Seattle Price List Cosmetic Surgery
Dr. Javad Sajan specializes in Breast Augmentation, Rhinoplasty, Mommy Makeover and Facelift surgery in Seattle.
Disclaimer: All surgical and non-surgical results are subject to the individualities of the patient and the normal variability of clinical procedure results.
DISCLAIMER- Results may not be typical. Photographs may have been modified and edited, including but not limited to, changing tattoos, scars, body (or body part) size, implant position, implant size, nipple position, nipple size and other body morphology.
Photographs have been modified from their original version.
600 Broadway #320
Seattle, WA 98122
Monday – Friday 8:00 a.m. to 9:00 p.m.
(206) 209-0988 Español
600 Broadway Suite 320
Seattle, WA 98122
Monday – Friday 8:00 a.m. to 9:00 p.m.
(206) 209-0988 Español
© 2021 Allure Esthetic Plastic Surgery. All Rights Reserved.
Breast augmentation is performed using a light, short-acting general anesthesia, which is administered by our anesthesiologist. Dr. Stephens will place a nerve block around the breast during your procedure as well.
Breast augmentation with saline implants can be performed for patients 18 years and older; however, silicone implants are FDA approved only for patients aged 22 and older. Silicone implants may be used in women under 22 years of age, but it is considered “off label” and the manufacturer’s warranty is null and void, so this is not recommended.
It is a very common misconception that you should have your implants replaced every 10 years, as studies show that only roughly 10 percent or so of breast implants have been disrupted from implant shell failure, or “ruptured,” so why replace the 90 percent that are still perfectly good?! There is no particular time that an implant will fail, only a statistical estimate, but we think that implants fail around one percent a year. However, we don’t have good data after 10 years from the current clinical studies. We recommend an MRI study or high definition ultrasound at five years, less than 10 years (for warranty purposes), and every three years after that. It is possible that your implants will need to be replaced in your lifetime, so it is important to monitor them carefully. Keep your manufacturer’s warranty and your implant information in your files to refer to, as the warranty is provided specifically by your manufacturer.
Breast implant warranties are provided by the breast implant manufacturer and typically cover the cost of a replacement implant and a portion of the replacement surgical costs for implant failure in the first 10 years. However, the most recent Sientra® warranty is the best in the industry for both implant failure and capsular contracture. The other manufacturers also provide a limited warranty for capsular contracture. Dr. Stephens and his staff can provide copies of these warranties on request and discuss the details of these warranties during your consultation. Warranty information is on the manufacturers’ websites as well. These warranties change all of the time, so it is best to keep track of yours on file or call the office if you have questions. There are no warranties for other re-operative procedures; however, Dr. Stephens provides the option of a reduced fee for this within the first year after your surgery, depending on the cause and situation.
Yes, to a variable degree, but this hasn’t increased the risk of breast cancer nor the risk of delayed diagnosis of cancer in clinical studies. Breast implants in the submuscular or “dual plane” interfere much less with mammography than above-muscle implants or those in the subglandular location. During your mammogram, your technician will do a special view called the “Eklund View” to bring the implant behind the breast tissue to minimize the areas that are not seen. Also, the newer digital and 3D mammograms are much better as a screening tool. Newer high-definition ultrasound systems are also much more sensitive in questionable areas as an adjunct to mammograms. MRI is a very sensitive way to assess for early breast cancer but is faulted on having false positives on occasion, where they see a suspicious area that turns out to be normal with biopsy.
As with any surgical procedure, there are some risks involved with breast augmentation. We take every precaution necessary to make sure each patient is in a safe environment. While complications are uncommon, they can include:
- Unfavorable scarring: We rarely see poor scarring after breast augmentation, and this is typically genetic and racially based, not because of the surgical incision per se. We strongly recommend scar care with Biocorneum® and pigment lighteners for all of our patients and follow-up care for the first year to assess how the scar is doing, among other things.
- Reactions to anesthesia: This is very rare; there is a rare genetic mutation to general anesthetic that most people inherit from their relatives, so this history is critical to know, but otherwise the risk of a catastrophic event from general anesthesia is actually less than from sedation (a well-known secret in the industry).
- Bleeding: Hematomas, or bleeding in the breast pocket, requiring exploratory surgery is extremely rare in breast augmentation. However, it is important to be careful to limit impact activities in the first few weeks following your procedure so that you don’t increase your risk of this. Hematomas have rarely occurred in our practice, but the ones that did happen were at two or so weeks out after the patient felt so good that they engaged in too much activity.
- Infection: This is also rare; we utilize a specific skin preparation protocol that is used in the hospital in orthopedic joint replacements and cardiac surgery that we will teach you about in your pre-op appointment. We think that this is also one of the reasons that we also have an extremely low rate of capsular contracture.
- Changes in breast skin or nipple sensation: While there is usually a temporary reduction and sometimes a temporary increased uncomfortable sensation following breast augmentation procedures, the risk of permanent loss of sensation to the breast or nipple is extremely rare. There is a higher risk if very large implants are used, but even then, the risk of permanent loss of sensation is rare. As the sensation recovers, it is lost temporarily; it will often come back with shooting sensations or minor painful sensations for a few weeks or so. On rare occasions, the return of sensation may take months to return but typically does.
Capsular contracture is when the normal response of the scar tissue surrounding the breast implant becomes thicker and tighter around the implant, causing the implant to feel harder and move upwards while becoming round and smaller. It is slightly firm in mild cases and becomes increasingly firmer and with more breast distortion, to extremely hard in more severe cases. The recommended treatment is surgery with complete removal of the capsular scar tissue and existing implant, replacing the implant with a new one.
