Understanding Breast Augmentation
Breast augmentation, also called augmentation mammoplasty or breast enlargement, enhances breast size and shape using implants or fat transfer. This procedure helps women achieve fuller, more proportionate breasts that enhance body confidence and clothing fit.
Women choose breast augmentation for various reasons. The most common include naturally small breasts creating disproportion with body frame, asymmetric breasts with noticeable size differences, post-pregnancy volume loss after breastfeeding, weight loss causing breast deflation, aging-related tissue changes, or reconstruction needs following mastectomy.
“Breast augmentation offers transformative results when performed with proper aesthetic judgment and surgical precision,” explains Dr. Sayah. “My goal is never creating overly large or obviously augmented breasts. Instead, I focus on enhancing your natural proportions, creating fullness that appears authentic to your body frame, and delivering results that make you feel confident without looking surgically altered. My artistic background helps me envision the ideal breast size and shape that will harmonize beautifully with your complete figure.”
Our Approach to Natural-Looking Breast Enhancement
Success in breast augmentation requires comprehensive planning considering multiple factors that influence final appearance and patient satisfaction.
- Personalized Consultation: We begin with thorough discussion of your goals, concerns, and aesthetic vision. This includes understanding desired size increase, preferred breast shape and profile, lifestyle and activity considerations, clothing and swimwear goals, and expectations about natural appearance versus obvious augmentation.
- Comprehensive Physical Assessment: Dr. Sayah carefully evaluates your anatomy determining optimal surgical approach. This includes measuring chest dimensions and existing breast tissue, assessing skin quality and elasticity, evaluating breast symmetry or asymmetry, analyzing body proportions and frame, and determining muscle and tissue characteristics affecting implant placement.
- Implant Selection Guidance: We guide you through decisions about implant characteristics. This includes implant type (saline versus silicone), implant size achieving desired fullness, implant profile (low, moderate, high), implant shape (round versus shaped), and surface texture (smooth versus textured).
- Surgical Planning: We determine optimal techniques for your specific anatomy. This includes incision location minimizing visible scarring, implant placement (subglandular versus submuscular), pocket creation ensuring proper positioning, and consideration of simultaneous procedures when appropriate.
Implant Options and Selection in Beverly Hills
Choosing the right implants proves critical for achieving desired results that appear natural and feel authentic.
Silicone vs. Saline Implants
Silicone gel implants contain cohesive silicone gel providing natural feel, excellent shape retention, reduced rippling visibility, and authentic breast tissue simulation. These remain the most popular choice for natural-looking results.
Saline implants contain sterile saltwater allowing adjustable fill volume, slightly lower cost, smaller incision requirements, and immediate detection if rupture occurs. Some patients prefer these despite less natural feel.
- Implant Size Selection: Determining appropriate size involves balancing patient desires with anatomical limitations. We use sizers during consultation allowing you to visualize approximate results. We consider chest width and existing breast tissue. We evaluate body proportions and frame size. We discuss lifestyle and activity considerations. We emphasize natural appearance over maximum size.
- Implant Profile: Profile describes implant projection from chest wall. Low profile creates subtle, natural augmentation. Moderate profile offers balanced projection for most patients. High profile provides maximum projection with narrower base. Ultra-high profile maximizes forward projection for specific aesthetic goals.
- Implant Shape: Round implants provide upper pole fullness, versatile positioning, and consistent appearance. Shaped (anatomical) implants mimic natural breast contour, offer tapered upper pole, and require precise positioning. Most patients achieve excellent results with round implants.
Surgical Techniques and Incision Options
We employ advanced surgical techniques creating optimal results while minimizing visible scarring.
Incision Locations
- Inframammary (Under Breast): Incision in natural breast crease provides excellent access for precise implant placement, accommodates all implant types and sizes, and creates well-hidden scar in natural fold. This represents the most common and versatile approach.
- Periareolar (Around Nipple): Incision along lower areola border provides good access, heals with minimal visibility, and allows simultaneous areola or nipple adjustments when needed. This suits patients desiring correction of minor asymmetries.
- Transaxillary (Underarm): Incision in armpit crease leaves no scars on breast, uses endoscopic visualization for precise placement, and works well for submuscular placement. This appeals to patients prioritizing scar placement away from breasts.
Implant Placement
- Submuscular (Under Muscle): Implant placed beneath pectoralis major muscle provides natural upper pole appearance, reduces rippling visibility, facilitates mammography, and offers some capsular contracture protection. This suits patients with minimal existing tissue.
