Breast Augmentation

What is Breast Augmentation?

Breast Augmentation is a surgical procedure performed to enlarge the breasts by inserting a breast implant either behind the breast tissue, or partially or completely under the chest muscles.  Incisions are made to keep scars as inconspicuous as possible, usually under the breast, around the lower part of the areola, or in the armpit.  The method of implant selection and size, along with surgical approach for inserting and positioning breast implants, will depend on your preferences, your anatomy and most importantly Dr. Gordon’s recommendation. After all you must remember that Dr. Gordon understands and remembers your concerns and goals, and at the same time has an awesome understanding of your physical dimensions, your proportions and hundreds of implant dimensions. There is no one better when it comes to picking the best implant for you.

Why Breast Implants ?

Beauty is in the eye of the beholder, and the eye of the beholder is influenced by the times in which he or she lives. Looking back through history it is easy to see how our clothing, transportation, and technology has changed dramatically. Whereas technology and transportation has changed because of science, changes in clothing and appearance have occurred based upon the current fad or “cool looking” impressions of that period. For example, the fad of the 1890’s was for women to have big breasts, tiny waists (corsets) and big hoop skirts (bustles) to make the butt look big. In the “flapper era” of the 1920’s women wanted slim butts and bodies and very small breasts. The 1950’s marked the beginning of our current era of women wanting athletic appearing bodies and breast enlargement. The first implants in routine use were man-made synthetic foam sponges which caused a variety of side effects and  problems. Today,  breast augmentation in Las Vegas can be accomplished by using very safe, FDA approved silicone gel (gummy bear) or saline (salt water) filled implants, or the breast can be augmented using the patients’ own fat.

Round Breast Implants

  In terms of shape, a breast implant can either be round or have a “teardrop” shape. For breast augmentation in Las Vegas, the round implants are much more popular than the teardrop shaped implants because they are more familiar to both patient and surgeon.

Remember, to get you to your desired cup size, the doctor needs to know your current cup size and the implant volume needed to get you to your new larger cup size. That is the reason why round implants come in a variety of round shapes.   A round implant can be flat like a pancake, with a low profile (I call those “Frisbees”) or they can be round like a softball (high profile). Then there’s something in between which I refer to as a moderate profile.  All of these round implants are very useful depending upon the patient’s physical size, desired cup size, space limitations (big girls have more space than small women) and of course the plastic surgeons’ opinion and comfort level. Cup size is about implant volume. Most natural appearance is about picking the implant volume and shape (frisbee versus moderate versus softball shaped round implant) that best fits the available space. Round implants always have a round perimeter and are fullest at the center of the implant. The round implants, , generally tend to give the breast more of an artificial, “fake”, or “augmented” look. In the Las Vegas community with gaming, showgirls and a large variety of adult entertainment, a lot of women who use their breasts directly or indirectly to make a living prefer this round , “fake breast” look to be advantageous.

Teardrop Breast Implant

The wave of the future for breast implants in Las Vegas will be to have beautiful, natural looking and feeling, breast shaped breasts. Nothing provides this result more reliably than a carefully selected, properly used breast shaped (teardrop/anatomical) implant.

In Las Vegas round breast implants are currently more popular than shaped implants because they are more familiar and easier for the surgeon to insert, they have been available for a longer time, and they provide the patient with the commonly seen “fake” augmented look”.

Stephen Gordon, plastic surgeon tells us the shaped devices, are better than the round breast implants, for many reasons.

  1. Any implant, shaped or round, if it is large enough, will force the breast to have the same shape as the implant. “If you are trying to make a breast bigger its’ a good idea to use a breast shaped thing to do it with” says Dr. Gordon.
  2. The familiar appearance of boob jobs in Las Vegas provided by round breast implants can be seen everywhere; but in general, they do not have the natural, beautiful breast shape you get from a breast shaped gel implant.

After a breast augmentation, as you get older, your breast get older with you, and the round implant either moves up or down, and your breasts will not look so great. Boob jobs using implants that are shaped do not look as fake as the round implants even after many years

Breast Fat Transfer

Over the past decade, some very interesting clinical research has been going on involving the use of a device to make the breast “grow” bigger by applying suction cup pressure to the breast. This Braga device (one for each breast) is a hard plastic suction cup that fits over the breast and is worn for 6-8 hours /day for about 5 weeks. The patient then comes into the surgery center, has fat harvested from all of those areas of excess, and neatly re-deposited into the now expanded breast. A breast augmentation in Las Vegas using fat! This 2 step process provides a much healthier environment for the transplanted fat to live in, and so far the results have been impressive. A two (2) cup size or more can be accomplished using this technique. If only a one (1) cup size increase is desired, then Dr. Gordon can simply harvest fat and graft it into the breast right away with no need for the additional expense, and time consuming pretreatment with the somewhat cumbersome suction cup device. .The human breast naturally has a high composition of fat, often ranging as high as 80% fat, 20% breast gland tissue, so augmenting a breast with fat really is restoring or augmenting the breast with natural breast tissue. This fat graft technique can also be combined with traditional implant breast augmentation in patients who need volume or softness in areas where implants cannot provide it (cleavage), and in patients who have had radiation to the breast area. This is a new technology, and is still in development. As with any surgical procedure, there is some unreliability associated with this technique. You can’t count on all of the fat surviving, so there may be some shape and/or volume discrepancies after surgery that could require additional fat grafting to cure. Suction expansion of the breast followed by fat augmentation does however hold great promise because it is a definite step in the direction of developing a tissue which much more closely matches normal breast tissue than an implant ever could. In carefully selected patients, it eliminates the necessity of an implant, and all implant related complications.

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