Breast augmentation is a surgical procedure that enlarges your breasts using breast implants. The procedure can provide a number of aesthetic benefits, including:
Breast Augmentation Surgery - Fort Collins, Johnstown, Loveland, Boulder, Denver, and Northern Colorado.
Breast augmentation can restore or enhance your appearance, helping you bring out the youthful, vivacious, voluptuous woman inside you.
You can receive individualized recommendations to address your unique aesthetic goals by speaking with Dr. Denis Gonyon in person. Please call 970-624-7979 today to schedule a complimentary consultation with our board certified plastic surgeon. Our practice serves patients from Fort Collins, Loveland, Greeley, northern Colorado and beyond.
Dr. Gonyon and our team of medical professionals are standing by to assist you.
Allergan Natrelle Implants
Dr. Gonyon uses Natrelle® by Allergan implants exclusively. Natrelle® implants offer the highest safety standards paired with an extensive portfolio of size and shape options. These features allow us to give customized surgical options to help you reach your goals.
Gummy describes the consistency of the silicone gel in Natrelle INSPIRA® Breast Implants. This gummy-like gel sticks together and has the tendency to hold its shape. Each implant in our collection has a different level of cohesivity, or what surgeons may refer to as gumminess.
Learn more about Natrelle® breast implants
Breast Implant Options
Dr. Gonyon believes in giving patients options. Most commonly, we offer two types of Allergan Natrelle implants: Responsive and Cohesive. For specific patient goals or requests, we also offer special order implants from any of Allergan’s extensive implant portfolio.
During your complimentary consultation, Dr. Gonyon will give you a recommendation for which he thinks will best reach your desired result. A physical exam and measurements will help to determine what implant profile, size and shape are best suited for your goals. We offer a unique sizing system where you are are allowed to take the implants home and test out your preferred size while wearing your own clothes and doing your normal daily activities. This process also helps to adjust to the new body image that will occur after surgery.
In addition to offering a wide variety of shapes and sizes of implants, Dr. Gonyon uses intraoperative sizing (sizing during surgery) to ensure that the implant is placed safely in the breast pocket and that the size of the implant meets the patient’s goals. Sizing implants in the operating room allows the surgeon to address asymmetry or rib concavity that may not be apparent to the naked eye at the consult.
Allergan recommends using sizing in the operating room on every breast implant case. The research has shown that sizing implants during surgery ensures that the implant appropriately fits the breast pocket. Placing an implant that is too large for the patient’s breast pocket can cause the implant to fold or ripple in the pocket which can lead to implant failure. Dr. Gonyon believes that intraoperative implant sizing is the safest practice that gets the best results.
Using a procedure called Autologous Fat transfer, any area of the body can be contoured. During this procedure, fat is removed from an area of the body (typically abdomen or hips) and injected into the area to be augmented.
Autologous fat transfer can be done instead of placing an implant or can be combined with an implant to contour the shape of the breast.
Many of our patients chose this option in order to enhance the look of their breasts without placing an implant. During your complimentary consultation, Dr. Gonyon will determine if you are a good candidate for fat transfer and if fat transfer can help you reach your aesthetic goals.
- Increase the size of your breasts
- Increase the firmness of your breasts
- Improve the shape of your breasts
- Correct mild sagging
- Restore lost breast volume due to weight loss, pregnancy or aging
- Provide more attractive cleavage
- Correct breast asymmetry
In addition, you may find that you have more wardrobe options after your procedure, and you may experience an improved appearance when wearing a bathing suit or lingerie.
You can learn more about the procedure on our Questions about Breast Augmentation page.
The FDA has established certain age restrictions on breast enlargement procedures. You must be at least 18 years old if you want to use saline breast implants, and you must be at least 22 years old for silicone breast implants.
In addition, good breast augmentation candidates:
- Are in good overall health
- Have realistic expectations for the outcome of their procedure
- Are near their ideal body weight
- Are not currently pregnant or breastfeeding
- Would like to improve the appearance of their breasts
- Have sufficient natural breast tissue to cover the implant
If you are a smoker, you’ll need to be willing to quit prior to undergoing breast augmentation and throughout the recovery process since smoking can adversely impact healing.
It’s also important to understand that while breast augmentation can improve the appearance of mild sagging, it isn’t an effective procedure to address moderate to severe sagging. If your primary goal is to correct sagging issues, you may achieve better results with a breast lift. In some situations, Dr. Gonyon may perform breast augmentation in conjunction with a breast lift for in order to achieve the best possible outcome.
