|Placement of a saline or a silicone implant behind natural breast tissue and usually under the muscle to enhance breast size and shape.|
|Length of Surgery||Typically 1-2 hours|
|Duration of results||Long-lasting, though breast implant revision may be required after 12-15 years. Gravity and age may eventually alter breast shape.|
Tonia is a 22 year old female who was dissatisfied with the size of her breasts her entire life. She wanted to be more proportional and fill her clothes better. She had done some research on the internet but wanted more information.
Tonia came to Tri Valley Plastic Surgery and met with Dr. Williams. He discussed her concerns and goals. Considerable time was spent during the examination, answering questions and describing the surgery, her options and what she should expect.
Tonia had some asymmetry of her breasts. The left one was slightly smaller and positioned higher. Tonia explained that she wanted a natural look and feel. She and Dr. Williams agreed on silicone implants through an infra-mammary incision.
The surgery went well and a 425 cc moderate plus profile Mentor cohesive silicone gel implant was placed on the right and a 475 cc moderate plus profile Mentor cohesive silicone gel implant was placed on the left.
Tonia was seen post-operatively and did well. Her post-op pictures are 1 month post-op.
It has become commonplace to see pre- and post-operative photographs of surgical patients on plastic surgery websites. We value our patients and their privacy.
We have placed some pre-op and post-op photos of some of our breast augmentation patients on-line but require you to provide an email to which a link will be sent so you can view before and after breast augmentation pictures.
Request access to before & after gallery
Questions to ask a surgeron about breast augmentation surgery:
We, of course, hope you will choose Tri Valley Plastic Surgery for your plastic surgery needs, but we encourage patients to speak with other physicians as well. We have compiled a list of questions that should be helpful if you decide to talk to other doctors.
- Am I a good candidate for breast augmentation surgery?
- Are my described expectations realistic?
- Where is the surgery performed?
- How long will the procedure take?
- What kind of anesthesia is used?
- What is your experience in performing breast augmentation surgery?
- Are you a board certified plastic surgeon? Can I see your qualifications?
- Ask to see any breast augmentation surgery before and after photos of recent surgeries?
- What percentages of your breast augmentation surgery patients have had significant post-surgical complications? (Surgeons should disclose this information to you.)
- Who will be assisting my surgery? Can I see their qualifications?
- How much will my breast augmentation surgery cost?
- Do you offer patient financing?
- Will you repeat/correct procedures if the agreed goals are not met? If this is the case, will I be charged again?
- What is the recovery and healing period for breast augmentation surgery? When can I resume full normal activity?
- Have you ever had your malpractice insurance coverage denied, revoked, suspended?
- Ask for and follow up on patient references (these can be invaluable to finding out what your surgeon is really like and the level of customer satisfaction he/she has received in the past).
Click links below for details
Am I a candidate for breast augmentation?
- 18 years of age or older
- Not currently pregnant or nursing, and with no immediate plans to become pregnant
- In good physical health
- Psychologically stable
- Wanting to improve their appearance
- Realistic in their expectations
At Tri Valley Plastic Surgery, Dr. Williams spends time to make sure that each patient receives all of the information needed when considering a breast augmentation. In our offices in the San Francisco Bay Area, often we perform silicone or saline breast augmentations. Breast augmentation (mammaplasty), also known as breast enlargement or breast enhancement surgery, is used to enhance the breast contour and breast size for a female who views her current breast size as small for her frame. Breast augmentation can also be used to correct the natural loss in breast fullness which occurs following pregnancy and breast feeding, weight loss, or to balance an asymmetry in breast size.
Some of our patients seeking breast augmentation are young women who have been unhappy with their figures all of their lives, women who feel that their breasts are no longer attractive following changes in weight, changes associated with aging, or changes due to childbearing. This means a relatively wide age range of women seek this procedure for a variety of reasons.
The best candidates for breast augmentation are women with little or no sagging, and who have a reasonable amount of breast tissue with which to cover the lower part of the implant. Women who are less than ideal candidates can still get excellent results as Dr. Williams has many techniques to help you improve your appearance.
What is a breast augmentation procedure?
A breast augmentation (mammoplasty), commonly known as a “boob job”, also known as breast enlargement, breast implant surgery, and breast enhancement, is a surgical procedure to reshape the breast in order to make it larger. Breast augmentation is typically performed to enlarge small breasts, underdeveloped breasts or breasts that have decreased in size after childbirth by surgically inserting an implant behind each breast.
Breast augmentation in the San Francisco Bay Area at Tri Valley Plastic Surgery involves inserting a saline (salt-water) filled or silicone gel-filled breast implant underneath the breast and pectoralis muscle via a hidden short scar underneath each breast. The smooth round saline or silicone gel-filled breast implant permanently resides under your pectoralis major muscle.
This operation does not weaken your chest muscles, future breast feeding is still possible and nipple sensation is preserved. The incisions can be hidden in the fold between your breasts and chest, around the areola or in the armpit. Once faded, the scars are well concealed.
The procedure is performed as outpatient surgery, meaning you will go home the same day of your operation. No drains are required and only absorbable sutures are used, making recovery easier. Most patients are able to return to work within a week or less.
