- Length: 1-2 hours (Outpatient)
- Anesthesia: General
- Normal recovery: Return to work in 2-3 days, Resume light exercise after 1 week, Swelling resolves completely after 4-8 weeks, Scarring varies and will fade over time
- Possible side effects: Swelling, Bruising, Pain or Discomfort
Breast Augmentation (Augmentation Mammoplasty) uses implants to help you fulfill your desire for fuller breasts. We can help restore breast volume after pregnancy or weight loss, achieve the figure you’ve always wanted, or even reconstruct a breast after mastectomy or injury.
Dr. Min’s Approach to Breast Augmentation
Dr. George Min is a board certified plastic surgeon with a passion and a reputation for excellence in breast procedures. He takes a conservative approach that focuses on patient safety and natural results. Dr. Min does not believe in cutting corners, and our state-of-the-art Bellevue facility is unlike any you will find in the Seattle or Bellevue area. Our on-site surgical suite is equipped with the latest technology and is one of only a handful of locations to meet the stringent new safety certification standards.
We pride ourselves in being the best, not only in surgery, but also in patient care and education.
Your Breast Augmentation Options
There are many factors that influence your decision to get breast implants. Our goal is to ensure that we recommend a procedure that will match your goals and your lifestyle.
Implant Types: The two most common types of breast implants are silicone gel and saline, both of which are encased in a silicone outer shell. They have different benefits in terms of look, feel and cost.
In either case, some implants are pre-filled, and others can be pumped full after they are inserted. Dr. Min will help you choose an implant that best meets your needs.
In some cases, especially small augmentations or cosmetic improvements, Dr. Min may recommend a fat transfer technique that uses your body’s own fat cells in place of an implant.
Implant Sizes, Shapes and Textures: Breast implants are measured in cubic centimeters (cc’s) and range from as small as 120cc to as large as 850cc. (360cc’s is equivalent to 12oz. or the amount of liquid in a soda can.)
Choosing the size of your implants is much more than a question of cup size. Dr. Min specializes in creating natural results. His recommendation will be based first and foremost on the look you desire, but it will also take into account how broad your chest is, the base width of your breasts, the distance between your breasts, and the laxity or looseness of your skin.
The shape of your implant as well as the texture of its shell will also have a bearing on your ultimate results. Dr. Min will recommend an implant based on your body type and desired look.
Placement of Breast Implants: The placement of your implants can have a significant impact on how they look, feel and move. Dr. Min will help you understand the benefits of each and make a recommendation based on your goals and your body. There are 3 basic placement options for your breast implants:
- Subglandular Implants (also known as “overs”): The implant is placed under your breast tissue but over your pectoral (chest) muscles.
- Partial Submuscular Implants (also know as “partial unders”): The implant is placed under your breast tissue and partially underneath your pectoral (chest) muscles.
- Full or Complete Submuscular Implants (also know as “unders”): The implant is placed under your pectoral (chest) muscles.
Incision Options & Techniques: There are several commonly used techniques for inserting breast implants, and they involve making different types of incisions. The goal is always to eliminate as much visible scaring as possible and create a natural looking result, but Dr. Min’s recommendation will take into account your body type, shape and skin.
- Inframammary Incision: The incision is hidden in the crease beneath your breast.
- Periareolar Incision: The incision is made around the areola to eliminate unnatural scar lines.
- Transaxilary Incision: the incision is made in the armpit, meaning there are no scars on the breast itself.
- TUBA (Transumbilical): Also known as the “scarless” technique, the incision is made in the navel or belly button.
Your Initial Breast Augmentation Consultation
We recognize that this is an important decision, and your initial consultations are much more than a fitting. Our goal is to determine if you are a good candidate for breast augmentation, craft a procedure that’s right for you, and ensure that you feel informed, confident and excited. We’ll take as much time as we need to get there.
During your initial consultation, Dr. Min will ask you about the size, shape and feel of you are looking for, as well as any specific concerns you have about their feel or appearance. He will walk you through your options, explain the details of the breast augmentation procedure, and answer any questions you may have. You will have an opportunity to view extensive before and after photos and handle different types of implants.
Dr. Min will then ask you questions about your health and lifestyle and assess your breasts for shape, size, symmetry, and areola position. He will share and explain his opinions with you about which surgical techniques are most appropriate for you based on your desired outcome and the results of your exam, and together you will decide on the details and timing of your procedure. In some cases, he may recommend a breast lift instead of or in addition to the augmentation to achieve the results you desire.