Recently, there is good evidence that capsular contracture is a response to normal skin bacteria contaminating the surface of the implant. The bacteria sends a biological signal the capsular tissue to produce the excessive scar response. The risk of contracture runs as high as 10 to 15 percent in some studies and has double to triple this risk when the implant is placed above the muscle. Fortunately, the risk is now between one to two percent with modern use of antibiotics, ultra-sterile techniques, skin preparation with thorough antiseptics, and implant pocket irrigation with antiseptics and antibiotics. Dr. Stephens does this as well as using the Keller Funnel®, where the implant is protected from ever touching the skin. This has been shown to reduce the risk of capsular contracture to less than one percent in his practice regardless of the placement of the incision. While studies have shown that the risk of capsular contracture is higher when the incision is through the areola region or axilla,we haven’t seen this in our data although we see less than one percent risk of this in our practice.
To reduce the risk of capsular contracture, in addition to the above steps during surgery, avoid implants above the muscle where possible and instead use a dual plane technique; gentle surgical technique is critical to reduce bleeding and tissue trauma. Do the stretching and implant displacement exercises that we will discuss with you. While we currently recommend vitamin E post-operatively, there are no studies of its efficacy.
Dr. Stephens highly recommends that his patients take pre-dental antibiotics prior to any dental procedures and teeth cleaning. There is clear evidence that capsular contracture can be caused by mouth bacteria during these activities, and we have seen this from some of our consultations as well.
Women who have never had their breasts develop find it hard to get clothes to fit properly and may not feel feminine or confident in their appearance. They want their breasts to be proportionate to the rest of their body. Other women may have lost all of their breast tissue in breastfeeding and the rapid weight gain and loss of pregnancy. There are women whose breasts are misshapen, asymmetrical, or have deformities that are only correctable with breast surgery and implants. Of course, the woman must be in good health, understand the long-term care, and agree to be proactive in the care of her implants.
The positive effects of breast implants are not to be minimized in that there is a heightened self-esteem and pure joy that they provide women who look and feel more feminine and confident in and out of their clothes. There are multiple studies that show that women have a greater than 95 percent extremely satisfied rate following breast augmentation.
It is important to recognize that breast augmentation is not a “one-and-done” procedure. While it is rare to get an infection or breast pocket hematoma, capsular contracture can occur, requiring surgery in one to two percent or patients with good practices. Implant failure requires implant replacement surgery in 10 percent of patients after 10 years. Implants can move out of position and require reinforcing procedures with repairs, meshes, or other materials, as they can thin out the breast tissues over the years, particularly if the implant is placed above the muscle. Often a painful breast is the result of the implant moving towards the armpit and pressing on nerves along the side of the chest or because of capsular contracture.
It is important to recognize that a ruptured silicone implant may be completely silent, which is why we recommend periodic MRI or high-resolution ultrasound of the breasts to assess for rupture. With the newer highly cohesive implants, the gel material may completely stay within the broken shell, but the broken barrier will result in a gradual seepage or very minute amounts of silicone that is not a risk of disease or your health but may accumulate in lymph nodes if let alone for years, so MRI is important with silicone implants. Saline implants will just leak salt water and the implant will go flat with obvious change of the size and shape of the implant.
Dr. Stephens currently recommends the smooth round-shaped silicone implants for the vast majority of women. He has tried all of the various types throughout the years and finds that these provide the best combination of natural softness, feel, and shape with the least amount of complications of all implants. They have the lowest failure rates and equal capsular contracture rates as textured implants when placed using the dual plane technique.
Saline and even the IDEAL® structured saline-filled breast implants are not as soft and pliable nor as natural looking and feeling as the newest cohesive silicone gel implants. Saline and the IDEAL IMPLANT® might be a good alternative for a woman who is unsure about the health risks of silicone gel and does not like the prospect of having imaging studies done such as MRI studies with the extra expense. Standard saline implants are less expensive than silicone implants; however, the IDEAL IMPLANT® costs the same as the newest cohesive gel implants. Over 90 percent or more of our patients choose the newest silicone cohesive implants, and we rarely use the standard saline implant these days.
There is new evidence that the macro textured Allergan implant has a significantly higher risk of a type of breast lymphoma called BIA-ALCL. They are found in the teardrop-shaped “gummy bear” silicone and textured round implants. The risk of ALCL with the Allergan textured implant is somewhere between one in 3,000 (seen in Australia) and one in 30,000 women. It is treatable and curable when caught early with removal of the breast capsular tissue. It presents with an enlarging fluid-filled breast. Although the FDA has not requested taking the macro-textured breast implant off of the market at this time, we do not recommend Allergan textured implants for our patients. The textured Sientra® implant have been shown to have very few cases of BIA-ALCL.
Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) is a rare type of lymphoma that is rarely found in the breast normally. It has recently been increasingly associated with macro-textured implants and is associated with a rapidly enlarging fluid collection called a seroma that typically occurs several years following breast augmentation. The risk of ALCL in the US is about one in 30,000 and as high as one in 3,000 risk in some areas of Australia. There have been no cases in Japan that we know of. The Allergan macro-textured implant and a type of polyurethane coated implant (not FDA approved to use in the US) is most commonly associated with BIA-ALCL, but it is rare in the other textured breast implants. ALCL has been found associated with other types of implants as well, such as orthopedic prosthetics.
If you experience an enlarging breast, it is important to see Dr. Stephens immediately to be examined. If ALCL is a consideration, you will be referred to a breast radiologist for assessment and further investigations. If caught early, BIA-ALCL is treatable and curable with the removal of the implant and complete removal of the breast implant capsule (total capsulectomy). However, if ignored, ALCL can be deadly.
