Breast Augmentation in Scottsdale, AZ

Pregnancy, weight loss, and genetics are all reasons why women may have breasts that are smaller than they desire. It’s not uncommon for lifestyle changes to affect breast volume, with many women losing some of their breast size after pregnancy and weight loss. For many women, small breasts rob them of confidence in their body image. Breast augmentation is a cosmetic procedure that uses saline or silicone implants to increase the size and improve the shape of the breasts. If your breasts are not a size that makes you feel attractive and comfortable with your body proportions, breast augmentation may be the procedure for you.

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What Are the Benefits of Breast Augmentation

Improved Aesthetics

Breast augmentation does more than increase breast size, although that is a primary benefit of the procedure. Breast implants can create a more uniform, symmetrical result for women who have naturally asymmetrical breasts. The procedure can also enhance the shape of the breasts, creating a more rounded and perky result, or maintain an attractive, natural-looking slope. In any case, breast augmentation gives patients the chance to customize their breast appearance to their liking, addressing a multitude of aesthetic concerns.

More Clothing Options

Many women who have naturally small breasts feel they are limited in clothing options due to their breasts not filling out certain tops. Breast augmentation can provide women with a wide range of shirt, blouse, and dress options that make them look and feel good.

Natural-Looking Results

Some women who long to increase their breast size may fear that implants will make their bust look “fake.” Breast augmentation will not only boost the appearance of your breasts but also provide you with natural-looking results that you can enjoy for many years.

Improved Self-Esteem

Whether the breasts lack volume or need shape improvement, many women can feel self-conscious about the way their breasts look. Breast augmentation will not only enhance the appearance of your breasts, but it can also provide you with an increased sense of confidence.

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“After consulting with 4 other amazing surgeons in the valley, Dr Spies was the doctor for me. From his skills/knowledge to the staff to the cleanliness of his practice. If you are looking for an all around amazing experience. I highly recommend Dr. Spies. I love my result!!!”

“I just wanted to say thank you for all of your kindness & wonderful work I felt so comfortable with you & the staff that you all made this a good experience!”

“I want to thank you for your excellent mastery on my face. The whole experience was perfect. Thank you also for your gentle patience and great bed side manner, and your welcome and friendly smile.”

“I’ve had Dr Spies do 4 of my surgeries. He is a perfectionist and treats patients well. He respects patients when they confide in him what they do not like about their own appearance. All of his staff are non judgmental and helpful. They care.”

“5 Stars for Spies as well as 5 Stars for his head aesthetic nurse Carol Traw. Book an appointment with Carol if you want the best injections in the valley! She does all types, your results will leave you smiling with proof you just had the BEST! Your welcome.”

What Can Breast Augmentation Achieve?

Larger, Fuller Breasts

Pregnancy, weight loss, or nature can all leave women with breasts that they feel are too small. Breast augmentation uses implants to increase the size and improve the shape of your breasts. Larger, shapelier breasts may make you feel sexier and improve your romantic life.

A Balanced Physique

Naturally small or deflated breasts can make body proportions look unbalanced. Breast augmentation can enhance breast volume and restore fullness to make the chest more harmonious with the body and improve your overall figure.

Symmetrical Breasts

Asymmetrical breasts are common in women, where one breast is larger than the other. Usually, the discrepancy is minimal, but some women have breasts that differ by a whole cup size or more. Breast augmentation can create breasts of similar sizes, allowing you to feel comfortable in your body.

What Are My Breast Augmentation Options?

Breast augmentation is a highly customizable cosmetic surgery procedure, as you can work with Dr. Spies to determine the details of your procedure that make up the end result. From implant types, placement, and profile, you can fine-tune the result of your breast augmentation to best suit your aesthetic goals and desired frame.

Implant Type

Choosing the type of breast implant you want is an important step in the breast augmentation process, as the shape and profile (how far the implant projects from the chest) play a large role in the final result of breast surgery. You’ll have the choice between round breast implants or anatomical (teardrop) shaped implants, saline or silicone, and low, moderate, or high profile. It may seem like a lot to choose from, which is why your experienced breast surgeon, Dr. Robert J. Spies, will help you decide. Dr. Spies will discuss the pros and cons of each implant type and give you a good idea of how each of these options might look on your body.

Saline Breast Implants

Saline implants are a popular option and are FDA-approved for patients over 18 years old. Saline implants are a great choice for patients who desire a more rounded, dramatic result. Additionally, because saline implants are filled with a body-safe saltwater solution, if a rupture does occur, the leak is harmlessly absorbed by the body. Patients with saline breast implants know when they’ve had a rupture because the breasts may have visible changes. Saline implants are also filled after insertion into the breast pocket, so patients have more options for smaller incision types.

