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Are you unhappy with your breast size or shape? At Sadrian Plastic Surgery in San Diego, breast augmentation is performed with the highest level of professional skill by Dr. Sadrian, our double board-certified plastic surgeon. Imagine the increased confidence you will have with breasts that are perfectly balanced with your figure: Plump, round, and youthful.

What is Breast Augmentation?

Breast augmentation (or augmentation mammoplasty) is the most popular and widely performed cosmetic surgery available in America. Through a growing variety of implant options and surgical techniques, under the care of a board-certified cosmetic surgeon, almost any female patient can easily and comfortably have the height, width, size, shape and fullness of her breasts modified to her liking to better achieve her body and beauty ideals. Breast augmentation can also be done to correct size or proportion anomalies, or for medical reasons.

Woman wearing black bra with strap slipping

Benefits of a Breast Augmentation

Many women have lived their lives unhappy with breast size, eventually taking the step to create the figure they want – a very personal and important decision. Our patients come to Dr. Sadrian in San Diego for breast augmentation to:

  • Increase breast size
  • Restore volume to breasts that look deflated due to pregnancy or weight loss
  • YCreate a more attractive shape and projection
  • Raise and restore sagging breasts with a combination of breast augmentation and breast lift.

Am I a Candidate for Breast Augmentation?

Almost every mature female who exercises a bit of due diligence is a candidate for breast augmentation and implants if she wants them. The ideal candidate for breast augmentation:

  • Is in good general health; free of cancer and infections.
  • Is not a smoker and drinker, is a light smoker or drinker, or can pause either for some time.
  • Is 18 years-old or 22 years-old, for saline and saline breast implants respectively.
  • Has weighed the risks of breast augmentation against the rewards.
  • Possibly has flat, sagged, elongated or asymmetrical breasts or does not have ideal cleavage.
  • Is well set up for post-operative recovery and the time this will require away from other obligations: roughly 7-10 days.

Videos of Dr. Sadrian Discussing Breast Implants

Video: Dr. Sadrian Talks About The Allergan Breast Implant Recall

Dr. Sadrian — Allergan Breast Implant Recall

KUSHI Breast Implant Recall Video

KUSHI — Breast Implant Recall

What are the Steps of a Breast Augmentation?

Breast augmentation involves several steps. The first step is a full medical evaluation. At Sadrian Plastic Surgery, we perform breast augmentation at our certified plastic surgery clinic in San Diego. Every procedure is performed with the most advanced technology and equipment and strict patient safety protocols. The steps are as follows:

  • Step One

    To perform breast augmentation, you will be under anesthesia, typically general anesthesia, or intravenous sedation with local anesthesia.

  • Step Two

    The incisions are placed in the breasts. The incision site and length will vary, based upon the type and size of breast implant selected. The incision may be near the nipple, or placed in the breast crease, or in the armpit.

  • Step Three

    A pocket is surgically created in which to place your breast implants. This pocket may be beneath breast tissue, or beneath the chest muscle.

  • Step Four

    The implant is carefully and exactly positioned.

  • Step Five

    Your incisions are carefully closed with tiny sutures and bandaged.

Every detail of your procedure will be fully explained to you by Dr. Sadrian and his professional team. We believe that educating our patients with full and honest communication about every aspect of the procedure is critical to achieve exceptional results. A large majority of our patients come to us through word-of-mouth or have seen Dr. Sadrian’s 5-star rating on realself.com.

Breast Augmentation

If you feel that your breasts are a problem you want to resolve, you are probably a candidate for Dr. Sadrian's breast augmentation surgery in La Jolla.

What are my Breast Augmentation Options?

