Tuesday, May 19, 2009

Correction Of Breast Asymmetry - Review Of Plastic Surgery Techniques For Breast Augmentation


Among many considerations associated with breast augmentation Los Angeles plastic surgery specialists often emphasize the importance of considering breast asymmetry, which refers to the differences in the two breast’s size, shape, and form. Although no one has identical breasts, there are many who have breasts that are strikingly different. This often results in much heartache and despair. Not only can it lower a woman’s sense of self esteem, but it also represents a challenge with fitting bras or other clothing.

Today’s Los Angeles plastic surgeon is armed with the latest surgical techniques for addressing each of the specific cause of breast asymmetry.

  1. Asymmetry of breast shape: There are many factors that contribute to breast shape asymmetry, such as difference in the size of the areola, location of the areola, location of the under-breast fold, and differences in the fullness of outer and inner parts of the breasts. Although it is possible to adjust areola’s size and location, it is very difficulty to consistently bring symmetry to the rest of the breast. Even if this is initially achieved, landmarks such as the infra-mammary fold or cleave can change with wound healing and settling of the breast implants.
  2. Asymmetry of breast size: Use of different size breast implants can help make the two breasts more similar in size. Saline breast implants Beverly Hills plastic surgeon Dr. Sean Younai notes, have the advantage of being able to be adjusted in volume during surgery, in order to make the size correction more precise. It is also possible to remove excess breast tissue from one side in order to make the two sides more similar. This is more often done when breast augmentation is combined with a lift - Augmentopexy.
  3. Tubular breast deformity: The hallmark characteristic of tubular breast deformity is the relative enlargement of the areola in comparison to the width of the breast base. In another words, the breasts look narrow with a large areola. In these instances there is often a much higher incidence of size and shape asymmetry. Correction of this type of breast deformity is most challenging since there exists an inherent constriction of breast tissue which might not be able to be fully corrected at the initial surgery. Therefore, there is a much higher chance for requiring second stage or revision surgery.
  4. Breast sagging or Ptosis: Breast sagging or ptosis significantly diminishes the overall beauty of the breasts. This is a phenomenon that not only occurs with aging or childbirth, but that also exists among young women who have lost much weight, such as those after Bariatric gastric bypass surgery. Beverly Hills breast implants surgery techniques for the correction of breast ptosis vary depending on the degree of breast sagging. For mild breast sagging a crescent lift is performed. For moderate breast sagging a peri-areolar breast lift is performed and for severe ptosis an inverted-T, Anchor, or a vertical mammoplasty is performed. While these techniques do correct breast ptosis their longevity is not consistent and there is a significant rate of recurrence.

Dr. Sean Younai, a Board Certified Plastic Surgeon, is experienced in all aspects of breast enhancement surgery including breast augmentation, breast lift or mastopexy, breast reduction, and the correction of breast asymmetry or deformities. During your consultation at the California Center for Plastic Surgery, he will examine you and review your options for breast enhancement. You will also have a chance to evaluate different type of saline and silicone Los Angeles breast implants and to try them on in order to see which ones would look the best on you. Furthermore, he will go over many before-and-after pictures of other patients in order to demonstrate to you results of such surgery. Finally, he and or his staff will review with you preparatory instructions for surgery and potential risks and complications for breast surgery.

Dr. Younai receives patients for breast augmentation, mastopexy, and revision breast surgery from Northern and Southern California, including cities of Los Angeles, Beverly Hills, San Francisco, Santa Barbara, San Jose, Sacramento, Stockton, Bakersfield, Fresno, Burbank, Pasadena, Hollywood, Westlake, Ventura, Thousand Oaks, Calabasas, Northridge, Valencia, and Encino.

Thursday, April 23, 2009

OMG, Did Your Neighbor Get A Nose Job?

Plastic surgery has been becoming more accessible to everyone due to increased disposable income (even in this downturn) and our assertive, independent culture especially here in California. According to a well-known local Los Angeles cosmetic surgeon we recently met with, it’s common for people to give vouchers for cosmetic procedures as birthday gifts to friends and family. He explains that plastic surgery is (and has been for some time) not only for the rich and famous elite, and that chances are, you’ve come across someone today that has had some work done while you ran errands or went on your lunch break.

