Breast Augmentation and Breast Implants


Breast Augmentation / Breast Implants

Breast augmentation utilizes FDA approved silicone or saline breast implants to enhance the shape and size of the breasts. Breast Augmentation is performed by placing breast implants under the muscle through a small incision made through the areola, through the armpit, under the fold of the breast or through the belly button. Utilizing the most advanced techniques, our breast augmentation surgeons are experts in the field, creating natural looking and feeling breasts. Breast augmentation (also known popularly as a "boob job") is sometimes performed alongside a breast lift to achieve the best results.


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Breast augmentation is a surgical procedure performed to enhance the size and shape of a woman's breasts for a more aesthetically pleasing contour. Some of the most popular requests for breast augmentation include: increasing breast size for better proportion, correcting breast assymetries and restoring volume and fullness to the breasts after weight loss, pregnancy or aging. Breast augmentation is also commonly known as a breast enhancement, breast enlargement, boob job or breast job.

Our surgeons perform hundreds of breast augmentations each year at our state-of-the-art fully accredited surgery centers. With locations in Los Angeles, Orange County, San Bernardino County and the Inland Empire, we are able to bring the best of Beverly Hills to all of our Southern California patients.

Our breast specialists are experts in their field, having undergone extensive post-graduate and fellowship training, and are personally hand selected by Medical Director, Dr. Tarick Smaili. Along with the top breast augmentation doctors in Southern California, our surgery centers also offer knowledgable staff, specialty trained nurses & technicians and board certified anesthesiologists to ensure the best possible results in a safe and comfortable environment.


What Takes Place During My Breast Augmentation Surgery?

Breast augmentation is performed by making a small incision in one of four locations: around the areola, under the fold of the breast, inside the armpit or inside the belly button. The most common incision site is around the areola because it provides direct access to the breast, provides a natural border to disguise scars and can be reused for any future breast surgeries (i.e. future breast augmentations or breast lifts).

A pocket is then made under the muscle and a sizer is used to ensure that the implant size selected is to the satifaction of the surgeon based upon the desires of the patient. Either a saline or silicone implant is carefully set into place and the layers of the breast tissue are closed. Saline implants are filled with sterile salt water while in the breast, while silicone implants come pre-filled.

In rare instances, breast implants are placed above the muscle; however breast augmentation under the muscle provides a more natural look and feel, a decreased risk of infection and a decreased risk of capsular contracture.

Breast augmentation is performed under general anesthesia and generally takes about 1-2 hours in the operating room.

Breast Implant Options: Silicone Vs. Saline Implants

Both implants consist of a solid silicone shell. Saline implants are filled sterile salt water intraoperatively, while silicone implants come pre-filled with a cohesive silicone gel. Both silicone and saline breast implants are FDA approved and safe for use for both cosmetic and reconstructive purposes. They both have the same rupture rate and neither have been linked to any form of cancer or autoimmune disease. Although you will achieve a natural looking result from either implant, silicone implants more closely mimick natural breast tissue and therefore tend to feel more natural.

Preparing for Breast Augmentation

Education is an important part of the surgical process. Before breast augmentation, it is important to discuss all of your questions with your surgeon or physician consultation including: your goals, realistic expectations, downtime and recovery tips. You will be required to complete a pre-op appointment prior to surgery. At this appointment you will discuss any additional questions, go over paperwork and complete your lab work. You will receive specific pre- and post-op instructions for your breast augmentation. Be sure to follow these instructions carefully to ensure optimal results. It is also important to avoid any type of blood thinners for a minimum of 2 weeks before surgery (i.e. aspirin, vitamin E, ginko biloba, fish oils, etc) and avoid smoking for a minimum of 1 month before surgery.


Immediate recovery from breast augmentation requires only a few days of downtime. You will need a responsible adult to pick you up from surgery and care for you for the first 24 hours. You will experience soreness, but this can be relieved with precribed medication. Be sure to take it easy - no heavy lifting, cleaning, exercising, driving or lifting your hands over your head. Most patients are able to return to work within a week, although it is important to avoid strenuous activity for 4-6 weeks.
It is important that you return for all of your post-op appointments and communicate with your surgeon with any questions or concerns.

Initially breast implants are high on the chest wall immediately following breast augmentation, but drop into place after the first month or two.You will be required to wear a sports bra that zips in the front for a minumum of 4 weeks after surgery. After a week, you surgeon will demonstrate how to perform breast augmentation massage to break up fibrous tissue to prevent capsular contracture and to help drop the implants into place. Although breast augmentation scars are generally discrete, we recommend the use of scar cream beginning 2 weeks after surgery. This can be purchased at any of our locations.


