can a Woman Choose Any Size or Shape She Wants?

Every woman has her own unique starting point. Occasionally someone comes in with goals that simply are not possible with their tissues. I spend a lot of time with my patients teaching them about their own anatomy and their own range of possible results.

The compliance or (elasticity) or each woman’s skin and the size of her rib cage establish the limits in the size of implants she can accommodate. When you try to exceed those limits, the result is often a tight, unnaturally round breast, which I think is a poor trade-off for greater size. On the other hand, if the tissues are loose, deterioration in shape and sagging can occur with overly aggressive augmentation.

We have a really effective system of sizing, in which I precisely measure each patient’s ideal breast diameter and match it up what a range of appropriate implants using reference charts.

The most commonly used implant comes in 16 sizes. Usually, two or three different sizes are available to most women to offer a range of possibilities that will look right on their body.

We then help our patients try on each of her choices with pre-filled sizing implants in an unpadded bra and she can choose the size she likes best. This step is done by one of four members of my staff, and all of them have breast augmentations which I have performed.

This step is usually a lot of fun for the patient. She can try the sizers with different outfits. Patients often bring their husband or boyfriend for their “vote!” Once the size is selected, we try to show results that are realistic for that individual using hundreds of “before and after” pictures of my patients.

Why Are There So Many Different Breast Implants?

In an attempt to create the ideal breast, a number of different implants have been developed. Anatomically shaped, or “teardrop,” implants were devised to try to create a more naturally shaped breast, but many plastic surgeons don’t consider this successful.

Anatomically shaped implants have a rough-textured surface, which keeps them from shifting position by adhering to the adjacent tissues, but the texturizing process requires a thicker implant, which can feel stiffer and move less naturally.

Many plastic surgeons have abandoned anatomically shaped implants completely. I have found that a naturally shaped and softer feeling breast can usually be created using smooth-surfaced implants which are thinner and more pliable.

Smooth implants are round in shape, but different breast contours can be created by adjusting the fill volume of saline implants or choosing from 3 different “profiles” using silicone gel. Each individual has their own starting shape, which defines and limits their choice.

We will spend time during your consultation listening to your hopes, but before you leave, we will work to be sure your expectations are realistic in term of what is possible with your starting anatomy.

Silicone gel implants are generally softer and more natural feeling that saline implants. This is especially important in women with minimal breast tissue. Round silicone implants appear to shift in shape more like real breast tissue too.

In my practice, over 90 percent of our patients choose silicone gel implants over saline. Sometimes, women with saline implants will have subtle rippling, which can be felt through the skin and occasionally is even visible. Silicone gel implants will often prevent or minimize this rippling.

Do You Use The Same Method Of Breast Augmentation On All Of Your Patients?

Absolutely not. There are number of choices, and it is very important to consider each individual’s unique starting anatomy, their specific goals, and their history.

Implants can be placed below or on top of the pectoral muscle. Every patient has her choice. Occasionally, better shape can be obtained with implants placed on top of the muscle.

Most patients select placement under the muscle, however, because the mammogram is usually more accurate and the additional layer of tissue covering the implants decreases the likelihood of seeing or feeling implant ripples.

I also believe that with submuscular implants, the upper pole contour is better, especially in thin women with very little breast tissue.

I still use some anatomically shaped implants for certain breast shapes but more commonly prefer low, medium or high profile round implants to offer a wider variety of options.

High profile implants may be a good choice for someone with a narrow chest who wants larger breasts. I also still use surface textured implants occasionally if I’m performing corrective surgery for capsular contracture, which is unnatural hardening of a previously augmented breast by the patient’s own excessive formation of scar tissue.

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It’s important to be able to vary your technique and to have a good understanding of each of the available implants, especially when performing corrective surgery.

Do You See Many Patients For Secondary Or Corrective Breast Augmentations?

Yes I do, and it has become an area of special interest to me. We have so few laws regulating our specialty that any physician can legally perform these procedures with no formal training in plastic surgery. Gynecologists are now doing them in the Dallas area. Insufficient training can result in a lot of avoidable problems.

One way to be more confident about your choice is to confirm that your doctor is a plastic surgeon who is certified by the American Board of Plastic Surgery.

Nonetheless, even with proper training, if a breast augmentation is rushed or performed without meticulous attention to detail, there are many potential problems with final shape or symmetry.

Many of the corrective surgeries I have performed appear to be very dramatic, but technically, only involve refining or finishing up underdone operations and placing correctly sized implants.

Others are more technically challenging and involve reshaping the breast tissues using a variety of breast lift procedures in addition to corrective augmentation. I especially love these challenges, because they are artistically interesting and no two are the same.

What Is The Mommy Makeover And How Does It Complement Breast Augmentation?

It’s pretty common to see patients with multiple areas they’d like improved. A lot of the breast changes we see following pregnancy are accompanied by unwanted changes in the abdomen, hips, and thighs.

It’s very common in my practice to perform abdominoplasty (or tummy tuck) at the same time as breast enhancement. Even before pregnancy, fat accumulation in those same areas can often be improved by sculpting away the bulges with liposuction.

Total body contouring or “Mommy Makeover” are terms we use to describe the process of analyzing the relationship between different areas and developing a plan to improve overall proportion which enhances the entire body.

