Additional Services and Pricing
|Saline Breast Augmentation
|Silicone Breast Augmentation
|Gummy Bear Options
|Breast Augmentation with Lift
En Bloc Implant Removal With Capsular Resection
When it comes to enhancing and enlarging the breasts, women now have more options than ever. Thanks to Seattle area plastic surgeon Dr. Marosan’s, advanced techniques. With traditional breast augmentation surgery, either saline or silicone gel implants are inserted into the natural breasts to increase size and produce a better shape. Dr. Marosan focuses on quality, so he only uses FDA approved Allergan, Sientra and Ideal Implant implants. These implants come textured or smooth, round or shaped and in a variety of sizes, so Dr. Marosan will work with patients to choose the perfect look and fit.
For women who opt for breast augmentation surgery but want a more natural look and feel, they can choose the fat grafting method, where a woman’s own fat is used. With this method, there are no scars or incisions and the breasts look natural. A woman can expect about one cup size increase with this technique. The process can be repeated to further increase volume and define shape. This technique avoids future implant issues.
Dr. Marosan uses the Vectra 3D, which takes a three dimensional photo to analyze the patient's breasts and chest wall and simulate the breast augmentation process with implants. The patient is able to see what she will look like after surgery, during the consultation process! This is very exciting technology and removes the guessing and fear how one might look after surgery.
Breast Augmentation Reviews
"28yo 2 Kids.. Much Needed - Bellevue, WA - Absolutley amazing Dr. Comfortability was a big part of choosing a dr. And I really feel like he genuinely cares about his patients."- C. / RealSelf / Jul 01, 2016
"Breast Augmentation revision - I had a recently diagnosed ruptured implant, from a surgery with a different surgeon. I can to Dr. Marosan from a referral & couldn't be happier. His knowledge & expertise have given me wonderful outcome. Lauri & Eden are amazing, they are friendly, patient & helpful. Dr. Marosan takes time to understand what outcome you are looking for & explain options."- Anonymous / Vitals / Jul 26, 2017
"Wonderful experienced surgeon - I am very happy with the results - I came to Dr. Marosan in 2017 for consultation regarding a ruptured breast implant, from a friend who was a previous patient for a completely different surgery. My breast augmentation had been done by another surgeon, whom I was no longer confident in seeing. Dr. Marosan was kind, compassionate & professional regarding my reluctance to see the original surgeon. After review of my films, he explained my options & what he could do for me--I knew I was in good hand due his knowledge & expertise. He has been exceptionally professional & patient before & after the removal & replacement of my implants. His staff is friendly & welcoming. I am VERY happy with the results & all he's done to correct a poor augmentation done by another surgeon"- M. / RealSelf / Jun 05, 2019
"28yo 2 Kids.. Much Needed - Bellevue, WA - I just had my surgery today. But I will do more follow ups as I heal. I went to Bellevue Plastic Surgeons, with Dr. George Marosan.Having someone look at you body and feeling so vulnerable scared and worried me at first. Dr. Marsdan and Eden took those fears away immediately. He and Eden are so compassionate, and really listen. The initial consultation feel so at ease. And very comfortable. Now getting into surgery. I was so incredibly nervous about the procedure. But they really make sure to take the best care possible and help you throughout. I will definitely be going back for breast augmentation after the 6month breastfeeding time has passed. Definitely recommend him as a surgeon."- C. / RealSelf / Mar 28, 2017
"Best doctor!! Breast implant removal and exchange. - Dr Marosan and his staff are superb! They are very friendly and take the time to hear your concerns. They made me feel really comfortable. I have silicone implants for over 7 years. My PREVIOUS DOCTOR did NOT do a good job. As a result of that doctor poor job, one of my implants was giving me a hard time. I had a constant pain coming down my shoulder, it felt like implants were pulling my chest muscles down. I AM GLAD I FOUND DR MAROSAN! I did my surgery with Dr. Marosan 1 day ago and although I still swollen I can see the improvement already. I am amazed with the results.... I have barely no bruising or discomfort... and I have no pain on my shoulder!!! After only a couple hours from surgery I was already on the comfort of my house. His nurse Lauri and their anesthetist are really caring. They are always available to answer your questions. Lang the Nurse anesthetist called me the day before to check if I had any questions about the anesthesia and to tell me the plan for the surgery day. I have done general anesthesia at the hospital before and I felt really sick. At bellevue plastic surgeons they do IV sedation - that means I was breathing on my own... kind like a very deep sleep - I don’t have any nausea or sore throat — and I don’t remember anything from the surgery. The evening after my surgery both doctor and the nurse anesthetist called me to check on me. My husband and I are impressed with their services. Doctor saw me the very next day to check if everything was ok, check my vitals and change my tapes. I recommend Dr Marosan and his staff to anyone looking for great results. I’m coming back in April for my body sculpting Lipo and BBL:)"- M. / RealSelf / Sep 25, 2018
Saline vs Silicone vs Fat
Saline Breast Implants
Saline implants have always remained a positive choice for patients when deciding what type of implant to use for breast augmentation. Because these implants are filled with a sterile saltwater solution, any potential leakage does not pose a threat as the solution is safely absorbed by the body. Saline implants also cost less than the silicone type. One of the disadvantages of saline implants is that in some cases, rippling can appear. This is especially something to consider for women who are thin and have thin breast tissue. Those who opt for this type of implant must be at least 18 years old.
Silicone Breast Implants
Silicone breast implants are very popular today and are highly recommended by surgeons for patients who are thin and desire a natural look. Since the FDA validated their safety and efficacy, safety concerns surrounding these implants are no different than that of saline. The silicone shell is prefilled with silicone gel and comes in different sizes, shapes and textures. Unlike saline implants in which leakage is absorbed by the body and implant volume appears visibly flat, it is difficult to tell when a silicone implant ruptures. The new generation silicone gel implants have cohesive gel in them. Even if the implant shell breaks, the gel stays solid. An MRI is required to detect any rupture. Patients considering silicone implants must be at least 22 years old.
