About Breast Augmentation
Breast augmentation is a procedure that reshapes the breasts to result in a fuller look. It is generally known as one of the most popular cosmetic surgeries, providing women who dislike the appearance of their breasts an effective opportunity for improvement. With the help of implants or fat from the patient's body, this enhancement surgery improves breast shape and size for a beautiful outcome. Dr. Christopher Costa is regarded as one of the best breast augmentation surgeons in Las Vegas. He performs this procedure using a special NO SCAR approach by placing the incision in the under arm crease. Patients from Las Vegas and all over the country seek him out to perform this procedure and his results are regarded as some of the best for breast augmentation.
When you have your consultation at Platinum Plastic Surgery, Dr. Costa will assess your aesthetic goals and concerns and inform you of all of the choices available, while also customizing a treatment plan to achieve your wanted outcome. At Platinum Plastic Surgery, we offer Vectra 3D imaging technology to give each patient a realistic expecation of what they will look like with breast implants. Come in for a consult and watch as we simulate your new breast augmentation results on your own body with this state-of-the-art assessment tool. Our practice offers a wide variety of options that can best fit the size, shape, and feel that you desire from your enhanced breasts. To learn more, contact our Las Vegas, NV facility to schedule your initial consultation with Dr. Costa.
incision placement - The NO scar approach
Placement of your incision will determine the scar that results after your surgery. Dr. Costa always uses the best techniques to make your incision and scarring as little as possible. Most people who seek out Dr. Costa to perform their breast augmentation do so because he is one of the best at transaxillary endoscopic breast augmentation. This approach places a small incision in the armpit crease which means there is NO SCAR on the breast. Most patients are a good candidate for this approach, however he may recommend a different approach if it will be better for your anatomy. Come visit Las Vegas to see why Dr. Costa is one of the best at breast augmentation!
Transaxillary - Dr. Costa offers transaxillary breast augmentation for patients who are candidates and are interested in surgery without putting a scar on the breast. This procedure is less invasive and involves an endoscopic camera that is inserted through a small incision in the underarm. The advantages to this technique are that the implant can be placed without any scar on the breast. It also leaves the breast tissue untouched without any damage to the glands. Dr. Costa can use silicone or saline implants when performing a transaxillary approach. The potential risks associated with this approach are a reported higher risk of changes to sensation of the breast, implant malposition, and capsular contracture. It is important to go to a surgeon who regularly performs this type of procedure if you desire a tranaxillary endoscopic breast augmentation to maximize your aesthetic outcome.
Inframammary fold - A 3 to 4cm incision is placed in the fold under the breast that, when heals, is very difficult to detect. This approach cuts through a very minimal amount of native breast glandular tissue. This results in the lowest rates of capsular contracture and malposition. It is no surprise that this is the most commonly used incision by plastic surgeons as it offers a safe approach to place the implant and is well hidden.
Periareolar - This is an incision placed around the areola of the nipple. The advantage of this approach is that in some patients this incision is very hard to see because it may scar the same color as the pigment. The disadvantage of this incision is that you must cut through all of the native breast glands to get to the area where the breast implant is to be inserted. When you insert an implant, it rubs against all of those cut breast glands which are not sterile and have the possibility of introducing bacteria on the implant. This can result in increased risk for capsular contracture, or even worse, an infection. Additionally, this approach will cause damage to the breast tissue and result in some atrophy of the native breast around the incision, which increases risk for contour deformities around the incision site.
Transumbilical (TUBA) - This approach places an incision at the belly button and then a tunnel is created under the skin to deliver an implant to the breast. This advantage to this approach is no scar is present on the breast. However, to do this approach, only a deflated saline implant can be inserted, not silicone. The approach also creates a tunnel through the native inframammary fold and weakens the supporting tissue under the implant. This results in much higher rates of malposition and need for revision.
Dr. Costa's preference - Dr. Costa prefers to use a transaxillary approach for patients who desire not to have any incision or scar on the breast. He has dedicated himself to learning the subtle technical aspects of this technique and likes to offer it to patients who are appropriate candidates. Dr. Costa also commonly uses an inframammary fold approach since it gives the lowest rates of capsular contracture and lowest rate of complications to the patient. When performed correctly, this incision heals extremely well and is very difficult to see, even on patients with darker pigment.
Breast Implant Selection - Size and Shape
Breast implant size is distinguished based on the cubic centimeters (CCs) of saline or silicone used. To determine the right volume, Dr. Costa will measure how much native breast tissue exists and the size you hope to achieve. During your consult Dr. Costa will use 3D imaging technology to simulate different sizes to show you a predictive result. Dr. Costa will make recommendations based on your unique anatomy to offer your desired result.
Implants come in either a teardrop or round shape. Both of these shapes are widely used; however, most of our patients prefer a round implant. It generally looks and feels more natural while adding a fullness to the top of the breast that most patients are seeking.
Implant profile equates to how far out the implant looks (projection). In other words, this is what is visible from the side angle. Most projections include low to extra high ranges. The projection that Dr. Costa recommends for his patients depends on the patients desired look along with the constraints of the native tissue. Dr. Costa believes in taking every effort to create a natural look for patients that will last for many years.
During your initial consultation with Dr. Costa, he will review with you the implant options available to you and help you select the appropriate implant based on your body size and shape, as well as your aesthetic goals. Implants for augmentation are made in an assortment of shapes, sizes, textures, and profiles — each of which is considered carefully in order to reach the desired result. Still, the most commonly used implant types are silicone or saline, both widely popular and approved by the Food and Drug Administration (FDA). An important fact is that candidates considering implants made with saline must be at least 18 years old, while patients must be a minimum of 22 years old in order to undergo treatment with silicone. Other options include a form-stable implant known as a gummy bear implant, which is a highly cohesive silicone appropriate for some patients, and fat grafting (known as a fat transfer). In addition to the type of implant used, there are other distinct factors to decide upon.
