Breast Implant Surgery Portland
Enhancement / Enlargement Surgery:
What is unique about a breast augmentation performed by Dr. Hayes?
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Enhancement / Enlargement FAQS:
Why should I choose Dr. Hayes?
What is the internal bra?
Which size implant should I pick?
Recovery: What can I expect?
When can I drive?
When can I go back to work?
What about working out?
Do I need a lift with my breast enlargement?
- Dr. Hayes is a breast augmentation expert with years of experience.
- He uses an internal bra for every procedure and this makes results far better than traditional breast augmentation surgery.
- He's known for honest advice and never "sells" you surgery.
- 100% cosmetic surgery practice.
- More than 50% of the surgeries he performs are breast augmentation.
- He specializes in 24 hour recovery.
- He helps you choose the perfect size.
- He's a fat grafting specialist. Adding fat on top of the implant sculpts cleavage.
What is the internal bra?
- Internal bra uses your own tissues to create a permanent shelf for the implant.
- No mesh. No foreign materials.
- Internal bra holds implants in place and prevents them from sliding down your torso.
- Internal bra = more cleavage, more fullness and it preserves the beautiful shape of your torso.
Which size implant should I pick?
- Choosing your implant is a very personal choice and it's done together with Portland plastic surgeon Dr. Hayes.
- You'll try on breast implants to get a sense of the size that you like.
- Your goal look and your breast measurements are used to pick an implant that's just right for your body.
- Carefully sized implants are a key part to helping you get back to day-to-day activities within 24 hours.
Recovery: What can I expect?
- Outpatient surgery that takes 1.5-2 hours.
- You'll be walking around, or out to dinner, the evening of surgery.
- Most women only take ibuprofen after the procedure.
- Back to day-to-day activities in 24 hours.
When can I drive?
- 2-3 days
When can I go back to work?
- Working remotely? 2-3 days
- Going in to work? 4-7 days
What about working out?
- Walking: Immediately
- Longer walks: Immediately
- Gentle cardio: 2 weeks (recumbent bike)
- Lower body lifting: 3 weeks
- Chest exercises (includes planks and yoga): 6 weeks
- Running/jogging: 6 weeks
- Sex: Anytime. Just be careful.
Do I need a lift with my breast enlargement?
- A breast lift is used to reshape breasts that are sagging.
- Measurements are taken in the office to determine when to add a lift.
- Using a larger implant will NOT lift sagging breasts.
- If the level of the nipple is at, or below, the crease under the breast, then a breast lift is typically needed.
- Learn more about when to add a lift to breast enhancement.
Get your questions answered.
Additional Questions about Breast Augmentation:
Can breast augmentation be combined with other procedures?
Breast augmentation can be combined with a breast lift (mastopexy), tummy tuck, labiaplasty and liposuction procedures. The combination of breast augmentation and tummy tuck is called a "mommy makeover."
Does Dr. Hayes use gummy bear implants?
Yes, Dr. Hayes routinely uses gummy bear implants. He is a breast augmentation expert and uses the latest techniques to create the most beautiful results.
What is the internal bra?
Dr. Hayes uses techniques that maximize results. An internal bra is a specially placed stitch that holds the implant in place. Breast implants look better when they stay exactly in your breast.
Internal bra = braless look, fuller cleavage, more defined cleavage, fuller upper pole and a more beautiful torso.
Is the internal bra mesh?
No. The internal bra is a long-lasting stitch that absorbs with time. However, the shelf that is created is meant to last a lifetime. Occasionally, Dr. Hayes will use absorbable mesh (GalaFLEX or DuraSorb) to give extra support to the implants. During your consult he will ask about your goals, help you understand your specific anatomy and will make recommendations to give you the best results.
How long does it take for breast implant to "drop and fluff"?
The process of a breast implant settling, is commonly referred to as the "drop and fluff." After surgery the implants initially sit high on the chest and settle over the course of 2-3 months. As the implants settle, the breast becomes more round and full at the bottom.
Should I wear a surgical bra after breast augmentation surgery?
Portland plastic surgeon Dr. Hayes recommends that patients wear a surgical bra only "as needed" for comfort after breast augmentation surgery. No special bras, or wraps, are required and many women choose to go without a bra for the first week after surgery. No underwire bras should be worn for 6 weeks.
Can my breasts be moved closer together during breast augmentation surgery?
A breast implant is placed under the breast and sits within the breast's natural footprint. This natural foundation is not changed during the surgery and the breasts will not move significantly closer together. For beautifully sculpted cleavage, Dr. Hayes uses fat grafting. Fat grafting adds even more fullness to your natural inner cleavage lines. Desire perfect bra-less cleavage? Fat grafting is probably going to be a part of your procedure.
When can I go bra shopping?
Portland surgeon, Dr. Hayes recommends that his patients wait 3 months before buying new bras. After surgery your breasts will continue to change shape for the first 3 months.
What cup size will I be?
