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Breast Augmentation Richland Breast implants are one of the most studied medical devices in the world. Research about breast implants spans decades and several countries. This includes the United States, the United Kingdom, France, Australia, and Germany to name a few. As one of the most performed surgeries globally, breast augmentation with implants is largely considered the best way to augment or enhance the size and shape of the breasts. Dr. Javad Sajan of Allure Esthetic Plastic Surgery provides the best breast augmentation Richland, WA patients will find.

The Goals Of Breast Augmentation

When most people think of breast augmentation, they believe that the only goal is to make the breasts bigger. The primary goal of breast implants is usually to improve cosmetic appearance. However, they can also address other issues that may affect everyday life.

Outside of size, breast implants can help address the shape of the breasts. Women—particularly those with smaller chests—do not always have perfectly round or shaped breasts. In most cases, this is completely normal, but may not be personally desirable. However, tuberous breast deformity is a condition where the breasts do not adequately form during puberty due to a congenital factor. Breast implants can help treat tuberous breasts.

Breast asymmetry is another condition that breast implants can improve. Every woman has some slight breast asymmetry. For most though, it is not overly noticeable and usually does interfere with wearing bras. Some women may have a large difference in size between their breasts. Using different-sized breast implants, Dr. Sajan can help correct this.


Breast augmentation is fairly low risk and only requires about an hour of surgical time. Therefore, most women can safely undergo the procedure. However, there are situations where Dr. Sajan may advise against the procedure. Situations where patients may not be good candidates for breast augmentation include:

  • Currently pregnant or breastfeeding
  • Have breast cancer, are at an especially high risk, or recently had an abnormal mammogram
  • Has unrealistic expectations
  • Under 18 years old
  • Certain emotional or mental concerns
  • Current infection

Many disqualifying factors are temporary and thus the patient may then be a candidate. Mental illnesses that are treated, or have no major body dysmorphia, are usually not factors that can disqualify someone. Additionally, there are rare cases where patients under 18 may get breast augmentation. However, this is usually within extreme circumstances of injury or deformity.

Benefits & Risks

Seattle Breast Augmentation

Like all major surgeries, breast augmentation comes with distinct benefits and risks. Some of these may even differ between patients. Some of the benefits may include:

  • Fuller breasts
  • Restore volume after pregnancy or weight loss
  • Enhancement of body contours
  • Younger breast and body appearance
  • More even breasts
  • Improve self-esteem
  • Quick surgery
  • Patients go home the same day
  • Minimal recovery time
  • Little post-operative pain
  • Performed by one of Washington State’s top breast augmentation surgeons

Breast augmentation is generally a low risk procedure. Though, it is still a major surgery where the patient needs to consider the risks. Dr. Sajan will also perform a medical risk assessment during a consultation. Major complications after breast augmentation surgery are rare. Some of the possible risks include:

  • Infection
  • Thick or unsightly scars
  • Skin death
  • Bleeding
  • Fluid collection
  • Severe or prolonged side effects

Types Of Breast Augmentation

Dr. Sajan can place breast implants through incisions in a few different locations. Depending on the patient’s goals and preferences, Dr. Sajan can help determine the right breast augmentation incision for each patient


The inframammary fold incision is the most commonly used breast augmentation incision. Made within the natural breast crease, the incision is usually around three to four centimeters. This incision offers Dr. Sajan full access to the breast tissues and pectoral muscle. It has the best visibility of all breast incision types.

The incision is generally not visible when wearing a bra. Often, the augmented breasts also help hide the incision. However, the inframammary incision is not always ideal for patients who want to keep scarring totally off the breasts.


The periareolar incision uses a half moon shaped incision that curves around the areola. The incision blends in with pigment change from the skin to the areola. It also allows for precise placement of the implant and may be preferred when placing implants above the muscle. The periareolar incision has many benefits. However, it is not widely used. This is because it carries the highest risk of damaging the milk ducts or disrupting nipple sensation in the long run.

