Breast augmentation is a highly popular plastic surgery procedure in Santa Barbara and throughout the world. With the largest selection of breast implants available in Santa Barbara, our breast enhancement facility allows a highly individualized approach to breast augmentation surgery.
Our Selection of Breast Implants
- Simple saline breast implants
- Structured saline breast implants
- Round gel breast implants
- Shaped gel breast implants
The purpose of such a wide selection of breast implants is to allow each patient to choose the right fit for her. There is no right or wrong, no “best” breast implant. But for every woman, there is a “best” option for her. There are advantages and disadvantages to each type of implant, and more information about each implant can be found on their individual page.
The Breast Implant Pocket
The “pocket” or “placement” of the breast implant refers to the position that the implant is placed in relative to the breast tissue and the muscle. The pocket has a lot to do with the shape of the breast after surgery, and Dr. Lowenstein’s refinement of the “Dual Plane” pocket allows him to create the natural, tear drop shape that he is known for. While breast implants have classically been placed in front of the muscle or behind the muscle, each of these positions has disadvantages of appearance or feel. By combining the best aspects of each of these “older” styles of breast implant pockets and adding nuance techniques to address different breast types, Dr. Lowenstein’s dual plane approach allows optimal shaping and feel to your breast augmentation result.
The Breast Augmentation Incision
Several different types of incisions have been used for breast implant surgery. Dr. Lowenstein’s preference is to use an incision below the breast in the natural crease, called the infra-mammary fold, or IMF. This incision carries the lowest rates of breast implant hardening (capsular contracture) and the highest rates of symmetry, allowing both the right and left breasts to appear as close to each other in shape and size as possible. Other incisions such as those in the belly button or armpit are very far from the area requiring the most detailed surgical work. These incisions tend to create difficulty in optimizing a natural breast outcome. The incision next to the nipple can be used, but this incision has a higher risk of problematic scarring, can often be seen in a standing or sitting position, and can cause the nipple itself to become deformed. The infra-mammary incision preferred by Dr. Lowenstein allows for precise implant placement and because it is in the fold under the breast, it is well camouflaged and more difficult to detect.
Reasons that patients get breast implants…
Enlarging Small Breasts
Breast size is a very personal preference, and many patients with smaller breasts feel self-conscious about that fact. Interestingly, this is also an issue in many women with large breasts as well. Because the breast is a focal point for many women, using a breast implant to augment breast size allows many patients to feel more confident with themselves. They can often find clothes fit better and enjoy shopping for fashion that previously would not have fit as well.
Improving Breast Shape
No two breasts are the same in size or shape. Just as some women look for breast enhancement to make their breasts larger, some women want to change the shape of their breast to appear more attractive, or more tear-drop shaped. Dr. Lowenstein’s advanced techniques of breast re-shaping use breast implants as well as particular maneuvers in surgery to create an aesthetic breast appearance. Sometimes this requires a shaped implant, while other times a round breast implant can produce the best shape. Changing the look of the upper breast or the lower breast are both options that you can discuss with Dr. Lowenstein during your consultation.
Rejuvenating Breasts After Pregnancy
Many patients describe having very nice breasts before they had children, but the hormonal changes that come with pregnancy often take a toll on the breast with or without breast feeding. Enhancing breasts that have deflated or become smaller is a frequent reason for plastic surgery. (Alternatively, some women have breast enlargement associated with pregnancy and they require a reduction in size.) Breasts that deflate with children may require both a breast augmentation and a lift- this can be discussed during your consultation to plan an individualized plan to rejuvenate your specific situation.
Breast Augmentation Revision
Because of Dr. Lowenstein’s reputation, many women come to consult for revision of previous breast surgery performed elsewhere. Breast implant malposition, asymmetry, capsular contracture, and implant rupture are all reasons that patients operated on elsewhere my seek Dr. Lowenstein’s help for secondary breast surgery. Improvement in these cases may require different implants, scar excision, pocket changes, or tissue release to achieve an optimal outcome.
Dr. Lowenstein’s Breast Implant Guarantee
Dr. Lowenstein uses two brands of implants- the simple saline implants and all of the silicone gel breast implants at our practice come from the Mentor corporation. Manufactured in the United States, this company provides the highest quality implants available. The Ideal Implant Corporation in California has created the structured saline implant. Also made in the USA, these implants are recently introduced but thoroughly studied and of course, FDA approved.
Included in the price of your surgery are the guarantees that these manufacturers place on these implants.
- Ideal Implant guarantees their breast implants for 10 years against rupture.
- Mentor guarantees their breast implants for 10 years agains rupture.
- Mentor guarantees their breast implants against capsular contracture for 10 years for your first implant surgery.
For our patients, this means that if this is your first breast augmentation and your Mentor implant ruptures or has a significant contracture issue, or your Ideal implant ruptures, the corresponding company will replace your implants for free. Each company will also give you some money for the cost of the surgery to replace the implants. If you return to Dr. Lowenstein during the guarantee period, your charges will be no more than the money given to you by the breast implant company. In other words, there will be no money out of your pocket (except for medications and pre-operative testing) if you return to our practice in these cases.
Dr. Lowenstein Discusses Breast Augmentation
FAQS: BREAST AUGMENTATION