Breast Augmentation in Los Angeles

Breast augmentation is one of the most frequently performed cosmetic surgery procedures in the U.S. and one of our most popular services. Breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of saline or silicone implants in the breast.

Our patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast mass after pregnancy or surgery, and correcting a congenital breast defect. Under our doctors' expert care, patients enjoy great-looking, natural-feeling breasts that are one or more cup sizes larger after the operation.

We know that every woman is unique in both her desires and her body shape. With that in mind, we take the time during the pre-operative consultations to learn what each patient hopes to gain from breast augmentation surgery and to decide which implant type and implant placement is best. In this way, every one of our patients enjoys completely customized treatment designed with her specific goals in mind.

Breast augmentation can achieve dramatic and beautiful results on its own as well as in conjunction with other cosmetic surgery or non-invasive procedures. We sometimes recommend combining breast augmentation with other procedures such as a breast lift for more satisfying results.

Breast implants are silicone shells filled with either saline (salt water) or silicone gel. Both implant types are very safe, and each offers its own advantages. We will help you decide which kind is right for you. During surgery, we will place the implants behind each breast, underneath either breast tissue or the chest wall muscle.

After many years, the U.S. Food and Drug Administration (FDA) has approved silicone breast implants for breast augmentation surgery. We are proud to offer patients the option of silicone gel-filled breast implants, since they are much softer and feel more natural than saline-filled breast implants.

The breast augmentation procedure is typically 30 - 60 minutes performed with general anesthesia. Incisions are made in inconspicuous places on the breast to minimize scar visibility. These may be located:

• In the crease on the underside of the breast (inframammary)
• Around the areola, the dark skin around the nipple (periareolar).

The breast is then lifted, creating a pocket into which the implant is inserted.

Our typical approach is around the areola, the dark skin in the nipple area, which is known as a periareolar approach. The goal of breast augmentation with a periareolar incision is to place the incision in the transition are between the dark areola and surrounding breast skin where it can be hidden. As with the inframammary incision, this incision allows the implant to be placed precisely into the pocket that is formed and provides for accuracy that helps to control bleeding.

Possible disadvantages include need for drainage tubes and elevated pain in the first few days following surgery.

After the implants have been inserted and positioned beneath the nipples, the incisions are stitched closed, then taped and bandaged. In a few days, these bandages may be replaced with a surgical bra.

Most patients feel tired and sore after breast augmentation surgery, but this usually passes in a day or two. Many patients return to work within 1-2 days.

Stitches are removed within 5-7 days after breast augmentation. Any post-operative pain, swelling and sensitivity will diminish over the first few weeks.

Scars from breast augmentation incisions will begin to fade in a few months and will continue to fade for months or years.