We like to say that there is a perfect fit of a breast implant for your breasts. It is much like the fit your hand has in the ideal glove or how your foot should fit nicely inside of your shoe. There is the “base width diameter” (the “footprint,” or shadow) that your breast has on your chest. If the implant width exceeds this diameter by too much, it will be sitting in your armpit and under you collarbone, but if it is too narrow it won’t fill out your breast enough to give it shape and there will also be too much distance between the breast and loss of cleavage. As breast implants of any given profile get larger, they get wider, and as they get smaller, they get narrower; a moderate profile implant that is 400 cc’s is wider but doesn’t have much difference in profile or projection than a moderate profile 300 cc implant.
There is a “perfect fit.” We like to call it the “Goldilocks Syndrome:” not too big, not too small, but just right! A breast implant that is sized carefully will look good and natural. Once the “base width diameter” is established, there are considerations of the type of profile or projection to use based on the woman’s body shape, height, type of torso, breast shape, breast firmness, and her realistic desires and expectations. Finally, the VECTRA® 3D imager will show a virtual implant inside of the three-dimensional image of your body to provide an idea of the size and shape of your breasts.
Long-term studies of breast implants show that there is not any higher risk of breast or any other cancer in women with breast implants than in women without implants. They also show that the cancers are not detected later nor are they more aggressive.
A broken saline implant will deflate within a period of days or weeks, and the salt water just dissipates into your tissues as you notice the breast deflating and flattening. It is not an emergency to get it fixed, but waiting too long will cause the capsular tissue around the implant to collapse and may require additional surgical procedures at the time to reshape the capsular tissue that may collapse to be released. Our bodies are partially made of saline, so it does not pose any health risks.
A broken, or “ruptured,” silicone gel implant may silently leak from the outer shell into the breast pocket, but it rarely goes into the breast tissues unless it is a very old implant, it has been leaking for a very long time, or there has been some trauma. We call this a silent rupture, and this is why we recommend periodic MRI or high-definition ultrasound studies to assess implant integrity. The silicone gel may leak out of the implant in microscopic or nanoscopic amounts over time, making it important to replace a broken gel implant, but there is no evidence that the silicone gel causes any illness or disease. It is difficult to impossible to diagnose a broken implant by examination, but a change in breast shape or capsular contracture may be a clue to consider a “ruptured” implant. It may not be seen by mammography, or even ultrasound, but can usually be identified by high-resolution ultrasound and particularly MRI.
The newest generation of highly cohesive silicone gel implants, particularly from Sientra®, are just slightly firmer than the old silicone implants, but they are very well-attached to themselves and to the implant shell. The gel has been shown to not escape the implant shell when they break. Silicone gel implants do not cause any implant-related illness when the shell breaks.
Mammograms are recommended to screen for breast cancer after breast augmentation as in non-augmented breasts. The technician should ask you if you have implants and will do special techniques to bring the breast tissue in front of the implants. Radiologists may recommend additional studies depending on the breast tissue density and family history of breast cancer. There are different recommendations as to when to begin to get mammograms based on family and personal history, but in general, the consensus among plastic surgeons is that mammograms should be done by 40 years old prior to surgery without specific risk factors. It is important to provide a thorough history of any breast conditions, biopsies, and family history of the risk of breast cancer.
While we do not subscribe to the “24-hour rapid recovery” philosophy due to concerns of confirmation bias, we see that our patients experience a pressure in their chest or a feeling that they are breastfeeding and the milk is coming. We have developed a combination of medicines to help with this, including a combination of acetaminophen, a muscle relaxant, providing specific medications and techniques in surgery, and early activity within reason that includes early stretching and gentle-fitting garments. We provide narcotic pain medicines for breakthrough pain that can occur at nighttime in the first week, but many patients don’t find a need for this. Ibuprofen (Advil® or MOTRIN®) or naproxen (Aleve®) can be used after five days and work well as pain relievers.
This depends on the type of work you do. Most women can return to non-physical work in a week, possibly sooner, following their implant surgery. If you do very physical work, you may need to do some planning or return to light duty for several weeks following the procedure. We recommend to be very careful of extreme activity for eight to 12 weeks following implant surgery, as this may cause the implants to slip out of the pocket and bottom out or move into the armpits.
We recommend doing light activity immediately following your breast augmentation procedure that includes light walking and stretching. Avoid any exercise that could increase your blood pressure or pulse rate, and avoid using extreme positions in the first two to three weeks to avoid the risk of bleeding. You should be able to begin light cardio exercise in three to four weeks so long that you keep your effort around 50 to 60 percent of heavy effort and it is non-impact. This may include elliptical or stationary bike or walking on a treadmill. You may increase your walking effort over the first month to six weeks and even begin light running at this time. It is important to avoid heavy impact exercise for eight weeks and to not work your pectoral muscles for three months in order to allow the supportive scar tissue capsule to mature. This is the only thing that is supporting your implants, so it is important to be careful with this.
Believe it or not, we get asked this question a lot! Sexual activity, if done gently, may begin as soon as you are comfortable as long as you keep your pulse rate within reason and avoid putting stress on your chest.
It is important to use your back and legs when lifting a child or infant and keep your arms close to minimize engaging them and not to let them get outstretched. If you are careful, you may lift a cooperative and quiet child as much as 35 pounds or so. Do not try to bend too far or stretch to pick up a child such as from a car seat where you are overextended or from a playpen where you have to stoop a lot. Use your core to carry and lift your child and keep your arms quiet.
Your breasts will typically look high in the first several weeks to even months following your procedure depending on their projection and the tightness of your tissues. This is because although your breast implants may be the proper size, the upper part of the breast implant pocket below the muscle in the dual plane procedure is much looser than the lower part of the implant pocket where the tissue is tighter, so the implant needs to settle and stretch out the lower area. The breasts are also swollen and the implants are tightly “squished” by your tissues, so this takes time to relax and for the shape to develop. It is like a poorly focused picture that becomes increasingly sharp as time goes on. Overall, it takes six months to a full year to see the final result, which is why we like to see you for a one year follow-up.
