Category: Breast

“The best recommendation I have for women with breast implants in place for more than 10 years is to switch them out for newer implants prior to complications.  It’s best to have a simple implant exchange versus a more complex procedure if issues were to arise.” – Dr. Ravi Somayazula

Breast augmentation is the most common plastic surgery procedure performed today. However, not every augmentation provides ideal results. Even with the most experienced surgeon, unexpected problems may occur. After surgery, some women may find their breasts are too large or small, no longer fitting their physical proportions or lifestyle. The implants may be malpositioned, asymmetrical, or sit low on the chest. Additionally, although complications following a breast augmentation are rare, there is still a small chance for issues such as capsular contracture, rippling, rupture, leakage, and deflation. Conversely, other women may have nothing ‘wrong’ with their implants; however they may find themselves wanting to switch out their saline implants for silicone.

What is Breast Implant Revision?

Breast implant revision is a specialized surgical technique designed specifically to correct the issues that can arise following breast augmentation. Dr. Ravi Somayazula’s secondary breast surgery can provide an effective option for restoring a healthy, aesthetically pleasing chest. Custom-tailored to the individual patient’s needs, Dr. Ravi’s breast augmentation revision will replace the original breast implants with a more appropriate shape, size, or type, offering women the most proportionate, natural-looking results possible.

These before & after photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.

Reasons for Breast Implant Revision

There are many reasons that a woman may be forced to consider a breast implant revision. Once her implants have settled on the chest, they may be larger or smaller than intended, or poorly positioned. Additionally, complications may occur after surgery that require immediate attention, such as an implant rupture or capsular contracture. No matter the reason, Dr. Ravi and the team at Body by Ravi Plastic Surgery and Aesthetics will gently walk each patient through the revision process, achieving a safe and satisfying result.

A breast implant revision will improve:

• Ruptured Implants
• Rippling
• Asymmetry
• Animation deformity
• Capsular contracture
• Symmastia (merging of implants)
• ‘Bottoming Out’
  (implants sinking below breast crease)
• Lateral displacement (implant shift)
• Dissatisfaction in size, feel, or appearance

“I had a breast augmentation in 2000. I decided to book my implant exchange in May with Dr. Ravi. He took the time to listen to my needs and concerns. I never felt rushed and he explained the procedure thoroughly. He was professional, respectful and his bedside manner was to par. As an RN, I have worked with a variety of physicians. My rule is, I would never work for a doctor if I would not allow them to practice medicine on me. I would work with Dr. Ravi!”

– Jenn C., Houston, TX

Who is an Ideal Candidate for Breast Implant Revision?

Almost anyone who is unhappy with the results from an initial breast augmentation procedure may make a good candidate for Dr. Ravi’s breast implant revision. A potential patient should be in overall good health, a nonsmoker, understand the recommended technique, and hold realistic expectations for the final results. To determine if a breast implant revision procedure is right for you, a confidential consultation will first be arranged at Body by Ravi Plastic Surgery and Aesthetics.

What to Expect During Your Breast Revision Consultation

Patients should set aside at least an hour for their breast implant revision consultation with Dr. Ravi. This appointment is an important part of the revision process, as it provides Dr. Ravi time to learn more about your individual concerns and desires. During the consultation, Dr. Ravi will perform an in-depth physical examination, determine the health of your existing implants, and assess skin elasticity. At this time, Dr. Ravi will also carefully review your medical history, current medications, and discuss pertinent health issues.

After listening to your aesthetic goals, Dr. Ravi will explain the various options and techniques available for implant revision. He will show numerous before/after photographs of his recent breast implant revision patients, helping to create a clear picture of the potential results. Once Dr. Ravi has determined that you are a good candidate for the breast implant revision procedure, he will create a personalized treatment plan. If there are any remaining concerns, Dr. Ravi or his patient coordinator will be available to address your questions. Together, Dr. Ravi will work with you in making an educated, informed decision regarding how to move forward with the augmentation revision procedure.

The Revision Mammoplasty Pre-Op Evaluation

Approximately two weeks before the breast implant revision procedure, you will be seen in the office for a pre-op evaluation. This office visit will provide a time to ask any last minute questions of Dr. Ravi or his patient care coordinator. Specific instructions for before and after the surgery will be provided. Dr. Ravi will go over a thorough list of ‘Dos and Don’ts’ for this period. Prescriptions for pain and nausea medications, as well as an antibiotic, will be provided. Please have these filled prior to the procedure. Finally, ‘before’ photographs will be taken and consent forms will be signed.

For a safe procedure, please remember:

• Avoid aspirin and NSAIDS two weeks before your breast implant revision, as these can cause unexpected bleeding and bruising. Do not resume these medications until at least two weeks after your procedure.
• Stop taking any and all herbal supplements at least one week before surgery, as these may result in delayed wound healing. No supplements should be reintroduced until at least a week following your breast augmentation revision.
• Cease all smoking, nicotine, and e-cigarettes for at least a four weeks before your breast implant revision. Nicotine products will decrease circulation, risking serious complications and delays in wound healing. Women should not resume smoking until at least four weeks into their recovery.

How is Revision Mammoplasty Performed?

Dr. Ravi’s breast revision procedures are performed at an accredited surgical center, using general anesthesia, under the care of a board-certified Anesthesiologist.  The surgery will take from one to four hours to perform, depending on the specific techniques utilized and the extent of correction.

To begin the breast implant revision procedure, Dr. Ravi will make thin incisions along the breast as needed based on the chosen procedure. If possible, his incisions will run along the existing scar lines, although this is not always possible. Once the incisions are made, Dr. Ravi will provide the necessary correction. In certain cases, the skin and internal support tissues may not be able to handle the stress of new, bigger implants. If this is the case, Dr. Ravi may recommend acellular dermis matrix for added internal support.

Breast Implant Revision Techniques Include:

• Implant Exchange – An implant exchange is an excellent option for those women who are unhappy with the size, symmetry, or placement of their original implants, or have experienced a ruptured implant. Dr. Ravi will assist in determining the most appropriate size implant needed to achieve natural-looking, proportionate results. The new implants can be larger or smaller than the original implants, to either maintain or correct your appearance.
• Capsular Contracture – Scar tissue is expected to form around the breast implant. However in some cases, this capsule will become too thick, tightening and squeezing the implant, sometimes causing a deformed breast shape. Dr. Ravi will soften and remove this thick capsule of scar tissue, creating a new pocket for replacement implants.

• Implant Malposition – Implants may slide or migrate within the breast pocket, pushing into the breast fold, creating an unnatural contour, making breasts asymmetrical, or ‘bottoming out’ with too much implant sinking to the lower pole. To address malposition, Dr. Ravi will create a new breast pocket, replace the implants, and when needed, add a surgical matrix for additional support.
• Double Bubble – Implants that sink along the chest wall, protruding past the breast crease, may form what is commonly referred to as a ‘double bubble’. This complication is seen more often in patients with large or heavy implants, tuberous breasts, poorly placed implants, or scarring from previous breast surgery. To correct a ‘double bubble’, Dr. Ravi will replace the existing implants, recreating an appropriately shaped breast pocket. In some cases, adding a tissue matrix can improve strength within the breast, keeping the implant safely in position.
• Wrinkling and Rippling– Wrinkles and ripples are more common with underfilled saline implants, although they may occur after any breast augmentation procedure. Dr. Ravi can improve the appearance of a wrinkled or rippled breast by replacing the existing implants, potentially placing the new implants behind the muscle, and when the situations needs it, add a tissue matrix for strength.
• Symmastia – Symmastia is a unique malposition where the breast implants are pushed together across the midline of the sternum, creating a ‘uni-boob’. Dr. Ravi can improve symmastia by removing the existing implants, redefining the breast pockets, then adding new implants.

