San Francisco Plastic Surgery Dr James Romano

126 Post Street, Suite 618, San Francisco, CA 94108 | 415.981.3911 

San Francisco Plastic Surgeon

About Dr Romano

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Breast Surgery

Areola Reduction

Breast Asymmetry

Breast Augmentation

Breast Augmentation Revision

Breast Feeding

Breast Lift-Mastopexy

Breast Lift-Scarless

Breast Reduction – Surgical

Breast Reduction-Revision

Breast Reduction-Scarless

Gynecomastia

Inverted Nipple Repair

Nipple Reduction

Postpartum Breast Involution

Staged Breast Augmentation

Symastia Correction

TUBA-Transumbilical Breast Augmentation

Tubular Breast Correction

Body Surgery

Facial Surgery

Male Plastic Surgery

Anti Aging

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Breast Augmentation

Breast enlargement surgery is one of the most popular procedures performed in cosmetic surgery at this time. There are numerous different techniques, types of implants, and incisions to use to the point where breast enlargement surgery is ever more artistic, more natural, and safer than ever before. Much can be done with this surgery to not only increase the size of your breasts, but to provide a very beautiful and natural shape. A wide array of implants are available from saline to silicone, from fuzzy to smooth, from round to anatomic. Women can choose from different incisions, different types of implants, different locations for placement such as submammary, subpectoral, dual plane or total submuscular. Gel fill materials have evolved to be very safe, natural feeling, and causing less contracture. The preparation of patients with diet, supplements, and creams combined with a very skillful and safe surgery has allowed for a virtually pain free recovery.

 

THE BREAST IMPLANTS

  • Saline or silicone implants may be used. Your anatomy, concerns and priorities will help us determine which implants are best suited for you.
  • The latest in technologies are utilized including all shapes (anatomic, teardrop, or round) and textures (smooth or fuzzy). These allow the doctor to customize your surgery.
  • The many new types of implant fillers such as soybean are still experimental and are not yet approved by the FDA.

THE PREOPERATIVE FEATURES

  • Breasts that are small, uneven or asymmetric.
  • Breasts that are slightly sagging or deflated.
  • Breasts that are out of proportion to the rest of the body.
  • Desire for a better fit in clothing or a more sensual body image.

THE PROCEDURE

  • Local or general anesthesia can be used and it takes about two hours.
  • Incisions can be placed either in the armpit, around the nipple or areola, or in the lower breast crease.
  • The nipples and areola usually enlarge in proportion to the increased breast size.
  • The space is made exactly in the right place and position to correspond to the exact type of implant.
  • A careful exam of the breast tissue is undertaken to make sure no abnormalities are present.
  • Temporary breast implant sizers are inserted in the space and inflated to the correct volume and adjustments are made, then the appropriate permanent implant is inserted.
  • The only dressing is a surgical bra.
  • No drains.
  • This can be combined with other surgeries.

THE RECOVERY

  • You can go home after several hours.
  • You can shower on the second day after surgery.
  • Moderate pain for the first two days that is mostly gone by the third day and easily controlled by medications.
  • You will feel very groggy for the first two days and weak for about ten days.
  • Swelling is moderate for the first week after which it rapidly disappears.
  • Breasts are high on the chest for the first three weeks then settle into a very normal position and contour.
  • Usually no bruising.
  • Resume many activities within the first week, and most by at least three weeks.
  • No stitches to remove. They are all dissolvable.
  • Off of work for five to seven days, often less.

THE RESULT

  • Enlarged, full, balanced breasts.
  • Very natural result that just gets better in time.
  • Softness and natural bounce that persists.

For before and after images of this procedure click here

 

Please call or contact the office for any further information or to schedule an appointment.

Copyright 2007 James J. Romano, M.D., 126 Post Street, Suite 618, San Francisco, CA 94108, 415 . 981 . 3911
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