ORANGE COUNTY BREAST AUGMENTATION SURGERY SPECIALIST – DR. FARBOD ESMAILIAN
Breast augmentation, also known as breast implant surgery, has the specific purpose of increasing breast size. While this may sound very direct, there are many factors to consider. The size of the patient’s body can help determine the size of the breast implants. The patient’s anatomy can help determine the profile, or projection, of the implant. There is also the matter of placement, and where the implants will sit within the chest cavity.
Each component must be thoroughly considered before undergoing surgery. For those interested in breast implants, Orange County plastic surgeon Dr. Esmailian specializes in breast augmentation, and your initial consultation and examination as well as your personal preference will determine how the surgery is conducted.
In many cases, breast augmentation is simply a way for patients to enhance their image and confidence. In other cases, however, it comes on the coattails of a mastectomy due to breast cancer. In either case, Dr. Esmailian is sensitive to his patients’ needs and will deliver the best breast augmentation Orange County has available.
PLANNING YOUR BREAST AUGMENTATION AT OUR ORANGE COUNTY SURGICAL CENTER
During the planning phase of breast augmentation, there are certain factors to consider and several choices to make including types of breast implants. While some of these depend upon the natural anatomy of your body, others depend upon your personal preference. Dr. Esmailian will carefully consider each factor, consulting with you thoroughly to ensure a total understanding between doctor and patient ensuring he gives you the most exceptional results with breast implants Orange County has available.
As the most feminine feature of a woman’s body, breasts play a major role in both figure and function. As the years pass, they have a tendency to lose their shape, succumbing to the effects of age and gravity. Additionally, many women inherently have breasts they find unsatisfying due to lack of volume. Whatever the cause may be, breast augmentation surgery is an effective approach to handling these issues, restoring volume and buoyancy when they have been lost, or establishing them for the first time.
THE BREAST AUGMENTATION PROCEDURE
Once the patient has been properly and safely sedated by our board certified anesthesiologist, Dr. Esmailian will begin the procedure. It starts with an incision, placed in one of the three locations mentioned above. This incision has been fully discussed beforehand so the patient understands the location and shape of the scar as well as the expected recovery time.
With the incision made, Dr. Esmailian creates a pocket for the implant. This pocket will be slightly larger than the implant size. This is because the implant should have some space to move around, which contributes to a natural look and feel. Once the pocket is created, Dr. Esmailian inserts the implant using a device called a Keller Funnel, which minimizes friction and strain between the implant and the incision, lending further safety to the procedure.
At this point, Dr. Esmailian will close the breast tissue leading to the pocket as well as the outer incision. He does this using precise suture techniques to minimize scarring. Once this is done, the breast augmentation is complete.
AFTER BREAST AUGMENTATION SURGERY AT OUR ORANGE COUNTY SURGICAL CENTER
Immediately following your surgery, the first step is to relax in our recovery room. You can remain there until you are fully awake, at which point you will be released to go home. Transportation should be arranged beforehand, as you will not be permitted to drive for 24 hours following the surgery.
While Dr. Esmailian recommends waiting a full week before returning to work, some patients are able to do it in 5 or 6 days, provided the work does not require physical strain. The first week is also accompanied by a special supportive bra, and after this time it may be replaced by a sports bra. About two weeks after your breast implant surgery with Orange County plastic surgeon Dr. Esmailian, you can resume wearing your normal bras and bikini tops.
EXERCISE AFTER BREAST AUGMENTATION AT OUR ORANGE COUNTY OFFICE
Exercise and any sort of strenuous activity are prohibited for the first five days following surgery. Light exercise may be resumed at this point, but more vigorous physical activity should not take place until three weeks after surgery.
Your relationship with our friendly Orange County office is not over once the breast implants procedure is complete. For the weeks and months following the surgery, we are at your disposal—you are more than welcome to call whenever you like with any questions or concerns. Additionally, there will be several follow up appointments with Dr. Esmailian to make sure the healing process is going as planned. All in all, your care after the procedure is just as thorough as it was during the procedure.
COMPATIBLE PROCEDURES
Breast augmentation is a very effective standalone procedure, but may also be combined with other procedures for total beautification. Below are procedures that are most commonly performed in conjunction with breast augmentation. Please feel free to ask Orange County breast augmentation specialist Dr. Esmailian further questions upon your initial consultation. For patients who are unhappy with previous breast augmentation procedures, Dr. Esmailian delivers some of the best breast implant revision Orange County has to offer.
Breast implant surgery is not to be taken lightly. Although it is one of the most commonly performed procedures in the cosmetic world, it is one that requires delicacy and precision. Please give us a call to find out more about why Dr. Esmailian’s patients rave about his technique, calling it the finest breast augmentation Orange County has to offer.
BREAST AUGMENTATION POPULARITY
Since 2006, breast augmentation has ranked as the number one cosmetic surgical procedure. According to the American Society of Plastic Surgeons, with nearly 300,000 augmentations performed in 2014, breast augmentation surgery remains at the top of the list for cosmetic surgical procedures; 23 percent of these procedures were completed using saline implants and 77 percent using silicone implants.
