Plastic Surgery Los Angeles

Plastic Surgery and breast enlargement costs in Los Angeles

What is breast augmentation? Breast augmentation in Los Angeles is enhancement of the breasts using surgery. The usual method involves inserting an implant either above or below the pectoral muscle. This results in breasts that are not only larger, but also have more projection, depending upon the kind of implants that are used, and where they are placed. Breast augmentation is one of the most common kinds of cosmetic surgical procedures being practiced in Los Angeles.

What are the risks involved?

Before 1994, there were problems caused by leaks in the kind of implants used. Modern breast implants, however, have an excellent safety record, as is evidenced by how common this operation is. As long as the operation is done by a credible plastic surgeon, there should be no problems, aside from the usual risk of infection inherent in any surgical procedure.

The greatest physical risk is if a layer of collagen forms around the implant, but it is not all that common for this layer to become too thick. Even if this layer should thicken, usually the consequences are no more dire than having the implant removed. More about this risk will be explained below.

What are the materials used in implants?

The two most common kinds of implants use either silicone gel or saline in their content. In the early 90’s, liquid silicone was used to fill the implants, and this could cause problems if there was a leak in the casing. Nowadays, the switch to silicone gel prevents any such leaks, since the silicone is no longer liquid and cannot spill out. Implants that use silicone gel are by far the most popular and the most commonly used, especially since saline implants can still potentially cause problems because of leaks.

cost of breast implants
What else do I need to know about implants?

Breast implants are also classified according to their shape. The two kinds are either round or tear-shaped. Tear-shaped implants can give a more natural look, depending upon the kind of augmentation desired, but it is possible for them to rotate or move out of place, changing the appearance of the breast. Also tear-shaped implants need a longer incision in order to insert them.

Naturally, the aftermath of smaller incisions are easier to conceal. Round implants, on the other hand, roll naturally with the shape of the breast, and are overwhelmingly the more popular kind of implant. When the patient stands, and under the influence of gravity, round implants give a natural, “classic” look to the breasts.

Another way to classify implants is according to the kind of shell they use, either smooth or textured. Textured implants are believed to lessen the risk of capsular contracture, although whether they actually do this is still a debated issue.

What is capsular contracture?

When an implant is inserted into the breast, the human body treats it as a foreign object. In order to protect itself, the body forms a “capsule” of collagen around it. If this capsule becomes too thick, this can lead to changes in the way the breast looks and feels. While it is not unusual for a thin layer of collagen to form, in the rarer circumstance where the collagen becomes too thick, it may become necessary to remove the implants and replace them.

Capsular contracture cannot always be predicted or prevented, especially since some of the causes are genetic. Nevertheless, it’s possible to lower the risk of capsular contracture happening by making sure that the surgery is conducted in a completely sterile environment, and making sure that the pockets for the implants are completely clear.

How long will recovery take?

Recovery usually takes around two weeks, but it can be different depending on how long each person naturally takes in order to recover from an operation. During the recovery period, it is best to have sufficient support for the breast in order to help the healing process, and to give more movement for the arms.

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After recovery, there should be no problem with breastfeeding, since the implants do not interfere with the mammary glands where milk is produced. The implants should also not interfere with mammograms, although more than one image may need to be taken in order to get a clear picture of the breast.

Big Implants in Breast Augmentation

Breast augmentation, capsular contracture and Singulair were the subject of a recent article in the Aesthetic Surgery Journal that cites a study that shows that Singulair improves capsular contracture in women with breast implants. 19 patients with breast implants were treated. 17 patients presented with capsular contracture from a variety of breast operations. Two patients who had a history of recurrent capsular contracture were given the medication prophylactically. 11% of the patients became worse 16% of patients had no change 26% improved 37% completely improved and 11% were prevented from getting capsular contracture. The study showed that Singulair improves capsular contracture in women with breast implants. It appeared to have better results in milder contracture versus more severe contracture. Singulair is well-tolerated with minimal side effects.

This corresponds with what I've been doing for the last several years. However now there is a published study that shows that Singulair works. This doesn't make it work any better but it does further legitimize the off-label use.

As mentioned before, many different things can cause contracture after breast implants. Factors like bacterial contamination and hematoma. These can prolong the inflammatory response. A colleague and friend of mine, Dr.Schlesinger, discovered that a drug called Accolate, which is an anti-inflammatory asthma drug, worked in improving capsular contracture and published this. However it was discovered later on that Accolate had a very small incidents of extremely severe complications including hepatitis, liver failure and death. This led to the abandonment of the use of Accolate despite the fact that it worked very well. Singulair is a similar type of drug. It is what is called a leukotriene inhibitor. These are factors that are thought to be responsible for capsular contracture.

