Breast Augmentation

What Is Breast Augmentation Surgery?

Put simply, breast augmentation surgery involves a surgeon making an incision, creating a pocket where the implant will sit, and then inserting the implant to sit evenly and naturally. However, there are a number of factors and considerations that go into breast augmentation in order to achieve the patient’s desired results and ensure a natural look – such as the size, type, and shape of the implant, where the implant will be placed, and the incision location.

Who Makes A Good Candidate For Breast Augmentation?

If a woman is unhappy with the size, shape, or symmetry of her breasts, breast augmentation surgery may be an option. The most common reasons women choose to have breast implants is to increase the size of their breasts, have reconstruction after a mastectomy, regain size or shape after pregnancy and breastfeeding, or to rectify asymmetry in the breasts. However, you will need to refrain from or delay breast augmentation if you are pregnant or breastfeeding, have breast cancer or an abnormal mammogram, or are currently ill or treating infection.

Types Of Breast Implants

There are two types of breast implants: saline-filled (saltwater solution) and silicone gel-filled. Both have a silicone outer shell and can vary in size, shell thickness, shell surface texture, and shape (contour) to achieve the patient’s desired look and feel.
At a consultation with Dr. Svehlak or Dr. Yamini, up to an hour will be scheduled in order to understand the reasons for wanting surgery, address any concerns and questions, discuss the available or appropriate procedures, and undergo an exam to make sure the size and types of breast implants are exactly what the patient has in mind.

Saline Implants for Breast Augmentation

Saline is a solution frequently used to fill breast implants. To use a saline implant, your doctor will first insert either a round or teardrop-shaped silicone shell into a pre-made pocket within the tissue, then fill it to the desired size. This method allows for smaller incisions, since the opening does not need to accommodate a full-size implant.

Many women find that breast augmentation with saline implants creates breasts that are firmer to the touch.

Silicone Implants for Breast Augmentation

Advances in breast augmentation technology led to the creation of silicone implants, which come pre-filled with a fat-like gel. Like saline, silicone can be used in either round or teardrop-shaped implants, which may feel softer and more natural than shells filled with salt water.

Since silicone breast implants are inserted as-is, the incisions are necessarily larger. Also, in the event of a rupture, a leak may not be noticeable, so periodic check-ups are necessary for any woman who chooses this type for breast augmentation.

Since it is basically just salt water, saline is sterile and safe in the event of a rupture, which would likely be visually noticeable. In such a case, the deflated shell can be removed, and a new implant inserted in its place to maintain the results of the initial breast augmentation.

Form Stable Silicone Implants for Breast Augmentation

Known as “gummy bear implants,” shells filled with form stable gel are an even more advanced development in the breast augmentation field. These implants have a very natural feel, but in the case of a rupture, the gel is so cohesive, it will stay in the shell without leaking.

IMPLANT SHAPES

As noted above, breast augmentation is typically accomplished with implants that come in one of two shapes: round or teardrop.

Round Implants

The circular shape of these implants means they fill out both the upper and lower sections of the breast, creating a very full look overall. If a round implant happens to rotate within its pocket after breast augmentation surgery, there will likely be no noticeable difference.

Teardrop-Shaped Implants

Teardrop-shaped breast implants are also known as anatomical implants for the way they mimic the natural slope of the breast. Since these taper from a thinner top to a thicker base, they create fullness that favors the lower portion of the breast. Unlike round implants, cases of rotation can be visually obvious.

Implant Textures

As with shapes, breast implants come in two different styles: smooth and textured.

Smooth Breast Implants

A smooth silicone shell is more likely to rotate after being implanted, but some breast augmentation patients prefer an implant to have a greater allowance for motion within its pocket, citing the look as more natural.

Textured Breast Implants

A textured silicone shell gives scar tissue a greater opportunity to form in the pocket, which better holds the implant in place and guards against the possibility of rotation. Textured implants are rarely used now because of the small risk of developing lymphoma, specifically BIA-ALCL. Some companies have stopped manufacturing textured implants because of this reason.

IMPLANT SIZE

The Sunset Cosmetic Surgery team will help each breast augmentation patient decide the ideal size for her body shape and proportions. A woman is obviously free to choose whichever size she desires, but for most, the goal is to add volume for natural-looking results.

We provide before-and-after photos that show the results of breast augmentation surgery at Sunset, with real patients who made the same choices you are making. While no exact outcomes can be duplicated, the images can give you a visual reference that reveals what the size and shape you are considering for your implants could do for you.