The exact technique used during your breast implant revision will be determined during your consultation with Dr. Ravi. As this can be a stressful time for many women, Dr. Ravi and his team will walk you through the process, step by step. This ensures a satisfying procedure, and healthy, natural-looking results that can last for years to come.

Recovery After Breast Implant Revision Surgery

Women should expect their breast implant revision recovery to take about two weeks. While most women are feeling good enough to return to work in less than a week, everyone heals at different rates. It is normal to be tired and  sore for the first several days after surgery. It is also common to have fleeting tenderness, numbness, or feel pressure along the chest. Dr. Ravi suggests that women enlist the assistance of a spouse, friend, or family member during the first day or two after surgery, providing help with household chores and childcare.

A compression garment or surgical bra will need to be worn for several weeks, reducing the chance for swelling and providing the needed support. However, residual swelling can continue for up to six months. Strenuous exercise and heavy lifting should be postponed for two to six weeks depending on the exact procedure performed. Through a series of follow up appointments, Dr. Ravi will keep a close eye on your recovery. As you heal, Dr. Ravi will give you the go-ahead to safely resume activities.

If you are considering a breast implant revision, contact Body by Ravi Plastic Surgery and Aesthetics to schedule a confidential consultation, today.

If you have found yourself or someone you know to be unhappy with the results from a primary breast augmentation procedure, there can be no substitute for an in-person consultation with a board certified plastic surgeon, like Dr. Ravi. As a well-known breast augmentation provider in Houston, Dr. Ravi brings a kind, accommodating bedside manner to each encounter, he thoroughly answers all of your questions, and quells concerns.  Through a proper evaluation, Dr. Ravi can clearly map out a treatment plan, designed to help you achieve your desired aesthetic results.

Contact Body by Ravi Plastic Surgery and Aesthetics to schedule your breast augmentation revision consultation appointment. Our state-of-the-art office is located on the Katy Freeway, easily accessible from any part of Houston and the surrounding communities. If you are coming from outside of the Houston-area, please speak with a patient coordinator for assistance with driving directions or travel suggestions.

Revision Mammoplasty FAQs

• What is a breast implant revision?
  
  Breast implant revision surgery is a unique procedure, designed to correct the results from a previous breast augmentation. By replacing the existing implants, Dr. Ravi can dramatically improve the appearance and ensure a woman’s overall health.
• Why would a woman seek out a revision mammoplasty?
  
  There are a variety of reasons women seek a breast implant revision, including leaking, ruptured, or aging implants, as well as capsular contracture. Most often, however, a revision mammoplasty is performed when the patient decides a different size or shape implant would best fit her physical proportions, lifestyle, and image.
• Am I a good candidate for a breast augmentation revision?
  
  Almost anyone can make a good candidate for a breast augmentation revision procedure. Ideal candidates will be in generally good health, with a clear understanding of the revision technique, and hold realistic surgical expectations.
• How long can I expect my recovery to take, following a breast implant revision?
  
  In general, the recovery time following a breast implant revision will take from one to two weeks. Most women are feeling good enough to return to work in less than a week. However, residual swelling can take up to six months to fully resolve. Regular exercise can be resumed in two to six weeks depending on the technique and procedure.
• What are the potential complications from Dr. Ravi’s breast implant revision procedures?
  
  A breast implant revision procedure is considered safe and effective, although the surgery does hold some risk. Potential complications are similar to that of a breast augmentation, including infection, bleeding, scarring, nerve damage, breast asymmetry, and capsular contracture. Prior to scheduling a breast implant revision procedure, Dr. Ravi will thoroughly discuss the potential risks and complications associated with the surgery.

“It is a gratifying experience to see the transformation in women—ranging in age from teenagers into their 60s—who are initially shy and self-conscious due to their large breasts. Many times, they walk in hunched over and trying to hide their breasts. After undergoing a breast reduction, exude happiness and newfound self-confidence. Due to an immediate improvement in neck, back, and shoulder pain they develop a new sense of joy participating in activities they were not able to before.”
-Dr. Ravi Somayazula

Every day, thousands of women in the Houston-area are struggling with uncomfortably large breasts, which in-turn, can cause intense discomfort that will negatively impact their life and disrupt regular, day-to-day activities. Fortunately, there is a solution. The breast reduction, or reduction mammoplasty, is a long-trusted surgical procedure designed to reduce the size of heavy, pendulous breasts. At Body by Ravi Plastic Surgery and Aesthetics, Dr. Ravi Somayazula offers Houston a safe and effective solution to large breasts.

As a board certified, Harvard-trained plastic surgeon, specializing in breast surgery, Dr. Ravi has extensive experience helping women improve their body proportions by lifting and reducing their breast size. His cutting-edge techniques will not only remove excess skin, fat and glandular breast tissue, but the remaining tissue will be shaped to give a natural and proportionate appearance. During surgery, the nipple and areolar complex is repositioned to give a lift, as well. Although most women are simply ecstatic with the elimination of their symptoms, Dr. Ravi strives to produce a beautiful overall shape.

These before & after photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.

REASONS WOMEN CHOOSE A BREAST REDUCTION

Large, heavy breasts can cause a myriad of physical issues, including chafing, skin infections, and painful shoulder groove marks from bra straps. Other common problems include shoulder, neck, and back pain, which make exercise and even the most common activities difficult. Additionally, large breasts can bring unwarranted attention to the chest, as clothing and swimwear may fit poorly or too tight. A breast lift will eliminate the excess tissue, creating breasts that look natural and proportionate with a woman’s unique body type.

THE IDEAL BREAST REDUCTION CANDIDATE

An ideal candidate for a breast reduction will be in overall good physical and emotional health, with no history of irregular mammograms, severe obesity, diabetes, blood clotting disorders, heart disease, or tendency for hypertrophic scarring. Patients should also be a nonsmoker. Potential reduction mammoplasty patients should understand the surgical procedure, the recovery requirements, and hold realistic expectations for the final results. In some cases, a medical clearance may be needed from the primary care physician.

THE BREAST REDUCTION CONSULTATION

The initial surgical consultation with Dr. Ravi plays an extremely important role in the breast reduction process. This is an opportunity for the surgeon to get to know more about your needs and aesthetic concerns. It also provides a chance for you to meet the staff at Body by Ravi Plastic Surgery and Aesthetics, and begin to feel comfortable at our office. To ensure a thorough appointment, please put aside at least an hour for your initial consultation appointment.

During the consultation, Dr. Ravi will perform a thorough medical evaluation. He will explain your breast reduction options and show before/after photographs of his recent reduction mammoplasty patients. Dr. Ravi will make sure all your questions are answered, ensuring an informed-decision about the surgical procedure.