Interestingly, I even combine breast surgery with facial cosmetic surgery, especially enhancement of the nose, eye and lips. After 12 years in practice, one of the things that keeps it fun and challenging is this variety. Every individual is different and requires a unique approach. That’s the art of plastic surgery.

Can A Breast Lift Be Combined With Breast Augmentation?

Breast augmentation can be combined with a breast lift at our Dallas, TX office. Together, the two procedures can improve fullness, shape, and projection. A breast lift can help correct sagging and deflation and restore optimal symmetry.

What Results Should I Expect After Breast Augmentation?

Breast augmentation surgery is one of the leading plastic surgery procedures in the United States. It has a strong history of success, seen through consistent results in adult women of all ages. Patients can expect to look and feel fuller and shapelier after their implants have settled in the breast pocket. 

The results of breast augmentation can be long-lasting, but certain factors can influence them. For example, healing is hindered by smoking too soon after surgery. This habit also ages the skin more quickly. Breast sag may also occur due to unprotected sun exposure. One sunburn may have little effect on the breasts, but regular tanning can affect not only the firmness of the skin but also breast augmentation scars. Finally, the results of this procedure may be prolonged with habits that maintain a stable weight. 

Will I Have Any Scarring After Breast Augmentation?

Incisions cause scarring. There is no way to avoid this. What we do is try to control the visibility of surgical scarring. Dr. Walker does this by making incisions in the most discreet area possible. Patients can promote optimal incision recovery by following their post-op instructions. It is critical to avoid smoking after surgery. Patients must wear their compression garment as directed and should keep their incisions clean while the skin is healing. 

How Much Time Will I Need To Recover After Breast Augmentation?

It may be beneficial to schedule as much as two weeks off for breast augmentation recovery. Several factors determine how soon a patient can return to work and other activities. Generally, patients should avoid lifting for two weeks. The breasts may be tight and swollen for the first several days after surgery, as well, so care must be taken to avoid activities in which the breasts may get bumped. Medication may also impair activity for a few days. Patients should reserve at least a few days to discern how their medication affects them before they venture out. Patients cannot drive until they are no longer taking narcotic pain medication. 

Scheduling two weeks off work does not mean every patient needs that much time. Some patients can return to their normal activities within a few days, after their first post-op visit.

Breast Implants – Risks and Choices

Breast augmentation, like all other forms of surgery, is a real operation with real potential risks. The following is a summary of the most common complications that we feel every patient should acknowledge and understand prior to surgery. All of these do happen occasionally and are a function of the operation itself and how the human body reacts to this operation.

Rippling

Rippling describes visible ripples in the breast following breast augmentation. This is far more common with saline filled implants and relatively uncommon with silicone gel implants.

The reason for rippling is that all implants are compressible, not rigid spheres and because of this they all have folds on the surface of the implant.

With saline implants, since they contain just salt water inside, the implant folds are much sharper. They are easier to feel and see through the skin in patients with small breasts, very thin skin or in those who choose larger implants, exerting more pressure on the overlying skin.

Silicone gel is much thicker and, while there are folds in a silicone gel implant, they are much more gradual and therefore rippling is less common. Rippling is a function of the amount of tissue you have to cover or hide the implant, not any kind of defect in the implant.

Capsular Contracture

Once the implant is placed inside the body the healing process results in a thin layer of scar tissue surrounding the implant much like a cocoon forming around a caterpillar. This layer of scar tissue is called a capsule, and in some individuals, the healing process is more aggressive than others.

If an individual’s scar capsule begins to tighten around the implant, it can make the implant feel firmer, appear more round in shape and even begin to cause the implant to rise upwards as the implant is shifted in position within its normal pocket. The capsule of scar tissue can also thicken over time, which makes the capsular contracture even more uncomfortable and visible.

There are many precautions with breast augmentation, which can minimize the risk of capsular contracture and we use all of these, including specific cleansing of the patient’s skin and the surgeon’s gloves prior to handling of the implant and the use of a triple antibiotic irrigation within the pocket. Using all of the current techniques to minimize this risk, it can be decreased to about 2% overall.

Roughly half of the individuals who develop some capsular contracture will respond to an oral medication, which is intended for asthma. As a side effect, this medication seems to modify the cells which create scar tissue, causing the scar capsule to begin to soften.

About half of the patients with early capsular contracture will achieve resolution with this medication. This leaves a small number of individuals who have enough unfavorable scar formation that they may benefit from surgery.

There is no warrantee for capsular contracture, since the implant company is very clear that it is the individual’s tissue response, not the implant becoming firm. When the implant is removed, it can be seen to be perfectly normal.

It is the scar tissue inside caused by the individual’s “overly aggressive” healing which results in capsular contracture. This is a risk that cannot be blamed on the surgeon or the implant manufacturer and one that every individual who wishes to undergo breast augmentation must accept.

Hematoma

Postoperative bleeding is a risk with nearly all surgeries. When the pocket for the implant is surgically created it is sculpted using a cautery. The cautery is a device that delivers an energy charge, which splits through tissues and seals them off, including muscle fibers, nerve fibers and blood vessels, as the implant pocket is formed.

Any bleeding is visualized clearly using a brilliantly lighted fiberoptic retractor, allowing the cautery to be used accurately to stop all active bleeding. The pocket is flushed out with an irrigation solution and suctioned so that any bleeding can be visualized and stopped before the implant is placed.