REASONS WOMEN IN ORANGE COUNTY CHOOSE TO HAVE A BREAST AUGMENTATION
Because breast augmentation is an extremely personal procedure, a woman should choose to have the procedure for her own personal reasons and not for someone else. Women who are unhappy with the way their breasts look may decide to have a breast augmentation to:
Improve their self-confidence
Make their breasts fuller and increase their projection
Enhance their self-image
Improve the proportions of their body to balance their figure
Reconstruct their breasts following an injury or mastectomy
THE IDEAL CANDIDATE FOR BREAST AUGMENTATION SURGERY
A woman is a good candidate for breast augmentation who:
Is unhappy with the volume, size and/or shape of her breasts.
Has a realistic expectation as to what an augmentation can do for her.
Is physically healthy and does not have any major medical problems.
Has breasts that appear asymmetrical either in shape or volume and would like to obtain better symmetry.
Is unhappy because the upper parts of her breasts appear empty and would like to augment the upper pole to obtain more fullness.
Has one or both of her breasts did not develop properly.
Is done developing and has no longer experience any further growth in her breasts.
WHAT TO EXPECT DURING YOUR BREAST AUGMENTATION CONSULTATION IN ORANGE COUNTY
Dr. Esmailian will take as much time as necessary to discuss any questions or concerns you have about the surgery during your initial consultation. He will outline a detained and personalized plan during the visit and discuss all your implant options: saline vs silicone, anatomic vs round, smooth vs textured. Some things you should be prepared to answer during your visit include:
1. The reasons you would like to have a breast augmentation, expectations and desired outcome.
2. Any current medical conditions and previous medical treatments you have had.
3. Bring a list of your current medications, herbal supplements and vitamins with you.
4. Get the results of previous mammograms or biopsies you have had and bring these with you to your breast augmentation consultation.
5. If you have a family history of breast cancer, be sure to let Dr. Esmailian know.
THE BREAST AUGMENTATION CONSULTATION: INITIAL EXAMINATION
During your augmentation consultation with Dr. Esmailian at his Orange County office, he will evaluate your general health. Dr. Esmailian will also discuss pre-existing health conditions and/or risk factors with you at this time. Dr. Esmailian will want to examine and measure your breasts during the consultation. He will take detailed measurements of their size and shape as well as address skin quality, and nipple and areola placement. Photographs are usually taken during your preop visit, as the breast implant sizing takes place then as well. A great deal of time is spent during the preoperative visit to make certain that you make the right decision about your implant size. Dr. Esmailian will guide you through this process and make certain that you go down the right path.
THE BREAST AUGMENTATION CONSULTATION: DISCUSSING YOUR OPTIONS
Once Dr. Esmailian completes his initial examination, he will discuss your options and give a recommendation as to the course of treatment he can offer at his Los Alamitos office. Patients are always welcome to return for a second consultation or call the office if they come up with any questions that they may have overlooked during the initial consultation.
3 COMMON QUESTIONS PATIENTS ASK DURING THEIR BREAST AUGMENTATION CONSULTATION WITH DR. ESMAILIAN
1. Is breastfeeding possible following a breast augmentation?
Yes, an augmentation will not affect your ability to breastfeed; however, women should wait at least 6 months after their breast augmentation procedure to become pregnant. The incision type, periareolar vs inframammary, usually does not make a difference in a woman’s ability to be able to breast feed after this procedure.
2. Will my breast and/or nipple sensation change after a breast augmentation?
Typically not and the percentages are likely less than 5%. Those women who do experience changes may have complete return of sensation but at times this may take 1 year. Incision type, periareolar vs inframammary, does not change the risk of loss of nipple sensation. Large implant does increase the risk of nipple/areola loss of sensation.
3. How long does it take to see the results of a breast augmentation?
The good news is that the results of your breast augmentation will be visible immediately following your procedure. However, it does take some time for the breasts to take shape and form. It will generally take 4 months before the implants have settled and the final result is achieved.
SOME WOMEN CHOOSE TO HAVE A BREAST AUGMENTATION AND A LIFT
A breast augmentation at our surgical center in Orange County, in and of itself, cannot address severely drooping breasts; some women choose to have an augmentation to create fuller breasts and a breast lift to raise drooping breasts. Breast augmentation and a breast lift may be performed safely as a combination surgery, meaning can be performed at the same surgery. In very small percentage of cases, it may not be safe to perform both those procedures at the same time, therefore, the breast lift may be performed first and then breast implants place approximately 4 months later.
BREAST AUGMENTATION BEFORE & AFTER PHOTOS
Breast Augmentation Before & After Photos
Orange County Breast Augmentation
BREAST AUGMENTATION IN ORANGE COUNTY
Dr. Farbod Esmailian is a double board-certified plastic surgeon whose office is located in Orange County. Dr. Esmailian is proficient in performing various cosmetic and plastic surgery procedures; however, he is renowned for his ability to provide beautiful, natural-looking breast enhancements.
HOW TO CHOOSE YOUR BREAST IMPLANT SIZE
One of the first questions that many patients ask Dr. Farbod Esmailian at his Orange County office is: “What size implant should I choose?” If you want natural-looking results, you have to balance the reasons you want to have a breast augmentation with remaining somewhat conservative. When considering a breast implant size, think shape and proportion as opposed to cup size.
CONSIDER SHAPE AND PROPORTION
The cup size for breast augmentation patients is subjective because bra manufacturer sizes and the way bras are worn vary. Another issue that causes confusion is cleavage. Many patients believe that increasing their breast size will give them more cleavage. However, the amount of cleavage you have is determined by the width and shape of your chest as well as by how close your breasts are to one another.
