Breast Augmentation Scottsdale Phoenix

Breast augmentation (also referred to as breast enlargement, breast enhancement or augmentation mammoplasty) is the surgical procedure that is used to enlarge a woman’s breast size and improve its shape. It is the most popular cosmetic surgical procedure being done today by women and is associated with an extremely high satisfaction rate. Surgery involves the insertion of silicone or saline implants into a pocket created deep to the breast tissue. Breast implants consist of an outer envelope of silicone rubber that is filled with either silicone or saline.

The concept and procedure sound rather simple and straightforward but this is definitely not the case. In order to obtain the most ideal results, many variables need to be considered and decisions made prior to surgery. The goal of any breast augmentation procedure is to add volume and improve the shape of a woman’s breasts while keeping the tell-tale signs of surgery to an absolute minimum. To achieve this goal, the plastic surgeon must have an exceptional eye for aesthetics, an understanding of each individual’s tissue characteristics, an appreciation for the three dimensional effects of the implants on the tissues, consideration for the changes over time and superior surgical skills to implement these strategies. In addition, he must have the ability to understand and interpret his patient’s goals and needs and then translate that into outstanding results. With these abilities and meticulous attention to all details and variables, Dr. Turkeltaub has consistently endeavored to ensure that the results he creates for his patients are exactly what they had desired. (See blog: Breast Augmentation Fail or When Not to Disclose One’s Assets to see an example of what does happen when surgical planning, precision and skill are not what they should be.)

Breast Implant Options

Natrelle® 410 Gummy Bear Breast Implants

FDA approved Natrelle® 410 breast implants, also called “gummy bear implants,” are form-stable and anatomically designed in a teardrop shape to resemble your body’s natural curves. Developed by Allergan, Inc. utilizing highly-cohesive silicone gel, Natrelle® 410 implants have been proven to hold their shape longer than alternative implant options while also providing a more natural look and softer feel. Additionally, these advanced implants have shown reduced rates of rippling, wrinkling, and rupture. For patients 22 years or older, Natrelle® 410 breast implants can be utilized during breast augmentation, breast revision, and breast reconstruction surgeries.

Breast Implant Size

When people think of breast augmentation, this often is the number one topic of discussion. Size really does matter though it isn’t the only important factor. Patients will need to determine the look they want to achieve, their personal body size and shape, and the impact their new breast size may have on other aspects of their lifestyle. In my experience, most women would rather be somewhat proportional and then slightly bigger than that. Unfortunately, “proportional” is an ambiguous term and what is proportional to one person may be too small or too large (rarely) for someone else. There is also general confusion as to what appearance different cup sizes represent which is compounded by the lack of any real standards. Because of this, bras made by different companies, one a “C” and the other a “D”, may fit identically. Photographs and imaging may help but even these have limitations. Want to learn more about implant size? Visit Dr. Turkeltaub’s Blog entry “Size Does Matter”.

Breast Implant Projection Style

For a given breast implant size, it can be wide with some projection or more narrow with much greater projection. Depending on the manufacturer, you may see the implants labeled as high, moderate or low profile. The style that would be most appropriate would depend on many factors such as the ultimate desired size, projection, shape, cleavage, initial breast size and projection, chest wall configuration and overall appearance.

Side View Front View

Above are two similar sized silicone implants. The one on the left is a high profile implant while the one on the right is a moderated profile. Note the greater projection and narrower width of the high profile implant.

Fill Material

Breast implants are available as either silicone or saline filled. Silicone implants are superior to the saline ones in several ways. Generally, they look and feel much more natural and last longer than saline implants. In patients who have had both types of implants at some point in time, I have yet to have one inform me that they preferred the saline ones for aesthetic reasons. For more information about silicone implants please visitDr. Turkeltaub’s Blog.

Incision Location

Breast augmentation patients can select to have their implants placed through incisions in one of three different locations. (For a variety of reasons, the transumbilical, also known as the belly button technique, is not considered.) The most common approach is employing an incision near or in the crease at the lower part of the breast where it joins to the chest, called the inframammary fold. This location allows for the most flexibility both short and long term, better visualization and exposure for surgery, and more predictability of results on average compared to the other sites. Additional important advantages have been documented as well and can be discussed during your consultation with Dr. Turkeltaub.

A peri-areolar incision is placed at the margin at the lower half of the nipple where it borders the normal colored skin. Some individuals may prefer this location but they do need to consider some important issues before selecting it. Smaller sized nipples will make this approach difficult or impossible.

