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    Before & After Photos: Breast Augmentation

    Tag Archives: breast implants

    Patients preparing for a Breast Augmentation have several options when it comes to implant choice. This patient chose to have a Breast Augmentation with 395cc Shaped Silicone Implants. Shaped implants are an excellent choice for patients with little breast tissue or that are looking for a more natural result. The tear drop contour of the shaped implants ore closely mimics the natural slope of breast tissue. This patient received natural-looking, youthful results from her Breast Augmentation!





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    The beautiful results of a Breast Augmentation at the Plastic Surgery Institute of Atlanta! This patient chose 420cc saline implants to achieve this amazing look!




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    Breast Augmentation is a popular procedure in Atlanta and all around the world. Breast augmentation allows patients to achieve fullness and projection while offering patients a variety of options to help ensure their unique goals are reached. From implant type, to implant size, where the implant is placed and even where the incision is made, each breast augmentation is tailored perfectly to suit the patient. This patient achieved her breast augmentation goals with Dr McCluskey using 350cc saline implants that were overfilled to 375cc placed below the muscle. This ‘overfilling’ helps to create projection and reduce the chance or rippling of the implant. As you can see the result of this implant choice was a beautiful, natural-looking, fuller bust.Breast augmentation 375
    breast augmentation saline 375 (1)For more information about procedures offered by Dr McCluskey at the Plastic Surgery Institute of Atlanta, visit:

    Breast Augmentation is one of the most popular cosmetic procedures in the world, providing fullness and volume to breasts. There are many reasons women seek Breast Augmentation surgery, but whatever the reason for breast augmentation each patient deserves the best possible results from their plastic surgeon. In the few cases where patients wish to change their implant size, are not pleased with their results, or do not get the results they expected, Breast Augmentation Revision surgery may be able to correct the issues the patient has.

    This patient previously received a Breast Augmentation , but her results as well as the process of aging had left her with breasts that appeared ptotic (sagging) and uneven in size. She visited Dr McCluskey with hopes of restoring the symmetry and fullness to her breasts, and as you can see below he was able to achieve the look that she desired through a Breast Augmentation Revision surgery!

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    Fat Grafting 

    Often, after a breast implant surgery, women notice folds or wrinkles in the implants that are clearly visible through the skin. These folds or wrinkles are known as ripples. They can be seen around the bottom or the sides of the implant and can even occur in the middle, around the area of the cleavage. Leading cosmetic surgeons say that ripples are common and that almost all implants will ripple to a certain degree. But it becomes a cause for concern only when it is plainly visible.

    While there are no health complications that crop up due to ripples in your implants, aesthetically they do tend to look odd and you need to rope in your plastic surgeon’s advice on how best it can be fixed.

    ASAPS Video

    What causes ripples in breast implants?

    Ripples in breast implants are caused due to a number of reasons. One of the most common reasons, for ripples to surface, is the lack of sufficient tissue to cover the whole implant. Many women are simply not born with enough breast tissue that is needed to fully conceal the entire implant.

    Another reason why ripples appear, after a breast implant surgery, is if the implants are too large. Cosmetic surgeons also recommend that when you sign up for a breast implant insist on silicone-gel filled implants instead of those made of saline. Saline implants often lose their volume which is why they are not a preferred choice.

    After your breast implant surgery, if you notice ripples you can consult with a cosmetic surgeon like Dr. Paul McCluskey, who is based out of Atlanta. A specialized plastic surgeon will be able to determine exactly why your breast implants have developed ripples.

    How can fat grafting help?

    One of the latest innovations, fat grafting is also known as autologous fat transfer. Recommended by many plastic surgeons, the procedure involves taking fat tissue from other parts of your body and injecting it into your breast. Fat tissue from your thighs, stomach or buttocks is first removed using liposuction, it is then converted into a liquid before being injected in to form breasts.

    Cosmetic Surgeons deem that fat grafting is a reliable way to reduce the appearance of ripples since it helps add coverage to the breast while also increasing the breast’s volume. It is especially useful when it is used to make up for the lack of natural tissue on the sides of implant. Additionally, many fat grafting is endorsed by many plastic surgeons because it uses your own tissue for the implant.

