Answers to Common Questions

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Breast Augmentation Topics

Our site offers the following resources that may help answer your questions about breast augmentation.

Our Phoenix and Scottsdale breast augmentation patients have a lot of information to sort through. It can be very difficult to find the facts and separate them from the myths. Women from throughout the US and abroad have come to trust Dr. Robert Cohen as a leader on breast enhancement procedures, and look to him for answers to their breast augmentation questions.

Request a cosmetic consultation with Dr. Cohen and learn why you should choose a board-certified plastic surgeon and breast specialist for your breast augmentation in Scottsdale.

Dr. Robert Cohen: Board Certified by the American Board of Plastic Surgery

For your breast enhancement procedure, you deserve a specialist with years of experience and dedicated focus on his patients' results.

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Breast Augmentation Questions Answered by Dr. Cohen

At your consultation, I will spend as much time as you need discussing your procedure and answering all of your questions. However, for your convenience, I am providing answers to some of the most common questions I hear about breast augmentation.

What if my breasts are two different sizes or shapes?

The vast majority of women have some degree of breast asymmetry – breasts that are different sizes or shapes. This asymmetry can be subtle or severe, but any asymmetry may be exaggerated with the placement of implants unless steps are taken to correct these preexisting differences. I address this issue during breast augmentation surgery in several ways. For example, to correct for size differences, I can use implants of different volumes (ccs) or profiles to achieve a more balanced outcome.

Since I have my own operating room, I have a large stock of implants and implant sizers (sterile implant replicas), so I always place test sizers in my patients and check them in both the lying down and seated position to ensure the highest degree of symmetry prior to placing the final implants. I don't buy clothes without trying them on first, so I certainly would not place breast implants in a patient without first checking to make sure they are the best possible shape and size.

In many cases, prior to surgery, the breasts display different shapes, nipple positions, or degrees of sagging. During surgery, appropriate internal pocket adjustments, areola position adjustments, or breast lifts may need to be performed on one or both breasts to provide the best overall symmetry.

How do I avoid "fake" looking breasts?

Regardless of whether you want a significant or subtle change in size, I specialize in extremely natural looking results, which you can view in our photo gallery. In my experience, "fake" or unnatural looking results often come from making the wrong choices when planning a breast augmentation procedure. For example, implant selection can affect results in very visible ways. Prior to surgery, my patients show me their favorite breast photos from my website to help me visualize their ideal final appearance. In surgery, I use this information to select the size and profile of implant, and make the proper breast adjustments that will get each patient as close as possible to their aesthetic goals.

Also, the placement of the implant is an important factor in achieving a natural looking breast. I generally recommend a subpectoral (under the chest muscle) placement for the most natural appearance. Placing implants above the muscle, particularly on thin women or those with little breast tissue, can result in a highly visible implant. Finally, meticulous aftercare, such as wearing your surgical bra and performing regular breast massage, is necessary to ensure that the implants settle into a softer, more natural appearance.

Can Breast Augmentation Improve My Sagging Breasts?

It is possible that a very minor degree of sagging can be improved through breast augmentation. However, even in cases of moderate drooping, adding a breast implant without correcting the skin excess may actually worsen the breast appearance as the additional weight pulls on the already stretched skin. For my patients with sagging, I recommend that a breast lift be performed in conjunction with their breast augmentation for optimal results. By eliminating excess skin in conjunction with implant placement, women achieve added volume, improved shape and a more youthful breast position. Also, this may prolong breast augmentation results as it delays further sagging that comes with age.

Is It Safe to Have Breast Augmentation Performed with Other Procedures?

Yes. Studies have shown that it is safe to have more than one procedure performed at a time, and there are benefits to this approach. Combining procedures can save on facility and anesthesia costs, as well as time taken off of work. Women who have more than one procedure at a time experience only one recovery but enjoy the results of two surgeries. It is not uncommon for my breast augmentation patients to add liposuction, tummy tuck, or even facial enhancement procedures to their surgery.

If you would like to discuss your breast augmentation questions with Dr. Cohen, a board-certified plastic surgeon and internationally recognized authority on breast procedures, request a consultation today.

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