Breast Augmentation Seattle

The shape, volume, and balance of your breasts affect a significant part of your self-image – what makes you feel attractive, sensual, and womanly. But heredity, time, and life events sometimes alter your breasts in ways you may find less pleasing.

Some of our patients have never felt happy with their natural breast size. Others have lost breast tissue volume after pregnancy and breastfeeding. For some women, mammary development in puberty left them with breasts of significantly different sizes, and other women feel that their breasts aren't well-proportioned with the rest of their bodies. Breast augmentation can help address these concerns.

Benefits of breast augmentation include:

• A better-proportioned, more attractive figure
• Correction and balance of asymmetrical breasts
• Restoration of breast size and shape following weight loss, pregnancy, and nursing
• Increased breast fullness and projection
• A figure that better fills out clothing
• Enhanced self-confidence and self-image

BAMWHAT Breast Augmentation is an innovative, scarless breast enhancement technique invented and performed by Seattle plastic surgeon Dr. Javad Sajan. This advanced approach places breast implants (saline or silicone) through a hidden one-inch incision in the armpit, leaving no scars on the chest. The underarm incision is hidden in a natural crease, making any scar nearly invisible after healing. Dr. Sajan’s BAMWHAT method allows patients to enhance their breasts without any visible signs of breast surgery, providing a virtually “scarless” breast augmentation Seattle patients can appreciate.

Hidden Armpit Incision & No Chest Scarring

The hallmark of the BAMWHAT technique is its transaxillary (underarm) incision. At roughly one inch long, this small opening is used to create a narrow tunnel to the breast through which the implant is placed. Because the incision is in the underarm, there are no cuts on the breasts. Traditional breast augmentation methods typically involve an incision on the breast itself (such as under the fold or around the nipple), which can leave a visible scar. In contrast, Dr. Sajan’s BAMWHAT augmentation leaves no chest scar – the only mark is discreetly hidden in the armpit crease. Once healed, the underarm scar is very subtle and easily concealed.

Muscle Integrity & 24-Hour Recovery

A key advantage of BAMWHAT is that the pectoralis major chest muscle is not cut during implant placement – it is gently lifted to create the breast pocket beneath the muscle. By preserving the muscle’s integrity and avoiding any cutting of breast tissue, Dr. Sajan minimizes trauma to the body. This gentle approach often results in less post-operative pain and allows for a remarkably quick recovery. Dr. Sajan uses meticulous technique and dissolvable sutures to close the incision, further reducing discomfort and eliminating the need for stitch removal. Many patients find they can return to their normal daily activities within approximately 24 hours after a BAMWHAT breast augmentation. This rapid recovery is in stark contrast to traditional augmentation methods that may require a week or more of downtime and activity restrictions.

How BAMWHAT Compares to Traditional Methods

Dr. Sajan’s BAMWHAT breast augmentation stands out as a unique approach compared to traditional techniques. In standard breast augmentation, common incision sites (under the breast or around the nipple) often leads to more pain, a longer recovery, and more noticeable scarring because surgeons must cut through breast tissue or chest muscle to place the implant. With BAMWHAT, the incision is hidden in the underarm and no chest muscle or breast tissue is cut, reducing scarring and tissue trauma. The result is a more comfortable recovery and an aesthetically pleasing outcome. Patients who undergo BAMWHAT enjoy no breast scarring, a faster recovery, and preserved muscle strength – benefits that make this technique one of the most advanced options for breast augmentation Seattle has available. The combination of an undetectable scar and a shorter healing period means you can achieve a fuller, well-proportioned bust without the usual signs of surgery, in Dr. Sajan’s skilled hands.

When you undergo breast augmentation in Seattle with Dr. Sajan, your procedure will take place on an outpatient basis in our state-licensed surgery center. To begin, an anesthesiologist will administer either a general (deep sleep) anesthesia or a combination of intravenous sedation and anesthesia to ensure your comfort and safety. Throughout the entire procedure and recovery period, you will be monitored closely to prevent any complications from occurring.

Incision Types

Dr. Sajan will make incisions in inconspicuous areas of your breasts to minimize visible scarring. (Some incision choices will be based on the type of implants used and the degree of enlargement planned).) Once the incisions are made, a breast implant will be inserted into a "pocket" either under the pectoral muscle or directly behind the breast tissue (over the pectoral muscle). The positioning depends on several factors, including: Dr. Sajan's recommendations, the degree of planned enlargement, your body type, and the type of implant being used. Dr. Sajan will close the incisions with fine dissolvable sutures.

