Breast Augmentation Tacoma Washington

General Considerations

When a woman wishing to enhance the appearance of her breasts seeks implant-based breast augmentation, the operation can successfully accomplish this goal in most cases. In some cases, a breast lift (mastopexy), or a breast lift combined with an augmentation, may be necessary. Depending on the amount of excess or loose breast skin and the degree of descent of the nipple below the level of its normal anatomic location, implants by themselves may not be enough to recreate a youthful-appearing breast. During your consultation with Tacoma area board certified plastic surgeon Dr. Cohen, he will perform a physical exam with careful measurements in order to determine exactly which procedure is right for you.

Breast Augmentation in Tacoma Washington

Type of Silicone and Saline Breast Implants in Tacoma

There are two broad categories of breast implants available on the market: silicone implants and saline implants. It is important to note that these terms refer to the material that fills the inside of the implant, because the outer shells of both types of implants are universally made of silicone. Thus, a silicone implant has a silicone outer shell and is filled with silicone gel; while a saline implant has a silicone outer shell and is filled with saline, which is a sterile solution of salt in water. Silicone is a highly inert material that is used for making many different implantable medical devices, including insulin pumps and prosthetic joints, because of its safety and its relative lack of reactivity with the body’s immune system. Within each category of implant, there are two sub-categories based on the outer surface of the implant shell: textured-surface and smooth-surface. When an implant is made in the shape of a teardrop in order to resemble the natural shape of a breast, it is not allowed to rotate inside the body, since a rotated teardrop implant will distort the shape of the breast. In order to prevent such rotation, these implants are made with a textured surface so that they will “velcro” themselves to the tissues from the inside. By contrast, a round (i.e. spherical) breast implant does not require a textured surface, since if a spherical implant rotates inside the body, it will not distort the breast shape. For this reason, most round implants have a smooth surface, although round implants with textured surfaces do exist as well, because at one time textured surfaces were believed to decrease the long-term risk of capsular contracture, a finding that has not stood the test of time. Due to mounting evidence pointing at decreased safety of textured implants, Dr. Cohen currently recommends using smooth-surface implants over textured implants to all his patients. It is important to know that, while the first “gummy” implants introduced in the United States were all textured, this is no longer the case, and “gummy” implants now come with smooth surfaces as well. If a woman insists on having textured teardrop-shape implants, Dr. Cohen can still accommodate her desires after counseling her on all the current data available regarding their safety. For more information about this, please refer to the link for the FDA website:

Saline and Silicone Breast Implant Safety

Concerns regarding safety of silicone and saline breast implants have been a recurring issue over the years, with new concerns emerging all the time. Some of these concerns have been legitimate, while others have not. The discussion on the history of the breast implant and their safety can occupy hundreds of pages and therefore cannot be fully addressed on this website. It is important to distinguish between concerns that are based on rigorous scientific data (such as ones listed on FDA website), as opposed to concerns that are driven by anecdotal evidence, media hype, and litigation. Not everything that is being said about breast implants on the internet, television, and social media, is based on good scientific studies, and it is important to know the source of the information when evaluating various statements about implant safety. It is perhaps most important to bring these concerns to a board-certified plastic surgeon and to ultimately ask the question, “would you place this implant in your family member?”

Implant Size

The two most important considerations in selecting the size of the implant are the woman’s desires (“how big do you want to go?”) and her breast anatomy. The implant diameter needs to fit within the patient’s breast diameter, because women universally dislike having implants that are too wide for their breasts. The implant’s projection (sometimes referred to as “profile”) needs to fit within the breast skin in a way that is safe, proportionate, and congruent with the patient’s desires for her ultimate size. Implant projection ranges from implants that are nearly flat to implants that are almost round. During your consultation with Dr. Cohen, you will have an opportunity to “try on” multiple sizes of implants that would fit your desires and your anatomy in order to help you determine what size implants you would like to have. No two women have identical breasts, and therefore the size of the implant that worked well for one woman will not necessarily be ideal for another one.