A silicone shell filled with a saltwater solution
Inserted as an empty shell and filled once it is in the breast pocket
Creates a rounder, firmer breast

Silicone Breast Implants

Silicone implants are FDA-approved for patients over the age of 22 and are increasingly popular as they are thought to best mimic the look and feel of natural breast tissue. Silicone implants are typically pre-filled by the manufacturer, meaning that the larger the implant, the larger the incision required. However, patients still have plenty of options for customization, as they can choose from round or anatomically shaped implants, depending on their desired appearance. For patients who want the most natural feel, silicone breast implants are a great choice.

A silicone shell filled with a cohesive silicone gel
Requires a larger incision for insertion
Simulates the look and feel of natural breast tissue

Incision Location

Another factor with breast augmentation is the type of incision. Breast augmentation incisions follow specific layouts that not only reflect where scars will be, but are designed to accommodate different breast implant types and sizes.

Inframammary Incision

The inframammary incision is one of the most popular incision types, as it can accommodate larger saline and silicone implants. As it runs along the breast fold, any subsequent scar tissue is easily hidden by clothing, bras, and bathing suits, and is really only visible when the breasts are lifted up. This incision is ideal for patients who require silicone implants, large breast implants, and who do not mind the possibility of visible scarring.

The incision is made along the lower breast fold where the breast tissue meets the chest wall
The incision is hidden by the breast tissue

Periareolar Incision

The periareolar incision is another popular option, especially for patients who do not want any visible scar tissue on the breasts. As the periareolar incision encircles the areola (the dark skin around the nipple), any scarring is easily disguised by the darker tissue. However, this incision type is only applicable for saline breast implants, as they can be filled with the saltwater solution after the implant is placed in the breast capsule.

The incision is made around the lower edge of the areola
Any visible scarring is likely to fade over time

Implant Placement

Where the implants are placed is another factor to consider. Placing the breast implants either behind or on top of the pectoral muscle affects the healing process and the ultimate aesthetic of the breasts. Dr. Spies will recommend the best option for your anatomy and goals.

Subglandular

The subglandular technique involves placing the implant under the glandular tissue, yet over the pectoral muscle. This option is usually best for patients with more ample natural breast tissue and those who want a faster recovery. During your initial consultation, Dr. Spies can discuss the benefits and disadvantages of each placement option.

Subpectoral

Dr. Spies prefers the subpectoral method, where the implant is placed under both the glandular tissue and the pectoral muscle. This is referred to as the Dual Plane approach. Subpectoral placement helps create a natural-looking breast projection, with less risk of implant rippling or animation deformity.

What Is the Breast Augmentation Procedure Like?

Breast augmentation is an outpatient procedure performed with general anesthesia for the patient’s comfort. Each breast augmentation surgery is fully customized to the patient’s specifications, but generally, the procedure steps are as follows.

On the day of your breast surgery, Dr. Spies will meet with you beforehand and go over the surgical plan once more. You may have the incision locations drawn on your breasts to ensure accuracy. Once you have asked your last-minute questions, you will be placed under anesthesia, and the surgery will begin. Dr. Spies will begin by making precise incisions over the pre-determined area.

Through the incisions, Dr. Spies will separate the breast tissue from the muscle, creating the breast pocket, sometimes called the implant pocket, where the implant will be placed. After implant insertion, he will ensure they are resting appropriately in the pocket, filling the saline breast implants with sterile saltwater, and adjusting the implants to make sure they are symmetrical. Once Dr. Spies is satisfied with the final look, he will carefully close the incisions with precise sutures.

Your breasts will be bandaged with a protective gauze, and you may be placed in a surgical bra for support. You will then be monitored as you awake from anesthesia.

What Can I Expect During Breast Augmentation Recovery?

The average recovery time is about six weeks. Most of your swelling should have resolved by this point, but slight swelling may persist for anywhere from six months to a year after surgery.

It is typical to have scarring at the incision site. If your incision is made along the inframammary fold, the scar will be hidden by your breast tissue. Scarring that occurs around the areola is likely to fade over time. The average time for a scar to heal completely is about one to two years.

The worst of the pain will be present in the first few days following your surgery, during which you will likely experience swelling of the breasts and possibly some mild bruising. Dr. Spies will prescribe medication to help control the pain.

When Will I See My Breast Augmentation Results?

You will notice an immediate change in your breasts after your breast augmentation surgery. Your breasts may be noticeably larger, perhaps more than you expected, due to swelling. Even with a surgical bra and protective gauze, you’ll see a change in your breasts’ size, shape, and even their weight. However, final results take some time to appear as your breast implants settle into your body. As you begin to heal and the swelling goes down, you will be able to get a better idea of what your breasts look like. The healing process for breast augmentation surgery generally takes about six weeks as swelling and bruising dissipate, and the breast implants start to settle in the body.

