Breast Augmentation in Salt Lake City & Layton, Utah
Breast augmentation is our most commonly performed procedure, and we take great pride in our breast enhancement outcomes. In Utah, breast augmentation is a very popular procedure as there are a lot of fit, young mothers who have lost shape or support of their breasts after childbearing. Dr. Yates serves patients from Salt Lake City, Layton, and surrounding areas, and he uses modern techniques to maximize outcomes while minimizing recovery. Most patients are back to normal activities within a week.
Every breast augmentation patient receives a thorough consultation consisting of listening to goals, implant sizing, and simulation with 3D imaging assuring the most precise implant selection possible. Contact Dr. Yates today to schedule an appointment or to learn more about this procedure.
Before & After
Before and 3 weeks after subglandular breast augmentation. She was concerned with dynamic implant motion with exercise and wanted a natural shape. We chose 400 cc classic base moderate projection Sientra tear drop shaped (gummy bear) silicone implants placed in the subglandular position. View More.
Frequently Asked Questions
Breast Augmentation FAQs
The decision to have breast augmentation surgery is an entirely personal one. Whether to add volume to breasts, restore balance to asymmetrical breasts, or create a more voluptuous figure, there are many reasons a woman may choose to have breast augmentation. But that decision needs to be for her, and her alone.
That being said, once women have had breast augmentation, their satisfaction afterward ranks among the highest of any cosmetic procedure. Studies show a 98 percent overall satisfaction with their breast augmentation surgery and its aftereffects. It has been the single most popular cosmetic surgery performed in the U.S. since 2006. From a physical standpoint, good candidates should be reasonably fit and near their ideal weight. They need to be free from infections and bleeding tendencies. They cannot be pregnant or currently breastfeeding.
The cost of breast augmentation and breast enhancement surgery in Utah is generally less than many areas of the country. Utah has a reputation for excellent breast augmentation results at an affordable price. The average cost of surgeons fee for breast augmentation is $3,708 (around $6500 total cost), according to 2014 statistics from the American Society of Plastic Surgeons. This average is for the surgeon’s fee component of the procedure, and the patient should anticipate additional fees, including operating room fees and anesthesia fees. Although not an industry standard, we have chosen to list our all-inclusive cost for breast augmentation as well as the costs of other common procedures performed by Dr. Yates.
Three incision choices are generally used; around the nipple, beneath the breast, or in the armpit. The incisions beneath the breast or around the nipple are preferred by Dr. Yates, as perfect symmetry of the breast implant pockets is more consistently achieved.
Dr. Yates takes pride in making his scars as small and unnoticeable as possible. There is increasing data that a crease (inframammary) incision has the lowest risk of capsular contracture and has the lowest complication rate. The majority of plastic surgeons, including Dr. Yates, prefer this incision for the majority of breast surgery patients.
The breast implant can be placed either above or below the chest muscles, although most patients (particularly with round implants) benefit from placement beneath the muscle. The implants can also be placed in the subfascial plane, which is above the muscle but within the dense fascial covering of the muscle. The advantages of placement beneath the muscle include improved implant coverage and more natural-appearing breast enhancement. Submuscular implants have a lower capsular contracture rate and improved support of larger implants as well. The major advantages of placement above the muscle (subglandular) include decreased postoperative discomfort, improved soft tissue “lifting” and less animation deformity. The implant can feel more like breast tissue when not separated from the breast tissue by muscle. However, implants placed above the muscle have a higher risk of capsular contracture and loss of support. Dr. Yates can help determine which is best for you. Very few plastic surgeons perform a full submuscular breast augmentation anymore. Instead, the lower pectoralis muscle is divided from the chest to decrease animation deformity and provide an improved shape, the so-called “dual plane” technique.
The perfect breast shape for natural breasts should have a little more breast volume below the nipple than above with nipples tilted slightly upward. Many patients who want breast implants want a greater degree of upper fullness than natural. What you consider your ideal breast shape is based on personal opinions. Sharing these shape goals with your surgeon can help assure you get the outcome you desire.