There are four main incision types that Dr. Sajan can use during a breast augmentation. These incision types include:

• Periareolar Incision: The periareolar incision is created around the outer rim of the areola and provides a well-hidden scar. However, it can impede the patient’s ability to breastfeed in the future but can provide a seamless incision with minimal scarring.
• Inframammary Incision: The inframammary incision is created underneath the breast tissue and is typically only used on patients who have breast tissue that can cover the scar. It’s best for those with more breast tissue and can hide the scar under the breastfold.
• Transaxillary Incision: The transaxillary incision is created underneath the armpits, allowing for a completely hidden scar. However, this incision is sometimes challenging to use with larger silicone implants.
• TUBA Incision: The TUBA incision is a newer method created in the belly button. With an experienced cosmetic surgeon, the TUBA method is safer and more reliable than another incision site. It also allows for a faster healing process.

What Conditions Can Breast Augmentation Address?

Breast augmentation can help a variety of cosmetic challenges that affect the way you view yourself. These conditions include:

• Small breasts: Breast implants are an excellent option for those born with little to no breast tissue. It can help create the ideal size and dimensions for your chest. With breast implants, you can feel confident about your breast size.
• Breast Asymmetry: While most have one breast slightly larger than the other, some have a significant difference in breast size. Through breast augmentation, you can achieve uniform, beautiful breast tissue.
• Misshapen Breasts: Some struggle with misshapen breast tissue that does not fill out clothing correctly. Breast implants provide a beautiful shape and structure to the breasts and create stunning proportions you can feel confident in.
• Loss Of Breast Volume: Loss of breast volume can occur from aging, pregnancy, weight loss, or breastfeeding. Breast implants help restore the breasts to their original size and can provide the perfect shape for your chest.

Breast Augmentation Post-Op

Immediately after surgery, you will be instructed to wear a compression garment for a period of time to reduce swelling and facilitate the healing process. During the first few days and weeks, swelling and discoloration in the area are a normal occurrence. In addition, you may feel breast tightness and sensitivity to touch, and raising your arms may be somewhat difficult for a short while. However, all of these effects should be manageable with the pain medication prescribed by Dr. Sajan, and in most cases will resolve in the days and weeks following surgery.

Before you leave our Seattle surgical center, Dr. Sajan will provide you with detailed instructions for your recovery period, including:

• How to care for your incision areas
• The topical and oral medications you'll need to take
• The recovery timeline you can expect
• When you will be able to resume your normal routine
• When to schedule your follow-up appointments

Carefully adhering to all of these guidelines will help you through your recovery and optimize your breast implant results.

Recovery after breast augmentation requires 1-2 weeks of downtime, and taking it easy for the next month or so.

Week 1

You will be able to return home with a friend or family member after your procedure. You will have a compression bandage around your chest to support and protect your breasts and to minimize swelling. During the first few days after breast augmentation recovery, it is best to have someone stay with you and assist you, as you will not be able to raise your arms over your head or lift anything.

Weeks 2-3

Within a week or two, most women return to their normal, lighter daily activities and can return to sedentary work. Be sure not to lift anything over five pounds and continue to avoid lifting your arms above your shoulders. Avoid all vigorous exercise or physical activities.

Weeks 4-6

During these weeks, the swelling will continue to go down and you will get the go ahead from Dr. Sajan to resume strenuous exercise and activities. At this point you are considered fully healed, but keep in mind that the final steps are still to come, more slowly.

During the next few weeks or months

The swelling will continue to slowly subside and the settling of the breast implants will continue during this time. Once this period is complete, the implants will have settled into their final position. Continue to enjoy your shapely, curvy and beautiful breasts!

You would probably agree that it's a big decision to get a breast augmentation. Another major decision you have to make is whether or not you will choose silicone or saline implants. Silicone or saline: what's the difference?

Silicone Breast Implants

Silicone breast implants consist of a silicone outer shell that is filled with a cohesive silicone gel. You have the option to choose smooth or textured shells. A smooth breast implant is just as it sounds. The outer silicone shell is smooth and shiny. They usually move freely as they do not attach to the surrounding body tissue. Textured breast implants are rough with an irregular outer surface. Some liken the surface to sand paper that has a rubbery quality. They usually move less, as the texture attaches more to the surrounding body tissue.

The smooth silicone shell is described as the softest breast implant option that most closely mimics the natural breast tissue. The smooth shell is more mobile, but this can sometimes lead to implant displacement over time. The textured silicone breast implants are used to try and eliminate this implant displacement, but the textured shell is sometimes more noticeable, and has been known to leak or ripple more often than the smooth shell.

Saline Breast Implants

Saline breast implants consist of silicone shells that are filled with sterile salt water, or saline. Saline implants can be inserted through a smaller incision, which is desirable for some patients. Once the implant is inserted into the proper place, it is inflated with saline. Some patients compare saline implants to water balloons due to their shape and texture. Saline implants are also approved for women as young as 18, which can make them more appealing for some patients. Ultimately, you should discuss your implant selection with Dr. Sajan to find the right choice for your body and lifestyle.