You can shower in 48 hours following your procedure. Take off and replace the gauze dressings but do not remove the flesh-colored tapes on the incisions. We do not recommend taking a bath in the first few weeks following your surgery.
We typically see you one within a week or so following your procedure followed by a visit at one to two weeks, followed by two weeks to one month, three months, six months, and one year. We are available to see you if there are any problems following your procedure at any time. There are no drains in breast augmentation surgery, but the incisions need to be assessed and any sutures removed, if necessary.
We are available to see all and any of our breast implant patients indefinitely at no charge after their breast augmentation if they have any questions or concerns, and we are available to answer any questions at any time following your breast implant procedure.
You may go in the sun immediately following your procedure as long as you keep your breasts covered in sun-resistant clothes and beachwear and use a good sunscreen applied frequently. Keep the incision out of the sun or UV rays for a year, or more if you have a darker skin type. We recommend Biocorneum®, which has sunscreen in it for incision care, but be sure to block out the incision from direct contact with the sun.
As long as you are not taking narcotics, you may have a small amount of alcohol after a week. It can run a higher risk of bleeding and should be avoided initially.
Smoking affects healing. There is no consensus regarding the timing of stopping smoking, but suffice it to say it does affect the body’s healing ability. The effect is not as profound in a small breast implant incision, but as a precaution, heavy smoking should be avoided for several weeks, and any smoking will theoretically slow down wound healing. Smoking prior to anesthesia will affect the irritability of the lungs and respiratory system and should be avoided for one to two weeks prior to your surgery to reduce this effect.
We provide a post-surgical bra for your breast augmentation surgery that opens to the front to allow for easy access to your incisions. In addition, we provide a band above your breasts to hold them in position and to provide gentle resistance to the normal tendency for the implants to rise up towards the neck. As soon as you are comfortable, you may go into any bra as long as it doesn’t push up the breast implants. Underwire bras may press against the breast fold and may be uncomfortable, and some may push up, so this is not recommended if they do. A sports bra with a nice cup often works well after the first few weeks. We do not recommend purchasing a lot of expensive bras for three months or until the breast implants have settled and the swelling has diminished.
We do not recommend traditional breast massage as defined by moving the implants all over, as it has not been shown to have any benefit in reducing the risk of capsular contracture (see capsular contracture information above). We recommend simple pocket stretching procedures to stretch out the lower part of the breast implant pocket to allow the implant to settle and relax the lower part between the nipple and the breast fold below.
Movement and stretching of the chest and arms has been shown to speed up the recovery and reduce pain and tightness following breast surgery. Lack of movement causes muscle stiffness, so it stands to reason that gentle movement and stretching will speed up recovery. We recommend gentle stretching exercises of the chest muscles through arm movements to open up the chest and shoulder girdle. We will show you these in the first week or two following your procedure. They are very effective to reduce pain and speed up the recovery phase.
It is totally normal for the breasts to look different in the first weeks to even months following the procedure. Dr. Stephens points out to his patients that no two breasts are exactly alike and the swelling from the procedure will often accentuate these differences, which settle and become more identical as time passes. Sometimes, the smaller breast may paradoxically look larger following the procedure until time allows the skin and tissue to relax around the implant.
If there is a significant difference between the breasts in the first few weeks after the procedure, especially over a short period of time and this is accompanied with pain, this may be bleeding in the breast pocket causing a “hematoma” that requires surgical exploration to stop the bleeding. Unusually, increased pain, high fevers, redness, or any discharge from the incision should be assessed by the office. A low-grade fever following anesthesia is normal. Any unusual or unanticipated symptoms should be reported to the office. We would rather hear from you than have something get worse that could have been addressed in a timely manner.
We are open!
It is with great pleasure that we announce the opening of our practice May 19,2020. Our clinic, operating facility, skin care and noninvasive center (ENIC) will resume their full activity. This is in line with Governor Jay Inslee lifting elective surgery ban effective midnight May 18, 2020.
WE ARE HERE FOR YOU VIRTUALLY
Despite the challenging times we are faced with, we are still here for you and available during normal business hours for all inquiries via telephone and email. We are also offering on-line consultations for new patient inquiries.
Our virtual web consultations can be done right in the comfort of your own home, all you need is a secure internet connection and a computer, tablet or smartphone.
We welcome you, we are here for you. If you would like to have a VIRTUAL CONSULTATION or have any questions at all, please give us a call at (425) 827-7878 or contact us via the website to set up your virtual consultation today.
Practice policy update for Coronavirus (Covid-19):
Updated May 5, 2020
As previously stated, we are pleased to announce the opening of our practice May 19,2020. Our clinic, operating facility, skin care and noninvasive center (ENIC) will resume their full activity.
We know that so much of this has caused inconvenience for you. We want nothing more than to see our patients and resume what we do best. But we also know that we had to be patient and make sure that the timing is right.
We know clearly well that our work ahead is an important one. For over two decades we have considered safety as our most important prerogative. And, there has never been a more important time to put that to use.
As we stage the comeback of our States businesses and our own practice, we clearly understand that we must do everything in our power to ensure the safety of our patient, and our staff.
We also ask for your patience in the rescheduling process. Without any exception our patients have been kind, gracious and understanding. We sincerely appreciate your indulgence in this very difficult time.
Here is some of what we are doing to ensure that you are protected and that we maintain this facility as a Non-Covid Care (NCC) Zone:
Patient Flow and Clinical office Space
- We are coming up with spacing and logistic protocols. This might include texting patients who are waiting in their car.
