BURR VON MAUR, M.D., F.A.C.S, INC.

TEL: 888.619.5440

CosmetiCare Plastic Surgery
Center and MedSpa

1101 Bayside Drive Suite 100
Newport Beach, CA 92625

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Orange County & Mission Viejo Breast Augmentation Surgery

Enhance Your Figure with a Breast Augmentation

Breast enlargement surgery is the third most frequently performed cosmetic surgery procedure. The breasts are enlarged by inserting saline-filled or silicone implants into a surgically created breast pocket. Incisions are made at the edge of the nipple areola, the armpit, or beneath the lower breast, so scarring is hidden. The implants may give the appearance of a lift as well as an increase in breast size. Orange County breast augmentation surgeon Dr. von Maur has performed thousands of breast surgeries.

Orange County breast augmentation before and after
Mission Viejo breast augmentation before and after photos

Breast Augmentation Gives Patients Volume, Lift and Balanced Body

Q. After my second child, I really noticed my breasts sagging. I want the volume back on the upper part of my breasts. I'm a C-cup but don't look it because of the droop. Can a breast enlargement help or is a breast lift my only option?

A. A breast enlargement could give you both the increase in cup size and the breast lift you desire. Although it's rare that women are candidates for this approach, we have recommended and performed breast enlargement surgery on quite a few patients who fit your description during the course of my many years in practice.

One such patient was, like you, already a C-cup but had lost volume after nursing her baby, leaving a little extra room in her breast envelope. Using a peri-areolar incision ( at the edge of the nipple complex), we inserted an implant and easily placed it above the muscle, filling the extra space nicely and giving the desired lift.

With this approach, recovery is usually faster than for either an uplift or a standard breast augmentation. This particular patient explained her choice and her satisfaction with the results: "I didn't want the more noticeable scars from a breast uplift so I was glad to know I had another option. I got exactly what I wanted more volume at the top of my breasts. Now they look more like they did before I had children." She mentioned that recovery was easy , about two weeks, and that the scars have already faded after just a few months. You should always consult a Board Certified Plastic Surgeon with extensive breast surgery experience to see if you're a candidate for such a custom approach.

Update On Breast Implants

Q. I’m considering having my breasts enlarged and have heard that there are different kinds of breast implants. What options do I have? Which looks the best?

A. There are only two types of materials used in breast implants that are available in the United States at this time; Saline-filled and Silicone gel-filled. For the past several years silicone gel-filled implants have been available, but only on a limited basis while being studied by the FDA. Board Certified Plastic Surgeons can, when appropriate, offer silicone gel-filled implants to patients who are undergoing breast reconstruction after mastectomy, patients who already have breast implants with certain complications, and those patients who would have a better result with silicone gel-filled implants because of their body type (i.e. a patient who is thin and a saline filled implant may wrinkle and show through the skin, those with scoliosis, or chest wall deformity and those requiring a mastopexy (breast lift). These cases are closely monitored by the patient’s surgeon, who report his or her findings to the FDA. For the most up to date summary of study findings please refer to the following web sites:

Study of re-operations and self-reported silicone-gel breast implant repture (Interview Componet)

Study of rupture of silicone gel-filled breast implants (MRI Component)

Saline-filled implants are presently the most commonly used implants in first time breast augmentation. As far as which implants “look the best”, the final appearance after breast augmentation is determined by the surgeon’s skill, experience, placement of the implant and the physique of the patient. I place the implants under or on top of the pectoralis muscle depending on which will give the patient the most natural appearance.

Important Factors to Consider When Deciding to Have Breast Augmentation with Either Saline-Filled or Silicone Gel-Filled Implants

Be aware that breast implantation may not be a one-time surgery. You are likely to need additional surgery and doctor visits over the course of your life.

Breast implants are not considered lifetime devices. You will likely undergo implant removal with or without replacement over the course of your life.

Many of the changes to your breast following implantation are irreversible (cannot be undone). If you later choose to have your implant(s) removed, you may experience unacceptable dimpling, puckering, wrinkling, or other cosmetic changes of the breast. Breast implants will not prevent your breasts from sagging after pregnancy.

With breast implants, routine screening mammography will be more difficult and you will need to have additional views, which means more time and radiation.

Your health insurance premiums may increase, coverage may be dropped, and/or future coverage may be denied. Treatment of complications may not be covered as well. You should check with your insurance company regarding coverage issues.

Reconstruction: Most insurance covers the first breast reconstruction operation. Insurance coverage for re-operation procedures or additional doctor’s visits following reconstruction may not be covered, depending on the policy.

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