Body size and shape of the implant are both important factors to consider when you choose which type of breast implant shell you need. It is important to discuss this with Dr. Sajan as well. He will be able to help you make an informed decision about which type of breast implant you should get. Your health, body, and lifestyle should all be considered when you choose the implant that is right for you.

Gummy Bear Breast Implants

Gummy bear breast implants are the newest wave of silicone implants that are rapidly increasing in popularity. While they are a type of silicone implant, they consist of a dense silicone gel similar to a gummy bear's texture. They can come in the shape of a teardrop, mimicking the natural shape of breasts. It also has a lower risk of implant rupture or leakage due to the texture of the implant. Gummy bear implants are more expensive than silicone or saline but provide the best benefits and can create the most natural look for breast augmentation.

What Are The Different Options For Implant Location?

There are three options for implant location, all suited to different preferences, lifestyles, and needs. These options are:

• Subglandular: Subglandular implant placement is underneath the mammary glands of the breast tissue. It’s best for those who have heavier breasts that sag, as it won’t pull down the chest muscle or create a tight feeling in the breasts.
• Submuscular: Submuscular implant placement is behind the chest muscles and provides a more secure location for the implants. It’s best for patients who have less breast tissue and a more petite frame, as it can provide stable, strong support for the implants.
• Dual-plane: Dual-plane implant placement is halfway underneath the muscle and halfway underneath the mammary glands. It’s an excellent choice for patients who choose teardrop implants, as it can provide the most natural-looking results.

On occasion, when someone has a breast augmentation or reconstruction, rippling can develop. Rippling is the term for wrinkles or ridge-like formations in the implant that show through the skin. The more tissue available to cover the implant after a breast augmentation, the less likely rippling will occur, so fuller women tend to experience less rippling.

Reducing risk?

There are a few precautions you can take to reduce your risk of rippling. As mentioned before, saline implants are more likely to cause rippling. Women with a more modest amount of breast tissue have a higher risk of rippling, and overfilled implants are not as likely to ripple as underfilled implants. Smooth, as opposed to textured, breast implants are less likely to cause rippling, and you can reduce the risk for rippling by having the implant placed under the muscle.

How to fix rippling?

Unfortunately, once rippling occurs from your breast augmentation, there are no at-home remedies. No massages, creams, or stretches can reduce the appearance of this complication. If you notice your breast augmentation has developed rippling, you should consult Dr. Sajan about one of the following remedies:

• Replace your implant with larger implants
• Switch from saline to silicone implants
• Replace your textured implants with smooth implants
• Add more saline to your implant
• Reposition your implant
• Add some fat to make the ripples less noticeable

When you have a breast augmentation with Dr. Sajan, you'll receive a warranty on your implants. If you choose our saline implants, they will come with a ten-year warranty against rupturing, while our silicone implants come with a lifetime warranty against rupturing. Dr. Sajan's primary desire is that you are happy with your breast augmentation.

Allure Esthetic recommends three different bras to help your breast augmentation recovery process. These bras include:

• The i-bra: The perfect bra to wear directly after your breast augmentation, once the surgical wrap is removed.
• The Ultimate Bra: Great for the first few weeks of your recovery, as it provides support and comfort.
• Second-Stage Bra: Ideally worn after the first six weeks of your recovery, or during the second stage of healing.

The results of your Seattle breast augmentation surgery will be immediately noticeable and will continue to improve in the weeks following the procedure. In most cases, your self-confidence will increase as you enjoy a fuller, shapelier, and more proportionate body. Contact Dr. Sajan's Seattle office for a consultation and learn about your breast augmentation possibilities.

Here is an incredible testimonial from one of our amazing patients:

Am I a Good Candidate for Breast Augmentation

As long as you are in good health and want to change the size and shape of your breasts, you are a good candidate for breast augmentation. Dr. Sajan can help you decide on your different options during a consultation. Breast augmentation is a great option for those who want to boost their breasts and confidence.

How Will Pregnancy Affect My Breast Implants?

This depends on the individual, but it can create a sagging effect on the implants. While many providers recommend waiting to get implants until after you are done having kids, it’s possible to still breastfeed after a breast augmentation and have your results still look excellent. Ultimately, pregnancy can affect the look of breast implants, but it’s up to the patient’s own discretion.

How Long Will My Results Last?

Breast augmentation is not permanent and typically needs a revision around the ten-year mark. While breast implants can last longer than ten years, most providers, like Dr. Sajan, prefer to perform a revision earlier rather than later to minimize risk and avoid complications. Dr. Sajan can talk to you about breast implant longevity during a consultation.

What Will be the cost Of Breast Augmentation?

The cost of breast augmentation depends on the type of implant you receive, as well as certain surgical methods performed. At Allure Esthetic, breast augmentation can cost as little as $5,995 for saline implants and $7,495 for silicone. Dr. Sajan can discuss pricing options during a consultation.