- We are assigning everyone to hourly wipe downs of high use areas with approved sanitizing wipes.
- We are asking for no one to wait in the waiting area.
- We are coming up with protocols for room wipe downs after each patient visit.
- We are creating a questionnaire and temperature control that will make the patient Covid-19 Clear.
- We will ask staff to change out of their clothing into scrubs. Jackets for front office are being ordered.
- Every staff will always wear masks while in the office.
- Every staff will wear gloves.
- Every staff needs to sanitize or wash hands after every interaction.
- Use of virtual pre ops and nursing visits and questions.
Operating Room Experience
- Similar precautions and questionnaires will be provided to establish Covid-19 Clear Status.
- All staff will always wear masks. All staff will always wear gloves.
- Hand washing with any patient interaction.
- Specific wipe down of our OR, recovery and pre op areas.
- Minimize accompanying care takers to only one. Those care takers will be treated just like the patients.
- Every anesthesia staff will wear goggles protective equipment during intubation.
- Our anesthesiologists have been fully trained and are implementing all precautions for prevention of Covid-19 spread.
- All circuits will be changed between each patient.
- Full wipe down of surfaces and floors.
- A time out protocol that would confirm the Covid-19 Clear status of every patient.
As you can see, we are taking this very seriously. We fully understand that this will cause some inconvenience in the short term but realize that it is for the best.
Although Covid-19 is a serious issue, we strongly believe that it will pass and hopefully make our infrastructure and our ability to deal with pandemics in this Country even better than it currently is. We are monitoring this situation on a real-time basis and will not sit back until we know that we have done everything possible to avoid unnecessary exposure.
We know well that when you see us in action, you will realize that you have put your trust in the right practice.
Here are some links that might be useful:
State of Washington Department of Health
Centers for Disease Control and Prevention (CDC)
World Health Organization (WHO)
White House Opening Up America Again
CMS Reopening Guidelines Phase One
Please do not hesitate to contact us. We are always here to answer your questions
Call us at (425) 827-7878
Email us at [email protected]
WHAT ARE MY OPTIONS FOR BREAST AUGMENTATION?
There are many breast augmentations we offer to help you achieve your cosmetic goals. Since every woman’s body and goals are different, each implant and augmentation option provides a different look or option for your Seattle & Tacoma breast augmentation.
Saline Breast Implants:
Saline breast implants consist of a silicone shell that surgically placed and then filled with sterilized saline. This implant option is best suited for women with a fuller chest who want to achieve dramatic results. Many women believe saline implants do not look or feel as natural as other breast implant options. But depending upon your body and breast augmentation goals, your doctor may recommend or you may decide that saline implants are the best option for you.
Silicone Breast Implants:
Silicone breast implants are by far the most popular choice of breast augmentation in Seattle & Tacoma. They come pre-filled and–due to this–require a slightly larger incision than saline implants. However, women often say that silicone implants look and feel more natural. Compared to saline breast implants, silicone breast implants are less likely to ripple or wrinkle.
Gummy Bear Breast Implants:
Gummy bear breast implants are a type of silicone implant that consists of a cohesive gel–similar in consistency to the gummy candy they are named after. They are more likely to hold their structure in the event of a rupture. We offer two shapes of gummy bear implants in Seattle & Tacoma: round and anatomical. You and your cosmetic surgeon can discuss the shape which best suits your cosmetic goals during your consultation.
Other than your choice of saline or silicone implants, you will have a variety of other choices concerning your breast implants in Seattle & Tacoma:
- Size and shape of implant
- Incision placement
- Smooth or textured implants
- Implant placement (over or under the muscle)
Another breast augmentation option is fat transfer breast augmentation. This type of augmentation consists of two steps. First, your cosmetic surgeon will liposuction fat from another part of your body, often the abdomen or thighs. Second, your cosmetic surgeon will purify the fat and skillfully inject it into your breasts to achieve a more natural-looking breast augmentation.
Many women are interested in fat transfer augmentation in Seattle & Tacoma because of the many benefits and advantages it offers. A few of these benefits and advantages include:
- No risk of capsular contracture
- No incision
- Less invasive
- No or very minimal scarring
- No risk of an allergic reaction or rejection because the implanted material comes from your own body
- Typically less downtime and a quicker recovery
- Results that look and feel natural
A fat transfer breast augmentation does not deliver the dramatic results that breast implants can. For some women, this is a disadvantage, but if you are only looking to increase your breast size by one or two cup sizes, you may be a candidate for a fat transfer breast augmentation.
During your breast augmentation consultation in Seattle & Tacoma, you and your cosmetic surgeon can discuss the breast implant options and which will suit your body and goals best.
Breast doctors seattle augmentation
Seattle Breast Augmentation
Watch Jodie talk about her breast augmentation experience
Breast Augmentation In Seattle
Breast augmentation is one of the most frequently performed cosmetic surgery procedures in the U.S. and one of our most popular here in our Seattle office. Most of our patients in the Seattle and Tri-Cities, WA areas are looking to achieve a certain “look” and balance with the rest of their body, and not necessarily a particular bra cup size. Most of our patients want – and what we always strive for in our practice and approach are – youthful but natural results so no one knows for sure if they have had surgery.
Breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of saline or silicone implants in the breasts.
Our patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast volume after pregnancy or surgery, and correcting a congenital breast defect. Under Dr. Salemy’s care, patients can enjoy natural-looking breast enhancements that can help them meet their aesthetic goals.
FAST FACTS: Breast Implant Surgery
- PURPOSE: Add volume, shape and cleavage.
- RESULTS: patients can see results immediately, but it can take several weeks to a month to see final results.
