Who Is A Candidate For Breast Augmentation?

Our breast augmentation in Seattle surgery is for:

  • Women who desire larger, firmer, or fuller breasts
  • Women who have a moderate sagging of the breasts, which can be resolved by adding volume rather than by lifting the skin of the chest
  • Women who have lost the firm fullness in breast tissue after pregnancy, breastfeeding, or significant fluctuations in weight
  • Women who have breast asymmetry (one breast that is noticeably larger or smaller than the other)

Breast Augmentation Procedure Description

The procedure is done on an outpatient basis under general anesthesia at our Bellevue, WA facility. A small incision is made under the breasts, under the nipple, or under the armpit (endoscopic approach). A saline or silicone implant is then inserted under the breast tissue, or more commonly under the breast tissue and the underlying muscles. The most common incision over the past few years has become the inframammary incision (under the breast). Dr. Egrari uses the Keller Funnel™ to simplify the insertion of the implant. This serves to protect the implant from affecting the surface of your skin, allowing for the most realistic breast augmentation in Seattle by Dr. Egrari. 

Click here to watch a video of how our team at The Egrari Plastic Surgery Center performs arguably the best breast augmentation Seattle has to offer.

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Implant Selection

Dr. Egrari uses the most advanced surgical procedures and an artistic method to recommend a custom-selected size and shape of the latest generation of breast implants in Seattle in saline or silicone for a perfect balance with your natural build.

Vectra® 3D imaging allows you to see a digital simulation of the implant sizes suggested by Dr. Egrari.

Implant profile and size is determined by your body proportions, including diameter of chest, weight, height, and the level of enhancement you envision.

We offer a variety of the most advanced breast implants in Bellevue — in all styles and dimensions for an individualized breast enhancement, including cohesive (gummy bear) implants. We also offer the IDEAL Implant, an innovative saline implant with a significantly improved feel and look.

Dr. Egrari employs a unique method of intra-operative sizing to evaluate the patient and to give her the most appropriate size and shape of breasts.

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No Touch Technique | Egrari Plastic Surgery Center

Breast Augmentation Surgery | Egrari Plastic Surgery Center

Implant Placement Options

The general options for placement include subpectoral (under the muscle), and subglandular (above the muscle). There is slight variation in how these placements are used based upon the unique physiology of the patient. The subpectoral placement is partially beneath the chest muscle. The subglandular technique can be performed using the subfascial technique, a recent development in breast augmentation surgery. The most popular technique is subpectoral, in which the implants are placed beneath the muscle. We believe there are at least five powerful advantages of this surgical technique:

  • Looks better
  • Feels better
  • Less chance of capsular contracture (the most common complication of breast augmentation)
  • Less chance of infection
  • Mammograms are more accurate

The only disadvantage of breast implant placement with muscular coverage is that for some patients, the new breast may appear temporarily misshapen when the chest muscle is flexed. Most patients do not find this effect troublesome.

Recuperation And Healing After Breast Augmentation

You will return home wearing a surgical bra. It provides comfort and support for your new breasts while simultaneously holding the new implants in a secure position during the healing process. Initial discomfort can be controlled with medication. We feel that our meticulous “no touch” technique creates a more comfortable post-operative experience. Most patients take off one week from work. For great results from the best breast augmentation Seattle has to offer, aerobic activities must wait for about four weeks.

Light activities can be resumed as tolerated, but limit any motions that put stress on the upper chest area, including lifting or stretching.

Patients can opt for EXPAREL®, a long-acting injectable pain reliever. We call this procedure an “ouchless” breast augmentation. Generally, no sutures are used on the outer skin. The sutures placed beneath the skin are dissolvable.

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Other Procedures With Breast Augmentation

An additional procedure may be necessary. Our Bellevue breast augmentation surgeon, Dr. Egrari, can restore sagging breasts with a procedure called a mastopexy (breast lift).

After pregnancy, breastfeeding or dramatic weight loss can cause drooping of the breasts (ptosis). This condition cannot be resolved with the placement of implants; rather, it must be combined with a breast lift to create the firm, high, plump look associated with youthful breasts.