General Risks Associated with Breast Augmentation

As with any type of surgery, it is important to be aware of the risks associated with breast augmentation. Swelling, bruising, light bleeding and changes in sensation are all normal parts of the healing process. In rare cases, excessive bleeding or fluid collection may occur and additional surgery may be required.

All precautions are taken to avoid infection including: upholding the highest standards for sterilization and providing antibiotics during and after the procedure; however, if infection occurs, patient may be placed on stronger antibiotics or may require removal of the implant(s) for a period of a few months. This is extremely rare.
In order to prevent breast augmentation complications it is important to follow your surgeon's instructions. Do not "over do it" after surgery. No cleaning, exercise, dancing, etc. Do not take blood thinners, drink alcohol or smoke cigarettes. Smoking greatly impairs your ability to heal and can lead to more serious complicatis including poor wound healing, bleeding, infection and skin necrosis.

Capsular Contracture – Hardening of Breasts(s)

After breast augmentation, your body will form a fibrous tissue around the implant called a capsule. This is the body's natural response to a foregin object placed in the body. In some cases, excess tissue can form and tighten around the implant. This is a condition known as capsular contracture. There are different levels of capsular contracture and are rated on a scale from 1-4. Mild cases of capsular contracture after breast augmentation do not require any correction, while severe cases can cause discomfort and distortion of the implant. In this case additional surgery may be necessary to correct the condition. The risk of capsular contracture is decreased by placing the implant under the muscle and performing breast augmentation massage beginning one week after surgery.

Breast Implant Rupture – Leaking Implants

Both saline and silicone implants are FDA approved and proven safe and effective for breast augmentation. Although breast implants are very durable, they are medical devices and can rupture. Studies have shown that no implant is more likely to rupture than the other. In the event of a rupture, saline implants will deflate and the sterile salt water will be safely absorbed by the body. This can happen over the course of a few days or a few months depending on the nature of the rupture. Silicone implants are more difficult to detect because they are made of a cohesive conform gel. In the event of a rupture the silicone will stay in place and may require an ultrasound to detect. Signs of a rupture include breast discomfort or distortion. Either way the implant, or shell of the implant, will need to be removed.


If you are considering breast augmentation, we welcome you to schedule a consultation by either calling our toll free number 866-372-3288 or filling out our online request form. We will match you with a breast augmentation specialist at a office nearest you. We offer locations in Los Angeles (Beverly Hills), Orange County (Brea) and the San Bernardino/ Inland Empire area (Upland & Riverside.
We believe in helping all patients achieve their goals and offer easy financing for patients of nearly any financial situation. Fill out our FINANCING APPLICATION to apply online today. A dedicated consultation will help you find the best plan for you and your breast augmentation.

Breast Augmentation Resources

Our educational resources are available to help you better understand breast augmentation surgery and your potential results.


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Breast Augmentation Articles


Contrary to popular belief, the goal of breast augmentation procedure is not just about creating a bigger cup size, but more importantly, to deliver results that look and feel natural.

Good results from the procedure is only possible in the hands of a qualified plastic surgeon, or to be more specific, a board-certified doctor who regularly performs the surgery and has impressive breast augmentation pictures.


(Note: The general rule of thumb is to choose a member of the American Board of Plastic Surgery, which is recognized by the American Board of Medical Specialties. Meanwhile, there is no recognized certifying board with “cosmetic” or “aesthetic” surgery in its name.

You can visit ABPS website or its online database to check if a surgeon is a member of this reputable certifying board.)

All plastic surgeons have before-and-after photos to showcase their artistic skills and also help their future patients make an informed decision, as suggested by Beverly Hills plastic surgery Dr. Tarick Smaili.

Take a look at the breast contour of the “after” photos. They should appear like a teardrop, with most of the volume in the lower poles while the upper cleavage must look concave rather than globular—unless there is a specific instruction from the patient who wants exaggerated fullness in the area.

A slight lateral bulge is also deemed attractive as it contributes to the hourglass figure, although remember that one’s underlying anatomies also affect the final appearance, says Dr. Smaili.

You should also look at the distance between the lower edge of the areola and the inframammary fold, which primarily depends on the breast size although for the “average” women it is normally 5-6 cm. But in general, the bigger the cup, the greater the gap tends to be.

Once you are confident with a doctor’s qualifications, you may schedule a consultation with him. This will allow you to assess his “principles” and surgical approach that will help you achieve your desired results from breast augmentation procedure; it is equally important that you are comfortable with that provider.

During consultation, ask for the chance to talk to some of your surgeon’s patients who have undergone the procedure. This is also an opportunity to prepare yourself emotionally and psychologically during the initial healing stage when pain, lethargy, bruising, and swelling will contribute to your “postop blues.”


