Orange County Breast Augmentation

Dr. Farbod EsmailianOrange County Breast ImplantsBest Orange County Plastic Surgeon


Breast Augmentation Before & After Photos

Breast Augmentation Before & After Photos


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.




    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.


    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.


    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 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.


    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.


    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.


    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


    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.


    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.


    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.


    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.


    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.


    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

    Orange County Breast Augmentation


    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.


    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.


    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.


    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.


    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.


    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.



    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.



    • 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.


    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.


    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.


    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.


    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.


    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.


    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 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.



    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.