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Breast augmentation has been one of the most popular plastic surgeries for over a decade. During the surgical procedure, FDA-approved implants made of either a saline or silicone gel solution are used to augment and enhance a woman’s existing breasts in order to correct concerns she has about the size, shape, projection, or prominence of her natural breasts. 

A woman’s decision to undergo breast augmentation in Newport Beach is an intimately personal one. One of the most important choices she will need to make is her choice of surgeon. Unless his patients specifically desire otherwise, board-certified plastic surgeon Nirav Savalia usually opts for a conservative approach that achieves a nicely enhanced appearance that looks perfectly natural and complements the rest of a woman’s body.

What is breast augmentation? 

Breast augmentation enhances the size, shape, and projection of the female breasts. It is the most widely performed plastic surgery procedure in the world, thanks to the high rate of patient satisfaction. While the procedure may be intense and elaborate, Dr. Savalia’s patients typically experience a smooth, seamless process that is manageable and rewarding.

During breast augmentation, the doctor will increase the cup size using FDA-approved saline, silicone, or gummy bear implants. Your outcome will be long-lasting, but breast implants are not considered permanent devices and may need to be replaced at some point in the future.

Note that breast augmentation can only provide an increase in volume and an improvement in the breasts’ shape. It cannot address breast ptosis (sagging) or low-hanging nipples. To comprehensively address both issues of size and drooping, Dr. Savalia will need to perform a combination of breast augmentation and breast lift.

Benefits of breast augmentation

Most women who are good candidates for the procedure will experience the following benefits from breast augmentation.

  • A more youthful and aesthetic figure.
  • Improved self and sexual confidence.
  • Better symmetry between the breasts.
  • Improved integration and harmony between the breasts and other parts of the body.
  • Larger and more attractive breasts as defined by a patient’s own unique ideals.
  • Expanded wardrobe choices and peace of mind in swimsuits, lingerie, and other revealing clothing.

Am I a candidate for breast augmentation?

The best candidates for breast augmentation are women in good general health who’ve decided to have the procedure on their own determination. Women with breasts that are smaller than they’d like them to be, or whose breasts have changed with age, after massive weight loss, or after bearing children, will often benefit greatly from the procedure.

Aside from breast augmentation surgery, there is no other way to significantly increase the size of the female breasts. In a personal consultation that takes place well in advance of your surgery, Dr. Savalia will ensure your medical history supports you having this surgery.

BUILDING THE PERFECT BUST: IMPORTANT CHOICES EVERY BREAST AUGMENTATION PATIENT MAKES--DECIDING ON SIZE, SHAPE AND PROFILE 

Dr. Savalia specializes in creating beauty without compromise and will help you choose the best possible options for you personally that sacrifice neither safety nor aesthetic quality. There are a number of options that will need to be discussed and decided on, and he will guide you through this process so that you feel confident and certain about the details of your implant choice.

IMPLANT SHAPE: ROUND OR ANATOMICAL (TEARDROP)

Breast implants come not just in a variety of sizes and profiles, but in a variety of shapes as well. Round, anatomical, or teardrop refer to the final shape of the breasts once the implants are placed.

  • ROUND BREAST IMPLANTS

Round breast implants are typically most suitable for women who already have an aesthetic, natural shape to their breasts, but desire more volume. Round breast implants volume, but they don’t hold their form well.

  • ANATOMICAL (TEARDROP) IMPLANTS

Anatomical implants are designed with an increased amount of fill on the bottom that more accurately mimics the natural shape and slope of the breasts. Anatomical, or “tear-drop” shaped implants, are slim at the top and widen towards the bottom to achieve the most realistic breast shape. One of the most well-known implants of this type are the popular gummy bear Implants. 

Anatomical implants are best for women with relatively flat breasts who desire a natural slope and increased volume.

IMPLANT PROFILE: FROM LOW TO ULTRA HIGH

Aside from the size and shape of your breasts, the profile of your implants is an important part of your decision. Your breast implant profile determines how much the implant projects forward from the chest wall when you’re standing. The profile of your implants depends on how wide the base of the implant is. The wider the base of the implant, the lower the profile, and the smaller the case of the implant, the greater projection the profile will have. 

Implants are available in several different profiles: low profile, moderate profile, moderate plus profile, high profile, and ultra-high profile. Each profile provides a different breast aesthetic; your decision about the profile of your implants will affect the overall look of your new breasts just as much as the breast size does.

Dr. Savalia will select a certain implant profile for you based on the width of your chest and breasts, the desired appearance that you hope to achieve, and the amount of breast tissue you already have.

SIZE: PETITE, NATURAL, OR BUSTY

Breast implants come in every conceivable size, and there is no shortage of options to choose from. If you have photographs or a magazine that depicts a breast size you like, that’s always helpful to have. You can also look through our gallery to help get an idea of what breast size appeals to you and how it might look.

