Breast Augmentation for Sacramento, Granite Bay, & Coeur d'Alene

Candidates for breast augmentation are women who are unhappy with naturally small breasts or breasts that have lost shape and volume after pregnancy, nursing or weight fluctuation. Candidates should be in good health and their breasts should be fully developed. Candidates should not be pregnant or breastfeeding or have any serious medical conditions that could interfere with the healing process.

Breast Augmentation Benefits

While all women who choose breast augmentation surgery want their chest size to increase, their reasons for doing so vary. Among the reasons that patients tell Dr. Coscia that they are enthusiastic about their breast augmentation are:

• A curvier, more feminine body shape
• A boost to their self-esteem
• The ability to wear new and exciting kinds of clothes that didn’t suit their previous figures
• Newfound symmetry of the breasts
• Expanded social and career opportunities

Testimonials from Breast Augmentation Patients

Dr. Coscia comes highly recommended by his breast augmentation patients. As you contemplate which surgeon to choose for this procedure, we encourage you to consider the experiences of people who have received implants from Dr. Coscia:

“After 5 different consults, Dr. Coscia was the first to make me feel safe, heard and taken care of! After breast augmentation, he made my biggest insecurity one of my favorite things about myself.” – Y.W.

“I got a breast augmentation by Dr. Coscia and it was a great experience. I’m so happy with how my surgery turned out… I would do everything the same all over again. I would absolutely recommend Dr. Coscia to anyone.” – R.S

“My implants look fantastic and have already dropped nicely. I am 3 weeks post-op and have no pain at all. My incisions are right in the crease underneath the breast where they should be and are smooth and extremely small. I will be back to Dr. Coscia and his staff for any cosmetic procedures I have done in the future.” – K.W.

What Types of Implants are used for Breast Augmentation?

Dr. Coscia offers each of the three broad categories of implants at his Sacramento, Granite Bay and Coeur d’Alene offices:

Silicone Implants

Silicone implants consist of a silicone shell filled with a gel substance. Because they most closely mimic breast tissue, they are considered to have the most natural feel of the implant options. Incisions for this procedure tend to be a bit larger than with saline implants because they must be inserted in full.

Saline Implants

While this kind of implant also has a silicone shell, it is primarily composed of sterilized salt water. Because this implant can be inserted empty and filled later, it is easier to keep incisions for the procedure smaller and more discreet. In the rare case that the implant leaks, the body naturally absorbs and expels the saline with no health consequences.

Gummy Bear Implants

Breast Implant Options in Sacramento & Granite Bay, also known as form-stable implants, gummy bear implants are considered the “next generation” of implants because they are teardrop shaped. As a result, these implants better replicate the natural shape of perky breasts than do the traditional round-shaped implants, and they maintain this shape indefinitely. Research has found that these implants are among the least likely to rupture.

There is no perfect implant for all patients. At your consultation, you will discuss all three types of implants with Dr. Coscia. He will give you the opportunity to examine and feel the differences so that together you can decide which product will enable you to best achieve your desired breast shape and size.

How Do I Determine My Implant Size?

The approach to determining your implant size is multifaceted. How an implant fits and looks on one woman is very different from how it may look on another woman. Body shape, height, shoulder width and personal perception all play a role.

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Dr. Coscia will talk with you at length about your goals and expectations, and utilize that to subjectively gain an understanding of implant size. Also, during your consultation a physical exam will be performed with specific measurements taken of your breasts that will guide a range of implant selections. In addition, our staff utilizes the Mentor™ breast implant sizing system that allows you to try on measured silicone bra inserts and see a visual representation of different-sized implants. We also have new 3D imaging software that can give you a computer-generated estimation of your breast augmentation. Finally, during surgery temporary size-adjustable implants allow Dr. Coscia to see firsthand the augmentation prior to choosing your final implants. As you might expect, much attention is placed on arriving at the appropriate-sized implant to meet your desires.

Breast Augmentation Procedure Details

As with all of the cosmetic procedures performed at The Plastic Surgery Center, your procedure will be performed in our AAAASF certified surgical center. The two most common incisions used for breast augmentation involve a peri-areolar incision lying along the inferior border of the areolar or an inframammary fold incision lying within the crease under the breast. Dr. Coscia will talk with you about these options, and together you will decide what is best for you.