From Botox in Los Angeles to Beverly Hills breast implants and everything in between, city dwellers and suburbanites alike flock to plastic surgery specialists in southern California to find the right procedure for their individual needs. Lawyers, teachers, public relations specialists, medical professionals, and your soccermom neighbor all have walked through the doors at local cosmetic surgery centers all across Beverly Hills and Los Angeles, explains our resident expert Los Angeles plastic surgeon when describing his personal clientele and experience.

When we want a steak dinner, we go and get our grubbing on; when we’re in the mood for a nice new pair of designer shades, we drop by the sunglasses shop at the mall. Facelifts, nose jobs, tummy tucks and in Los Angeles breast implants in particular, all remain possible and affordable options for people who want to do a little something for themselves, and everyone, including your neighbor next door deserves a little fantastic something every once in a while.

Saturday, March 28, 2009

Determining Breast Cancer Risk Before Elective Plastic Surgery


An article appearing in the January/February issue of the Aesthetic Surgery Journal suggests that patients considering elective breast surgery would gain ultimately improved results after being assessed for breast cancer risk. The article also provides guidelines for plastic surgeons to help women determine breast cancer risk, as well as the most successful options for surgical intervention and breast reconstruction.
There are many risk factors associated with breast cancer, family history probably being the most prevalent. Although these risk factors don’t always mean any woman can or cannot get diagnosed with breast cancer. Estimates predict one out of every eight women will develop breast cancer at some point in her lifetime. That is why it is so important to have regular screenings, either using MRI or mammography to detect the presence of breast cancer, and even genetic testing to determine the risk of developing breast cancer in the future.
“Genetic testing, such as that for BRCA1 and BRCA2 (genes associated with breast cancer), has allowed clinicians to better tailor risk management strategies in patients from families with hereditary breast cancer,” said Hooman Soltanian, MD, lead author of the piece. “Plastic surgeons are in a unique position to provide early preventative options to their patients.”
In Los Angeles cosmetic surgeon Dr. Sean Younai, who is a member of the American Society of Plastic Surgeons and board certified for the American Board of Plastic Surgery also stresses the importance of breast implant safety education especially amongst those at risk for breast cancer.
Early intervention with particularly high risk women can mean they can choose from more surgical and reconstructive procedures. Also, reconstructive surgery and aesthetic plastic surgery of the breasts, such as breast lift surgery (Mastopexy) if done at the same time, can also optimize the cosmetic results.
Even for women simply seeking aesthetic breast surgery, Los Angeles breast implants specialist Dr. Younai says that determining breast cancer risk sooner rather than later can help in choosing the best course of action, and ultimately achieve the best possible results.
Patients of Los Angeles plastic surgeon, Dr. Younai always get a fully informational consultation, in which he discusses the medical risks, care, and technology associated with the procedure in question. The ASAPS suggests the following guidelines for aesthetic breast surgery patients who are at a higher risk for breast cancer:
Prior to every elective breast surgery, special attention should be paid to any family history of breast or ovarian cancer.
Patients who are at high risk for breast cancer based on their personal and family history should be referred for further evaluation by a medical oncologist and/or geneticist.
Every woman 40 years of age and older should have a mammogram prior to an elective breast procedure. Some even recommend a preoperative mammogram in all women undergoing cosmetic breast surgery.
It is important to note that Los Angeles breast augmentation, reduction, mastopexy (breast lift) and implants may have significant consequences in screening and surveillance of breast cancer, specifically with regard to future mammographic evaluation. A new mammogram should be obtained three-to-six months after surgery, to serve as the new baseline for evaluation.
Ultrasound studies and MRI may be used to further evaluate patients with difficult or unsatisfactory mammograms.
For more information on this article discussed by the ASAPS please visit: http://www.surgery.org/press/news-release.php?iid=492.

Thursday, February 19, 2009

Breast Lift Surgery in Beverly Hills- Answers to your questions!

Do I Still Need a Breast Lift if I get Breast Augmentation with Breast Implants?

Beverly Hills breast implants augment breast volume and thus replenish the emptiness of a sagging breast. Although breast implants fill the breasts, they at best, minimally lift the breasts depending on the extent of skin and soft tissue laxity. Therefore, the premise that by choosing a bigger breast implant you can avoid the need for a breast lift is false.