Transaxillary incisions are placed in the armpit with its big selling point being that there is no scar located on the breast itself. This is the second most common choice and particularly when done endoscopically, can yield good results. As with the peri-areola location, several issues should be reviewed before electing this route.

For more information on the relationship of the incision location with final sensation of the nipples, read the blog: The Effect of the Incision Location in Breast Augmentation on the Sensation of the Nipple-Areolar Complex.

Breast Implant Placement

Breast implants can be placed either behind (subpectoral or submuscular) or directly in front of (submammary) the pectoralis major muscle, the large chest wall muscle. The appearance and dynamics are different in these two locations as are the consequences of the effects of time. The most significant advantages of placing the implants behind the muscle include:

  1. Mammograms are more easily and accurately interpreted as compared to implants situated in front of the muscle (submammary).
  2. There is a lower risk for capsular contracture (hardness of the breast caused by the formation of scar tissue around the implants).
  3. There is more soft tissue coverage of the implant resulting in a decreased risk and extent of visible rippling as seen on the skin.
  4. A better and more natural interface is present with the implant and chest wall allowing for a more normal appearance.
  5. The muscle provides better long term support of the underlying implants as compared to skin only support when the implants are above the muscle. In this latter situation (submammary), the weight of the implant will cause greater stretching and thinning out of the skin over time as well as its own descent on the chest wall.

For most patients, Dr. Turkeltaub recommends that the implants be situated behind the muscle.

Breast Implant Shape

A vast majority of breast implants available and used today are round in shape. Anatomic style implants are longer either in a vertical or horizontal dimension. In some individuals, this may provide a better result.

Surface Type

Breast implants can have a smooth or textured outer envelope. There are many conflicting studies regarding whether or not there are any advantages of textured versus smooth surfaced implants. With the more recent innovations made in implant technology, much of the earlier research may not be relevant. In certain situations, one type may offer an advantage over the other.

Smooth Surface Silicone Implant Textured Surface Silicone Implant

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Breast Augmentation Procedure

Breast enhancement is an outpatient procedure that is most often performed under general anesthesia. This approach is very safe and is much more comfortable than a “twilight” or semi-awake type of anesthetic. It can be performed in conjunction with many other cosmetic procedures for a more extensive and cost effective improvement. Tummy tucks are frequently done at the same time as part of a “Mommy Makeover”.

During surgery, the most appropriate implant for the patient will be selected based on the preoperative discussion of all the options and the patient’s goals. Dr. Turkeltaub uses a very gentle technique which is performed with precision. This helps to minimize postoperative discomfort as well as the risk for less than ideal outcomes.

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Recovery from a Breast Augmentation

A dressing that provides some compression is placed for 1 – 2 days. A sports type bra is then worn day and night for 1 week. After that, a supportive bra should be worn on a regular basis, especially if you have relatively large implants, so as to help maintain the breast shape and minimize drooping over time.

Discomfort for the first few days can be mild to moderate though most patients can return to a non-strenuous job or school within 5 – 7 days. It is recommended that you avoid vigorous activities such as sports and aerobics for three weeks. You may experience muscle tightness and even spasms early on but these resolve fairly quickly.

Initially your breasts will be moderately swollen, firm and may appear larger than you were anticipating. After several weeks, much of the inflammation will subside resulting in a more defined shape and a size closer to what you can expect long term. With time, the skin and muscle (if placed in a submuscular location) will relax resulting in a softer, more natural feel and appearance.

There are many long-term benefits associated with breast enlargement. Included among these are looking better, feeling more attractive and feminine, having greater self-esteem, and being able to find clothes that fit and that are more complimentary. The overwhelming majority of breast enhancement patients are extremely pleased with their results.

For more information on the postoperative period after breast augmentation surgery, read Dr. Turkeltaub’s Blog Recovering From Breast Augmentation Surgery

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Breast Augmentation Before-and-After Photos

Dr. Turkeltaub is a very experienced plastic surgeon who has performed a large number of breast augmentations in over 20 years of practice. The following are examples of his expertise in this procedure.

*Individual Results May Vary

Click here for our full gallery.

Breast Augmentation Patient Testimonial Videos*



*Individual Results May Vary

For additional helpful information on a variety of issues related to breast augmentation, you can visit Dr. Turkeltaub’s Blog.

Dr. Turkeltaub is also experienced in a variety of other breast surgery procedures, including breast lift, breast reduction, and breast reconstruction.

Interested in Breast Augmentation Surgery?

If you are interested in breast augmentation, please contact Dr. Turkeltaub to schedule a convenient consultation. With multiple locations, Dr. Turkeltaub’s practice is easily accessible. We look forward to helping you.

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