Breast Augmentation – Natural Looking Results
Are you self-conscious of your naturally small or asymmetrical breasts? Or, were you disappointed to see a change in your breast size or shape after pregnancy and nursing? If so, Dr. Donald Hause can help. Dr. Hause is a leading Sacramento breast augmentation surgeon who can improve the fullness of your breasts with implants. He has been delivering beautiful, natural-looking results for breast augmentation patients for nearly two decades.
Why Do Patients Choose Dr. Hause?
- Board Certified plastic surgeon
- Premier plastic surgery facility
- Friendly, professional team
- More than 5,000 procedures performed
- Advanced fellowship training in aesthetic surgery
- Member of prestigious medical associations — has held several leadership positions
- Consistently stunning results — visit our before-and-after breast augmentation gallery for examples
- Great value for your investment with competitive pricing- learn more
Candidates for Breast Augmentation
Dr. Hause evaluates potential breast augmentation candidates on a one-by-one basis during a personal consultation. Suitable candidates are women who are in good general physical and psychological health; do not smoke; and do not have any uncontrolled medical issues (such as cardiovascular disease or an autoimmune disorder) that could compromise the surgery or healing. It’s also important that breast augmentation candidates have reasonable goals of surgery and desire improvement, not perfection. Lastly, they should understand the possible (but rare) risks of surgery.
During your breast augmentation consultation, Dr. Don Hause will examine your breasts, noting the amount of natural tissue and the quality of the skin. He will inquire about your goals of surgery and explain whether they are realistic. Dr. Hause will also ask you questions about your medical history and any previous surgeries to help confirm your candidacy.
If you decide to schedule your surgery, Dr. Hause will draw up a treatment plan that details how he plans to approach your case. This will include the type of implants, the incision pattern and implant placement location he plans to use. Once you have scheduled surgery, you will receive comprehensive pre-operative instructions to help you prepare for the experience.
During your consultation, or at any point during the pre-operative phase, you are encouraged to ask questions about breast augmentation and the surgical experience. Dr. Hause will take plenty of time to answer your questions and address any concerns, so you feel well informed and comfortable with what is about to take place.
Making Decisions about Breast Augmentation
Breast augmentation is a highly personalized surgery. Together, you and Dr. Hause will plan out the procedure based on factors such as your goals, your body type and Dr. Hause’s professional opinion.
Breast Implant Types
Saline implants are made of a silicone rubber shell and are inflated at the time of surgery to the desired size with saline (.9% saltwater). If a saline implant leaks or ruptures, the body simply absorbs the water with very few side effects other than volume loss (some patients say that they wake up with a “flat tire”). This safety feature is one of the primary advantages of saline-filled implants. Another advantage is that they come deflated, allowing Dr. Hause to use a much smaller incision for placement. Though saline-filled implants do not feel like normal breast tissue, they are acceptable in appearance and feel for patients with adequate soft tissue (breast and muscle tissue).
Silicone implants have been deemed safe by the FDA for routine use in women at least 22 years of age (or breast reconstruction patients 18 years or older). Silicone gel is the most natural feeling and looking implant filling available. The obvious disadvantage of silicone gel implants is that they come pre-filled from the manufacturer, and thereby require a larger incision (two inches) for placement. Also, silicone gel retains its shape better than saline. If a silicone implant leaks or ruptures, it is difficult to detect because the implant stays largely intact. Because of this risk, the implant manufacturer recommends routine follow-ups with MRI scans at various intervals to detect rupture. MRIs are an added cost that silicone implant candidates should consider.
Ideal implant: Finally, beauty without compromise. Now available in our office, the IDEAL IMPLANT® Structured Breast Implant has a natural feel, and advantages over silicone gel, such as only saline inside for peace of mind. Unlike silicone gel implants that have a high rate of silent rupture and require an MRI scan for detection, with the IDEAL IMPLANT, you can look in the mirror each day and be confident your implants are intact. The IDEAL IMPLANT, has been in clinical use since 2009. It has been approved by FDA and Health Canada, and is only available through a limited Network of board certified or eligible plastic surgeons.
There are three standard options for breast implant incision placement:
Transaxillary incision (in the armpit): Placing the incision in the armpit is considered advantageous because there is no incision or potential for scarring on the chest. However, the most critical part of breast augmentation is placement of the implant in the fold below the breast. Since the transaxillary incision is the farthest from the fold, it is technically more difficult to place the implant precisely.
Inframammary incision (under the breast fold): Most plastic surgeons were trained to place implants through an incision under the breast fold. It is straightforward and can be used with all implant types.
Peri-areolar incision (around the nipple): The majority of plastic surgeons prefer to make the incisions around the nipple, if possible.
Another decision that you and Dr. Hause will make together is whether to place the implants above or underneath the pectoralis (chest) muscle.
Many women with saline implants opt to have them placed underneath the muscle to help hide the implant under the body’s soft tissue. This way, the implant is less visible and feels more natural. The drawback to having implants placed underneath the muscle is that it may lead to more post-operative discomfort and a longer recovery.
