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Breast Augmentation

Breast Augmentation

Breast Augmentation Surgery in Scottsdale & Phoenix with Dr. Jonathan Weinrach

Balanced proportions are fundamental to beauty. Whether you have always had small breasts, or your breasts have changed over time, breast augmentation surgery, sometimes referred to as a “boob job” by patients, can help you achieve a shapely, hourglass figure.   Breast implants can also improve symmetry and cleavage.

Double Board Certified Plastic Surgeon Dr. Jonathan Weinrach offers several different breast augmentation options in the Scottsdale and Phoenix areas to meet women’s unique needs.  Every breast augmentation Dr. Weinrach performs is carefully customized to each individual woman’s unique anatomy and concerns.

Who Can Benefit from Breast Augmentation?

Breast augmentation may be right for you if you feel your breasts are small and are not in balance with the rest of your figure.   Women may also choose breast implants to restore volume that has been lost after pregnancy and breastfeeding or after losing significant weight.  Many women turn to breast augmentation after their child bearing years simply because breast implants create a more youthful appearing breast.  If you are in good health, you can have a breast augmentation at almost any age.

Want to learn more?

Make your aesthetic goals a reality. Jonathan C. Weinrach, MD FACS and his team look forward to exceeding your expectations. Schedule a personalized consult with Dr. Weinrach by clicking below.

Get Started

Want to learn more?

Make your aesthetic goals a reality. Jonathan C. Weinrach, MD FACS and his team look forward to exceeding your expectations. Schedule a personalized consult with Dr. Weinrach by clicking below.

Get Started

About Breast Augmentation Surgery

During breast augmentation, silicone gel or saline implants are placed just below the chest muscle.  A small incision is made just below each breast, in the crease where the breast meets the chest.  A pocket for the implant is created, almost always underneath the chest muscle.  Dr. Weinrach then gently slides the implant into the pocket before closing the incision with sutures.  When placing silicone gel implants, Dr. Weinrach uses a Keller Funnel®2 or iNPLANT® Funnel.  This specialized medical device prevents the implant from touching the skin, keeping it completely sterile.  These ingeneious devices allow breast implants to be inserted through a much smaller incision then ever before.

Which Type of Breast Implant is Right for You?

Silicone gel and saline implants are comprised of a flexible silicone outer shell. Silicone implants contain a viscous gel on the inside, while saline implants contain a saltwater solution. Most patients prefer silicone gel implants because they have a consistency that closely resembles human breast tissue; however, in some cases, saline implants may be the preferred option.

Silicone gel implants are a great choice for patients over the age of 22 who want an implant that provides a natural feel. Silicone implants also come in a variety of profiles and shapes. There are also a variety of different gel fillers. Modern silicone gel filled implants, sometimes referred to as “gummy bear implants” are filled with a much thicker “cohesive” form of silicone gel compared to the gel breast implants used in the past.   Round implants are the most flattering choice for most women.  Shaped, anatomic, or “tear-drop” implants do exist, but these implants all have textured shells which Dr. Weinrach does not generally recommend.   During your consultation, Dr. Weinrach will perform a thorough examination to determine which type will suit your anatomy.  We have a variety of different implant sizes and profiles in the office for you to feel and try on.

Saline implants can be ideal for younger patients, as silicone implants are FDA approved for use in patients over the age of 22. However silicone gel implants can be used in patients under the age of 22 as long as the patient is aware that this would be an off-label use. Saline implants are less expensive then gel implants and, when patients have enough good quality existing breast tissue, saline implants can feel highly natural.

The Ideal Implant®

Dr. Weinrach is one of just a few plastic surgeons in Arizona to offer the state-of-the-art IDEAL IMPLANT®. This is the only breast implant that contains a series of inner shells, rather than just one outer shell. These inner shells, or “baffle shells”, provide structure for the implant, creating a feel similar to silicone gel.  The implant is filled with saline solution.

For many women, the IDEAL IMPLANT® represents the perfect compromise between saline and silicone gel implants: it has close to the natural feel of a silicone implant, while providing the same peace of mind as saline.   There is no need for MRI follow up with the IDEAL IMPLANT® as is recommended with silicone gel filled breast implants.

Who Makes a Good Candidate for Breast Augmentation?

The best candidates for breast augmentation are healthy women without significant health concerns.   For women who have completed breast feeding, breast augmentation should be delayed until at least three months after milk production has stopped.  Patients age 45-54 should have a mammogram within one year of any breast surgery.  

Dr. Weinrach

Dr. Weinrach is dedicated to helping patients achieve their aesthetic goals through an individualized approach to patient care and commitment to safety. His extensive experience and unique skill set produces long-lasting, natural looking results.

