Breast Augmentation (Augmentation Mammoplasty)
 

Breast augmentation is the most popular procedure performed at the Hunstad Kortesis Center. We offer all methods of breast augmentation and incision placement. These include the endoscopic technique performed through an inconspicuous incision in the apex of the armpit, periareolar (the incision is placed under the nipple right inside the color change of the areola), inframammary with the incision under the breast, and the TUBA technique (a saline implant is placed via an incision located inside the navel). Breast augmentation is also used alongside some breast lifting procedures. Incisions are closed with dissolving sutures leaving the best scar. Most procedures takes less than one hour and most patients can return to normal activities within a few days.

We also offer several options as far as placement of the implant is concerned. Three options offered at the Hunstad Kortesis Center are subglandular, where the implant is placed directly under the gland of the breast, submuscular, whereas the implant is placed under the pectoralis major muscle, and subfascial. The newest of the three placement options is subfascial. In this, the implant is placed below a thin, but strong layer of connective tissue that covers the pectoralis major muscle. With this technique, you get some of the "internal bra" benefit of the submuscular technique without implant animation (the implants move when muscles contract).

Vigorous exercise is limited, particularly lifting, for a few weeks following breast augmentation. At the Hunstad Kortesis Center, we encourage our patients to personally select their desired breast implant size based on implant tester placement which is done during consultation. During our consultation with you, we thoroughly discuss and offer guidance on your personal options. The final decision on size and placement is ultimately yours-- as it should be.

**Relating to a ten-year study, in which Dr. Hunstad has been an ongoing participant, the FDA has released the use of silicone gel implants to include all patients and all breast augmentation procedures.

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BREAST AUGMENTATION RECOVERY
After surgery the breast will be somewhat tender and feel tight. There will also be some swelling and bruising, which will disappear. At the Hunstad Kortesis Center, we will provide special instructions to help to provide quicker post-operative recovery.

BREAST AUGMENTATION COST

The cost of the breast augmentation is determined by many factors.  Things that are very important that should be discussed with your plastic surgeon include what type of anesthesia provider is caring for you?  Is it a board certified anesthesiologist such as what we have at the Hunstad Kortesis Center for Cosmetic Plastic Surgery or is it a nurse anesthetist who normally in the hospital setting is supervised by the anesthesiologist.  Having a board certified anesthesiologist is the gold standard by which all others are judged and provides the highest level of safety and care, but comes with a slightly increased cost as you could imagine. 

Another question asked is, is the facility certified?  There are only a few certifying agencies that can certify the surgical facility.  You should be sure that your procedure is being performed in an accredited facility.  Accreditation Boards include AAAASF, which is the American Association for the Accreditation of Ambulatory Surgical Center, AAAAHC, the American Association for the Accreditation of Health Care Facilities, and JACHO, the Joint Commission for the Accreditation of Hospital Facilities.  All of these organizations are recognized as proper certifying bodies, and the surgical facility should be certified by one of these entities. 

Another question to ask is, is the plastic surgeon and the staff advanced cardiac life support certified?  Although this is not required having the physician and all clinical staff certified in advanced cardiac life support such as we have at the Hunstad Kortesis Center for Cosmetic Plastic Surgery, ensures the highest level of supervision, evaluation, and care of all patients should there ever be an emergency. 

One should consider asking for a tour of the surgical facility.  Is the surgical facility properly outfitted?  Is there proper cleanliness, proper lighting, and proper space for the procedure as well as the recovery room and, overnight facilities, which are commonly necessary following important facelifting and body contouring procedures?  At the Hunstad Kortesis Center, we are very proud of our fully accredited surgical center and are excited to have any prospective patient tour our facility and they have all universally found to be quite impressive and outstanding.

These are important questions to ask when considering the cost of breast augmentation.  Breast augmentation is an important procedure and needs to be performed properly in a proper facility with proper personnel.  These important issues will help ensure that you have a successful high-quality outcome.

FINANCING
Do you need financing for your breast surgery? At the Hunstad Kortesis Center, we accept all insurances. We also have financing available: Click Here to view Financing Page
 