Breast augmentation can be customized to fit your body and your cosmetic goals. There are a number of options you can select to ensure your procedure addresses your unique needs and goals. These include:
- Size of the breast implant
- Type of breast implant
- Location of the breast augmentation incision
- The placement of the breast implant
During your complimentary consultation with Dr. Gonyon, he will listen to your cosmetic goals, evaluate the condition of your breast tissue, and make recommendations about how each of these decisions can help you get the results you desire. Once you have made these decisions, you can schedule your breast enlargement surgery.
Every woman has unique needs and a specific look in mind. Dr. Gonyon respects the different goals and preferences of each of his patients. Some women want a look that is entirely natural, while others want a more enhanced, augmented appearance. The size and profile of your implants will play a major role in achieving your desired outcome.
To choose the breast implant size most suited to your frame, Dr. Gonyon will need to take several measurements during your initial consultation. Using these measurements, Dr. Gonyon can determine what size will provide you with your desired results while still producing a natural and pleasing appearance.
To further assist in this decision, Dr. Gonyon has developed a unique system where you will be given the opportunity to take home a special bra and various implant sizes. With these, you can try on your own clothes and get a better sense of what size you feel most closely matches your goals. This will also allow you to get an impression of the look you can expect after your surgery.
No matter what size you want your breasts to be, Dr. Gonyon can help you find the ideal solution. He approaches every patient with the eyes of an artist and can customize an implant option that will provide you with the look you hope to achieve. Your satisfaction is our primary concern, and we will listen closely to your needs to provide you with an implant size that helps you look and feel your best.
There are two types of breast implants:
- Saline breast implants
- Silicone breast implants
Dr. Gonyon has found that both implant types can provide beautiful results. In addition, breast implants come in several shapes, which help you achieve the outcome you desire that is proportional to your frame.
Saline implants are available in sizes exceeding that of silicone implants, making them better suited for women who wish to achieve a more augmented appearance. An advantage of saline implants is that they are filled after placement, which allows Dr. Gonyon to adjust the size of your implants during surgery.
The primary disadvantages of saline implants include:
- Reduced breast implant placement options
- Less natural look and feel
- Greater likelihood of rippling
Silicone implants are often best suited for all women, but especially those who have very little natural breast tissue and desire a substantial increase in volume. Silicone implants tend to look and feel more natural than saline implants and come in a variety of profiles to more ideally match your natural curves. In addition, silicone implants are less likely to ripple, which can help maintain longer-lasting results.
A common misconception is that because silicone implants come pre-filled, your breast augmentation incision will need to be larger. To address this, Dr. Gonyon offers a cutting-edge technique utilizing the Keller Funnel. This device allows for a smaller incision and a “no-touch” delivery of the silicone implants. It also reduces surgery time and post-operative discomfort.
There are three main profile options for both saline and silicone breast implants:
- Smooth Round Moderate
- Smooth Round Full
- Smooth Round Extra Full
These different profiles give Dr. Gonyon options to choose the most appropriate implant width. During your consultation, Dr. Gonyon will take various measurements of your breasts to determine which profile fits your body frame and will give you the best results.
There are three common locations for breast augmentation incisions:
- Inframammary incisions placed under your breasts
- Areolar incisions placed around your nipple
- Transaxillary incisions placed in your armpit
Inframammary incisions are placed in the crease where your breasts meet your chest. This is by far the most common location for breast augmentation for a number of reasons:
- Inframammary incisions allow Dr. Gonyon enhanced visibility during implant placement, which helps ensure symmetry and gives Dr. Gonyon more control over creating cleavage
- This incision also allows for breast implant placement in any location, whether it be above the muscle, below the muscle or under the fascia of the pectoralis muscle
- The inframammary incisions are usually well hidden both in and out of clothing
Areolar incisions are placed around your nipple, allowing them to be hidden in the change in skin color, texture and elevation between your areola and your breast. This incision option also allows Dr. Gonyon enhanced visibility and the option for placement of your implants in any location around the pectoralis muscle.
Depending on the size of your areola, it may not be large enough to support certain sizes of breast implants. Areolar incisions can also cause a reduction in nipple sensitivity.
Transaxillary incisions are placed in your armpit and are an alternative location to eliminate incisions on or around your breasts. Dr. Gonyon can provide good cosmetic results with this location, but he will not have as much control over symmetry, and the recovery period is typically more uncomfortable. The transaxillary incisions are well hidden when your arms are at your side, but may be visible when you raise your arms while wearing swimsuits or sleeveless clothing.
Transumbilical incisions, placed through your belly button, are also an option. However, this method severely limits control over symmetry, placement and cleavage, and it can damage the breast implants. For these reasons, transumbilical incisions are not performed by Dr. Gonyon.