In addition, the vast majority of implants are placed sub-muscularly, underneath the pectoralis muscle. On occasion, there may be the need to place the implant in a sub-glandular position, lying on top of the muscle. All of these details will be discussed extensively during your consultation. Dr. Coscia takes great care to utilize very small incisions with all augmentations.

The procedure takes approximately 1-2 hours.

What Type of Anesthesia Is Used for this Procedure?

Most often, general anesthesia provided by a board-certified anesthesiologist is utilized for breast augmentation. On occasion, IV sedation with the injection of local anesthetic may be used for a breast augmentation.

Breast Implant Surgery Recovery

After surgery, you will be discharged home with a surgical bra. This bra will be worn for approximately six weeks for the purpose of allowing the implants to settle appropriately within your breast. Most patients typically take approximately a week off from work, at which time most of your discomfort should be very minimal. Dr. Coscia will also talk with you and provide written instructions describing postoperative restrictions to allow for your most optimal result.

Cost of Breast Augmentation

The price of breast augmentation differs from patient to patient, usually depending on the material and size of the implant selected for the procedure. During a consultation, Dr. Coscia will listen to your wishes for your breasts, and then provide a complete breakdown of the costs necessary to achieve the look you desire.

Because breast augmentation is an elective cosmetic surgery, medical insurance will rarely cover the procedure. However, Dr. Coscia’s office accepts financing options through CareCredit and M-Lend Financial Services for patients who would find it more manageable to make payments toward their procedures.

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Breast Augmentation Frequently Asked Questions

Will I be able to breastfeed with implants?

Implants usually do not interfere with breastfeeding. However, if you wish to breastfeed with implants, you should discuss your plans with Dr. Coscia during your pre-operative consultation so he can take this into consideration when creating your treatment plan.

How does Crisalix 3D imaging work for breast augmentation?

Crisalix 3D imaging offers a computer-generated “preview” of your augmented breasts. This allows you to visualize your results. The computer images can be manipulated to reveal how different implant sizes would affect your ultimate result. This technology is extremely useful in the pre-operative planning process!

How should I prepare for surgery?

To prepare for surgery, you should focus on taking care of your body by eating nutritious foods, getting plenty of sleep and not smoking or drinking a lot of alcohol. You may be asked to get a mammogram or ultrasound, or to see your primary doctor for a check-up. Also, you might need to stop taking certain medications or adjust your current dosage based on Dr. Coscia’s instructions.

What procedures can be combined with breast augmentation?

Breast augmentation can be combined with breast lift to improve the size, shape and position of flat, sagging breasts. Breast augmentation (with or without breast lift) can also be combined with abdominoplasty for a complete mommy makeover.

How long do results/ implants last?

Implants do not need to be replaced unless you are unhappy with their size or shape or the implants develop a complication. Implant leaks, ruptures and other complications occur in a very small fraction of cases.

What are the main differences between saline and silicone?

Saline implants are composed of a sterile saltwater solution encased in a silicone shell. Silicone implants are made of a thicker, stickier gel material encased in a silicone shell. Saline implants are inserted into the breasts when they are empty and filled after being correctly positioned; silicone implants are pre-filled.

Should implants be placed under the muscle or over the muscle?

Implant position is based on varying factors such as your anatomy, desired results and selected implants. In general, implants placed under the muscle have a more natural appearance; the more tissue covering the implant, the more natural the result looks.

Can I have children after breast augmentation surgery?

Yes. Breast augmentation does not interfere with the ability to get pregnant or have a healthy baby.

Are there any risks of breast augmentation?

Breast augmentation risks include capsular contracture, implant rippling, implant leakage or rupture, bleeding, infection and changes in nipple or breast sensation.

These risks are significantly decreased when surgery is performed by an experienced, board-certified plastic surgeon.

Will there be scarring?

Although the scars along the incision lines will fade considerably in the months and years following breast augmentation, they will not disappear completely. They can, however, be concealed beneath a bra or a bikini top.