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Breast Augmentation Pages
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The following patient underwent a submuscular Endoscopic Breast Augmentation using saline implants. These photos were taken after 10 years and two breastfed children! She is thrilled and states, "They get better every year!". (HUNSTAD 2001)
Before	After
This patient came to Dr. Hunstad desiring fuller breasts.  She came in as a 34B, with a desire to be a 34C.  These results were achieved by performing a Subfascial Breast Augmentation using Mentor Moderate Plus Silicone Gel Implants.  Because of a slight pre-exsisting asymmetry, she received a 325cc implant on the right, and a 300cc implant on the left.  (HUNSTAD)
Before	After
This patient presented to our office with a desire for breast augmentation. After careful consultation, it was decided that a subfascial inframammary approach was best. The implants chosen were Allergan Style 15 421cc gels, which took her from a small B to a full C cup. (KORTESIS)
Before	After
49 years old-  This client underwent a Subfascial Breast Augmentation with an Inframammary Incision using 533cc bilateral implants.  KORTESIS
Before	After
42 years old-  This client underwent a Subfascial Breast Augmentation with an Inframammary Incision using 371cc bilateral implants.  KORTESIS
Before	After
29 years old-  This client underwent a Subfascial Breast Augmentation with an Inframammary Incicion using 371cc bilateral implants.  KORTESIS
Before	After
25 years old- This client underwent a Subfascial Breast Augmentation with an Inframammary Incision using 475cc bilateral implants.  HUNSTAD
Before	After
19 years old – This client, desiring a larger bust, chose 350cc moderate plus saline implants for her endoscopic breast augmentation. KORTESIS
This 28 year old client underwent a Subfascial Breast Augmentation with an Inframammary Incision using 304cc bilateral implants.  KORTESIS
Before	After
This 23 year old client underwent a Subfascial Breast Augmentation with a Transaxillary Incision using 350cc bilateral implants. KORTESIS
Before	After
This 26 year old client underwent a Subfascial Breast Augmentation using 286cc bilateral implants.  KORTESIS
Before	After
This 33 year old client underwent a Subfascial Breast Augmentation using 550cc bilateral implants.  She also underwent a circumvertical breast lift on the right breast. HUNSTAD
Before	After
This 31 year old client underwent a Muscular Breast Augmentation with an Inframammary Incision using Allergan Style 304cc implants. KORTESIS
Before	After
This 21 year old client underwent a Submuscular Breast Augmentation as well as a Pursestring Mastopexy using 340cc implants.  KORTESIS
Before	After
This 30 year old client underwent a Submuscular Breast Augmentation using an inframammary incision and 304cc bilateral implants. KORTESIS
Before	After
This 31 year old client underwent Subfascial Inframammary Breast Augmentation.  She chose 397cc Moderate Plus gel implants. HUNSTAD
Before	After
This 36 year old client underwent Subfascial Inframammary Breast Augmentation. She chose a 250cc Moderate Plus gel implant and went from a 34A cup to a 34C. KORTESIS
Before	After
This patient underwent an Inframammary Subfascial Breast Augmentation using Moderate Plus 457cc silicone gel implants. She went from a 34B to a 34D-DD. KORTESIS
Before	After
36 years old – Subfascial breast augmentation using an inframammary incision and 375cc moderate plus gel implants. KORTESIS
39 year old- Subfascial Breast Augmentation using 500cc high profile gel implants and an inframammary incision. KORTESIS
Before	After
34 year old- subfascial breast augmentation using 300cc round profile gel implants and a periareolar incision. HUNSTAD
Before	After
The following 40 year old patient had a Subfascial Silicone Gel Breast Augmentation using an infrareolar incision. The implants she chose were 300cc. (KORTESIS 2010)
Before	After
Endoscopic Subfascial Augmentation using Moderate Plus 350cc bilaterally
Before	After
Periareolar Subfascial Silicone Gel Augmentation using 350cc High Profile Implants
Before	After

40 year old- Subfascial Breast Augmentation using 275cc(left) and 300cc(right) mentor moderate plus gel implants and an inframammary incision.  HUNSTAD
Before	After
26 year old- Subfascial Breast Augmentation using 350cc(left) and 325cc(right) mentor moderate plus implants and an inframammary incision. KORTESIS
Before	After
47 years old- Submuscular endoscopic breast augmentation using 450cc round saline implants filled to 480cc. HUNSTAD
Before	After
22 years old – This client underwent a subfascial breast augmentation using an inframammary incision and 375cc high profile gel implants. HUNSTAD

Endoscopic (Video-assisted) Breast Augmentation
Before	After
As you can see from the photo on the right, the incision for endoscopic breast augmentation is very minimal. It will fade to white and become virtually invisible within months.
Endoscopic breast augmentation subglandular ( above the muscle ) 330cc Gel
Breast augmentation with a subglandular periareolar approach. This procedure leaves only a scar around the lower border of the areola, which blends in nicely as the scars fade. Before                                    After
Breast augmentation with a pursestring mastopexy proves to be a gratifying procedure for many patients. It is recommended whenever an augmentation may require  higher placement of one or both nipples. A beautiful result can be achieved with the a final incision only around the areola.  The implants are placed below the muscle. Saline or silicone gel can be used.  Silicone gel breast implants are very popular because of their natural feel.  This procedure can usually be completed within two hours and all sutures are woven beneath the skin allowing for the finest scar.
Before	After
A Full Mastopexy is an excellent option particularly for patients who have had children and breast-fed or who achieved weight loss with a significant loss of breast volume.  Placing implants below the muscle in this situation offers a benefit of muscular support for the implants, lessening the chance of subsequent droop overtime.  All patients at the Hunstad Center choose their final implant volume. In addition, we use delicate plastic surgery techniques to offer you the very finest scar possible using technically advanced absorbable long-lasting monofilament sutures which eliminates the need for any removal of stitches.  Also, we utilized Scar Guard within the first week to further improve scar quality.  This is a mixture of silicone, hydrocortisone, and vitamin E which helps us achieve the very best scar possible. The patient below underwent a submuscular saline breast augmentation and a full mastopexy. She achieved an excellent lift and improvement in shape, projection, and volume. She also had an excellent result with an arm lift.
	Markings are made preoperatively to determine the amount of excess skin to be removed. A new nipple position is also marked.
Before	After
**All patients individually select their implant size and technique with guidance from Dr. Hunstad and his staff.  This is a very personal choice, so we want our patients to become active members in this decision-making process.
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