While you might be feeling like yourself again, the breast implants still have a ways to go before you can see your final, fully healed result. The process of breast implant settling is sometimes called the drop and fluff process. When the breast implants are placed in the implant pocket, the body naturally forms a protective casing of scar tissue around them, and the chest muscles swell around the implants. This can cause the breasts to appear constricted, misshapen, and hard. As the body relaxes around the implants, they will soften to a more natural feel and settle into a lower, more natural position on the chest. This process can take up to six months to complete.

So while you’ll notice some immediate results, your breasts will continue to improve in appearance and feel for months after your procedure.

Breast Augmentation FAQ

How much does breast augmentation cost in Scottsdale, AZ?

The cost of breast augmentation is determined by various factors, including the size, material, and type of breast implant you choose, whether you have combined your breast augmentation with any other procedures, and additional fees associated with your breast implant surgery. The price can be determined by geographical location, the surgeon’s fee, anesthesia costs, and implant type. On average, the cost of breast augmentation ranges from $4,500 to $6,500. After you consult with Dr. Spies, he will create a custom surgical plan for you and then give you an accurate cost estimate for your breast augmentation.

I have significant breast sagging. Will implants correct this?

Breast implants do not significantly correct sagging breasts, or breast ptosis. While increasing breast volume can lift the breasts a little, that is not the primary function of the surgery. If your breasts are an adequate size but are sagging, a breast lift can restore them to a perkier position and a more youthful shape. If you desire a size increase and a lift, Dr. Spies can discuss the advantages of combining a breast lift with your augmentation.

What potential complications can occur with breast augmentation?

As with most surgical procedures, there is an infrequent risk of infection and bleeding complications. There are also risks associated with the use of breast implants that may require surgery in the future. Such risks include capsular contracture (tightening of scar tissue around the implant), implant rupture/deflation, and bottoming out (the implant stretching the pocket and dropping below the breast tissue). If these issues do occur, the patient might have to undergo secondary surgical procedures such as breast implant removal or breast revision surgery.

However, properly following your aftercare instructions and contacting your surgeon at the first sign of any possible problem can help lower your chances of developing a complication.

Is breast augmentation surgery permanent?

Barring any complications that would necessitate the replacement of your implants, breast augmentation surgery provides long-lasting results. However, the reality of breast augmentation is that breast implants are not designed to be lifetime devices, and patients will typically need to replace their implants at some point. The surgical procedure for replacing implants is called breast revision or breast implant revision surgery and allows patients to update the size, profile, and material of their breast implants. Dr. Spies will discuss the expectations you should have of your surgery results.

How do I know which implant placement is best?

While some of your preferences are important, you don’t have to make every decision about your breast augmentation on your own. Dr. Spies will walk you through the different implant types and placements before making suggestions and helping you choose what will look and feel best. Check out our blog on breast implant placement types for more in-depth information.

How do I know if breast implants will look good on me?

It’s a big decision to undergo any cosmetic procedure, including breast augmentation surgery. If you are unsure if breast augmentation surgery is for you, it can be helpful to know that you have options. Not all breast implant sizes, projections, or materials will look good on everyone, so discussing all the options with your surgeon beforehand is essential. Additionally, Dr. Spies can help advise you on the ideal breast implants that complement your natural frame and help you reach your aesthetic goals. Many of our breast augmentation patients are ecstatic with their results, but breast augmentation surgery has more benefits than just aesthetics. Most patients reflect on the benefits of their boosted confidence after surgery.

Can I combine my breast augmentation with another procedure?

In most cases, yes. Common surgical procedures that are combined with a breast augmentation include breast lift surgery, which results in a more comprehensive breast enhancement. Patients with breast sagging and a loss of volume can benefit from combining these two procedures for an increase in breast volume, more symmetrical and rounded breasts, and lifted, perky breasts that rest higher on the chest wall.

Another popular option is combining your breast augmentation or breast augmentation with lift and a body contouring procedure, such as a tummy tuck. This is a popular option for women seeking a full-body makeover, called a Mommy Makeover.

If you are interested in combining your breast augmentation with one or more procedures, discuss your goals and desires with Dr. Spies, who will work with you to create a surgical plan that incorporates your needs safely and effectively.

Should I choose round implants or anatomical?

Round implants typically result in a more dramatic result, with more volume on the upper pole (top portion) of the breasts. They are a good option for patients with little natural breast tissue or those who want to increase the amount of cleavage they have. Anatomical implants, sometimes called tear drop implants, result in a more natural breast appearance, as the fullness rests at the lower pole or bottom of the breast implant, similar to how natural breast tissue looks on the chest. Saline implants are typically round, although a teardrop shape is possible. Silicone implants are commonly used in both types.

Dr. Spies can help advise you on the best option for you based on your anatomy, goals, and natural frame.

Verified Realself

Dr. Spies' office is located in Paradise Valley, Arizona, adjacent to the Paradise Valley Cosmetic Surgery Center.

Robert J. Spies, M.D.
5410 N Scottsdale Rd C 100
Paradise Valley, AZ 85253
Tel: 480-359-1019