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Breast Enhancement and correction Plastic Surgery

West Coast Plastic Surgery Center offers a range of cosmetic and reconstructive breast procedures as part of our plastic surgery services in Oxnard. Our board-certified surgeon, Dr. Gorodisky, has years of extensive experience in enhancing the appearance of the breast, providing a confidence boost to many patients over the years. Whether you aim to enhance the shape and size naturally smaller breasts or reduce your overdeveloped heavy breasts that are causing back pain or discomfort, lift your breasts as they sag due to age and gravity or after pregnancy, or require reconstructive procedures, Dr. Gorodisky and his team are here to help you look and feel good about your appearance.

No matter the type of breast enhancement you seek, our dedicated team is committed to educating you on your options and addressing any questions you may have about the procedure. Your comfort is our top priority, and we provide highest-quality care
before, during, and after your breast surgery.

Breast augmentation (augmentation mammaplasty) is among the most requested plastic surgeries and commonly involves the placement of either silicone or saline implants to increase breast size and create an improved appearance. There are several considerations when planning a breast augmentation surgery. It is important that patients understand that the elective nature of this procedure means that the patient must take the time to consider the pros and cons, risks and benefits, and the commitment that goes along with this type of surgery. Although this surgery has overall an excellent safety profile and over a 94% satisfaction rate, there are possible setbacks and long-term complications that the patients must consider.

  • Saline implants are filled with water and are inserted through smaller incisions and inflated with sterile saline solution. This makes these implants easier to adjust for symmetry but also makes them more likely to deflate if the implant develops a tear or tissue ingrowth into the valve used to fill the implant. The saline solution is completely harmless, and deflation is not dangerous; however, it will leave the patient looking asymmetric until they are able to make arrangements for implant replacement.

  • Silicone implants are filled with a gel and are prefilled. They may require larger incisions to insert but will not deflate since the silicone gel cannot leave the implant pocket. The downside is that women with silicone implants have to plan on lifelong breast screening with ultrasound or MRI to check the implants for rupture.

  • Having breast implants usually means having more surgeries in the future. Replacing implants is the most common reason to have additional surgeries, but there are also other issues such as scar tissue formation (capsular contracture), breast implant displacement, or other reasons for additional surgeries on the breasts.

  • Fat transfer is an option for breast augmentation, but the results are less predictable and are limited to only a small size increase. Ideally, fat transfer is combined with breast implants for a softer and more natural result than implants alone. The results can vary with the amount of fat the patient has and their weight fluctuations. Fat transfer may need to be repeated several times.

  • Sometimes, a breast augmentation alone is not enough to achieve an ideal breast shape. Some patients may need a breast lift, fat transfer, or an “internal bra” to complete their desired enhancement. During your consultation with Dr. Gorodisky, your optimal treatment plan will be customized. Some patients may even be offered 3D breast imaging if they qualify. Not every patient may benefit from 3D imaging because of limitations of technology.

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Breast Lift

Breast lift surgery, or mastopexy, is a cosmetic procedure designed to elevate and reshape sagging breasts, providing a more youthful and firm appearance. One of the key advantages of breast lift surgery is the boost in self-confidence and body image that many individuals experience post-procedure. The surgery can enhance the overall aesthetic appeal of the breasts, addressing issues such as ptosis (sagging) and asymmetry. Additionally, breast lift surgery may be combined with breast implants to add volume to deflated and sagging breasts. However, like any surgical procedure, breast lift surgery may have possible complications that include scarring, changes in nipple sensitivity, and the risk of infection or adverse reactions to anesthesia. The longevity of results may also vary, as factors like aging, weight fluctuations, and pregnancy can influence the outcome over time. New advances in breast lift surgery include a technique called the “internal bra,” which uses an absorbable mesh that is attached to the chest wall and creates a supportive sling under the implant or the breast tissue to maintain its shape and support its lifted appearance. A consultation with Dr. Gorodisky is necessary to discuss the options for the breast lift technique, implants, and possible internal bra, as well as the pros and cons of the breast lift surgery.


