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Breast Augmentation

Information About Plastic Surgery Procedures

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Overview
Over the past decade, Dr. Douglas Hendricks, a plastic surgeon in Newport Beach serving Orange County and the Los Angeles area, has helped hundreds of patients enhance their self-image with breast augmentation procedures that result in a natural look. Dr. Hendricks is renowned for his expertise in customizing surgical breast procedures for each patient and using the most up-to-date techniques to achieve optimal results with minimal discomfort. Breast augmentation surgery uses a silicone or saline breast implant to change the size, shape, and overall look of the breasts, resulting in a gorgeous, natural appearance.
Why Dr. Hendricks?
Dr. Hendricks is a specialist and pioneer in the use of gummy bear silicone implants, which offer phenomenal results for many of his patients. Unlike traditional round implants, gummy bear or teardrop-shaped implants mimic a more natural slope, shape, and profile that doesn’t look like you have implants. Another advantage of gummy bear implants are the lift that they give the patient, eliminating the need for extra time and scars from a separate breast lift surgery. For more information on breast augmentation, please schedule a consultation at Pacifica Cosmetic Surgery Center.
 
Shaped Vs Round
Round Implants
Round implants are the traditional choice for breast implants, but they can leave the patient appearing excessively rounded especially in the upper half of the breast and thus making it appear very obvious that they have had a breast augmentation. The round implant has changed very little in the last 40 years. There are only variations in width, and height or “thickness” which can be offered to lessen any excessive upper breast fullness. The surgeon must position the implant under the breast so that the highest point of the implant is beneath the nipple. In some women, especially taller women, this positioning can leave result in a very dramatic step- up where the chest stops and the top of the implant begins. This dramatic transition can also be very noticeable and obvious that the breasts are enhanced through surgery. Round implants have a higher risk of complications and infection compared to the new, shaped , or “gummy-bear” breast implants. A round implant essentially places the breast on a rectangular block, which does not look natural and looks like a rectangle from the side view. Although complications after breast augmentation are very rare, the new shaped implants have greater than 100 times lower rate of these problems that can occur after breast implant surgery. That being said, many plastic surgeons continue to use round implants because they are familiar with the technique, even though it is less natural and has been shown to have a higher complication rate.
Shaped Implants
Since Dr. Hendricks strives for the best possible result for all of his Orange County patients, he has embraced the new shaped implants that create a more natural breast appearance. Dr. Hendricks is one of the pioneers and specialists in gummy bear implants, which gives the patient a more natural slope and shape so the result is less likely to appear as if they were enhanced with surgery. Shaped implants come in many more variations in shape from wide to narrow, round or oval, and more or less projected to suit each patient’s cosmetic goals. Using a smaller pocket for the implant, teardrop implants have a lower risk of surgical infection and capsular contracture than traditional round implants. To further improve the results, Dr. Hendricks also uses implants with a textured surface that also lowers the risk of the body reacting to the implant and forming a thick hard scar which is called capsular contracture. For proper positioning to get the nipple in the highest part of the implant, the shaped implant must be positioned slightly higher than the round implant on the chest. This results in a more natural fullness in the upper part of the breast and forms a natural slope of the breast down to the area of the nipple. The soft slope of the upper half of the breast above the nipple and the smooth transition between the breast tissue and implant create a seamless finish. Like a natural breast, from the side view shaped implants look like a triangle or wedge, lifting the nipple away from the chest allowing them to appear more perky. This effect of the implant shape upon the breast can in some cases even eliminate the need for a breast lift in patients that have slight drooping and less breast tissues as is common following breast feeding. Dr. Hendricks has worked hard to learn about the subtleties of the gummy bear implant so he can give his patients more attractive, natural results that are 100 times safer than traditional, round implants.
Saline VS Silicone
Saline Breast Implants
Saline breast implants are filled with a sterile saltwater solution and offer no risk to the patient in terms of extra capsular spread or silicone leakage. Saline implants are appealing to many because they generally cost less than silicone implants. In some patients, silicone may be a better option due to the rippling that may occur along the edges of the saline implant that can be visible in thin-chested women. Patients considering saline implants must be at least 18 years of age.
Silicone Breast Implants
Silicone breast implants are filled with a gel substance that looks and feels similar to natural breast tissue. They are ideal for women who are thin-chested. Silicone implants are specially engineered so that if the shell should become compromised (a surface crack), the silicone will remain intact within the implant (known as cohesive gel implants). Silicone implant defects are rare and can only be found through an MRI, unlike saline implants which will deflate. Patients must be at least 22 years of age to receive silicone implants.
Additional Information
Manufacturers
  • Saline: MENTOR® or Allergan (branded as Natrelle®)
  • Silicone:  Allergan (branded as Natrelle® Gel), Mentor (branded as MemoryGel®) and Sientra, known simply as Silicone Gel Breast Implants
Profiles
An implant profile depicts the distance the breast will project forward from the chest wall. During the consultation, Dr. Hendricks will listen to the patient’s concerns and goals before helping them select between implant options. Implants can be made wider or narrower, rounder or oval, and with more or less projection from the chest.
Texture
Breast implants are made with a smooth or textured surface. Dr. Hendricks uses implants that have a textured surface, since this is less likely to cause a reaction by the body than smooth implants that may be attacked by the body as a foreign substance.
Implant Placement
  • Submammary (Subglandular):  Under the mammary gland, over the muscle
  • Subfascial (Retrofacial):  Under the fascia of the muscle
  • Dual Plane:  Along two planes/layers
  • Submuscular (Retromuscular):  Mostly under the muscle
  • Complete Submuscular (Full retromuscular):  Completely under the muscle
Incision Type
  • Inframammary:  The incision is made in the breast crease where the breast meets the torso
  • Periareolar:  The incision is made where the darker colored skin of the areola meets the lighter colored skin of the remainder of the breast .
During/After Surgery
Breast augmentation is performed under general anesthesia in an accredited surgical facility and typically takes between 1 – 2 hours to complete. It is considered an outpatient procedure. After surgery, patients will need to rest for a couple of days, but will be encouraged to move around in order to promote healthy circulation. As the skin adjusts to the new breast size, it is normal to feel tightness in the chest area. Patients may resume their normal exercise routines within 7 – 10 days but at a much reduced intensity, increasing as tolerated and recommended by Dr. Hendricks. The majority of patients are back to most of their pre-surgery exercise routines within 3 weeks after the procedure. It typically takes around 6 months for the breasts to settle into their final position. The result is a softer and extremely natural looking breast appearance.

