The name you have come to trust in plastic surgery and MediSpa services in Bakersfield and Malibu is NOW available in Fresno, CA!
Consultations in the new Fresno office are underway and the patients are thrilled with the same high level of service and care they have come to trust with Dr’s James Knoetgen and Darshan Shah in Bakersfield.
Surgical consultations are now available in Fresno along with many of our popular Medi-Spa services. Dr James Knoetgen is a skilled Board Certified plastic surgeon who focuses his work on aesthetic procedures for the breast and body. He received rigorous training at the prestigious Mayo Clinic and has been quoted as a cosmetic surgery expert in various national and international media outlets.
Darshan Shah, MD underwent extensive training at one of the most prestigious medical schools and training programs in the country- the Mayo Clinic. As an expert in cosmetic plastic surgery, he spends time educating future surgeons as a clinical instructor, as well as on charitable causes.
You can call now to set a date to meet with Dr Knoetgen or Dr Shah and their staff to discuss your aesthetic concerns.  Call 559-476-4460 now to set up an appointment,
We are looking forward to providing you the best service and care available in Fresno!

Understanding Breast Augmentation

Breast augmentation is a popular form of cosmetic surgery that involves the use of saline or silicone filled implants to change the shape, size and feel of a woman’s breast.   Implant surgery began in the 1800’s when a physician began using fatty tissue as a filler.  Many different types of fillers were experimented with in the years that followed, including wax, rubber, glass, animal cartilage, oil, wool, sponges, foam, and tape.

In the early 1960’s the silicone implant was introduced.  Silicone is compound that has a consistency similar to rubber, and was first used in the manufacturing industry as a sealant and adhesive.  A few years later the saline implant was developed, which contains a solution of salt and water.

Unlike silicone implants, a saline implant is filled after it has been inserted either within the breast tissue or under the chest muscle.  The means a smaller incision can be made compared to a silicone implant.  However, silicone implants are considered to more closely approximate the look and feel of a natural breast.

Implants can be placed using incisions under the arm, around the nipple and in the crease under the breasts.   We believe the safest of these incisions is the one located at the IMF (inframammary fold) which is the fold under the breast.  The incision is only an inch or less long, and heals beautifully.  The area is well hidden under the fold of the breast, making it the least visible of all the incisions.  Best of all, it is the least invasive way to place an implant, resulting in faster healing times and reduced risks of complications.

Our office believes the best placement for an implant is beneath the pectoral muscle.  This increases the stability of the implant, which is extremely important when it comes to maintaining the breast’s post-surgery shape.   It also protects the implant and results in lower rates of capsular contracture (scar tissue around the implant) Other types of placement techniques include locating the implant between the breast tissue and muscle, or partially underneath the muscle.

The initial recovery from breast augmentation surgery will take between 24 and 72 hours, and full recovery from a few weeks.  Patients can expect some soreness and swelling that will dissipate as time goes on.  We also recommend that patients consult with their surgeon before returning to their normal activities.

If you are considering breast augmentation surgery in Bakersfield or Fresno, schedule a consultation to discuss the procedure further with one of our experienced and skilled surgeons.