Beverly Hills Breast Augmentation

Enhance your look with breast implants

The size, shape, and overall appearance of a woman’s breasts can dramatically affect her confidence and self-esteem.

Ladies who are unhappy with their breasts may struggle to feel feminine and attractive. They may also avoid wearing certain clothes and even struggle to enjoy intimacy with their partner.

Thankfully, breast augmentation surgery means that women can get the breasts, of which they have always dreamed. A successful breast augmentation can increase the size of the breasts, giving them a fuller and more shapely appearance.

Dr. Malcolm Lesavoy, a highly experienced and board-certified plastic surgeon, is delighted to be able to offer his skill and expertise in providing breast augmentation surgery to women in the Beverly Hills area.

As one of the most knowledgeable breast augmentation providers, Dr. Lesavoy wrote the chapter “Breast Augmentation” in Plastic Surgery, an 8-volume textbook edited by Mathes that is considered the gold standard in plastic surgery textbooks.

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With Dr. Malcolm Lesavoy, Breast Augmentation is done through the armpit, thus eliminating any scars on the breast. Done only with silicone breast implants. 

The procedure is done in our office certified surgery center, with general anesthesia carried out by a Board Certified Anesthesiologist, and you can go to your home the same day of surgery. 

The final result must look natural, and not look fake, yet still accomplish your goal of having larger breasts appropriate for your size and for your wishes.

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Breast Augmentation Procedure Before Photo
Breast Augmentation Procedure After Photo

Before (Left) and After (right) photos of the results of Breast Augmentation Procedure Performed by Beverly Hills Board Certified Plastic Surgeon, Dr. Malcolm Lesavoy.

Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure aimed at enhancing the size, shape, and volume of the breasts. This is typically achieved through the placement of implants either under the breast tissue or the chest muscles. The implants can be made of saline or silicone gel. The procedure can help increase fullness, improve balance of breast and hip contours, and enhance self-image and self-confidence.

Top 5 Things to Consider If You Are Contemplating Breast Augmentation:

1. Type of Implant:
Saline vs. Silicone: Saline implants are filled with sterile salt water and can be adjusted for firmness, shape, and feel. Silicone implants, on the other hand, are filled with silicone gel and tend to feel more like natural breast tissue. It’s essential to understand the pros and cons of each type and discuss with your surgeon which might be best for you.

2. Surgeon’s Expertise and Experience:
Choosing a board-certified plastic surgeon with extensive experience in breast augmentations is crucial. Reviewing before-and-after photos, patient testimonials, and verifying the surgeon’s credentials can provide insight into their expertise.

3. Potential Risks and Complications:
As with any surgery, breast augmentation comes with potential risks. These can include implant leakage or rupture, changes in nipple or breast sensation, scarring, and complications related to anesthesia. It’s essential to discuss these risks with your surgeon and understand the measures taken to minimize them.

4. Recovery Period:
Recovery from breast augmentation typically takes several weeks. There might be swelling, pain, and a tight feeling in the chest initially. It’s essential to follow post-operative care instructions, avoid strenuous activities, and wear support bras as directed. Ensure you have a clear understanding of the recovery timeline and any restrictions.

5. Long-Term Considerations:
Breast implants are not lifetime devices. They may need to be replaced if there are complications or if the size and shape of the breasts change over time. Regular check-ups with your surgeon and periodic imaging tests (like MRI) are recommended to assess the condition of the implants.

BREAST AUGMENTATION GALLERY

What does breast augmentation surgery involve?
Breast augmentation uses smooth shell silicone prosthetic implants to increase the fullness of the breast. This makes them appear larger, improves their shape, and improves their symmetry.
How much scarring can I expect to have after my breast augmentation procedure?
As a cosmetic procedure, Dr. Lesavoy wants you to feel as confident as possible after your surgery.

The smallest incision possible will be used to insert your implant, and it will be made in the natural crease of your armpit or under your breast, making it as discreet as possible.
Although scars can appear red for some time after the surgery, over time they do fade and become far less noticeable.

The method of inserting and positioning your implant will depend on your anatomy and Dr. Lesavoy’s recommendation. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.

