The Facts in Regards to Breast Augmentation

beautyThe office of Dr. Farbod Esmailian, located in Orange County, California, is a state of the art facility for breast surgery procedures. Dr. Esmailian is a double board certified plastic surgeon specializing in the area of breast implants, breast reduction, breast lift, revision and reconstruction surgery. Many patients in Orange County, Newport Beach, Torrance, Los Alamitos, and Long Beach, CA have received successful treatment from Dr. Esmailian.

Dr. Esmailian completed his plastic surgery residency at Indiana University Hospital in Indianapolis, where he received training in cosmetic, reconstructive and hand surgery. He is one of the few surgeons with board certifications from both the American Board of Surgery as well as the American Board of Plastic Surgery. He is a member of the American Society of Plastic Surgeons (ASPS) and the American Medical Association (AMA).

 What is Breast Augmentation?

 Breast augmentation or augmentation mammoplasty is cosmetic procedure to restore breast volume and enhance breast size with the placement of artificial implants. Saline or silicone based implants can be used, and both are approved by the FDA. The implants are available in different sizes and types, and patients can make the best choice in close consultation with the plastic surgeon.

The procedure is usually performed on an outpatient basis, but in a few cases the patient may have to stay overnight at the facility. It is a breast enlargement procedure, but it cannot significantly improve sagging breasts. Patients suffering from deflated as well as sagging breasts with loose skin may have to opt for a combination of breast augmentation and breast lift procedures.

 Need for Breast Augmentation

Different patients may have different reasons to opt for procedures such as breast reduction or breast enlargement. In case of breast augmentation the most common reasons are as follows:

  •  The patient has naturally smaller breasts due to genetic or other factors, which are disproportionate to the rest of the body.
  • The patient is dissatisfied with the size of her breasts, and wishes to improve breast size due to aesthetic reasons.
  • The patient has lost breast volume following a pregnancy and breastfeeding.
  • The breasts have deflated following a major weight loss program.
  • Breast removal surgery or mastectomy has been performed, and patient wishes to restore the breast appearance.

Choosing the Right Size and Type of Implants

Making the right choice of implant type and size is usually a key decision that has a bearing on the final aesthetic outcome and longevity of the procedure. Many different types, textures and sizes are available, and a customized approach must be adopted in accordance with the patient’s aesthetic goals, body profile and current health status and history.

Profile of breast implants distance the implant will project from the chest wall. Implants with lower profile usually provide less pronounced silhouettes compared to higher profile implants. Implants are available in sizes ranging from 120 cc to 960 cc. Dr. Esmailian helps his patients in Orange County, Newport Beach, Torrance, Los Alamitos, Long Beach, and surrounding areas make the right choice of implants to meet their unique needs and goals.


Breast augmentation procedure may be performed on IV sedation or general anesthesia, depending on the patient’s needs and extent of surgery involved. The procedure typically lasts for about two hours. The duration may go up with additional procedures such as a breast lift must be performed along with the primary plastic surgery. Most patients can go back home the same day following the surgery.

Implants may be placed under the chest muscle, or between the breast tissue and chest muscle. Four typical choices for incisions in this procedure include the following:

  • Incision below the curve underneath the breast, or an inframammary incision.
  • Incision around the lower half of the areola, called the periareolar incision.
  • Incision in the underarm area, known as the transaxillary incision.
  • Incision in the navel area, called the transumbilical incision.


Mild to moderate pain and discomfort can be experienced after a breast augmentation surgery for a few days. The surgeon may prescribe mild pain relievers for the first few days. The sutures are removed typically a week later.

Additional visits to the surgeon’s office are necessary at 2-week, 6-week, and 3-month intervals. Most patients recover well within two to four weeks. Normal work activity can be resumed in about five days following the procedure, but aggressive exercises and heavy weight lifting should be avoided for several weeks.

Dr. Esmailian helps his patients Orange County, Newport Beach, Torrance, Los Alamitos, and Long Beach, CA make an informed choice between silicone and saline implants. He will explain the pros and cons of both types, and make his own recommendations based on the patient’s needs and expectations from the surgery.

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