In general, rounded implants (left) help achieve a rounder, fuller upper half of the breast and teardrop-shaped implants (right) achieve a more natural transition in the upper breast. Teardrop-shaped implants have a higher complication rate, and we use them less commonly. I have provided a lot of useful information on breast shape here.
Yes, the breast implant size can be larger in the smaller breast to help improve asymmetry of size. If there is significant asymmetry of the shape of the breasts, a breast lift may be required to improve symmetry.
Breast augmentation can be done under either general anesthesia or local anesthesia with sedation. Dr. Yates preferred technique is deep sedation (not general anesthesia) with excellent local anesthesia in our AAAASF certified office operating suite. The patient is sedated and monitored by the anesthetist. The level of sedation is deep (no pain, no awareness), like very deep sleep. Dr. Yates injects the area with a lot of local anesthetics.
The implant pockets are developed and compared for size and symmetry. The breast implants are placed, and the incisions closed. The amount of sedation is lightened at the time of closure, and the patient is awake enough at the completion of the procedure to walk assisted to the recovery room. Most patients have basically no pain in the recovery room because of the local anesthetic in the implant pocket. The pain increases as this medicine wear off, and pain medications as necessary are started.
Dr. Yates does a lot of breast augmentation surgery. This is an efficient operation, and there are a few tricks to make it quick and relatively easy on the patient. The overall surgery time is around 45-60 minutes.
After discharge, you will be given antibiotics to prevent infection and medications for pain and nausea. There will be discomfort for the first few days after the procedure. Most of our patients are off narcotic pain medications the next day. Your activity will be limited to six weeks. You may return to desk work as soon as you feel able, usually 2-5 days. You may resume moderate lifting at three weeks and may return to the gym at six weeks. You will be given a supportive bra which will be used for six weeks. Generally, avoid underwire bras for the first 6-12 weeks. On our Facebook business page, other patients have discussed their recovery and experience after breast augmentation as well as other procedures.
You may be surprised, but most patients can return to work approximately 3-5 days after surgery. Normal activities can resume in 1-2 weeks, but any impact exercise will need to wait for one month. Upper body exercise, such as lifting weights, will need to wait for six weeks. After a full recovery, you should be able to do most everything you were doing prior to your breast augmentation but may need to limit the intensity of chest exercise.
Fat is taken with liposuction from unwanted areas of the body and reinjected into the breast. It is unquestionably effective, although many of my patients would be unhappy with the modest volume enhancement that can be achieved with fat grafting. The ideal patient desires naturally shaped and sized breasts and no more than about a cup size increase. Preferably there is fat in undesired areas to be removed with liposuction.
Breast augmentation doesn’t have any effect on a woman’s reproductive system, so it neither increases nor decreases the chances of becoming pregnant. Once you become pregnant, your breasts will grow in size, but this will not affect your implants. Actually, some of the volume loss that is typical with pregnancy and breastfeeding is less with augmented breasts.
Generally yes, but there are exceptions to every rule. Click for more information about breastfeeding with breast implants.
As with any surgery, there are possible risks and complications. As a perfectionist, Dr. Yates takes every precaution to prevent these. Dr. Yates will discuss these at the time of your breast augmentation consultation.
These risks include, but are not limited to, asymmetry, unhappiness with size, implant deflation, implant rupture, implant rippling, capsular contracture, and poor scarring. Generally, these complications require breast implant revision surgery.
Two kinds of breast implant issues called “breast implant-associated large-cell lymphoma (BIA-ALCL)” and “breast implant illness (BII)” have come to light in recent years, although the confirmed cases are extremely low. BIA-ALCL has been proven to be directly related to breast implants, while BII is theoretical at this point and hasn’t been recognized by the medical community as a definitive diagnosis. Neither issue has changed the FDA’s position on breast implants, but both issues are being closely studied.
Nipple sensation is often impacted immediately following this surgery, with the nipples either being numb or very sensitive. This, because the surgery can disturb some of the nerve pathways. Regular sensation returns in all but a very small percentage of patients. Breast sensitivity should not be affected. There may be some temporary changes, but these will resolve as you heal.
