Breast Augmentation in is an extremely popular surgery in Orange County and Los Angeles, California. Dr Charles Kim is a master at performing breast augmentation surgery – commonly referred to “boob job”, “breast enlargement”, “breast aug”, or “implant surgery”. Breast Augmentation involves using a saline or silicone implants or fat transfer to the breast in order to increase the size and volume of the breasts. Breast enhancements are often performed to give the patient a more fuller, youthful breast shape and also can be performed to improve symmetry or lift. Dr K. Charles Kim specializes in the no-touch technique and endoscopic breast augmentation to give you the best natural results with the minimal scars.
Breast size and shape can be enhanced using various types of implant sizes and shapes. Currently the there are four FDA approved implant manufacturers in the USA – Allergan, Mentor, Sientra, and Ideal. The first choice a patient must make is between an implant filled with saline (salt water) or silicone gel. Both types of implants are available in the same range of sizes and shapes referred to as profiles. Therefore, the similar breast appearance can be achieved with either type of implants. However, the difference is significant in the way they feel to the touch. This difference is more noticeable for patient who are thin and have less breast tissue covering the implants. For many patients choosing the right implant can be a difficult decision, but during the patient’s consultation with Dr. K. Charles Kim, all options are explored together and the process of choosing the right implant is stress free and exciting.
Breast Augmentation is performed under general anesthesia and take approximately one hour. The incision can be made around the areola, inframammary crease, axillary fold (armpit), or umbilicus (belly button). Each approach has its advantages and disadvantages regarding scar placement/appearance, sensibility effects, control of implant placement, and side effects and risks. Dr K. Charles Kim specializes in the endoscopic breast augmentation technique and uses the no-touch technique via a Keller funnel to minimize surrounding tissue and implant trauma.
The periareolar incision is popular among patient who concerned most about scar visibility. However, insertion of a silicone implant requires a 5cm incision; therefore, this approach is best for patient with a larger size areola. The major disadvantage of this approach is the greater risk of sensibility loss around the nipple and the risk of contamination from the milk ducts which may lead to more scar formation called contracture.
The inframammary (IMF) approach involves placing the incision along the lower breast fold. This approach has been shown to have lower risk of nipple sensory loss and contracture compared to the areolar approach. However, the scar may be more conspicuous if your breast are very perky in characteristic.
Breast augmentation can also be performed through an incision in the axillary fold (Transaxillary Breast Augmentation) or around the umbilicus (UBAM). However, these techniques are best for a particular candidate who are thin and do not have excessive breast skin. Furthermore, these approach are mainly performed with saline brest implants. Dr K Charles Kim specializes in endoscopic breast augmentation. Find out if you are a good candidate for this procedure.
Placement of the breast implant under the pectoralis muscle is referred to as submuscular or subpectoral breast augmentation. Dr K Charles Kim places most implants in the submuscular position. The main advantages for this position is the reduced risk of capsular contracture (hardening), greater tissue support of the implant and more tissue coverage to reduce visibility of implant ripples. However, this position may result in a higher position of the implant on the chest wall than desired. If this is anticipated from the preoperative anatomy, Dr K Charles Kim will perform a dual plane or “partial submuscular breast augmentation to position the implant more optimally into the lower breast envelope. This is accomplished by release the inferior attachments of the pectoralis muscle so the implant can be lowered slightly into the lower region of the breast envelope to create a more natural fuller curvature of the lower half of the breast mound.
In subglandular breast augmentation the implant is placed directly under the breast tissue on top of the pectoralis muscle. This implant position increases the risk of capsular contracture. However, patients who have more ptosis (sagginess) of the breast made benefit from this implant placement by allowing the implant to drop more into the saggy breast envelope to create a more natural result. Dr K Charles Kim may recommend dual plane breast augmentation and a breast lift before this technique is offered. Call for a comprehensive evaluation at Dr K. Charles Kim’s Los Angeles or Orange County office.