HOW A BREAST AUGMENTATION AFFECTS CLEAVAGE
If you have a narrow chest and your breasts are close together, even a small implant can give you great cleavage. On the other hand, if you have a wide chest and there is a substantial space between your breasts, you will enjoy fuller breasts, but additional cleavage is not more difficult to obtain. In certain cases additional shaping can be performed and an appropriate implant diameter can be chosen to help with the cleavage area. Despite this, following your breast augmentation, you can purchase a bra designed to give you even a greater cleavage if desired.
YOUR MEASUREMENTS CAN HELP DETERMINE A BREAST SIZE THAT WILL PROVIDE YOU WITH NATURAL-LOOKING RESULTS
Once you decide that you would like to have a breast augmentation, several factors must be taken into consideration to determine the implant size that will provide you with the most natural-looking results. When choosing your breast implant size, Dr. Esmailian will need to take into account your height, body frame, weight, hip width, current breast volume and shoulder width into consideration. Dr. Esmailian will take additional measurements during your consultation at his office in Orange County to help you choose the breast implant size that will provide you with the best results. He will measure your chest, nipple-areola complex (its size and position on the breast), the level of your breast droop (if any) and your natural breast size. Each of these factors helps determine which implant size will provide you with the results you desire.
BREAST IMPLANT SIZE VS. CUP SIZE – WHAT IS THE DIFFERENCE?
While some believe that the volume of an implant is comparable to a particular cup size, this is a misconception. An implant size is based on the amount of gel or fluid within the implant itself. The amount of gel or fluid inside an implant is measured in cubic centimeters (cc).
Keep in mind that as implant volume increases, a larger implant may be necessary to maintain proportion. Therefore, an individual who is 5’1” tall and petite needs a smaller implant size than an individual with broad hips and shoulders who stands 5’8” tall.
USE THESE STEPS TO DETERMINE THE BREAST SIZE YOU LIKE
STEP ONE: PICTURE COMPARISON
Look at the before and after breast augmentation photos on Dr. Esmailian’s website: Find a before photo of a patient who has breast characteristics and physical traits that are similar to yours. Although the implant size that you desire cannot actually be determined by viewing photos of someone else, you can find a photo that resembles the look you desire. This gives Dr. Esmailian insight into what you would like him to accomplish with your breast augmentation.
STEP TWO: THE RICE TEST
WHAT YOU WILL NEED:
At least one pair of knee high nylons
Dry rice
Measuring cups (1 cup and 1/4 cup)
A sports bra (without padding or an underwire)
Various types of clothing (formal dress, cocktail dress, form-fitting t-shirts, favorite tops, etc.)
A mirror that allows you to see your entire figure
You can ‘try on’ various breast sizes at home by performing the Rice Test. This process allows you to determine what looks too big and what seems too small for you. Although Dr. Esmailian does have various implant sizers that you can try on in his Orange County office, the Rice Test is a great starting point. In addition, the Rice Test is performed at home; therefore, you can take your time and ponder your options.
THE RICE TEST
1. Take a pair of knee high nylons (you should avoid using nylons that offer additional support as well as knee highs that have a reinforced toe) and fill each nylon with 1 ½ cups of rice. 2. Tie a knot on the top of each nylon – approximately 3 inches above the rice. 3. Shape the rice-filled nylons into patties. They must be as even as possible in projection and as large as your natural breast’s circumferential base. 4. Put the sports bra on and insert the pre-formed rice patties. 5. Try on the different outfits and tops you have gathered. 6. If you are not sure about a size, take a photo of yourself. After taking several photos of yourself in various size rice patties, you can compare them to one another. Ideally, take each photo wearing the same clothing item: This will make comparing the sizes easier.
CHANGING THE SIZE OF THE RICE PATTIES:
You can add or remove the rice by ¼ cup at a time and then try the clothing on again until you are happy with the way your breasts look.
Once you determine which size rice patties you think looks the best, bring them with you to your next appointment with Dr. Esmailian at his office in Orange County. He can use these to help determine your implant size. Understand that the “look” of the rice will not resemble your final breast shape but it does give a good indication for volume.
MENTOR VOLUME SIZING SYSTEM:
On your preoperative visit which is generally 2 weeks before the scheduled surgery, Dr. Esmailian will review the photos you bring in, as well as your measurement on the rice test as well as your measurements that were taken during your consultation. At this point, the Mentor Volume Sizing System is used to solidify your implant volume and to finalize the look you are striving for. Patients are very content after this visit with Dr. Esmailian, and feel that they have made the correct choice with their breast implant sizing.
OTHER FACTORS TO CONSIDER WHEN DETERMINING YOUR BREAST IMPLANT SIZE
Consider how you would like to be perceived. Some women prefer larger breasts than would be expected for their frame; whereas, other women prefer a more natural-looking breast augmentation result. If you are an athlete or you enjoy to run, make sure that the breast implant you choose will not interfere with your regular fitness routine. Avoid choosing an implant size based on someone else. For example, if a friend of yours had a breast augmentation procedure and chose an implant size of 350cc, even if her body frame is similar to yours, it is important to be open to the various implant options you have available. By considering all of the options, chances are you will find the breast implant size that is perfect for you. Although Dr. Esmailian may make recommendations, the final decision as to the implant size you receive is yours.
The most important factor is not what size implant you end up with, but how happy you are with the way that you look after your breast augmentation procedure with Orange County’s Top Plastic Surgeon Dr. Farbod Esmailian is complete.
BREAST AUGMENTATION FAQS (FREQUENTLY ASKED QUESTIONS)
Are Silicone Breast Implants safe?