Finally, Dr. Min will make sure you know exactly what will happen on the day of your procedure, what you will experience while you recover, and what you can expect in the months and years to follow.
Safety & Risks of Breast Augmentation
Our approach at Newvue is always to put our patients’ safety above all other concerns, and Dr. Min is a recognized expert with an impeccable track record for breast augmentations. We have invested in absolutely state of the art tools, and our on-site surgical suite in Bellevue is one of the first in the region to be fully approved under the stringent new safety standards.
Nonetheless, we feel it is important that all our patients fully understand the risk associated with this—or any—surgical procedure. The most important thing to know is that Dr. Min and Newvue will stand by you should any complications arise and do everything we can to help you achieve your desired result.
Breast implants are not designed to last a lifetime, and it will be important to meet regularly with your plastic surgeon to ensure that your implants are maintaining their integrity. Risks associated with breast augmentation include:
- Reaction to Anesthesia: Some patients experience an adverse reaction to anesthesia that may result in nausea or vomiting, allergic reactions and in very rare cases death. Be sure to discuss any medical allergies with your surgeon.
- Infection: as with any surgical procedure, there is a risk of infection. Infection will generally occur within days or weeks of your procedure. Infection can generally be treated without removing the implant, but in severe cases it may be necessary to remove the implant (it can be replaced after your recover).
- Rupture: Your implants are designed to be durable, but it is possible for a forceful impact or sharp object to cause them to rupture. In the case of saline implants, the liquid (salt water) will be harmlessly and quickly absorbed by the body. Silicone gel implants have not be shown to cause any adverse effects when they rupture, but the leaks may be slower and harder to detect, which is why the FDA recommends an MRI at 3 years and then every other year after that to check the integrity of your silicone gel implants.
- Asymmetry or deformation: It is possible that one or both of your implants may shift, causing your breasts to become asymmetrical or changing their shape and appearance. These occurrences can almost always be corrected through a revision surgery.
- Cancer Detection: Breast implants can make the early detection of breast cancer through mammograms more difficult.
Prior to Your Breast Augmentation Procedure
Prior to your surgery, we will schedule a preoperative appointment with Dr. Min. The purpose of this meeting is to make sure that your procedure goes smoothly and efficiently. Our staff will review your consent forms with you, answer any questions you might have, and the risks and benefits of surgery will be thoroughly reviewed. You will be given your prescriptions to be filled prior to your surgery. You will be given a list of medications and supplements to avoid for two weeks before and after surgery. If you are a smoker, you will be advised to stop smoking at least two weeks prior to surgery. You should not smoke for at least two weeks following surgery.
Your Breast Augmentation Procedure
We will do everything in our power to help you feel informed and relaxed on the day of your procedure. After you arrive at our Bellevue office, you will meet with Dr. Min and with your anesthesiologist. Once any questions you have are answered, you will be given medication to help you relax.
You will be brought into the surgical suite, where you will be prepped for surgery and given either a general anesthetic or a twilight sedation. Surgery usually takes about one hour and not more than two.
You will wake up in the recovery room, where you’ll be closely monitored. We’ll let you know how everything went and advise you on what to expect as you recover. You’ll want to be sure to arrange for someone to pick you up and stay with you for the first couple days as you adjust.
After Your Breast Augmentation Procedure
You’re still our patient after you leave, and we will be there for you as you recover to answer any questions you may have and advise you on any side effects you may be feeling. After the surgery, you will feel tired and sore, but there is generally very little pain, and what you do experience can be managed through medication. You may experience some discomfort at the point of your incision, which is normal for any surgical procedure. Your stiches will dissolve and be absorbed by your body, so you will not have to worry about getting them removed.
Here’s a timeline of a typical recovery:
First 24 hours:
- Rest, eat and drink normally (no alcohol)
- Effects of anesthesia will be gone
- You can shower
- Most women can return to work at this point
- Swelling will peak and begin to subside
- You can remove your dressing and surgical bra
- Your first follow up consultation with Dr. Min
- Begin light exercise
- Second follow up consultation
- Resume all normal exercise and physical activity
- 3rd follow up consultation
- Full results will be visible
- 4th follow up consultation
- Scarring should be noticeably diminished
- 1st annual checkup
You will notice a difference immediately, and full results will be seen once swelling diminishes. Scarring varies and will fade over time. Dr. Min and the Newvue staff are always available to help you with any questions or concerns you may have, during your recovery and after. We want to ensure that you are completely thrilled with your new look, and we’ll consider you our patient for life.