Dr. Amy Bandy: Breast Implants: 1-800-871-6082
Newport Beach, Orange County & Torrance, California Offices

Breast Augmentation Surgery

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Dr. Amy Bandy Breast Implant Surgeon


breast implants orange county, ca - before and after
Before and After
by Dr. Amy Bandy in Orange County, CA

Interview with Dr. Amy Bandy: Dr. Amy Bandy is a breast implant plastic surgeon, with offices in Torrance and Newport Beach, Orange County California.  Dr Amy Bandy explains that "patients have two choices between saline implants and silicone implants.  For all patients under 22 years old, their only option at this point is saline augmentation because the FDA has a requirement that you be 22 years old or older before getting silicone gel."  Dr. Amy Bandy says that "for breast augmentation, I like to meet with the patient and get their history as far as what bra size they wear or their chest diameter as well as their cup size and what size they are looking to become."  Dr. Amy Bandy then goes on to discuss more of the patients’ options.

Best Options for Breast Implants Dr. Amy Bandy adds that "and then options are discussed with them regarding the two types of implants.  I like the patients to be able to have as much input as they feel comfortable making decisions on where they want their incision.  Incision sites can be either axillary (under the arm), nipple areola (on the margin between the two different pigmented colors of the breast from the lighter breast to the more pigmented areola), inframammary (the natural breast crease at the bottom of your breast)."  Dr. Bandy states that "if you are going with saline you can choose any one of those incisions.  Silicone gel is typically nipple areola or inframammary."

"Patient also has the option between going in the front or behind the muscle," says Dr. Amy Bandy.  "The pros and cons of those are discussed in detail with the patient."  Dr. Amy Bandy says "the benefits of going behind the muscle is that there is more soft tissue coverage over the implant which tend to give it a more natural look as well as more support and the muscle tends to act like an internal bra supporting the weight of the implant so that it doesn’t get too low."  Dr. Amy Bandy explains "it’s more easy for mammograms to be obtained when it’s behind the muscle.  However, if the patient has a more saggy breast and is not ready to make a decision on doing a breast lift because of the scarring then typically in front of the muscle or partially subpectoral is usually decided by the patient."

breast implants by dr amy bandy
Breast Implants by Dr. Amy Bandy



Lastly, Dr. Amy Bandy says that the "patient also has a choice on volume or how many ccs the implant will be, and that’s gone over with the patient in the office."   "Also, they are able to try on implants of various sizes and shapes prior to making their decision," says Dr. Amy Bandy.

Dr. Amy Bandy's Breast Implants Procedure Part 1
Orange County, CA


breast implants orange county, ca - before and after
Before and After by Dr. Amy Bandy in Orange County, CA

Women looking to enhance their breasts often turn to breast augmentation, also known as Augmentation Mammoplasty or breast enhancement surgery, for a number of reasons.  The size, shape and symmetry of a woman's breast can alter her image of her sexuality and her outward appearance.  As a woman begins to go through puberty, the breasts develop and continue to grow and shape for several years, sometimes as long as up to age 20.  Additionally, the breast will change shape and size during her lifetime due to weight gain and loss, pregnancy and breast feeding.  The female breast has a "job" to do, that is to nourish her offspring.  The amount of visible breast tissue does not necessarily limit a woman's ability to breast feed because the hormonal stimulation during pregnancy and delivery will allow the breasts to produce milk despite their size.  However, this is not the only "function" of the breast, at least from a social point of view.  The female breast also has the function of making a woman "feel feminine".  Many women presenting for breast augmentation do so because they feel that the size or shape of their breast prevents them from feeling feminine about their body.  Some women have nearly no breast tissue, and on the other hand, some women have a good deal of breast tissue, but the shape or symmetry may make them feel unattractive. Whatever the reason, breast enhancement surgery provides women with a chance to have more control over her feminine appeal and self image.

