BREAST AUGMENTATION
Considering breast augmentation?
Are you seeking breast augmentation surgery because you are unsatisfied with the size or shape of your breasts? Or are looking to regain that youthful shape you had when you were younger? Breast augmentation surgery is one of the most common plastic surgery procedures performed today.
Dr. Jason Roostaeian is a Los Angeles breast augmentation surgeon who is exceptionally skilled in achieving symmetrical, natural-looking breasts with minimal downtime.
Am I a good candidate for breast augmentation surgery?
If you are experiencing any of the following, you may be an ideal candidate for breast augmentation:
- Unhappy with the size and shape of your breasts
- Wanting to achieve a perkier, more youthful appearance
- Bothered by breast asymmetry
In women with significantly sagging breasts, it is important to realize that breast augmentation surgery alone cannot adequately improve breast shape. In such instances, a breast lift is often necessary, which may be performed at the same time as a breast augmentation. During your consultation, Dr. Jason will assess your breasts and discuss whether you would benefit from a breast lift.
Natural looking breast augmentation results
Dr. Roostaeian specializes in creating the most stunningly natural plastic surgery, which means that when you choose him as your breast surgeon, you will experience a result that looks as though you may have been born with it. Dr. Jason carefully considers not only your aesthetic goals and vision, but your individual anatomy to craft a result that is perfectly harmonious.
You can achieve larger, more full breasts from breast augmentation surgery by Dr. Jason Roostaeian. With professional guidance and proper implant selection, breast augmentation can help balance breast size and achieve a more youthful breast shape while still maintaining a natural appearance. During this process, breast implants (saline or silicone) are placed inside a pocket behind your breast tissue or more commonly under the pectoral muscle which is just behind the breast tissue. Dr. Jason strives to achieve the most natural looking breast augmentation possible.
UCLA breast augmentation consultation
Coming in for a consultation with Dr. Roostaeian is the best way to determine whether breast augmentation surgery is right for you.
During your meeting, you’ll have the chance to explain your concerns and ask as many questions as you need, without being rushed or feeling obligated to book a procedure. Dr. Roostaeian prefers to listen and get to know patients first, which helps him guide you to a solution that works best for you. Together, you’ll discuss the look you’re trying to achieve, and you’ll be able to view standardized before and after photos of Dr. Jason’s previous results that are similar to your aesthetic goals.
All consultation fees may be credited to any subsequent service performed by Dr. Jason. To book a consultation, please complete the form and we will contact you within two business days.
Alternatively, you may call 310.825.8827 to speak with Lili to make an appointment.
book a consultation
Dr. Jason and our staff at the UCLA Plastic & Reconstructive Surgery Suite are ready to get you started on your journey. Whether to answer questions, schedule a consultation, or simply to listen, we're ready when you are.
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Everything you need to know about breast augmentation
Frequently Asked Questions (FAQs)
PREPARING FOR BREAST AUGMENTATION SURGERY
During your consultation, Dr. Roostaeian will listen to your goals, answer any questions, and help you determine the best treatment plan for you. If you decide to reserve a date for your breast augmentation, Dr. Jason’s surgery coordinator, Lili, will also schedule you a pre-op appointment to take place about a week or two prior to your surgery.
As with any surgical procedure, you must be physically and mentally fit for breast surgery. To ensure patient safety, Dr. Jason only operates on patients who do not smoke, and who have received anesthesia clearance by their primary physician.
Am I a good candidate for a breast augmentation?
If you are experiencing any of the following, you may be an ideal candidate for breast augmentation with Dr. Jason:
- Unhappy with the size and shape of your breasts
- Wanting to achieve a perkier, more youthful appearance
- Bothered by breast asymmetry
In addition, Dr. Jason will only perform a breast augmentation on patients who meet the following criteria:
- Are in good health
- Do not smoke
- Are able to avoid any blood-thinning medications for several weeks
- Have been cleared for surgery by a primary care physician
- Have reasonable expectations and aesthetic goals
How do I find the best breast augmentation surgeon?
When searching for the best breast surgeon to perform your breast augmentation, Dr. Roostaeian advises you to consider several key factors:
- Credentials and Certifications: Research your prospective breast surgeon online – not just on their website, but on industry credentialing sites such as www.surgery.org, which lists board certified plastic surgeons. Do not choose a cosmetic surgeon who is a member of the ABCS – they do not receive the extensive training and oversight that plastic surgeons do. Look for plastic/cosmetic surgeons like Dr. Roostaeian, who are ABPS and ASAPS members.