There are two different breast implant placement options:
- Subglandular placement
- Submuscular placement
With subglandular placement, the breast implant is placed behind your breast tissue and over the chest muscle. It is an excellent option if you have a significant amount of natural breast tissue.
Advantages of subglandular placement include:
- Ability to accommodate a larger breast implant size
- Greater ease of implant placement
- Can achieve a greater lift
- Shorter recovery time
Drawbacks of this option include:
- Greater risk of capsular contracture
- Greater risk of rippling, especially if you have minimal natural breast tissue
With submuscular placement, the breast implant is placed underneath the chest muscle. This option is ideal if you do not have a significant amount of natural breast tissue.
Advantages of submuscular placement include:
- Provides a more natural appearance
- Improves implant support, which can reduce sagging over time
- Reduced risk of complications such as capsular contracture or rippling
- Less interference with mammograms
When considering breast augmentation, you may be curious about how breast implants will affect cancer screenings. Women with breast implants should get regular mammograms to screen for cancer just like women who have not had breast augmentation. Breast implants do not cause cancer and they do not delay its diagnosis.
In order to achieve the best possible mammogram results with breast implants:
- Seek out a clinic where the radiologists are experienced with performing and reading mammograms for women with breast implants.
- Tell the clinician about your breast implants when you make your appointment and again when you go in for your appointment.
- Ask about digital mammography. Computerized imaging can help the radiologist visualize the area around your breast implant.
During a mammogram, the clinician will compress your breast between two plates to hold your breast in place and allow for clear imaging. Some women say this is actually more comfortable with breast implants than the mammograms they received before their breast surgery.
Depending on the type of mammogram, either an X-ray or digital image is taken of your breast. The image is reviewed by a radiologist to look for irregularities in your breast tissue. If anything irregular is detected, you will likely need an MRI for follow-up testing. Depending on your type of breast implant, you may have regular MRIs anyway. They are recommended for silicone implants to check for rupture.
When you have breast implants, as an extra screening measure you will usually have four additional images taken during your mammogram. These are called implant displacement views, and they allow the radiologist to see the portion of your tissue in front of the breast implant.
Breast implants are not considered to be a lifetime medical device, nor should they be. Over time, you may decide to have them removed or replaced for a different size, or even to change the type of breast implant you have.
Breast implants can last for 10-15 years, depending on the patient, without any noticeable changes. While the most common reasons for breast implant exchange are because the patient wants a change in their appearance or would like to change from saline breast implants to silicone breast implants, it may also be performed for medical reasons. Some patients may have noticeable rippling in their breast implants, while others may experience capsular contracture (scarring around the implant).
Replacing breast implants can be a much easier breast augmentation procedure for patients to undergo. It can be a less invasive surgery, with less pain, and there is a faster recovery since the original breast augmentation pocket still exists. Of course, this depends on the circumstances for the breast implant exchange.
Requesting a breast implant exchange at any time is possible. If you would like a different cup size, a new breast shape, or would like to upgrade the type of breast implant, breast implant exchange is a good option for you.
In addition, some breast augmentation patients may want to undergo a revision procedure to correct a previous breast enhancement surgery they are not happy with. Dr. Gonyon has extensive experience performing breast augmentation revision procedures, and he understands the unique issues associated with them. Dr. Gonyon will work with you to develop an individualized plan that will achieve your desired results.
For additional information, please read our Questions about Breast Implant Exchange page.
For a surgical procedure like breast augmentation, you want to work with a board-certified plastic surgeon to give you the best chance of achieving the results you desire. In addition, you should work with a plastic surgeon who is friendly, compassionate, and works in a facility that is designed for safety, comfort, and privacy.
Dr. Denis Gonyon is board-certified by the American Board of Plastic Surgery. He served his integrated plastic surgery residency at Duke Medical Center, then served a Plastic Surgery Aesthetic Fellowship at the University of Texas Southwestern Medical Hospital in Dallas, where he had the opportunity to learn from some of the most influential and skilled plastic surgeons in the world.
Dr. Gonyon puts his training, talent, and experience at your service. He offers a complimentary consultation where you can meet with him, ask questions, and get the answers you need to make an informed decision about your breast augmentation.
Dr. Gonyon performs his surgeries at his on-site, private, AAAASF-certified surgical facility. This helps us provide world-class care to all of our patients.
Please contact Gonyon Cosmetic and Plastic Surgery using the form on this page or call 970-624-7979 today to schedule your complimentary breast augmentation consultation. Dr. Denis Gonyon serves patients in Fort Collins, Longmont, Greely, Northern Colorado.