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Breast Augmentation San Francisco

Considering breast implants? We’re here to help! Learn how you can enhance your profile with fuller, natural-looking breasts, or return to your pre-pregnancy self by restoring lost volume with breast augmentation. Find out about the different types of implants, procedures, recovery, reviews, and costs below.


Breast Augmentation Reviews from PPSG Patients

5 Stars 2/21/2015
One word to describe my experience from start to finish with Dr. Miranda and his office: AMAZING. Before I came to Dr. Miranda, I went to a few consultations for breast augmentation and no other doctor made me feel as comfortable or confident with my decision. The results of my augmentation, also amazing. I told Dr. Miranda I wanted the most natural looking job, I even showed pictures and they came out exactly how I wanted. Dr. Miranda is a magic worker, post operatively, I was in hardly any pain. I got the gummy silicone at 330cc, and they look completely natural, hardly any scarring or post-surgical discomfort. I would suggest him to anyone looking to have their breast done.
- Ashley C.

“… my physical and emotional
level of confidence has
improved tenfold.”


- Julia (actual PPSG client)

5 Stars 1/4/2015
I am extremely pleased with the outcome of my breast augmentation, Dr. Miranda is an excellent surgeon! Plus my physical & emotional level of confidence has improved tenfold … I highly recommend Pacific Plastic Surgery Group. – Julia E.

5 Stars 5/2/2016
I was referred to Dr. Miranda for my body transformation by 2 friends who went to Pacific Plastic Surgery for breast implants. I had 350cc anatomical implants installed just over 2 weeks ago … Dr. Miranda does a great job of explaining what’s going on & his patient coordinator, Tori, has been lovely. Dr. Miranda is all business & very professional. Tori is fantastic about making sure I’m comfortable & understand everything from billing to recovery time. The staff at the office is great & the surgery center next door is very convenient. Im looking forward to Stage Two! – AV
FIND MORE REVIEWS: Yelp, Google+, RealSelf, ZocDoc, HealthGrades

What is Breast Augmentation?

Breast Augmentation (mammoplasty) is a surgical procedure that enhances the shape, size, and proportions of a woman’s breast using implants.

Most Common Concerns Corrected with a Breast Augmentation:
- Enhancement of size, shape, and/ or firmness of breast
- Restore lost breast volume after pregnancy or nursing
- Reconstruction after Mastectomy, Lumpectomy, or other trauma

What are the Different Types of Implants?

There are two main types of implants: Silicone Implants (Cohesive Gel a.k.a. Gummy Bear) or Saline Implants (sterile salt water), each have a silicone shell. Both are a safe, FDA-approved implants each with their own benefits. Other variances include volume, texture, and shape. Sizes range from 50cc up to 1,000cc, they may be smooth-walled or textured, and implants may be round or shaped (teardrop). We offer the entire line of implants from Mentor®, Natrelle®, and Sientra®.





THINGS TO CONSIDER GUMMY BEAR IMPLANTS SILICONE IMPLANTS SALINE IMPLANTS
FILLING COHESIVE SILICONE GEL COHESIVE SILICONE GEL STERILE SALT WATER
LOOK & FEEL MORE NATURAL MORE NATURAL LESS NATURAL
FDA-APPROVED YES YES YES
COST MORE EXPENSIVE SLIGHTLY MORE EXPENSIVE LESS EXPENSIVE
CHANCE OF RIPPLING MUCH LOWER MUCH LOWER HIGHER
CHANCE OF RUPTURING LOWEST MUCH LOWER HIGHER
INCISION SIZE LARGER LARGER SMALLER
AGE REQUIREMENT 22 YEARS OLD 22 YEARS OLD 18 YEARS OLD
ABILITY TO DETECT RUPTURE HARDER TO DETECT HARDER TO DETECT MORE NOTICEABLE

What are the Different Procedures?

THE INCISION SITE
Incisions are made in inconspicuous areas to minimize visible scarring. You and your plastic surgeon will discuss which incision options are appropriate for your desired outcome. Incision options vary based on the type of breast implant, degree of enlargement desired, your particular anatomy and patient-surgeon preference. The four primary incision sites are:
Periareolar Incision is made along the outer edge of the areola, where the skin is darker. This minimizes the visibility of the incision and scars later on.
Inframammary Incision commonly referred to as the “breast fold” incision, is the most common type of incision for breast implants. The incision is made where the bottom of the breast meets the rib cage. This scar can only be seen when the breast is lifted.
Transaxillary Incision is made inside the armpit, along the outer edge of the breast and the scare is only seen when the arm is lifted.
Transumbilical Incision may be used when the patient has chosen unfilled saline implants. The incision is made in the navel, the implants are inserted, placed, then filled.

INSERTING AND PLACEMENT OF IMPLANTS
The method for inserting and positioning breast implants depends on the type of implant, degree of enlargement desired, your body type and your surgeon’s recommendations. After the incision is made, a breast implant is inserted into a pocket either: Under the pectoral muscle (a submuscular placement), or directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement).

What Size is Best?

There are many factors to consider when deciding what size, shape, and type of breast implant to choose. Some things to consider when deciding are your body type, shape, age, activity level, and overall goals.

Do you want see what the difference between 300cc and 400cc looks like on you? Want to be sure you’re choosing a size that looks natural? We offer Crisalix 3D Simulator Imaging at Pacific Plastic Surgery Group. We’re able to create realistic 3D before and after images of your breast augmentation. We offer FREE 3D imaging with our consultations.