Dr. Savalia will help you choose your best size and have you use a special bra that different implants can fit into. This lets you “try on” your new breasts until you find the one you’re most comfortable and happy with. You’ll have a chance to decide whether you’d like implants that give you a petite, natural-looking or busty appearance. 

SURGICAL DETAILS: INCISION AND IMPLANT PLACEMENT

Many additional decisions are made with Dr. Savalia prior to the procedure, including where the incisions will be made, and where the implants will be placed.

INCISION PLACEMENT

Incision placement depends largely on the type of implant you choose, and this detail of your surgery will be decided upon ahead of time with Dr. Savalia. Implants will be made in one of the following areas:

  • under the crease of the breasts 
  • around a portion of the areola 
  • in the armpits 
  • in the belly button

IMPLANT PLACEMENT

Your implants will be placed above or below the chest muscles (called subglandular or submuscular). Dr. Savalia will make this decision with you based on your body type and which placement would be best for your physique. He will perform a physical evaluation prior to surgery to determine the best approach. Each placement option has its own advantages.

  • SUBGLANDULAR PLACEMENT

Subglandular implant placement puts the implants below the breast tissue, but about the pectoral muscles. This placement is for women who have sufficient breast tissue to cover the implants. Subglandular placement includes a shorter surgery time and recovery period. It also accommodates a larger cup size well. 

  • SUBMUSCULAR PLACEMENT 

Submuscular placement places the implants below both the breast tissue and the pectoral muscles. This placement is best for women with little breast tissue to provide coverage. Submuscular placement can also lead to a more natural and authentic-looking breast appearance. Submuscular placement may also help prevent potential implant complications, but it requires a slightly longer recovery period. 

SUBSTANCE: SALINE OR SILICONE?

SALINE-FILLED IMPLANTS

Saline filled implants are a silicone shell filled with sterile saline solution. Saline implants can be filled after they are placed in the body, which allows for smaller surgical incisions, placed in the armpit or belly button.

Another benefit of using saline implants is that the implants can be filled precisely to create a perfect symmetry. Additionally, if they rupture, the saline inside the implants is harmlessly absorbed by the body.

PROS AND CONS OF SALINE-FILLED IMPLANTS

  • Only implants available to women at 18 years old
  • Filled with biocompatible, sterile saltwater
  • Require smaller incisions
  • In the event of leak or rupture, saline can be safely absorbed by the body
  • More likely to develop wrinkles and rippling
  • Feels less like natural breast tissue

SILICONE GEL-FILLED IMPLANTS

Silicone implants are filled with a soft gel that resembles human breast tissue and appears and feels very realistic. Silicone implants retain their overall shape longer and can provide a very natural augmentation, which includes a variety of options you can personalize according to your preferences. However, if they ever rupture, this will not be quickly detected the way it is in saline-filled implants. Because of this, MRI’s are recommended every three years to make sure there hasn’t been a “silent rupture.”

PROS AND CONS OF SALINE-FILLED IMPLANTS

  • Used by 85 percent of breast augmentation patients
  • Provide the most natural look and feel
  • Hold their form well over a long period of time
  • Include the popular “gummy bear” implants
  • Require a larger incision 
  • Are not available to women until they are 22 years old

Breast augmentation recovery

Breast augmentation is a major surgery and having adequate recovery time is extremely important. Detailed postoperative recovery guidelines will help you navigate the simple but important steps to full recovery.

The first 24 to 48 hours after surgery are the most uncomfortable. During this period, your breasts will feel swollen and tender. You will likely be taking pain medication while you get plenty of rest and limit your movement.

Most of our patients are ready to return to their regular daily activities within about one week. We will carefully track your recovery and have you return to our office for follow-up appointments and are always available to respond to any questions or concerns that may arise.

Dr. Savalia has been the most professional and loving caring doctor that I have had the pleasure to be seen by. I think of him as a friend, and I felt comfortable around him and his staff.

Recovery timeline (varies from patient to patient)

Recovery after a breast augmentation surgery will vary greatly from patient to patient, however generally speaking, here is what you might expect after your surgery. Always be sure to check with your surgeon before making any dramatic changes, including returning to work.

  • Return home — two hours after surgery
  • Moving freely — 1 day
  • Back to light work — 3-5 days
  • Driving again — 7-9 days
  • Doing very light cardio — 1-2 weeks
  • Pain-free — 2-3 weeks
  • Able to have sex — 4-6 weeks
  • Back to most forms of exercise — 6 weeks

What is the cost of breast augmentation? 

Breast augmentation in Newport Beach typically costs somewhere between $7,000 and $10,000, depending on a variety of factors, such as age, overall health, type of implants chosen, and the techniques employed during surgery. If the procedure is performed in tandem with mastopexy or fat transfer, then fees will likely climb. The total cost may include the surgeon’s fees, facility fees, anesthesia fees, postoperative garment fees, and others. Rest assured that we will provide a detailed and personalized quote at the time of your private consultation.