Because silicone gel implants feel more natural, they do not need the extra padding of the body’s tissues. Some patients elect to have them placed above the pectoralis muscle, which may decrease post-operative discomfort and recovery.
Breast augmentation is an outpatient procedure performed under general anesthesia. Although some practices perform breast augmentation with sedation and local anesthesia, Dr. Hause believes it is a more pleasant experience with general anesthesia, and can be performed more precisely while you sleep.
Dr. Hause will make the surgical incisions in the pre-determined location. He will carefully make a small pocket in the breast tissue to accommodate the implants. He will place and position the empty saline implant shell or the pre-filled silicone implant in the pocket. In the case of saline implants, he will fill the shell to the desired capacity using a small port. When Dr. Hause is finished with these steps, he will close the incisions with sutures.
Recovering from Breast Augmentation
During your initial recovery, you will have bruising, swelling and soreness. These side effects will subside with time. It’s crucial that you rest your body as much as possible and refrain from any bending, lifting or strenuous activity that could cause a complication. If you experience any discomfort, take pain medication as prescribed.
Dr. Hause will see you the day after your surgery, and give you a post-operative bra to wear. This bra helps the breasts as they heal. He will see you again 7 to 10 days later to remove your sutures, and again eight weeks after surgery to make sure your implants are settling into their pockets and everything is progressing normally. He will advise when you can return to work, exercise and the rest of your normal activities.
Breast Implants Cost and Financing
Breast augmentation cost varies, depending on factors such as the breast implants used. You will receive a specific quote for your breast augmentation during the consultation. We offer great value with an experienced, caring and board certified plastic surgeon.
Our office is pleased to offer CareCredit, the nation’s leading patient financing program. CareCredit allows you to finance 100 percent of your breast augmentation surgery, with no upfront costs, no annual fees and no pre-payment penalties. CareCredit makes it possible for you to schedule your surgery immediately and conveniently pay over time in low monthly installments.
Breast Augmentation FAQs
How long do I need to be off work?
The amount of time you take off work depends on several factors. Women with sedentary desk jobs typically go back to work within a week or so; physically strenuous jobs usually require additional days off. Dr. Hause can discuss your recovery schedule with you in detail during consultation.
Will the size of my breasts decrease as swelling subsides?
Initially, your breasts will probably look bigger than you expected. This is largely due to post-operative swelling around the implants, not the implants themselves. As the swelling subsides, your breasts will decrease in size. They should settle around the size that you and Dr. Hause discussed prior to surgery.
Should implants be placed under the muscle or over the muscle?
It depends. There are pros and cons to each approach. For example, placing the implant under the muscle provides more coverage (especially for women with very little existing breast tissue); however, the recovery for that approach is a little longer and a bit more uncomfortable.
Can I have children after breast augmentation surgery?
Yes, many women with breast implants are able to nurse successfully. If you are planning to have children in the future, mention this to Dr. Hause during your pre-operative consultation so he can take this information into account as he plans your treatment.
How long should I wait to have capsular contracture fixed?
Capsular contracture is a complication of breast augmentation in which scar tissue forms around the implant, hardening it. Typically, treatment should be deferred until the post-operative swelling has subsided and the breast tissues have completely healed (approximately three to six months).
How long after breast augmentation can revision be performed?
If you are unhappy with the results of your breast augmentation procedure (either because of a complication or because you don’t like the size or shape of your implants), implant revision surgery is an option. Dr. Hause urges you to wait until your breasts have fully healed from surgery (at least six months) before considering revision surgery. If you are still unhappy at that point, he can discuss possible solutions.
When does swelling begin to subside?
Post-operative swelling begins to subside several weeks after surgery. It may take up to six months for the swelling to disappear completely.
How long do I have to sleep on my back after breast augmentation?
To avoid putting unwanted pressure on your new breast implants, Dr. Hause recommends you sleep on your back for two to four weeks after your operation.
When can I resume basic cardio exercises after breast augmentation?
Gentle exercise, such as walking, is permitted as soon as you feel ready and have the energy. More strenuous exercise, including jogging and cycling, should be avoided for four to six weeks. Dr. Hause can provide a more detailed timeline during your consultation.
How do I pick my implant size?
Think about your natural breasts, your lifestyle and the type of results you would like to achieve. Based on these factors, Dr. Hause will help you select a pair of implants that is appropriately sized. You can “test out” implant sizers in our office to compare different sizes.
How do I decide on the incision approach to be used?
Dr. Hause will describe the incision options during your consultation and recommend the best approach based on the type and size implants you choose, as well as your anatomy.
Have more questions?
If you have additional questions about breast implants and/or breast augmentation surgery, please contact Dr. Hause today. He would be happy to meet with you for a consultation and discuss the operation in more detail.
Schedule a Breast Surgery Consultation with Dr. Hause
If you are considering breast augmentation, Dr. Hause encourages you to contact our office to schedule a consultation. Call (916) 646-6869 or send us an email today.