- Before and After Photos: The doctor you choose to perform your breast augmentation should be happy to show you an extensive array of standardized before and after photographs. Scrutinize them carefully, making sure the lighting is consistent and the various views are shown with detail. View enough breast augmentation pictures to determine whether or not the work is of high quality, with an aesthetic that matches your personal goals. Dr. Jason strives to provide patients with the highest quality of standardized breast surgery photographs so you can feel confident in your choice. Click here to view Dr. Jason’s gallery of before and after breast surgery photos. [LINK]
- Office and Surgery Facility: Before choosing an aesthetic surgeon to perform your breast surgery, closely evaluate the office staff, as well as the surgery facility. All of the staff should be helpful and friendly, and pleased to provide you with detailed information about their operating rooms and equipment. Dr. Jason and his staff are proud to be affiliated with UCLA, world renowned for state-of-the-art surgical facilities and patient care. Click to learn more about our top-ranked hospital.[LINK]
- Personal Connection: Seeing eye to eye with your breast augmentation surgeon is just as important as assessing their operating skills. Plastic surgery is a very personal endeavor, and Dr. Jason strongly believes in creating a connection with all of his patients prior to heading into the OR.
Click to read Dr. Jason’s blog post How to Find the Best Plastic Surgeon.
How much does a breast augmentation cost?
The exact price for breast implants will vary but it is important to know that silicone implants are more expensive than saline. On average, silicone implants tend to be five-hundred to nearly one-thousand dollars more expensive for a pair when compared with saline implants. Call Dr. Jason Roostaeian’s UCLA office today at 310.825.8827 for more information on the costs of breast implants in Los Angeles.
What type of breast implants are best?
What's the difference between silicone and saline implants?
When planning your breast augmentation with Dr. Jason Roostaeian, he’ll help you decide what type of implant to choose. Both silicone and saline implants are considered safe and are available in similar shapes, sizes, and textures.
Silicone implants are made of a silicone rubber shell filled with silicone gel. Silicone implants feel more similar to natural breasts and are less likely to ripple due to its consistency.
Saline implants are also made of a silicone rubber shell, however they are filled with a sterile saline solution. Saline is a salt water solution and therefore feels relatively firm and is more likely to cause rippling.
Another major difference between saline and silicone implants is in the detection of a rupture. If a saline implant ruptures, it is easily detected as the salt water is soon absorbed by the body leaving the breast deflated. Silicone implants on the other hand can be difficult to detect ruptures and often require imaging of the breast to do so.
Silicone |
Saline |
| Feel Soft | Feel More Firm |
| Less Rippling | More Rippling |
| Incision Size: Increases with larger Implant | Incision Size: 3-4 cm regardless of size |
| Implant Shell: Silicone Rubber | Implant Shell: Silicone Rubber |
| Cost More | Cost Less |
| Complication Rate: Minimal | Complication Rate: Minimal |
| Capsular Contracture: ~1-2%/year | Capsular Contracture: ~2%/year |
| Detecting Rare Ruptures: Often requires MRI or Ultrasound (~1-2%/yr) | Detecting Rare Ruptures: Implant Deflates (~2-4%) |
What's the difference between smooth and textured implants?
What size breast implants should I get?
During your initial consultation, Dr. Jason Roostaeian will work with you to determine the right size and shape of implants for your body type. Dr. Jason specializes in natural looking breast enhancements and believes an increase of one-two cup sizes is ideal for most body types.
The U.S. national average for breast implant volume (size) is estimated to be about 325-375cc, depending on the region. An important factor in maintaining natural looking breasts is choosing an implant that fits your individual body.
It is also important to realize that with the increasing volume of an implant there is greater stress and stretch put on your tissues, which are largely irreversible. Therefore, Dr. Jason emphasizes choosing the right size implant for your body size and dimensions in order to minimize any possible damage to your own breast tissue.
Larger breast augmentations can be performed depending on the amount of laxity (skin sag) in the breast. Good communication with Dr. Jason is crucial to help ensure your size satisfaction.
Will my breast implants be over or under the muscle?