Dr. Lesavoy will make incisions to keep scars as inconspicuous as possible, such as around the nipple, in the breast crease, or in the armpit. Breast tissue and skin will then be lifted to create a pocket for each implant.

Working through the incision, Dr. Lesavoy will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples.

In some cases, putting the implants behind your chest muscle may reduce the potential for capsular contracture. Drainage tubes may be used for several days following the surgery. This placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue. Placement behind the muscle however, may be more painful for a few days after surgery than placement directly under the breast tissue.

The breast implant may be inserted directly under the breast tissue or beneath the chest wall muscle.

You’ll want to discuss the pros and cons of these alternatives with Dr. Lesavoy before surgery to make sure you fully understand the implications of the procedure he recommends for you.

Breast implant surgery usually takes one to two hours to complete. Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing.

After surgery, breasts appear fuller and more natural in tone and contour. Scars will fade with time.

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Types of Implants
There are two types of implants used in breast augmentation surgery, saline and silicone implants. Typically, both are inserted behind the breasts through small incisions, under the breast fold or around the areola. However, Dr.Lesavoy prefers using a small incision in the crease of the armpit, so there is no visible scar.

  • Saline implants are inserted empty and then filled with saline.
  • Silicone implants are pre-filled and available in a variety of sizes. Silicone implants are considered to feel the most like natural breast tissue and preferred by Dr. Lesavoy.
BEST CANDIDATES FOR BREAST SURGERY
If you have been unhappy about the shape, size or overall appearance of your breasts for some time, then breast augmentation surgery may be the perfect solution for you.

During your informative consultation, Dr. Lesavoy will find out more about your medical history to ensure that you are fit and healthy enough for the procedure, as well as finding out more about your reasons for the surgery.While breast enlargement can enhance your appearance and your self-confidence, it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Lesavoy.

Once he determines that a breast augmentation is right for you, he will arrange your surgery.

Dr. Lesavoy considers the best candidates for breast enlargement women who are looking for improvement but not perfection in the way they look. If you are in good health and have realistic expectations, you may be considered a good candidate.
Breast Enlargement or Breast Augmentation is technically known as augmentation mammoplasty. This is a surgical procedure to enhance the size and shape of a woman’s breast for a number of reasons:

  • Enhancing the body contour of a woman who may feel that her breast size is too small.
  • Correcting a reduction in the breast volume after pregnancy.
  • Balancing a difference in breast size.
  • Reconstructing following breast surgery, such as a mastectomy.

Dr. Malcolm Lesavoy is a board-certified, extensively experienced and skilled plastic surgeon, and provides outstanding quality breast augmentation surgeries and patient care in the Beverly Hills area. To schedule a consultation with Dr. Lesavoy, please contact the team at our modern, comfortable offices today at 310-248-5451.

PLANNING FOR BREAST SURGERY
In your initial consultation, Dr. Lesavoy will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, Dr. Lesavoy may also recommend a breast lift.

Be sure to discuss your expectations frankly with Dr. Lesavoy. He will be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask Dr. Lesavoy for a copy of the manufacturer’s insert that comes with the implant he will use – just so you are fully informed about it. And, be sure to tell Dr. Lesavoy if you smoke, and if you’re taking any medications, vitamins, or other drugs..

Dr. Lesavoy will also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.

PREPARING FOR BREAST SURGERY
Dr. Lesavoy will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.

While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.

ANESTHESIA FOR BREAST SURGERY
Breast augmentation can be performed with a general anesthesia, so you’ll sleep through the entire operation. Alternatively, Dr. Lesavoy may use a local anesthesia, combined with a sedative to make you drowsy, so you’ll be relaxed but awake, and may feel some discomfort.
Recovery from breast augmentation surgery
Breast augmentation is an outpatient procedure that will be carried out under general anesthesia. Dr. Lesavoy will ensure that you receive the best possible care and attention in the days immediately after your surgery.

You should expect to take some time off from work (4-5 days) while you heal. Your stitches will be removed around 10-14 days post-surgery, so you will need to wear a sports or surgical bra for a minimum of four weeks after your operation.
Dr. Lesavoy will give you specific aftercare instructions based upon your personal circumstances, and these should be followed precisely, in order for you to make a fast and complication-free recovery from your breast augmentation surgery.

