Orange County Plastic Surgery News and Updates

In general, I prefer to perform most of my primary breast augmentation procedures partially under the muscle using a dual plane technique. This offers several benefits including nice superior pole slope, lower capsular contracture rates and an overall natural appearance. There are instances when one has implants in the subglandular position and may have significant rippling with saline implants or capsular contracture and they would benefit from a pocket conversion.

Contact Newport Beach Breast Implants Surgeon Dr. Sanjay Grover to schedule a confidential consultation.

Orange County Plastic Surgeon - Q & A

Ask Doctor Grover - Is there a way to tell if my breast implants are displaced?

Patients may sometimes incorrectly feel that their implants have ‘fallen out’ of their pocket. The implants do not have anywhere else to go. When patients describe this, they are usually affected by an overly large pocket which may allow the implant to move outwards towards the underarm. This can often be corrected with internal sutures or a lateral capsulorraphy.

Orange County Plastic Surgery - Q & A

Ask Doctor Grover - Is there a limit to how long my Breast Implants will last?

It is impossible to tell someone exactly how long their implants may last. It is possible that it could be for a lifetime. However, I tell my patients that they should not have breast implants placed unless they are open to having another surgery some time in their lifespan. Patients do need to understand that breast implants can ‘fail’, i.e., a saline implant can deflate and a silicone implant can ‘rupture’.

One will readily notice if their saline implant is deflating as their breast will become smaller withing a few hours to few days. Ruptured silicone implants may cause some sort of physical deformity or hardening of the breast; however, many times the rupture is considered ’silent’ as their is no visible evidence of a rupture. MRIs are the best way to detect a ruptured silicone implant, however, ultrasounds or mammograms may also detect ruptured silicone implants to a lesser degree.

Contact Orange County Plastic Surgeon Dr. Sanjay Grover to schedule a confidential, personalized consultation today!

Orange County Plastic Surgeon Q & A

Ask Doctor Grover - How big can I make my Breast Implants? Is there a maximum size allowed?

The maximum sized available silicone gel implant available is 800 cc. You can get slightly larger with a saline implant. However, you should not choose a certain size without being evaluated by a plastic surgeon to determine if it is the appropriate size for you based on your chest and breast dimensions as well as condition of your skin envelope. You say you feel that your 500 cc implants are smaller than your 375 cc saline implants. One possible reason may be that you have different profile implants. You may have had a lower profile implant before and now have a higher profile implant in which has more projection but is narrower.

Newport Beach Plastic Surgeon Q & A

You can change your implants at any time; however, this may not be the wisest thing to do early on. Generally speaking, you should avoid re-operation in the first 3 months unless there is an emergency that is ‘forcing’ you to do so. Your breast will evolve over the first 3-4 months and you will start getting ‘used to’ your new breasts. You likely had a detailed conversation with your plastic surgeon prior to undergoing this procedure and jointly decided on the size you were going for. Correct?

Give it some time. You may be very glad you did not rush into something too hastily. It does not have to do with bleeding.

Newport Beach Cosmetic Surgeon Q & A

Ask Doctor Grover - Increased Capsular Contracture Risk with Breast Implants Replacement?

Replacing your implant with a smaller one in the same pocket should be fine if using a gel implant. If you are thin with little breast tissue, you will want to avoid a saline implant in the subglandular position to avoid rippling. With regards to capsular contracture, you should be fine keeping your implants in the same pocket if you currently have soft breasts.

Realize, however, that anyone with silicone implants can at some point develop a capsular contracture. There is evidence to show that the submuscular position has a decreased incidence of capsular contractures but this may not be your best option at this point and given that you are a personal trainer.

Orange County Plastic Surgeon Q & A

Ask Doctor Grover - Tightness and Discomfort Normal for Post Breast Implants Surgery in Orange County

There are many factors involved that could contribute to a feeling of tightness or pressure following breast augmentation. One will generally feel tighter after a primary/first time augmentation, more so if completely under the muscle as opposed to partially under the muscle. Gentle massage and full time bra support may give you some assistance.

Orange County Cosmetic Surgeon Q & A

Ask Doctor Grover - Does Orange County Breast Reduction Include Breast Lift?

Most breast reductions will lift the breasts as well. There are rare instances when a breast reduction will be performed with liposcuction alone. Liposuction would rarely ‘lift’ the breast unless there is fantastic elasticity. Many breast reduction techniques will utilize the same incisions used for a breast lift with or without a breast implant.

Newport Beach Plastic Surgeon Q & A

It takes 4-6 weeks for your breast implants to ’settle’. There are many factors involved, including the tightness of your breast skin, envelope, the size and profile of your implant, the surface of the implant, and whether your implants were placed entirely under the muscle or partially under the muscle.

In reality, it is not that the implants have to ‘move’ down or ’settle’, it’s just that the lower pole of the breast tissue and skin needs to expand. Be patient.

Newport Beach Plastic Surgeon Q & A

Breast Implants Placement Under or Over Breast Muscle Effects Natural Look of Breasts

Breast implants are placed either on top of the muscle, entirely below the muscle, or partially under the muscle in a dual plane approach. I generally prefer the dual plane, partial retropectoral approach because, in my hands, I am able to achieve a more natural, tear drop shape with this technique because it prevents the implant from being too high in position on the chest wall in a unnatural position. Best advice is to seek a board certified plastic surgeon at surgery.org to set up a consultation to determine what is the best option for you. Good luck!