- PROCEDURETIME: Procedure typically takes 60-90 minutes.
- INCISIONLENGTH: Incision length is typically quite short from 2 to 2.5 inches in length.
- COMBININGSURGERY: Breast Implant surgery can be combined with a breast lift.
- WHAT THE FDA SAYS: Both silicone and saline implants are FDA-approved.
Reasons to Get a Breast Augmentation: What You Can Achieve with Implants
Women choose to undergo breast enhancement for a number of reasons, but it’s important to understand what can and cannot be accomplished with this surgery.
Breast augmentation can help you attain the following goals:
- Enhancing the natural projection of your breasts
- Enhancing the overall shape of the breasts
- Creating additional cleavage
- Correcting asymmetry
- Restoring breast volume following pregnancy or weight loss
- Balancing your body shape
In addition, this surgery can help to boost your self-confidence and help you to look and feel younger. A majority of patients report feeling sexier, more confident and many years younger after their breast augmentations.
What You Cannot Achieve with Breast Augmentation
Despite the fact that breast implants can help to correct a number of problems women may have with their current body shape, there are some things that this procedure cannot achieve. Breast augmentation surgery cannot correct saggy or drooping breasts. If you’re hoping to only correct sagging breasts, you may benefit from a breast lift procedure instead. However, if you want to improve the perkiness, size, shape and contour, it’s possible to combine a Breast Lift with implants. What’s the difference between Breast Augmentation and Breast Lift?
Breast Augmentation vs. Breast Lift
It’s easy to confuse a breast lift with breast augmentation, but the two procedures are quite different. Each surgery has contrasting goals and outcomes, which is why it’s so important to understand the difference.
Breast lifts do not increase the size of your breasts. Instead, the goal of this surgery is to reposition droopy or sagging breasts into a perkier position. This can involve removing excess skin around the breasts, lifting and reshaping the tissue and then tightening the remaining skin around the breast so that you get a better, fuller shape.
After a breast lift, you can enjoy perky, natural-looking breasts with enhanced cleavage, but they will not be any larger than before.
Breast augmentation is intended to add volume and size to your natural breasts. When you opt for implants, the intended results are larger, firmer breasts with an improved shape.
When you meet with Dr. Salemy, being open and honest about your aesthetic goals can best help him determine the correct procedure or combination of procedures for you.
Who is an Ideal Candidate for Breast Implants?
The best candidates for breast implants are women who are in good health and have realistic expectations for what surgery can achieve. If you’re looking for improved shape, increased volume or additional cleavage, you are likely a good candidate for breast augmentation.
For saline implants, patients must be at least 18 years old and in good physical and mental health. To receive silicone implants, you must be healthy and at least 22 years old.
How to Choose a Plastic Surgeon for Breast Augmentation
Choosing a plastic surgeon can be very personal. It’s important to choose a surgeon who understands your goals, answers your questions, and makes you feel comfortable and valued. It’s also very important to choose someone who is board-certified so you can feel confident he or she has the proper training and expertise, and meets stringent requirements.
What to Expect During Your Consultation
When you first meet with Seattle cosmetic breast surgeon and breast augmentation surgeon Dr. Salemy, you should be prepared to discuss your expectations and goals for surgery as well as details about your medical history. You should have a list of any allergies, medical conditions, current prescriptions and supplements.
During your consultation, Dr. Salemy will take photographs and detailed measurements of your breasts, discuss possible treatment options and recommend the best course of action for you. It is always our Mission to tailor our treatments based on your unique anatomy, individual aesthetic goals and the safest techniques available.
Fully Customized Breast Enhancement
We know that every woman is unique in both her desires and her body shape. With that in mind, when Dr. Salemy meets with you to discuss your desired goals he will take the time during the pre-operative consultations in our Seattle office to learn what you hope to gain from breast augmentation surgery. He will then recommend the most effective technique to achieve the breast enhancement that you desire. This will include selecting the appropriate implant type, implant size, and implant placement, as well as any other procedures which may help create a nice result. In this way, every one of his patients enjoys a completely customized treatment designed with their specific goals in mind.
Breast Implant Types: Saline and Silicone Gel
Breast implants are silicone shells filled with either saline (salt water) or silicone gel. Many patients opt for silicone implants as they are very durable and can offer a natural look and feel, but we also offer saline implants as well to patients who prefer it. Both implant types are very safe, and each offers its own advantages. Dr. Salemy will help you decide which is right for you. You will have the chance to see and feel different breast implants during your consultation. Dr. Salemy will also help you decide on the appropriate size breast implant to achieve your desired result.
After many years, the U.S. Food and Drug Administration (FDA) has approved silicone breast implants for breast augmentation surgery. We are proud to offer patients the option of silicone gel-filled breast implants, since they are softer and feel more natural than saline-filled breast implants. There are several outstanding silicone implant options for woman, including round implants, anatomic or “tear drop” implants, implants with a softer gel and implants with a firmer “gummy bear” feel. All of these implant types will be available at your consultation so that together with Dr. Salemy you can choose the option that can give you the look and feel you want.
The IDEAL IMPLANT® is another great option for patients who are interested in Saline breast implants. Unlike traditional saline implants which are a single silicone shell filled with saline, the Ideal implant has an outer shell, inner shell and baffle shells, all designed to create less rippling, a fuller appearance and a more natural feel. It’s a great option for patients wanting a saline implant with the best look and feel.
Breast Augmentation Incision Techniques
The breast augmentation procedure typically lasts 60 to 90 minutes and is typically performed with either general anesthesia or local anesthesia and sedation. Incisions are made in inconspicuous places on the breast to minimize scar visibility. Your surgeon will help determine the best incision for breast augmentation based on a variety of additional factors. Breast augmentation incision options include:
- In the crease on the underside of the breast (inframammary), or
- Around the areola, the dark skin around the nipple (periareolar).
