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Thank you very much for your inquiry regarding breast augmentation surgery. There are two techniques of breast augmentation: 1. natural breast augmentation, harvesting one’s own fat and stem cells elsewhere in the body, processing the fat and stem cells for purification and fat grafting to the breast, and 2. breast implant surgery using either a saline or silicone implants.
Harvested body fat can be used to provide breast augmentation or enhancement using one’s own fat, the outcome is a natural appearing breast that is soft without the artificial appearance of implants. Usually 150-240 cc of fat is placed in each breast, which augments the size by one or two cup sizes. The fat can also reshape asymmetries in the breast. I am a national trainer for SlimLipo laser lipolysis, the water-jet assisted liposuction (Body-Jet) and VASER technologies as adjuvants in liposuction.
The fat grafting methods that I am using are currently regarded as the best techniques for fat grafting, increases the fat survival up to 80% of the grafted fat, compared to only 40-60% with other conventional techniques. Dr Troell has recently published two book chapters in a Aesthetic Stem Cell medical text which describes techniques to optimize both fat and stem cell grafting.
Breast implant surgery is the most common cosmetic surgery performed in the US, with liposuction being the second. With current surgical technologies, the procedure is safe and effective. The decision to use a saline implant versus a silicone implant is related to patient preference and the amount of fatty and breast tissue currently present. Implants are usually placed below the chest (pectoralis) muscle, however, in woman with significant atrophy from pregnancy, above the muscle or sub-glandular (below the skin and glandular breast tissue) placement may be preferred. Most patients elect silicone breast implants placed below the muscle with either an areolar or under the breast incision.
Silicone implants offer a more natural feel and appearance with less chance of rippling. Incision locations include: around the nipple (Infra-areolar), in the anterior axilla fold (trans-axillary), superior aspect of the belly button and below each breast (inframammary). Some patient’s also have breast droopiness (breast ptosis) that requires a simultaneous breast lift (mammopexy) to optimize the final appearance. These procedures are usually performed under general anesthesia for comfort and safety. I just completed a study comparing breast implant skin incision appearance after CO2 laser skin resurfacing at 6 to 8 weeks post-operatively versus no laser treatment at all.
I have considerable experience in the field of plastic and reconstructive surgery with completion of residency and fellowship at Stanford University Medical Center. I remained at Stanford University as a Clinical Professor for seven years and am currently Adjunct Professor at Touro University, College of Osteopathic Medicine. I have multiple board certifications including the American Board of Cosmetic in Breast, Body & Extremity Surgery, the American Board of Otolaryngology-Head & Neck Surgery, and the American Board of Facial Plastic & Reconstructive Surgery. I am director of the Institute of Advanced Body Contouring in Las Vegas, NV and Irvine, CA. I am also a member of the American Academy of Liposuction Surgery.
During your initial free consultation, we will discuss your aesthetic concerns and discuss your treatment options. Please visit my website at www.beautybydesignmd.com.
Sincerely & Respectfully,
Robert J Troell, MD, FACS
"You only get one canvas, make it a Masterpiece."
Our office is located in:
Beauty By Design113 Waterworks Way
Irvine, CA 92618
P: (949) 220-0532