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Breast Augmentation

If you're a healthy, happy Southern California resident but you're dissatisfied with your breasts, it's natural to consider doing something about it. After all, our climate and culture invite us to engage in a variety of activities, wear stylish clothes and lead energetic, outdoor-oriented lives. An appealing shape just reflects good health and vitality. These are just some of the reasons Dr. Andrew Smith performs breast augmentation in Orange County. As a breast enhancement specialist, he is qualified and experienced in helping women achieve the look they desire through breast augmentation surgery. Using breast implants, he can help you have larger, firmer and fuller breasts.

Southern California women choose Dr. Andrew Smith for their breast augmentation in Irvine, Corona, and Huntington Beach, CA for his skill and dedication to achieving excellent results. The best way to decide what's right for you is to request a FREE surgical consultation with Dr. Smith using his online form or call his office at (949) 653-7000.

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Case 156, Breast Augmentation

After having children, this 51-year-old woman wanted more fullness in her upper breasts and an improved shape. At 5 feet, 6 inches tall and 132 pounds, she was interested a conservative size increase for her breast augmentation. Dr. Smith used 371-cc cohesive silicone gel implants placed the under the muscle through an inframammary incision. She is very happy with her results.

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Case 161, Breast Augmentation, Breast Lift

51 year old female who was interested in improving the appearance of her abdomen and breasts. She had been working out and was not happy with the sagging of her breasts and their lack of fullness. We discussed a breast augmentation and breast lift (mastopexy) in addition to a tummy tuck and liposuction of the waist. She had pre-existing breast asymmetry and we placed a larger implant on the left side to even out her breast volume. A full anchor mastopexy (breast lift) was done for this Orange County patient to raise her breast position. Implants were used to add fullness to the superior pole of her breasts and allow for better breast shaping. Her results are shown about three months po...

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Case 235, Breast Augmentation

21 year old female who was interested in more breast fullness and asymmetry to her breast. A 371 cc implant was placed in the submuscular plane on the left and 457cc implant on the right using an inframammary incision. She achieved the fullness and asymmetry that she was looking for with her silicone gel implants and she is very happy with her results.

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Case 154, Breast Augmentation

33 year old female from Riverside County who was interested in a breast augmentation as well as liposuction of her outer thighs. She is 5 foot 1 inches tall and weighs 143 pounds. Her preoperative cup size is 34 B and she wanted to add more breast fullness to a C-D range cup size. She had a breast implant procedure with placement of 339 cc and 371 cc silicone gel implants on the right and left side respectively to correct for her natural asymmetry. The implants were placed in the subpectoral plane using a below the breast or infra-mammary incision. She is very happy with her results from surgery.

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Case 30, Breast Augmentation

This 26-year-old woman was frustrated with the contour of her breasts and decided to schedule a consultation with Dr. Andrew Smith to discuss her options. He explained various breast augmentation techniques that would enhance the size and shape of her breasts in accordance with her goals for her appearance. After weighing the benefits of a few different implant types, sizes, and surgical approaches she decided on a breast augmentation procedure using silicone implants in Orange County with Dr. Smith. Before any breast augmentation, or "augmentation mammaplasty," Dr. Smith will work with you to understand your goals so that together you can determine the implant shape and size th...

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Case 93, Breast Augmentation

This 39 year old Orange County, California woman had a breast augmentation. She is 5'3" 127 pounds. She started as a 34 B and put in saline implants 400cc under the muscle.

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Case 157, Breast Augmentation, Breast Revision

40 year old female who had a previous breast augmentation and was very unhappy with her result. She had a saline subglandular augmentation and her implants have resulted in severe rippling and her implants have ended up under her arms. She has a lack of central fullness and her implants end up on her side when she lays down. We did a breast augmentation revision with a complex surgical approach. A switch to larger silicone gel implants along with a pocket change to subpectoral was done. The pocket change utilized AlloDerm® dermal matrix to define the pocket and reduce rippling postoperatively. This resulted in a dramatic improvement and has almost completely eliminated her rippling....

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Case 63, Breast Augmentation

39 year-old Orange County female before and after breast augmentation. She had placement of 350cc moderate profile saline implants in the submuscular position. An inframammary incision was used for access to the pocket. She was interested in a breast augmentation to correct post-partum atrophy after having children and breastfeeding. Her preoperative cup size was a small B, but a significant amount of superior pole volume loss was present. A breast augmentation with saline implants was performed to correct her lack of breast fullness. She chose saline implants for personal reasons, although a similar result would have been achieved with silicone implants. Her postoperative photos are approxi...

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Case 159, Breast Augmentation

47 year old female from Orange County who was interested in a very conservative breast augmentation procedure. She did not like the amount of fullness that she had and wanted to add volume mainly in the upper breast. She did not want her result to be "obvious" and wanted to look better in bathing suits and certain clothes. We planned for a breast augmentation using 265 cc midrange profile silicone gel implants which matched her chest width and volume expectations. She is 5'6" and weighs 125 lbs and was an A cup size. Her desired cup size was a full B cup and this is precisely what was achieved with her breast augmentation surgery. She recovered quickly from surgery and is ...

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Case 160, Breast Augmentation, Breast Revision

27 year old female from Riverside County who had a previous breast augmentation procedure and developed a "double bubble" or loosening of the inframammary fold. This also resulted in visible rippling at the top of her breasts even though her implants were under the muscle. She had saline implants in place, and was satisfied with her volume, but wanted her breast folds and rippling to be improved. We did a breast revision in our Orange County surgical center for her to re-establish her inframammary folds. This consisted of a capsulorraphy (pocket sutures) on both sides to elevate the fold of her breasts and correct her breast augmentation. She chose to keep her existing saline impla...