Nonetheless, after the surgery, if the tissues are traumatized in any way from over activity or if the blood pressure rises from emotions, pain or even just bad luck, bleeding can begin. Blood can collect around the implant causing the breast to enlarge and become somewhat sore and perhaps appear bruised; however, because it is a closed space, the bleeding typically stops and is not an emergency situation.

If you present to the clinic with an enlarged, tender, slightly bruised breast and we make the diagnosis of hematoma, it is best that you have surgery to remove the clot of blood around the implant or you will likely develop a deformity.

Dr. Walker never charges any surgeon’s fee for the operation to treat a hematoma and performs this surgery at no charge. The anesthesiologist however, will charge you to go back under anesthesia for the surgery and you will be responsible for that fee as well as the operating room fee, covering all of the equipment, supplies and staff necessary to perform this operation.

Dr. Walker feels very strongly that a surgeon should never charge or profit from surgery such as this but that the patient should also assume responsibility for their own activity after surgery.

Most hematomas, when discussed truthfully, follow some type of “event” by the patient. The overall risk is very low and in our practice is approximately one-half of one percent.

SENSORY CHANGES

Loss of sensation or numbness

When the space or “pocket” is created for the breast implant, tissues which are adherent or stuck together are split apart in order to create that space. Among the tissues which will be split free are some nerve fibers.

It is common to have numbness or decreased sensation around the incision and sometimes in other areas on the breast. Occasionally, the nipple itself may lose sensation. This is more common when the patient chooses very large breast implants since more tissues must be split apart to create the necessarily larger “pocket.”

Also, the larger implant may exert more pressure on the adjacent nerves which causes the numbness in some cases. Many cases of numbness resolve spontaneously, since the nerve fibers are stretched or cauterized but not irreversibly injured.

Nonetheless, some cases of sensory loss are permanent. This is a non-negotiable risk of breast augmentation and must be accepted to be a candidate for this operation.

Hypersensitivity

In some cases sensation is elevated and the breast becomes hypersensitive. Even the pressure and temperature of showering can be uncomfortable and this too is an inherent risk which cannot be eliminated.

This generally passes with time as the swelling and healing processes evolve. Although uncommon, there are reported cases of permanent hypersensitivity.

Sagging

There is no technology to secure the breast implant internally to a rigid structure such as a rib. The pocket which is created for breast implants typically follows the shape of the normal breast fold and is designed to mimic the shape of the breast once the implant is placed inside.

The implant, however, is not “wired down” or fixed to anything internally. It simply sits inside that pocket similar to putting your cell phone in your shirt pocket. The breast implant sits on the breast fold, which acts as the shelf supporting the implant.

If your tissues are lax and loose, the implant may stretch your tissues and settle lower. It is important to understand this and to accept that you cannot always select any type of breast you wish with augmentation and why augmented breasts must be supported just like real breasts.

When you lie on your back, the implants can move to the side under the force of gravity almost like a ball on a hill. Thus over time, the space between the breasts can widen as sagging occurs in that direction. There is no way for the doctor to prevent this, so we emphasize that support is typically necessary with breast implants just as it is with natural breasts.

This is most important in patients with very loose, lax tissues or those who select very large implants, which exert more weight or pressure on your skin. Implants over 350-400cc are considered to be in that category by many plastic surgeons.

Deflation or Rupture

Saline implants can develop cracks in the surface over time or failure of the valve used to fill them with saline. Even the tiniest pinhole in a saline implant will result in leakage causing the implant to go flat. This creates, in some sense, a social emergency due to the sudden mismatch of an augmented breast on one side and a flat breast on the other.

The material which leaks out is just salt water and therefore there are no issues or concerns regarding safety. However, the potential to deflate or go flat suddenly is certainly a disadvantage of saline-filled implants.

Silicone gel implants are now a fifth-generation device which has been modified over the years to decrease the risk of failure or rupture. Fifth-generation implants have thicker more resilient rubber surfaces. Also, the silicone gel on the inside is now cohesive enough that if the implant is sliced in two, it maintains its form and cannot “flow away.”

Thus, if there is a tiny crack in a current silicone gel implant, it will not go flat. It will typically maintain its shape and size and will often be undetectable. There is no pain or deformity or disease from exposure to silicone.

In fact, silicone is already present in the body in concentrations much higher than the concentrations caused by an implant. Many products such as lipstick, underarm deodorant, hair spray, Mylanta, etc. contain silicone and it is a substance which exists in everyone’s body in a measurable amount.

Numerous scientific studies relating to silicone gel have confirmed that it does not cause any type of disease. Interestingly, if a puncture is made in a breast implant even with something substantial, and the implant is compressed, the gel will bulge out, but when it is released the gel is drawn back into the implant, behaving more like Jell-O than any type of liquid.

When the FDA removed their restrictions on silicone gel implants in 2006, one of its recommendations was that women consider monitoring the implant with MRI scans to look at the implant through the body at intervals of every two years. As of 2020, the FDA updated its recommendations to include ultrasound as an adequate screening modality.

Current data show that in ten years, the failure rate following primary breast augmentation for these implants is less than 6%. Routine mammography is still necessary to screen for breast cancer.

The above information summarizes what we consider to be the most commonly encountered risks of breast augmentation surgery. It is not an exhaustive list of all of the risks of this procedure.

Although most of these are either minor or relatively infrequent, they do occur from time to time and everyone must accept these risks and give their informed consent in order to proceed with surgery.