Yes, the silicone breast implants we use today are safe. Technological advancements have led to rapid changes in silicone breast implant manufacturing, which has made these implants more stable than ever before. However, this question is understandable considering that in 1992 the FDA removed silicone implants from the market due to concerns related to their safety: Since that time, the ban was lifted because the concerns related to these implants were unfounded. Today, the silicone implants Dr. Esmailian uses are FDA-approved as effective and safe.
HOW DO I KNOW IF I AM A GOOD CANDIDATE FOR A BREAST AUGMENTATION?
If you are healthy, have breasts that look deflated, never fully developed or appear uneven, you are a good candidate for a breast augmentation with Dr. Esmailian. In addition, you should understand the benefits, risk factors and specifics related to recovering from breast implant surgery.
Can A Breast Augmentation In Orange County Fix Droopy Breasts?
Unfortunately, inserting breast implants cannot correct drooping breasts. However, Dr. Esmailian can perform a breast augmentation in conjunction with a breast lift (to address breasts that droop) during the same surgical session.
How Long Does It Take For The Incision To Heal?
The incision made during your breast augmentation will close within 48 hours. However, it takes from 4 to 6 weeks for the incision to heal completely.
How Long Will It Take For The Scars To Fade After Breast Implant Surgery?
Post-surgical scarring typically depends on the location of the incision and the technique that is used. While each patients’ results vary, scars usually reach their final appearance within 10 to 12 months of the procedure.
Will I Be In A Lot Of Pain After Surgery?
As with any surgery, you should expect to feel uncomfortable; however, most of Dr. Esmailian’s breast augmentation patients do not require any medications. A prescription for muscle relaxant and pain will be provided in case of need, as patient’s pain threshold vary.
WHEN WILL I BE ABLE TO RETURN TO WORK?
When you are able to return to work depends on your personal recovery as well as the type of work you do. The majority of Dr. Esmailian’s patients feel well enough to return to work within 3 to 5 days of their surgery; however, Dr. Esmailian prefers that his patients wait 4 weeks before returning to vigorous activity such as exercise.
Is There Any Way I Can Finance My Breast Augmentation With Dr. Esmailian?
At Dr. Esmailian's office in Orange County, we are dedicated to helping you achieve the cosmetic results you desire; therefore, we offer a variety of payment options: You can use your Visa, Mastercard or a Cashier’s Check to pay for your procedure. In addition, at Dr. Esmailian’s Orange County office you can quickly and easily apply for CareCredit and other financing options. Applications are submitted immediately and approval takes several minutes. If you are having difficulty obtaining approval for financing, our financial experts are happy to help you.
What are the different incisions that are used and which one is the best?
There are four incisions that can be used for the placement of breast implants: transaxillary (armpit), transumbilical (thru the belly button), periareolar (bottom portion of the areola) and inframammary (in the tuck). The transaxillary approach and the transumbilical or TUBA approach have both been found to have a higher complication rate, especially revision rate. The two most commonly used approaches are the periareolar and the inframammary or IMF incisions. Both provide the surgeon very good visualization to perform the surgery accurately. Each has their advantages and disadvantages. The periareolar incision has a tendency to hide the incision better, especially in those patients with darker skin type who are more prone to developing hyperpigmentation (darkening) of their scars. The disadvantage with this approach is that we are finding out that is has a higher rate of capsular contracture. The inframammary incision in most patients is the best incision because it can hide well in the tuck and it has the lower rate of capsular contracture as it does not involve cutting thru any breast tissue.
What is better behind or in front of the muscle?
Implants placed behind the muscle are referred to as submuscular or subpectoral and implants placed in front of the muscle are referred to as sub-glandular. The placement of subglandular implants was very popular in the 1980s. However, we have realized that the one advantage of having implants in front of the muscle, the natural appearance, is heavily outweighed by the negative issues that arise. These issues include: capsular contracture, rippling, implant palpability, premature stretch and aging of the breast tissue and skin. Therefore, the standard now is to place the implants in a subpectoral position to avoid all the issues that come along with subglandular implants. The implant is not completely placed behind the muscle as the lower part of the muscle is released, dual plane. This results in the implant behind partially subglandular, in the lower 1/3, and therefore utilizing the benefit of the subglandular implant (having the natural look) with all the benefits of having the implants behind the muscle. There is one drawback of subpectoral breast implants and that is animation deformity. This is a temporary phenomenon that occurs when the pectoralis muscle is flexed. This will cause the implant to move/displace while the muscle is contracted and will return to position after the muscle is no longer contracted. This one drawback is minimal and is heavily outweighed with all the benefits.
What are the different profiles and which would work best for me?
Every manufacturer has their own nomenclature for the implant profiles. A profile of implant determines how much projection is obtained but also it determines how wide or narrow the implant is. Let us take the arbitrary implant size of 400 cc. A 400 cc implant in a high profile will be narrower than a moderate plus profile implant; however the high profile implant will be more projecting. The projection will determine how much fullness the patient will have in the upper part of the breast (upper pole). Again depending on the implant company, they will name their implants differently, for example: Extra full = Ultra High, Full = High, Moderate = Moderate Plus and so forth.
What is a dual plane breast augmentation?
This is the term that is commonly used when the implants are placed behind the muscle after the lower attachments of the muscle are released. This allows the implant to naturally sit along the breast crease to provide a very natural appearance but still provide the benefits that go along with placing the implants behind the muscle. The upper 2/3 of the implant is still positioned behind the muscle.