Nothing really, they all describe the same thing. However, “boob job” and “breast jobs” are not generic terms used by professionals.
Yes, we use “rapid recovery” techniques, although not as a selling point. Breast augmentation has advanced tremendously in all aspects including patient recovery. There are surgical and postoperative tricks to help the patient recover as quickly as possible, such as early arm motion and precise pocket formation avoiding bleeding and tissue trauma.
Dr. Yates is very aggressive with pain management, and we have many patients who require no narcotics for pain. We used advanced ERAS (Early Recovery After Surgery) protocols, and many of our patients do not require a single narcotic following the procedure. However, plan on some degree of recovery, no surgeon can guarantee a painless breast augmentation recovery.
Breast Implant FAQs
The history of breast implants is an interesting one. The first implants were placed in the early 1960s and there has been a lot of improvement in techniques and implants since that time.
One of the most challenging and essential decisions for a patient is determining which size of breast implant to use. The degree of breast enlargement is dependent upon the volume of the patient’s breast tissue in addition to the size of the breast implant used.
We will use a variety of methods to arrive at the ideal implant volume including “trying on” breast implants of various sizes, dimensional analysis, reviewing photos brought by the patient of “ideal” breast size or aesthetics and 3D imaging. Vector 3D imaging is a confirmatory method of breast implant sizing. A 3D image of the body is taken, which can be modified with imaging software. The “breast sculptor” module allows us to simulate and visualize the changes that can be made with a variety of implant shapes and sizes.
The choice between teardrop and round breast implants has reappeared after several years off the market. Teardrop-shaped “gummy bear” silicone breast implants have been used outside of the U.S. for years and are now FDA approved for use in the U.S. for breast augmentation.
These implants are more cohesive than other round silicone implants, and as such, are manufactured in a teardrop shape. These are the implants that have oft been termed “gummy bear breast implants” or anatomical breast implants. For some breast augmentation patients, these have the advantage of achieving a more natural breast shape. The increased projection in the lower breast can help with slight degrees of breast droop as well.
The ideal candidate for a teardrop implant is interested in a very natural shape and would consider a slightly greater expense and risk of rotation of the implant an acceptable trade-off. These teardrop-shaped implants are not for everyone, and generally, patients who prefer a “rounded” upper breast are better candidates for round implants. With the understanding of the association with BII-ALCL and textured implants, many plastic surgeons, including Dr. Yates, are using teardrop-shaped implants less frequently.
Breast implants consist of a silastic shell filled with either saline (saltwater) or silicone. Dr. Yates knows that the choice of saline vs. silicone breast implants is an important one for his patients in or near Salt Lake City and Layton, Utah. Silicone breast implants generally have a more natural look and feel. Silicone implants have a lower risk of rippling, rupture, and generally, have higher patient satisfaction. Saline breast implants are less expensive, more adjustable, and can be placed with a slightly shorter scar.
There is a concern with “silent ruptures” with silicone breast implants, but not with saline implants. A silent rupture occurs when there is a rupture of the implant that is not apparent to the patient. There is some controversy regarding the safety and method of diagnosis of silent ruptures. Current silicone breast implants are cohesive, meaning they are more solid than liquid. Cohesive silicone is much less likely to get into the surrounding tissues than previous implants and typically remains contained in the implant capsule. The trend in the U.S. has been greatly in favor of a preference for silicone implants.
- Length of scar
- Ease of diagnosis of rupture
- Higher rupture rate
- Feel firmer and less natural
- More rippling
- Less natural shape
- More likely to displace
- Softer feel
- Less rippling
- More natural shape
- Rupture less common
- More stable in position
- Length of scar
- Silent rupture is possible
Although differences exist between brands, most breast augmentation plastic surgeons are loyal to one brand or another. Some of us (like Dr. Yates) prefer to use all brands for a more precise implant fitting. There are subtle characteristics of each implant brand that can assist in picking the best breast implant for a given patient, not just one that works. There are four implant brands with FDA approval for use in the U.S.