    While fat grafting cannot make your ripples disappear completely, it will certainly go a long way in making the ripples less obvious. If your breast implants have visible ripples, make an appointment with an experienced surgeon like Dr. Paul McCluskey, who practices in Atlanta. A cosmetic surgeon will be the best to advise you on the fat grafting procedure and how it can benefit you when you need to bring down occurrence of ripples in your breast implants.

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    The goal was simple:  Improve recovery from breast augmentation procedures.  General anesthesia using inhaled gas and a breathing tube (endotracheal tube or LMA) is an incredible tool that allows the plastic surgeon to perform invasive procedures without the patient feeling or being aware of pain.  I have performed, and continue to perform a number of breast augmentations under general anesthesia and I consider it extremely safe .  But there are two major drawbacks to general anesthesia: 1. Many patients are so scared of general anesthesia that they change their mind and decide not to have breast augmebabantation, and 2. General anesthesia can leave the patient listless, groggy, and often nauseated a few days after surgery. By performing breast augmentation under IV sedation we can alleviate many of the fears patients have regarding general anesthesia and improve their recovery from surgery.  The medications used during IV sedation breast augmentation are strong sedatives and pain relievers that carry the added benefit of being short-acting.  A submuscular or dual plane breast augmentation procedure takes between 30-45 minutes to complete, such that I can finish the procedure just as the meds are wearing off.  We limit the amount of IV narcotic sedatives used, such as fentanyl or morphine, and this significantly improves the risk of postoperative nausea.  During breast augmentation under general anesthesia or IV sedation I inject 200-400cc of tumesecent fluid per breast.  This tumescent fluid contains long- and short-acting agents (lidocaine) which numb the tissues and it contains epinephrine, a strong vasoconstrictor, which prevents bleeding during and after surgery.  Proper infiltration of tumescent fluid beneath the muscle and around the breast is the key to performing breast augmentation under IV sedation.

    The cosmetic results of breast augmentation under general versus IV sedation are identical.  The type of anesthetic (general versus sedation) does not limit or change the plastic surgeon’s ability to create a precise submuscular pocket and to release the inferior and medial borders of the pectoralis muscle to place the breast implant in the correct position.  We have seen less postoperative nausea and much quicker surgical recovery from IV sedation as compared to general anesthesia.  When asked, our patients resoundingly report that they would prefer surgery under IV sedation.   We enjoy offering patients the option of IV sedation for breast augmentation, especially for those who are concerned about general anesthesia and for those who desire a quicker recovery from surgery.

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    This patient had lost volume in her breasts due to aging and pregnancy. Although this would usually be thought of as a case suited to a breast lift, due to there being a low amount of sag in this patients breast we were able to achieve the results she desired with a simple breast augmentation. Breast implants added volume and shape restoring a youthful and lifted appearance to the breasts with near invisible scarring and quick recovery with limited down time for this mom on the go!



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    At the Plastic Surgery Institute of Atlanta we are lucky to have amazing patients! Here are some kind words from one of them:IMG_1667

    “I had two Rhinoplasty’s done in the past by two different doctors In Florida. Both of which were incorrectly done and the results affected me monetarily and emotionally. After 5 years of being miserable and still unhappy, I heard of Paul by one of his previous patients that I met in a local Atlanta bar. I was amazed at the before and after results on my friend. I then decided to take another chance at it, so in May of 2013 I put my trust in this Doctor and had my 3rd Rhinoplasty. Today I am happy with my results. Finally, I am smiling and feel happier than I have been in a very long time. So that’s my story. I wish he would have been my first Doctor that did my procedure. I would have saved so much money. Regardless, When hiring a Plastic Surgeon, Beware.. In my book, Paul Mccluskey and his staff are the BEST!!! Thank you from the bottom of my heart!!!! :)”

    To read more reviews of our office and Dr McCluskey visit our Facebook page! An don’t forget to like us while you are there.