What are the types of breast implants available?
Silicone gel and gummy are exactly the same implant. Gummy is a term that is used to describe the silicone breast implants that are currently on the market. All the silicone breast implants that are available now are considered gummy. There are some implants that are gummier than others which I will describe later on. Saline and silicone breast implants are the same when it comes to the material that is used on the outside: both have a silicone shell. It is what is on the inside that is different: saline has physiologic solution (salt water) and silicone has a cohesive silicone gel.
What is the IDEAL breast implant?
The Ideal breast implant is a saline breast implant than is supposed to bridge the gap between the traditional saline implants and silicone implants. It decreases the rippling that can happen with saline implants and “sloshing”. The Ideal implant has a silicone shell like the traditional saline and silicone gel implants but it differs on the inside. There are multiple baffles that help slow down the movement of the saline and also give the outside shell some support and integrity. The Ideal breast implant a nice alternative to the traditional saline implant and helps improve the feel. However, I would not consider the Ideal breast implant an alternative to silicone gel implants.
What is a gummy implant or which implant is the gummiest?
Different implant companies now offer different cohesive levels in their silicone implants. This means that as a surgeon I can really fine tune the look and feel that a patient desires. For Allergan implants they offer Type 1: Responsive, Type 2: Soft Touch and Type 3: Cohesive (highly). As you go up from Type 1 to Type 3 the silicone get become more firm and has less settling. This also means that the shell will display less rippling as well at the expensive of making the breast fell a bit more firm. Mentor has their regular line but also has added the Xtra line. The gels in the two implants are the SAME, but they just have added more gel per shell to give more projection. Sientra has two different gel cohesive levels named: HSC and HSC+. The HSC is their regular line and the HSC+ is a more cohesive gel.
How big can I go?
Sizing is obviously an important aspect in deciding what works best and determing the look. We perform measurement, evaluate the skin envelope elasticity, look at photos, look at what the patient came up with the rice test, look at diagrams and finally use the Allergan/Mentor sizing system to size the patient in the office. We obviously listen and discuss exactly what the patient wants and doesn’t want so that we can deliver the expected results. Your best path to determine what size would work and how big you can be would be to seek out a board certified plastic surgeon to discuss your options. Make certain the surgeon you choose has great deal of experience in breast implant surgeries.
How long is the surgery?
A breast augmentation procedure without a lift generally will take 1 hour. The procedure is performed at an outpatient surgery center. It is done under general anesthesia and will require about 45 minutes in the recovery room before the patient is allowed to go home.
How much pain will I be in after the surgery?
If performed meticulously, a breast augmentation procedure should not be very painful at all. I encourage my patients to go to dinner the night of their surgery. We prescribe muscle relaxants which help relax the pectoralis muscle which helps ease the discomfort. Some patients will choose to also take over the counter Tylenol to help with the discomfort. Patients describe the feeling as tightness and feeling sore.
What about recovery time, how much time do I need off of work?
Most patients return to work within 3-5 days. If your job requires physical activity then it may be a bit longer.
How long before I can exercise?
Patients are allowed to return back to full activity when they are 4 weeks out. At that point, all the restrictions would be removed. Patients are allowed to go back to the gym or any other exercise routine that they performed prior to their surgery.
Do I need to replace the implants every 10 years?
This is a very common question and the short answer is no. If you have saline implants, there is no kind of follow up needed. If the implant needs to be replaced you will know. This is because if there is a break or tear in the shell the saline (salt water) will leak out of the implant and be absorbed by the body. You will either gradually or suddenly, depending on how big the leak is, see a decrease in the size of your breast. With silicone implants, if there is a break in the shell the patient will not know unless there is an MRI that is performed. For this reason the FDA recommends an MRI 3 years after the initial procedure and then every 2 years after that. The plastic surgery society felt the FDA recommendation were too frequent MRI’s which may result in unnecessary surgeries with false positive tests. They also felt that given the silicone gel rupture rate 0.8% per year, an MRI should be obtained within 7-10 years from the initial procedure.
If you reside in or around Orange County and you want to learn more about the procedures we offer, please contact us today at 562.430.7373 to schedule an initial consultation with Dr. Farbod Esmailian. If you prefer, we also have an online contact form to request a consultation.
ORANGE COUNTY – BREAST AUGMENTATION – DR. ESMAILIAN
A breast augmentation (aka augmentation mammoplasty, mammoplasty and breast implant surgery) is a plastic surgery procedure that uses saline or silicone breast implants to increase breast volume. Dr. Farbod Esmailian is a double board-certified breast enhancement specialist with an office in Orange County, California. His artistic skill, precision capabilities, caring demeanor and dedication to his craft have placed him as one of the top breast surgeons serving Orange County.
BREAST AUGMENTATIONS HAVE A HIGH SATISFACTION RATE
According to the American Society of Plastic Surgeons’ 2018 Plastic Surgery Statistics Report, breast augmentation procedures continue to place within the top five most popular cosmetic surgery procedures, with nearly 314,000 breast augmentation procedures performed in 2018: In 88 percent of these procedures, patients chose silicone breast implants and the remaining 12 percent chose saline. Over a 20-year period, breast implant surgery has consistently ranked within the top five cosmetic surgery procedures. One of the reasons that this procedure consistently ranks within the top five most popular cosmetic surgery procedures is its extremely high satisfaction rate.
