For many women, their breasts play an important role in their confidence and how they feel about their overall appearance. Unfortunately, a number of factors, including genetics, pregnancy, weight fluctuations and the natural aging process, can lead to the decline in shape and volume of the breasts over time. For other women, having larger and fuller breasts has been an almost life-long dream. If any case, breast augmentation with a board certified plastic surgeon like Dr. Brian Reagan, can help.
Why Choose Dr. Brian Reagan for Breast Augmentation
At True Beauty San Diego Aesthetic Surgery & Medicine, Brian Reagan, MD, FACS is an expert in performing breast augmentation and is known for his meticulous and patient-based approach. His years of advanced training and experience have led the plastic surgeon to develop an advanced surgical technique that leads to beautiful and natural-looking results with minimal scarring. Dr. Reagan is able to consistently deliver exceptional results by personally working with each individual patient. With Dr. Reagan, you can rest assured that your needs, goals and personal preferences will be carefully considered and applied when Dr. Reagan plans and performs your breast augmentation procedure.
Are You a Candidate for Breast Augmentation?
You may be a suitable candidate for breast augmentation if you have:
- Naturally small breasts
- Breasts that have lost their shape and volume due to pregnancy, breastfeeding, weight fluctuations, aging
- Asymmetrical breasts
In addition, you must be in generally good health before undergoing breast augmentation. This includes not smoking and being free of medical conditions that can impair healing. You must also have reasonable expectations about the procedure and results, as well as understand the risks and possible complications associated with breast augmentation. For your safety and satisfaction, Dr. Reagan and the team at True Beauty will thoroughly evaluate your health and other candidacy requirements before recommending breast augmentation.
Can You Also Benefit From a Breast Lift?
If, in addition to small or deflated breasts, you are bothered by noticeable breast sag (ptosis), Dr. Reagan may recommend combining breast augmentation with lift surgery. Breast lift repositions the breast mound higher on the chest wall for a more youthful and perkier appearance. During breast lift, loose, excess breast skin is removed and the breast tissues are reshaped. The nipples and areolas are also reshaped and repositioned on the breasts, if necessary. Breast augmentation with lift is a great option if your breasts appear shapeless and saggy following pregnancy, breastfeeding or weight loss, or as a result of genetics or aging.
Brian Reagan, MD, FACS
Dr. Brian Reagan is a board-certified plastic surgeon and founder of True Beauty San Diego Aesthetic Surgery & Medicine. Dr. Reagan is renowned for his surgical skills and commitment to patient satisfaction. Dr. Reagan has been featured on local media outlets, including ABC 10, and recognized as one of the “Best Plastic Surgeons in San Diego” by San Diego Magazine, and “Best Plastic Surgeons in La Jolla” by La Jolla Light Newspaper.
Your Breast Augmentation Consultation
The first step in breast augmentation is a private consultation with Dr. Reagan, during which your health will be discussed and a physical examination will be performed. You will also be able to review before-and-after photos of Dr. Reagan’s previous patients so you have a better idea of what results to expect. In addition, Dr. Reagan has an implant sizing kit available at his office, so you can “try on” differently sized implants and better visualize your results.
After discussing with you your needs, goals, details of the procedure and recovery, Dr. Reagan will design a treatment plan tailored specifically for you.
Choosing Your Breast Implants
Selecting the right breast implants involves more than just implant size. Together with Dr. Reagan, you will make decisions on the following:
Filling: Saline vs. Silicone
Breast implants are filled with either a saline solution or silicone gel. Saline implants are placed on the chest and then filled with the saline solution. As a result, saline implants typically require a smaller incision than that used to place silicone gel implants, which come pre-filled by the manufacturer. Another advantage of saline implants is that when an implant leaks or ruptures, it immediately becomes noticeably deflated as the body safely absorbs the saltwater solution.
Silicone gel implants are preferred by many women because the filling material better mimics the look and feel of natural breast tissue than saline implants. Dr. Reagan also offers highly cohesive silicone gel implants, also known as “gummy bear implants,” which provide even more natural-looking results. A disadvantage of silicone gel implants is that ruptures and leaks are harder to detect as the implants mostly retain their shape if the shell experiences a complication.