There are seven simple but important choices you will need to make before undergoing breast augmentation and getting breast implants. These are the seven variations in all breast implants, each of which is a choice to be made by the patient, with full access to the skills, opinions, suggestions and expertise of their cosmetic surgeon, Dr. Reza Sadrian, who will consult or assist patients in choosing each of the following:

Dr. Reza Sadrian: Authorized Provider of the IDEAL Implant

Ideal Implant Logo

A decade in the making and invented by a board-certified plastic surgeon, the IDEAL implant combines the very best aspects of saline and silicone breast implants into a whole new form of implant. They look and feel as natural as a silicone gel implant yet have the safety profile of a saline implant. FDA-approved in 2014 and since used by thousands of satisfied patients, the IDEAL implant is offered only through an exclusive network of U.S.-based board-certified plastic surgeons, of which Dr. Reza Sadrian is a proud provider. Ask about the incredible benefits of the IDEAL implant.

Ideal Implant Cutaway View

The IDEAL implant at a Glance

  • As safe as saline breast implants.
  • As natural-looking and feeling as silicone implants.
  • Volume-adjustable to correct or prevent asymmetry.
  • Smaller incisions than are required for silicone gel implants.
  • Projection and volume provide an attractive and youthful contour.
  • Lower risk of rupture and capsular contracture per 10-year clinical study.
  • Internal baffles prevent unnatural motion and maintain the implant’s form.
  • Support structure prevents the implant’s edges from wrinkling and its upper pole from collapsing when upright.
  • 1. Silicone or Saline?

    The first option a patient has is the choice between Silicone Breast Implants or Saline Breast Implants.

    Silicone breast implants are softer and will feel more like natural breasts. But while silicone implants feel more natural, detecting a future abnormality or rupture would be more difficult: Silicone implants are self-contained units, so little to none of their content would quickly spill within the body in the unlikely event of an accident.

    Saline breast implants are firmer and more rubbery than silicone implants. Made of primarily body-absorbable salt water, saline implants tend to grant a degree of additional safety and peace of mind over time, however, in the rare event one or both implants were to rupture, the affected breast would visibly flatten out within about 24 hours.

  • 2. Round or Contoured?

    The second option a patient has is a choice between quite rounded implants, and fairly raindrop-shaped, contoured implants.

    Round breast implants are the more popular of the two choices, their primary advantage being that because they are radially equivalent on all sides, even if they were to shift or rotate over time, that change would be unnoticeable.

    Contoured or raindrop-shaped implants present more naturally, but their probable downside is that most patients seeking breast augmentation also want the upward lift and upward volume better afforded by round breast implants. A contoured, or profiled, implant is also susceptible to shifting over time — though there are ways this can be preventatively addressed.

  • 3. Size Matters: But How Much?

    Breast implants are measured in cubic centimeters (CC) and come in nearly every size imaginable. Commonly used breast implant sizes range from 200 cc to 850 cc, with 200 to 400 cc being the most common. The selection of a size varies greatly from person to person and depends on an individual's beauty goals and personal preferences.

    The best metric to use in choosing breast implants isn't cup size, but proportionality — how large or small relative to the rest of the upper body. Dr. Sadrian will help you settle on a size you are comfortable with, as well as help you envision what various sizes would be like. Though breast implants are semi-permanent, Dr. Sadrian will be able to give you a very good idea of the final outcome well before the procedure even begins.

  • 4. Choose a Profile: Low, Moderate, or High

    There are three choices of profile available. Profile refers to how much an implant projects forward, away from the chest, when a patient is standing up. Two implants of the same cubic centimeter size can have entirely different profile projections:

    Low Profile Breast Implants are relatively flat in appearance and project the least off of the chest. Here is a good example of where a larger CC breast implant could still give a great look.

    Moderate Profile Breast Implants are a mid-range implant and will tend to produce the most natural profile.

    High Profile Breast Implants project the most off of the chest wall, while being quite narrow at the base. High profile implants will give the fullest, roundest result possible. Taken to extremes, this could end up looking unnatural, though Dr. Sadrian can help in finding a great combination of profile and size (CC) to produce results that match your goals as closely as possible.

  • 5. Above or Below the Chest Muscles?