Dr. Amy Bandy's Breast Implants Procedure Part 2
Orange County, CA


breast implants orange county, ca - before and after
Before and After by Dr. Amy Bandy in Orange County, CA

There are two general types of breast implants, saline filled and silicone gel filled.  There are two companies that manufacture breast implants that are currently approved by the FDA.  Women under 22 years old are not eligible for the silicone gel filled implants, and can choose from a variety of profiles of the saline implants to help them achieve their goal in breast enhancement.  Women 22 years old and older can choose from either the saline or silicone gel filled varieties.  Implants come in a multitude of sizes ranging from as small as 100cc (cubic centimeters) and up to 800cc.  In addition to the volume choices, there are also choices of implant "profiles".  The profile of the implant delineates how big around the implant is (diameter) in relation to how much projection the implant has, in other words how much it will protrude out from the chest wall.  The choice of implant profile is best determined after the volume, or cubic centimeters of the implant are decided.  During the typical consultation, Dr. Amy Bandy will go over the options with each person to help them determine which implant will be best to attain the results that she is looking for.  Implants are available to see and touch, and can be used to size by trying them on during the consultation. During a breast augmentation consultation, Dr. Amy Bandy will start with each person’s medical history, and history relating to the breast.  If there is a family history of breast cancer, or a personal history of breast disease or problems, this may impact what recommendation that Dr. Bandy may make with placement of the implant.  The size of the chest wall measured by the width of the breast, as well as the circumference of the chest relating to the bra size is taken into consideration when choosing an implant.  Dr. Bandy carefully examines the breast, and determines whether the patient is looking more to achieve projection of the breast or cleavage, or if both are equally important.  This helps in determining which size and profile the implant should be to best achieve each person's goals.

Dr. Amy Bandy's Breast Implants Procedure Part 3
Orange County, CA


breast implants orange county, ca - before and after
Before and After by Dr. Amy Bandy in Orange County, CA

For a number of years, saline implants were previously the only implants available for cosmetic breast surgery because of the moratorium that the FDA placed on silicone gel implants.  The moratorium was placed due to the lack of controlled studies on these implants.  Without these studies, it was not definitively known what the risk factors to the individual were for the silicone gel implants should they bleed, rupture or possibly migrate. The moratorium was lifted in October 2007 and silicone gel was re-released onto the market for cosmetic breast surgery.  This decision was due to the large amount of studies both retrospective and prospective that determined that there is very minimal difference in the safety margin of saline and silicone breast implants. The FDA now recommends that the silicone implants be available for cosmetic breast surgery for women 22 years old and older.  The FDA also recommends that the patient undergo an MRI to study the integrity of the silicone implant 3 years after their initial placement, and every 2 years thereafter.  The MRI is the most sensitive non-invasive study of implants for predicting the likelihood that there is a rupture present.  Of course, the most sensitive “test” would be surgery, which is 100% accurate to determine whether an implant is intact.  Currently, the FDA recommends that women change their silicone gel implants 10 years after their original placement. Saline implants on the other hand are very easy to determine if there is a leak or rupture.  The typical patient with leaking implants will present with a history of noticing that their breast appeared smaller and softer, and continued to get smaller over a few days.  Eventually, the implant will leak out all or most of the saline, and the breast will be the original size that it was before surgery.  This can be quite disconcerting for the woman, as she will now have 2 very different breasts.  Re-operation in a timely fashion will allow the woman to regain the breasts that she had prior to the leak.  Sometimes, a capsulectomy or removal of the scar tissue around the implant may be necessary if the breasts are firm or painful.  Some women choose to replace their implants with the same size, some choose to go larger, and some choose to go smaller.  Additionally, some women choose to exchange their saline implants for silicone gel after experiencing a saline leak.

