This 33-year-old patient from Pasadena, CA had struggled with breast asymmetry since high school…
Breast augmentation with implants has been the most popular cosmetic surgery procedure in the United States for years, often requested to improve a lack of volume, noticeable asymmetry, changes in breast shape, or a combination of the above. Our surgeons offering this procedure at the Los Angeles area’s Cassileth Plastic Surgery are industry-leading experts on implant-based augmentation, customizing each surgical plan to meet individual patients’ bodies and goals.
As women, our surgeons know the importance of feeling confident in our bodies. By working closely with each surgery patient and carefully choosing the ideal implant size, shape, and projection, we can create a natural-looking breast that has added volume and improved symmetry. It’s not just about being “bigger”—it’s about feeling comfortable and confident in your own skin every day.
Breast Augmentation Before & Afters
Am I a good candidate for Breast Augmentation surgery?
Patients choose this operation for a variety of reasons. In some cases, they may think their natural breast size is too small. In other cases, they may be hoping to address any of a number of problems: asymmetry, lack of volume, or an elongated shape. They may want to enhance their cleavage or restore the contours of their breasts after changes due to pregnancy, weight fluctuations, and aging.
Ideal patients for this surgery are those who are physically healthy, are not currently pregnant or breastfeeding, maintain realistic expectations, and are adults with bodies that are completely developed.
Breast augmentation is best for those who don’t smoke or regularly consume an excessive amount of alcohol, as this can increase the risk of complications and interfere with healing. Patients with active infections, untreated cancer, or other serious medical conditions may not be suitable candidates for the procedure. It’s best to discuss your medical history with our breast surgeons during your consultation.
What does Breast Augmentation surgery entail?
Breast augmentation surgery starts with a consultation to determine procedure specifics. One of the most important elements to consider is implant size, type, and profile.
Saline breast implants are made of a silicone shell filled with sterile saltwater. Some say that saline implants have a balloon-like feel and look, and there is sometimes a preference for silicone implants because they feel more like real breast tissue. Standard silicone implants are thick and jelly-like in consistency, with a soft, amorphous shape. Highly cohesive silicone implants are firmer, like a gummy candy in consistency, and hold their shape, hence the nickname “gummy bear implant.”
One of the decisions impacting every breast augmentation procedure at Los Angeles’ Cassileth Plastic Surgery is implant placement. The device may be inserted in a subglandular position (in a pocket above the chest muscle) or submuscular position (in a pocket below the chest muscle). Each technique has unique benefits, with the right choice depending on the patient’s individual circumstances and preferences.
The procedure itself involves several steps: creating a small incision, inserting the chosen breast implant to make the breast appear larger, and closing the incision.
At Cassileth Plastic Surgery, we routinely position the implants in a pocket made under the pectoral muscle. Our highly skilled breast surgeons prefer this subpectoral position for several important reasons: Implants inserted below the muscle stay in position longer, have less visible rippling, enjoy lower complication risks, allow for more accurate mammograms, and offer a more natural-looking appearance.
What can breast augmentation do?
Increase breast size
Many women whose breasts have lost volume over time want to restore their breasts’ natural fullness. Others choose breast augmentation to add volume to breasts that have been smaller than desired ever since they first developed. Breast implants are available in a wide range of sizes, allowing for anything from modest to dramatic results.
Breast augmentation patients usually want a natural look, but the right size and result for you depends on your lifestyle, how you like clothes to fit, and your anatomy and skin condition. You’ll discuss profiles, proportions, upper and lower breast fullness, and texture with our plastic surgeons before your breast augmentation.
Alter breast shape
Most women’s breasts change shape at least slightly during their lifetime due to hormonal changes. Breast augmentation surgery can create a fuller, more attractive breast shape for women with small breasts, as well as for those who have lost breast shape and volume due to weight loss, aging, pregnancy, or breastfeeding. Breast augmentation can also change the shape of naturally tuberous breasts.
Additionally, breast augmentation may be a good choice for those who want to alter their cleavage (the space between the breasts), as the type of implants and the way they are placed can make the gap wider or narrower.
Correct breast asymmetry
Breast augmentation can correct breasts that are different sizes or shapes from each other. Most women naturally have some degree of breast asymmetry, though the difference in the breasts is typically not very obvious. In some women, however, the asymmetry is more noticeable, whether due to genetics, natural development, birth- or nursing-related changes, or trauma. Our plastic surgeons specializing in breast surgery can create beautiful, symmetrical breasts and improve their overall appearance and positioning.
What is recovery like after breast augmentation?
After having this procedure, patients typically feel tired due to the lingering effects of the anesthesia. You can expect some soreness, swelling, and discomfort as these effects wear off. There’s no definite recovery timeline after breast augmentation, but it typically takes at least a week for most of the discomfort to lessen and for patients to feel more energized.
During your initial days of recovery, you’ll need someone to help out around the house and assist you with daily tasks. You may also be required to wear a support bra. It’s important to get lots of rest and sleep to promote healing. It usually takes at least several more weeks for the swelling to subside completely and to see the full results.
Are there options besides breast augmentation with implants?
Fat transfer breast augmentation is a technique that uses a patient’s own fat cells, instead of implants, to add volume. This surgery is ideal for women who want a more modest increase in size. Harvested fat can also refine the results of breast augmentation with implants and enhance the cleavage. This will also fine-tune overall body contours by removing some of the exercise-resistant fat from spots on the hips, upper arms, stomach, and thighs.
In some cases, breast asymmetry or changes in shape or position may be due to sagging. A breast lift is designed to correct this problem by removing stretched-out skin, reshaping the tissue, and securing the breasts for a more elevated look.
For women experiencing neck, back, and chest pain because of very heavy breasts that make everyday activities difficult, a breast reduction can reduce the extra weight.
Breast augmentation and other breast and body procedures can be combined with each other, as well as non-surgical treatments, for a Mommy Makeover. This customizable collection of services can address changes caused by pregnancy, childbirth, and nursing.