Breast Augmentation Cost In Dallas, TX

The process of determining breast augmentation cost involves taking a number of factors into account. The breast implant cost, anesthesia type, length of the surgery, and incision location all have bearing on the final cost.

Breast augmentation recovery and results

After an hour or so in the recovery room, you will be discharged to the care of another adult who needs to stay with you for the evening. You will need someone to bring you to your first post-operative recheck, since you should not drive a car for the first two days after breast enlargement surgery, or while taking pain medication. Virtually every patient can resume normal everyday activities within 24 hours after surgery, including showering, doing one’s hair or applying cosmetics, dressing, eating normal meals, and moving about the house. You should avoid stretching or repetitive activities that might raise your pulse or blood pressure, which can increase the risk of bleeding and re-operation. Our superior anesthesia protocols (TIVA), as well as careful, minimal-trauma surgery may allow most patients to feel well enough to go out for pizza on the way home from surgery, or to go dancing the next day. But really, this makes no sense, since every patient having an operation must heal tissues and seal blood vessels. The less strenuous activity you engage in, the less likelihood of bleeding, bruising, discomfort, capsular contracture, or re-operation. Taking things easy, even if you feel great, is an investment in your final cosmetic result! Anything else that seeks to imply a superior surgical skill, “special” technique, or proprietary way to circumvent normal healing is simply marketing.

Avoid Exercising

You should avoid exercising, lifting, or strenuous activity for a full two weeks following surgery, to limit the possibility of bleeding. If you have bleeding, re-operation is necessary to remove the blood, cauterize or suture the source, and re-close the incision. Most patients prefer to reduce activities rather than risk re-operation and the higher rate of capsular contracture that may result if this occurs. This generally means no exercise or other strenuous activity for the first two weeks. Jogging, horseback riding, weightlifting (bench press, military press, curls, etc.), yoga, or any activities that bounce the breasts or stretch/contract the chest muscles should be avoided for a full month or longer, depending on intensity.

Breast augmentation–submuscular silicone implants

This 20 year-old woman came to Minneapolis Plastic Surgery for breast augmentation with implants. She underwent submuscular silicone gel implant placement as a light general (TIVA) anesthetic outpatient procedure in our nationally-accredited (AAAASF) on-site surgical facility. She returned to everyday (non-strenuous) activities in 24 hours, light exercise in 2 weeks, and more vigorous work-outs in 4 weeks. (Note the large mole in her cleavage area was removed at the time of her surgery; the small mole on the right breast remains.)

Breast augmentation–submuscular saline implants

This 47 year-old mother of 3 lost most of her breast volume after breast feeding, and came to Minneapolis Plastic Surgery for augmentation mammoplasty (breast enlargement with implants). Her surgery was one month before the FDA again released silicone gel implants for elective breast augmentation (2006), so this patient had submuscular saline implants placed. Proper “over”filling minimized implant rippling. Her TIVA general anesthetic allowed her to leave the recovery room in just one hour–alert, comfortable, and without nausea or vomiting.

Breast augmentation–submuscular saline implants

This 19 year-old mother of one came to Minneapolis Plastic Surgery for breast implants to restore fullness lost after breast feeding. She had saline implants placed beneath her pectoralis muscles in our nationally-accredited (AAAASF) office surgical facility as a 1-hour outpatient operation. Note the natural “teardrop” appearance of her breasts with smooth round submuscular implants.

Breast augmentation–submuscular silicone implants

This 20 year-old health care professional from Rochester, Minnesota wanted larger breasts. After much research, she decided she wanted the latest generation of cohesive silicone gel implants instead of saline ones. Even though she is not yet 22, it is perfectly legal and appropriate for her to request silicone gel implants, particularly when we agree that this is the best choice for her goals and anatomy. Use of silicone gel implants in a woman under age 22 is considered “off-label” use, just as when Botox is used for treatment of facial lines or wrinkles of the neck or upper forehead (Botox Cosmetic is FDA-approved only for use in treating frown lines between the brows and “crows feet” lines; use anywhere else is considered “off-label” use that is completely legal and quite common). She sized with 550cc and 600cc implants in a bra and stretchy top; in her 55 minute outpatient breast augmentation operation at Minneapolis Plastic Surgery, she had 650cc high-profile cohesive silicone gel implants placed. She has been thrilled with her results, and at her most recent office recheck appointment said that she is contemplating increasing to 800cc implants.

Breast augmentation–submuscular saline implants

This 31 year-old woman breast-fed three children, and told us these were the only times she had any breast fullness. She requested breast enlargement, but did so during the time (1991-2006) when the FDA restricted cosmetic silicone gel augmentation, and therefore had submuscular saline implants placed at Minneapolis Plastic Surgery’s nationally accredited (AAAASF) on-site outpatient surgical facility. Three years later she requested additional saline fill to reduce rippling (despite proper “over”filling initially).

Breast augmentation–submuscular saline implants

This 33 year-old woman breast-fed both of her children and developed Grade II (moderate) breast ptosis (droop) and significant loss of breast volume. She requested restoration of breast size without breast lift if possible. Submuscular breast augmentation was performed as an outpatient light general anesthetic (TIVA) procedure that nicely corrected her loose breast skin without breast lift (mastopexy) scars or increased cost being necessary.