BREAST AUGMENTATION TECHNIQUES

Incisions

At Sunset, we use high-quality Natrelle and Mentor brands implants in all available styles to customize the desired size and profile for each breast augmentation patient. These implants have been vigorously tested and are safe and FDA-approved. Incision location is also something that is customized for each patient. Our goal is always to achieve the least-noticeable scar, wherever you and the doctor decide will be best for you.

• Periareolar Incision: The most popular choice at Sunset, this hides any resulting lines in the area where skin coloration changes from dark to light in the areola. Our breast augmentation surgeons are well experienced in blending the incision into the tissue surrounding the areola, and this type of incision works well for both saline and silicone implants. Read more and view photos of periareolar incisions.
• Transaxillary Incision: This incision is made by your plastic surgeon in your armpit, away from the breast area and is used for saline implants only.
• Inframammary Incision: An incision on the underside of the breast, near the breast crease, this was how breast implants were placed when they were first being used. This is still a common incision site.

IMPLANT PLACEMENT

The pockets created to hold breast implants may be made either over or under the pectoral muscles.

• Submuscular Placement: Breast implants that sit beneath the muscle may be necessary to create a more natural look for patients who have a smaller amount of breast tissue. This placement allows for more tissue coverage of the underlying implant, thereby giving the breast a more natural look. This placement can reduce the risk of capsular contracture.
• Subglandular Placement: Also known as submammary placement, this situates the breast implants directly under the glandular breast tissue, but above the muscle. Breast augmentation patients with a significant amount of existing tissue may find the placement ideal, and it keeps the pectoral muscle from pressing down on the implants. This placement also is much less painful during recovery.

Your doctor will make a placement recommendation based on several elements, including the amount of breast tissue you have to cover an implant and the type and size of breast implants being used.

What To Expect With Breast Augmentation Surgery

On the day of your surgery, your surgeon and team will ensure you are calm and comfortable throughout the procedure, and afterward. Breast augmentation surgery usually takes approximately two hours, and you will be placed under anesthesia.

After the surgery, you will have to wear a special surgical bra and/or tape for several weeks to minimize swelling and support your breasts. You may feel tired, and your breasts will feel tender for 24 to 48 hours post-surgery. To help your body heal, it is recommended you take one to two weeks off work and normal activity, and not return to any strenuous activity for at least six weeks.

Typical Breast Augmentation Recovery Time

Following breast augmentation surgery, most patients are able to return to work within a week or so, provided that it doesn’t require heavy lifting or major physical activity. Most patients who come to our practice in Los Angeles for breast augmentation can resume most of their routine activities, including mild exercise, within a few weeks.

Breast Augmentation Cost in Los Angeles

Sunset Cosmetic Surgery serves women from Hollywood, Los Angeles, Beverly Hills , and from around the world seeking breast implants. Cost depends on a variety of factors that take the entire scope of the surgery into account. Since numbers vary from patient to patient, breast augmentation cost is best discussed in person with the doctor during a personalized consultation.

Procedures Beyond Breast Augmentation with Implants

Implants are not the only option when it comes to augmenting breasts. Fat transfer, which makes use of a patient’s own fat, is another technique offered at Sunset Cosmetic Surgery. Patients who are less than satisfied with their augmentation previously performed elsewhere may want breast implant revision, or even removal.

Breast augmentation adds volume to breasts, but it does not raise them higher on the chest or change the position of downward-pointing nipples. For perkier breasts with more projection, women can opt for a breast lift.

In the opposite direction, breast reduction can make breasts smaller for women looking to reduce the physical discomfort or look associated with overly large breasts.

There is no wrong way to approach your breasts, from augmentation to a lift to reduction. Dr. Steve Svehlak and Dr. Dan Yamini will work with you to help you decide what procedure will change your silhouette the way you want it changed via safe, effective surgery.

What Sets Sunset Apart

One of our unique offers available to all patients is the opportunity to see both Dr. Svehlak and Dr. Yamini in your consultation and receive their combined expertise when considering if breast augmentation is suitable for you. As leading cosmetic surgeons in West Hollywood, they strive to provide the best possible experience throughout your personal journey.

Breast augmentation can be a life-changing surgery – helping to restore shape, size, and confidence. If you’re considering breast augmentation or would like to explore your options, contact Dr. Svehlak and Dr. Yamini to book a consultation.