If the breast reduction is determined to be the right choice, Dr. Ravi will create a personalized treatment plan, taking into account your exact breast and body measurements, along with your overall body proportions. Also at this appointment, the exact price of your reduction mammoplasty will be determined. Your patient care coordinator will review all the available payment options and financing choices.

BREAST REDUCTION TECHNIQUES

Dr. Ravi will recommend one of several different breast reduction techniques, each of which can be customized to achieve the desired aesthetic results. The right technique for your unique needs will be determined during the consultation appointment.

• Circumareolar Breast Reduction – incision is made only around the areola–also known as the Doughnut incision.
• Circumvertical Breast Reduction – incision is made around the areola with a vertical incision down to the breast fold. This is also known as the Lollipop reduction or short scar breast reduction.
• Wise-Pattern Breast Reduction – the most commonly used technique, it includes an incision around the areola, vertical line to the mammary crease, and a horizontal line at the crease.
• Liposuction-Assisted Breast Reduction – in a few cases, liposuction alone or in conjunction with one of the above techniques can be utilized.

THE BREAST REDUCTION PRE-OP APPOINTMENT:

Every patient will meet with Dr. Ravi for a pre-op appointment, approximately two weeks prior to their reduction mammoplasty procedure. At this time, Dr. Ravi will provide specific instructions, including the dos and don’ts for the recovery period. Prescriptions for an antibiotic, anti-nausea medications, and pain medications will be provided during this visit; these should be filled prior to the date of surgery. Pictures will be taken and this is your opportunity to ask any last-minute questions before consent forms are signed.

For a safe surgical procedure, and successful recovery, please remember:

• Stop taking aspirin and NSAIDS, or nonsteroidal anti-inflammatory drugs, such as Ibuprofen, one week before surgery. To prevent unexpected bleeding and bruising, remain off these medications for at least a week after the procedure, as well.
• Herbal supplements should be stopped a week prior to the breast reduction. To prevent delayed wound healing, women should not plan on resuming herbal supplements until one week after surgery.
• Smoking and all nicotine products, including e-cigarettes, must be stopped four weeks before surgery. Do not resume smoking until at least four weeks after your breast reduction. This is vital to minimize the chance for complications.

THE BREAST REDUCTION SURGERY

Dr. Ravi’s breast reduction will take from two to four hours to perform. General anesthesia is used for the outpatient procedure, using a board-certified anesthesiologist. However, in some cases, an overnight stay may be recommended, depending on the individual patient and the extent of correction.

Depending on the exact chosen technique, Dr. Ravi may begin by making an incision, around the nipple then vertically down the breast, and across the breast crease. From here, excess tissue and skin will be removed, while the breasts are lifted to attain a more appropriate size and shape. An internal support system is created from the excess skin, providing a “permanent bra” to increase support and perkiness for years to come. Once the excess tissue is eliminated, the breast and nipple are lifted and reshaped for the desired effect. The nipple remains intact with the essential underlying blood and nerve supply. However, be advised that there is a small chance of inability to breastfeed as well as nipple numbness after the procedure. Dr. Ravi additionally uses internal pedicle-shaping sutures which allows for an improved aesthetic shape to the breasts.

Once the desired results have been achieved, Dr. Ravi will suture the incisions and place a compression garment to encourage healing while reducing swelling.

GETTING BACK TO NORMAL AFTER A BREAST REDUCTION

Initially, women can expect to be tender and sore after their reduction mammoplasty. Dr. Ravi suggests having a spouse, friend, or family member’s assistance for at least the first 24 hours following surgery. Mild to moderate discomfort and heaviness may be felt across the chest for several days. While you may be sore, patients are encouraged to begin walking the afternoon of surgery. Within 48 hours, most women are feeling well enough to perform light, everyday activities. Many are back to work after one to two weeks; however everyone heals at a unique pace. Strenuous activities and exercise should be postponed for four to six weeks.

Patients are required to wear a support garment to help support the breasts after surgery. Drains may potentially be placed during surgery, depending on the size of the reduction. If so, these are generally removed during the first in-office follow-up appointment. Swelling is normal and can be expected for several weeks.

It is very important to sleep only on your back for at least six weeks after the breast reduction surgery. Due to normal breast swelling, patients should wait three months after surgery to be fitted for a new bra. During the healing process, Dr. Ravi and his team will be available to answer any questions that arise.

CONTACT BODY BY RAVI PLASTIC SURGERY AND AESTHETICS TO SCHEDULE YOUR BREAST REDUCTION CONSULTATION

Although browsing the Body by Ravi Plastic Surgery and Aesthetics website can provide basic information about the breast reduction procedure, there is no substitute for an in-person examination with our board certified plastic surgeon. Contact our Houston office today with your breast reduction questions or to schedule your consultation appointment. Call 281.241.1061 or click the button below to send us an Email Contact Form. We will be happy to address any of your concerns and walk you through the reduction mammoplasty process, step-by-step.

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BREAST REDUCTION FAQ:

What is a reduction mammoplasty?

A breast reduction, sometimes referred to as a reduction mammoplasty, is a surgical technique designed to decrease the size of large, heavy breasts. Dr. Ravi’s breast reduction is uniquely created to improve the sagging associated with large breasts, ensuring the chest is proportionate with the body type for a natural-looking result.

Who is a good candidate for breast reduction at Body by Ravi Plastic Surgery and Aesthetics?

Almost any woman who is in overall good health, yet struggling with heavy, pendulous breasts, may make a good candidate for a reduction mammoplasty. The ideal patient will understand the breast reduction procedure and have realistic expectations for her final results. Many women have neck, back and shoulder pain as well as rashes and shoulder grooving which is relieved with a breast reduction. Some women may not have these symptoms but their large breasts cause embarrassment and unwanted stares. They may even have difficulty exercising and participating in certain recreational activities.

Where are the incisions placed during my reduction mammoplasty?

To begin the breast reduction, Dr. Ravi will make an inverted T incision along the breast. This thin incision will run around the nipple/areola, straight down the breast. In many cases, Dr. Ravi will include a horizontal incision across the breast crease, as well. This allows Dr. Ravi to successfully excise excess glandular and fatty tissue, as well as to remove unwanted skin, creating the desired breast shape and height.

Will my breast reduction leave scars?

Yes, patients will have thin scars along the incision lines, after a reduction mammoplasty. However, the extent of scarring will depend on the individual patient. In most cases, the scarring will fade slightly over time, although it does remain visible. The breast reduction has one of the highest patient satisfaction ratings out of all the plastic surgery procedure performed today, meaning the most of Dr. Ravi’s patients are so pleased with their results, the scarring is of little consequence. We also offer silicone bases scar creams that have proven to improve the look and texture of scars over time.

What are the potential risks and complications associated with a breast reduction?

Dr. Ravi has been performing his breast reduction procedure for more than a decade, making it a safe and effective procedure. While the incidence of complications is rare, as a surgical procedure, there is always a small risk. Complications can include unexpected bleeding, scarring, infection, hematoma, nerve damage, and asymmetry. There is also a small risk of problems with breast feeding.