An augmentation mammoplasty is used to increase the size and projection of the patient’s breasts. The goal of this procedure is to provide the patient with breast characteristics that are more proportionate with her overall body features. If you decide to have a breast augmentation, one of the most important decisions you will make is choosing the plastic surgeon who will perform your breast enhancement procedure. If you are anywhere near Orange County, consider making an appointment with Dr. Farbod Esmailian. Dr. Esmailian is a double board-certified breast enhancement specialist who has been performing cosmetic breast surgery procedures and for women in and around Orange County for over a decade.
A BREAST AUGMENTATION IN ORANGE COUNTY ADDS VOLUME TO THE BREASTS
Women with naturally small breasts and those who have lost volume in their breasts due to breast feeding, pregnancy, and weight loss sometimes feel self-conscious about the way their breasts look. These are the women who choose to have breast augmentation procedures in Orange County.
Some benefits of an augmentation mammoplasty include:
Boosting self-esteem, which can indirectly have a positive effect in other areas of one’s life
Increasing satisfaction during intimacy. This increase may be due to feeling more comfortable with one’s appearance
Making breasts fuller and increasing their projection. This provides the volume and projection necessary to fill out the top of dresses, and blouses. By filling out these upper areas, women’s clothes fit comfortably and look more appealing
Balancing out her body proportions to enhance her figure, which allows her to wear clothing that she would have avoided before she had her breast augmentation.
Reconstructing the breast(s) or portions of the breast(s) following an injury, a lumpectomy, or the partial or total removal of the breast(s) due to cancer (i.e., a mastectomy)
Typically, by the time a woman decides to make an appointment with Dr. Esmailian, she has already been considering an augmentation mammoplasty for quite some time; however, since breast enhancement procedures are very personal procedures, it is important that women choose to have breast enhancement procedures for themselves and not as a way to make someone else happy.
A BREAST AUGMENTATION IN ORANGE COUNTY WITH TOP PLASTIC SURGEON DR. FARBOD ESMAILIAN
For many women, breast implant surgery serves as a way for them to improve their self-image; thus, giving them a boost in their confidence level. Other times, a breast augmentation is performed to address an injury or reconstruct the breasts following a mastectomy.
When a breast augmentation is performed to replace a portion of a breast or an entire breast, the procedure is referred to as breast reconstruction surgery. Regardless of the reason the patient is seeking breast enhancement surgery, Dr. Farbod Esmailian is sensitive to each of his patient’s needs. Dr. Esmailian’s caring demeanor, artistic vision, skill and experience allow him to provide patients with superior breast enhancement results.
WHO IS A GOOD CANDIDATE FOR AN ORANGE COUNTY BREAST AUGMENTATION?
Individuals who are healthy with breasts that appear deflated, look uneven or never fully developed are good candidates for breast implant surgery. Dr. Farbod Esmailian likes his patients to be fully aware of every aspect associated with the procedures they are going to have; therefore, he encourages his patients to ask questions.
Good candidates for an augmentation mammoplasty include women who:
Have realistic expectations related to what results to expect
Are unhappy with the shape, size and/or volume of their breasts
Have breasts that look uneven in their shape and/or volume
Are physically healthy without any major medical issues
Have breasts with upper poles that appear empty
Have breasts that have completed the growth phase.
Have a breast(s) that neglected to develop properly
Once you make the decision that an Orange County breast augmentation with Dr. Esmailian is for you, contact his office at 562.430.7373 to make an appointment.
AN ORANGE COUNTY BREAST AUGMENTATION: CHOOSING IMPLANT SIZE
Once Dr. Esmailian knows what a patient would like to accomplish with breast implant surgery and which options she prefers, he will create her a personalized surgical plan. One decision that has to be made is implant size.
While helping a patient choose an implant size, Dr. Farbod Esmailian considers the patient’s:
Height
Weight
Body Proportions
Current breast volume, dimensions, and skin envelope characteristics
YOUR INITIAL CONSULTATION WITH DR. ESMAILIAN AT HIS PLASTIC SURGERY OFFICE IN ORANGE COUNTY
At your initial consultation, Dr. Farbod Esmailian and his staff will discuss your options with you. If you want the most natural-looking augmentation mammoplasty results, Dr. Farbod Esmailian will need to take your body proportions into account.
During your initial consultation at Dr. Farbod Esmailian’s Orange County plastic surgery office, he will take measurements of your breasts to include:
Base diameter, crease levels
Your breast droop level (if applicable)
The size and position of your nipple-areola complex (one on each breast)
Skin stretch
Dr. Esmailian uses this information to decide which implant size he believes will provide you with the optimal results.
BREAST IMPLANT SURGERY IN ORANGE COUNTY: YOUR PROCEDURE OPTIONS
Some breast augmentation options are determined by Dr. Esmailian because they are based on the natural anatomy of your body; whereas, others are based on your personal preferences.
Implants available at Dr. Farbod Esmailian’s Orange County office include:
SILICONE IMPLANTS
A silicone implant is comprised of an inert polymer gel encased within a silicone shell. These implants are available in varying degrees of cohesiveness. Silicone implants are a popular option because they reduce the risk of post-operative problems, such as rippling and implant palpability. Furthermore, since silicone is gelatinous, it typically creates a breast that looks and feels more natural than its saline counterpart.
Silicone implant options:
Responsive Gel Implants
– This type of silicone implant offers patients the most movement and provides the patient with the softest result.
