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Breast Augmentation

Looking to enhance your breast appearance with Breast Augmentation Surgery?  At Shape Cosmetic Surgery & Med Spa in Spokane and Tri Cites we pride ourselves on providing premier plastic surgical results.  Breast augmentation is a surgical procedure to increase breast size, contour and fullness. During breast augmentation, breast implants are placed under the breast, causing the bust to enlarge.  There are a number of reasons women undergo breast augmentation, including-



Achieving a more proportionate breast symmetry, size and contour

Restoring breast volume and firmness for women after weight loss,

pregnancy, or breastfeeding

Improving breast shapes for women that have sagging or have lost skin

elasticity (a reason that also frequently involves breast lift surgery)


Breast Implants Spokane and Tri Cities, WA







Saline Implants

Saline-filled breast implants are filled with saline, or a salt-water solution that is compatible with the human body. During breast implant surgery, the empty breast implant shell is placed inside the woman’s body and then filled with saline – enough to achieve the desired result. On the other hand, silicone gel-filled breast implants already contain silicone gel before being implanted inside a woman’s body.  Their volume cannot be adjusted during surgery.


Breast Augmentation Surgery Spokane and Tri Cities, WA







Silicone Gel Implants

Natrelle® silicone gel-filled breast implants have experienced acceptance for more than 25 years in over 60 countries. They were approved by the FDA for use in the US in November 2006. A gel-filled breast implant has an elastic silicone rubber shell and is filled with cohesive silicone gel. The safety of Natrelle® silicone gel-filled breast implants meet one of the most rigorous standards of all medical devices.

Silicone gel-filled breast implants are FDA approved for augmentation in women 22 years of age and older.



The Safety of Silicone Gel-Filled Breast Implant

Silicone gel-filled breast implants are among the most extensively studied FDA-approved medical devices in existence. In the United States alone, Allergan has examined the safety of silicone gel-filled breast implants in more than 80,000 women.

Women in the United States considering breast implant surgery now have the option of saline-filled or silicone gel-filled breast implants. The FDA has approved both types of breast implants after determining that each is safe and effective options for women undergoing breast augmentation, reconstruction or revision surgery. Ultimately, it is up to each woman, along with her surgeon, to decide which breast implant option will provide the look and outcome desired from the surgery.

The Shell of the Implants

The outer covering or shell of all breast implants is made of a silicone elastomer that is designed to be as durable as possible. 

Today’s silicone gel-filled breast implants have a thicker outer shell, a silicone patch and a silicone barrier material covering the entire surface.

The silicone patch covers the opening where the silicone gel is inserted into the shell. The thicker outer shell enables current silicone gel-filled breast implants to withstand more than 25 times the force of a normal mammogram without failure.

It is important to note that breast implants are not lifetime devices and breast implant surgery is likely not a one-time surgery. A woman may need additional unplanned surgeries on the breast(s) because of complications or unacceptable cosmetic outcomes. These additional surgeries can include implant removal with or without replacement, or other surgical procedures.

The Difference between Saline and Silicone

Women should discuss with their surgeons the implant filler material that is best for them. There are differences in the cohesiveness (firmness of the implant filler) between silicone and saline filler material. The decision of which breast implant filler is best for each woman also depends on the woman’s body type and her personal goals for surgery.

Saline is a liquid filler, and thus generally less firm than silicone gel.Silicone gel is a cohesive gel material, which results in a breast implant that is soft to the touch, but can still maintain its general shape in the body.

Implant Shape

Anatomical breast implants (style 410), which are also known as “teardrop or gummy bear” breast implants, are fuller in the lower half. They are designed to look as natural as possible. While this shape may work well for a select group of patients undergoing breast reconstruction surgery, the anatomical implant is used sparingly in augmentation. Because this design has a distinct vertical orientation, appearance may become distorted should the implant rotate. Patients that require a lift are not considered good candidates for this implant.

Round breast implants are the leading style used for breast augmentation. They are known to create a fuller look throughout the breast. An advantage of this design, as compared to anatomical breast implants, is that there is generally no adverse consequence should the implant rotate. Because it is round, there is no vertical or horizontal orientation. Due to gravity alone, the bottom portion of the breast will look fuller once the filler settles in. This creates contour similar to that of the anatomic breast implant, but avoids the risk of possible distortion.

Incision Sites for Breast Implant Placement

Your cosmetic surgeon plays a important role in explaining your options for surgery.
 Breast tissue, body type and implant type and size will all be considered 
before you and your cosmetic surgeon finalize a surgical plan. This is an overview of 
the most common incision choices your doctor can offer.

Inframammary Incision

 An inframammary incision is placed near the fold beneath your breast. This 
location can accommodate every size and shape of implant and is often 
concealed under your breast fold.

Periareolar Incision

The periareolar incision is performed on the border of the areolar (dark skin) around your nipple. 
It is known to have fast recovery times and will accommodate almost every size and shape of implant.

Transaxillary Incision

 A transaxillary incision is well concealed in the armpit and more removed from the breast area, so it is less noticeable. This location can accommodate all saline implants and most silicone implant. If you choose a silicone implant over 500ml, you may not be able to use this incision site. Your surgeon will discuss this with you while you decide on your choice of implant.

The Two Choices for Implant Placement

You can have your implants placed above the muscle (either subglandular or subfascial) or below the muscle (subpectoral). Your surgeon will discuss this with you, and help you decide which placement location is best for you based on your goals, breast type and other factors. The location choice will be part of your surgical plan.

How Can Large Silicone Implants be Implanted in most Incisions?

The Keller FunnelTM offers plastic surgeons many advantages:

• A simpler and easier gel implant delivery method

• The ability to offer patients shorter axillary and periareolar incisions

• A No-Touch delivery technique

Introduced to the market in 2009, the Funnel has been used successfully in more than 50,000+ augmentation and reconstruction procedures. The Funnel is versatile in its ability to be used for both augmentation and reconstruction procedures, and can be sized to work with a variety of implants, including: smooth round; textured; form stable; pectoral and gluteal.

The Keller Funnel™ is a disposable, FDA Class 1 device that is cone-shaped, with a special hydrophilic interior coating. It can be sized to accommodate the largest implants.

Plastic Surgery Specials

Contact Us Today for a Free Consultation

To schedule a complimentary consultation with Spokane/Tri Cities breast augmentation surgeon Dr. Lundeby, please send an email or call Shape Cosmetic Surgery & Med Spa, PLLC at 509-458-SKIN