Project Description

Breast Surgery


Breast Surgery


The Process of Breast Surgery

Breast augmentation is one of the most popular procedures performed. If you are unhappy with the size and/or shape of your breasts you are not alone. Through the placement of saline or silicone implants, breast augmentation can enhance the shape and increase the size of your breasts, as well as correct asymmetry.

There are many reasons women undergo breast augmentation. These reasons include:

  • Reshaping breasts that have lost their size and shape

  • Making breasts larger to become more proportional in overall body shape

  • Balancing breasts that are different sizes.

Breast Implants come in many styles and sizes. Choosing the size that is right for you is based on specific measurements, as well as the look that you are hoping to accomplish. In addition to size and shape, breast implants are available in different profiles, each of which offers a different projection. Our surgeons have preformed thousands of breast augmentations in the cosmetic surgery realm and will spend time discussing your desired breast augmentation outcome. At our Tri-Cities and Spokane locations we will help you choose an implant that fits your body type, the size of your breasts, your skin tone and chest wall shape.

The Surgery

The operation is carried out under IV sedation and will be performed in our state-of-the-art surgical suite. Breast implants can be placed through an incision made under the lower fold of the breast, around the areola, or underneath the arms. Our surgeons will discuss the pros and cons for the incision site specifically recommended for you. Implants can be placed beneath the muscle or above the muscle and Our surgeons will discuss the advantages and disadvantages of implant placement either way. These operations are available at our Tri-Cities and Spokane cosmetic surgery facilities.

All of these methods are designed to result in minimal scarring so that the incisions are not easily detected. Working through the incision, Our surgeons will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples. The implants are then adjusted to ideal size and symmetry before the incision is sutured closed.

The Recovery

Our outpatient program is something we are proud of and have given many patients in the Tri-Cities and Spokane ares the care they need. Our Tri-City Cosmetic Facility and Spokane Cosmetic facility are fully setup for a complete recovery process

Breast augmentation surgery is performed as an outpatient procedure, and most patients are able to return to work typically within a week but sometimes after up to two weeks. Some swelling, bruising and minor discomfort may be experienced for several days after the surgery and is easily controlled with pain medication. You may also feel tightness in the chest area for some time. To minimize your risk for complications such as hematoma (bleeding around the implant) we recommend that you limit your activity for the first two weeks. Strenuous activity should be avoided for 6-8 weeks following breast augmentation. You should be able to return to work within a few days, depending on the level of activity required for your job.

You will be given antibiotics to minimize your infection risk, and we will instruct you to use specific breast massage techniques following your surgery to help keep your breasts mobile, soft and natural looking, and to help prevent capsular contracture (excess scarring around the implant from the inside). It is normal for your breasts to appear high and swollen for several weeks following your surgery until they “drop” into a normal position. One breast may drop before the other and this is not a cause for concern. You may experience numbness or burning in the nipple/areola that is often due to swelling and usually resolves. In a small number of patients the numbness will remain permanent.

The Risks

The most common problem, capsular contracture, occurs if the scar or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or “scoring” of the scar tissue, or perhaps removal or replacement of the implant.

As with any surgical procedure, excessive bleeding following the operation may cause some swelling and pain. If excessive bleeding continues, another operation may be needed to control the bleeding and remove the accumulated blood.

A small percentage of women develop an infection around an implant. This may occur at any time, but is most often seen within a week after surgery. In some cases, the implant may need to be removed for several months until the infection clears. A new implant can then be inserted.

Some women report that their nipples become oversensitive, undersensitive, or even numb. You may also notice small patches of numbness near your incisions. These symptoms usually disappear within time, but may be permanent in some patients.

There is no evidence that breast implants will affect fertility, pregnancy, or your ability to nurse. If, however, you have nursed a baby within the year before augmentation, you may produce milk for a few days after surgery. This may cause some discomfort, but can be treated with medication prescribed by our surgeons.

Breast Augmentation with Lift
Implants are used to make the breast larger. It is important to understand that implants alone may not adequately lift the breast, or correct the effects of pregnancy, weight loss or skin stretching. Our surgeons may suggest additional procedures at the time of breast augmentation, such as a breast lift or mastopexy, to optimize your results.

Breast augmentation can help to restore breast volume, giving a younger sensual shape. After the decision has been made to have an augmentation procedure, the next step is to decide which implants are right for you. Our surgeons offers many different implant shapes, sizes and styles

There are two main types of implants – silicone and saline. These different types come in different shapes and sizes. The type and style of implant is dependent on your body type and breast shape. At your consultation Our surgeons will work with you, trying on different breast implants to help find the best style and size for you.



Silicone breast implants have been evaluated and approved by the FDA. These implants have a thick outer shell and are filled with a thickened silicone center. Silicone implants tend to have a more natural feel as well as having less of a tendency to ripple.


Saline implants have a silicone shell and are then filled with sterile saline. Saline implants can also give a natural look and are almost always placed below the muscle to help prevent rippling.

There are advantages and disadvantages to both implant types. Our surgeons will work with you to help you discover which type is right your breast and body type. Everyones goals are different and we are committed to help you achieve yours.

Read this article to help make your decision 

Breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts that have lost elasticity due to the effects of pregnancy, nursing, weight fluctuations, time, or gravity. A breast lift reshapes the breast to a more natural rounded shape and also repositions the breast, nipple, and areola to a more natural and youthful position and projection.

Our surgeons can combine a breast lift with breast augmentation for patients who have thin, drooping breasts, with nipples at or below the breast fold. An implant will often help shape the breast providing fullness in the upper portion even if it is not used to make the breast larger.


Breast lifts are performed under general or IV anesthesia on an out-patient basis. The surgery is performed at our state-of-the-art surgery suite. Mastopexy usually takes two to three hours to perform. Techniques vary, but the most common procedure involves an anchor-shaped incision following the natural contour of the breast.

Other women may simply require an incision around the nipple/areola while others require a vertical breast lift that results in a “lollipop” type incision. Regardless of the incision required, breast lift surgery is performed in such a way that scarring is hidden by a bathing suit or bra. Patients usually return to work after a week or two, with healing gradually taking place over about three months.

Breast Lift with Augmentation

Our surgeons can combine a breast lift with breast augmentation for patients who have thin, drooping breasts, with nipples at or below the breast fold. An implant will often help shape the breast providing fullness in the upper portion even if it is not used to make the breast larger.


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