Gummy Bear “Cohesive” Breast Implants
– The ability of each section to remain intact even after the shell is compromised or the implant is physically cut in half is the characteristic that earned this form-stable, highly-cohesive gel implant the nickname of ‘gummy bear’ breast implant.
Soft-Touch Gel Implants
– These implants are slightly firmer than the Responsive gel implants, but not as firm as the gummy bear are. Silicone implants do require a slightly larger incision than saline implants do; however, in the event of a rupture, this thicker gel remains within the breast pocket.
SALINE IMPLANT CHARACTERISTICS
Saline implants consist of a silicone shell that is filled with a salt water solution. Since the implant’s shell is inserted empty, a smaller incision can be used. After shell insertion, Dr. Esmailian will fill the shell with salt water. A saline implant provides patients with a firmer, rounder breast. In the event of a rupture,the body will absorb the solution, which is harmless. However, the breast will be deflated and a replacement would be necessary sooner than later.
CHARACTERISTICS OF THE IDEAL IMPLANT®
This breast implant was designed by taking the best features of the saline and silicone implants, and combining them within a single silicone shell to create the IDEAL IMPLANT®. Although, IDEAL IMPLANT® breast implant is revolutionary, it is still not a replacement for silicone breast implants.
INCISION OPTIONS
There are four types of incisions used when placing breast implants. The incision Dr. Farbod Esmailian uses depends greatly on the type of implant being placed and, when there is more than one incision option, the patient’s preference.
Incision options include the:
Periareolar
– This incision is created along the lower portion of the areola. The areola is the darkened skin that surrounds each nipple. While creating this incision, Dr. Esmailian closely follows the outer edge of the areola. Precision is the key to providing the patient with the least visible scarring possible. For this reason, choosing an experienced, board-certified breast augmentation surgeon is critical. When the periareolar incision is used, the chance of loss of nipple sensation is no more than the inframammary incision.
Inframammary
– Dr. Farbod Esmailian creates this incision along the fold at the base of the breast. This incision location is ideal for women who want to significantly increase the size of their breasts using silicone breast implants. With the use of the Keller Implant Funnel, the incision used can be that same size as the periareolar incision. The resulting scar remains well hidden within the fold of the breast.
Axillary
– This incision is created in the armpit and is ideal for women who are having saline breast implants placed. Once the incision is made, the empty silicone breast-implant shell is placed and then filled with a salt water solution.
Periumbilical (Superior)
– This incision is rarely used and is only practical when placing saline breast implants. The periumbilical incision is created within the navel (belly button) and once the implant is inserted, it is placed above the pectoral muscle.
IMPLANT PLACEMENT
Dr. Farbod Esmailian will create a pocket in which to place the breast implant. This pocket can be created above the pectoral muscle or beneath it. The patient’s physical characteristics can affect which location Dr. Esmailian recommends.
Placement options:
Subglandular Implant Placement
– With this placement option, the pocket is created beneath the breast tissue, but above the pectoral muscle. With subglandular placement, patients enjoy a rounder, higher breast projection. In addition, when compared to its submuscular counterpart, patients experience less pain following their Orange County breast augmentation. This placement option is not meant for women who have very little natural breast tissue because lack of tissue increases the potential for implant visibility (e.g., implant edges and/or rippling).
Submuscular Implant Placement
– Dr. Farbod Esmailian creates the implant’s pocket beneath both the breast tissue and the pectoral muscle. This placement option provides the patient with a more natural-looking breast projection. In addition, submuscular placement decreases the likelihood of implant rippling and capsular contracture. Although this option may have a slightly longer recovery, the decrease in risks and issues outweigh placement of implants in the subglandular position.
IMPLANT SHAPE OPTIONS
Implant shapes:
Anatomical
– The anatomical implant is shaped like a teardrop. This option is ideal for women who have lost a considerable amount of volume in the lower portion of the breast.
Round
– These implants are perfect for women who just want to add volume to the lower portion of their breasts as well as the upper portion.
IMPLANT SURFACE
Implant surface options:
Textured
– A textured implant’s surface feels similar to sandpaper. The textured surface helps the implant adhere to the tissue surrounding it. Once adhered, the implant will remain firmly in place. Texturing is mandatory with the use of anatomical implants.
Smooth
– An implant with a smooth surface can move more freely within its pocket than a textured implant can.
A BREAST AUGMENTATION USING HARVESTED AND REFINED FAT
Patients who are looking to increase the upper pole and perhaps a small increase the size of their breasts by no more than a cup are usually good candidates for a breast augmentation using their own harvested and refined fat instead of breast implants. With this procedure, Dr. Esmailian uses liposuction to harvest fat from the patient’s abdomen, flanks, thighs or bra line. He purifies the harvested fat and then strategically injects it into various locations within the patient’s breasts.
As an experienced breast enhancement specialist, Dr. Farbod Esmailian has the skills necessary to provide his patients with beautiful, natural-looking breast augmentation results using silicone, saline or the IDEAL IMPLANT®. For some patients, their own harvested fat can be used to contour and add volume to their breasts.
A CONSULTATION FOR A BREAST ENHANCEMENT PROCEDURE IN ORANGE COUNTY
Dr. Farbod Esmailian encourages his patients to ask questions. Due to his extensive experience, Dr. Esmailian is aware that when a patient knows what to expect, it eases tension and can provide the patient with a sense of comfort about the upcoming plastic surgery procedure. For this reason, in the days leading up to your initial consultation with Dr. Esmailian, please take a few moments to write down your questions and concerns. Remember to bring this list to your consultation. In addition, many of Dr. Farbod Esmailian’s breast enhancement patients find it helpful to view some of the before and after pictures available on his site. They use these pictures to find a patient who has the breast size, shape and projection that they desire. This is very helpful because it gives Dr. Esmailian a visual representation of what you are looking to achieve.
