Breast Augmentation

Breast AugmentationFor a woman, the breasts can be tied directly to self-esteem and confidence in your figure. Whether you’ve always felt your breasts were out of proportion with the rest of your figure, your breasts are asymmetrical, you’ve lost volume from pregnancy and breastfeeding, or whether you simply would like to have larger breasts. These kinds of perceptions can really affect your body image, and breast augmentation with Dr. Phillip Dahan of Advanced Aesthetic Plastic Surgery could be a great option to change that image.

What is Breast Augmentation?

Breast augmentation, also known as breast enlargement, is one of Dr. Phillip Dahan’s most popular surgical procedures performed at his office in Reno. With breast augmentation, implants are inserted surgically to either increase the size of the breasts, to add shape to breasts that may have flattened with age, or to increase volume particularly higher in the breasts and cleavage. With Dr. Dahan’s expertise and guidance, you’ll be confident to choose where the incisions are made, the type of implants, the size of those implants, where they are placed, and numerous other decisions, to ensure you get the breasts you’ve always wanted.

Dr. Phillip Dahan has performed well over a thousand breast implant procedures on patients from all over the world.

Who Is a Good Candidate for Breast Augmentation?

The question of whether augmentation is right for you is completely personal. If you’ve never been happy with the size or shape of your breasts, augmentation can change that. If your breasts are uneven, augmentation can correct that. Or if you’d simply like to have larger breasts, this surgery will accomplish that. But the decision has to be 100 percent for you. This has to be something you want, not made at the behest of a husband or partner.

Also, if you have noticeable sagging of your breasts, whether due to prior gain and loss of a good deal of weight or from repeated pregnancies with or without nursing, you may want to consider a breast lift along with your augmentation. This will remove excess, sagging skin at the same time as placing the implants to achieve the best aesthetic result.

Benefits of Breast Augmentation

Breast Enhancement This may seem obvious, but there’s more to augmenting your breasts than simply making them bigger. If you’ve never been satisfied with the size or shape of your breasts, you’re reminded of this every day when you get out of the shower. Breast augmentation can make you feel very good about your figure. It can make you feel that everything about your body is finally in proportion. It can make you feel more confident when dressing for a dinner engagement or when buying a new bathing suit.

Breast augmentation can even improve the way you feel about yourself during those intimate moments with your spouse or partner. Augmentation can totally change the way you feel about your figure and, to a degree, your entire body image. Simply put, breast augmentation can provide:

  • Improved breast size, shape, projection and symmetry
  • More feminine appearance
  • Improved confidence and self-esteem
  • Balanced body proportion
  • Improved clothing fit and options
  • Improved intimacy

Before & After Breast Implants

Breast Augmentation Patient Before Reno NV
Breast Augmentation Patient After Reno NV
Breast Augmentation Patient Before Reno NV
Breast Augmentation Patient After Reno NV

*Individual results may vary


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How Is Breast Augmentation Surgery Performed?

Augmentation is performed as outpatient surgery with the patient under general anesthesia. The surgery takes from 45 minutes to one hour. Dr. Dahan will generally make a one-inch incision for placement of saline breast implants, and a 1.5-2-inch incision for silicone implants. This difference is because saline implants are filled after placement, while silicone implants are placed already filled.

Dr. Dahan has extensive experience placing all sizes of silicone breast implants through the periareolar incision. The submuscular (Dual-Plane) or subglandular pocket is made with care to avoid injuring the nipple and the milk ducts.

Dr. Dahan adheres to strict scientifically proven breast augmentation surgical technique limiting bleeding, and irrigating the breast pocket as well as breast implants with antibiotic solutions to help prevent capsular contracture and infection. Dr. Dahan routinely prescribes postoperative antibiotics and thus far, has not experienced a cosmetic breast implant infection.