Mentor Breast Implants
- Full line of saline and silicone implants with four profiles
- Mentor Round silicone implants are called MemoryGel ®, FDA approved in 2006
- Mentor round silicone implants are less cohesive than other brands (soft)
- Mentor round silicone implants have a lower fill ratio than both Sientra 106 (smooth) and 206 (textured) and Allergan Inspira high fill ratio implants. Less roundness (good or bad depending on the patient’s goals) but potentially more rippling.
- Shaped implants are called MemoryShape ® which was FDA approved in 2013 and currently have five shape options
- Textured implants (Siltex ®) use a stamp manufacturing method and have less tissue ingrowth than Sientra or Allergan but a high coefficient of friction. There are no standardized studies comparing contracture rates and stability over time to know which texture type is best. Suffice it to say that all textured implants have a slightly lower contracture rate and position stability at the expense of a higher rippling rate.
Sientra Breast Implants
- Silicone implants only
- Round and shaped implants FDA approved in 2012
- Distribute ONLY to board-certified plastic surgeons
- Fewer size and profile options than Mentor and Allergan (although they are working on this)
- Cohesive round silicone implant which they refer to as a 5th generation. They have two round options the HSC and HSC+. The HSC+ implants are filled with the same material as their teardrop-shaped implants and as such are a round gummy bear implant
- Textured implant (TRUE texture ™) and between Mentor and Allergan in terms of tissue ingrowth
- Shaped implants come in 5 shape options
- 20 year financial assistance warranty in the event of rupture (best warranty)
Allergan Breast Implants (Natrelle and Inspira)
- Full line of saline and silicone implants with the largest amount of profile and size choices
- Round Allergan silicone implants approved in 2006.
- Shaped implants (style 410) FDA approved in 2013. Removed from the market in 2019.
- Inspira implants approved in 2015. These have a high fill ratio designed to give more fullness and less rippling. Inspire implants to have more size and profile choices than any other round implant. This can be helpful in correcting small degrees of asymmetry
- Textured implants (Biocell ) are manufactured with a “salt loss” technique resulting in very aggressive tissue ingrowth. This may help stabilize the implant position but has a higher risk of peeling the capsule away (double-capsule) and seroma. This Allergan Biocell texture has been implicated in a higher than acceptable risk of ALCL and these were removed from the market in 2019.
Ideal Breast Implants
- FDA approved in 2014
- “Structured” Saline implant that feels more like silicone than a standard saline implant
- More expensive than typical round silicone implants
- The selling point is that there are no silent ruptures as the entire implant is saline-filled
- Limited profiles and sizes
The Ideal Implant is a new saline implant with inner chambers that slows the flow of saline, creating a saline implant that feels a lot like silicone implants. The Ideal Implant® received FDA approval in November 2014. These implants are more expensive than traditional saline implants but have many of the advantages of silicone implants including a more natural feel, and lower rippling risk.
The major advantage of these implants as compared to silicone implants is there is no risk of “silent rupture.” This should be strongly considered in any woman who is very concerned about silicone or silent ruptures. One limitation is in implant sizing. There is only one profile in the Ideal Implant®, which closely matches a high profile silicone implant.
Every patient has about 100 cc range of implant volume that fits their breast dimension well, and these implants may be too narrow in very small sizes for most patients. There are only a few plastic surgeons who have been given access to the Ideal Implant®, and although this may change, we are one of a handful of offices that offer the Ideal Implant® in Utah.
Have you ever tried to rupture a breast implant with your bare hands? Of course you haven’t, but we have. Watch these educational, entertaining videos of my staff trying to do just that. Think breast implant tug o′ war.
Incisions made around the areola can sometimes impact breastfeeding, which is one of the reasons Dr. Yates prefers to avoid this incision choice. A more common problem is inadequate breast milk production. Though the milk ducts remain intact and the mother is capable of producing a normal supply of milk, at times nerve damage in the breast blocks the hormonal signals to the brain that triggers milk production. This is a rare problem, however.
