BREAST LIFT WITH AUGMENTATION IN ORANGE COUNTY, CA

Women who want larger breasts may consider a breast augmentation (implant surgery), whereas, women who would like their breasts lifted may choose to have a mastopexy (breast lift). However, women in Orange County, California, who would like to improve the shape, position and size of their breasts should consider having a breast lift with an augmentation with Dr. Farbod Esmailian. Dr. Esmailian is a double board-certified plastic surgeon in Orange County who specializes in performing plastic surgery procedures to improve sagging, deflated-looking breasts.

A COMBINED PROCEDURE – A BREAST LIFT WITH AN AUGMENTATION IN ORANGE COUNTY

Sometimes, it takes a combination of procedures to accomplish the look a patient desires. This is frequently the case for women who would like to address multiple issues related to their breasts.

A breast lift is designed to address drooping breasts, reduce the size of the areola and improve the shape of the breasts. A breast augmentation involves adding volume to the breasts with the insertion of saline or silicone breast implants. In addition to adding volume, breast implants will also add the “upper pole” fullness that most patients desire. A breast lift will increase the fullness in the upper portion of the breast, but not to the extent that a breast implant can.

ISSUES A BREAST LIFT WITH AN AUGMENTATION CAN ADDRESS

A breast lift with implant surgery in Orange County can address a number of issues.

THESE ISSUES INCLUDE:

  • a loss of fullness in the upper portion of the breasts;
  • elongated, flat breasts;
  • nipples and areolae that point down;
  • enlarged or stretched areola;
  • pendulous breasts;
  • asymmetrical breasts (one breast is larger/longer than the other);
  • a loss of breast closeness/cleavage; as well as
  • lost volume in the breasts.

A BREAST LIFT TO CORRECT PENDULOUS BREASTS

As time passes, the Earth’s constant gravitational pull causes a variety of changes throughout the body. The breasts are no exception: The skin encasing the breasts and the ligaments beneath are pulled and the breast tissues shrink, which causes the breasts to appear deflated. Due to the pulled skin, the nipples and areola fall beneath the breast crease. In addition, they no longer face forward, instead, they face down.

During a breast lift, Dr. Esmailian moves the breasts to a higher position on the patient’s chest. He also reduces the size of each areola, repositioning them on the patient’s newly shaped breasts.

OTHER REASONS BREASTS LOSE THEIR ORIGINAL FIRMNESS AND ELASTICITY

While gravity causes the breasts to droop, there are life changes that can cause the size, shape and elevation of the breasts to change sooner rather than later. These changes include weight fluctuations, vigorous exercise routines, pregnancy, nursing and genetics.

CORRECTING ASYMMETRICAL BREASTS WITH A BREAST LIFT

It is not uncommon for women to have asymmetrical breasts. For some women, having one breast that is larger is of no concern; however, this inconsistency causes some women to feel insecure about their appearance. These women may choose to have a breast lift to help address this issue.

At his surgery center in Orange County, Dr. Esmailian frequently performs breast lifts to address uneven breasts. Once the lift is complete, the patient’s breasts will appear more symmetrical and more youthful. Furthermore, the nipple and areola will face forward once again. When breast volume is an issue, either a breast reduction or a breast augmentation can be performed on one of the breasts to attain better symmetry.

A BREAST AUGMENTATION IN ORANGE COUNTY TO ADD VOLUME TO THE BREASTS

A breast augmentation is used to add volume to the breasts. During a breast augmentation, Dr. Esmailian can use silicone or saline breast implants to increase the size of the patient’s breasts.

PATIENTS CAN CHOOSE:

  • saline breast implants, which are filled with sterile saline solution after insertion;
  • silicone implants, which consist of cohesive silicone gel and are inserted already filled; or
  • gummy bear implants, which are also called form-stable implants because they consist of a cohesive gel that holds its shape. Gummy bear implants are already formed when they are inserted.

A breast augmentation in and of itself may be able to address minor sagging which is called pseudoptosis; however, moderate to severe drooping will require a breast lift as well.

AN INITIAL CONSULTATION WITH DR. ESMAILIAN IN ORANGE COUNTY

Dr. Esmailian and his medical staff are dedicated to providing each patient with the high-quality care and attention that they deserve. Therefore, during the initial consultation Dr. Esmailian will want to know about the patient’s medical history, including medications, lifestyle choices (smoking, drinking alcohol, recreational drug use, etc.), current medical conditions (heart disease, diabetes, etc.) as well as what she would like to accomplish with plastic surgery.

During this consultation, the patient can expect Dr. Esmailian to perform a physical evaluation of the breasts. Dr. Esmailian will take measurements and perform his assessment of the breasts in relation to the patient’s body. He will then make his recommendation based on the patient’s needs and desires. He may recommend a breast lift only, breast lift with augmentation, a breast reduction or a breast reduction with implants. Of note, is that a breast reduction does include a breast lift. Photos may be taken during the consultation or preoperative visit to help with the surgical planning. These photos may be used for reference as well as for comparison purposes once the surgery is complete.

