An Overview of Breast Augmentation Procedure

Dr. Farbod Esmailian is a highly experienced plastic surgeon with double certifications and numerous recognitions and awards that he has won for his contributions to the field of plastic surgery. Dr. Esmailian specializes in breast augmentation, breast lift and breast reduction surgeries. He provides customized treatments to his patients in Orange County, Newport Beach, Torrance, Los Alamitos and Long Beach, CA in order to achieve optimal patient satisfaction.

What is Breast Augmentation?

Breast augmentation is surgical procedure to enhance the size and volume of breasts using saline or silicone gel based breast implants. A patient may choose this surgery for any of the following reasons:

  • Breast size is naturally small due to genetic or other factors.
  • Patient perceives the size to be small and is unhappy with it.
  • Patient has lost breast volume following a pregnancy or major weight loss.
  • Symmetry of breasts is poor up to a moderate extent.
  • Patient has undergone mastectomy and needs restoration of breast shape and volume.

In addition to augmentation mammaplasty, other common aesthetic procedures for the breasts include breast reduction and breast lift. However, augmentation continues to be more popular. The procedure has been ranked as the topmost cosmetic surgical procedure in the U.S. for the sixth consecutive year.

Over 286,000 breast augmentation surgeries were performed in 2012. Patients in Orange County, Newport Beach, Torrance, Los Alamitos, Long Beach, CA or other places may receive this surgery from Dr. Esmailian. He closely interacts with the patients to understand their unique needs. The procedure is customized to match with the needs of a particular patient in order to achieve the highest level of patient satisfaction.

Choosing Breast Implants

Success in an augmentation mammaplasty can depend to some extent on the right choice of breast implants. The perception of breast aesthetics will vary from one patient to another, and it is important to make the right choice of implants and make a treatment plan in consonance with the patient’s needs. Both saline and silicone implants are available in a variety of profiles, sizes, shapes, and textures. Each type of implant will provide a slightly different look and feel.

Breast implant profile denotes the distance that the implant will project from the chest wall. Implants with a higher profile will naturally provide a more prominent silhouette, but the choice of profile should made in proportion to the size of the patient’s body and what suits her the most in aesthetic terms. Implant size is not measured in traditional bra sizes, but in cubic centimeters. Implants are usually available in sizes ranging from 120cc to 960cc. The choice of implants should be made in close consultation between the patient and the plastic surgeon.


Breast augmentation procedure is typically performed under general anesthesia or IV sedation on an outpatient basis. The duration of the procedure may be anywhere between one and two hours, but it may increase if additional procedures such as breast lift are involved.

One of the key decisions in the procedure is to choose the location for the placement of implants. This decision is made prior to the procedure during the treatment planning stage in consultation with the patient. Implants are usually placed either under the chest muscle or between the chest muscle and the breast tissue.

The procedure begins with an incision, which may placed in one of these four places:

  1.       Below the curve that is formed under the breast.
  2.       Around the lower half of the areola.
  3.       In the underarm area.
  4.       In the navel area.

Dr. Esmailian’s patients in Orange County, Newport Beach, Torrance, Los Alamitos, Long Beach, CA, and other places will usually discuss the incisions and implant placement choices in advance, and make an informed decision that matches with their needs, body type, and aesthetic goals in the best possible way.


In most cases, the patient can go back home the same day after a breast augmentation, breast lift, or breast reduction surgery. However, a driver will be needed to take the patient home, and it is advisable for the patient to have someone to assist at home for the first few days following the procedure. Mild to moderate pain and discomfort will be experienced in the first few days, and it can be managed with pain relievers.

Sutures are removed about a week after the procedure during the first follow-up visit. Most patients will recover fully within two to four weeks, but the recovery period may depend on an individual’s natural healing capacity and individual diet. Initial results of the procedure can be seen immediately, and full results will appear over the next several weeks as the swelling and bruising subsides.

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