Fat injection into the breasts (fat transfer breast augmentation) has gained significant popularity. Not every patient is a candidate for this, and most of the time if a breast lift is needed as well. Fat injection cannot be done at the same time, except for certain candidates. There is a unique breast shape that might be amenable to a lift and fat injection at the same time. Fat injection is not for an individual who wants significant volume. Instead, it’s ideal for patients with youthful breasts and available fat who want a more subtle enhancement.

We continue to educate our patients about their choices and about the safety of implants. For more information, visit: www.theaestheticsociety.org.

The American Society of Plastic Surgeons offers additional information on breast augmentation at www.plasticsurgery.org/.

Intended Results

With our breast augmentation in Bellevue surgery, you will have larger, shapelier breasts.

The goal is to deliver more attractive proportions for breasts and body.

Breast augmentation before & after

Breast Augmentation Before & After Photos

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Breast Augmentation FAQs:

What are the incision options for breast augmentation?

What implants does Dr. Egrari use?

Is it possible to inject fat for breast augmentation?

Will I have cleavage? Can my breast be placed higher on my chest?

What are the most common complications of breast augmentation?

How do I make sure that I get the size that I want?

What are the incision options for breast augmentation?

There are three main types of incisions used in our Bellevue breast augmentation procedure. Inframammary (under the fold of breast), peri-areolar (around areola), and trans-axillary (through armpit). All three are possible, but the latest research and our own personal experience has taught us that the inframammary incision is the safest and produces the least scarring. The TUBA technique (through the navel) is a highly controversial technique that is effectively shunned by most qualified plastic surgeons. It has also lost its popularity due to some dismal complications.

What implants does Dr. Egrari use?

Dr. Egrari has access to the three FDA-approved lines of implants: Allergan Natrelle®, Mentor®, and Sientra®. Dr. Egrari is one of the largest users of implants in the United States and finds the Allergan Natrelle line of implants to be of highest quality. He is partial to this brand, as the metrics, profiles, and the type of cohesivity that they have is second to none. The implants are either saline or silicone.

Is it possible to inject fat for breast augmentation?

Autologous fat transfer (AFT) has become a popular treatment in plastic surgery and over the past decade, there has been a renewed interest in AFT in breast augmentation. This procedure may be appropriate for a select group of patients who have excess fatty deposits from which fat can be extracted, and who do not want a significant increase in breast size.

Will I have cleavage? Can my breast be placed higher on my chest?

One of the most important concepts that must be clearly explained is 'footplate'. All patients have a pre-determined footplate. This is where the breasts are located on the chest wall, and its placement is the result of genetics — although it can be impacted by loss of flexibility, strength of aging skin, or weight loss. If a patient has a low footplate, she will have low breasts after breast augmentation; therefore, a breast lift may be needed to produce the look wanted. A wide cleavage due to a wider breast position may not create a tight cleavage line. All of these issues will be discussed during your consultation so that you can get the look you envision, including cleavage appearance.

What are the most common complications of breast augmentation?

Capsular contracture, asymmetry, wrinkling and rippling, deflation, dissatisfaction with size, nipple insensitivity, under-breast insensitivity, and the common risks of anesthetic are all theoretically possible. However, all of these are rare and some almost nonexistent. The two that are worth further discussion are capsular contracture and the commitment a patient makes to a specific size or shape, which they sometimes later feel is unsatisfactory (too large or too small).

How do I make sure that I get the size that I want?

Dr. Egrari spends a considerable amount of time talking to patients about the mathematical dimensions their unique body. He has an artistic sensibility that can only be developed through experience and natural talent. He will guide you to the size and shape that will create the most beautiful outcome for you.

Breast Implant Safety

We are always in search of information and safety, and we want our patients to do the same. This link will provide some frequently asked questions about BIA-ALCL (breast implant associated anaplastic large cell lymphoma) and BII (breast implant associated illness). We know that there has been a lot of news and hype about this, so we wanted to make sure that we convey to you the latest. Our objective is always guided by science.

Learn More about Breast Safety

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