Breast Augmentation ( Augmentation Mammoplasty )

Breast augmentation (enlargement) is a surgical procedure that is used to enlarge small breasts, underdeveloped breasts, or breasts that have decreased in size or fullness following childbirth. It is accomplished by placing an implant behind each breast. To do this, an incision is made in one of three possible locations. The incision can be placed (1) in the crease under the breast (2) around the areola (the darker area of skin surrounding the nipple), or (3) in the armpit. Each of these incisions may have specific advantages or disadvantages. The final decision on which incision is used should be reached after a discussion with your physician.

The implants currently used for cosmetic breast enlargement are almost always salt water (saline) filled implants. The silicone gel implants are usually reserved for women having breast reconstruction after cancer. They may also be used in women having secondary or unusual breast enlargement surgery. The implants can be placed either directly under the breast tissue on top of the chest muscles, or underneath both the breast tissue and chest muscles. Again, there are pros and cons to each of these and you should discuss the different methods with your surgeon.

The shape of the implant is another option women have today in breast enlargement. Recent design changes have allowed the introduction of "high profile" breast implants. Viewed from the side, these implants have a greater projection and can take up and tighten excess breast tissue. Depending on which type is used, different shapes of the new breast can be obtained. Again, talk with your plastic surgeon to see if the anatomically shaped implants will give you the more natural look you desire.

The Operation: Breast enlargement is done as an out-patient procedure. This means you come in and go home the same day. The operation is usually takes approximately one hour to perform and is usually done under IV sedation with local anesthesia, meaning you go to sleep for the operation, and when you wake up it's all done. Drains are rarely used, and recovery is generally a 2-3 week period before vigorous activities are resumed. Routine activities can be resumed in 3 to 5 days.

Possible Complications: Although the operation is usually straight-forward and uncomplicated, problems infrequently occur as with any operation. These possible complications include bleeding around the implant, infection, change in sensation around the nipple, firmness of the breast from a capsule tightening around the implant, visible wrinkles in the implant, and asymmetry. Although all of these are unusual, it is important that every patient be well informed about the procedure, the options available, and the potential problems. Write down a list of questions and concerns to discuss with Dr. Kotoske at the time of your visit.

Please view our actual patient’s pre and post op photos which have not been retouched.

Case #: 14755



Patient: 5'11'' / 145 lbs. 22 Years Old. Implant: Smooth Round Pre-Op: 36A - Post-Op: 36C/D Right Fill: 425 - Left Fill: 400

Case #: 15330



Patient: 5'3'' / 109 lbs. 29 Years Old. Implant: Smooth Round Pre-Op: 34A - Post-Op: 34D Right Fill: 600 - Left Fill: 600

Case #: 16982



Patient: 5'4'' / 127 lbs. 40 Years Old. Implant: Round Smooth Pre-Op: 32B - Post-Op: 32C/D Right Fill: 420 - Left Fill: 400

Case #: 15362



Patient: 5'6'' / 117 lbs. 20 Years Old. Implant: High Profile Pre-Op: 32B - Post-Op: 34D Right Fill: 430 - Left Fill: 410

Case #: 16440



Patient: 5'1'' / 110 lbs. 35 Years Old. Implant: Round Smooth Pre-Op: 34A - Post-Op: 34C Right Fill: 310 - Left Fill: 300

Case #: 15378



Patient: 5'3'' / 110 lbs. 36 Years Old. Implant: Round Smooth Pre-Op: 34B - Post-Op: 34C Right Fill: 360 - Left Fill: 330

Case #: 16431



Patient: 5'2'' / 120 lbs. 30 Years Old. Implant: Round Smooth Pre-Op: 34A - Post-Op: 34D Right Fill: 410 - Left Fill: 410

Case #: 16642



Patient: 5'11'' / 130 lbs. 18 Years Old. Implant: Round Smooth Pre-Op: 34A - Post-Op: 34C Right Fill: 350 - Left Fill: 350

Case #: 15399



Patient: 5'1'' / 112 lbs. 47 Years Old. Implant: Round Smooth Pre-Op: 32A - Post-Op: 34D Right Fill: 415 - Left Fill: 400

Case #: 17400



Patient: 5'9'' / 150 lbs. 26 Years Old. Implant: High Profile Pre-Op: 36B - Post-Op: 36 Full D Right Fill: 540 - Left Fill: 540

Case #: 15213



Patient: 5'3'' / 112 lbs. 35 Years Old. Implant: Smooth Round Pre-Op: 34A - Post-Op: 34D Right Fill: 390 - Left Fill: 370

Case #: 14992



Patient: 5'3'' / 124 lbs. 25 Years Old. Implant: High Profile Pre-Op: 34B - Post-Op: Full C/D Right Fill: 430 - Left Fill: 420

Case #: 15013



Patient: 5'4'' / 118 lbs. 25 Years Old. Implant: Smooth Round Pre-Op: 34A - Post-Op: 34C Right Fill: 325 - Left Fill: 325

Case #: 14803



Patient: 5'11'' / 145 lbs. 22 Years Old. Implant: Smooth Round Pre-Op: 32A - Post-Op: 32C Right Fill: 300 - Left Fill: 300

Case #: 15287



Patient: 5'8'' / 126 lbs. 25 Years Old. Implant: Smooth Round Pre-Op: 34A - Post-Op: 34D Right Fill: 420 - Left Fill: 420

Case #: 16779



Patient: 5'7'' / 134 lbs. 22 Years Old. Implant: Round Smooth Pre-Op: 36C - Post-Op: 36C Right Fill: 450 - Left Fill: 450

Case #: 15109



Patient: 5'5'' / 120 lbs. 20 Years Old. Implant: Smooth Round Pre-Op: 34A/B - Post-Op: 34D Right Fill: 480 - Left Fill: 480

Case #: 15177



Patient: 5'2'' / 116 lbs. 38 Years Old. Implant: Smooth Round Pre-Op: 34B - Post-Op: 34D Right Fill: 450 - Left Fill: 440

Case #: 17472



Patient: 5'9'' / 150 lbs. 30 Years Old. Implant: Smooth Round Pre-Op: 32A - Post-Op: 32C/D Right Fill: 390 - Left Fill: 390

Case #: 17101



Patient: 5'5'' / 118 lbs. 22 Years Old. Implant: Round Smooth Pre-Op: 34B - Post-Op: 34D Right Fill: 420 - Left Fill: 420

Case #: 15022



Patient: 5'7'' / 122 lbs. 20 Years Old. Implant: Smooth Round Pre-Op: 32B - Post-Op: 32D Right Fill: 425 - Left Fill: 425