When you choose Dr. Smith, you're choosing a breast specialist who:

  • Is the Chief of the Subsection of Plastic Surgery at Saddleback Memorial Medical Center
  • Is one of the top surgeons in Orange County for complex breast revisions and reconstructions
  • Has performed thousands of breast surgeries during his 15+ years of surgical experience

Your Consultation

When you choose an experienced surgeon such as Dr. Smith, you may find he can enhance not only the size but the shape of your breasts. Breast implants can be placed using a variety of techniques to create the shape you desire. Implants may also be used to correct differences in breast sizes (asymmetry) or may be combined with a breast lift to correct sagging. And with the growing number of choices for FDA-approved silicone gel implants, breast implant options are better than ever.

When you come in for your consultation, Dr. Smith will have a thorough discussion with you regarding your goals, and he'll treat you according to your individual needs and requests. He explains a number of factors to consider regarding breast augmentation, including cost, the location of incisions, and whether you want the implants placed above the pectoral muscles or behind them. Dr. Smith creates a customized surgical plan based on these factors, along with completing a physical examination.

To help you decide which implant size is right for you, Dr. Smith uses VECTRA® 3-D imaging, an innovative technology that lets you virtually "try on" different sizes to see how they suit your body type. You can read more about advantages of different implant types on our Breast Implant Options page.

Dr. Smith also uses your consultation to discuss various risks and complications, such as capsular contracture and implant rupture, which are very rare among his breast augmentation patients. In fact, Dr. Smith is one of the leading specialists in Southern California for breast implant revision surgeries when patients experience complications after a surgery elsewhere. These procedures require advanced techniques and extensive experience.

Your Breast Enlargement Procedure

Dr. Smith performs most of his surgical procedures at the Laguna Hills Surgery Center. The center is a private facility offering a state-of-the-art environment with the highest levels of safety, comfort, and privacy. The Laguna Hills Surgery Center is on El Toro Road just minutes from the 405 and 5 freeways. The Ayres Hotel is located conveniently in the same complex if you should require a hotel stay.

Dr. Smith creates a surgical plan for your breast augmentation based on your body and your aesthetic goals. Together, you will decide on several details, including the incision location and implant placement. Read more on these below.

Incision Location

Dr. Smith uses a short incision (approximately 1 inch) for most breast augmentation procedures, and he can place it in 1 of 3 locations:

  • Periareolar (along the lower border of the areola): This incision typically fades and blends with the darker skin of the areola, making it almost imperceptible. There is a slight risk of lost sensitivity when using this incision, but it gives Dr. Smith excellent access during surgery.
  • Inframammary fold incision (under the breast): This is the most common incision choice. Dr. Smith makes the incision just above the crease where the breast connects to the chest wall, so it is hidden under clothing and swimwear. It gives Dr. Smith excellent access to the surgical site.
  • Transaxillary incision (under the arm): Some patients prefer this location to avoid having an incision on the breast. Larger implants are not usually suited to this incision option. It also requires Dr. Smith to place the implant with an endoscope, rather than having a direct view of the implant pocket.
Illustration showing Breast augmentation incisions

Regardless of your choice, the resulting scars generally heal very well and are often nearly invisible. Everyone heals differently, however, and scars are unpredictable. If a scar heals with a slightly undesirable appearance, there are several methods for improvement.

If a significant breast lift (mastopexy) is done at the same time, additional incisions may be necessary.

Implant Placement

After making the incision, Dr. Smith creates a pocket where he inserts the implant. The location of the pocket is either above the pectoral muscle and behind the existing breast tissue (subglandular), or behind the pectoral muscle (submuscular):

  • Subglandular placement: This is a good option for women with enough existing breast tissue to camouflage the implant. It is not usually recommended for women with thin breast skin or little breast tissue, or for women choosing saline breast implants, which tend to show rippling more than silicone implants.
  • Submuscular placement: Placing implants behind the muscle includes a number of benefits, including more tissue covering the implants (meaning less risk of visible rippling), and a lower risk of capsular contracture. For patients who choose anatomically shaped implants, under-the-muscle placement helps prevent the implants from rotating.

General anesthesia is Dr. Smith's preferred choice for breast surgery, though he discusses all options. All anesthesiologists are board certified and experienced in outpatient surgery.

Depending on the choices you make, the breast augmentation procedure itself lasts approximately 60 to 90 minutes, and you'll spend about 2 hours in recovery before going home.

Your Recovery

During the first 2 days following your procedure, you can expect moderate discomfort you should be able to control with prescribed medication. You may notice pain when you use your arms or get up from a lying or sitting position. You may also see some bruising and swelling. It is important to limit your activity during this time to ensure a smooth recovery.

Dr. Smith will want you to come in for a post-operative visit the first or second day following surgery. Your dressings will then be removed and you'll be fitted with a bra to wear for a few weeks.

Most patients feel they are able to return to light work within just a few days. You can expect to tire more easily than usual for several days and you should refrain from strenuous activity. After several days you should find your swelling much improved and feel able to resume a normal routine.

After Your Breast Enhancement Surgery

Following breast augmentation, we do all we can to help you enjoy your exciting results as quickly as possible. Once the healing process is over, you can resume an active lifestyle without restrictions. One of the things most women enjoy after getting breast implants is clothes shopping and buying new bras. It's a good idea to buy only a few bras about a month after the operation because the size of your breasts may still change. Six months is a good interval to wait before replacing your wardrobe and bras.

Once your implants "settle" into place, you can enjoy your new, feminine contours for years to come.

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