How long will the results from my breast reduction last?

Because breast reduction involves the removal of breast tissue, your results will be permanent. Breast tissue will not grow back, and the results you achieve after a completed recovery period will generally last a lifetime. Although your breasts may change or alter slightly as your body ages naturally, overall, they will remain the same size unless a significant amount of weight is gained or you become pregnant and begin breastfeeding again. It is recommended that patients have their breast reduction surgery performed after they are done having children so they can enjoy the results of their smaller breast size for a lifetime.

When will I be able to return back to my normal routine?

Most patients can return to work and their normal daily routines within six to eight weeks without feeling pain. After this period, patients can begin to introduce light exercise and more movement into their lifestyles. Healing from a breast reduction surgery is often a little easier and takes less time than other breast surgeries where implants are involved, as the main focus of your healing will be the skin repairing itself from the incisions made during the procedure. 

What are the benefits of breast reduction?

Not only can breast reduction surgery allow patients to achieve their desired look, but it can also help to relieve upper back, neck, and shoulder pain. Large breasts can often weigh down patients, and having a breast reduction can lead to improved posture, a better appearance to your bodily proportions, and overall balance. Above all, this surgery can help patients feel the best they ever have in their own skin, as smaller breasts may make clothes fit easier, exercise and movement worry-free, and lead to increased self-confidence and higher self-esteem.

Overview: What is Breast Augmentation with Fat Transfer?

With advancements in plastic surgery, it is no longer necessary to use traditional silicone or saline implants to improve the appearance and volume of breasts. Fat transfer is intended for women seeking natural-appearing breasts with subtle cleavage who may be skeptical about foreign objects (implants) in their breasts.
The procedure involves removing excess, unwanted fat from predetermined areas via liposuction and then injecting the purified donor fat cells (also known as microfat grafting technique) into the breasts to achieve a soft, natural shape and organic appearance. There are minimal incisions, so possible scarring is reduced. In Houston, Katy, and surrounding neighborhoods, patients choose and trust Dr. Ravi Somayazula when they consider Fat Transfer Breast Augmentation.

These before & after photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.

What are the Benefits of the Fat Transfer Breast Augmentation Method?

Benefits of fat grafting for breast enhancement include:

• Natural augmentation that does not rely on a medical device like an implant
• No risk of capsular contracture, implant failure, or breast implant illness
• No need to have implants replaced every ten years
• Minimal incisions and reduced risks of scarring
• Natural-looking and feeling end results
• Long-lasting results

In addition to these benefits, fat transfer relies on a donor site such as the abdomen, waist or bra rolls for augmentation material. This allows the donor area to be sculpted and toned through liposuction as well.

Who is a Good Candidate for Fat Transfer Breast Augmentation?

Good candidates need to be healthy, nonsmokers, and prepared for a surgical procedure and recovery period. In addition, for fat grafting, good candidates must have sufficient fat to harvest for transfer. Women with asymmetrical breasts or small divots or depressions on the breast mound are often ideal candidates for this procedure as fat can add volume and improve the shape of the breasts without significantly enlarging them. The best way to learn if the procedure is right for you is through a one-on-one consultation with a board-certified plastic surgeon.

What to Expect in Your Consultation:

During the initial consultation, Dr. Ravi will carefully gather all pertinent medical history. He prides himself on personally educating patients on various cosmetic surgery options to allow for a more informed decision-making process. Depending on your goals, a breast lift may be recommended as well. Dr. Ravi selects liposuction donor sites that will complement and highlight the renewed, overall look of the breasts. This selection process is individualized during the consultation with the goal of sculpting your body to achieve your ideal aesthetic. A candidate should have a stable body weight with enough fat for successful transfer and should be a non-smoker.

Pre-Operative

All patients will be seen approximately two weeks prior to surgery for their pre-operative appointments. At that time, surgical consents are signed, photos are taken, and patients are given an informational packet which includes detailed instructions for before and after surgery.

Fat Transfer Breast Augmentation Procedure

The Natural Breast Augmentation with Fat Transfer is an outpatient procedure performed under general anesthesia at a credentialed hospital with a board certified anesthesiologist. Dr. Ravi initially starts with liposuctioning unwanted fat from certain areas of the body. This fat is purified and then injected into multiple locations and planes of the breasts. The purified fat integrates into the body with hope for a long-lasting, potentially permanent, result. There is a small possibility that additional procedures will be needed to reach the goal cup size if enough fat tissue does not survive. Good donor areas are the back, abdomen, thighs and flanks. This will be individualized during the consultation with Dr. Ravi in order to sculpt your specific body.

What is the Recovery from a Breast Augmentation with Fat Transfer Procedure?

Recovery time varies from person to person and is largely dependent on the fat donor sites being liposuctioned. There will be breast swelling with bruising and discomfort for several days. Patients spend one to two days resting and generally return to normal activities in one week. Strenuous activities should be avoided for three weeks. It is realistic to expect the breast to go up by one cup size per procedure, with final results to appear at three months. Liposuction can cause sagging of skin at donor sites which can be corrected once final healing occurs.

Will My Results Look Natural?

When care is taken during the harvesting, purification, and injection of fat, breast augmentation with fat grafting results will both look and feel completely natural. Because no implant is used, the results you achieve with fat transfer may take some time to settle, but after recovery, your breasts will look more symmetrical, fuller, and more complementary to surrounding features without looking “overdone” or fake.

How Long Will My Results Last?

Results from breast augmentation through fat transfer can last for the foreseeable future as long as weight is maintained. Full results may take up to six months to be realized, but will require no special care to maintain. The care you take during recovery will, however, play a role in the final appearance of your breast augmentation procedure. It may take more than one procedure to achieve optimal results.

Are There Risks to Breast Enhancement Procedures Using Fat Transfer?

General surgical risks include infection, bleeding, and adverse reaction to the anesthesia. Risks associated with liposuction, which will be necessary for fat harvesting, include skin divots, asymmetry, and poor wound healing. Risks associated with fat transfer breast augmentation include cysts, microcalcification, and necrosis of the fat cells. At Body by Ravi Plastic Surgery & Aesthetics, we utilize advanced liposuction and fat transfer techniques to reduce trauma and minimize risks. All procedures are performed in our private surgical suite and overseen by trained medical professionals. In addition to these steps, we will work directly with you during your entire recovery to help ensure your absolute comfort and ultimate satisfaction.

Schedule Your Consultation Today!

If you are in Houston, Katy, or other surrounding neighborhoods and are interested in learning more about your Fat Transfer Breast Augmentation options, schedule a consultation with Dr. Ravi today.

A woman’s body inevitably goes through many changes over the years, from pregnancy and breastfeeding to weight fluctuations. Coupled with the effects of gravity, skin may lose its healthy, taut elasticity, causing the breasts to sag. As this happens, volume and shape are depleted, resulting in breast tissue that sinks down on the chest. Additionally, the nipples may stretch and become elongated. Although larger breasts may be more likely to sag, any woman may experience these problems.

To restore a youthful, perky chest, visit Houston’s sought-after plastic surgeon, Dr. Ravi Somayazula. Performed alone, or combined with a breast augmentation or breast reduction, the breast lift from Body by Ravi Plastic Surgery and Aesthetics can create the youthful figure you desire.