Plan Your Procedure

Average Procedure Time  
1.5-2.5 Hours
 
Post-op Follow-up  
Varies
 
Procedure Recovery Location  
Out-Patient
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Breast Augmentation FAQs
Risk of Rupture?
Modern engineering creates strong and durable implants. With proper care and regular check-ups, the risks for rupture are rare. If a saline implant does rupture, the solution will be absorbed by the body and the implant will deflate, becoming visibly noticeable. If a silicone implant ruptures, the cohesive gel will stay intact and will not leak into the body. An MRI will be necessary to detect a silicone defect.  The gummy bear/teardrop implants that Dr. Hendricks uses has a lower risk of capsular contracture, surgical infection, and reaction from the body. Gummy bear implants have been proven to have 100 times less the risk of some of the potential complications following breast augmentation surgery when compared to the standard round implants partially because of the additional training required to learn the subtleties of the teardrop implant. Presently most plastic surgeons only offer round implants. Dr. Hendricks has taken the extra time and effort to learn about teardrop implants so he can provide  patient this option to help patients achieve the best possible results.
How Long do They Last?
Most implants will last about 10 – 15 years. Some can last even longer. If there is no rupture, leakage, deflation, or any other visible defects (such as rippling), then there is no need to change the implant or have any type of secondary surgery.
Saline or Silicone?
Both saline and silicone implants are popular choices among surgeons and patients. In general, patients with a decent amount of breast tissue are good candidates for either saline implants while those with limited tissue and thin chest walls will benefit from silicone. Currently, the majority of patients select silicone breast implants because of the excellent safety record and the soft gel-like feeling which feels very similar to normal breast tissue.
Is Silicone Safe?
Patients sometimes have concerns about the safety of silicone breast implants because of the attention they received in the media years ago. However, after a careful review of tens of thousands of patients who had gel implant surgery, the U.S. Food & Drug Administration (FDA) approved their unrestricted use for patients in the US. In addition, no evidence has ever been found to link silicone breast implants to cancer, auto-immune deficiency disease, or any other illness. Ultimately, 62% of today’s breast augmentation patients choose silicone over saline. For reconstruction cases, they choose them 3 times more often.
Breast Aug or Lift?
Breast augmentation will help with size, but it may not completely correct sagging. If you are happy with the shape and laxity of your breasts, then implants alone may meet your cosmetic goals. If sagging is what is most bothersome to you, then you may be considered for a breast lift. During your consult, we will determine if you are better suited for breast augmentation, a lift, or a combination of the two.

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