This particular study on women with breast implants confirms what I have personally noted over the last several years. Cingular can help reverse contracture when it is caught early and just starting. It can also help prevent recurrence. However, if someone comes in with established contracture or extremely firm contracture it has little effect. The repair of very firm contracture is still a surgical procedure

Capsular contracture still continues to be an annoying and expensive problem in plastic surgery. By using techniques like the no-touch Keller Funnel while placing breast implants during breast augmentation, see my previous blog about the Keller Funnel, IV antibiotics and antibiotic irrigation we can reduce the incidence of contracture. However it is good to know that Singulair has been shown to be effective. In my own practice I combine it with cold laser to make it even more effective and see about 4 out of 5 people respond to the combination.

breast implant surgery Doctor

Tips on Breast Augmentation and Breast Enlargements

Breast augmentation surgery can give you larger and more voluptuous breasts. If you feel that your chest is too small, this cosmetic option can help you to feel better about yourself and your appearance.

One common question that many breast augmentation patients have is if they will need to have their implants changed in the years to come. Some people are told that at routine intervals they will need to have an operation to replace their implants. It could be anywhere from around 8-10 years. But for some women, they may have their new breasts for many more years than that before they have to think about having a replacement operation.

One concern following breast augmentation is that the implants will leak. The potential for leakage is quite low for a number of years. The risk rises as the years go by. Unless a leak has been discovered, operating on a patient without an obvious reason will lead to an unnecessary expense and can potentially expose the individual to risk. There is no research that supports regular replacement of implants unless a problem exists.

It is important to note though, that implants are not designed to last a lifetime. The risk that leakage will occur in the first decade is quite low. It is thought to be less than five-percent. If the implant is made of saline, a leak in it will be absorbed rapidly by the body. The loss of volume or size will make the leak very obvious without the need to perform any tests.

Back in the late 1980's and into the early part of the 1990's, silicone implants that had developed a leak were thought to be the cause of any number of diseases. These claims were all found to be without any merit whatsoever. But a silicone implant that has sprung a leak does tend to be more difficult to diagnose than when it happens to a saline one.

When you choose silicone for your breast augmentation procedure, there are seldom any external signs of symptoms that there is any leakage or seepage. For that reason, the FDA recommends all silicone patients have regular MRI examinations to look for leaks. Ultrasounds and mammograms are not as useful in screening for implant leaks. Some surgeons will tell you that having an MRI every five to eight years is all that is needed, unless you yourself suspect an issue has arisen. An MRI is considered to be the standard medical test for diagnosing leaks where implants filled with silicone gel are concerned.

Breast augmentation, if done right the first time, should not present a problem. As long as the implants you received remain intact, they should be left alone. Upon examining your chest closely, your doctor will be able to tell you whether another surgical procedure is required or whether all is well with your new breasts.

local breast surgeon

One important achievement for a woman is to look her best. If you look your best, self-confidence and self-esteem follow. A larger breast size is currently appealing to American men. For a woman who was born with a deficit in that area, a common solution is to have breast augmentation surgery, but breast augmentation costs a lot, and there are alternatives to consider.

Depending on your location and the hospital chosen for that procedure, the average cost for the procedure ranges from $4,000 to $10,000. The amount covers the expenses of the breast implants, the anesthesia, the facility fee, and the surgeon's fee. If the surgeon you have chosen is highly trained, skillful, and successful in all their procedures, then expect a higher surgeon's fee.

Finding a good cosmetic surgeon is quite tricky. A "board-certified" document can be easily forged, so make sure to check with the board of plastic surgery in your area and do some background research. Keep in mind that breast augmentation is quite risky. One wrong move and it can endanger your life so be very thorough in your research.

Fortunately, there are a lot of alternative options to enlarge your breasts involving herbs, pumps, and exercise.

Over the years there has been natural medicine that uses herbs to help breast enlargement. Phytoestrogens that are found in plants have the same effect as estrogen in our bodies. Estrogen is responsible for the growth of our breasts, so herbs containing them are claimed to help produce healthy breast tissue. However, phytoestrogens are a lot less potent than natural estrogen, may displace the natural estrogen, and so may have the reverse effect. They have not been proven to work in laboratory tests on humans; although, they have on rats.

One herbal option is breast enlargement creams. This is actually a whole new concept of breast enlargements. The cream supposedly works by stimulating the breasts' natural growth process. You may see results after 6 to 9 months of using the cream, so you would have to be patient. Nine months is a long time to devote to a technique that may not work.

We have not found scientifically valid results about the safety and efficacy of pills and creams; although, there are studies that have produced self-reported benefits.

You could also try breast enlargement pumps. This procedure is done by applying suction to your breasts enabling your breasts fats and fluids to flow into your breast tissue cells thus forcing your breast to enlarge. This procedure will also make your breasts firmer since the buildup of your mammary gland tissue increases the production of collagen. A particular product has been tested and found in small studies to be effective and safe in producing a half-a-cup-size increase, but it requires wearing a device 10-12 hours a day for 16-20 weeks, is expensive, and is not recommended for all women.

If you want to have a healthier breast enlargement option you could try breast enlargement exercise. Use those exercise that will help build up your pectoral muscles and achieve a higher and firmer breasts. This procedure is 100% safe without fearing for any consequences in the future.

Before you decide which options you like, do research extensively. List all their pros and cons. This will help you choose which option you think is best for you. Remember that making sacrifices for your man will make him feel appreciated and love. If he sees that you are making this sacrifice to make him happy he will also do the same thing for you.


breast enlargement costs