Placing an implant behind the glandular tissue and in front of the muscle is referred to as subglandular placement. Placing an implant partially behind the pectoralis muscle, wherein the lower portion of the implant is not completely covered by the muscle, is referred to as subpectoral or dual plane placement. Partial muscular coverage is ideal for many patients with minimal breast tissue because the muscle helps hide the implant and provides a more natural look. Placing the implants behind the muscle also improves the ability to detect any abnormalities of your breast tissue when it comes time to get your mammogram.
Where will my breast implant incision be?
Dr. Jason Roostaeian will help you make a decision about where to place your incision during your breast augmentation surgery. There are three main approaches for inserting silicone implants: they can be inserted through incisions in the areola, armpit, or under-breast crease.
The most common incision performed is the inframammary fold incision (IMF), which is placed just under the breast in your natural breast crease.
The different options will be discussed in greater detail during your breast augmentation consultation with Dr. Jason.
For more information, please read Dr. Jason’s blog post Where Will My Breast Implant Incisions Be?
How do I prepare for breast augmentation surgery?
When preparing for a breast augmentation procedure, follow all instructions issued by Dr. Roostaeian, his office, and the staff at the UCLA Surgery Center. These guidelines include, but are not limited to:
- No food or drink prior to surgery
- Shower/cleanse the area with Hibiclens prior to coming in for surgery
- Avoid certain drugs and supplements before and after surgery
- Arrange transportation
- Ensure you will have help around the house for the first few days
- Obtain prescription and non-prescription medications ahead of time, including pain meds
- Choose to wear loose, comfortable clothing
- Plan out sleeping and resting arrangements (Which side of the bed is easiest to navigate to/from? Do I have enough pillows to make sleep/rest comfortable?)
- Have frequently used items handy – you won’t be able to lift or strain right away
undergoing breast augmentation surgery
When you arrive for your breast surgery, the UCLA Surgery Center nurses will prepare you for your operation. Dr. Roostaeian will stop in to answer any remaining questions you may have, and to make surgical markings for the OR.
Once you have received the anesthesia and are comfortably sleeping, Dr. Jason will perform the breast augmentation as discussed during your previous meetings.
Dr. Jason will explain to you during your consultation that sometimes, a surgical plan may need to be slightly amended depending upon what is revealed in the operating room. He will make adjustments as needed in order to achieve the results that you’ve agreed upon.
Will I have local or general anesthesia during my breast augmentation?
Typically, Dr. Roostaeian performs breast augmentation surgery using general anesthesia. Local anesthesia with IV sedation is also possible. During your pre-operative appointment, Dr. Jason will review your options and help you decide on an whether to use local vs general anesthesia to best suit your needs.
Is breast augmentation an outpatient procedure?
After your breast augmentation, you will not need to stay overnight in the hospital. Breast enlargement surgery with Dr. Jason Roostaeian is outpatient surgery, which means that once you’re cleared by the UCLA Surgery Center recovery team (usually after a few hours), you may go home or to your aftercare location.
How long does breast augmentation surgery take?
Although each case is unique, breast augmentation surgery with Dr. Jason Roostaeian takes about 1 – 2 hours.
What happens during breast augmentation surgery?
During breast augmentation surgery, Dr. Jason will create an incision to gain access behind the breast. The incision will be made as inconspicuously as possible, however, its length and appearance will vary depending on the type and size of implant and your body contours/skin laxity. A pocket will then be made for your implant either above or below your pectoral muscle depending on what you and Dr. Jason have chosen before surgery. After the perfect pocket has been made, it will first be washed with triple antibiotic solution, and then the implant will be inserted into that pocket with minimal touch technique to decrease the chance for bacterial contamination. After inserting the implants, your breasts will be inspected to ensure that they are symmetric and in good position within the pocket. The incisions are then closed using absorbable sutures in the breast tissue, and at the skin so there is no need to later remove stitches.
Can I combine a breast augmentation with other procedures?
Yes, it is possible to combine a breast augmentation with other procedures. One of the most popular is known as the “mommy makeover” – where Dr. Jason rejuvenates both the breasts and the abdominal area during the same surgery.
What are the main breast augmentation surgery risks?
Serious complications following breast enlargement, while possible, are unlikely. Some potential complications can be avoided by carefully following instructions. In addition to the usual risks associated with anesthesia, other risks include:
- Capsular Contracture: when the normal fibrous capsule that your body forms around your implant becomes excessive to the point it distorts its appearance or causes pain. The risk of this occurring is approximately 2% of patients/year.
- Hematoma: Is a collection of blood beneath the skin and can be treated without compromising result, occurs in about 1%.