The breast is then lifted, creating a pocket into which the implant is inserted.
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Breast Augmentation Placement Options
Breast Implant placement beneath the muscle of the chest offers a few advantages over placement beneath the breast tissue only. These include camouflaging of the implant and less interference with mammogram examinations. Possible disadvantages include elevated pain in the first few days following surgery, more swelling and more time until the implant settles into its final position.
Implant placement beneath the breast tissue (in front of the muscle of the chest) has advantages and disadvantages as well. Advantages include less post-op pain and a more natural look. Disadvantages include a higher risk of seeing the ripping of the implant wall, particularly in very thin women with saline implants. We will discuss which option may be best for you.
After the implants have been inserted and positioned properly, the incisions are stitched closed, and a surgical bra is placed.
Breast Augmentation Recovery
Most patients feel tired and sore during the recovery after breast augmentation surgery, but this usually passes in a day or two. Many patients return to work within the week.
Any post-operative pain, swelling and sensitivity will diminish over the first few weeks. All of the stitches are dissolvable and Dr. Salemy will see you in a week to check your progress.
Scars from breast augmentation incisions will begin to fade in a few months and will continue to fade for months or years.
Breast Augmentation Complications
Complications following breast augmentation surgery are uncommon and usually minimal. They may include bleeding, capsular contracture, swelling and pain, infection around the implant, a change in nipple sensation, milk production if you nursed a baby within a year before the procedure, and breakage or leakage of the implant (implant rupture) as a result of injury or the normal compression and movement of your breast.
If a saline implant ruptures, the implant will simply deflate in a few hours and your body will absorb the salt water. If a silicone implant breaks, you will need to see a doctor for replacement of the implant. Regular monitoring of breast implants after breast augmentation is recommended to ensure continuing breast and implant health.
Combined Procedures Can Enhance Results
Breast augmentation can achieve dramatic and beautiful results on its own as well as in conjunction with other cosmetic surgery or non-invasive procedures. Dr. Salemy sometimes recommends combining breast augmentation with other procedures such as a breast lift for more satisfying results. In fact, it’s become more common to combine a breast lift with augmentation. In addition to achieving the aesthetic goals you want, combining the two can be practical from a logistical perspective.
There are additional reasons to consider a breast augmentation with lift. Sometimes opting for a smaller implant size can help you achieve the same or better results than just receiving larger implants. Second, lifting and shaping your natural breast tissue before receiving implants can help improve the overall positioning and perkiness of your breasts.
Breast Augmentation FAQ
Will insurance cover my breast augmentation?
Insurance does not typically cover breast augmentations but your insurance company can tell you more definitively.
How long will the results last?
How long your results last depends on a variety of factors. Some women can keep the same implants for many years, but in general, abpout 20-25% of patients will have some other surgery on their breasts within the first 10 years after their augmentation.
Why is choosing a board-certified plastic surgeon so important?
Board-certified surgeons are extensively trained and meet the stringent criteria and very high standards of a certifying body. In plastic surgery the American Board of Plastic Surgery is the only plastic surgery board recognized by The American Board of Medical Specialties. When you choose someone with these credentials, you can feel much more confident about the safety and legitimacy of the practice.
Which is the best type of breast implant to get?
The type of implant that is best for depends on many factors, including your aesthetic goals, your anatomy, the results you want to see, and preference. Dr. Salemy will help you choose which material is best for the results you want.
Are silicone implants safe?
Yes, silicone implants are safe, and are FDA-approved for anyone who is at least 22 years old.
How long is the recovery period?
Recovery can vary from one person to the next, but it generally takes a couple of weeks for most women to start feeling like themselves again. Some women can return to work a few days after their surgery, but any exercise or heavy lifting will have to wait a minimum of two to four weeks.
Will scars be visible?
Scarring is a natural result of surgery but your surgeon can apply techniques to help minimize their prominence and visibility, including making the smallest possible incisions and placing them in low-visibility areas.
Will I feel any pain or discomfort during my surgery?
Patients are under general or local anesthesia for the entire procedure, so patients don’t feel any pain or discomfort at all during the surgery, but postop discomfort is variable and typically lasts a few days.
Breast Augmentation with Implants
Breast augmentation or breast implant surgery is one of the most common cosmetic surgery procedures performed at Sound Plastic Surgery. Both of our plastic surgeons have experience with the several types of breast implants available today in the US market. These implant types include smooth, round silicone breast implants and Ideal saline breast implants. Our surgeons have performed hundreds of breast augmentation procedures for patients from all over the Pacific Northwest and Canada. Breast implant surgery is often a component of the Mommy Makeover surgery procedures.
Before and After Breast Implant Surgery with smooth, round silicone breast implants by Sound Plastic Surgery
What type of breast implants are available at Sound Plastic Surgery?
At Sound Plastic Surgery in Seattle, we are at the forefront of breast implant surgery technology available in the USA. Breast implant selection is a very personal decision, but we do have a few guiding principles we recommend to patients when selecting breast implants.
- Most of our patients opt for smooth, round silicone implants. These medical devices have been available on the US market for over 12 years and have an excellent safety record. With careful implant selection, these round implants can be used to create a very natural 'tear drop' breast shape.
- Some women desire a saline implant. Our preferred saline implant is the Ideal Saline Implant, which has a silicone shell and a unique saline fill system. This round implant feels very similar to silicone gel implants. The volume of the Ideal implant can be customized for each patient.
- We have discontinued the use of textured, shaped silicone implants in our cosmetic breast surgery practice.
