Women choose to have breast augmentation for a variety of reasons. They may have always been unhappy with their breast size. Maybe they have had children and lost volume of the breast tissue from pregnancy or breastfeeding. Or they might just feel like their breasts are not in proportion with the rest of their body. Whatever the reason, breast augmentation, also known as augmentation mammoplasty, can help a woman feel more comfortable with her body by delivering fuller breasts. Many women who have had breast augmentation say that they feel much more confident with their new shape. PeaceHealth Medical Group’s special interest, research, and extensive experience in breast enhancement procedures mean that patients are getting the latest in breast surgery techniques, in one of the most respected offices in the Vancouver, Washington and Portland, Oregon area.
Breast Augmentation Reviews
"34 Years Old, in for Fuller Lips and Advice on Past Procedure Results - Vancouver, WA - I initially visited Dr. Gabriel as I wanted a fuller appearance in my lips, and to even out a 'fat lip' that I have had since I was a child, as a result of a nasty fall onto a hardwood floor. I expressed that I wanted an overall fuller appearance, and that I would also like both sides of my upper lip to appear more symmetrical. He was not only kind, but so knowledgable and attentive. He was quick to offer advice on what he felt my best treatment options were, and we proceeded with Juvaderm. I cannot tell you how impressed I was with my result. While we were talking, he did offer the treatment option of removing a small piece of tissue to make a more symmetrical lip, and I kept it in the back of my mind. My next appointment with him was to discuss that option further. Much to my surprise, when I thought I was going in simply for a consult, he offered to do the procedure right then and there. I gladly took him up on his offer, and I will tell you, my life is forever changed. Something so small, and so simple has made such a dramatic difference in my life. He was incredibly comforting on my frazzled nerves, checking constantly that I was doing well, and describing what he was doing so I didn't panic. He was fast and meticulous, and my result has been amazing. He also took the time to look at what I felt like was abnormal or excessive scarring from a past breast augmentation, and he again offered options, thoughts, and reassurance. He then set me up with a series of laser treatments on the scarred area and a topical cream to help fade scarring, and did not charge me a thing. I was obviously floored. The professionalism, kindness, generosity, and talent of this man are unsurpassed. He has incredible bedside manner, and literally makes you feel like you are a part of the family. I truly wish that I would've ventured out to find him prior to my breast surgery, as I know that I would've been so much more pleased with the result. You had better believe that I will be trusting him with my next surgery. I have since returned to his office for several other small procedures, only to be treated with kindness, respect, enthusiasm from all. I honestly could not think of anyone else I could recommend so highly and wholeheartedly to anyone. You will receive the best care available, and leave feeling fantastic. Dr. Gabriel is TRULY the best of the best."- T. / RealSelf / Mar 11, 2015
"Self Confidence - Oregon, IL - Excellent Surgeon"- N. / RealSelf / May 22, 2012
"32 Year Old Mom of Three Desperately Needing a Breast Augmentation - Vancouver, WA - Dr. Gabriel is both professional and personable. He is meticulous and well prepared. He fully explained the pre and post preparation for the procedure. His expectations for recovery time was accurate and he saw me regularly over the next 6 months to ensure that I was healing properly. His office support is excellent and I've always been treated warmly and professionally. I felt very well taken care of by Dr. Gabriel and his office! Again, my experience couldn't have been better!"- L. / RealSelf / Jul 27, 2014
""35 Year Old, 4 Kids, Fit Mom in Need of a Breast Augmentation and Chose Gummies" - Vancouver, WA - Dr. Gabriel is amazing! He listened to what I wanted, answered all of my questions and the outcome was exactly what I wanted. The care I received before and after surgery was wonderful, I knew that I could call at anytime with any questions or concerns and actually talk to him or a staff member."- L. / RealSelf / Nov 25, 2014
"Breast Reconstruction Revision/implant Replacement. Vancouver, WA - I would give Dr. Gabriel a 5 star rating in every category. His bedside manner is impeccable as is his aftercare and follow up. He encourages patients to call him if they have ANY concerns and he gets back to you immediately. His staff are very knowledgeable, professional, warm and welcoming. He answers all questions thoroughly. He is truly a wonderful surgeon and Vancouver is very lucky to have him in our community."- H. / RealSelf / Dec 11, 2014
Natrelle® Breast Implants
At PeaceHealth Medical Group Plastic Surgery, we are proud to offer Natrelle—the world's most elegant breast implants. The Natrelle Collection is the result of 25 years of experience with the science and aesthetics of breast augmentation and enhancement and represents today's most current breast augmentation and enhancement technology. Natrelle offers breast implants in both saline and silicone round implants as well as highly cohesive anatomically shaped silicone (also known as gummy bear) implants.
Saline Breast Implants
Saline implants have always remained a positive choice for patients when deciding what type of implant to use for breast augmentation. Because these implants are filled with a sterile saltwater solution, any potential leakage does not pose a threat as the solution is safely absorbed by the body. Saline implants also cost less than the silicone type. One of the disadvantages of saline implants is that in some cases, rippling can appear. This is especially something to consider for women who are thin and have low breast tissue. Those who opt for this type of implant must be at least 18 years old.
