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Get the Perfect Size & Shape with Breast Augmentation
Dr. Angelchik was certified by the American Board of Plastic Surgery (ABPS) in 1996 and successfully completed a rigorous recertification process in 2006 and 2016. He participates in the Maintenance of Certification program through the ABPS. He is a member in good standing of the American Society of Plastic Surgeons. He has also been named to Castle & Connolly’s Top Doctors in America every year since 1996.
The Angelchik Difference
Learn more about our philosophy and follow the patient journey to see what
makes us different and what to expect before, during and after your procedure.
All patient consultations are conducted with Board Certified surgeon Dr. Angelchik and full medical history is discussed.
Recommendations are based on the patient's expressed interests, health history and physical examination.
Our staff offers a personalized experience for each patient with an educational and reassuring environment.
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Many women in the Phoenix, Gilbert, and Glendale, AZ area would like to enhance the appearance of their breasts. So, whether you’re concerned about uneven breasts, or would simply like your breasts to be bigger, our top, board-certified, Phoenix-native plastic surgeon can help build your self-confidence and give you the breast shape and size you’ve been looking for using breast augmentation surgery.
Breast augmentation surgery in the Phoenix, Gilbert, and Glendale, AZ area can enhance, reshape, or reconstruct your breasts using surgically-placed implants, and can often be performed along with other breast procedures. Disproportionate breasts can have an impact on your body image, leading you to look into plastic surgery. This is the case with many women since breast augmentation is one of the most popular cosmetic surgery options performed from year to year. It also comes with one of the highest rates of patient satisfaction.
Some women opt for a breast lift done in conjunction with a breast augmentation in order to reverse the drooping and sagging effects that aging, and pregnancy can have on the breasts. Breast cancer survivors regularly consider breast reconstruction after having a mastectomy to get rid of cancer cells.
Surgery for breast augmentation reaches back over one hundred years, but it was not until the 1960’s that breast augmentation procedures began to resemble the procedures in use today. During the early days of breast enhancement surgery, a variety of different materials were implemented to enhance the breasts. The modern history of breast augmentation begins in 1962 when silicone implants were introduced. For the very first time, a silicone implant filled with silicone gel was used in breast augmentation surgery. The new silicone implant changed breast augmentation surgery forever. Today, women have the choice of saline or silicone implants.
What Patients Are Saying
Dr. Angelchik is a very talented professional! He performed my breast augmentation and I couldn’t be happier with my results! Read More >
The ideal candidate for breast augmentation is a woman who has fully developed breasts and is in generally good health. She is also:
The proper legal age— 18 for saline implants, 22 for silicone
In good overall health with no active infections or medical condition
Not pregnant or planning on becoming pregnant soon
Ideally a non-smoker or willing to give up smoking for a certain amount of time before and after the procedure
At a stable weight.
Do any of these questions apply to you:
- Do you believe your breasts are too small and that larger breasts would improve your self-confidence?
- Do you feel self-conscious about one breast being noticeably smaller than the other?
- Has having children or losing weight altered your breasts in a way you are not comfortable with?
- Do you have a problem finding clothes that fit well because of a too-small bust compared to your hips?
If you answered yes to these questions, you may be a good candidate for breast augmentation. Another key factor in the overall success of any breast augmentation surgery is a patient who has realistic expectations.
One more factor to consider when contemplating breast augmentation is whether you want to have more children as pregnancy and nursing can alter the shape of your breasts. Depending upon genetics, weight stability, health, diet, skincare and other factors, some women may develop ptosis, or sagging breasts as early as their 20s, and others later in life.
When considering breast augmentation, be careful not to rely on what friends say, even if they have had the procedure done, because each procedure is as individual as the patient. Attend seminars and research the Internet, especially the American Society of Plastic Surgeons (ASPS) for reliable information about breast augmentation. As you research cosmetic surgeons, prepare questions to ask during the consultation appointment.
Let your loved ones in on the process with you. You will need as much help as possible. You will have to make choices about implant size, placement, and texture. You will need to prepare for surgery. Your loved ones can help you get many household tasks out of the way, so they won’t need to be done, again, until a week or two after surgery. You’ll need special clothing for planning and for recovery, creams, medications, cooling pads, and other items, plus, someone to make sure they’re cleaned regularly or to replenish supplies of consumables. Also, you might need help planning the financing.
Women’s breasts naturally differ slightly, usually less than bra cup size. Some women tend to be very aware of asymmetries in their breasts and are bothered more than others by these normal differences. But when the breast asymmetry is greater than a bra cup size, or the nipple or breast position is clearly different when standing up, or the breasts are different shapes, you might want to consider breast augmentation for correction of breast asymmetry.