Breast augmentation–submuscular silicone implants

This 21 year-old woman told us she has always been bothered by her small, unattractive breasts. She underwent augmentation mammoplasty at Minneapolis Plastic Surgery’s AAAASF-accredited on-site surgical facility, and had 575cc silicone gel implants (cohesive latest-generation) placed below her pectoralis muscles in a 50-minute operation. Use of silicone gel implants in a woman under age 22 is perfectly legal and appropriate as long as informed consent regarding “off-label” use is obtained, and the patient requests their use. Her TIVA anesthesia allowed her to leave the facility in 1 hour feeling comfortable and relaxed without nausea or that bloated, gassy, dizzy, inhalation anesthesia smell (and higher nausea risk). After photo at 1 year post-op.

Breast enlargement with cohesive silicone implants–89

This 23 year old woman from North Dakota desired larger and more shapely breasts, but did not want an obvious, round, “fake” look. She came to Minneapolis Plastic Surgery for breast augmentation with cohesive silicone gel implants, and chose smooth round implants because they have a soft teardrop appearance when upright, and flatten and round out to the sides of her chest when reclining–significantly more natural and “anatomic” than form-stable teardrop-shaped textured implants. Her outpatient operation was performed in our nationally accredited (AAAASF) on-site office surgical facility under a light TIVA general anesthetic. She returned to her daily routine and traveled back to her home the next day, and resumed exercise and strenuous activities in 3-4 weeks. After photographs were taken 6 weeks post-op.

breast augmentation with silicone implants

This 30 year old woman and her husband are done with their family and breastfeeding her 2 children left her with deflated breasts. She came to Minneapolis Plastic Surgery for breast augmentation with silicone implants, as well as liposuction of various other areas. She is 5′ 4″ tall and weighs 133 lbs. so she is an excellent candidate for liposculpture as well as breast enlargement for improved body contours. Her TIVA anesthetic allowed nausea-free recovery and rapid discharge home to her caregiver. She had 5 pounds of fat removal via her same-procedure liposuction, combining multiple areas of surgery into one operation and one recovery.

Breast augmentation–submuscular silicone implants

This 20 year-old woman came to Minneapolis Plastic Surgery for breast augmentation with implants. She underwent submuscular silicone gel implant placement as a light general (TIVA) anesthetic outpatient procedure in our nationally-accredited (AAAASF) on-site surgical facility. She returned to everyday (non-strenuous) activities in 24 hours, light exercise in 2 weeks, and more vigorous work-outs in 4 weeks. (Note the large mole in her cleavage area was removed at the time of her surgery; the small mole on the right breast remains.)

Breast augmentation–submuscular saline implants

This 47 year-old mother of 3 lost most of her breast volume after breast feeding, and came to Minneapolis Plastic Surgery for augmentation mammoplasty (breast enlargement with implants). Her surgery was one month before the FDA again released silicone gel implants for elective breast augmentation (2006), so this patient had submuscular saline implants placed. Proper “over”filling minimized implant rippling. Her TIVA general anesthetic allowed her to leave the recovery room in just one hour–alert, comfortable, and without nausea or vomiting.

Breast augmentation–submuscular saline implants

This 19 year-old mother of one came to Minneapolis Plastic Surgery for breast implants to restore fullness lost after breast feeding. She had saline implants placed beneath her pectoralis muscles in our nationally-accredited (AAAASF) office surgical facility as a 1-hour outpatient operation. Note the natural “teardrop” appearance of her breasts with smooth round submuscular implants.

Breast augmentation–submuscular silicone implants

This 20 year-old health care professional from Rochester, Minnesota wanted larger breasts. After much research, she decided she wanted the latest generation of cohesive silicone gel implants instead of saline ones. Even though she is not yet 22, it is perfectly legal and appropriate for her to request silicone gel implants, particularly when we agree that this is the best choice for her goals and anatomy. Use of silicone gel implants in a woman under age 22 is considered “off-label” use, just as when Botox is used for treatment of facial lines or wrinkles of the neck or upper forehead (Botox Cosmetic is FDA-approved only for use in treating frown lines between the brows and “crows feet” lines; use anywhere else is considered “off-label” use that is completely legal and quite common). She sized with 550cc and 600cc implants in a bra and stretchy top; in her 55 minute outpatient breast augmentation operation at Minneapolis Plastic Surgery, she had 650cc high-profile cohesive silicone gel implants placed. She has been thrilled with her results, and at her most recent office recheck appointment said that she is contemplating increasing to 800cc implants.

Breast augmentation–submuscular saline implants

This 31 year-old woman breast-fed three children, and told us these were the only times she had any breast fullness. She requested breast enlargement, but did so during the time (1991-2006) when the FDA restricted cosmetic silicone gel augmentation, and therefore had submuscular saline implants placed at Minneapolis Plastic Surgery’s nationally accredited (AAAASF) on-site outpatient surgical facility. Three years later she requested additional saline fill to reduce rippling (despite proper “over”filling initially).

Breast augmentation–submuscular saline implants

This 33 year-old woman breast-fed both of her children and developed Grade II (moderate) breast ptosis (droop) and significant loss of breast volume. She requested restoration of breast size without breast lift if possible. Submuscular breast augmentation was performed as an outpatient light general anesthetic (TIVA) procedure that nicely corrected her loose breast skin without breast lift (mastopexy) scars or increased cost being necessary.