Call Us 281.242.1061 or Contact Us Online

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Breast Lift – Before & After

These before & after photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.

What is a Breast Lift (Mastopexy)?

The mastopexy, more often referred to as a breast lift, is a trusted surgical procedure designed to raise the breasts on the chest. Pregnancy, breastfeeding, weight changes, genetics, and the normal aging process can cause lax tissue and stretched skin. As the underlying, supporting ligaments expand and contract, the breasts can begin to droop. The breast lift technique can address these changes, creating proportionate, shapely breasts, and restoring a youthful figure. Out of the many cosmetic surgery procedures performed today, the breast lift is known for having one of the highest patient satisfaction ratings.

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What Our Patients Have to Say

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The Issues A Breast Lift can fix

A breast lift can improve:

• Sagging, deflated, drooping breasts
• stretched skin
• Large or misshapen areola
• Nipples that point downward
• Asymmetrical breasts

The breast lift from Body by Ravi Plastic Surgery and Aesthetics can play a key role in helping to restore a woman’s confidence in her appearance by reshaping and lifting sagging breast tissue. Without significantly changing the size of the breasts, the mastopexy will improve the shape and position of the chest, restoring youthful contours that look better under clothing and swimwear. Additionally, during his breast lift procedure, Dr. Ravi can reduce the size of an enlarged or stretched nipple/areola, raising the nipple to a more natural position on the breast.

“Not all breast lift surgeries are the same. Each one requires experience, understanding of complex breast anatomy, customization and an artistic finesse to achieve outcomes which are beautiful, balanced, and appealing. I feel gratified knowing I am able to play a role in improving a woman’s life and how she feels about herself.”
-Dr. Ravi Somayazula

Why Choose Body by Ravi Plastic Surgery and Aesthetics for a Breast Lift?

Dr. Ravi is a Harvard-trained, board-certified plastic surgeon, dedicated to improving a woman’s self-esteem using cutting-edge surgical techniques. Specializing in procedures for the breast and body, Dr. Ravi brings years of experience to every encounter. During the consultation process, Dr. Ravi takes time to get to know each individual, allowing him to create a personalized surgical plan. The goal, at Body by Ravi Plastic Surgery and Aesthetics, is to establish a long-lasting relationship with each patient, providing exceptional aesthetic results that will last for years to come.

Ideal Breast Lift Candidates include:

A mastopexy can be a valuable option for almost any woman looking to raise drooping, sagging breasts. The ideal patient will be in overall good health and understand the breast lift process. Women electing for the surgery should not smoke, or be willing to give up all forms of nicotine for at least four weeks before surgery and four weeks after surgery. Potential patients should be at or near their ideal body weight. Breastfeeding needs to have ceased at least three months prior to the mastopexy.

Women who are considering having children in the future may be encouraged to postpone the mastopexy, as pregnancy will affect the size and shape of the breasts, jeopardizing the results from surgery. However, the ideal treatment plan will depend on each individual patient’s specific needs.

It is important to keep in mind that a breast lift is designed to raise sagging breast tissue on the chest, but the technique does not replace lost volume. Those women looking to add shape and fullness to their breast may achieve optimal results by adding breast implants or fat transfer. During the initial consultation, Dr. Ravi will determine the recommended technique(s), depending on your body and breast type, as well as your personal aesthetic goals.

Your Breast Lift Consultation:

To begin the mastopexy process, a confidential breast lift consultation will be scheduled at Body by Ravi Plastic Surgery and Aesthetics. Please allow one hour for this meeting, as the appointment will give Dr. Ravi time to get to know your individual needs and aesthetic goals. Without pushing any procedures, Dr. Ravi will gently guide you through the breast lift process, always ensuring an informed decision before taking the next step.

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During the consultation, Dr. Ravi will review your medical history and current medications. He will then perform a physical exam to evaluate the size, shape, skin elasticity, and location of the nipples and breast glands. Precise measurements are taken to help Dr. Ravi Somayazula determine the optimal type of breast lift surgery (mastopexy) to recommend. To assist in creating a mental picture of the potential results, Dr. Ravi will share before and after photographs of his recent breast lift patients.

After answering any questions that remain, Dr. Ravi will determine if a breast lift is the right procedure for achieving your aesthetic desires. If so, a mastopexy treatment plan will be created. The exact cost of surgery will also be determined. During this appointment, a patient coordinator will review all of your payment options, including third party medical financing through CareCredit.

The Breast Lift Pre-Op Evaluation:

Dr. Ravi will see all of his mastopexy patients approximately two weeks before their breast lift procedure. At this time, ‘before’ photographs are taken of the breasts. A detailed information packet will be provided, with a clear list of ‘dos’ and ‘don’ts’, and any last minute questions are answered. Dr. Ravi will write prescriptions for an antibiotic, pain, and anti-nausea medications, giving you plenty of time to have filled before surgery. Finally, all surgical consent forms will be signed.

Breast lift patients need to avoid all aspirin and nonsteroidal anti-inflammatory medications (NSAIDS) for at least one week before their surgery and one week after. This can prevent excessive bruising or unexpected bleeding. Additionally, smoking and nicotine productions should be stopped at least four weeks prior to surgery and four weeks after surgery. This is vital in preventing complications and delayed wound healing.

Dr. Ravi’s Breast Lift Procedure:

Dr. Ravi will perform the mastopexy procedure at a local, accredited surgical center or hospital. Depending on the specific technique and the extent of correction, the surgery will take from two to four hours. The mastopexy is performed as an outpatient procedure, using general anesthesia under the care of a board certified anesthesiologist.

Breast Lift Incision Options

Circular, Peri-Areolar Incision (Donut Mastopexy or Benelli Mastopexy)

This incision circles around the areola only, providing a smaller, reshaped areola complex with tighter skin and a lifted breast.

Lollipop Incision (Circumvertical Short-Scar Mastopexy)

The lollipop incision is created around the areola, and running vertically downward, stopping at the breast crease.

Anchor Shape Incision (Wise Pattern Breast Lift)

This incision goes around the areola, down the center of the breast, and horizontally across the breast crease. For those women with lots of excess skin and tissue, the anchor-shaped incision provides the most aesthetically appealing results. The bottom portion of the scar is well hidden within the natural breast fold.

How is a Breast Lift Procedure Performed?

To start, Dr. Ravi will create thin, predetermined incisions. From here, he will remove the stretched, lax skin, lifting the remaining breast tissue. If needed, Dr. Ravi will reshape and reposition the nipple, for a more natural-looking breast. Finally, Dr. Ravi will close the incisions with dissolvable sutures. A compression garment is put in place to reduce swelling and increase comfort, as well as to promote healing. The results of breast lift surgery are generally long-lasting, although this will depend on the individual’s skin elasticity and lifestyle.

Getting Back to Normal After a Breast Lift:

Patients should expect their breast lift recovery to take about one week. For the first 24 hours after surgery, Dr. Ravi recommends having a responsible adult close at hand, assisting with any needs that may arise. It is common to be tender and sore for the first several days, and some women note tightness across their chest. Dr. Ravi will prescribe the necessary medications for a comfortable recovery.