Breasts can be tuberous or conical, one of each shape, one larger than the other, and both too small or too large. One or both may sag, or nipple placement may be uneven. One common indicator for surgery to correct asymmetry is a difference of one cup-size or greater between breasts. Others include obvious differences in shape from conical to tubular that affect one’s appearance or their emotional or psychological status.
Dr. Angelchik is a very talented professional! He performed my breast augmentation and I couldn’t be happier with my results! Read More >
Once you decide to have breast augmentation performed, you will need to make several other decisions about the various implant and placement options available to you. After evaluating your cosmetic goals and current condition, Dr. Angelchik will discuss these options with you and recommend the approach he feels is best. Ultimately, however, the decision will be up to you. There are two breast implant options available to patients:
- Saline implants– Filled with a salt-water solution, saline implants allow for precise control over the size and volume of your breast enhancement.
- Silicone implants– Praised for their realistic look and feel, silicone implants use a leak-resistant cohesive gel to achieve a natural aesthetic, making them an increasingly popular option among patients.
When it comes to the incisions, there are four options available to you, which depend on the type of implant used (silicone or saline) and your anatomy. It can also be affected by any additional procedures you opt for. These incisions include:
- Inframammary– This incision is made along the lower crease of the breast. Dr. Angelchik can access the breast pocket well with this incision, and it provides optimal control of breast implant placement.
- Periareolar– This incision is made along the edge of the areolae. This incision is hidden well by the darker pigmentation of the nipple.
- Transaxillary – This incision is made in the armpit to reduce scarring; this is usually done with saline implants using an endoscope
- Transumbilical augmentation (TUBA)– This incision is made in the navel where implants are placed using an endoscope
There are two types of implants available which are classified by their filling. These include saline or silicone, although both types contain a silicone shell. Learn more about the different types of implants here [link to implants page].
Your implants can be placed one of a few different ways:
Subpectoral – The implant is placed partially or totally beneath the pectoralis major, the muscle of the chest. The advantages of this type of placement are a more natural look and feel, a smaller chance of interfering with a mammogram, and a lesser chance of the implant drooping.
Subglandular – The implant is placed above the muscle, but still lies below the breast tissue. This allows for a larger implant, with more lift, and shorter recovery time.
Dual–Plane – The implant is placed partially beneath the muscle where the bottom of the implant is not covered. This type can provide additional volume and correction for patients lacking volume at the bottom of the breast (sometimes called tubular breasts).
This procedure is performed using general anesthesia. First, a predetermined incision is performed, and a pocket is made within the breast tissue. The implant is then placed according to your surgical plan. Once the implants are in place, the incisions are closed using special sutures. Then, you’ll be fitted with a special support garment, like an athletic bra.
Many are concerned about how breast augmentation will affect future pregnancies, or how pregnancy will affect their prior breast augmentation. The encouraging news is that breast augmentation and pregnancy are safe for both mother and baby. While breast augmentation has no effect on pregnancy, the changes to a woman’s body during pregnancy can affect breasts that have been augmented in the same ways as pregnancy affects natural breasts. Normally, a woman’s breasts enlarge during pregnancy, stretching the skin and tissues, and resulting in sagging after the pregnancy. The same can happen after breast augmentation, losing the shape of the original procedure.
If you are concerned about your ability to breastfeed after having breast augmentation, Dr. Angelchik can advise you regarding this much-debated topic.
One of the risks of surgery regardless of technique is losing the ability to breastfeed because of damage to nerves providing sensation to the nipple area. In Dr. Angelchik’s experience, a periareolar incision does not lead to more numbness if the dissection to create the pocket is done properly. Most numbness is related to pocket dissection, nerve location, and implant size issues, not the location of the incision.
Any type of surgery carries some risk but is complication-free most of the time. The same thing can be said about the risks with breast augmentation. While the risks are extremely rare, we believe it is in your best interest to understand all there is to know about these risks with whatever procedure you decide to undergo with Dr. Angelchik.
Some of the risks involved with breast augmentation include:
- Infection – Dr. Angelchik will give you antibiotics as part of your post-op recovery. If you take them as prescribed, your chances of infection are virtually zero percent.
- Anesthesia – Using sedatives or anesthesia is a must with breast augmentation. The risk with anesthesia usually comes in the form of an allergic reaction. If this happens, Dr. Angelchik and his staff will deal with it immediately.
- Loss or change in sensation – Some patients may lose sensitivity in their breasts or nipples for a short amount of time after surgery. This may only last six to twelve weeks. However, in very rare instances, this loss is permanent.