Shape: Round vs. Anatomical (Teardrop) Shape
Breast implants are available in round or anatomical shapes. Round implants have equal projection in the upper and lower poles of the breast, while anatomical shaped implants add more fullness at the bottom of the breast, resembling the sloped curve of a natural breast. Should a round implant rotate in the breast pocket, the appearance of the breast is not affected. On the other hand, anatomical shaped implants provide the most natural-looking shape but once rotated in the breast pocket, can lead to an irregular breast shape.
Texture: Smooth vs. Textured Implants
Both saline and silicone gel implants can be either smooth or textured. Smooth breast implants move within the breast pocket, allowing for the most natural movement of the breast. Textured breast implants consist of a more rough outer shell, which keeps the implant in place. This is an advantage particularly for anatomically-shaped implants that, if rotated, can create an irregular breast appearance.
Breast Implant Procedure Details
Breast augmentation is performed as an outpatient procedure under general anesthesia. To begin, Dr. Reagan will create surgical incisions to place the implants. The incision patterns Dr. Reagan may use to place your implants include:
Perioareolar: incision is made around the outer perimeter of the areola
Inframammary: incision is created horizontally underneath the natural fold of the breast
Transaxillary: incision is created in the armpit area
Implants can be placed in front of or behind the chest muscle, depending on various factors including your anatomy, lifestyle and personal preferences. Once the implants are properly positioned and Dr. Reagan has made all of the agreed-upon modifications to the breasts, he will close the incisions using sutures and dress the treatment area with soft bandages and an overlying surgical bra.
What To Expect During Recovery
The initial recovery period for breast augmentation can take one to two weeks. Soreness and swelling are normal during this time. Any discomfort you may feel can be managed with prescription pain medication. You will need to refrain from normal activities until Dr. Reagan clears you to do so, including bending, lift, and exercise, as your mobility will be limited. Most patients are able to return to work and resume most normal activities after two weeks. While the initial results of breast augmentation are visible soon after surgery, it can take up to a year for the final results to become noticeable.
How Much Does Breast Augmentation Cost?
The cost of breast augmentation varies from patient to patient depending on several factors, including the type of implant used and whether the operation includes a breast lift. Dr. Reagan and our staff can give you an accurate estimate of your breast augmentation procedure following an in-office consultation.
Breast Augmentation FAQs
How will the feel and firmness of my breasts change?
Silicone gel implants provide the most natural feel, although your surgeon may attain a similar consistency with saline implants by inserting them behind the chest muscle and stretching the implant shell by filling it with additional saline.
Implants will add strength and firmness to your breasts, which may actually help them resist sagging. The extra weight of a large implant can increase the likelihood of sagging as the body ages and skin loses elasticity, however.
Will I need to stay in a hospital?
Dr. Reagan has performed hundreds of breast augmentation surgeries as an outpatient procedure, using general anesthesia or “twilight” IV sedation. The entire process will normally take one to two hours.
Will I have scars?
Dr. Reagan always uses the least invasive techniques, resulting in the shortest scars.
Incisions are typically made around the nipple and at the crease line at the bottom of the breast. The resulting scars are well-covered by even the smallest bikini.
Although there are techniques that can be used in a limited number of cases that allow insertion of implants through other incisions, such as via the arm pit, the standard approach allows for secure placement of an implant under the breast muscle, and for more precise positioning.
Dr. Reagan will discuss with you steps you can take during the recovery process to ensure that that your incisions heal quickly and cleanly, minimizing the appearance of scars. Most scars will continue to fade for up to a year after surgery.
What are some of the risks of breast augmentation?
In the hands of an experienced surgeon, the likelihood of complications is minimal. In general, possible adverse outcomes include:
Capsular contracture, which develops when scar tissue forms around an implant. With this condition, patients feel pain and notice a hardening of breast tissue. This type of scarring can also cause an implant to rupture.
Symmastia, in which migration of the implants or improper positioning makes it look like the breasts are joined in the middle of the chest.
Breasts that look asymmetrical. This can be caused by implant malposition, or may be the result of implants that were properly placed but have moved from their original location.
Implants that rupture, or whose outlines are clearly visible or have developed a “rippling” appearance.
Schedule a Breast Augmentation Consult
To find out if breast augmentation with Dr. Reagan can help you look and feel confident, please schedule a consultation. Contact our La Jolla practice by calling (858) 454-SKIN (7546) today.