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Recovering from Breast Augmentation Surgery

Recovery from breast augmentation is usually a rapid process.  Dr. Weinrach utilizes the Rapid Recovery technique, also known as the 24 hour recovery technique.  This technique involves minimizing and eliminating if possible the use of narcotic pain medication (which causes nausea), use of over-the-counter anti-inflammatory medication for discomfort, postoperative exercises designed to keep the chest muscles loose, and early activity.   Nausea-causing anesthetics are also minimized and avoided when possible.  These are all important factors designed to help make you feel back to normal as soon as possible after breast augmentation.  Many women even feel up to going out for dinner the evening after surgery.

Activity should be light for the first three weeks, then gradually increased over the next three. Your breasts may look larger than you expected at first due to postoperative swelling, but this swelling will gradually resolve.   Breast implants can take time to settle;  although you will back to normal activities rapidly, final healing takes place over weeks to months.   Dr. Weinrach will give you detailed aftercare instructions to follow in order to have the smoothest recovery possible.

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Arrange a Breast Augmentation Consultation in Scottsdale or Phoenix, Arizona

Body confidence is a powerful feeling — it can boost your self-esteem and increase your overall quality of life.  If you are not pleased with the shape or size of your breasts, breast augmentation might be the perfect solution for you.   Dr. Weinrach is a highly sought after breast augmentation surgeon.  Women travel from all over the United States and Canada to have their breast augmentation with him.  We also enjoy seeing patients from  other countries all over the world. To learn more about this procedure, contact double board certified Scottsdale Plastic surgeon Dr. Jonathan Weinrach at (480) 634-6014 to arrange a personal consultation.

breast augmentation faqs

During a breast augmentation you will meet with Dr. Weinrach.  He will discuss your concerns with you, and determine your goals.  He will then review your medical history.  Dr. Weinrach will then examine you, and take various measurements of your breasts.  Different breast implant options will then be discussed, and you will have an opportunity to see and feel different styles of breast implants.  You will also try on different breast implant sizers and look in the mirror with the sizers in place.  You are welcome and encouraged to bring a favorite shirt with you to the consultation to wear over the breast implant sizers. With all of this information, you and Dr. Weinrach will be able to arrive at a plan for your breast augmentation.  Dr. Weinrach will discuss details of the surgical procedure with you.  You will also have plenty of opportunity to ask questions and have them answered.   You may also bring a list of questions with you.

A breast implant comes in many different profiles. The profile is related to the volume of the implant and its width, or base diameter. For example, a 350cc breast implant may have a diameter of 12.5cm (moderate plus profile), 11.7cm (high profile), or 10.1cm (ultra high profile). For any given volume, a higher profile means a narrower diameter and more projection. One profile is not necessarily “better” than another, it just depends on each woman’s individual anatomy.

Silicone Gel Filled Breast Implants are the most natural feeling breast implants available.  If the implant is appropriately sized for the patient’s anatomy, in a patient with normal tissue, a saline or silicone gel implant will look about the same.  The new Ideal Implant, which a saline filled implant with internal silicone shells, feels almost like a silicone gel filled implant.

Fat transfer works for small increases in breast volume or for correcting irregularities in breast contour.  The problem with attempting large increases in breast volume with fat transfer is survival of the fat grafts which can be unpredictable.  Areas of fat that do not survive can become firm as well.  This is an area of current research.  The most consistent and reliable method of breast augmentation is still by placement of a breast implant.

As cup size is not a standardized measurement between bra makers, it is not possible to guarantee a particular cup size after surgery.  You can shop and be measured for bras at five different stores and be told you are five different cup sizes.  What is important is how your breasts appear, not what the cup size stamped on the label is.

It is very rare to have permanent loss of nipple sensation after a breast augmentation.  There may be temporary sensory changes to the nipple ranging from hypersensitivity (nipples that are more sensitive than usual), to decreases in nipple sensation.  These changes in nipple sensitivity are due to stretching of the sensory nerves from the implant as well as swelling from surgery.  These sensory changes almost always resolve with time.

No drains are used after breast augmentation.

Sutures for breast augmentation are absorbable – no sutures need to be removed after breast augmentation.

This depends on the type of work you do.  Very light activity is recommended for the week after breast augmentation, with no heavy lifting for six weeks.  People with sedentary , low activity types of work can be back to work very soon after surgery, even the next day in some cases.  The great majority of women are back to work with days to one week after surgery.

Very light activity such as walking is recommended for the first week after breast augmentation.  Aerobic activity can gradually be increased after the first week.  No lifting of weights or resistance type of exercise involving the arms or chest is recommended until three weeks after surgery.  After three weeks light resistance types of exercise can be started; no heavy weights or resistance types of exercises until six weeks after surgery.