Silicone Breast Implants
Silicone breast implants are very popular today and are highly recommended by surgeons for patients who are thin and desire a natural look. Since the FDA validated their safety and efficacy, safety concerns surrounding these implants are today almost no different than that of saline. The silicone shell is prefilled with silicone gel and comes in different sizes, shapes and textures. Unlike saline implants in which leakage is absorbed by the body and implant volume appears visibly flat, it is difficult to tell when a silicone implant ruptures. An MRI is required to detect any rupture. Patients considering silicone implants must be at least 22 years old.
Breast implants come in a variety of different profiles. The selection is based on how enhanced the breasts’ projection would be, as well as how wide the implant will be on the chest wall in relation to the base width. Since the silicone implants are already pre-filled, the standard profiles come in low, moderate, high and extra high. Saline implants, however, come in variants that are either prefilled; or, the silicone shell is inserted then filled with saline solution up to the patient’s preferred profile. Choosing the right profile can sometimes be a difficult decision and it is up to a skilled surgeon to help guide the patient accordingly. High profile breast implants will have greater projection, but less width on each side, whereas a moderate profile, for example, will not have as much projection, but will be broader.
The standard shape of a breast implant can either be rounded or tear-shaped. Each shape serves a different aesthetic function as it pertains to the patient’s goals. Rounded implants produce a shapelier curve on the top portion of the breast. The teardrop implants are shaped to copy the natural appearance of the breast, so they will not appear as high.
Implants are made with either a smooth or a textured surface. In general, smooth implants cost less and are more common. The textured implants were initially conceived out of the idea that it reduces the chances of capsular contracture (the constriction of scar tissue around the implant) although there is no valid claim to this. The textured type is more common with the teardrop shape as the rough texture adheres to tissues helping the implant stay in place.
The two most common placements are on top of the chest muscle or under it. When the implant is placed under the muscle, a pocket is created within the pectoralis major muscle. A pocket is also created if it is placed in front of the muscle, but many surgeons do prefer the submuscular approach (behind the muscle). This helps to keep the implant in place for a longer period of time and takes into consideration factors such as implant size, weight, gravity, and time. Placing the implant behind the muscle also provides a natural look and provides the implant with the long-term support it needs to stay in position.
There are several standard incision approaches for breast implants. The most common is known as an inframammary incision, which is an incision near the breast fold. Second, is an incision made under the areola, which is known as a periareolar incision. A third option is to place the incision within the armpit, known as a transaxillary approach. There is also an incision approach that takes place around the belly button, but this is the least recommended way. It is up to the patient’s desires and surgeon recommendation as to what approach is best to take. Scarring is also discussed at this time with each method.
Breast augmentation is an outpatient procedure that may last from an hour to several hours. It is performed using general anesthesia in an accredited surgical facility. All activities must be limited within 48 hours after surgery. There will be bruising and swelling, and a compression support bra will also be worn to help in healing. It is normal to feel tightness around the chest area as the skin adjusts to the breast’s new shape. Most patients can resume normal activities within 7 days; exercise should be avoided for 4-6 weeks. It takes approximately 6 months for the breasts to look, feel and function normally in regards to softness, sensation and final placement.
Plan Your Procedure
- Recovery Time
- 2-3 Weeks
- Average Procedure Time
- 60 Minutes
- Post-op Follow-up
- Procedure Recovery Location
Breast Augmentation FAQs
Natural or Artificial?
This depends on the patient’s breast make up. Those who opt for implants may choose between saline or silicone as each has its own advantages. Generally, patients who have low breast tissue will benefit from silicone implants; otherwise, saline implants are recommended. For fat transfer, the advantage is that it poses less risk since there is no introduction of foreign material in the body. However, the results do not last long compared to artificial implants as fat can be reabsorbed by the body.
Negative notions about silicone started back in the early 90s when there were cases of leakage and complications. With today’s advancements in engineering, the silicone-based shells are made durable and safe, and have been proven so by the FDA. Today, in fact, silicone is more preferred than saline since they last longer and feel more natural. The rates of reported complications have significantly decreased in the last decade.
Today’s silicone implants are strong, durable and safe. Technical advancements have come so far, that even if a silicone implant does rupture, the shell of the implant will keep the silicone gel encased and protected from entering the body. In a rare case that a silicone implant does rupture, an MRI will be needed to detect the rupture. This is the main reason why MRI checks are recommended 3 years after surgery and every 2 years succeeding the first MRI.
Implants may last up to 15 years. As long as the implant shows no signs of damage or visible defects, such as breast rippling or a deformity, replacing them is not necessary. What’s necessary, however, is a periodic check of the implants to make sure that they are still intact.
Implant or Lift?
Breast augmentation is a cosmetic procedure designed to enlarge breasts while a breast lift is designed to tighten the loose skin of a droopy breast. Both resolve different breast issues. There are cases that the procedures are simultaneously done when it is agreed that a breast lift with augmentation is necessary.