Breast Augmentation Los Angeles

About the procedure

Breast augmentation, or increasing the size of the breasts with breast implants, is one of the most common cosmetic surgery procedures performed in Los Angeles as well as the United States each year. There are many different reasons for undergoing implant surgery: some women have experienced breast deflation following pregnancy, other women may have asymmetry between the breasts, while still other women may simply desire an increase in breast size. Sometimes, breast augmentation with implants can be combined with fat injections to the breast.

Click here to learn more about fat transfer to the breasts

There are many different breast implant options for patients looking for breast augmentation surgery in the Los Angeles area. This video below helps illustrate the differences between gummy bear breast implants and silicone gel breast implants. Almost all silicone implants used currently are gummy bear implants. “Gummy bear” implants are made of silicone gel which is more “cohesive” than silicone gel implants. This is important because when silicone gel implants rupture, the gel does not leak anywhere.

Breast augmentation Los Angeles is most commonly performed with the use of a breast implant. During your breast surgery, Dr. Hirsch a Los Angeles plastic surgeon will make an incision around your areola (periareolar), under your breast (inframammary), or in your armpit (transaxillary). Through this incision, Dr. Hirsch will create a space for the breast implant that will either be above or below the muscle, and then will insert the implant and close the incision.

After several years of breast implants, patients may notice changes in the shape of their breasts. Occasionally, asymmetries between the breasts may develop and the breasts can look different from each other. Deformities such as the “double-bubble” can develop, and capsular contracture may occur. In addition, implants may occasionally deflate, which certainly may affect the shape of the breast. Dr. Hirsch specializes in breast revision procedures, which are for patients who have previously had their breast implants placed, and have developed asymmetries or deformities over time. Dr. Elliot Hirsch uses a variety of techniques to correct these asymmetries, including mastopexy, implant exchange, neosubpectoral pockets, fat grafting, and liposuction to make the breasts appear more symmetric.

Learn more about breast implant revision

After breast augmentation or revision surgery, most patients say that they feel a soreness like they just finished a chest workout in the gym. This feeling may last for a few days, but after a week or so the discomfort is minimal. There may be some bruising or swelling as well, although this resolves over the course of 2-3 weeks. During the first few weeks after surgery, Dr. Hirsch recommends wearing a soft, supportive bra like a sports bra, although any bra without underwire is appropriate.

For existing patients, please download post operative instructions.

Frequently Asked Questions
Breast Augmentation in Los Angeles

There are many different types of breast implants. How do I know which is the right breast implant for me?

After deciding on the size of your breast implant, the next step is to choose between silicone implants or saline implants. Both types have been used successfully for many years, each with its own benefits and considerations. Silicone implants tend to feel more natural, while saline implants allow for smaller incisions and easier adjustments.

Learn more about saline vs. silicone breast implants

How do I know what size implants I should have for my surgery?

Choosing the right implant size is a critical part of achieving the best results for your breast augmentation in Los Angeles. Dr. Hirsch encourages patients to consider how noticeable they want their breast size to be and recommends bringing photos of breasts that are close to their desired size. Dr. Hirsch may also ask you to bring a bra in your desired size to your consultation in Sherman Oaks, and a sizing system will be used to help determine the best implant size for your body.

Keep in mind, overly large implants may cause skin thinning or sagging over time, so it’s important to choose a size that is both aesthetically pleasing and safe.

I have had children and now my breasts are saggy and deflated. What can be done to make them look better?

After pregnancy and breastfeeding, it’s common for breasts to appear deflated due to stretched skin and reduced breast tissue. Breast augmentation can restore volume by filling the skin envelope with implants, giving the breasts a fuller, more youthful appearance. In some cases, if there is significant sagging, a breast lift (mastopexy) may be required in addition to the augmentation to improve both shape and size.

What will happen to my nipple sensation after surgery?

Changes in nipple sensation after breast augmentation surgery in Los Angeles can vary. Some women experience an increase or decrease in sensitivity, while others see no change. These changes are often temporary, but some patients may experience long-term differences due to the stretching of nerves during the procedure. Dr. Hirsch will discuss what to expect during your consultation.

My breasts are saggy, and I would like them to be bigger. What can be done to improve their appearance?

If you want your breasts to be both lifted and larger, you may be a good candidate for a mastopexy-augmentation (a combination of a breast lift and breast augmentation). This procedure can correct sagging while also enhancing breast volume, providing a more youthful and balanced appearance. Dr. Hirsch will discuss your specific goals and determine if a combination procedure is right for you during your consultation in Sherman Oaks.

Should my breast implants be placed over or under the muscle?

Breast implants can be placed either under the pectoralis muscle (subpectoral), over the muscle and under the breast tissue (subglandular), or in a dual plane position. Submuscular placement typically creates a more natural look, while subglandular placement offers a more pronounced, augmented appearance. The dual plane technique offers the benefits of both, including a subtle lift. Dr. Hirsch will help you decide which placement option is best for your anatomy and desired outcome during your consultation at his Sherman Oaks office.

What is the right type of incision for my surgery?

Breast implants can be inserted through several types of incisions: around the areola (periareolar), under the breast (inframammary), or through the armpit (transaxillary). The best incision type depends on your anatomy, implant size, and aesthetic goals. For example, if you desire larger implants and have smaller areolas, an inframammary incision may be preferable. Dr. Hirsch will discuss the best incision options for your specific situation during your consultation for breast augmentation in Los Angeles.

Will I be able to breastfeed after surgery?

Most women can breastfeed after breast augmentation surgery, though the ability to breastfeed may depend on the incision type. An inframammary incision (under the breast) is typically recommended for women who want to maximize their chances of successful breastfeeding post-surgery. Dr. Hirsch will discuss your options to help you make the best decision for your goals.

When can I start exercising again after surgery?

You should start walking the same day as your surgery to promote circulation and reduce the risk of complications. For the first 2 weeks after your breast augmentation in Los Angeles, limit yourself to light activities. Dr. Hirsch will typically clear you for light exercise at 2-4 weeks, with full exercise resuming around 6 weeks post-surgery, depending on your healing progress.

When can I go back to work after surgery?

Most patients return to work within 3-7 days after breast augmentation surgery if they have a desk job or light-duty work. However, if your job involves heavy lifting or strenuous physical activity, you may need to take additional time off. Dr. Hirsch will provide you with a recovery timeline based on your specific circumstances.

Will I have surgical drains after surgery?

Typically, Dr. Hirsch does not use drains during breast augmentation surgery. However, this will be confirmed based on the specifics of your surgery during your consultation.

How long do my breast implants last?

Breast implants do not have a fixed shelf life, and there is no need to replace them unless you experience complications. Both silicone and saline breast implants can last many years, but it’s important to monitor your implants and consult with Dr. Hirsch if you notice any changes.

Will my areola stretch after surgery?

Your areola may increase slightly in size after your breast augmentation, but any change is typically minimal. This will depend on factors such as the size of the implant and your individual anatomy.

Feel free to browse the following links to learn more about breast implants:

https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation