Breast Augmentation in Seattle & Bellevue

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.

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.

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.

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.

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).

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.