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Breast Augmentation in Santa Barbara

For most women, the appearance of their breasts is a part of their feminine identity. Women who desire larger breasts may wish to have a breast enlargement (augmentation) procedure. Breast augmentation may also be indicated for women who have one breast that is noticeably smaller than the other or who have undergone mastectomy.

Before breast surgery
Augmentation mammaplasty patient shown before surgery.

Breast augmentation gives patients larger and more shapely breasts. Often a more positive self image results from breast enlargement, leading to a greater feeling of confidence and attractiveness. .

Pigmented area surrounding the nipple
An incision is made either underneath the breast just above
the crease, around the lower edge of the areola (the pigmented
area surrounding the nipple) or in the armpit.

Breast enlargement is done on an outpatient basis under general anesthesia. A small incision is made under the breast and a saline breast implant is inserted under the breast tissue or under the breast tissue and the underlying muscle.

Cross-secion of the breast
Cross section of the breast shows location of the implant, either in a
pocket directly under the breast tissue or underneath the chest muscle.

The patient goes home in an elastic bra. The bra helps hold the breasts in the correct position. Initial discomfort is controlled with oral medication. Sutures are usually removed in 7-12 days. Light activities can be resumed as tolerated and aerobic activities can be started in about 3 weeks. Gently massaging the implants within the breast pockets during the postoperative period may reduce the frequency of wrinkling, though this technique is not proven to be successful.

Prospective patient with fuller breasts
The postoperative patient with fuller breasts.

Under some circumstances, an additional procedure to enhance the result of a breast augmentation is a Mastopexy (breast lift) if the breasts are saggy in addition to being small.

Breast enlargement is considered cosmetic and therefore is not covered by insurance, thus leaving the patient is responsible for payment.

The specific risks and the suitability of breast augmentation for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

Illustrations courtesy the American Society for Aesthetic Plastic Surgery.

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