Dr. Dahan sits the patient up during surgery to ensure the best symmetry and position of the implants. He is very meticulous and checks the implanted breasts from every angle prior to closing the incisions with tiny sutures that minimize scarring. Unlike many plastic surgeons, Dr. Dahan will not allow an assistant to perform any part of the surgery aside from holding retractors and cutting the excess sutures when tied. Dr. Dahan performs the entire operation and only he handles the sterile breast implants which is likely why his capsular contracture rate is so low. Dr. Dahan even applies the final dressing after the incisions are sutured close.

Types of  Breast Implants

Silicone gel

Silicone gel implants consist of a silicone outer shell filled with medical-grade silicone gel. Compared with silicone used in the 80s and 90s, today’s gel is more “cohesive” than in those days, meaning it stays together and within the shell more if the implant develops a leak. Whereas silicone gel was formerly more liquid in nature, today’s gels are more akin to Jell-O, or more “gummy”. Silicone gel breast implants are considered safe and superior to saline breast implants. Numerous studies have been performed demonstrating the safety and efficacy of silicone breast implants in the United States and the rest of the world. Currently, there are three manufacturers of FDA-cleared silicone breast implants in the United States which include Allergan, Mentor and Sientra.

Most people believe silicone implants feel more like natural breast tissue when compared with saline implants. Silicone implants are more commonly used and desired by patients and plastic surgeons as they exhibit less rippling, look and feel more natural, and last longer than saline implants. An obvious disadvantage is if the implant ruptures. This can allow some of the silicone gel to leak into the breast pocket that was created to hold the implant. When this happens, the patient doesn’t usually know, as the implant usually retains its shape, and may develop a capsular contracture (hardening). The leak may show up on the regular mammograms and will more reliably be seen on breast MRIs necessary with silicone implants. The ruptured implant and any leaked gel will need to be removed and the implant replaced. If there is a capsular contracture, the capsule should also be removed at the time of implant replacement.

Saline

Saline implants consist of a silicone outer shell filled with sterile saline solution. Unlike silicone implants, which are filled at the factory, saline implants are placed into the breast pocket empty and are then filled in place. This allows these implants to be placed through smaller incisions. It also allows some flexibility with size. However, saline implants exhibit more rippling, feel and look less natural, and do not last as long as silicone implants.

If a saline implant ruptures, the body simply absorbs the salt water. But when this happens the implant will fully deflate, leaving the patient with one flattened breast. And, while the saline will be absorbed, the ruptured shell will still need to be surgically removed and replaced. Occasionally, the deflated saline breast implant may lead to a capsular contracture (hardening) which will necessitate the removal of the capsule at the same time as the implant exchange.

Gummy bear implants

Although technically silicone, gummy bear implants are different and deserve their own description. Gummy bear implants are made with “highly cohesive” silicone gel; think of the consistency of a gummy bear. This gel is much thicker than the gel used in other silicone implants. If a gummy bear implant is cut in half, the gel will remain within the shell and not leak out.

Gummy bear implants are also created in a teardrop shape, which is closer to the shape of the natural breast. However, women who prefer more upper breast fullness and more cleavage will benefit from round silicone implants and not shaped implants.

Cohesive Silicone Gel Implants Reno NV

Smooth Versus Textured Implants

Most women and plastic surgeons in America prefer smooth round silicone breast implants. Round implants come in more sizes and projections then shaped implants. They come in smooth or textured surfaces. Smooth implants are more popular since they can be massaged to improve position and symmetry. Smooth implants may also be massaged to reduce capsular contracture (hardening).

Textured implants have the disadvantage of being fixed in position like Velcro and should not be massaged. Textured implants have a higher incidence of spontaneous seroma (fluid collection around the implant) and there is an association with Anaplastic Large Cell Lymphoma (ALCL) of the breast. Dr. Dahan only recommends textured implants if you prefer to have shaped implants. Shaped implants are nearly twice the price of round implants and do not offer the patient as much fullness in the upper breast or cleavage.