If another procedure involving an incision near or around the areola is performed, such as a donut breast lift, then the periareolar incision may be recommended. Also, if a patient has no plans to breastfeed and does not care about nipple sensation, this is a potential option.


The transaxillary breast augmentation method uses a small incision in the underarm to place the implant. This is becoming a popular technique because it keeps incisions away from the breasts and underarm incisions tend to heal discreetly. There is less visibility, but for an experienced plastic surgeon, this procedure is fairly routine.

There are not many major drawbacks. However, based on the size of the patient’s underarm and the size of the implant, this may pose issues. While it is possible to place silicone implants through the underarm, the implant must also be able to fit through the incision. Therefore, an 800cc silicone implant will likely not work through a transaxillary incision for a very petite woman. With that said, the average sized implant can almost always go through a transaxillary incision.


Transumbilical breast augmentation is a newer method. It is not commonly performed because it can only accommodate saline implants. This technique does offer the most discreet scar—hidden within the belly button—of all breast augmentation surgeries. Many patients will not be candidates for a transumbilical incision because choosing silicone implants immediately eliminates this option.

Dr. Sajan has extensive experience with transumbilical breast augmentation and can evaluate if a patient can safely undergo the procedure. Though, he will also discuss the alternatives and help the patient make an informed decision.

Fat Transfer

Fat transfer to the breasts does not use a breast implant. Instead, it uses fat removed from the patient’s body via liposuction to augment the breasts. This has many upsides like looking and feeling natural, addressing specific concerns (such as biopsy scars), and enhancing other areas of the body with lipo.

If a patient wants a dramatic increase in breast size, they are likely to benefit more from breast implants. Fat transfer breast augmentation can usually increase breast size by one or two cups. For a more subtle augmentation, this is a good option. Dr. Sajan specializes in fat transfer to the breasts. He is one of the best for this procedure in Washington State.

Asked Questions

1. What Are Gummy Bear Implants?

Gummy bear breast implants are a type of silicone breast implant that uses highly cohesive gel versus standard silicone gel. While every silicone gel filled implant now contains cohesive gel, a gummy bear implant is firmer with a consistency similar to gummy bears. They are also teardrop shaped which mimics the natural shape of the breast and provides more projection than other implant options.

The gummy bear implant shell is also textured. This helps keep it in place and prevents the implant from turning. Textured implants may not be right for everyone. Many believe that gummy bear breast implants provide the most natural look and feel.

2. Is It Better To Get Implants Under The Muscle?

Today, breast implants are almost always placed below the pectoral muscle. However, for decades after the original breast implant was created in 1962, it was routine to place implants above the muscle. In some cases, this is still done today.

Silicone breast implants placed below the muscle are less likely to experience capsular contracture. Both saline and silicone implants tend to look more natural under the muscle as well. This is why most implants are placed below the muscle.

For individual patients, it may be better to place the implants above the muscle based on their lifestyle or medical history. This will vary for each patient. Dr. Sajan can help patients make this decision during a consultation.

3. Why Can’t You Lift Your Arms After Breast Implants?

After breast implant surgery, patients are instructed not to lift their arms above shoulder level for a few weeks. Raising the arms can place stress on the incisions and the healing chest muscle, regardless of where the incision is located. This is why it is important to avoid any arm movements while the incision is healing. If a patient raises their arms before being cleared to do so, they may reopen an incision or see worsened scarring.

4. Why Travel To Allure Esthetic From Richland For Breast Augmentation?

Dr. Javad Sajan is one of the top plastic surgeons in Washington State. He performs all types of breast augmentation and works to help patients meet their goals. Dr. Sajan believes in making the surgery fit the person instead of the person fitting the surgery. Whenever possible, he will alter his surgical plans to help a patient see the results they want.

Allure Esthetic also offers virtual consultations and concierge services to out-of-town patients. The office works with hotels to provide discount codes and has worked with caregiving and transportation companies in the past.

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