Scottsdale, Arizona (AZ) Breast Augmentation with breast implants by
James M. Nachbar, M.D., F.A.C.S.
Dr. James Nachbar Board Certified Plastic Surgeon

Dr. James M. Nachbar of Scottsdale, AZ has built a reputation based on his extensive education and experience in cosmetic plastic surgery. He has been performing cosmetic plastic surgery for more than 15 years and is board certified by both the American Board of Plastic Surgery and the American Board of Surgery. Prior to going into private practice, he was Chief of Plastic Surgery at The University of New Mexico> where he directed other faculty and was responsible for training residents in plastic surgery. Education is a two-way street with Dr. Nachbar; he listens carefully to his patients, and has learned from them about their goals and desires, as well as how plastic surgery has improved their lives. He knows that educating patients is one of the most critical elements in delivering a high level of patient care. His goal is to help patients understand every facet of their treatment and recovery so they will know what to expect and when to expect it.

During an initial complimentary consultation, patients are informed of the nature of the available treatments, including alternatives, risks, potential complications and, of course, benefits. In addition, the office has written material, videos, and video imaging. Rather than focusing exclusively on procedures and treatments, Dr. Nachbar works with patients to clarify their goals and concerns. He knows that a decision to modify face or figure is not one to be entered into lightly and takes the time to build a relationship of trust and understanding.

Breast augmentation is the most common procedure performed by Dr. Nachbar. He has a special interest in body contouring, especially the "Post-Baby Tune-Up," for women whose bodies have been affected by pregnancy. His current practice is limited to cosmetic plastic surgery, and he is not affiliated with Medicare or any insurance plans.

Breast Augmentation Procedure

Breast augmentation is generally done on an outpatient basis under general anesthesia (with the patient completely asleep), although some physicians, especially in private offices, do not put the patient completely asleep. In Arizona, a special facility license is required for general anesthesia, and those physicians who do not have that license will attempt the surgery with the patient "almost" asleep. It is widely agreed that general anesthesia (with the patient completely asleep) is much safer than deep levels of sedation without airway control.

Some surgeons who are not certified by the American Board of Plastic Surgery and who are not permitted to do breast augmentations in the hospital will try to do the surgery in their office instead. If you are considering using a surgeon who is planning to do the surgery in his office, make sure that the reason is not that he is not permitted to do it in the hospital. Ask him for the name of a hospital where he is permitted to do breast augmentation (not just surgery in another specialty) and check with the medical staff office of the hospital that he actually has privileges to do breast augmentation there.

After the patient is asleep, a small incision is made and the pocket is developed for the implant. This is a crucial step, for the pocket must be precisely positioned for the implant to have the correct position once healing is complete.

The breast implant is then put into place. A saline breast implant is filled after it is positioned. By filling the implant after placing it in the pocket, the plastic surgeon can use a smaller opening, and therefore there will be a smaller scar. For a silicone gel breast implant, the implant must be inserted already filled by the factory, so a somewhat larger incision (and thus scar) is required for the insertion of a silicone gel breast implant compared with a saline breast implant.