Due to the high demand for breast augmentation Los Angeles, its cost is also higher compared to other smaller, less populated cities. Nevertheless, the price should not be your primary concern, but rather your plastic surgeon’s qualifications, training, experience, and other factors that can help him deliver impressive results.

While it may be tempting to choose your surgeon based on someone who gives amazing discount, the caveat is that it may prevent you from hiring a reputable doctor. Also, prices that are too low relative to the average cost generally have some compromises in the quality of implants, facilities, and surgeon’s talents.


According to a recent survey, breast augmentation Los Angeles prices are typically between $4,000 and $7,000. The considerable variation in costs is due to the type of implants, miscellaneous expenses (operating room cleaning fee, surgical equipment, pain medication, postop garments, etc.), and doctor’s fee.

In general, breast augmentation procedure via silicone implants is around $1,000 more expensive than a surgery with the use of saline implants.

Despite the pricey silicone implants, Los Angeles plastic surgeons say that 70-90 percent of their patients choose them over saline implants because of their more natural feel and (Photo credit: Freedigitalphotos)   look.

Although it makes sense to be price-conscious, you should not compromise your safety, comfort, or cosmetic results just for the sake of lowering the surgery’s cost by a couple of hundreds. For instance, a pain pump, which delivers numbing medication directly to the breasts, entails an additional fee of $250.

Pain pumps are highly recommended because they promote a more straightforward and more comfortable recovery. Using them could also lower the incidence of nausea and other untoward side effects of oral painkillers.

Using Keller Funnel, which allows no-touch implantation during surgery, could also entail that you pay $100 extra for it. This disposable device that closely resembles a baker’s piping bag has been known to reduce the incidence of implant contamination, infection, capsular contracture, and reoperation.

To avoid financial surprises, ask your surgeon for a quote (ideally on the invoice sheet) that includes even the most trivial things that might be easy to miss such as your postop bra, painkillers, follow-up visit, etc.

Meanwhile, you may tap into different breast augmentation Los Angeles payment plans, which a growing number of surgeons are offering to their qualified patients.

Other financing options you might consider include regular or health care credit cards, home equity loan, unsecured medical loans, bank loans, loans from families and friends, and 401(k)loans.


The actual breast implants sizes may have little to do with the postop appearance since other variables such as the existing tissue or amount of “coverage,” the chest and breast measurement, the innate shape of the breast, the areola position, and even the torso all have their impact.

Breast augmentation surgery for very small breasts has its challenges, although acknowledging the anatomical limits is one way to achieve impressive results.


First and foremost, small breasts have insufficient coverage that makes them prone to visible rippling and more palpability, as suggested by celebrity Los Angeles plastic surgery expert Dr. Tarick Smaili. To minimize such risks, he says that smaller implants are highly ideal for small-breasted women.

Smaller or conservative-sized implants are less likely to cause scalloping, rippling, and other telltale signs of surgery because the overlying skin and breast tissue is not overstretched, Dr. Smaili adds.

Aside from the actual size of implants, which is determined by cubic centimeter (cc), the leading plastic surgeon says their profile or forward projection, width, and base should also match the preoperative measurement of the breast and chest.

By acknowledging the anatomies and their limitations, Dr. Smaili says it would be easier to achieve natural results from breast augmentation or any type of body contouring surgery.

To further minimize the risk of unfavorable waviness and palpability, he highlights the importance of using submuscular, which is also referred to as subpectoral implant placement. The idea is to increase soft tissue coverage by positioning the upper half of the prosthesis beneath the pec muscle.

The opposite of submuscular is the subglandular in which the implants are placed above the muscle, only covered by the tissue and skin. For patients with sufficient coverage this could provide good results, but for small-breasted women and female body-builders this could spell trouble.

Aside from increasing soft tissue coverage, Dr. Smaili says the submuscular also provides more natural results by making the breasts appear more like a teardrop rather than too round (especially in the upper cleavage), which is a dead giveaway that an implant is underneath the skin.

Women with very small breasts are also generally advised to choose silicone implants whose cohesive filler material can make up for their lack of coverage. Saline implants, meanwhile, could make them susceptible to less natural results, too rounded appearance, more palpability, and rippling, Dr. Smaili warns.

But one downside of using silicone implants is the longer incision than saline implants (2 cm vs. 3.2-4 cm) because they are implanted “intact.” On the other hand, saline implants are only inflated with salt water solution once in position, so the resulting scars are shorter.

Nevertheless, the use of Keller Funnel technique in which a funnel-like device is used to propel silicone implants to their pocket is an effective way to reduce the length of incision by almost half, so the resulting scar is almost like that of a saline implant’s.

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