Consultation and Preparation

During your CONSULTATION you and your surgeon will discuss why you want breast implants, your expectations, and goals. Together, you will determine the breast size that is best for your body shape and size (in some cases this may require compromise), the site of your incision, whether you want silicone or saline implants and where the implant will be placed. A general health evaluation will be performed and detailed measurements made to create an optimal course of treatment. You will go over your medical history including last mammogram and family history of breast cancer. You will discuss any current medical conditions, any prescriptions or over-the-counter medications you are currently taking, and share any drug allergies and previous medical treatments.

PREPARATION
We are dedicated to assisting you every step of the way. After your initial consultation with one of our board-certified plastic surgeons, Dr. Edward Miranda or Dr. Jason Dudas, and choosing the type of implant, procedure, and surgery date, the doctor will advise you on the proper lab tests to have done and go through your prescriptions and over-the-counter medications. You will meet with your surgeon at least twice prior to surgery to go over all the details of the procedure and answer any questions you might have. During these consultations you will discuss important aspects of the surgery and what precisely it will entail. Routine procedures include having a baseline mammogram done both before and after your surgery in order to determine whether or not there have been any changes to your breast tissue.

Three Weeks Before Procedure stop smoking and drinking. Smoking may even need to stop earlier due to its effect on the healing process. Smoking constricts your blood flow to all areas of your body, which slows down your body’s healing capabilities. As for drinking, it can also affect your healing and your immune system, making you more susceptible to illness and disease. Alcohol consumption before surgery also makes you more susceptible to bleeding and should be cut out completely before and after your surgery until your counselor gives you the okay. Disclose all prescription and over-the-counter (OTC) medications to your doctor to ensure that nothing will negatively affect you. Lastly, cut back on any foods containing salicylates, since this affects your blood and can cause excessive bruising.

Two Weeks Before Procedure you should check your medications again. What may have been acceptable three weeks before surgery may not be acceptable now. These medications include ibuprofen, anti-inflammatory drugs, blood-thinners, and Vitamin E supplements. There are also certain things that you should begin doing two weeks before your procedure. Start taking multivitamin supplements with the approval of your patient counselor, including vitamins A and C. Bromelain (found in health food stores) can also help relieve swelling after surgery, and homeopathic arnica ointment can be used to prevent and treat bruising. Iron is also recommended before liposuction.

One Week Before Procedure reduce your sodium intake, sodium increases swelling, so reducing it to a minimum one week before your surgery in order to minimize discomfort after the procedure. Be sure to eat healthy and regularly in order to boost your body’s immune system and health. This includes eating fruits, vegetables, and protein with every meal. Get all your prescriptions filled ahead of time, especially those related to your procedure, and contact someone about driving you to and from your procedure. You should also have somewhere prepared for you to recover after your surgery is complete where you can rest, relax, and easily contact someone for assistance or in case of an emergency.

Day of Surgery you will check in at the surgery facility chosen. You will be evaluated by your anesthesiologist and meet with your plastic surgeon. He will measure and mark you for surgery. Surgery takes approximately 2-3 hours. After surgery, you will go to the recovery room, where you will be monitored for another 1-3 hours before being discharged.

Post-care, Recovery, and Results

Understanding the importance of POST-CARE is essential. Knowing what the recovery process entails and what to expect is an important aspect of your preparation and will better prepare you for your surgery. After surgery you will be taken into a recovery area and be closely monitored. Your breasts will be wrapped in gauze dressings and an elastic bandage or support bra will minimize swelling to the breasts as they heal. You may be permitted to go home after a few hours. Before leaving you will be given specific instructions that will include how to care for your breasts following surgery and when to follow up with your plastic surgeon, be sure to follow all instructions carefully.

RECOVERY will likely experience 24-48 hours worth of post-surgical recovery time (downtime). During this time, your activity level should be reduced and your pain level may be higher. Some mild pain, swelling, and bruising after surgery is normal; these will be temporary. General soreness and swelling should dissipate in a few weeks’ time. Typically we see you back in the office for a post- operative appointment about 5-7 days after surgery, if any sutures need to be removed that is done at this time.

RESULTS are immediately visible post-surgery. To ensure optimal results and avoid infection, it is important that you follow post-operative instructions and do not skin any of the education your doctor advises. Return for post-procedure follow-ups, and if you have concerns or feel something is amiss, call our office right away.

Cost & Financing

Each patient is unique and their needs and procedure outlines are curated to compliment those unique needs and optimize their personal results. There are numerous factors that calculate the price of breast augmentation, some variables include the overall goal of the patient, type of technique and implant, type of anesthesia, the facility chosen, post-surgery garments, prescriptions, and most importantly, the experience and skill of the plastic surgeon. Both, Dr. Edward Miranda and Dr. Jason Dudas are highly-skilled and experienced plastic surgeons with excellent breast augmentation results.

Average cost of breast augmentation is $6,500 – $8,500. Scheduling a consultation with one of our board-certified plastic surgeons, Dr. Edward Miranda or Dr. Jason Dudas, you will be able to have an accurate quote composed for you, outlining all the procedure costs.

We offer financing through CareCredit and Prosper Healthcare Lending.

CareCredit is a healthcare credit card designed for healthcare services like cosmetic surgery and non-invasive procedures with special financing on purchases of $200 or more. Provided you have credit available, you can also use your card for follow-up appointments or for different procedures. *Subject to credit approval. Minimum monthly payments required. Visit www.carecredit.com for details.

Prosper Healthcare Lending is the premier financing company in the healthcare industry. Loans are easy (apply, check your rate, choose your terms, get your funds), with low interest rates, fixed terms, and with no hidden fees or prepayment penalties. Learn more on their website.

Ready to apply? Have questions? Please call our office and we would be happy to assist you in learning more. You can also apply online.

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Pacific Plastic Surgery Group, Edward Miranda 77 Van Ness Ave #302 San Francisco CA 94102
(415) 379-9015