Women are normally able to get up and walk the same afternoon of surgery, and within 48 hours are generally able to perform light activities around the house, including showering. Most women are back to work in less than a week, however heavy lifting and vigorous activities should be put off for three to five weeks.

Mild bruising can be expected, as well as temporary numbness. Swelling and shape distortion may be seen initially, although this will dissipate over time. Residual swelling may last for up to six months. A surgical bra or compression garment will need to be worn for the first several weeks, keeping swelling to a minimum and encouraging proper healing.

Follow-ups will be scheduled with Dr. Ravi within the first week of your breast lift. Additionally, several appointments will be arranged over the first year, so that Dr. Ravi can keep a close eye on your healing process. During each exam, Dr. Ravi will assess the healing progression, giving the go-ahead to add certain activities, explaining how and when to begin breast self-exams, and recommending the time to resume routine mammograms.

The Breast Lift Results:

While some benefits of the mastopexy can be seen immediately, the results will continue to improve over the next few weeks, as the breasts heal and the swelling resolves. Despite the fact that the mastopexy does leave scars along the incision lines, the procedure is known to have the highest level of patient satisfaction out of any cosmetic surgery procedure.

Dr. Ravi uses the latest, state-of-the-art techniques for his breast lift procedure, making it extremely safe and effective. However, as mastopexy is a surgical technique, there is always a small chance for complications to arise. Risks of a breast lift include bleeding, scarring, infection, asymmetry, and loss of nipple sensation. When performed by an experienced, board-certified plastic surgeon, like Dr. Ravi, the chance for complications is dramatically reduced.

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Combining a Breast Lift with Additional Breast Augmentation Techniques:

While the breast lift can provide excellent results for those with heavy, sagging breasts, many women also struggle with a loss of volume. Combining mastopexy with breast augmentation allows women to achieve a fuller, firmer, perkier breast. Optimal results can be achieved using saline or silicone implants, or through a breast fat transfer. On the other hand, some women may find their heavy, dense breasts require a breast reduction, along with their mastopexy.

During the consultation with Dr. Ravi, the techniques required for the desired results will be determined. Those considering a breast augmentation, along with the breast lift, will have additional decisions to make. These can include the preferred implant type, size, and location. Dr. Ravi will assist in this process, and provide implant sizers to try on during the consultation.

Contact Body by Ravi Plastic Surgery and Aesthetics to find out more on the benefits of a breast lift:

Board-certified and Harvard trained, Dr. Ravi Somayazula brings years of experience to Houston, Texas. If you have been considering a breast lift, contact Body by Ravi Plastic Surgery and Aesthetics to arrange for a confidential consultation appointment.

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Remember, while the Internet can offer basic information regarding the breast lift procedure, nothing takes the place of an in-person consultation with a trusted plastic surgeon. Together with his team of renowned, experienced aesthetic staff, Dr. Ravi will walk you step-by-step through the mastopexy process, arming you with the details needed to make an informed decision about how and when to move forward.

Comfortable and modern, the Body by Ravi Plastic Surgery and Aesthetics office is located on Katy Freeway, easily accessible from all areas of town. However, if you are traveling from outside of the Houston area, speak with a patient coordinator for driving directions or more information on how to schedule a virtual consultation.

Breast Lift FAQs:

• Will I make a good candidate for a breast lift?
  Most women who are unhappy with breasts that have begun to sag or lose volume may benefit from the mastopexy procedure. The ideal candidate will be in generally good health, with reasonable expectations for their final, breast lift results.
• What are the potential risks of a breast lift?
  The breast lift procedure is considered an extremely safe and effective technique. Although complications are not common, as with any surgical procedure, a small risk does exist. Complications can include unexpected bleeding, infection, scarring, asymmetry, and loss of nipple sensation.
• How long will Dr. Ravi’s breast lift procedure take?
  The length of time for a breast lift will depend on the individual patient and their desired level of correction. On average, most of Dr. Ravi’s breast lifts take from two to four hours.
• When can I return to work after my breast lift procedure?
  Women can expect their breast lift recovery to take from one to two weeks. However, most patients are feeling well enough to return to work in about five days.

Houston, Texas Breast Enlargement Surgeon

Breast augmentation is one of the most common cosmetic surgery procedures performed around the world. Through the use of either silicone or saline implants, breast augmentation can create shapely, contoured breasts that complement the body’s proportions. Pregnancy, breastfeeding, weight fluctuations, and the normal aging process can all cause breasts to deflate. Implants will restore lost volume in the chest, helping a woman to reclaim a youthful, feminine appearance. Whether you are looking for a subtle change or dramatic improvements, the breast augmentation procedure at Body by Ravi Plastic Surgery and Aesthetics will provide long-lasting aesthetic results, custom-tailored to your individual needs.

“Understanding a woman’s body and her proportions is the key to achieving the most natural-appearing breast augmentations. By taking precise measurements, I am able to more accurately determine the size, projection, and placement to give you your best results. Careful attention to detail is the cornerstone for excellence, and it goes way beyond just placing implants to enlarge breast size.”
– Dr. Ravi Somayazula

Reasons for Breast Augmentation:

Augmentation mammaplasty, more often referred to as a breast augmentation, is a safe, trusted procedure using implants to shape the breasts. Every year, more than 300,000 women will decide to move forward with their own breast augmentation. The reasons for this extremely personal choice are extensive. Some women have struggled with small or underdeveloped breasts (breast hypoplasia) their whole life, while others experience changes in their chest after childbirth (postpartum glandular hypomastia) or weight fluctuations.

No matter the reason, one thing all of these women have in common is the desire to increase the size of their breasts, creating a natural-looking chest, proportionate to their body type. As the procedure dramatically improves how a woman looks in clothing, better filling out blouses and swimwear, a breast augmentation can dramatically increase self-esteem. Any woman considering the option of breast augmentation is encouraged to schedule a confidential consultation with Dr. Ravi, where he can fully explain the benefits and limitations of the procedure.

Why Choose Dr. Ravi for Breast Augmentation?

Dr. Ravi Somayazula is board certified by the American Board of Plastic Surgery. Harvard trained, Dr. Ravi’s sole focus is on exceptional cosmetic procedures for the breast and body. Over the years, he has fine-tuned his own techniques for breast augmentation. Known throughout Houston for his artistic eye and exceptional skill level, Dr. Ravi brings years of cosmetic and plastic surgery experience to each and every patient.

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Understanding the importance of open communication between patient and surgeon, Dr. Ravi spends a great deal of time getting to know each woman before her surgery. Emphasis on the consultation process allows Dr. Ravi to better understand the patient’s unique needs, desires, and lifestyle. Patients are thrilled to find that Dr. Ravi is personable and a relatable surgeon, who does not push women to rush into any decisions about their body. His goal is to work diligently and consistently, ensuring his patients receive the most satisfying results. At the client’s own pace, the professional team at Body by Ravi Plastic Surgery and Aesthetics will work to create a breast augmentation treatment plan designed around her individual aesthetic goals.