Breast augmentation–submuscular silicone implants

This 21 year-old woman told us she has always been bothered by her small, unattractive breasts. She underwent augmentation mammoplasty at Minneapolis Plastic Surgery’s AAAASF-accredited on-site surgical facility, and had 575cc silicone gel implants (cohesive latest-generation) placed below her pectoralis muscles in a 50-minute operation. Use of silicone gel implants in a woman under age 22 is perfectly legal and appropriate as long as informed consent regarding “off-label” use is obtained, and the patient requests their use. Her TIVA anesthesia allowed her to leave the facility in 1 hour feeling comfortable and relaxed without nausea or that bloated, gassy, dizzy, inhalation anesthesia smell (and higher nausea risk). After photo at 1 year post-op.

Breast enlargement with cohesive silicone implants–89

This 23 year old woman from North Dakota desired larger and more shapely breasts, but did not want an obvious, round, “fake” look. She came to Minneapolis Plastic Surgery for breast augmentation with cohesive silicone gel implants, and chose smooth round implants because they have a soft teardrop appearance when upright, and flatten and round out to the sides of her chest when reclining–significantly more natural and “anatomic” than form-stable teardrop-shaped textured implants. Her outpatient operation was performed in our nationally accredited (AAAASF) on-site office surgical facility under a light TIVA general anesthetic. She returned to her daily routine and traveled back to her home the next day, and resumed exercise and strenuous activities in 3-4 weeks. After photographs were taken 6 weeks post-op.

breast augmentation with silicone implants

This 30 year old woman and her husband are done with their family and breastfeeding her 2 children left her with deflated breasts. She came to Minneapolis Plastic Surgery for breast augmentation with silicone implants, as well as liposuction of various other areas. She is 5′ 4″ tall and weighs 133 lbs. so she is an excellent candidate for liposculpture as well as breast enlargement for improved body contours. Her TIVA anesthetic allowed nausea-free recovery and rapid discharge home to her caregiver. She had 5 pounds of fat removal via her same-procedure liposuction, combining multiple areas of surgery into one operation and one recovery.

Individual results may vary.

Minneapolis Plastic Surgery Patient Recovery

Some breast augmentation surgeons or websites state or imply that they utilize special techniques to minimize postoperative pain, swelling, or restriction of activities. One website even emphasizes the implied “superiority” of their procedure by showing a photograph of a breast enlargement patient out dancing with her arms above her head shortly after surgery, or by showing testimonials by patients who go out to dinner the night after surgery. We also employ all of these “special” techniques, and in fact 97-98 percent of Minneapolis Plastic Surgery’s breast enhancement patients have NO nausea, NO vomiting, NO anesthetic hangover, and are able to eat normal food and be up and about the night after surgery. Do we encourage dancing and dining the night after surgery? Of course not; there still are the two-three percent of patients who will have some degree of nausea or more discomfort, and do best by minimizing the potential for raising the blood pressure that accompanies vomiting, and the risk of re-operation or capsular contracture that goes with elevating the blood pressure or pulse. Most of our breast enhancement patients are thrilled by their lack of post-operative pain, bruising, or swelling, not to mention the avoidance of nausea and vomiting our superior anesthesia techniques permit! But we want ALL of our patients to have a great result, so we recommend moderation in activities that might adversely impact your result (and our reputation).

Although limitation of strenuous activity requirements are simple, straightforward, and in your best interest, a few patients each year feel they can bypass this rule, think they are doing so well that this doesn’t apply to them, or decide that they “got away with (an inappropriate activity) once, so it must be OK,” and end up in the operating room again.  This is usually avoidable, but bleeding can still occur despite everyone’s (patient and surgeon) best effort. If this is the case, timely re-operation can remove the blood (usually only a few ounces), control the bleeding source, and avoid or limit any untoward effect on the final result. If you have significant swelling on one or both sides post-operatively, notify your surgeon.

Avoiding Infection

Infection is extremely rare in this operation. It can occur, however, and you must take the prescribed antibiotics until gone to reduce this risk as much as humanly possible. If an implant becomes infected, it must be removed (usually with the other implant, infected or not) and will need to be left out for several weeks to as long as a year, to allow all bacteria to be destroyed by antibiotic therapy and your own antibodies, as well as to allow scar tissue to soften enough to permit replacement of the implants.

You can also reduce the risk of infection by showering rather than bathing, and you should absolutely stay out of the lake, Jacuzzi, pool, hot tub, or sauna for three weeks after breast enlargement surgery. Close contact with animals or household pets (especially cats) should be limited as well during this time. Taking your antibiotics as prescribed does not eliminate the need to follow these recommendations!

Typical Breast Augmentation Recovery Prescriptions

You will also receive prescriptions for muscle relaxants and anti-inflammatory before you leave our Clinic (these are now e-prescribed and can be picked up prior to surgery so you don’t have to stop on the way home after surgery!) In our office, pain medication cannot be “called-in” or e-scribed–on the day of surgery your adult caregiver will be given a written prescription for these medications. Take your medication as advised to reduce nausea, vomiting, and the resultant increase of blood pressure that might start bleeding. Your breasts will NOT have drains (they are not necessary with our precise surgical technique and meticulous hemostasis), but you will have a long-acting local anesthetic placed in your implant pocket to minimize immediate post-operative discomfort. We also inject a 3-4 day extended-release local anesthetic (Exparel) into the tissue around your breasts to reduce discomfort for an extended period. This multi-pronged approach is why the vast majority of our breast enlargement patients do so well and report minimal post-op discomfort.

