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Breast Augmentation
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Breast Augmentation in Hawaii

Breast Augmentation | Breast Lift | Breast Reduction
Gynecomastia | Silicone | Saline | Implant Deflation

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Today, breast augmentation or breast implants surgery is one of the most popular procedures we perform in our plastic surgery suite. Typically we perform 3 or 4 breast augmentation procedures every week, which not only keeps our skills sharp, but gives us the opportunity to truly develop our own breast augmentation style and preference. It is vital to select a qualified plastic surgeon to perform breast enlargement as this largely reduces the risks and complications.

The breast implants procedure generally yields very predictable results, which helps ensure patient satisfaction. To increase the size of a woman's breast augmentation breasts, we place breast “implants” into the chest tissues. Therefore we first need an incision in which to work through and a pocket in which to place the implant. The saline filled implants today are generally inflatable like a balloon, so we can use small incisions to place a large implant and “inflate” it after it is in the position that we desire. However, the pocket must be created so that the inflated implant will fit.

One decision we have to make in each case is where the incision site is placed. A fine line scar is produced and the choices are as follows.

a. Periareolar Incision - through the areola (outside edge of the nipple, although some feel that this damages the ducts for breast feeding)

b. Transaxillary Incision - in the crease under the armpit (most breast tissue can be avoided with this incision site)

c. Perithelial - very close to the nipple

d. Transumbilical or TUBA - through the naval (a newer technique)

e. Inframammary - under the breast itself, in the natural crease (one of the older techniques)

When you come in for your consultation we can discuss further aspects of each approach. The photos on our site show some of our real-life patients, and you may want to peruse these to see how discreet we can make your scars.

Another decision that also needs to be made is whether to place the implant above the muscle or under the muscle. The “muscle” we are talking about is the pectoralis major muscle under the breast and on the chest wall. (The other term used is submuscular for under the muscle and subglandular for over the muscle.)

Here again each position has its advantage and disadvantage. I believe for example that the above the muscle position sags more quickly, yet is not as painful the night after surgery. These details will have to be discussed at length during your consultation. There are many other details about above the muscle and below the muscle techniques that we can explain during your consultation.

Finally, we must work together to determine an appropriate size - how much to enlarge your breast implant. This can get tricky and we have developed a sizing technique in our office in which we have found 96% complete satisfaction rate for size considerations. There may be limitations on size depending on your individual anatomy.

Breast augmentation is an art and a craft developed over years with many factors to consider. The most important factor, that I make my priority is to make my patient happy with the result. I have found over the years that the happiest patients are the ones who understand what this art form is about and what its limitations are. During your consultation, we seek to educate you and bring you into the decision-making process, which I believe will lead to a decision you will not regret.