Does a breast lift affect the look of the areola and nipples?

As breasts sag the nipple-areola complex also stretches and gets larger. It is customary to reduce the size of the areola during a Beverly Hills breast lift or Mastopexy procedure to that of a normal sized areola which has a diameter of approximately 1.5 inches.

Does wearing a bra prevent breast sagging or ptosis?

Although the drooping of breasts depend on a multitude of factors that were discussed earlier, in women with large and heavy breasts bra support will prevent excessive stretching of the Cooper’s Ligaments, thus diminishing the extend of breast sagging.

Does breast feeding cause breast ptosis or sagging?

Breast feeding by itself does not cause ptosis, but breast enlargement as a result of pregnancy, followed by their shrinkage with drying of the milk causes stretching of the breasts which ultimately cause them to sag.

How Will Breast Lift Surgery Alter My Breast Size?

As a rule, a Breast Lift will reduce the size of your breasts – generally by one cup size. This is due to the removal of excess breast skin, which itself carries a certain volume. To compensate for the lost breast volume you may then consider having a breast implant placed along with your Breast Lift surgery in Beverly Hills. There are many factors to consider, such as your original breast size, what you consider most attractive and the assessment your Los Angeles cosmetic surgeon of what size breasts are most proportionate for your body.

Does Mastopexy affect a woman’s ability to Breast Feed?

Considering that most types of breast lift or Mastopexy do not disconnect the nipple from its roots, a woman should be able to maintain her breast feeding ability after a lift. Never the less, a Mastopexy can alter a woman’s breast feeding ability if the surgery requires cutting into or manipulating the tissue located directly under the nipple-areola complex.

Mammogram and Breast Self-Examination

Mastopexy does neither alter your ability for breast self-examination, nor is it a hindrance for receiving a mammogram. Your plastic surgeon Los Angeles will probably recommend that you get a mammogram six months after your Mastopexy in order to establish a baseline.

Can the areola size be reduced with a Mastopexy?

Yes. The diameter and size of a stretched-out areola can be reduced via a Peri-areolar or an inverted-T mastopexy.

Disclaimer: This blog or article is for information purpose only, and should not be treated a professional advise or price protection guarantee. This blog is mainly used for search engine optimization and other commercial purposes and it is advised that readers seek professional consultation in the field of interest for more information



Friday, January 16, 2009

You’ve Heard of Silicone and Saline Implants


Here are some types of Los Angeles breast implants you may not have heard of:

Cohesive Gel Implants
Cohesive gel implants are silicone implants that are filled with a thicker silicone gel that holds its shape and form like a "gummy bear." If you cut into a standard gel implant, the liquid silicone gel escapes from the implant shell. In contrast, when you cut into a cohesive gel implant, the implant itself maintains its shape and integrity. These shaped implants are designed with a focus upon a natural look, rather than for enlargement. Furthermore, gummy bear implants maintain their shape in an upright position that decreases the incidence of folding of the implant shell or rippling. If a cohesive gel implant ruptures, it maintains both its shape and integrity.

One disadvantage of cohesive gel Beverly Hills breast implants is that they require a slightly larger incision for insertion. Because of this, insertion is usually performed through an incision in the fold under the breast, or occasionally through an incision around the areola. Cohesive gel implants are very difficult to insert through an incision in the armpit. Finally, gummy bear implants were approved in late 2006 by the FDA for use in the United States, but their use is limited to certain age, and patient require strict follow-up with MRI to look for silent rupture.

PIP Implants
PIP implants are breast implants manufactured in France by Poly Implant Prostheses, and, until recently, imported by PIP/USA. PIP implants are saline but, unlike other saline implants, they are pre-filled. This form of
Los Angeles breast augmentation is not currently approved by the FDA for use in the United States.

Soybean oil-filled Implants
Soy oil-filled implants provide a material less dense than silicone gel, or saline solution, to allow for better visualization of mammograms in the presence of implants. The goal was also to achieve a material of similar safety to saline to allow clearing once the implants eventually fail and leak. These implants are not approved by the FDA for use in the United States.