    As to where the implants are physically located within the body, there are, again, two choices.

    Breast implants can either be placed above or below the pectoralis muscle (chest muscle). Implanting below the chest muscle will give a higher rise and a slightly larger bust, and will reduce the likeliness of "capsular contracture" — scar tissue forming around the implant, which could make it less healthy and more firm than desired.

    Implanting above the pectoralis muscle is less painful, and in this position the breast implant visually ages more naturally. Implants above the muscle can also tend to turn the nipples nicely upward — a “beckoning breast.”

  • 6. Smooth or Textured?

    The fourth decision in breast augmentation is whether to use an implant with a smooth outer surface, or a lightly textured outer surface. Let's compare the two:

    Smooth implants have a greater chance of moving around in the pocket they're nestled in, but tend to have a longer life and a lower rate of rupture.

    Textured implants have a thicker outer shell that makes them feel more firm. Texturing is a later breast implant development, created for the purpose of reducing the risk of scarring (capsular contracture) and to allow the implant to better hold itself within the pocket it sits.

  • 7. Incision Type and Location

    Here we have one of four choices to make: Inframmamary, Periareolar, Transaxillary or Transumbilical.

    Inframammary: this is the most common breast implant incision type. Here Dr. Sadrian will place an incision in the crease under the breast, giving the greatest access when placing and positing implants, and leaving the patient with an almost imperceptible scar line hidden by the breast.

    Periareolar: this is also an extremely common incision choice. The surgeon makes an incision near the lower half of the areola, which placement tends to hide the scar.

    Transumbilical or Transaxillary: The transumbilical incision is done in the naval area, at the top rim of the belly button. The transaxillary incision is done in the armpit area leaving no scar on the breast. These options are much less common and are only options when using saline implants. The empty shell of a saline implant would be inserted while empty and only filled once it is in its final position. Again, most breast augmentation patients opt for “Inframmaramy,” which requires a small incision in the crease under the breast.

    With a large variety of options, it is very easy for a patient to settle on an implant size, type and style that makes them most comfortable and Dr. Sadrian will be more than happy to discuss, suggest and advise at each step of the decision process to help you closely reach the aesthetic body goals you have in mind.

Why Choose Dr. Sadrian for Breast Augmentation Surgery?

Dr. Sadrian is a highly-respected, double-board certified surgeon in San Diego, with almost two decades of practice. Beyond his extensive knowledge and skill, he is warm, compassionate, and dedicated to the highest level of quality in his surgical procedures. In fact, he is often called upon by patients who require breast revision surgery to repair an earlier surgery that led to problems or unsightly results. You want your breast augmentation surgery to go smoothly, safely, and produce the exact look you imagined.

"The short of it is Dr. Sadrian and his team are the best. I am very happy with my entire experience with them from initial inquiry, consultation, breast augmentation surgery, and post op." - J.T.
Dr. Sadrian holding a breast implant
Dr. Sadrian's La Jolla Breast Augmentation Patient Testimonial Video

Breast Augmentation Patient Testimonial

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The Artistry You Need for Beautiful Breasts.

Dr. Sadrian is proud of his reputation for surgical excellence in providing some of the best breast augmentation in San Diego. It requires more than technical skill to create beautiful results in breast enhancement. Dr. Sadrian has an eye for balance, harmony, and takes an artistic approach to the procedure. He is well-versed in advanced surgical techniques and will work closely with you to give you the breast size and shape that you envision.

You can trust Dr. Sadrian to take all the time needed to fully understand what you envision, with the added benefit of seeing what various sizes and shapes will look like on your body with his digital system, along with before and after images of patients with similar physiology. There is no guesswork involved – the surgical plan will be developed so the procedure goes smoothly, and you get the healthy, fresh, natural looking breasts that bring you greater confidence.