After your breast augmentation. Dr. Costa recommends you stay in town (Las Vegas area) for at least 1 week after surgery. This will allow us to personally guide you through the recovery process. Most of our patients are off of narcotic pain medication within 24 hours, which is why Dr. Costa is one of the best plastic surgeons who perform this procedure. You will have a follow-up appointment within 48 hours from your surgery to monitor your progress. At each follow-up we will review where you are at in the recovery process and review relevant instructions to optimize your outcome.
General Post-Operative Instructions for Breast Augmentation:
Begin ibuprofen within 24 hours of your procedure to minimize pain, see Dr. Costas instructions for dosing information.
You may lift your arms immediately after surgery and should do so in order to keep your chest muscles loose and prevent stiffness and pain.
Do not remove your dressing after surgery. We will remove it in clinic at your follow-up appointment. After removal of your dressing we will place you in the appropriate bra and a compression strap. You should wear this at all times.
Walk around your house every 3 hours to prevent complications.
Begin post-operative massage to the implants at 1 week after surgery. We will review this with you at your appointment.
Call our office for a fever higher than 101.5 degrees
Call our office if you have any questions or concerns. If after hours, please call Dr. Costa on his cell phone.
Making Your Choices
We understand all of the considerations may be overwhelming, but picking the appropriate implant is somewhat easy once the patient's desires are understood during the consultation. These considerations, coupled with the knowledge of Dr. Costa, help to ensure the anticipated outcome is met.
Breast Augmentation Reviews
"Best Decision I Ever Made!! - I am 11 weeks postop from my tummy tuck, breast lift and flank lipo., and all I can say is WOW, my results are AMAZING!!. I would recommend Dr. Costa a million times over. He was sensitive to all of my concerns and fears answering each of my questions with great patience and compassion. During my surgery and hospital stay Dr. Costa was extremely thorough with every aspect of my care from my very first preop appointment through my recovery., Dr. Costa is the absolute BEST! If you’re thinking of using Dr. Costa for any procedure please do it, you won’t regret it. I am definitely planning to travel to Vegas for my breast augmentation!"- L. / RealSelf / May 24, 2018
"Went in for Breast Augmentation on the 18th of December and I couldn’t have gotten a better Christmas present. Dr Costa and his staff are amazing. I’d recommend Platinum Plastic Surgery to anyone looking to modify or tweak a few things they are not happy with. His list of capabilities can fix them right up."- N.A. / Facebook / Jan 28, 2019
"Dr. Costa was very patient, informative and caring through out the process. He made me feel comfortable and answered all my questions, even at the surgery center. His office staff is friendly and very professional. The surgery results were great, even better than I expected."- Z... / Google / Mar 01, 2019
"Service from beginning to end was above and beyond professional, honest and comfortable. Dr. Costa is very attentive with addressing exact concerns and gives very realistic feedback on expectations of delivery. Great software with digital photos of end results."- K.C. / Google / Dec 21, 2019
"Son un excelente equipo de trabajo."- K.R. / Facebook / Aug 30, 2019
The decision to go through with breast enhancement surgery is a personal one for women. If you are thinking about having this procedure, it is essential you do it for yourself and nobody else. Ideal candidates should be healthy with breasts that are fully developed and be the proper age to have implants. Individuals who are unhappy with the shape of their chest because they seem deflated could benefit from this cosmetic breast treatment. Moreover, if your breasts have changed due to aging, pregnancy, nursing, or weight loss, this treatment can restore them with increased shape and fullness. Additionally, it is a welcomed option for those who work out with weights or have little to no original breast mass.
Breast augmentation is a short outpatient procedure that is routinely performed at our outpatient surgery center. You will be comfortably placed to sleep under the care of our licensed anesthesiologists. Following the incision, the breast implant will be placed in their correct position using the most most sterile techniques and practices possible to reduce any risk of infection or complication. Once the implant is in position, the incision is carefully secured with absorbable stitches underneath the skin and an adhesives dressing over the incision. Each patient will be taken to a private recovery space and observed prior to being released.
What to Expect - a quick recovERY
Many of our patients are able to perform complete range of motion movements immediately after surgery with minimal discomfort. Most patients are completely off of prescription pain medications within 24 hours from surgery and are back to fully enjoying their regular activities in a few days. However, physical exertion, such as exercise, should be delayed for about three weeks until the breast are fully healed. Several days after surgery, the bruising and swelling will begin to slowly go away, and the breasts will start to look and feel normal as they fall into their new position. Breast augmentation surgery results in gorgeous outcomes that feel and appear both normal and natural. This procedure oftentimes can be a life-changing operation for many women, offering them the opportunity to feel more comfortable in their own skin.
Plan Your Procedure
- Recovery Time
- Less than 1 Week
- Average Procedure Time
- 1 – 2 Hours
Get the Look You Want
Breast enhancement surgery with implants is well sought out for many excellent reasons. It is considered safe and creates gorgeous aesthetic results. With a wide variety of available considerations, you can attain the bustline you have always wanted. Platinum Plastic Surgery is pleased to offer this procedure and we welcome you to learn more. Contact Platinum Plastic Surgery in the Las Vegas, NV area to schedule your initial consultation with Dr. Chris Costa.
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