Preparing for breast augmentation surgery
Dr. Steven Williams and the Tri Valley Plastic Surgery team will carefully explain your breast augmentation operation with you at your initial consultation. Prior to surgery, you will be given specific instructions and information to prepare you for your procedure. This may include:
- Pre-surgical considerations, diagnostic testing and medications
- Day of surgery instructions and medications
- Specific information related to the use of anesthesia
- Post-operative care and follow-up
In addition, you will be asked to sign consent forms stating that you fully understand the procedure you are undergoing, as well as any potential risks, complications and side effects associated with breast augmentation surgery.
Your breast augmentation will be performed in an accredited ambulatory surgical hospital. We only use board certified anesthesiologists, nursing and OR staff trained in cosmetic plastic surgery.
Breast augmentation surgery procedure steps
Step 1 – Pre-op
The nursing staff will start an IV. Dr. Williams will answer all last minute questions and perform pre-operative markings on your breasts and chest wall. These markings help us in the operating room.
Step 2 – Anesthesia
Medications are administered for your comfort during the surgical procedures. Most of our patients don't remember going to sleep or most of their time in the post-op recovery area. Our anesthesiologists use special tools to make sure you are asleep and safe throughout the whole procedure.
Step 3 – The incisionThe most common incisions include:
- An inframammary incision near the crease just under the breast
- An auxiliary incision in the underarm area
- A periareolar incision placed at the edge of the areola, the pigmented skin surrounding the nipple
- Incision patterns vary based on the type of implant chosen, the degree of enlargement desired, and the individual patient's anatomy.
Step 4 – Implant placement
- Once the incisions are made, a pocket is created beneath the pectoral muscle and on top of the chest wall (submuscular placement). Occasionally the pocket may be modified as needed to achieve an optimal result. Dr. Williams uses special tissue sizers to find the perfect size implant at this stage in the operation.
- The implant is then positioned within this pocket and the incisions are closed with layered, removable sutures, surgical tape and a post-operative dressing.
Step 5 - Results
The results of breast augmentation are immediately visible. Over time, post-surgical swelling will subside and incision lines will gradually refine in appearance. Implants are typically positioned some what high and settle over the first few weeks. Patients see an immediate satisfaction at their results, and experience fulfillment in self-confidence and personal body image.
Breast augmentation surgery recovery and healing steps
Once your breast augmentation procedure has been completed, the surgical areas will be covered in dressings and bandages. Your first post-op visit will be scheduled 4-6 days after surgery. After the first visit the dressings are removed and patients may use a supportive sports bra.
Breast augmentation recovery times vary from patient to patient. Initial breast augmentation recovery may include swelling and slight discomfort at the incision sites and in breast tissue overall.The Tri Valley Plastic Surgery team will advise you of the following:
- How to care for your breasts following surgery. It is important you follow that advice carefully, as this is essential to the success of your final outcome.
- Medications to apply or to take orally to reduce the risk of infection.
- Specific changes at the surgical site or in overall health.
- Scheduling a follow up consultation with Dr. Williams and Tri Valley Plastic Surgery.
You may return to light and normal activity as soon as you feel ready, however in the initial wound healing phase it is important to limit activity as directed. You will be able to return to work and resume normal activity after this time. It is advisable not to engage in any vigorous exercise, activity or heavy lifting within 4 to 6 weeks of your procedure.
Breast augmentation recovery times can take up to several weeks as swelling slowly resolves and implant position settles. Incision lines will gradually fade, although they remain permanent, they are often inconspicuous.
Breast augmentation side effects and surgery risks:
By making the decision to consult with Dr. Williams and following all the instructions given, you are taking an important step in helping to assure your safety. Dr. Williams is certified by The American Board of Plastic Surgery, a certification ensuring that your surgeon is a designated expert who is trained in the field of plastic surgery of the face and body.
Breast augmentation side effects:
- You may feel sick as a result of the general anesthetic.
- For a few weeks after surgery your breasts will feel sore, swollen and firm, and you may feel a burning sensation in your nipples or along the incisions. Using extra pillows when sleeping can help reduce the swelling around your breasts.
- You will have scars which will be pink and noticeable at first but should fade gradually.
Breast augmentation complications:
Possible complications of any operation include an unexpected reaction to the anesthetic, excessive bleeding or developing a blood clot, usually in a vein in the leg (deep vein thrombosis, DVT).
Breast augmentation risks and complications are rare, but can include:
- An unevenness in size and shape, possibly caused by natural differences highlighted by the surgery.
- Creasing, crinkling and ripples on the skin over the breast implant (less likely with silicone implants).
- Infection which may need antibiotic treatment, sometimes requiring the implant to be temporarily removed .
- Abnormal scar tissue forming around the implant which may cause a firm, sometimes painful swelling called capsular contracture requiring further surgery.
- Change in skin and nipple sensation which is a rare but potentially permanent condition.
- Build up of fluid around the implant (seroma) which may require further surgery.
- Unusual red or raised scars (keloids) which can take years to improve.
It's possible that you still won't be satisfied with your appearance after the operation.
The exact risks are specific to you and will differ for every person. Dr. Williams will explain how these risks apply to you.