Typical Breast Augmentation Activity Recommendations

Keep fluid intake up and walk, move around, and flex your calf muscles to reduce the risk of blood clots. This is important to reduce the risk of heart attack, stroke, pulmonary embolism, or sudden death. Do not take aspirin, ibuprofen, Aleve™, etc. during the four weeks after surgery. Resume other medications as advised by your doctor. Return to work based on the activity levels required at your job, and resume exercise or strenuous activity gradually, no sooner than the two weeks discussed above. Jogging, horseback riding, weightlifting, vigorous sexual activity, or similar strenuous exertion should be avoided for four weeks to decrease the risk of bleeding, re-operation, and/or capsular contracture.

Your bleeding risk is actually highest 10 to 33 days AFTER surgery, as pain and soreness resolve, and activities naturally increase. Healing tissues are not durable and supple enough for vigorous stretching or strenuous muscular contraction until one month from surgery, and then only if started gradually. This information is meant to help you avoid re-operation for bleeding! (And those “quick-recovery” “brand-name” operations don’t have any magical stop-bleeding tricks either—in fact, implying activity is OK or encouraged only increases these doctors’ re-operation rates for evacuation of hematomas.) Ask who pays for that?  Hospital charges for bleeding re-operation can cost thousands; we offer minimal-cost, no surgeon’s fee  re-operation (around $1000) in the unlikely event that one of our patients bleeds.

Following these recommendations will make the likelihood of a successful outcome as high as possible, and the risk of complications low. After your breast enlargement surgery, your final appearance will take some time to be achieved. During this time your muscle, breast tissue, and skin must heal, stretch, soften, and settle over time. Some patients look fabulous days after surgery; most take somewhat longer!

Most patients are sent home with a Velcro® bandeau placed on the upper part of the breasts. This will be worn at night, and in most cases, patients will be asked to remain braless during the day. This will allow your breast implants to drop into the proper position over time. The amount of time necessary for final softening and settling of implant position is different for each patient, and so will the time recommended to start wearing a bra. Some patients will have tapes and a surgical bra right after surgery. Do not judge your recovery by the yardstick of a friend’s or relative’s experience; every patient is unique, and every recovery and result is also unique. Your surgeon will guide you as time goes by and advise you on how to enhance your result. At Minneapolis Plastic Surgery, Ltd. we offer our patients a lifetime of no-charge rechecks and will keep you apprised of the best advice we are capable of giving.

Most patients look good in clothing within days after surgery; unclothed, a soft, natural appearance will take longer to develop. Final softening, settling, and the return of sensation can take several months to as long as a year or so. During this time, or at least as long as your scars are pink, you must avoid tanning booths or any source of ultraviolet exposure in order to reduce the chance of permanently darkening the scars. Vitamin E oil or ointment massage of the scars after three week’s time can help to soften and fade them; you should not begin this prior to three weeks after surgery in order to avoid the risk of prematurely softening and stretching the scars. If you have a tendency to form thick or heavy scars, your surgeon may instruct you in the use of scar pads ( silicone sheets ) or other scar-treatment remedies as  ways of helping to reduce this concern.

A Smooth Recovery Process

All in all, with superior anesthesia, careful surgery, meticulous technique, precise hemostasis, attention to medications, not resuming strenuous activity prematurely, and equally attentive patient compliance, breast enlargement is a safe, straightforward procedure with a very high satisfaction rate. This information and these recommendations are not intended to be complete or all-inclusive. Post-operative rechecks are important and are designed to monitor your progress, make appropriate recommendations, and address any specific concerns or questions. 

Natural looking breast implants

natural breast implants

Breast augmentation continues to be one of the most commonly performed cosmetic surgery operations in the UK, with over 2000 procedures carried out in London each year. Breast enlargement surgery is designed to alter the size and shape of the breast with an improvement in breast texture.

Breast implants come in two main types, silicone implants or saline implants. Saline implants are composed of a silicone outer and are filled with a sterile saltwater solution (saline). In contrast, silicone implants are composed of a cohesive gel-like material enclosed by a silicone shall. Saline implants are rarely used in the UK due to the high risk of implant rupture and the inability to achieve natural-looking results. There are also more prone to developing implant rippling, which may be visible through the skin. Silicone breast implants are most commonly used in the UK and have a more natural consistency with a reduced likelihood of developing implant rippling or wrinkling. All types of breast implants have a finite lifespan of approximately 10 to 15 years, and it is recommended to have them removed or replaced at this time. Some women may also want to improve the size and shape of their breasts after a period of time due to the development of breast sagging, and different-sized implants, whether bigger or smaller, may be used to replace old breast implants.

Which types of breast implants look natural?

We commonly get asked how women can achieve a natural look with breast implants. There are several different ways to ensure a natural-looking appearance with breast implants.

Getting natural-looking results with breast augmentation

The first step is to have a consultation with an expert breast augmentation surgeon at Centre for Surgery. At the consultation, your surgeon will assist you in helping to select the most appropriate type of implant to match your chest anatomy. We offer two different brands of breast implants, including Mentor and Sebbin implants. Both types of implants are MHRA-approved for breast augmentation and have a proven track record of safety and quality. Implants come in various sizes and shapes, including round implants, anatomical implants or teardrop implants.