Choosing The Right Breast Implant Size

Some women assume implants are sized similar to bra cup sizes. Actually, they are not. Implants are sized based on the amount of silicone gel or saline filling the implant. This volume is measured in cubic centimeters (cc), also known as milliliters (mL). For instance, a 250 cc or 300 cc implant may represent an increase of one cup size, an A cup to a B cup, in most women. Smaller women may require less volume to achieve one larger breast cup size, whereas larger women may require more volume to achieve one larger breast cup size.

The implant volume needed to make larger cup sizes may also vary based on individual physical characteristics of the breasts. Dr. Dahan has an implant sizing system that allows you to very accurately visualize how different implant sizes will look on your figure. Dr. Dahan is well-known for his accuracy in determining his patients’ desired implant and breast size, which is why the overwhelming majority of his breast implant patients are so happy with their results.

How Are Breast Implants Placed?

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Submuscular Subglandular

Dr. Dahan recommends that both silicone and saline breast implants be placed in the partial submuscular position (dual plane technique).

This has been demonstrated to offer the best results.* These patients experience fewer irregularities such as rippling, unnatural implant shape, capsular contracture (hardening) and less sagging. Some patients, however, may be good candidates for placement of the implants above the muscle and under the breast tissue or subglandular.

Types of Breast Augmentation Incisions

You will choose where you want Dr. Dahan to make the incisions to place your implants. He places implants through three incision locations: periareolar, inframammary, or transaxillary.

  • Breast Implants Reno NV | Breast Augmentation SparksPeriareolar incisions — These incisions are made just outside the dark skin of the areola on the lower side. These incisions become almost invisible after healing. The implants can be placed above or below the pectoral muscle, although Dr. Dahan recommends placing it below the muscle to limit the possibility of infection and lower the risk of capsular contracture. This incision type can limit the size of silicone implants. It may not be possible to place larger silicone implants through a small areola. There’s also evidence that there is a slightly higher risk of capsular contracture (hardening) with this incision, however, Dr. Dahan’s patients have only a 3% risk of capsular contracture compared to a 10% risk reported in the United States. In Dr. Dahan’s hands, breast augmentation using the periareolar incision does not affect nipple sensation in the overwhelming majority of his patients. In fact, it is very rare for his patients to experience loss of nipple sensation.
  • Breast Implants Reno NV | Breast Augmentation Carson CityInframammary crease incisions — This incision is made at or above the crease on the underside of the breast. This allows it to usually be hidden by the crease, beneath a bra or bikini top. However, this incision results in a slightly larger scar. In most cases, the implants may be placed through this incision partially beneath the muscle (Dual-Plane technique) or above the muscle (Subglandular). This incision can handle any size of implant. Nipple sensation is rarely affected when Dr. Dahan uses the inframammary incision.
  • Breast Implants Reno NV | Breast Augmentation SparksTransaxillary incisions — These are made with a vertical incision in the armpit. Dr. Dahan may use an endoscope for better viewing of the breast pocket with this incision. This incision leaves no scarring on the breasts, and the line in the armpit will become virtually invisible with time. Saline or smaller silicone implants can easily be placed behind the chest muscle. Nipple sensation and later breastfeeding is usually unaffected by placement through transaxillary incisions. Recovery can be a little harder with this incision.

Breast Augmentation Testimonial

I am one week post op from a breast augmentation and am already very very happy with his work. I was going for more natural and elegant look. He gave me EXACTLY what I asked for and went above and beyond surgically to make sure that they turned out perfect (many other doctors may have not pointed out the need for it or wouldn’t have taken it into consideration which may have caused me problems in the future requiring extra work). I could not have asked for more from him. Dr. Dahan is very personable and compassionate. I highly recommend him! *

Why Choose Dr. Phillip Dahan


Will I Need to Have my Implants Replaced?

