Breast Augmentation

woman-looking-down-at-breastsBreast augmentation is more than a plastic surgery procedure for breast enhancement; for millions of women all over the world, breast augmentation is a chance to reclaim their femininity and boost their self-confidence. Breast augmentation can enhance your breasts in so many ways; women can increase volume and fullness to their chests, or correct uneven breasts. Breast augmentation can even improve projection and firmness of the breast for a more balanced, proportional figure. You might be a mother wanting a return your breasts to their youthful state, maybe you want a better fit for your clothes or want a more feminine figure. Whatever your reasons might be, it’s important to choose a practice like Aesthetx, whose surgeons have an extensive history with cosmetic and reconstructive breast surgeries.

Our exquisite results are made possible by more than our surgeons’ talent and expertise in breast augmentation. Dr. Zeidler and Dr. Berkowitz believe in deeply personalizing each procedure; they practice dimension based planning, a unique perspective on planning breast augmentation that takes into account a woman’s specific anatomy. We believe that every woman is unique, and our surgeons will meticulously plan your breast augmentation, taking detailed measurements, and carefully analyzing breast tissue and your body frame to find the perfect fit. More importantly, Aesthetx believes that breast augmentation should be a collaboration, and we listen to each patient’s goals and ideal aesthetics so that we can work together on creating the best results. Aesthetx’s breast augmentation results are natural, balanced, and are designed expertly enough to withstand the tests of time.

Breast Augmentation Topics


The History of Breast Augmentation

Even long before technology had advanced enough for it to be safe, finding ways to enlarge the breast has always captivated our society. From the late 19th century to the early 20th century, surgeons and patients alike experimented with different substances that were injected or inserted into the breasts to increase its size. Substances ranging from paraffin, ivory balls, vegetable oils, mineral oil, lanolin, beeswax, putty, goat’s milk, and more were used to enlarge the breasts, with disastrous results. By the 1950s, women were implanting Ivalon sponges or polyethylene tape wound into a ball, which years down the road caused horrible shrinking and hardening of the breasts.

Alas, the first true revolution in breast augmentation finally occurred in 1961, when Houston plastic surgeons Dr. Thomas Cronin and Dr. Frank Gerow developed the first silicone breast implant. The first breast implant was a thick silicone gel material enveloped in a rubber bag, and in 1962 it was used to perform the very first breast augmentation for patient Timmie Jean Lindsay in Texas.

The next step forward was in 1964, when French company Laboratories Arion developed saline-filled implants. Both saline and silicone breast implants flourished until 1992, when the FDA issued a moratorium on all silicone implants in the United States for breast augmentation due to concerns about patients having adverse reactions to the silicone filling. Saline breast implants became the sole option for breast augmentation in the United States, with the newest evolution, a thin silicone outer shell with a saline filling, dominating the market for decades.

Newer saline implants were also incredibly versatile, with the newer versions containing a small valve making it possible to be filled once inside the body, giving the options for women to have breast augmentation with smaller incisions.

In 2006, after years of clinical trials and studies, the FDA reversed their moratorium on silicone breast implants after confirming it was safe and effective. As popularity for silicone breast implants skyrocketed, further generations of implants evolved and rose in popularity, like 5th generation highly cohesive silicone gel implants (“gummy bear”) implants.

Thanks to light-speed development and innovation, breast augmentation is the most popular plastic surgery procedure in the world. Aesthetx is proud to be led by two surgeons who have created their own significant contributions to a procedure that has brought confidence and pride to millions of women around the world.

Breast Augmentation Techniques

The Aesthetx surgeons believe that getting the best results is dependent on a surgeon’s willingness to adapt, to change with the times and improve on their technique. It’s why they have pioneered so many techniques that have led to superior results and greater patient safety. Aesthetx’s Dr. Berkowitz himself pioneered an advanced technique for saline implants: endoscopic breast augmentation. Using a small camera called an endoscope to guide the procedure, the saline implant can be inserted through a 1-inch incision in the armpit area, also known as the transaxillary incision pattern. The implant can then be filled in the body, leaving some of the most discreet scars available for breast augmentation.

With silicone breast implants, our surgeons use inframammary incisions, which are incisions made under the breast crease. The Aesthetx surgeons prefer this incision because they’ve shown a much lower risk of complications after surgery and a higher probability of a faster recovery. The incisions are also relatively easy to hide.

One other criteria that you will get to decide is placement of the implants, with the most common placements being over the muscle (subglandular) and under the muscle (submuscular.) For women who want a small amount of lift, Aesthetx offers a breast augmentation technique called the dual plane mini lift, a technique that places the implant partially under the muscle while separating the muscle from the breast tissue. The dual plane mini lift is perfect for creating a small amount of lift by giving fullness in the lower part of the breast and raising the nipple to a perkier position. For women who need a more significant lift, a full breast lift or mastopexy can be performed.

Aesthetx also offers a subfascial breast augmentation, a technique where the breast implants are placed above the muscle but above a strong muscle sheath surrounding the muscle. In the end, you and your Aesthetic surgeon will decide on what breast augmentation placement will work best for you.

Breast Implants – Which Ones Are for You?

Aesthetx believes that every patient deserves a wide array of options, and you and your surgeon will discuss the benefits and negatives of each implant before you make a decision. Patients have the options of choosing between saline or silicone, highly cohesive silicone implants or a softer silicone gel, anatomic or round, textured or smooth. With hundreds of different varieties available, Aesthetx is here to guide each patient in picking right one just for them. For those seeking anatomic highly cohesive silicone breast implants (shaped gummy bear implants), Dr. Berkowitz and Dr. Zeidler are some of the most experienced. Thanks to their textured shell and anatomically correct shape, these implants are more likely to retain your breast shape over time while lowering risks of typical complications associated with traditional silicone implants.

Your lifestyle, anatomy, and aesthetic goals should figure heavily in your choice of implants. Do you want shaped, anatomic implants that impart a more natural shape, or the dramatic cleavage that round implants create? Would you rather have a drastic increase in size or a modest size that allows for freedom of movement? All of these questions and more will be used to help choose your perfect implant.

Breast Augmentation with Fat Transfer

To help refine your results, Aesthetx offers the breast augmentation with fat transfer. By adding fatty tissue over the implants, you can correct size differences between the breasts and give your breast augmentation a little cleavage “boost.” By adding your own tissue, your breast augmentation can look and feel even softer. The other added benefit of the breast augmentation with fat transfer is the opportunity to remove some excess fat in target areas for an improvement in body contour.

Research in Breast Implants

Dr. Berkowitz and Dr. Zeidler are true pioneers in the world of breast augmentation, having worked as clinical trial investigators for some of the most prominent developers of breast implants in the world. Most recently, both doctors helped bring Allergan’s highly cohesive anatomically shaped implants to FDA approval. They are also investigators for Sientra’s post-FDA approval study for their breast implants. Dr. Zeidler in particular is very active within Sientra, and is currently the Medical Director of Clinical Trials for their devices.

Dr. Zeidler and Dr. Berkowitz’s history in breast augmentation research have made them trusted authorities in the world of breast augmentation, to this day they are the most experienced practice in the area when it comes to the revolutionary anatomically-shaped implants.

Aesthetx is renowned for extremely informative and in-depth consultations. To schedule your private consultation for breast augmentation or to learn more about the procedure, contact Aesthetx by visiting HERE or calling (408) 559-7177.

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