Breast implants placed in a submuscular pocket through an inframammary crease incision do not affect the ability to breastfeed; however some women are simply unable to breast feed, with or without a breast implant.

Yes, it is possible for a breast implant to rupture.  This is an unusual occurrence.  This is obvious when a saline breast implant ruptures as the saline is absorbed by the body and there is a noticeable difference the volume of the breast.   A silicone gel breast implant rupture may not be obviously noticeable; for this reason it is recommended to have a breast MRI three years after breast augmentation with a silicone gel filled implant and then every two years after that.

Yes.  It is still recommended to have mammograms after breast implants are placed.

It is not recommended to have routine MRIs for patients with saline filled breast implants.  For patients with silicone gel filled breast implants, it is recommended to have an MRI three years after breast augmentation and then every two years.

You will not hurt anything by moving after breast augmentation surgery; in fact moving is recommended – arm exercises are helpful to prevent spasm and discomfort after surgery; Dr. Weinrach will teach you these exercises before surgery.

Yes, it is very important to wear a bra after breast augmentation.  Breast implants add weight to the breasts, and support is needed to help keep the breast implants in good position.  Not wearing a bra after surgery can cause breast implants to stretch out the skin and get lower with time.

Yes, breast augmentation is performed under general anesthesia.

Yes, because the surgery is performed under general anesthesia, it is recommended to have a responsible adult stay with you for at least 24 hours after surgery.

Possibly but not certainly.  There is no evidence or recommendation that a breast implant has to be replaced after a certain amount of time.  If the size and shape of the breast remain acceptable and there is no sign of implant rupture, than it is not mandatory to replace the implants.

This is variable and mostly depends on the type of breast implant selected.  Saline breast implants cost much less than silicone gel filled breast implants;  there are many different styles of silicone gel breast implants available as well, each with different costs.   Some breast augmentations are very straightforward and some are more complex due to anatomical issues or previous surgery – the complexity of the surgery can affect the length of time the surgery takes which also affects cost.  The reality is that the operating room staff, anesthesiologist, nurses, and surgical technicians are all paid hourly – the longer a case takes, the more it costs.  The best way to determine the cost of a breast augmentation is to have a consultation with Dr. Weinrach in order to sort out all of these issues in order to determine an accurate cost.

We offer MENTOR MemoryGel, MENTOR MemoryGel Xtra, MENTOR Saline, Allergan Natrelle INSPIRA Responsive, SoftTouch, and Cohesive, Sientra OPUS Luxe, and IDEAL IMPLANT.  Dr. Weinrach uses only smooth shell implants; he does not use textured breast implants.  The implants are all available in different profiles and volumes.

While there are countless types of insurance plans, to the best of our knowledge the great majority if not all of them will not cover the costs of breast augmentation surgery. We are not a contracted provider of any private health insurance plan; we are not able to send insurance companies any requests for coverage or letters of medical necessity in order to obtain insurance authorization.

After breast augmentation, Dr. Weinrach places a water-proof dressing over the incision.  You may shower any time, but only after you are fully awake and alert, after the effects of anesthesia have worn off.

This depends on the size and type of breast implant being placed.  Most silicone gel implants and all saline implants can be placed through an incision of 3.5cm, which is about 1 and 1/3 inches.  Larger implants may require slightly longer incisions.

The ideal location for a breast augmentation is in the inframammary crease, which is the area were the lower part of the breast meets the chest skin.  Placing the incision at the areola, in the armpit, or belly button has the disadvantage of being in areas with more bacteria.  Incisions in these areas probably increase the risk of developing a capsular contracture, which is a firm scar than can develop around a breast implant known to be associated with bacteria.  Incisions in the armpit can also be visible with swimwear.  The inframammary crease incision is well hidden by swimwear and its location, and is the best location for a breast augmentation incision.

A breast implant can be placed either under the pectoralis muscle, or on top of it.  The pectoralis muscle is a muscle on the chest wall that attaches to the upper arm.   There are several advantages to placing a breast implant under the muscle:  Having some muscle on top of the implant places more natural soft tissue over the implant which makes the implant look and feel more like natural soft tissue.  Secondly, placing the implant under the muscle greatly reduces the risk of developing a capsular contracture, which is thickened, firm, scar like tissue that is not desireable.  Lastly, placing the implant under the muscle facilitates interpretation of mammograms.  Dr. Weinrach nearly always recommends placing a breast implant under the muscle for primary (first time) breast augmentations.   Patients who already have implants above the muscle with good soft tissue coverage who desire implant exchange for simple reasons such as size change are an occasion when Dr. Weinrach may decide with you to leave the new implant on top of the muscle.