Breast Augmentation

Specialization

Dr. David Sayah specializes in new breast augmentation techniques. He uses state of the art endoscopic instruments to insert breast implants through small hidden incisions. In preparation for surgery, the doctor pays attention to the overall figure of the patient and makes detailed chest measurements to decide the ideal breast implant size for each patient.

Conditions Improved by Breast Implants

Some women have breast augmentation surgery to improve their self-image. Some feel dissatisfied because the size of their breasts do not meet expectations. Others want to bring balance to a breast that is somewhat smaller than the other is. Often women want the procedure to restore their natural breast volume, which may have decreased because of pregnancy, weight loss, aging or even breast cancer surgery. Some of the most common reasons for breast implants are below.

Small Breasts

Most women who choose to undergo breast implant surgery feel that their breasts are too small for their figure. Surprisingly, most women actually want to increase their cup size by only one size or they wish to have enlarged breasts that appear natural and proportional to their figure.

Shrinking Breasts after Pregnancy

During pregnancy, breasts grow markedly to produce enough milk to sustain the newborn baby. After months of engorgement and nursing, the skin on the breast loses some elasticity. Soon after the cessation of breastfeeding, breast tissue generally involutes or thins out to a size smaller than before pregnancy. Coupled with decreased skin elasticity, the breasts droop and sag. Enlarging and lifting the breasts with implants can return the breasts to their original size while correcting the droopiness or ptosis.

Droopy Ptotic Breasts

Decreased tissue elasticity leads to droopy breasts. Multiple pregnancies can exaggerate droopiness. Breast implant surgery lifts the breasts to a more youthful position.

Uneven Breasts

Nearly 100 percent of women have uneven or asymmetrical breasts. When the size difference is significant and noticeable, a small implant in the smaller breast dramatically corrects the asymmetry. Some women may choose to place an implant in both breasts, using a larger breast implant in the smaller breast.

Breast Cancer Reconstruction

Breast implant surgery remains one of the premier options for reconstructing the breasts after breast cancer surgery. Though radiation therapy after breast cancer surgery can negatively affect the softness of breast implants, some surgeons still recommend breast augmentation to reconstruct irradiated breasts.

Tubular Breasts

Some women have breasts with a narrow base, which can herniate or protrude through their nipple-areola complexes. To correct such a deformity, doctors must cut the connective tissue thereby widening the base of the breast. A breast implant fills in the space and maintains the aesthetic of normal base width.

Congenital Deformities

Several congenital conditions lead to uneven breast size and shape. Poland's Syndrome is a condition that affects the arms and breasts, resulting in extremely small or abnormally developed breasts. Pectus excavatum condition is the abnormal development of the ribs and sternum causing an "excavated" appearance of the chest. The ribs and sternum depress the insides of the chest cavity. Consequently, the breasts develop inwardly resulting in extremely wide cleavage. Properly selected breast implants can improve the deformity associated with this condition by simply filling in the depression in the ribs.

For more information about having a enhancement surgery in Beverly Hills contact Dr. David Sayah at 310.385.0000

Other plastic surgery related pages: Glossary – Procedures – Surgical Guide – Procedure FAQ – Before & After Gallery

More Information

Surgery

A surgeon performs the procedure in a surgical facility under a light where an anesthesiologist administers a general and local anesthetic for the surgery, which lasts from one to two hours. The surgeon enlarges the breasts by placing soft implants through a small incision, either though the armpit, from around the nipple or under the breast. Both saline and silicone implants are now available.

View Augmentation time-lapse

Endoscopic

Endoscopic is the most modern technique for breast enlargement surgery. A surgeon makes a small incision in the axilla (underarm) and uses an endoscope to introduce the implant, either under the pectoralis muscle or the breast tissue. The doctor employs absorbable sutures throughout the procedure to assure the comfort of the patient. The unique features of this technique are the small incisions used to perform the procedure and the location of the incisions in the axilla or armpit. Therefore, no scars are visible on the breast or at the breast crease, which lead to excellent aesthetic results. It is an ideal procedure for those patients with smaller breasts where the scars on the breast would be visible, and for those who have a predisposition to abnormal scarring.