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    Breast augmentation has long been the most popular procedure in plastic surgery as well as being a hugely important step in many gender reassignment cases. In transgender breast augmentation cases the choices of implant types and sizes is exactly the same, with the same beautiful results expected, but there are some points to take in to consideration.

    silicone breast implant

    Typically in male to female transgender cases the patient has broader chest and shoulders that will accommodate larger implants, smaller implants may look too narrow and appear unnatural. As well as a wider chest, nipples will typically be lower on  a male chest than a females so the natural breast crease will often have to be lowered so that the nipple is more centered on the implant.

    Another aspect that is important during consultation is whether the patient is currently using hormone therapy. Patients who have been using hormone therapy will tend to have developed breast tissue and this can be associated with ptosis (or drooping) that would have to be taken in to account when planning the procedure. Many transgender patients are good candidates for trans-axilalry augmentation where the incision is made in the armpit because of the lack of ptosis of the breast tissue.

    Finally it is important for the patient to pay close attention to instructions from their surgeon to allow the implants to ‘drop’ in to a natural position on the chest. Because the pec muscle is generally larger in transgender patients the muscle has a tendency to hold the implant higher on the chest wall, with massage and compression the implant will fall in to a lower and more natural place on the breast.

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    Breast Augmentation Surgery Cost AtlantaPre-op consultations are an important part of the process in any cosmetic surgery procedure such as breast augmentation. The cosmetic surgeon will discuss various aspects of the procedure with the patient, including the estimated costs. The goal is to help the patient make an informed decision. As an experienced plastic surgeon in Atlanta, GA, Dr. Paul McCluskey ensures that his patients are fully apprised of the cost aspect at the time of initial consultation.

    Basic Cost Related Queries

    During the initial consultation for breast augmentation, the patients should ask a few basic questions to clarify their doubts, including questions related to the cost of procedure. The questions may include some or all of the following:

    • What is expected total cost of the breast implant procedure?
    • Does the cost estimate include or exclude the costs of breast implants, medical tests, post-op visits and surgical garments?
    • What about the anesthesia costs and the costs of the surgical facility?
    • Are any financing options available via the office of the cosmetic surgeon?

    Insurance Aspects

    In most cases, breast augmentation is performed as an elective procedure for cosmetic purposes. Therefore, the cost may not be covered under the patient’s health plan. However, if the procedure is performed for restorative reasons following a mastectomy or breast injury, full or partial costs may be covered by the health insurer.

    As an experienced plastic surgeon, Dr. McCluskey will address the patient’s queries with regard to various aspects adequately. Patients in and around Atlanta, GA may consult with him for breast augmentation and other procedures.

    Average Costs

    The cost of breast augmentation may be broken down into several components as follows:

    Surgeon’s Fee

    The breast surgeon may charge a fee according to their qualifications, experience and recognition in the field of breast surgery. The fee may range from $4,500 to $6,500 in most cases. The fee may also depend on the complexity and length of the procedure involved.

    Cost of Breast Implants

    Saline implants may cost between $1,500 and $2,000, while silicone implants will usually cost above $2,000. Some of the new qualities of highly cohesive silicone implants may cost more because of the use of advanced technology and materials.

    Anesthesia and Operating Room Costs

    The fee charged by the anesthesiologist and the operating room expenses may usually cost in the range of $3,000 to $5,000, depending on several factors. The American Society of Plastic Surgeons (ASPS) suggests that patients should choose the most appropriate plastic surgeon and practice for a procedure such as breast augmentation, and surgeon’s fee and other costs should only be a secondary consideration.

    Overall Cost of Breast Augmentation

    The overall cost of breast augmentation procedure may be anywhere from $8,000 to $15,000, accounting for various cost components and different factors. The national figures released by the ASPS for 2013 suggest that the average cost of breast augmentation was $3,678 in the U.S. However, this quantum excludes the costs of anesthesia, operating room costs, and other related expenses. Monetary figures vary from one practice to another depending on various factors.

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