The majority of patients will need to have pre-surgical testing performed. This testing frequently includes blood tests and at times an EKG. In addition, some patients may be required to visit their family physician to receive a surgical release prior to scheduling their surgery with Dr. Esmailian at his surgery center in Orange County.

A breast lift with an augmentation is an outpatient procedure. Patients are not permitted to drive for at least 24 hours after their surgery; therefore, a driver must be present at Dr. Esmailian’s Orange County surgery center on the day of the patient’s surgery. Arranging for a driver well in advance of the procedure is recommended.

CHOOSING IMPLANTS

Each patient’s anatomy and proportions are unique. Dr. Esmailian and his medical staff assist patients in determining which type of implant and what size implant will provide her with the results she desires.

PREPARING FOR A BREAST AUGMENTATION WITH A LIFT

Since patients must avoid heavy lifting from 4 weeks after their surgery, they need to find someone to assist them with young children and/or pets during this time.

Tops that can be put on and taken off without placing them over the head need to be readily available following a breast augmentation with a lift for at least the first week. In addition, pants that are easy to put on and remove should be used throughout the initial recovery period.

Patients will desire to remain upright for the first 48 hours following their surgery; therefore, having extra pillows on hand is essential.

Many patients find it helpful to create themselves a recovery area at home. This recovery station should have everything the patient may need for the first couple of days following surgery and have them within easy reach. Patients are encouraged to walk immediately after surgery. The procedure is not a painful procedure and most patients do well on the muscle relaxants prescribed and extra strength Tylenol.

A BREAST LIFT WITH AN AUGMENTATION IN ORANGE COUNTY

A breast lift with an augmentation usually lasts 3 hours. Patients’ drivers may remain at the Orange County surgery center during the plastic surgery procedure or if they decide to leave, Dr. Esmailian will call them once the procedure is complete.

  1. ANESTHESIA IS ADMINISTERED

Patients receive anesthesia during their breast augmentation with a lift. These medications are administered to the patient by a board-certified anesthesiologist. The anesthesiologist continually monitors each patient throughout her surgery.

  1. THE INCISION

There is three incision options for patients who are having a breast lift. Dr. Esmailian discusses which incision he recommends with the patient prior to her procedure.

Incision options:

  • Donut/Benelli

– around the areola

  • Lollipop/Vertical

– around the areola and down to the breast crease (inframammary fold)

  • Anchor/T Lift

– around the areola, down to the breast crease and horizontally along the inframammary fold

Following creation of the incision, Dr. Esmailian will begin by creating the pocket that is needed for the breast implants. This is usually a pocket that is made behind the pectoral muscle. Once the pocket is made, implant sizers are placed to determine which size works best. At this point the lift is simulated by placing staples and tucking the skin. The patient is sat up and the breasts are evaluated. If there is any adjustments needed they are performed now. The reshaping the patient’s breasts may take place now by performed the lift. If any tissue is needed to be removed, they are removed at this time. The areola are also reduced down in size, if needed. Furthermore, he may move the nipples and areola higher on the patient’s breasts. His goal is to ensure that the patient’s breasts appear natural, more youthful and no longer sag.

  1. IMPLANTS ARE PLACED

Before closing the incisions, Dr. Esmailian will remove the sizers and place the implants, often using the Keller funnel when placing silicone implants.

  1. THE INCISIONS ARE CLOSED

Once Dr. Esmailian is happy with the appearance of the patient’s breasts, he will close the incisions. All of the sutures that Dr. Esmailian uses during a breast lift with an augmentation are placed internally. Therefore, they are absorbable and do not require removal. Furthermore, using these internal sutures helps minimize visible scarring.

  1. A SURGICAL BRA IS APPLIED

Directly following surgery, patients receive a surgical bra. The surgical bra is used to minimize swelling, help the patient remain comfortable and promote healing. This bra may be removed to shower 48 hours after surgery. However, the bra must be re-applied after the patient showers and worn at all times.

RECOVERY

The majority of patients can resume their full activity level (including exercise) 4 weeks after their surgical procedure. Usually, at the 2-month mark, patients can begin wearing a regular bra.

FINAL RESULTS

While results are immediately visible, final results become apparent approximately 4 months after the breast augmentation with a lift procedure.

As a gifted breast specialist in Orange County, Dr. Esmailian consistently provides women throughout Southern California with natural-looking breast augmentation and breast lift results. His cutting-edge techniques, exceptional skills and caring manner make him one of the top plastic surgeons in the Greater Los Angeles Area. If you would like to schedule an initial consultation with Dr. Farbod Esmailian at his office in Orange County, please contact the office today at (562) 430-7373 or with our online contact form.

 

 

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