- Nipple Problems: Changes in sensation, usually this is temporary.
- Rippling: more common in saline.
Is breast augmentation painful?
As with any surgery, there is some discomfort following a breast augmentation. Dr. Jason will inform and prepare you for any pain that can be expected following your breast operation.
Breast augmentation recovery
Prior to your breast augmentation procedure, Dr. Roostaeian will go over what you can expect after your surgery and answer any questions you may have. Before being discharged from the UCLA Surgery Center, you will receive detailed post-op instructions from the staff, as well as information about your follow-up appointment with Dr. Jason. If at any time you have a question or concern after your surgery, our staff is available to assist you. Dr. Jason cares deeply about providing the highest standard of care for his patients, and will closely monitor your healing process.
As with any surgical procedure, recovery from a breast augmentation proceeds in stages. While everyone’s healing process is different, you may expect the immediate recovery period to take about one to two weeks, followed by an activity restriction. Full healing and results will be apparent around the 3-4 month mark, while your scar and swelling will continue to improve over time.
When will I see my final breast augmentation results?
Although you will be able to notice your fuller breasts immediately after surgery with Dr. Jason, the final result will emerge after the implants have settled and the swelling has completely subsided. The scars from your incisions will typically fade to thin, slightly discolored lines over several months. It is important to realize that your breasts will continue to change shape over time as they normally would. Your breasts will always maintain that fuller, shapelier appearance as long as the implant remains in place.
When can I exercise or work out after a breast augmentation?
For the first 2 weeks following your breast augmentation surgery, Dr. Jason wants you to avoid getting your blood pressure or heart rate up as it can lead to bleeding and the development of a “hematoma” (a collection of blood that requires surgical drainage). After 2 weeks, it is important to avoid motions that lead to excessive strain or stress on your incisions to get the best scar possible. By 3 months, your incisions are strong enough to handle most strenuous activities.
What does a breast augmentation scar look like?
Dr. Jason is very meticulous about his incision placement and suturing. Breast augmentation surgery generally causes inconspicuous scarring, hidden most frequently under your breast crease or at the junction between your nipple and breast skin. An armpit approach is also possible. Your scars will typically fade to very thin lines over several months.
Please visit Dr. Jason’s breast surgery gallery to view examples of breast augmentation scars.
What is breast augmentation recovery like?
Following your breast augmentation procedure with Dr. Roostaeian, you should be ready to go home the same day (usually within two to four hours after surgery). Before you leave the operating room we dress you with a support bra that you can remove after 2 days. You can take a shower at that point but baths, swimming, or soaking of your incisions should be avoided for 4 weeks.
There is no significant downtime after breast augmentation. Most patients do not require very much if any prescription narcotics, but we prescribe them just in case your pain is greater than expected. Often only Motrin is necessary for pain control. You can drive if you’re not taking prescription narcotics and most feel up for it within a few days after surgery. You can return to work within a few days as long as it doesn’t require any significant physical activity or lifting.
How much time off work should I take after a breast augmentation?
While everyone heals at a different pace, there are general guidelines to help determine how much work or school you’ll miss after a nose job. To promote proper healing, Dr. Roostaeian recommends taking a few days off after breast surgery. Most patients are able to work from home or do homework after a few days of rest. If your work requires significant physical activity you want to wait at least 14 days to prevent any increases in your blood pressure that can lead to bleeding while your breasts are still in the early stages of healing.
How long do breast implants last?
Implants do not need to be changed or altered unless a problem occurs. On average, 50% of implants are exchanged or removed for various reasons by 10 years. A patients’ desire for a size change, or switching from saline to silicone are some of the more common reasons. With the newest generation of implants, ruptures are more rare. Capsular Contracture, the formation of a tight or painful capsule around the implant, is one of the most common complications that can require removal or exchange of your implant. The risk of capsular contracture developing, on average, is approximately 2%/year based on the latest FDA data.
Can I get pregnant/breast feed after breast augmentation?
Breast augmentation has no bearing on your ability to have children. There is a very minimal risk of altering the ability to breastfeed after augmentation. The biggest issue with pregnancy after an augmentation is how it will affect the look of your breasts. Any significant changes can usually be corrected with an additional surgery if necessary. Make sure to inform Dr. Jason during your initial consultation if you are planning on having children in the near future.
Can I have my breast implants removed?
Breast implants can be removed, and the breast can be reshaped following the removal (if necessary) for improved shape.
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