AFTER BREAST SURGERY
You should be able to return to work within a few days of Dr. Lesavoy performing breast enlargement surgery, depending on the level of activity required for your job.

Follow Dr. Lesavoy’s advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery.

For at least six weeks, you’ll notice your scars being pink and firm. They may remain the same size for several months, or you may notice them appear to widen. Although your scars will never disappear completely, after several months, they will begin to fade.

Dr. Lesavoy recommends that routine mammograms be continued after breast augmentation for women who are in the appropriate age group, although you should alert the mammographic technician so they can use a special technique to assure that you get a reliable reading, as discussed earlier.

YOUR NEW LOOK
For many women, the result of breast augmentation plastic surgery can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance.

Regular examination by your Dr. Lesavoy and routine mammograms for those in the appropriate age groups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated.

Remember that the decision to have breast augmentation is highly personal and one that may not be understood by all. What is important is how you feel about it. If you’ve met your goals and you’re are happy with the results, then your surgery is a success.

UNCERTAINTY AND RISK WITH BREAST SURGERY
Breast enlargement is relatively straightforward. But as with any operation, there are risks associated with surgery and specific complications associated with breast implant surgery.

The most common problem with breast implant surgery is capsular contracture, which occurs if the scar or capsule around the implant begins to tighten. This subsequent squeezing of the soft implant can cause the breast to feel hard. There are several treatments for capsular contracture sometimes requiring either removal or “scoring” of the scar tissue, or perhaps removal or replacement of the implant.

As with any surgical procedure, excessive bleeding following surgery may cause some pain and swelling. If excessive bleeding continues, you may need another operation to control the bleeding and remove accumulated blood.

In seldom cases, women can develop an infection around an implant. This infection may occur at any time, but most commonly occurs within a week after surgery. The breast implant may need to be removed in some cases for several months until the infection clears and a new implant can then be inserted.

Occasionally, some women report that their nipples become oversensitive, under sensitive, or perhaps even numb. You may also notice small patches of numbness near your incisions. These symptoms usually disappear with time but may be permanent in some patients.

There is no evidence that breast implants will affect fertility, pregnancy, or your ability to nurse. If, however, you have nursed a baby within the year before augmentation, you may produce milk for a few days after surgery. This may cause some discomfort, but can be treated with medication prescribed by Dr. Lesavoy.

Occasionally, breast implants may break or leak. Rupture may occur as a result of an injury or even from the normal compression and movement of your breast and implant, causing the synthetic shell to leak. If a saline-filled implant breaks, the implant will deflate in a few hours and the salt water will be harmlessly absorbed by the body.
However, If a break occurs in a gel-filled implant, one of two things may occur. If the shell breaks but the scar capsule around the implant does not, you may not even notice a change. If the scar capsule also breaks or tears, especially following extreme pressure, silicone gel may move into surrounding tissue, collecting in the breast and causing a new scar to form around it, or it may migrate area of the body. There can be a change in the shape or firmness of the breast. Both types of breaks may require a second operation and replacement of the leaking implant. Occasionally, it may not be possible to remove all of the silicone gel in the breast tissue if a rupture should occur.

Some women with breast implants have reported symptoms similar to diseases of the immune system, including scleroderma and other arthritis-like conditions. These symptoms may include joint pain or swelling, fever, fatigue, or breast pain. Research has not found a clear link between silicone breast implants and the symptoms of what doctors refer to as “connective-tissue disorders,” but the FDA has requested further study.

There is no evidence that breast implants cause breast cancer, but they may change the way mammography is done to detect cancer. When requesting a routine mammogram, be sure to go to a radiology center where technicians are experienced in the special techniques required to get a reliable x-ray of a breast with an implant. Additional views will also be required. Ultrasound examinations may be of benefit in some women with implants to detect breast lumps or to evaluate the implant itself.
While the majority of women do not experience these complications, you should discuss each of them with Dr. Lesavoy to make sure you understand the risks and consequences of breast augmentation.

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  • Beverly Hills, CA 90210
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