As with any manufactured product, breast implants have a lifespan. At some point, the implants will rupture or begin leaking and will need to be replaced. How long will that be? Manufacturers warranty their implants for ten years, and will generally reimburse patients for failure prior to that timeframe. But how long your breast implants will last can vary wildly. You should expect to need to replace your implants every 10 to 20 years. Implant durability is increasing, so this could lengthen. Regardless, if you’re in your 30s, you’ll need to replace your implants at least twice in your life, probably more than that. Replacement surgery is much easier than the original augmentation surgery, as Dr. Yates can enter through the original incisions.
Yes, the manufacturer provides a free lifetime warranty against implant rupture or deflation. They also offer help with the surgical fees of replacement of failed implants for 10 -20 years. Previously unheard of, Mentor and Sientra are now offering very generous limited warranties against capsular contracture.
Saline breast implant deflation is relatively easy to diagnose and correct. The saline is absorbed, and the breast deflates. Deflation generally requires a simple remove and replace procedure.
A silicone breast implant rupture is a little more difficult to diagnose and treat than saline implant deflation. The implant material is not absorbed and can cause hardening and deformity of the breast. It is also harder to correct surgically, as the implant material may need to be removed as well. For more information about the treatment of silicone breast implant rupture click here.
There is no evidence that breast implants have or could ever cause breast cancer. There is a newly identified type of lymphoma, ALCL that has been found in women with breast implants. As of the time of this writing, it has only been found to be associated with textured implants.
In the U.S. most of the cases of ALCL are in patients who have Biocell textured implants, but it has been found in patients with other types of textured implants as well. Although very rare and typically easily treatable with implant and capsule removal, this is a REAL issue and there is ongoing research. I wrote an update about ALCL on my blog.
As of July 24, 2019, Allergan has instituted a worldwide recall of all of their textured implant products. The FDA has not at this point recommended elective removal or exchange of these implants as the risk of developing ALCL is very small. The reason that Allergan, and not the other FDA approved implant companies, has recalled their implants specifically is because their implants are a macrotexture product and are the primary implants involved in ALCL in the U.S.
If you have Allergan textured implants and want to have them exchanged for smooth implants out of an abundance of caution, it is reasonable to do so in our opinion. Certainly, if there are symptoms such as unilateral swelling, this should be examined thoroughly.
Good News. As of July 24, 2019, Allergan will be providing smooth implants to any patient who would like to exchange their current textured Allergan implants. They will not be providing financial support for replacement as the FDA has not recommended the removal of textured Allergan implants without symptoms. Nonetheless, Allergan should be applauded for stepping up and doing the right thing for the patients. Allergan is calling this the BIOCELL Replacement Warranty. This program will run for two years from July 24, 2019, to July 24, 2021. They will provide free smooth implants in the same size as the original implants. This warranty does not cover other revisions or additional surgery for size change. The covered devices include all BIOCELL textured implants which may have also been under the brands McGhan, Inamed, Natrelle, or Inspira. If you are interested in pursuing this claim, we would be happy to do the legwork for you.
“I feel so much more comfortable moving forward with my breast augmentation after consulting with Dr. Yates and his staff. They are all so helpful, and Dr. Yates is very detail-oriented. I know I will be in great hands!” – Marie P. “I had such a great experience with the staff and Dr. Yates. I am extremely happy so far with my outcome. Dr. Yates and his staff answered all of my questions, and I was very confident that I would be happy with my results. I highly recommend Dr. Yates to anyone thinking of having breast augmentation or other types of breast surgery. It was a super good experience!” – Tresa B. “If I could rate Dr. Yates and his staff 10 stars, I would. From the minute you walk in, the front desk ladies are very warm and welcoming. I recently had a breast augmentation, and I couldn’t be happier with the results. Dr. Yates makes sure to answer and explain every question and concern and is very honest in what to expect. I really appreciated that! I would refer anyone to his office in a heartbeat.” – Chelsey G.