Blonde Female in San Diego, CA With Breast Augmentation Results

Breast Augmentation and FDA Recalled Implants

On July 24, Allergan, recalled all Biocell textured implants at the request of the FDA. These implants have been linked to higher rate of BIA-ALCL, or " breast implant associated anaplastic cell lymphoma," a rare immune system cancer.

Silicone breast implants are among the most studied of all medical devices and have been determined to be safe for use. Recently, however, the FDA has received reports of over 700 cases of BIA-ALCL, the majority of which affected women with Allergan textured implants, including the Natrelle line in silicone, saline, and anatomically shaped.

Textured shell tissue expanders produced by Allergan have also been recalled. If you have textured implants and are concerned, testing is available. If you have no symptoms, removing the implants is not necessary, although you may choose to do so.


Other Breast Augmentation Resources From Dr. Sadrian

View more resources about breast augmentation by Dr. Sadrian below:


What Type of Implant Would be Best for Me?

Breast implant technology has advanced, with many more sizes, shapes, and types of implants than ever before. The two main categories are saline and silicone, with many options available in both types. Generally, silicone implants feel more like natural breast tissue. Saline implants have come a long way as well, with advanced structured saline implants now available.

Our structured saline breast implants have a more natural look and feel than earlier implants. What’s right for you? At Sadrian Plastic surgery we will show you the various types and sizes, and working closely with you, the right implants will be selected. The benefits of each type of implant are as follows:

  • Saline Implants: Saline implants have the advantage of being filled after placement. They are filled with sterile salt water and in the rare case that an implant ruptures, this saline solution is easily and safely absorbed by the body. These implants require a smaller incision, often in the armpit where it will be completely invisible. They are also lighter, and typically cost less.
  • Silicone Implants: These implants have a very natural feel and weight, with the nice bounce of natural breast tissue. They are available in a wide range of sizes and shapes, including modern “teardrop” shaped implants, developed to mimic natural breast tissue shape.

What is the Best Implant Placement?

The decision about where to place the implants, whether under the breast tissue or beneath the breast muscle, will be based upon your physiology and the type of implants used. There is no “best” that suits every patient! Saline implants are often placed either below the muscle or partially below the muscle, as these implants are more likely to reveal rippling or wrinkling, particularly in very slim patients with little body fat.

What is the Cost of Breast Augmentation in San Diego?

At Dr. Sadrian's cosmetic surgery office, saline breast implant procedures cost roughly $6,400 and up, while silicone breast implant procedures cost $7,400 and up. Though this price may at first appear high, it is actually well within industry-wide norms. ASPS lists the national average cost of breast augmentation at $3,824. By their criteria, however, they omit multiple cost factors in the calculation, as they openly note, thus were you to actually find an offer at that rate our advice would be to run away — quickly. Getting breast implants is a significant step to take, and you want it done perfectly. Done properly under the hands of a competent and experienced surgeon, there is little inherent risk in the procedure. That’s where Dr. Sadrian comes in.

What Anesthetic is Used for Breast Augmentation Surgery?

The type of anesthesia, whether general or intravenous sedation, will be discussed with you so you know exactly what to expect, and which type would be most appropriate for your surgery.

Once the anesthesia is administered, your procedure will begin. Incision placement varies, based upon the type of implant that has been chosen for your enhancement. The three types of incisions commonly used in our breast augmentation procedure covered in the next section.

Where Will the Incisions Be Located?

There are several surgical approaches for breast augmentation surgery:

  • Periareolar: This incision is made around the areola of the nipple, and once healed the scar naturally blends with the darker nipple color.
  • Inframammary: This incision is placed in the natural crease below the breast.
  • Transaxillary: This incision is in the fold of the armpit, and appropriate for patients who have selected saline implants, as they are filled after placement.

Your implants will be placed through one of these types of incisions. They may be placed under the pectoral muscle, called a “submuscular” placement, or behind the breast tissue, called “subglandular,” or partially beneath the muscle. After the implants are put in place, the incisions will be closed with tiny stitches.

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