Breast Reduction

Breast reduction surgery (reduction mammaplasty) offers various benefits for potential improvement in physical and emotional well-being for individuals with excessively large breasts. The procedure can alleviate chronic back, neck, and shoulder pain, as well as correct postural issues. Additionally, breast reduction often leads to enhanced mobility, allowing individuals to engage in physical activities more comfortably. Furthermore, the surgery can contribute to an improved self-image and increased self-confidence, particularly for those who may have experienced social discomfort due to their breast size. Patients considering a breast reduction must consider the risks of surgery as well. Like any surgical intervention, breast reduction carries inherent risks, including infection, scarring, and changes in nipple sensation and appearance. There's also the potential for dissatisfaction with the cosmetic outcome, as well as the financial cost and recovery time associated with surgery. The main consideration for women looking for a breast reduction is the scarring. Scars are an unfortunate necessity to remove excess skin and breast tissue, and the scars are permanent. They usually fade and improve with time, but some patients who are prone to unfavorable scarring will have scars that are unsightly and difficult to manage. There is also a risk of losing sensation or circulation to the nipple/areola. This may create a deformity in the breast that will require additional surgeries to correct. Overall, however, breast reduction surgery is very satisfying for women who are tired of dealing with the discomfort of oversized, heavy breasts, and they feel thankful and happy with their decision to undergo a breast reduction as soon as on the morning after surgery.


Breast Implant Removal

Some patients with breast implants may change their mind about their look or may feel like their implants are causing physical discomfort or medical symptoms and would like their implants removed. If there is a concern of breast implant-related illness, or if the implants are ruptured, the implant is removed along with the surrounding scar tissue or capsule. This is also known as “en-bloc” implant removal. The advantage of this type of removal is that the implant material is contained and avoids residual inflammation. The disadvantage is that it requires a larger incision and somewhat more discomfort during the recovery. To optimize the appearance of your breast and prevent loose skin and sagging after implant removal, Dr. Gorodisky usually will recommend a breast lift concurrently with implant removal. Sometimes implants may be downsized or replaced with the patient’s natural fat. As with all breast surgeries, the procedure is customized to align with your aesthetic goals.


Breast Reconstruction

Dr. Gorodisky specializes in breast reconstruction, aiming to restore your chest to a harmonious and natural-looking appearance using tissue expanders and implants. Whether you require reconstruction due to a congenital anomaly, after breast removal for cancer, injuries, or other physical trauma, a personalized procedure to help you regain confidence in your body.


Recovery and Anesthesia

Expect most breast procedures to require general anesthesia, with some post-surgical swelling lasting for several days and soreness persisting for three to six weeks, depending on the type of surgery you undergo. Breast implants may take several weeks to settle into their final shape, and scars may take 12-18 months to mature and fade.


Aspen After Surgery Treatment

The most common complication of breast augmentation with implants is capsular contracture. This condition can develop in 1 out of 10 implant surgeries and is due to your body’s response to the foreign material that is the breast implant. There are 4 degrees of capsular contracture, from very mild to very severe condition that presents as implant hardness and displacement. Although surgical correction may be necessary for higher severity of contracture, West Coast Plastic Surgery Center offers the Aspen After Surgery Treatment to address this condition. Patients from all over the region and neighboring states will travel to our Oxnard office for the Aspen treatment to improve their capsular contracture to avoid surgery. If you suspect or observe these issues, we recommend contacting our office to schedule an initial evaluation and see if Aspen treatment may be beneficial for you. The Aspen method utilizes a series of sessions of a specially designed ultrasound device, manual manipulation, and wrapping, performed by our certified technicians. We also offer a prevention program following procedures involving breast implants performed here or at other facilities.

Why Choose a Board-Certified Plastic Surgeon for Your Breast Procedure?

When it comes to your body, selecting a qualified provider with specialized training and professional experience is essential for ensuring your success. Dr. Gorodisky is board-certified in both plastic and reconstructive surgery. Board certification entails rigorous examinations, additional education, and significant expertise. Choosing a board-certified surgeon ensures excellent standards of care, safety, and ethics. But certification is not enough; experience and the ability to prevent complications is another advantage of choosing an experienced plastic surgeon.


From your initial consultation to follow-up appointments post-procedure, we prioritize your comfort and confidence in your treatment. Dr. Gorodisky is dedicated to educating clients on expected results, reasonable expectations, associated risk factors, and comprehensive aftercare instructions to facilitate a smooth recovery.

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