The Ideal Breast Augmentation Candidate:

Almost any woman who is seeking larger, more proportionate breasts, may make a good candidate for surgical enhancement. The ideal breast augmentation candidate will be over 18, in generally good health, and hold reasonable expectations for her final results. Potential patients should understand the breast augmentation process and the recovery requirements. She should be a nonsmoker, or willing to give up all smoking and nicotine for at least four weeks before and four weeks after her surgery. To determine if breast augmentation is right for you, a confidential consultation will be arranged at Body by Ravi Plastic Surgery and Aesthetics.

The Breast Augmentation Consultation:

The initial consultation appointment provides valuable time for you to get to know Dr. Ravi and learn more about the breast augmentation process. Please set aside an hour to an hour and a half for your thorough consultation. We want to use this opportunity to get to know you, learning more about your concerns and aesthetic goals, while at the same time, helping you feel relaxed and comfortable in our beautiful office.

During the consultation, Dr. Ravi will take a thorough medical history, discussing any current medications and health issues. Next, Dr. Ravi will perform a physical examination, evaluating your breast size, shape, tissue quality and characteristics, and symmetry. Although the measurements of each breast may be similar, many times, each side of the chest will be slightly different. This information will help Dr. Ravi to create a realistic outline of the potential breast augmentation results. Dr. Ravi will use these specific measurements, combined with your overall proportions and individual aesthetic desires to recommend the best style, shape, size implant for your unique body, along with the desired implant projection and placement.

Finally, Dr. Ravi will show multiple before and after photographs of his recent breast augmentation patients, then provide the opportunity to try on implant sizers. Once you have had a chance to see and feel actual implants, Dr. Ravi will have you try on the sizers under a non-padded bra and tight shirt. This allows the patient to better visualize the potential changes, evaluating the new shape and dimensions of the figure.

After any remaining questions have been answered, Dr. Ravi will determine if a breast augmentation is the right procedure for the individual patient. Your goals will help determine whether your breast augmentation should be combined with other procedures such as a Breast Lift or Fat Transfer to Breasts,  Every woman has her own set of unique goals, so Dr. Ravi will create a personalized breast augmentation treatment plan, reflecting an individualized surgical approach, including the incision site and positioning. In some cases, Dr. Ravi may recommend a mammogram prior to the breast augmentation, to use as a baseline for future exams. At this time, the exact price of surgery will be determined, and a patient coordinator will review the payment options.

Breast Implant Options:

Every woman is built differently, meaning the implant that looks proportionate on one woman will not necessarily be ideal for another. Dr. Ravi will take into consideration each woman’s height, weight, exact chest measurements, skin characteristics and the amount of existing breast tissue before recommending a particular implant. He will also take into account her age and lifestyle. Dr. Ravi only uses FDA-approved implants from Allergan, the maker of Natrelle gel implants. These modern implants come in a variety of styles, meaning every patient will have personalized results. Common implant options during the breast augmentation process include: 

Silicone vs. Saline Implants:

Silicone implants are the most popular choice today. A safe and natural-looking option, silicone implants have a lower deflation rate than saline implants. Prefilled with a soft silicone gel, the results achieved with silicone implants look and feel more like natural breasts. Silicone implants have a lower rupture rate versus saline implants.  If there is a tear in the outer shell, due to the nature of these cohesive gel silicone implants, the material will stay within the implant.

Saline implants provide firmer, rounder breasts that may look less natural than silicone. Made with an outer silicone shell, saline implants are filled with a salt-water solution after being positioned on the chest. This means a smaller incision. While leakage is not common, it is easier to detect in saline implants. However, rippling can be more common in saline implants.

Over the Muscle or Under the Muscle Placement:

Subglandular placement of implants, which is over the chest muscle, will provide a rounder, more-natural look to the chest. This placement typically requires a larger amount of natural breast tissue to be present prior to the augmentation procedure. Subglandular placement can mean a slightly higher chance for rippling, but can be used to improve the position of slightly droopy breasts.

Submuscular placement, under the pectoralis major muscle, provides excellent upper pole fullness, with a contoured shape above the nipple. While submuscular placement is great for women with little natural breast tissue, there is an increased chance for animation distortion, or changes in breast shape with certain movements. These implants may be harder to feel when under the muscle, but can provide better images during mammography.

Volume, Shape, and Texture:

The volume of an implant is measured using CCs; never cup size. A large variety of CCs are available in each type of implant. The use of implant sizers can be a helpful tool for women to visualize how each CC implant will look on her body, allowing her to choose the right volume for her physical proportions.

Breast implants come in both round and anatomic, or teardrop shapes. Round implants are the most popular choice today and provide a desirable, organic shape to the breast. The teardrop shaped implants are excellent for contouring the chest when little breast tissue is present, especially during breast reconstruction. However, anatomical implants can rotate in the breast pocket, taking away from the natural appearance.

Finally, women will be given the option of smooth or textured implants. Smooth are most popular, as they move easily within the breast pocket. Textured implants were once thought to eliminate the chance of capsular contracture, although this has not been found to be the case. However, textured implants may be the recommended choice if this is a secondary breast augmentation.

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Your Breast Augmentation Pre-Op Appointment:

Every woman who chooses to have a breast augmentation with Dr. Ravi will have a pre-op appointment scheduled approximately two weeks before surgery. During this visit, pre-operative pictures will be taken. A detailed information packet will be provided and Dr. Ravi will discuss the specific instructions for before and after the upcoming breast augmentation surgery, including a complete list of ‘dos and don’ts for recovery. Prescriptions for an antibiotic, pain, and anti-nausea medications will be written, giving the patient ample time to fill before surgery. Any last minute questions and concerns will be addressed, and all surgical consent forms will be signed.

To prepare for the breast augmentation, Dr. Ravi suggests patients stop taking aspirin and other non-steroidal anti-inflammatory drugs (NSAIDS), such as Ibuprofen, at least one week before and one week after surgery. This will help to prevent unexpected bleeding and excessive bruising. Women should stop taking any herbs or supplements at this time, as well, as these may cause a delay in the healing process. To prevent complications, smoking must cease for at least four weeks before and four weeks after surgery.

The Breast Augmentation Procedure:

Dr. Ravi performs all his breast augmentation procedures as outpatient surgery, at an accredited surgical center or hospital, using a board-certified anesthesiologist and the most innovative, state-of-the-art technology available. Patients are at home resting the same day. Performed under general anesthesia, the patient will need a ride home from the surgical center. Depending on the individual and the technique performed, the breast augmentation procedure will normally take from one to two hours.

To begin, Dr. Ravi will create a predetermined incision along the breast. Most commonly, the incision will be made across the breast crease (inframammary), around the areola (periareolar), or under the arm (axillary). Through this incision, he will then place the implants. Silicone implants are prefilled, however saline implants are positioned prior to being filled with the saline solution. After the implants are in their desired location, Dr. Ravi sutures the incision and put a compression garment in place for proper healing.