Breast Augmentation in Tacoma WA – Implant Incision Location

Traditionally there have been four possible incisions used to place these devices: under the breast, around the areola, in the armpit, and around the belly button. The belly button approach became very popular during the time period when only saline implants were available. It has mostly fallen out of vogue with the return of silicone implants. The armpit approach, while appealing in terms of keeping the scar off the breast, has a higher potential for bacterial contamination which can lead to a higher incidence of certain complications. Different breast augmentation surgery surgeons prefer different incisions, and there is no absolute right or wrong choice when it comes to incision choice. A vast majority of plastic surgeons today use either the inframammary crease incision (under the breast) or the periareolar incision (around the nipple). Dr. Cohen’s preference is to use the incision in the crease under the breast, unless the patient requires a breast lift in addition to the augmentation, in which case the periareolar incision used for the breast lift is also used for implant placement.

What Are Gummy Bear Implants?

Gummy bear breast implants are one of the breast augmentation solutions available. The term “gummy bear” refers to the teardrop-shaped, gel-based implants. They’re known for retaining their shape better than saline and silicone-based breast implants.

Can Breast Augmentation be covered by Medicare

Cosmetic surgery is typically not covered by Medicare, and it is also not covered by private health insurance. Discuss any charges with your treating doctor and, if necessary, your private health insurance provider before considering cosmetic surgery.

How Long do Breast Implants Last

When it comes to breast implants, how long do they last? Today’s implants are designed to endure more than a decade on average, with the risk of rupture increasing by 1% per year. As a result, the older your implants are, the more likely they are to rupture or cause other issues. Breast implants can last up to 20 years in most situations.

Are Round or TearDrop Implants Better

Is it better to have round or teardrop implants? Most patients will benefit more from a round breast implant, especially if their primary goal is to increase the size and lift of their breast. Teardrop implants are riskier, more expensive, and may require maintenance in the future.

Can you still breastfeed with implants

Is it possible to breastfeed with implants? Breastfeeding is possible for the majority of women who have implants. Discuss your concerns with your doctor or a lactation specialist. Remember that any amount of breast milk you can produce will help your baby, and supplementing with formula is an option if necessary.

How Much Is A Breast Augmentation – How Much Do Breast Implants Cost

According to the American Society of Plastic Surgeons’ 2020 figures, the average cost of breast augmentation surgery is between $4,516. This is somewhat misleading as it does not include anesthesia or operating room expenses and is only a portion of the entire cost; it excludes anesthesia, operating room facilities, and other related costs. To establish your final charge, please contact the office of your plastic surgeon. The cost of breast augmentation surgery is determined by the surgeon’s experience, the treatment performed, and the location of the clinic. Ask your plastic surgeon about patient financing options for breast augmentation. The following items may be included in the cost of breast augmentation: Fees for anesthesia, Costs of a hospital or surgical institution, Medical examinations, Garments to wear after surgery, Medication prescriptions, and Fee for a surgeon.

For breast augmentation in Tacoma and Federal Way area contact Bayview Plastic Surgery.



Certified by the American Board of Plastic Surgery Inc.

    Schedule Your Consultation Today






    Photo Gallery Specials

      Schedule a One on One Consultation with Dr. Cohen


        Schedule a Virtual Consultation with Dr. Cohen

        Bayview Plastic Surgery
        Michael Cohen, M.D.

        4700 Point Fosdick Dr. NW
        #208
        Gig Harbor, WA 98335

        (253) 313-0443 (253) 313-0443

        Office Hours

        Monday - Friday 9 am - 5 pm
        Saturday by appointment only

        Connect with Dr. Cohen

        Schedule an Appointment

        Tacoma Liposuction
        Tacoma Brazilian Butt Lift

        © 2018 Bayview Plastic Surgery, PLLC. All Rights Reserved. Serving Tacoma, Federal Way, Puget Sound, Olympic Peninsula, Pierce County and surrounding areas | Across The Web