Breast Augmentation
Indications

The amount of breast development in an adult female varies considerably. Some women simply never develop a large amount of breast tissue. Others note that their breast tissue becomes noticeably less in amount following pregnancies and/or weight loss. The majority of women seeking this surgery seek only to have normal size breasts that relate to their body proportions and they are not seeking to be exceptionally buxom. Breast implant surgery, commonly known as breast augmentation or technically known as augmentation mammoplasty makes small breasts larger by using an implant (prosthesis). Breasts made larger by breast implants have the same tendency to droop and sag as the same size breasts without breast implants.

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Female Breast Anatomy

The female breast tissue is combination of glandular (milk producing glands) tissue and Stromal (supporting and fat) tissue. During pregnancy, glands in the breast produce milk and it is transported through the ductal network to the nipples. These glands and ducts are supported by the fatty and fibrous connective tissue, which collectively give the breast its shape and size.

Majority of the female breast size is due to the presence of the fatty tissue. The amount of fat present differs in each breast (size asymmetry between right and left) and among different women. The size of the breast glands and fat tissue changes with each pregnancy and breast-feeding, with weight gain and loss and as the female ages.

Who Is a Good Breat Augmentation Candidate?

The ideal candidate is a woman who is healthy, thin, normal body weight or slightly overweight. You must be at least 18 years of age for saline implants and/or 22 years old for silicone implants. However there are exceptions based on certain medical and physical conditions.

During the consultation a detail medical history is taken including information about number of pregnancies, history of breast diseases, breast-feeding and family history for breast cancer.  A careful examination is conducted.  Your specific desires and concerns are discussed with Dr. Fardad Forouzanpour as well as the type and size of breast implant, anesthesia type, possible risks and complications and the incision site. Pre-operative instructions may include the elimination of certain drugs, discontinuation of cigarette smoking and preoperative blood tests.

The two major types of implants available are saline (salt water) filled and silicone-gel filled implants (cohesive gel or highly cohesive or “gummy bear”). Each of these types are available in variety of sizes (volumes), shapes (low, moderate, high profiles) and feel (smooth or textured).

Although silicone breast implants were restricted for general population use for a number of years, after detailed investigations by FDA they were declared safe and released to the market. These implants are recommended to be removed and be replaced after 10 years.

The implant placement depends on the amount of breast tissue present, type and size of implants, body size and chest size. During your consultation the breasts are examined and the options are discussed with you.

Two most common positions for the implant placements are sub-glandular and sub-muscular/sub-pectoral.

Sub-glandular technique – implant is placed behind the breast tissue on top of the muscle. This option is suitable for women with sufficient amount of glandular and fatty breast tissue in order to cover the implant edges.

Sub-muscular technique – implant is placed underneath the pectoral (chest) muscle. Although slightly more uncomfortable, this is a better option for women who do not have sufficient natural breast tissue to cover the implant properly.

After Breast Augmentation Surgery

You will be wearing a sports bra without an under-wire for the first couple of weeks.  You may not raise the arm above the shoulders and must avoid excessive arm movements in the first few days.  You may shower two days after surgery.   Most of the discomfort will be over after 3 or 4 days.

Most of our clients are able to resume majority of their daily activities including work with in 5-7 days. Light exercises may be resumed with in two to three weeks after surgery. Heavy exercises and sports such as jogging, swimming, bowling, tennis, etc. may be resumed after three to four weeks.

Complications connected with the surgical procedure are rare: however there are inherent risks connected with every surgical procedure.  These include:

  • Infection
  • Nipple sensitivity or sensation loss
  • Deflation and rupture
  • Rippling
  • Hardening or “capsular contracture”
  • Scars

After placement of any implant in the body, including breast implants there a scar tissue that forms around the each implant. For the most part this scar tissue remains soft and pliable. However in some patients the scar tissue hardens and can cause discomfort and changes in the shape of the implant. Capsular contracture or hardening has been seen with both saline and silicone-gel filled breast implants.

The Breast Surgery and Incision Options

The operation consists of developing a pocket behind the chest muscle or the breast tissue. The implant pushes the breasts forward, but it is not actually within the breast tissue. The most common way to gain access to the area behind the breast is through an incision approximately one inch around areola (ring around the nipple), the crease under the breast, crease in the axilla (armpit) or the umbilicus (belly Button). The size of the implant to be used is determined by the amount of the existing breast tissue, by your height, weight and the final size desired.

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Questions?

If you have a question or wish to schedule a free, no obligations, consultation please give us a call at (310) 360-0504 or schedule an appointment below.

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Breast Augmentation: Before & After Photos

(Please note that results may vary from patient to patient)

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