"Dr. Sattler and his staff were all friendly, knowledgeable and very helpful. From the minute I emailed the office for an appointment the experience was great. Dr. Sattler listened to what I wanted offered his input and together we came up with a plan to get me the results I wanted. The breast implant surgery went great and the follow up was actually better then I expected. The day I came home from surgery Dr. Sattler called me at home to check on me. I was also able to call or email anytime I had questions and received quick replies. I am thrilled with my results and Dr. Sattler and his team. "
Breast Implant Surgery Patient Testimonial
What can I expect during the consultation for breast implants?
Our plastic surgeons create a customized breast implant surgery plan for each of our Seattle area cosmetic breast augmentation patients to achieve the look they desire. We spend the time necessary with you to discover the ‘look’ you are trying to achieve with breast implant surgery. We offer a full spectrum of cohesive gel and gummy-bear silicone breast implants to our Seattle area patients. Our breast implant consultation starts with an interview between you and one of our board certified plastic surgeons. During that meeting in our Seattle plastic surgery clinic, we will develop a customized breast implant surgery plan for you. You will not be hurried, and you will have plenty of time to discuss your goals with our plastic surgeons.
Doctor Cooper and Doctor Sattler carefully listen to the expectations of each of their patients in order to make certain that goals are met with respect to your new breast shape and size.
We encourage patients to bring in photos in their clinic visit of women whose breast aesthetic they admire - we use these photos as a discussion platform to assess if expectations for a post operative result are realistic, given an individual's unique breast anatomy.
During the breast implant consultation, you will be invited to 'try on' a series of implants that best fit your aesthetic goals and fit with the unique measurements of your breast and chest wall. This 'sizing' exercise with our female staff members is an important part of the consultation because it allows you to 'test drive' many breast implants that are too large, and too small for your unique frame. This exercise typically convinces patients that an implant size and volume tailored to their breast dimensions is the best option for a beautiful long term augmentation result. Contact Us Today for Your Free Consultation!
What can I expect after the breast implant surgery is complete?
The breast implant procedure is performed in a certified ambulatory surgery center, and is an outpatient procedure. Your breast implant surgery is performed with anesthesia provided by a board-certified physician anesthesiologist. The breast implant surgery takes about 1 hour. During the operation, our plastic surgeons will create a pocket for the breast implant using a carefully planned incision. A silicone breast implant is then placed behind the pectoralis muscle in order to create an appealing breast shape. Our plastic surgeon then carefully assesses symmetry and implant position before finishing the operation. We generally use an infra-mammary incision because we feel this scar heals with the best possible scar quality, and can be concealed in the natural fold beneath the breast. Other scar positions, including the peri-areolar and axillary scar, will always be visible, no matter how nicely the scar itself heals. We keep breast augmentation scars covered with water resistant surgical tape for several weeks because we believe this maximizes scar quality.
"After the first visit, I knew that he was the doctor I wanted to use. The office looked professional, the staff was exceptionally nice, and Dr. Cooper was both patient and kind. After my implant surgery, Dr. Cooper personally called me several times just to check on my progress, which is a refreshing change of pace. I opted for 300cc high-profile breast implants. The implants I ended up choosing not only made my breasts look fuller and rounder, but you cannot even tell they are implants, which is exactly what I said I wanted."
Breast Implant Surgery Patient Testimonial
What is recovery time after my breast implant surgery like?
Individual results will vary, however most of our patients take just a few days off from work for recovery from breast implant or breast augmentation surgery. Our patients wear a supportive bra for a few days to support the implant position that we have created. Breast implant surgery recovery time will vary from women to women. Most of our patients are younger women that wish to return to exercise and athletics. We individualize our patient's post operative recovery activity restrictions based on the type of activities they wish to return to after surgery. In general terms, vigorous movements such as pull-ups, push ups and bench presses with the arms should be avoided for at least six weeks after surgery. Other types of exercise are encouraged because they aid in post operative recovery time and mobility.
"My breast implants turned out PERFECT! They are 100% even and the nipples are symmetrical."
Breast Implant Surgery Patient Testimonial
How is Breast Augmentation Surgery done?
Types of Anesthesia
A breast augmentation surgery is done while patients are asleep in the operating room. Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
The Breast Augmentation Incision
The breast augmentation incision is carefully planned and located in inconspicuous areas to minimize visible scarring. Our recommendation is to use an infra-mammary incision (below the breast) because this scar can be hidden within an existing fold beneath the breast and thus is camouflaged. Other incisions include the peri-areolar and armpit (axillary) incision, which will always be plainly visible.
The Breast Implant Placement - Below or Above the Muscle
Recent scientific data supports the recommendation of a sub-muscular breast implant placement. Implants in this position have a lower rate of capsular contracture (scarring around the implant), less visible rippling and wrinkling and a more natural look. Implant placed above the muscle tend to have less soft tissue coverage, more breast tissue thinning over time and have a higher capsular contracture rate.
Sub-muscular breast implant position is depicted on the left side of the drawing above.
Closing the Breast Augmentation Incisions
Breast augmentation incisions are closed in multiple layers with absorbing sutures. The first layer of suture is used to reconstruct the infra-mammary fold, which provides long-term support for the breast implant. The second and third layers of suture close the skin to maximize scar quality over the long term. The goal is to conceal the breast augmentation scar within the fold beneath the breast. The breast implant incision is well concealed in the patient's breast fold, just two months after breast implant surgery as shown in the after photo below.
At Sound Plastic Surgery in Seattle, our goal for every breast implant patient is a substantially improved breast appearance that fits a patient's aesthetic ideal. Our Seattle area patients have given us rave reviews for our breast augmentation results. Contact Us Today for Your Free Consultation!
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