In 2012, over 286,000 breast augmentation (breast enlargement/breast enhancement) procedures were performed in the United States, making breast augmentation the most popular surgical procedure for the sixth year in a row. Advances in breast implant technology and surgical techniques have made breast augmentation an extremely safe and effective procedure, and have enabled patients to achieve beautiful, natural-looking results*. At Gabbay Plastic Surgery, Dr. Joubin Gabbay M.D. knows that considering breast augmentation is a very personal choice and that each woman has unique and individual needs and goals for her breast augmentation surgery. For this reason, he takes the time to thoroughly educate and inform his patients, so that they can make a well-informed decision when contemplating their Beverly Hills breast enlargement surgery.
Selecting the perfect size, profile, and type of implant for your surgery may feel like an overwhelming task; however, you do not need to make these important decisions on your own. During your initial consultation at Gabbay Plastic Surgery, Dr. Gabbay will offer his professional recommendations for your breast augmentation surgery, taking into account all of the pertinent details about your specific case (ie. current breast size, height, weight, skin quality, individual preference).
When considering breast augmentation surgery, it is important to truly trust your plastic surgeon and to feel confident in his/her abilities to select bring your aesthetic goals to fruition.
There are many factors and choices to think about when considering whether or not to undergo a breast augmentation surgery, including:
Dr. Gabbay is a highly experienced plastic surgeon, who believes that the doctor/patient relationship is crucial to achieving successful surgical outcomes, and invests the time needed to determine his patients’ expectations and goals. From the moment you enter the doors of Gabbay Plastic Surgery’s state-of-the-art facility, you will feel a sense of calm reassurance and know that you have chosen the best possible location for your cosmetic surgery. If you would like additional information about breast augmentation surgery, please contact Gabbay Plastic Surgery today. We will be happy to answer any and all of your questions and to schedule an initial, complimentary consultation with Dr. Gabbay.
The incredible variety of breast sizes and shapes, along with differences in personal aesthetic preferences make it impossible to define the “perfect” breast; however, some of the characteristics most often used to describe ‘ideal’ breasts include: symmetrical, full, balanced, “soft yet firm,” and having a gentle sloping projection. The ideal nipple/areola complex is often described as being circular, symmetrical, pointing up slightly, the same color, and proportionate to overall breast size.
The female breast contains two main tissue types: glandular tissues, and stromal (supporting) tissues. The glandular part of the breast includes the lobules and ducts. In women who are breastfeeding, the cells of the lobules make milk, and the milk moves through the ducts to the nipple. The support tissues of the breast include fatty tissues and fibrous connective tissues that give the breast its size and shape.
Adipose tissue (fatty tissue) accounts for a large part of the female breast composition and plays a major role in determining breast size. The proportion of fatty and glandular tissue varies among different women, and over a woman’s life. The breast itself does not contain any muscles; however, there are muscles under each breast, over the ribs. Each breast is attached to the dermis of the overlying skin by connective tissue structures known as “Cooper’s ligaments,” which provide support to the breasts. As time passes however, gravity has a detrimental impact on the strength of these ligaments, and as they weaken, the connecting skin stretches and the breasts begin to sag.
Breast augmentation surgery is one of the most common cosmetic procedures performed today and is undertaken for a number of reasons, including (but not limited to)*:
If you are considering breast augmentation, scheduling a personal consultation with Dr. Gabbay at Gabbay Plastic Surgery is a great first step. During this initial consultation, Dr. Gabbay will go over any concerns you have about the appearance of your breasts and why you are considering breast augmentation surgery.
Following your medical history evaluation, if Dr. Gabbay determines that you are a good candidate for breast augmentation, he will then discuss your breast augmentation options, including incision type, implant placement position, implant size and shape, potential complications, and implant profile. In order to help you get a true sense of what your new implants will look like and feel like, you will be able to test various implant sizes and weights in order to determine which specific implant would be the best fit for your body. It is important to tell Dr. Gabbay if you are planning to lose a significant amount of weight, or if you think that you may want to become pregnant in the near future because both of these events can alter your overall breast shape/size.
There are many choices and options to consider when undergoing breast augmentation surgery, including:
There are several options for implant placement which can impact the size and shape of the final aesthetic. These options include:
Breast augmentation is typically performed as an outpatient procedure following these steps:
Mark for Surgery: Dr. Gabbay will mark your breasts for incision locations and general measurement guidelines that will serve as a visual aid during surgery.
Administer anesthesia: Anesthesia will be administered and you will be prepared for surgery. General anesthesia is typically used for breast augmentation; however, in some cases, “twilight” sedation with an IV may be used. The surgery site will be thoroughly cleaned and disinfected before a topical antibiotic solution is applied.
Make Incision: once you are comfortably anesthetized, Dr. Gabbay will make an incision using one of the four techniques discussed above.
Create an Implant Pocket: after the incision is made, Dr. Gabbay will use a special surgical tool to create a pocket for the implant to be inserted into and will place the implant
Place Implant: once the implant pocket is created, the implants will be inserted into position.
Check for Proper Placement: after insertion, Dr. Gabbay will check for symmetry and proper placement.
Close Incisions: after Dr. Gabbay is satisfied with the placement and symmetry of your breasts, he will perform a multiple layer suturing procedure, first closing the deeper tissue, and finally the surface incision itself. A surgical bra and compression band will be applied over the top of the breasts, which will stay on for 1-4 weeks to help the breast implants settle properly into their new pockets.
Rest in Recovery Room: Breast augmentation surgery generally takes 1-2 hours (depending on the complexity of your procedure or combination of procedures) and you will spend the first few hours after surgery in the recovery room. When you are fully alert, you will be released to a family member or friend who will drive you home. Patients are advised to arrange to have someone help them for at least the first few days after surgery*.
Because Dr. Gabbay uses state of the art techniques for breast augmentation surgery, many of his patients have a minimum of pain and are active very shortly after surgery*. Many patients have gone out to dinner the very night they had surgery*. Discomfort following breast augmentation surgery is generally mild to moderate and easily managed*. After your surgery, you will notice more tenderness and fullness around the chest region as the tissues adjust to the presence of the breast implants*. You will be advised to sleep with your head and back elevated to reduce the swelling in your chest region. Many patients choose to take pain medication to increase comfort levels during the first few days, although after three days most patients find that they no longer need the pain medication, and most patients need very little over the entire recovery period*.
Shortly after surgery, you will be allowed to remove your surgical bra and dressings to shower, but may need to wear the supportive bra for several weeks. You will have a follow-up appointment with Dr. Gabbay one to three days after your surgery to ensure your breasts are healing properly. During this visit, you will be instructed on daily breast massage techniques to soften and relax the breast implant pocket, which will help optimize your outcomes*.
Most patients are able to resume daily activities (including work) shortly after surgery (generally, within several days to one week)*. Light exercise may be resumed within one to two weeks, although lifting heavy objects and strenuous exercise should be avoided for 4-6 weeks, as this can slow the healing process*.
Although rare, there are risks associated with breast augmentation surgery. Dr. Gabbay follows all his patients very closely to ensure that they have a very successful postoperative course. Some of the complications associated with breast augmentation include: hypertrophic scarring, hematoma (bleeding inside wound), seroma (fluid around implant), dehiscence (wound separation), infection, inflammation of blood vessels, breast asymmetry, capsular contracture, implant rupture and deflation, contour problems, altered breast/nipple sensation, implant mal-rotation*.
The Beverly Hills breast augmentation procedures we provide can help our patients to feel more confident than ever. Call Gabbay Plastic Surgery today at (310) 928-2558 to get started.