- Subglandular (Over Muscle): Implant placed above muscle behind breast tissue provides easier recovery, maintains natural breast movement, and suits patients with adequate existing tissue. This works well for specific anatomical situations.
- Dual Plane: Combination approach with upper implant under muscle and lower portion under breast tissue provides advantages of both placements. This creates natural appearance with good lower pole fullness.
Recovery After Breast Augmentation Surgery
Most patients find breast augmentation recovery manageable with proper planning and adherence to post-operative instructions.
- First Few Days: Rest at home allowing your body to heal. Some discomfort is normal, well-controlled with prescribed medication. Surgical bra provides support and positioning. Swelling and tightness expected, gradually improving. Light walking encouraged, avoid strenuous activity.
- First Week: Progressive improvement in comfort. Most discomfort resolves within 3-5 days. Gentle showering permitted as directed. Continue wearing surgical bra. Avoid lifting arms overhead. Light activities and desk work typically comfortable.
- Weeks 2-4: Substantial improvement with decreasing swelling. Most patients return to work within 1-2 weeks. Light exercise like walking permitted. Upper body exercises remain restricted. Continue supportive bra. Breasts settling into position.
- Months 2-3: Swelling substantially resolved. Breasts achieving natural shape and feel. Scars maturing and fading. Resume normal activities including exercise. Results becoming increasingly apparent.
- Long-Term: Final results emerge at 3-6 months. Implants fully settled. Scars continue fading 12-18 months. Results stable with proper implant care. Maintain stable weight. Regular monitoring ensures implant integrity.
Why Choose Chrisalys for Breast Augmentation
Dr. Sayah’s comprehensive training at UCLA Medical Center includes extensive experience with breast augmentation techniques and aesthetic approaches creating natural-looking results. His 26 years of surgical experience encompasses thousands of successful breast augmentation procedures. Patients consistently praise the natural appearance, appropriate proportions, and beautiful outcomes achieved.
As a board-certified plastic surgeon and Fellow of the American College of Surgeons, Dr. Sayah maintains the highest standards of surgical excellence and patient safety. His artistic background as an oil painter and sculptor provides unique insight into proportion, symmetry, and feminine aesthetics essential for beautiful breast augmentation results.
Our fully accredited surgery center in Beverly Hills features state-of-the-art equipment and maintains rigorous safety protocols. Patients throughout Los Angeles trust us for breast augmentation that delivers natural fullness, enhanced confidence, and results that beautifully complement individual body proportions.
Meet Dr. David Sayah
Dr David Sayah is a board certified plastic surgeon in Beverly Hills known for his natural approach to aesthetic surgery. With more than 26 years of experience, he combines surgical precision with artistic insight to deliver balanced and refined results. His philosophy centers on enhancing individual beauty rather than changing it.
A graduate of the UCLA School of Medicine and a Fellow of the American College of Surgeons, Dr Sayah trained at leading medical centers including NYU and UCLA. His work in wound healing and scar formation research helps patients heal beautifully with minimal scarring. Fluent in five languages, he welcomes patients from Beverly Hills, Los Angeles, and across the world who seek exceptional, natural results.
Schedule Your Breast Augmentation Consultation in Beverly Hills
If you are considering breast augmentation to enhance your size, shape, or proportion, we offer the expertise and artistic vision necessary for exceptional outcomes. Contact Chrisalys today to schedule your consultation.
We will discuss your goals, evaluate your anatomy, and create a personalized treatment plan designed to deliver beautiful, natural results. Dr. Sayah looks forward to helping you achieve the fuller, more confident appearance you desire.
Breast augmentation remains one of the most popular aesthetic procedures for women seeking enhanced breast size, improved shape, and greater confidence in their appearance. At Chrisalys, we offer expert breast augmentation to patients throughout Los Angeles and Beverly Hills seeking natural-looking results that complement their body proportions.
Dr. David N. Sayah brings over 26 years of experience to every breast augmentation procedure. He is a board-certified plastic surgeon and Fellow of the American College of Surgeons. His specialized training at UCLA Medical Center, combined with his artistic background as an oil painter and sculptor, allows him to create beautiful, natural-looking results tailored to each patient’s unique anatomy and aesthetic goals. Our Los Angeles and Beverly Hills practice serves patients seeking fuller breasts that enhance feminine contours while maintaining authentic, proportionate appearance.