- Scarring – Scarring is inevitable with breast augmentation. However, these scars will fade after about a year to be hardly noticeable. Some patients who are prone to excessive scarring need to keep this in mind when considering breast augmentation.
- Rippling – Saline implants are more prone to rippling than are silicone implants. Those placed behind the muscle, or submuscular, are less likely to show rippling than those placed in front of the muscle.
- Deflation or leaking – If the implant’s shell fails, it can cause leaking of the saline or silicone. Saline is part of the body’s natural makeup, so if your saline implant leaks, it is absorbed into the body. Silicone will stay in the area of the breast and the entire implant will have to be replaced.
- Capsular contracture – This is a tightening around the implant caused by scarring that can be uncomfortable or painful. Massaging the implant and taking vitamin E supplements should minimize this effect. Some patients may require corrective surgery if the tightening becomes too much.
Recovery is different for every woman. You may experience pain and soreness, or you may only experience discomfort as you heal. It usually takes three to five weeks to completely recover from this procedure and get back to your normal routine. You will wear a dressing and elastic bandage for about a week after your procedure but will be up and about within a couple of days. You should avoid any strenuous activity or heavy lifting for four to six weeks after your procedure. You will be prescribed pain medication to help you with the healing process, but this should dissipate after a couple of weeks. Bruising and swelling are to be expected, but this too will disappear. Scarring will fade over time and may only be noticeable upon close examination after a while.
Suggestions for good health for your breasts (and for your body, in general):
- Maintain a consistent weight so that your skin doesn’t stretch, then sag after you lose weight.
• Avoid smoking as it is not just hard on your lungs. It can cause your breasts to sag much earlier in life and can impede healing after surgery.
• Get fitted for bras that are appropriate to your breast size, shape, weight and activities. The right bra will reduce stretching your ligaments during exercise.
If your job is not physically strenuous, you can expect to return to work after about a week of downtime. More physically demanding activities, like exercise and sports, should be avoided until Dr. Angelchik advises you they are safe. Most patients can resume all of their normal activities within a month. By carefully following the post-operative instructions provided by Dr. Angelchik and attending every scheduled follow-up appointment, you can ensure that any unusual symptoms are quickly addressed and avoid significant complications that can extend your recovery time. Even after you are back in your daily life activities, it will take time for post-surgery swelling to completely dissipate. You can expect to see the results of your breast augmentation after several months, although swelling can last longer for some patients.
The results of a breast augmentation procedure are long-term and will continue to settle as the recovery process continues. It’s reasonable to expect your implants to last anywhere between 10 and 25 years, but there is no predetermined expiration date.
When you visit a plastic surgery, ask questions and take notes. Bring photos of what you desire your results to look like. A confident surgeon will be pleased with your research attempts and be very willing to assist you. An important thing to ask is, is the surgeon board-certified in plastic surgery? Being board certified indicates they have completed extensive specialized training that reveals superior knowledge, experience and a commitment to excellence.
Your surgeon should have experience in the procedure you are having performed and their support staff should be well qualified also. Do you feel comfortable with the staff and surgeon during your consultation? Do they treat you well or did you feel like a “number”? When choosing a plastic surgeon for your breast enhancement procedure you should take into account the surgeon’s qualifications and experience, skills, facilities, and staff, references, fees and financing options.
If you’re interested in breast augmentation in the Phoenix, Gilbert, and Glendale, AZ area, please contact our board-certified plastic surgeon, Dr. Angelchik, today at 602-375-8888 to schedule your consultation. Our office provides excellent plastic surgery to clients in the Glendale, Phoenix, Tempe, Scottsdale, Mesa, Surprise, and Peoria areas of Arizona.
After your breast augmentation surgery, we require that you have someone drive you home. This is because the procedure is done under anesthesia which needs at least 12 hours to fully wear off. Breast augmentation patients need to rest after their surgery and avoid activities like working out and driving. Patients can begin driving again within a week of their surgery.
The breast augmentation recovery involves wearing a compression garment, avoiding exercise, and limiting movement of the arms and upper body. This is because the tissues need to heal, and the implants need to fully settle. Patients should wait two weeks after their surgery before lifting their arms above their heads.
Breast augmentation is a cosmetic procedure, so it is not covered by most insurances. However, reconstructive breast surgery is generally covered by insurance. You can talk with our patient care coordinator and Dr. Angelchik about cost and financing options for the surgery.
If you're interested, please contact us today at 602-517-0077 to schedule your consultation. For a limited time our practice is waiving the $95 initial consultation fee for qualified patients. Our office provides excellent plastic surgery to clients in the Glendale, Phoenix, Tempe, Scottsdale, Mesa, Surprise and Peoria areas of Arizona.
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