Our Services

Breast Augmentation

Dr. Elisa Burgess offers Portland Breast Augmentation for patients with round saline, structured saline, round silicone, or shaped silicone implants, as one of the most popular cosmetic surgeries available. This surgical procedure enhances breast volume and fullness to improve a woman’s appearance.

Breast Reduction

Breast Augmentation

Many women have large, heavy breasts that create an unbalanced appearance, limit their activities, and cause painful physical symptoms. Their symptoms may include back pain, neck pain, bra strap grooving on their shoulders, and rashes under their breasts. Large-breasted women can turn to Dr. Elisa Burgess for breast reduction in Portland.

Breast Lift

Breast Augmentation

Breast Lift

Following pregnancy or loss of weight, women often find themselves with breasts that aren't youthful in appearance as before. Sometimes these women need more fullness with an implant and/or a breast lift in Portland. Other women have their desired breast volume, but need to have the breasts reshaped and the nipples centralized with a breast lift.

Frequently Asked Questions

For more in depth answers, please call our office or schedule a consultation.

Am I a candidate for a breast augmentation?

A breast augmentation procedure is one of the most common cosmetic procedures in the Oregon area. Ideal recipients of breast augmentation should be capable of weighing the benefits and risks of the procedure, and they should be making an autonomous decision—meaning the patient wishes to undergo the surgery by her own choice. Women should be in good health and over the age of 18 years with good family support. If over the age of 30, one should have a healthy mammogram within one year of surgery. One should not be pregnant or nursing, and smoking is advised against.

How long does the recovery process take after a breast augmentation?

Standard Portland breast augmentation surgery is performed as an outpatient surgery, so patients typically go home the same day with friends or family. You should prepare for 1-2 weeks of recovery, and will need to wear a special bra during this time. Individualized instructions may be given with regard to breast massaging and the required length of time to wear the special bra. Dr. Burgess will encourage you to walk around after surgery, and your pain can be managed with medication. It is imperative to avoid any strenuous activity or heavy lifting for at least 6 weeks, sometimes longer depending on healing. Traveling long distances is not recommended in the first month following surgery. Ensure that you attend all scheduled follow-up exams and understand that implants are not guaranteed to last a lifetime–they may require future revision surgery.

What is a standard breast reduction?

A standard or full breast reduction is for very large-breasted women and involves an anchor-shaped incision. This is a three-part incision, first going around the areola, then from the areola to the base of the breast, and then along the crease underneath the breast. Through this incision, Dr. Burgess will remove skin, fat, and breast tissue. Liposuction is usually done along the bra rolls and toward the side of the body. Dr. Burgess then elevates the nipple and reduces the areolar size, lifting the breast as well. Sutures are used to close the incisions and are covered with gauze and tape.

Do I need a lift or a lift with augmentation?

Women who decide to undergo a breast lift in Portland may have varying degrees of sagging breasts, or ptosis. A mild sag means the nipple is level with the breast crease. A moderate sag occurs when the nipple is below the breast crease. When the nipple is at the lowest point on the breast and pointing downward, it is categorized as a severe sag. A less visible scar occurs with those with a lesser sag than those with severe sag. The scarring is related to the amount of skin that has to be removed (i.e., the more skin removed, the more scar created). Women that have enough volume will only need a breast lift.

For women that desires an augmentation with a circumareolar (Benelli) lift, the implant can be put under the chest muscle through the same lift incision. A donut shape of skin and tissue is removed around the areola. Using a special, permanent suturing technique, the nipple and areola are lifted and the breast is reshaped. This leaves a final scar disguised along the areolar edge. However, women will sometimes need more of a lift with their augmentation. This might require a “lollipop” or “anchor” type of incision. Ideal patients for these surgeries should have breasts that are relatively small or midsize. They should be nonsmokers, and not currently be pregnant or nursing. If over the age of 30, you should have a healthy mammogram.

What is the difference between Silicone and Saline?

Saline or silicone breast implants may be used during your breast augmentation procedure. Saline breast implants are filled with sterile saltwater during surgery. Because saline implants are initially empty, they can be placed through a small incision which makes the size adjustable. Silicone breast implants come pre-filled and sometimes require a slightly larger incision. Some people believe silicone may have a more natural feel.

Currently, the FDA recommends that a woman be at least 22 years of age and understand that other studies (like an MRI) may be recommended to follow the silicone implant. Another implant option is the Ideal Implant® which is a structured saline implant that has a silicone shell but no silicone gel. The implant offers a more natural look and feel of a silicone gel. By using a series of encased implant shells, it is able to control the position of saline giving you the benefits of both saline and silicone implants.

What is a vertical breast reduction?

A vertical breast reduction, for moderately large breasts, involves removing excess skin, fat, and breast tissue via a two-part incision–an incision around the areola (pigmented part around the nipple), and vertically from the areola to the base of the breast or along the crease. This incision pattern looks similar to a “lollipop” shape with less scarring. Liposuction is usually done along the bra rolls and toward the side of the body. Dr. Burgess then elevates the nipple and reduces the areolar size, lifting the breast as well. Sutures are used to close the incisions and are covered with gauze and tape.

BURGESS PLASTIC SURGERY

BURGESS PLASTIC SURGERY

Our Services

Breast Augmentation

Breast Augmentation

Breast Augmentation

Breast Reduction

Breast Augmentation

Breast Augmentation

Breast Lift

Breast Augmentation

Breast Lift

Transformations Gallery

Frequently Asked Questions

real patients. real results.

meet dr. elisa burgess

Contact Us

Schedule a consultation

Our Location

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BURGESS PLASTIC SURGERY

BURGESS PLASTIC SURGERY

Our Services

Breast Augmentation

Breast Augmentation

Breast Augmentation

Breast Reduction

Breast Augmentation

Breast Augmentation

Breast Lift

Breast Augmentation

Breast Lift

Transformations Gallery

Frequently Asked Questions

real patients. real results.

meet dr. elisa burgess

Contact Us

Schedule a consultation

Our Location

Hours

CONTACT US!

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