Dr. Amy Bandy's Breast Implants Procedure Part 4
Orange County, CA


breast implants orange county, ca - before and after
Before and After by Dr. Amy Bandy in Orange County, CA

The typical patient requesting breast augmentation is in her 20’ to 40’s and has complaints about her breasts ranging from size to shape.  Many of these women have had children and breast fed and now feels that they have lost the volume in the upper pole of her breast and that the breast appears flatter on top.  Some women want implants mainly to increase their size, but many women are looking for implants to provide a more youthful, fuller breast like they had before childbirth.  Some women can achieve their goal with breast augmentation surgery alone; however some women will need a breast lift to give them the best possible results. Women with minimal to no breast tissue who are thin and have minimal body fat may want to consider the silicone gel implants.  Silicone gel implants tend to have a lower rate of implant visibility and rippling which can occur along the outer sides of the breast, as well as the upper margin.  Silicone gel implants tend to feel and move more like a natural breast, as long as there is not any hardening of the implant capsule. The “capsule” is the scar tissue that surrounds the implant.  A capsule will form in response to the body recognizing that there is a foreign object in the body.  A capsule is normal; a capsular contracture is not.  A capsule is graded according to how soft or hard the capsule is, and whether or not there is disfigurement or pain associated with the capsule.  Women with capsular contractures may need to have surgery to remove the scar tissue and exchange the implant, depending on whether or not it is painful, and whether the looks of the breast is an issue. Capsular contracture rates vary from surgeon to surgeon.  Unfortunately, there is no “one reason” that a capsule will contract.  There are known risk factors that contribute to capsular contracture formation, however often times the reason it happens cannot be pin-pointed.  Dr. Amy Bandy is careful to use a “no-touch technique” when placing implants, and this is a contributing reason to the fact that her capsular contracture rates are very, very low.

Dr. Amy Bandy's Breast Implants Procedure Part 5
Orange County, CA


breast implants orange county, ca - before and after
Before and After by Dr. Amy Bandy in Orange County, CA

Some of the risk factors for breast augmentation are the same as for any surgery; bleeding, infection, healing issues.  Risk factors particular to breast augmentation surgery include capsular contracture, asymmetry (the breasts looking different in size or shape), rippling, implant leak or rupture, breast pain, sensory changes including temporary or permanent change in nipple sensation including hyper-sensitivity or numbness. Most women who have had breast augmentation surgery have said that they would certainly do it again, even if they were among the unfortunate ones who experienced a complication. Breast enhancement surgery can make a women feel younger, more attractive and better about themselves, contributing to a better sense of well being and increased self esteem.  Dr. Amy Bandy recommends that you be sure to choose your surgeon carefully, and research their qualifications.  A good place to start is the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgeons, as well as the American Board of Medical Specialties.  You should be sure to explore all of your reasons for considering breast enhancement surgery.  Keep in mind the recommendations by the FDA for re-implantation surgery, as the breast implants themselves are not considered a lifetime device.  The implants are warranted by the implant manufacturer; however the surgical fees are not a lifetime warranty.  If your implants have a manufacturer defect and develop a leak, they will be replaced at no charge by the manufacturer.  There are two types of warranties, the limited warranty, and the extended warranty.  Be sure to visit both manufacturers’ web sites to determine which warranty will best fit your needs, and to get valuable information about the warranties and the various types of implants.  You can also visit the FDA’s website to read about the studies that were done on silicone implants, and to review the recommendations that are currently in effect.  This will help you in making the decision that you will feel the best about. Hundreds of thousands of women have chosen to have Breast Augmentation surgery, and this surgery continues to grow each year.  Find out if this surgery is right for you.  Call the office of Dr. Amy Bandy for an appointment to go over your personal reasons for considering enhancing your breasts. We hope this information has been valuable in helping you decide if Breast Augmentation is right for you!



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voted best cosmetic surgeon by oc register, dr amy bandy
Dr. Amy Bandy
-Voted as one of the "Best Cosmetic Surgeons" - Orange County Register
-Recognized as a "Top Doctor" by RealSelf

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Dr. Amy Bandy has over 20 years of Experience as a Plastic Surgeon