After breast augmentation surgery it's not 100% possible to predict the final bra cup size. Unfortunately, cup sizes vary between different bra manufacturers. The most import decision when choosing the size of the implant isn't trying to achieve a particular cup size, but instead it's all about getting the perfect "look." Choose an implant that gives you the size that you love. You'll only discover your new cup size during your first bra fitting, 3 months after surgery.
Breast augmentation can be combined with a breast lift (mastopexy), tummy tuck, labiaplasty and liposuction procedures. The combination of breast augmentation and tummy tuck is called a "mommy makeover."
Does Dr. Hayes use gummy bear implants?
Yes, Dr. Hayes routinely uses gummy bear implants. He is a breast augmentation expert and uses the latest techniques to create the most beautiful results.
What is the internal bra?
Dr. Hayes uses techniques that maximize results. An internal bra is a specially placed stitch that holds the implant in place. Breast implants look better when they stay exactly in your breast.
Internal bra = braless look, fuller cleavage, more defined cleavage, fuller upper pole and a more beautiful torso.
Is the internal bra mesh?
No. The internal bra is a long-lasting stitch that absorbs with time. However, the shelf that is created is meant to last a lifetime. Occasionally, Dr. Hayes will use absorbable mesh (GalaFLEX or DuraSorb) to give extra support to the implants. During your consult he will ask about your goals, help you understand your specific anatomy and will make recommendations to give you the best results.
How long does it take for breast implant to "drop and fluff"?
The process of a breast implant settling, is commonly referred to as the "drop and fluff." After surgery the implants initially sit high on the chest and settle over the course of 2-3 months. As the implants settle, the breast becomes more round and full at the bottom.
Should I wear a surgical bra after breast augmentation surgery?
Portland plastic surgeon Dr. Hayes recommends that patients wear a surgical bra only "as needed" for comfort after breast augmentation surgery. No special bras, or wraps, are required and many women choose to go without a bra for the first week after surgery. No underwire bras should be worn for 6 weeks.
Can my breasts be moved closer together during breast augmentation surgery?
A breast implant is placed under the breast and sits within the breast's natural footprint. This natural foundation is not changed during the surgery and the breasts will not move significantly closer together. For beautifully sculpted cleavage, Dr. Hayes uses fat grafting. Fat grafting adds even more fullness to your natural inner cleavage lines. Desire perfect bra-less cleavage? Fat grafting is probably going to be a part of your procedure.
When can I go bra shopping?
Portland surgeon, Dr. Hayes recommends that his patients wait 3 months before buying new bras. After surgery your breasts will continue to change shape for the first 3 months.
What cup size will I be?
After breast augmentation surgery it's not 100% possible to predict the final bra cup size. Unfortunately, cup sizes vary between different bra manufacturers. The most import decision when choosing the size of the implant isn't trying to achieve a particular cup size, but instead it's all about getting the perfect "look." Choose an implant that gives you the size that you love. You'll only discover your new cup size during your first bra fitting, 3 months after surgery.
We're here to help. Call us with any questions.
More Details about Implant Surgery in Portland OR:
Reasons for undergoing breast augmentation in Portland Oregon:
Learn About Silicone and Saline Breast Implants:
Breast implants are made of an outer shell and an inner filler material. The outer shell is made of silicone. The inner fill is either saline or silicone gel. Newer silicone implants are made of a cohesive gel that is solid and not liquid. They are commonly referred to as a gummy bear implants, because the inner gel is form-stable and does not leak when punctured. There are primarily three manufacturers of breast implants in the United States.
Benefits of silicone breast implants:
Benefits of saline breast implants:
Breast Implant Manufacturers:
Allergan's Natrelle line of breast implants is one brand used by Portland plastic surgeon, Dr. Hayes. Allergan released the Inspira line of implants, which has a higher fill ratio. This new implant has more silicone gel within its shell. This means that the gel settles less when in the upright position. This gives more fullness at the top of the breast, with a decreased chance of rippling.
Sientra's breast implant line is only available through board-certified plastic surgeons. Sientra's silicone implant is made of highly cohesive gel. Sientra makes shaped and round breast implants. Dr. Hayes commonly uses Sientra implants, because of their excellent quality and superior warranty.
Mentor breast implants are available in round silicone, round saline, and shaped silicone gel. The Memory Shape silicone implant line is a tear-drop shaped (anatomic) implant filled with cohesive gel.
Surgery is performed using one of the following incisions:
1. Inframammary incision:
Portland breast augmentation surgeon Dr. Hayes uses the inframammary incision. Research has demonstrated that an incision within the crease has the lower risk of capsular contracture.
How Breast Augmentation Is Performed:
During a breast augmentation, pockets are created under the muscle. Portland plastic surgeon, Dr. Hayes uses careful dissection techniques to prevent bleeding. The pocket is cleansed with antibiotic solution and betadine, and the implant is inserted using a "no touch" technique with a Keller funnel. The incision is closed with dissolvable sutures. All stitches are placed beneath the skin. No sutures need to be removed. A waterproof band-aid is used to cover the incision.