What can I expect from my consultation? 

During your consultation, we will spend all the time you need discussing implant size and shape and which incision options are involved, with a focus on helping you achieve the look you envision.

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Dr. Savalia, Breast augmentation specialist 

Dr. Nirav Savalia is an experienced, compassionate board-certified plastic surgeon in Newport Beach who delivers elegant, nuanced breast augmentation results to his Orange County clients. Dr. Savalia is the proud recipient of the Orange County Medical Association 2018 Physician of Excellence Award and is recognized by Castle Connolly as among the Top Doctors in America. After earning his Medical Doctorate from Jefferson Medical College in Philadelphia, Dr. Savalia trained in the demanding field of Plastic and Reconstructive Surgery, completing a fellowship that sharpened his skills and refined his artistry.

As a Clinical Assistant Professor at UCI Medical Center and Keck School of Medicine, Dr. Savalia consistently gives back to his community by educating up-and-coming plastic surgeons in his innovative, cutting-edge techniques.

Breast Augmentation FAQ

Are breast implants right for me?

The best candidates for breast augmentation should be in good overall physical and mental health. However, beyond these considerations, it’s also essential that you’re choosing breast enlargement for the right reasons. Dr. Savalia will listen carefully to ensure he understands your personal goals for breast augmentation and then help you to decide on the best way to reach those goals. Breast implants can give you a subtle enhancement, improve symmetry, correct problems like tubular breasts, or give your figure a dramatic boost. Regardless of your specific reasons, breast implants should be something you are choosing for you, and you alone.

Will implants fix droopy breasts?

Some women aren’t as concerned with the size of their breasts as they are with placement. Weight fluctuations, pregnancy and nursing, and the normal aging process can all affect where the breasts sit on your chest, sometimes resulting in a droopy, saggy appearance. It’s a common misconception that breast implants alone will give your breasts the high, firm look they once had. In reality, implants only increase your breasts’ volume. To improve placement, Dr. Savalia may recommend a breast lift either with or without implants for a fuller, perkier profile.

How do I decide on implant and incision placement?

In addition to implant size, we will need to discuss placement of your implants (below or above the muscle) and incision location. There are pros and cons to all of the options, and it is necessary to look at the big picture to make the right decision for you. For example, if your heart is set on anatomically shaped silicone implants, you may also need an inframammary incision (hidden in the natural breast crease) because these implants require slightly larger incisions. If you are very slender and have little natural breast tissue, and want saline implants, Dr. Savalia may suggest submuscular placement to achieve extra tissue coverage. Again, these decisions all come down to what will look best on your body while still meeting your hopes for breast enlargement.

How can I pick the perfect implant size?

Many patients voice concerns about becoming too large or too small. Deciding on the perfect breast size for you depends on several factors: your desired results, your existing anatomy—the width of your ribcage, natural breast tissue, the size of your frame—and how physically active you are, to name a few. Additionally, size isn’t the only consideration—we need to select the shape and profile that will work best on your body. Dr. Savalia’s role as your plastic surgeon includes using his expertise to help you understand how all of these elements work together, so you and he can select the size, shape, and projection that will match your personal aesthetic goals.

What procedures can be combined with breast augmentation?

Breast augmentation is typically combined with a breast lift to ensure that the bust appears not only fuller but also more lifted and perky. Mastopexy can also help reposition the nipples in a more pleasing, youthful position. Breast augmentation is also often a component of the mommy makeover, a combination procedure designed to help moms reclaim their bodies after childbirth. A mommy makeover will typically entail a breast augmentation, breast lift, liposuction, tummy tuck, labiaplasty, and facial rejuvenation.

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We are now open and seeing Patients! View Update View Our Specials

We are now open and seeing Patients!

You are on our minds during this recent outbreak of Coronavirus (COVID 19), and we felt it is necessary to keep you informed of the procedures and actions we are taking to ensure your health and safety.

Our practice is considered a low-risk environment, however, we take the well-being of our patients and staff as our highest priority and it is always best to take sensible precautions during a time like this. Please note the following in regard to all patient appointments:

  • We have implemented a “No Hand Shaking” policy at our practice during the outbreak to help limit casual contact and ensure the health and safety of our patients and staff. Please know that we appreciate you and are always happy to see you!
  • If you are experiencing symptoms of respiratory illness (cough, shortness of breath, fever above 100.4), we respectfully request that you reschedule your appointment at our practice until you are free from any symptoms for a period of at least 48 hours. We have asked our staff to do the same.

In addition to our already extensive level of cleaning and sterilization, we have supplemented these efforts with additional cleaning and sanitization of hard surfaces.

Kindest Regards,

Dr. Nirav Savalia and his Staff

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