Breast Enhancement

Phoenix Cosmetic Surgeon | Body by Kotoske | Phoenix, AZ



Phoenix Cosmetic Surgeon | Body by Kotoske | Phoenix, AZ



Dr. Thomas G. Kotoske has been recently honored and featured as “Top Doc” in Phoenix Magazine for cosmetic surgery. This prestigious award was given to him through nomination by other physicians who recognized him as one of the best. Dr. Kotoske is well-known in Phoenix for his creative skill and customizing breast augmentation to the needs of each patient.

Breast augmentation is a surgical procedure that is used to enlarge small breasts, underdeveloped breasts, or breasts that have decreased in size or fullness following childbirth. It is accomplished by placing an implant behind each breast augmentation in Phoenix. To do this, an incision is made in one of three possible locations. The incision can be placed (1) in the crease under the breast (2) around the areola (the darker area of skin surrounding the nipple), or (3) in the armpit. Each of these incisions may have specific advantages or disadvantages. The final decision on which incision is used should be reached after a discussion with Dr. Thomas Kotoske.



The implants currently used for cosmetic breast augmentation are salt water (saline) filled implants and silicone gel implants. The implants can be placed either directly under the breast tissue on top of the chest muscles, or underneath both the breast tissue and chest muscles. Again, there are pros and cons to each of these and you should discuss the different breast enlargement methods with Dr. Kotoske.

The shape of the implant is another option women have today in breast enlargement. Recent design changes have allowed the introduction of “high profile” breast augmentation in Phoenix. Viewed from the side, these implants have a greater projection and can take up and tighten excess breast tissue. Depending on which type is used, different shapes of the new breast can be obtained. Again, talk with Dr. Kotoske to see if the anatomically shaped implants will give you the more natural look you desire.

The Operation: Breast enlargement is done as an out-patient procedure. This means you come in and go home the same day. The operation usually takes approximately one hour to perform and is usually done under IV sedation with local anesthesia, meaning you go to sleep for the operation, and when you wake up it’s all done. Drains are rarely used, and recovery is generally a 2-3 week period before vigorous activities are resumed. Routine activities can be resumed in 3 to 5 days.

Possible Complications: Although the operation is usually straight-forward and uncomplicated, problems infrequently occur as with any operation. These possible complications include bleeding around the implant, infection, change in sensation around the nipple, firmness of the breast from a capsule tightening around the implant, visible wrinkles in the implant, and asymmetry. Although all of these are unusual, it is important that every patient be well informed about the procedure, the options available, and the potential problems with the breast augmentation. Write down a list of questions and concerns to discuss with Dr. Kotoske at the time of your visit.

Phoenix Cosmetic Surgeon | Body by Kotoske | Phoenix, AZ

Please view our actual patient’s pre and post breast enlargement

of photos which have not been retouched.

Phoenix Cosmetic Surgeon | Body by Kotoske | Phoenix, AZ