For patients who desire fuller breasts but do not want an artificial implant to achieve this look, there is also an option known as autologous fat transfer (AFT). In this procedure, the doctor will harvest fat from donor sites of the patient, such as the flanks, abdomen, back and thighs via liposuction. The fat collected will undergo a process of refinement and purification, and then re-injected into the breasts with smaller injection cannula and syringes so the shape is evenly enhanced. This is a scarless operation and the patient gets a body contouring procedure as well.
There are several manufacturers approved by the FDA.
- Natrelle and Inspira by Allergen – silicone and saline implants
- Mentor – silicone and saline implants
- Sientra – silicone and saline implants
Breast implants come in a variety of different profiles. The selection is based on how enhanced the breasts’ projection would be, as well as how wide the implant will be on the chest wall in relation to the base width. Since the silicone implants are already pre-filled, the standard profiles come in low, moderate, high and extra high. Saline implants are filled in the operating room by the surgeon. The silicone shell is inserted then filled with saline solution up to the recommended fill volume for that particular implant. Choosing the right profile can sometimes be a difficult decision and it is up to a skilled surgeon to help guide the patient accordingly. High profile breast implants will have greater projection, but less width on each side, whereas a moderate profile, for example, will not have as much projection, but will be broader. Dr. Marosan use the Vectra-3D camera system to simulate your results during the consultation process. You may also want to try on sizers to see how you would look post surgery.
The standard shape of a breast implant can either be round or tear drop-shaped. Each shape serves a different aesthetic function as it pertains to the patient’s goals. Round implants produce a shapelier curve on the top portion of the breast. The teardrop implants are shaped to copy the natural appearance of the breast, so they will not appear as high, but push out the lower poles of the breasts.
Implants are made with either a smooth or a textured surface. In general, smooth implants are more common. The textured implants were initially conceived out of the idea that it reduces the chances of capsular contracture (the constriction of scar tissue around the implant) although there is no valid claim to this in long term studies. The textured type is more common with the teardrop shape as the rough texture adheres to tissues helping the implant stay in place.
The two most common placements are on top of the chest muscle or under it. When the implant is placed under the muscle, a pocket is created within the pectoralis major muscle. A pocket is also created if it is placed in front of the muscle, but many surgeons do prefer the submuscular approach (behind the muscle). This helps cover and camouflage the implant superiorly and medially. Placing the implant behind the muscle in thin patients, provides a more natural look. With submuscular implants, a person can get implant animation or movement as the chest muscles contract. Dr. Marosan's technique minimizes this to be less noticeable.
There are several standard incision approaches for breast implants. The most common is known as an inframammary incision, which is an incision near the breast fold. Second, is an incision made under the areola, which is known as a periareolar incision. It is up to the patient’s desires and surgeon recommendation as to what approach is best to take. Scarring is also discussed at this time with each method.
Breast augmentation is an outpatient procedure that may last from 1-3 hours. It is performed using intravenous sedation in our AAAASF accredited surgical suite. Dr. Marosan use a 24 hour fast recovery technique, involving tumescent local anesthesia, gentle cautery dissection avoiding the ribs, zero bleeding, no touch implant insertion using the Keller funnel, no drains and injecting Botox into the chest muscles two weeks prior to surgery to minimize muscle tightness and spasms. There could be some swelling and minimal bruising, but he does not place patients into compression bras. It is normal to feel tightness around the chest area as the skin adjusts to the breast’s new shape. Most patients can resume normal activities within 3- 7 days; work outs should be avoided for 4-6 weeks. It takes approximately 3- 6 months for the breasts to look, feel and function normally in regards to softness, sensation and final placement.
Plan Your Procedure
- Surgeon Fees
- $8,600 - $8,800
- Recovery Time
- 1-2 Weeks
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- Next Day
- Procedure Recovery Location
Breast Augmentation FAQs
Natural or Artificial?
This depends on the patient’s breast make up. Those who opt for implants may choose between saline or silicone as each has its own advantages. Generally, patients who have thin breast tissues will benefit from silicone implants; otherwise, saline implants are acceptable. For fat transfer, the advantage is that it poses less risk since there is no introduction of foreign material in the body. However,fat grafting to the breasts can give you about one cup size enhancement in the long run.
Negative notions about silicone started back in the early 90's when there were cases of leakage and complications. With today’s advancements in engineering, the silicone-based shells are made durable and safe, and have been approved by the FDA. Today, in fact, silicone is preferred more than saline since they feel more natural.
Implant or Lift?
Breast augmentation is a cosmetic procedure designed to enlarge breasts while a breast lift is designed to tighten the loose skin of a droopy breast. Both resolve different breast issues. There are cases that the procedures are simultaneously done when it is agreed that a breast lift with augmentation is necessary.
Today’s silicone implants are strong, durable and safe. All silicone implants are cohesive gels, some call these "gummy bear" implants. Technical advancements have come so far, that even if a silicone implant does rupture, the shell of the implant will keep the silicone gel encased and protected from entering the body. In a rare case that a silicone implant does rupture, an MRI will be needed to detect the rupture. This is the main reason why the FDA recommends an MRI 3 years after surgery and every 2 years succeeding the first MRI.
Implants are warranted by the manufacturers up to 10 years. As long as the implant shows no signs of damage or visible defects, such as breast rippling or a deformity, replacing them is not necessary. What’s necessary, however, is a periodic check of the implants to make sure that they are still intact. Dr. Marosan will discuss his follow protocol with you during the consultation.