Implants also come in a variety of different profiles, from low profile to very high profile. Implant profile is used to describe the distance of projection from the chest, with low profile implants having a more shallow edge resulting in a more natural appearance. Very high-profile implants project further outwards with more defined edges and help improve breast cleavage. High-profile implants have a lower potential for creating a natural appearance but are often preferred by many patients who want to achieve bigger breasts with enhanced cleavage.

Your surgeon will also discuss optimal breast implant placement with two main techniques for placing the implants, which can be either below the pectoralis muscle or placed on top of the muscle. There are pros and cons to both approaches depending on your desired look. Achieving a natural appearance to the breasts will often depend on where the implants are placed, and you can discuss this further with your surgeon at the consultation.

Natural-looking breast implants can be enhanced further with the addition of fat transfer to the breasts, which is an effective technique for disguising the edges of the implant in thin-skinned patients.

Following the post-operative instructions after breast augmentation surgery is essential to get the best results. You will be provided with a post-operative support bra to maintain the breast implants in the correct position and avoid unnecessary irritation of the healing scars.

We would advise avoiding certain types of strenuous exercise, including cardiovascular exercises and sporting activities such as tennis, which involve raising your arms above your shoulder level. Excessive movements of the arms above the shoulders may result in a risk of developing implant malposition. This complication may require corrective breast surgery further down the line. Avoiding excessive arm movements will also help your breast augmentation scars to heal properly.

How can breast implants look fake?

Fake-looking breast implants often have several characteristics. Choosing very high-profile implants often results in breasts that appear less natural. The position of the implant can also play a factor in creating breast implants that look fake, whether the implant is placed above the breast muscle or beneath it.

The anatomy of the female chest and the size of the breast implant selected can often determine whether breast enhancement results appear fake. Women who only go up one or 2 cup sizes after breast augmentation surgery have a higher likelihood of achieving natural-looking results than women who go up 5 or 6 breast cup sizes. If you are keen to achieve a natural-looking breast augmentation, please discuss this with your surgeon, who will be able to use years of experience in helping you select implants that will appear natural for your body shape.

What is the most natural breast implant?

Compared with saline implants, silicone breast implants have the most natural-looking appearance and optimum feel. At Centre for Surgery, we have extensive experience with Sebbin breast implants manufactured in France. These implants have over 20 years of safety data proving their effectiveness. Sebbin implants contain a highly cohesive silicone gel contained in an outer silicone shell. Patients often tell us how the implants feel similar to the natural breast tissue. Successful breast augmentation surgery to achieve a natural appearance depends on choosing the correct implant size, shape and profile, which must always be customised to each patient to get optimal results.

What kind of breast implant is right for you?

Are there any natural alternatives to breast implants?

Breast augmentation with implants is the most common method of surgically enhancing the breasts. However, fat transfer breast augmentation has emerged as a highly effective way to enhance breast volume without the need for implants.

Centre for Surgery experts in all types of fat transfer surgery, including breast augmentation fat transfer which involves enhancing breast volume by injecting fat into the breasts. Many patients often prefer having breast augmentation with fat transfer as the procedure does not involve the use of artificial substances such as silicone implants and is known for producing natural-looking results.

What are the natural alternatives to breast implants?

Natural breast augmentation with fat transfer to breast involves liposuction to remove fat from unwanted body areas such as the abdomen, thighs or hips, followed by its purification. The purified fat is then injected into the breasts using small diameter cannulas. Many patients appreciate having areas of stubborn fat removed to contour and sculpt body regions such as the stomach. This procedure is often viewed as a two-in-one procedure with the body contouring benefits of liposuction combined with breast fat transfer to increase breast volume in the same procedure. Natural breast augmentation with fat transfer results in fewer scars compared with breast implant surgery.

The risk of complications such as bleeding is much less with breast fat transfer than with breast implant surgery. Not having implants inserted means any risk of infection is minimal. Fat transfer breast augmentation is commonly requested by patients who may be unhappy with the results of a breast implant procedure. Some patients may have had surgery for breast cancer, such as a mastectomy and will require breast reconstruction surgery to restore the shape of the breasts and get rid of breast asymmetry.

Fat transfer breast augmentation is most commonly carried out under a general anaesthetic. At Centre for Surgery, we specialise in TIVA anaesthesia to ensure a quick recovery with minimal risk of post-operative sickness. The procedure takes, on average, between one and three hours, depending on the amount of liposuction carried out and the quantity of fat injected into the breasts.

The recovery time after that transfer to breasts is generally between one week and four weeks. Your surgeon may recommend taking one week off work and restricting physical activities until any post-operative swelling has settled down, which will help improve the quality of your recovery. Once you have seen your surgeon at your six-week review, you may undertake complete activities without restrictions.

Fat transfer to the breasts can be carried out with or without breast implant surgery. When breast fat transfer is combined with breast implants, the procedure is called hybrid breast augmentation. By combining the two procedures, patients can benefit by having a significant increase in breast volume with implants with the natural-looking results achievable with fat transfer. Liposuction can be carried out to other body areas if desired to create a flatter stomach or slimmer-looking thighs.

Some of our surgeons are experienced in 3-D virtual imaging to give you an idea of how you could look after your breast implant surgery. 3-D imaging may help you develop a better idea of what can be achieved and whether your expectations are realistic.

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