1701 East Prospect Road, Fort Collins, CO 80525

Highlights

  1. Dr. Duncan approaches breast augmentation with an eye towards class and taste, while providing a customized patient experience.
  2. Clients seek out Dr. Duncan for her beautiful, natural results (never artificial or tawdry).
  3. Great outcomes are a team effort; we can create a beautiful result and then we work together to help optimize and retain it!

Breast Augmentation with Implants

Real Patient Story

 

Left: 33-year-old mother after having one child. She lacked upper pole fullness and was asymmetric. Right: 6 weeks following breast augmentation with Dr. Duncan. She has tasteful cleavage and improvement of asymmetry.

To view all of my before and after photos, click here to visit my Breast Augmentation gallery.

My goal with breast augmentation is a natural yet beautiful appearance. I look for enhancement rather than distortion in my preferred outcome. I specialize in a natural, conservative style. This means I don’t use overly projecting implants that look too big for your frame or “stuck on.”

Many women are self-conscious about their disproportionately small breasts. There are many reasons for small breasts:

  • Genetics and a thin stature generally cannot change without some surgical help.
  • Many women get smaller and droopier breasts after breastfeeding their children.
  • Weight loss can also result in a desire for the restoration of a fuller and perkier appearance.

Who's a good candidate for a breast aug?

Good candidates for breast augmentation: 

  • Are looking for classic and tasteful results.
  • Are healthy and have realistic expectations.

Poor candidates:

  • Are looking at implants as a replacement for a breast lift

Understanding Implants

Silicone versus Saline?

Rippling in silicone versus saline implants
Above, the gel implant (left) has less rippling than the saline (right).

Saline or silicone gel? Many people still view saline as “safer” than gel implants, despite FDA approval of several brands of gel implants for use in breast augmentation.
The lifetime of a saline implant is generally quite a bit shorter (7-10 years) than a cohesive ‘gummy-bear’ gel (20-25 years barring trauma).

Gel implants vs. saline
When viewed from the side, you can see that the saline implant (right) tends to “bottom out”, with the volume gravitating downwards. This tendency leaves the upper pole hollow. Gel implants (left) tend to retain more volume in the upper pole.

Gel implants tend to migrate down and out into the armpit less than saline implants. Saline implants tend to deflate suddenly, causing an urgent need for repair. Cohesive gel implants do not suddenly lose volume. A significant injury would be needed to cause the gel to leak out of the shell. Since gels last longer, hold a better shape and need less frequent replacement, I tend to use cohesive gel implants for my patients.

Smooth or textured? 

textured-gel
Textured gel implant
smooth-gel
Smooth gel implant

Textured or smooth implants? Textured implants were popular for a while as they were supposed to reduce the incidence of capsular contracture. However, my experience has been that contracture is actually more common with these implants. They feel a bit more firm than smooth implants, and they don’t tend to shift naturally as smooth gel implants do. They are good for patients with recurrent migration. Otherwise, most of my patients prefer the smooth cohesive gel implants for a top long-term result.

What about Profile?

Question: “I went to another doctor who only uses high profile implants. Why won’t you put in implants with a high profile?”

Answer: See the photo below. She went to a doctor who only uses high profile implants. Her outcome was not satisfactory. Because the high profile implants have a very narrow base and a lot of projection, using them is like stuffing a grapefruit into a breast. The look is very unnatural as there is an upper hump and no lower pole fullness.

My 8 Rules of Breast Augmentation

  1. The ideal proportion of a breast is 40% of the volume above the nipple; 60% below the nipple.
  2. The nipples should point forward, not up nor down.
  3. The lower breast has a pretty round curve and a well defined infra-mammary crease.
  4. The upper pole of the breast should be full, without a defined ridge or “hump.”
  5. Fill out the entire breast without a flat spot on top nor a big gap between the breasts.
  6. The décolleté should have a gentle swell, not a flat spot, then a bump.
  7. The key to a good outcome is using the broadest implant that fits each individual’s frame. I use smooth, round, moderate implants for most of my patients. As you can see, this does not result in a flat silhouette. The higher profile implants tend to have a base that is too narrow to give the desired contour.
  8. Never go too large. Big implants make people look overweight, matronly, or trashy. I recommend thinking about this as a lifetime choice; classy and tasteful will last much longer than a dramatic overstatement!

This patient’s before (left) and after (right) results show all of my criteria for a good breast augmentation outcome (rules number 1 through 8, above).

To view all of my before and after photos, click here to visit my gallery.

Brief Overview of the Procedure

Surgery
After making an incision under the breast, Dr. Duncan carefully opens the pocket underneath your pectoral muscle. She then inserts a ‘sizer’ implant and lifts the back of the table to see if that size gives the desired aesthetic result. If not, she’ll try on another sizer. Once it passes her standards, she replaces the sizer with the implant that will stay with you, and closes the incision.

Schedule Your Consultation

Dr. Duncan’s artistic style results in dramatic, yet natural improvements. She works with each individual patient to create a personalized treatment plan based on his or her unique situation and desired goals. We would love to speak with you about achieving the best version of yourself. Call Plastic Surgical Associates in Fort Collins today at 970.493.7445 or click the button below to request a consultation. You can also email us any inquiries at [email protected].

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