Breast Augmentation – Dr. Mackenzie – Santa Barbara

For many women, small breasts can be an issue of self-consciousness and self-esteem. Smaller-breasted women often feel unfeminine and lack self-confidence in their presentation. Moreover, clothing at most stores is designed with medium to larger breasted women in mind, forcing women with smaller breasts to wear uncomfortable padded bras or to forgo fashionable clothing entirely. For women who want feminine curves, Dr. Mackenzie offers several breast augmentation procedures.

We use mostly Sientra silicone implants, and saline implants from Mentor or Allergan. Sientra has the lowest capsular contracture and rupture rate and also has the best warranty, but they don’t make saline implants.  Breast augmentation using fat transfer is much less common, but may be an option for some women .  Breast augmentation can make your body swimsuit ready for the Santa Barbara summer or just moderately enhance your curves and make you feel more comfortable and feminine. If you already have implants and are considering changing them, make sure you read the page on breast implant exchange.

In consultation, you and Dr. Mackenzie will decide what type and size of breast implants would best suit both your body and your cosmetic goals.  Dr. Mackenzie will also discuss options for incision location, which include the transaxillary (armpit), inframmary (in the breast fold), and periareolar (around the edge of the nipple/areola).  Each approach has its pros and cons, and Dr. Mackenzie will discuss these with you.  For example, the transaxillary breast augmentation incision offers a very discreet location for the scar, avoiding a scar on the breast.  Some breast shapes may require internal surgical techniques such as a dual plane dissection that favor one incision approach over another.

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After breast augmentation surgery, patients will experience some pain, swelling, and bruising around the breasts. These symptoms will eventually fade. It is a fact that breast augmentation, particularly subpectoral breast augmentation (which is the way breast augmentation is typically done), is a painful procedure – more so than many other plastic surgery procedures.  Pain mitigation actually starts before surgery, and we use multiple non-narcotic medicines to reduce your need for narcotics after surgery. This in turn minimizes side effects such as nausea. We also offer Exparel for an additional fee to further reduce pain after breast augmentation.  Scar care and skin care are integral components to getting the best aesthetic result after surgery; see our page on products that we include in your surgery package HERE.

Frequently asked questions on breast augmentation can be found here.

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Top Breast Implants Doctor

See Dr. Mackenzie’s Breast Augmentation photos HERE.

Breast Augmentation Photo Set

The American Society of Plastic Surgeons (ASPS) offers a website with additional conditions set forth by the FDA related to patient education. It is the authoritative web site for both saline and silicone breast implants and offers objective and science-based information at  The FDA offers breast implant information here.

click here to view our before and after gallery

click here to read FAQs on this topic and others

If you are interested in breast enhancement, contact our Santa Barbara office today to learn more or to schedule a breast augmentation consultation. Also, check out our blog for more information on breast augmentation and other plastic surgery topics, and view our gallery which has photos along with annotations that will also help give you information about breast implants. We also strongly suggest you read our pages on Preparing for Your Plastic Surgery Consult and Financing Plastic Surgery before you come in.


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