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Breast Augmentation

Full, shapely breasts can greatly enhance a woman's appearance, reflecting her femininity and sensuality. While not every woman is born with the breast size and shape she desires, a new look can be achieved with breast augmentation. In Portland, Oregon, Portland Plastic Surgery Group performs this cosmetic surgery procedure to help women improve their appearance – and maybe even their confidence and self image.

If you're looking in the Portland, OR area for a breast augmentation specialist, request a consultation online to meet with one of our board‐certified plastic surgeons. Or you can call our office at (503) 292-9200 to schedule an appointment.

Breast Augmentation Before & After

BeforeAfter

See more breast augmentation patients in our photo gallery.
*Keep in mind that each patient is unique and your results may vary.

Your Breast Augmentation

Women consider breast augmentation for many personal reasons, which may include one or a combination of the following:

  • Increasing the size of naturally small breasts
  • Restoring breast volume that was lost after pregnancy and breastfeeding
  • Attaining balance between breasts when one is smaller than the other
  • Defining cleavage between the breasts
  • Enhancing a sense of femininity

In addition to breast augmentation, a breast lift may be required to give you the attractive shape you want. Although breast implants on their own can provide a marginal lift, adding a breast lift prevents premature sagging after the implants are placed. This is also a common choice among women who have had children or lost a large amount of weight, because the shape and position of their breasts is often a concern, in addition to volume. These 2 procedures are easily performed together and can create an impressive result once you're fully healed.

Many women combine breast augmentation with a tummy tuck and liposuction — a procedure known as a Mommy Makeover for a more comprehensive enhancement of the body.

Breast Augmentation Choices

With every procedure we perform, Portland Plastic Surgery Group considers the individual patient and her unique goals and concerns. Your surgeon will work closely with you, guiding you through your options so that your breast augmentation reflects your personal style. In addition to helping you choose your breast implants, your surgeon will help you select your incision and implant placement.

Incision Options

Breast augmentation is performed using one of the following incision options (see illustration):

  • An inframammary incision is placed in the fold below the breast.
  • A periareolar incision is placed along the lower edge of the dark skin around the nipple (the areola).
  • A transaxillary incision is placed within a natural crease of the armpit.

Your choice for breast augmentation incision depends on a variety of considerations including:

  • Personal preference: Is it important to you to have no scar on the breast?
  • Type of breast implants: Saline typically requires a smaller incision than silicone.
  • Whether a breast lift is also being performed: Implants can be inserted through the breast lift incisions, if so.

Implant Placement

After your surgeon makes the incision, he or she creates a space for the breast implant called the pocket using one of the following techniques (see illustration):

  • Submuscular placement is behind the breast tissue and chest muscle, which provides greatest coverage of the upper portion of the implant and usually the most natural-looking results.
  • Subglandular placement is behind the breast tissue and above the chest muscle. This placement is appropriate only for women who have enough natural breast tissue.

Your surgeon will discuss both options with you, and make a recommendation that accounts for your natural anatomy, your personal preferences, and the type of implant you have chosen. For answers to common questions about breast augmentation, visit our Breast Augmentation FAQ page.

Our Board-Certified Surgeons

Combining artistry with the science of
medicine, board-certified plastic surgeons
Dr. Yale S. Popowich, Dr. Shannon O'Brien,
and Dr. H. Daniel Zegzula serve women and
men in Portland.

Your Procedure

At Portland Plastic Surgery Group, our surgeons perform breast augmentation at a local surgery center while you are under general anesthesia. Your surgeon carefully follows the treatment plan you developed together during your consultation.

We begin by making an incision in your preferred location and then creating a pocket for the implant within your breast tissue. We place the implant inside this pocket. If you selected saline implants, your implants are added while empty and filled once they're in place. We check your implants for symmetry before closing your incisions with sutures.

After your procedure is over, our surgical team moves you to a recovery area where you can wake up comfortably. After a brief period of observation, you are sent home with a friend or loved one who can help you with your care.

3D Vectra imaging

See Your Potential With
VECTRA® 3-D Imaging

We're excited to offer breast augmentation patients the opportunity to visualize their own possible results prior to surgery thanks to the innovative VECTRA 3-D imaging system. Using a composite photo of your body, you and your surgeon can work together to picture your ideal outcome, leading to results that are perfectly planned just for you.

Your Recovery

After your procedure, you can expect some temporary discomfort and swelling. This is completely normal. By allowing yourself time to rest, taking prescribed pain medication as needed, and carefully following your surgeon's instructions, you can ensure that any adverse effects will fade as quickly as possible.

Preparing for recovery is very helpful. Here are items to have on hand before your operation:

  • Ginger ale, Sprite, or 7-Up to sip if you feel nauseous from the pain medication or anesthesia
  • Bland foods, such as oatmeal, bananas, rice, or toast, in case nausea is an issue
  • A heating pad if you experience back pain (not for the breasts)
  • Ice packs to reduce swelling (place a wash cloth or hand towel between the pack and your skin)
  • Plenty of tops that zip or button up in the front (i.e., nothing you have to pull over your head)
  • Comfortable pants, such as yoga pants
  • Books and TV remotes accessible from the place you will be resting most often

Prior to surgery, clean your home, fill whatever prescriptions you have, and take care of any pressing errands that you won't be able to accomplish in the week after the procedure.

Most women take between a few days and 1 week off from work, depending on the nature of their jobs. Many of our patients are anxious to return to the gym, but it's important to avoid strenuous activities for about 6 weeks. That's especially true for any upper body workouts.

That said, it is important to walk and move around to maintain healthy blood flow, even on the day of the surgery. You'll need to start very simple (as in taking a lap around the house), but increase the duration and intensity of exercise gradually. During your consultation, we give you a more thorough overview of your expected timeline. Once you are fully recovered, you'll be able to enjoy your beautiful new breasts for many years to come.

Breast Augmentation Before-and-After Photos

BeforeAfter

*Keep in mind that each patient is unique and your results may vary.

Common Questions

What factors determine the cost of breast augmentation?

Many things go into your final cost, and most of them depend on your unique body and your unique goals. That makes it difficult to provide a price before we meet you.

Generally, more complex or significant cases are more expensive than straightforward procedures. Additionally, the type of implant you choose affects the cost of your surgery. During your consultation, you and your surgeon discuss the cost estimate of your procedure.

I had a breast augmentation several years ago and want to update my results. What are my options?

It's not uncommon for women to consider a secondary procedure if the results of their primary augmentations were unfavorable or are less prominent. We offer breast augmentation revision to help these patients get the natural-looking, long-lasting results they want, with minimal additional scarring.

Can I combine breast augmentation with other procedures?

Yes. Our surgeons often perform breast augmentation in conjunction with other procedures, such as tummy tuck and liposuction. This approach can create cohesive, transformative results in a single surgery.

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