Due to his gentle, precise approach to breast augmentation, Dr. Ravi’s patients are known for having a smoother and shorter recovery period, compared with traditional procedures. His technique also ensures the smallest scar possible. Over his career, Dr. Ravi has implemented his own set of cutting-edge techniques for patient safety and maximum comfort. These include:

Keller Funnel® Implant Insertion:

The Keller Funnel® is an innovative tool that can be utilized during the insertion of silicone implants. While not all doctors choose to use this technique, Dr. Ravi finds that using the Keller Funnel® has multiple valuable benefits, including:

• A smaller incision can be made even when placing a large, silicone implant. This means a smaller scar compared to an identical breast augmentation without the use of the Keller Funnel®.
• Known for its “No-Touch” technique, this minimizes infection rates and lowers the incidence of capsular contracture (internal scar tissue). The Keller Funnel® prevents the implant from coming into contact with the skin, allowing the integrity of the implant to remain protected.
• Less pain during recovery, as the silicone implant is placed with less stress or trauma to the surrounding tissue.

Minimal Breast Scarring:

Dr. Ravi takes meticulous care in planning the final results of each breast augmentation procedure. Prior to surgery, he will measure and locate the exact position of the surgical scar, based on the individual’s unique anatomy, ensuring the resulting scar will be well-concealed within the natural breast fold.

Taking extra time in the operating room, Dr. Ravi performs electrocautery of the blood vessels, as he makes the breast pockets for the implants. Many other surgeons choose the faster, more simple method of blunt bloody dissection. While easier for the doctor, the dissection technique results in increased bleeding, bruising, and post-op pain. Dr. Ravi’s slow and meticulous methodology means a faster healing process with fewer complications.

Exparel® for Rapid Healing and Comfort:

Dr. Ravi will prescribe the necessary post-procedure oral pain medications for a comfortable breast augmentation recovery. However, to ensure maximum comfort, he will directly inject Exparel® (a local anesthetic) into the breast tissue during the augmentation procedure. Applying this local anesthetic dramatically decreases the need for pain medications after surgery, so that Dr. Ravi’s patients can recover with less stress and improving the overall healing time. Most women are able to return to work in just two to three days after their breast augmentation, although every patient’s recovery is different.

Getting Back to Normal After Your Breast Augmentation:

Women can expect their breast augmentation recovery to take about a week. Patients will be able to walk immediately after surgery and perform many routine activities by the following day. Subglandular placement, over the muscle, is generally a faster recovery and may take only a couple of days. Submuscular placement, under the muscle, may require a few extra days of rest. Either way, most patients are feeling good enough to return to work or school in a week or less. Heavy lifting, strenuous activities, and vigorous exercise should be postponed for three to six weeks.

For the first 24 hours, Dr. Ravi suggests having assistance with a responsible adult, who can provide any needed help. Women may experience mild to moderate discomfort and tightness across the chest over the first week. Dr. Ravi will prescribe the necessary medications for a comfortable recovery. The Exparel® injections, placed along the incisions during surgery, will help to decrease the pain for up to three days. Bruising and tenderness are common, but generally diminish over the first seven to ten days. The majority of the swelling will resolve over the first several weeks, however residual swelling can remain for six months or longer. A compression garment will need to be worn for the first few weeks, reducing the incidence of swelling, and ensuring the implants move into their desired location on the chest.

Dr. Ravi’s Breast Augmentation Results:

At first, new breast implants may sit high on the chest, but as the weeks go by, they will settle on the chest. As the residual swelling resolves and the implants move into the breast pocket, they will take on their desired natural appearance. Modern breast implants are designed to last for years to come, and can easily remain safe and shapely for a decade or longer. Together with Dr. Ravi, patients can safely choose to have a revision augmentation should they want to update their appearance with new implants in the future.

Breast augmentation is considered a safe and effective procedure, especially when performed by an experienced, board certified plastic surgeon like Dr. Ravi. As the procedure is invasive, there is always a small chance for complications to occur. Unexpected bleeding, bruising, infection, capsular contracture, rippling, loss of nipple sensation, leakage, rupture, and asymmetry are rare, but can occur. During the consultation appointment, Dr. Ravi will further discuss the potential complications associated with breast augmentation.

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Contact Us to Schedule Your Breast Augmentation Consultation:

Board certified and Harvard trained, Dr. Ravi can help you get started towards a more proportionate and contoured figure. Schedule your breast augmentation consultation by calling Body by Ravi Plastic Surgery and Aesthetics at 281.242.1061 . Coming from outside of the Houston area? Our experienced patient coordinators are available to assist with travel arrangement or local reservations, just ask.

Breast Augmentation FAQ:

• What is a breast augmentation?
  Breast augmentation refers to the use of implants, either saline or silicone, placed in the breast to create the desired volume, shape, and improve the symmetry of the chest. Dr. Ravi’s unique breast augmentation procedure can create a more proportionate chest, restoring a feminine and curvaceous figure.
• Am I a good candidate for a breast augmentation?
  Almost any woman who is looking to improve the shape or size of her chest may be a potential candidate for the breast augmentation procedure. An ideal candidate will be over 18, with fully matured breasts, and in overall good health. Potential patients should have a full understanding of the surgical process and hold realistic expectations for the final results.
• How long does Dr. Ravi’s breast augmentation procedure take to perform?
  The length of a breast augmentation will vary according to the individual patient and the technique used. The procedure is normally performed as outpatient surgery, taking from one to two hours.
• When can I return to work after my breast augmentation procedure?
  While the recovery from a breast augmentation takes approximately one week, most women are feeling good enough to return to work or school in three to five days.
• What are the potential complications after a breast augmentation procedure?
  Breast augmentation is the most commonly performed cosmetic surgery procedure. Today’s techniques are safer and more efficient than ever before, however, as invasive surgery, there is always a small chance for complications. Risks include infection, excessive bleeding, capsular contracture, asymmetry, and loss of nipple sensation.
• How can I prepare for my breast augmentation procedure?

  Preparing in advance for your breast augmentation procedure is a great way to increase your chances of a smooth, complication-free surgery and recovery. Getting ready for a breast augmentation may take several months in advance. Before arriving at your procedure, consider doing the following for optimal results:

  • Visit your primary doctor to discuss which medications to stop or adjust, as they may interfere with your surgery
  • Quit smoking at least six weeks before your procedure
  • Avoiding taking anti-inflammatory, blood-thinning medications
  • Begin a balanced diet that gives your body the proper amount of protein, fat, and nutrients
  • Establish a light exercise routine you can stick to
  • Prepare your home for easy mobility
  • Invest in loose clothing that makes it easy for you to wear and change clothes
  • Arrange transportation with a loved one
• How can I ensure a successful recovery from my breast augmentation? 
  

  Recovering from a breast augmentation is not a walk in the park. However, it is not impossible. With the right preparation and support, patients can successfully recover from their breast augmentation surgeries without any complications. To help encourage an easier recovery process, do the following:

  • Plan for assistance. Many patients can feel shy or guilty about asking for help while they recover, but doing so can help you avoid potential injury and risk.
  • Monitor and manage your pain. Dr. Ravi will provide patients with aftercare guidelines on how to manage their pain. If you notice your pain does not improve or gets worse, this can be a sign you need professional attention. Catching these complications early on will help prevent major issues later.
  • Prioritize rest. Many patients don’t realize the importance of resting during recovery. Resting allows your body to recuperate from surgery.
  • Eat foods that are nutritious and energizing.
  • Slowly re-introduce your body to light activities. Slow, short walks and light exercise can help get your arm and shoulder mobility back to normal.