Breast Augmentation Recovery:
Most women are back to day-to-day activities within one day. Most women only take ibuprofen. However, stronger medication is available if needed. After Portland breast augmentation, women head home for a nap and then wake up for a shower. The hot shower relaxes the chest muscles. You can use your arms normally. This means women can wash their hair and take care of themselves. They're then are asked to go out to dinner, or for a walk, that evening.
Complications of Breast Augmentation:
Complications of breast augmentation are uncommon, but do sometimes occur. Issues include a collection of blood around the implant requiring a return to the operating room (hematoma). Deep infection that can require implant removal. Breast implant rupture (1% per year). Breast implants are not permanent and will likely need to be replaced every 10-15 years. Capsular contracture can cause the breast to feel firm (5% chance). Treatment requires surgical removal of the capsule, but capsular contracture can still return. Textured breast implants are associated with a form of lymphoma (BIA-ALCL). This lymphoma is uncommon and is treatable. The current known risk is 1:3,000-1:50,000 women with breast implants.
- to increase the size of your breasts
- to improve symmetry of your breasts
- to add volume to the cleavage area during a breast lift
- to restore balance of your upper and lower body
- to improve the fit of clothing
Learn About Silicone and Saline Breast Implants:
Breast implants are made of an outer shell and an inner filler material. The outer shell is made of silicone. The inner fill is either saline or silicone gel. Newer silicone implants are made of a cohesive gel that is solid and not liquid. They are commonly referred to as a gummy bear implants, because the inner gel is form-stable and does not leak when punctured. There are primarily three manufacturers of breast implants in the United States.
Benefits of silicone breast implants:
- More natural feel
- Decreased chance of visible rippling
- Cohesive silicone gel that doesn't leak out
Benefits of saline breast implants:
- MRI (or ultrasound) exams are NOT required to diagnose rupture
Breast Implant Manufacturers:
Allergan's Natrelle line of breast implants is one brand used by Portland plastic surgeon, Dr. Hayes. Allergan released the Inspira line of implants, which has a higher fill ratio. This new implant has more silicone gel within its shell. This means that the gel settles less when in the upright position. This gives more fullness at the top of the breast, with a decreased chance of rippling.
Sientra's breast implant line is only available through board-certified plastic surgeons. Sientra's silicone implant is made of highly cohesive gel. Sientra makes shaped and round breast implants. Dr. Hayes commonly uses Sientra implants, because of their excellent quality and superior warranty.
Mentor breast implants are available in round silicone, round saline, and shaped silicone gel. The Memory Shape silicone implant line is a tear-drop shaped (anatomic) implant filled with cohesive gel.
Surgery is performed using one of the following incisions:
1. Inframammary incision:
- Placed in the fold below the breast.
- This incision less than 2 inches long.
- The most common incision used by Portland surgeon, Dr. Austin Hayes.
- Using this incision decreases the risk of developing a capsular contracture and allow Dr. Hayes to create the internal bra.
- The internal bra creates the best breast augmentation results possible. Without an internal bra, nothing can come close.
- Is placed along the edge of the dark skin around the areola.
- Increases the risk of developing a capsular contracture.
- Is placed within the armpit.
- Does not place visible scars on the breasts.
- Higher high risk of capsular contracture.
- Does not allow placement of an internal bra.
- Implant malposition is more common with this technique.
Portland breast augmentation surgeon Dr. Hayes uses the inframammary incision. Research has demonstrated that an incision within the crease has the lower risk of capsular contracture.
How Breast Augmentation Is Performed:
During a breast augmentation, pockets are created under the muscle. Portland plastic surgeon, Dr. Hayes uses careful dissection techniques to prevent bleeding. The pocket is cleansed with antibiotic solution and betadine, and the implant is inserted using a "no touch" technique with a Keller funnel. The incision is closed with dissolvable sutures. All stitches are placed beneath the skin. No sutures need to be removed. A waterproof band-aid is used to cover the incision.
Breast Augmentation Recovery:
Most women are back to day-to-day activities within one day. Most women only take ibuprofen. However, stronger medication is available if needed. After Portland breast augmentation, women head home for a nap and then wake up for a shower. The hot shower relaxes the chest muscles. You can use your arms normally. This means women can wash their hair and take care of themselves. They're then are asked to go out to dinner, or for a walk, that evening.
Complications of Breast Augmentation:
Complications of breast augmentation are uncommon, but do sometimes occur. Issues include a collection of blood around the implant requiring a return to the operating room (hematoma). Deep infection that can require implant removal. Breast implant rupture (1% per year). Breast implants are not permanent and will likely need to be replaced every 10-15 years. Capsular contracture can cause the breast to feel firm (5% chance). Treatment requires surgical removal of the capsule, but capsular contracture can still return. Textured breast implants are associated with a form of lymphoma (BIA-ALCL). This lymphoma is uncommon and is treatable. The current known risk is 1:3,000-1:50,000 women with breast implants.