Also, if you have had any breast biopsies or mammograms, please bring the results of those tests with you on the day of your initial consultation for a breast enhancement in Orange County.
At your consultation, Dr. Farbod Esmailian will discuss the various breast augmentation options that are available at his Orange County plastic surgery office. In addition, Dr. Esmailian will ask you questions relating to your medical history.
Some of the information he needs to collect includes:
Your current medications, vitamins, herbal supplements and/or treatments (create a list to bring with you).
Whether you have any chronic conditions (e.g., diabetes, coronary artery disease and hypertension, etc.).
What you would like to accomplish with an Orange County breast augmentation.
If you have a family history of breast cancer.
Results of any previous breast biopsies or mammograms.
Dr. Esmailian will need to examine your breasts. He will also take a variety of measurements and determine the quality of the skin on your breasts. In addition, photographs are routinely taken during the preoperative visit. He uses all this information to create your personalized surgical treatment plan.
After completing the initial examination, Dr. Farbod Esmailian discusses your options with you and gives you his recommendations as to the course of treatment/surgical plan he believes will provide you with the results you desire.
AN ORANGE COUNTY BREAST AUGMENTATION PROCEDURE WITH DR. FARBOD ESMAILIAN
This procedure usually takes one hour. Patients who are having multiple procedures should expect to remain within the surgical area longer.
Patients do receive general anesthesia; therefore, they are asleep throughout the entire procedure. Since they receive anesthesia, patients are not permitted to drive themselves home. For this reason, patients must arrive at the plastic surgery facility with a licensed driver.
Breast augmentation procedure steps:
1. Dr. Farbod Esmailian Visits the Patient in Pre-Op
Dr. Esmailian will visit the patient while she is still in the pre-op area. He will make various markings on her chest and breasts. These markings are used as a guide throughout the procedure. In addition, patients can ask any remaining questions at this time.
2. The Anesthesiologist Administers Anesthesia
Once the patient is sedated, the breast augmentation procedure can begin.
3. Creating the Incision
Dr. Farbod Esmailian will create the incision in the agreed-upon location.
4. Making the Implant’s Pocket
After creating the incision, Dr. Esmailian will make the pocket in which the implant will sit. The pocket needs to be slightly bigger than the implant is. This additional space allows the implant to move around a bit, which provides the patient with a result that looks and feels natural.
5. The Keller Funnel Procedure Method
When using this method, Dr. Farbod Esmailian inserts the breast implant into its pocket using a special device that is referred to as a Keller Funnel. By using this innovative device, the friction that occurs between the incision and the implant during placement is greatly reduced. In addition, the incision can be made smaller as well as less manipulation of the implant.
6. Closing the Breast Tissue and Incisions
Once Dr. Esmailian is satisfied with the location of the implant(s), he will close the breast tissue that leads to the pocket and the outer incision using specific suture techniques that are designed to minimize scarring.
7. Applying the Supportive Bra
The patient is supplied with a supportive bra. This support bra must be worn for the first week or two following a breast augmentation in Orange County, after that, most patients can begin wearing a loose fitting sports bra. Two weeks post-op most patients are able to wear their normal bras and swimsuit tops; however, patients should avoid push-up bras (such as those with wire) until cleared by Dr. Esmailian.
RECOVERING FROM AN ORANGE COUNTY BREAST AUGMENTATION
Directly after surgery, the patient remains in the recovery room until she is awake. Once she is fully aware, she receives information about caring for her incisions and the restrictions she must follow. Although some patients return to work on day five or six, Dr. Esmailian prefers that his patients wait 3-5 days before returning to work.
While the incision heals within 48 hours of the surgery, complete healing can take anywhere from four to six weeks. The scars typically fade substantially within a year of the surgery; however, it is essential that patients avoid subjecting their incisions/scars to sunlight or tanning beds as they are healing. Disregarding this precautionary recommendation could cause the scars to darken, permanently.
WHEN WILL I SEE RESULTS?
Although you will be able to see some results immediately, your true results will not be visible until the inflammation decreases and the implants become settled within their breast pockets. This typically takes about 4 months, sometimes longer.
HOW LONG DO BREAST AUGMENTATION RESULTS LAST?
The results of this procedure are achieved due to the breast implants, which should last at least 10 years. This does not mean that at the 10-year mark women with implants must have a revision surgery, unless a rupture occurs or some other type of problem arises, there is no need to replace the implants.
POTENTIAL RISKS AND COMPLICATIONS ASSOCIATED WITH A BREAST AUGMENTATION PROCEDURE
As with all procedures, risks and complications are possible; nonetheless, one of the best ways to reduce the likelihood of experiencing a problem is to choose a highly-skilled, board-certified breast enhancement specialist like Dr. Farbod Esmailian to perform your procedure. Breast augmentation surgery can be a very fulfilling experience if properly carried out and performed by a qualified board certified plastic surgeon.
To learn more about how Dr. Farbod Esmailian can help you feel confident about the way you look, contact his office today at 562.430.7373. Dr. Esmailian’s office is located at 10861 Cherry Street #108, Los Alamitos, California