Unfortunately, breast implants have a lifespan. At some point the implants will need to be replaced. Dr. Dahan only uses FDA-cleared breast implants and the manufacturers actually warranty their implants for life. The lifespan of your breast implants is quite variable. Most women should expect to have to replace their implants every 15-20 years or so, although they can last longer. Implant durability is increasing. Still, you should not expect that you will have only one set of implants during your life.

Breast Augmentation Recovery

Recovery from breast augmentation surgery with Dr. Dahan is not that difficult.
You’ll return home within a couple of hours after your surgery. You’ll have bandages on your breasts and an Ace wrap for comfort. You’ll need pain medication for 2-4 days, but the pain isn’t overwhelming.

You’ll return to our office one day after surgery, and Dr. Dahan will remove your dressing. At this point, he will demonstrate breast massage techniques that will relax the muscle and help the implants settle into their breast pockets. This type of postoperative massage has been proven to significantly reduce the risk of capsular contracture (where scar tissue contracts and hardens around the implant) and decrease discomfort. Most patients will be able to shower 2 to 3 days after surgery and thereafter, will wear a comfortable bra for support.

Most patients can return to work approximately 3-5 days after surgery. Your sutures will be removed after one week. You’ll wear a support bra 24 hours a day for 2-4 weeks after your surgery so as not to place any stress on your incisions. Normal activities can resume in 1-2 weeks, but any impact exercise will need to wait for 3-4 weeks. Upper body exercise, such as lifting weights, will need to wait for six weeks.

Will my Breasts Look Natural After Augmentation?

Implanted breasts by Dr. Dahan look completely natural, especially with the minimal scarring that occurs with the periareolar, inframammary or transaxillary incision locations and dual plane technique. The size and projection of implants you choose will dictate how natural or “showy” your augmented breasts will be.

Risks of Breast Augmentation Surgery

Beyond the general risks associated with any surgery, there are some risks specific to breast augmentation. These include:

  • Capsular contracture
  • Implant leakage or rupture
  • Implant shifting
  • Changes in nipple sensation
  • Impaired ability to breastfeed
  • Breast asymmetry
  • Visible rippling of the implant
  • Sagging (ptosis)
  • Unsightly scar

Dr. Dahan will discuss all of the possible risks involved with breast augmentation during your consultation.

Revision (Redo) Breast Implant Surgery

Unfortunately, since breast implants do not last forever, patients will require revision (redo) procedures. Most patients will not develop any significant complications and will have to exchange their silicone or saline breast implants in 15 to 20 years or more depending on the integrity of the implants and the patient’s desire to keep these implants. Some patients want larger or smaller breast implants or wish to switch from saline to silicone implants or vice versa.

Breast implant exchange surgery is relatively easy for the plastic surgeon and the patient, and may be performed under local anesthesia, local anesthesia with IV sedation (twilight) or general anesthesia as an outpatient. There is minimal discomfort and a rapid return to work, school, exercise and other activities.

Patients who develop sagging (ptosis) or malposition of the breast implants may require breast lift (mastopexy) and breast implant repositioning surgery. This can be performed using the same breast implants if they are not older than 10 years and are in good condition. Patients who wish to have a different type, shape, projection or size of implants will need to exchange the implants at the time of this surgery. This surgery is usually performed under general anesthesia as an outpatient and the recovery is also quite fast.

Approximately 40% of Dr. Dahan’s breast implant patients have had one or more breast implant operations from other plastic surgeons before coming to him for revision surgery. Dr. Dahan commonly performs breast implant exchanges, capsulectomies, mastopexies and other cosmetic breast procedures on patients previously operated on by other doctors. Dr. Dahan is considered one of Reno’s and Nevada’s experts at breast implant surgery and cosmetic surgery of the breasts.

Schedule A Consultation

For more information about breast augmentation surgery in Reno, Nevada, please contact Dr. Dahan’s office. To see if you are a good candidate, schedule a consultation by calling us at (775) 826-4477. Our practice serves Reno, Sparks, Lake Tahoe, Nevada, Northern California, and surrounding areas.

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