Expandable Implants
The Spectrum implants introduced by Mentor Corporation are expandable and can be filled anywhere from 25cc to 140cc depending on the initial size of the implant itself. They come with a small remote port that is placed over the outer chest rib cage. They can be filled over weeks to months to let the patient decide exactly on the size. The advantages of this form of
Beverly Hills breast augmentation are the flexibility and range of fill size and the ability to change it after surgery. The disadvantages are that it requires a second surgery to remove the port from the chest wall. There is also a higher infection rate with a remote port and that these implants are costlier than standard implants.

Disclaimer: This blog or article is for information purpose only, and should not be treated a professional advise or price protection guarantee. This blog is mainly used for search engine optimization and other commercial purposes and it is advised that readers seek professional consultation in the field of interest for more information.

Wednesday, October 29, 2008

Over the Muscle or Under the Muscle, Which is Better?


This is a common question among Los Angeles breast augmentation surgery patients; whether their implants should be placed above or below the pectoral muscle. Los Angeles breast implants that are placed over the pectoral muscle are known as “overs,” or “Subglandular” breast implant placement. Breast implants that are placed under the pectoral muscle are known as – you guessed it – “unders,” or “Submuscular” breast implant placement.


It is best to schedule a consultation with your Beverly Hills breast augmentation surgeon first, before deciding which is best for you, however there are many online resources with information on each choice, just to have an idea. It is good to research before hand, and bring questions to your consultation, that way the doctor can answer them then.


With subglandular breast implant placement, the implants are placed directly on top of the pectoral muscle and just behind the breast tissue. Some women prefer these types of implants because they are easier to place by the surgeon, support larger implants, require less recovery time and post-op discomfort, can create more cleavage, and avoid breast lift surgery for sagging. On the other hand, some women prefer not to get subglandular breast implants because they tend to have a more augmented look, are more susceptible to rippling and capsule contraction, and can sometimes complicate mammogram readings. Usually it comes down to the woman’s preference of look and feel for this type of placement.


With submuscular breast implant placement, the implants are placed beneath the pectoral muscle, and sometimes only partially beneath the pectoral muscle using specific incisions and placement on the surgeon’s part. This type of placement is ideal for those who want to avoid the risks of having the implants ripple, rupture, or bottom out, as well as have more successful mammogram readings. On the other hand, submuscular implants are a more technical procedure, requiring more healing time, more post-op discomfort, as well as the risk of distorting when the muscle is flexed, and less easily creating cleavage, especially if the implants are placed farther apart. For more information on the many types of Beverly Hills breast implants and for a qualified and experienced Los Angeles breast augmentation surgeon in your area, visit www.breastimplantsurgeon.info.


Disclaimer: This blog or article is for information purpose only, and should not be treated a professional advise or price protection guarantee. This blog is mainly used for search engine optimization and other commercial purposes and it is advised that readers seek professional consultation in the field of interest for more information.

Wednesday, September 24, 2008

Why Women Seek Breast Augmentation in Los Angeles

Beverly hills breastimplant surgery Breast augmentation has become, if not the most popular, at least one of the most popular Los Angeles cosmetic surgery procedures. In fact, the popularity of breast implant surgery has moved beyond Beverly Hills, Los Angeles, and Southern California, to the rest of the United States. According to the American Society of Plastic Surgeons (ASPS), in 2003 nearly 255,000 women in the United States underwent breast augmentation; nearly twice the number performed in 1998

Visit any gym in Los Angeles these days, and you’ll see so many women with beautifully proportioned bodies! Having a lovely body and full breasts is no longer a luxury that is limited to celebrities. Thanks to cosmetic surgery, and advances in Beverly Hills Breast Implant surgery, and Enhancement, all women can now enjoy fuller and sexier breasts.

So what are some reasons, other than the more obvious ones, why women seek Los Angeles and Beverly Hills breast implants? Well, some women never developed normal-shaped or normal-sized breasts as the rest of their body matured. Frustrated with the lack of results from breast enlargement firming creams, pills, exercises, or machines, these women turn to breast augmentation surgery to achieve the proportional figure that they had always desired.

Other women were unfortunately born with abnormal or asymmetrical breast deformities such as Poland's Syndrome, which results from the failure of breast gland and pectoral chest muscles to development on one side. Similarly, others were afflicted with tubular or tuberous breast deformity which causes the constriction and narrowing of the base of the breast along with the enlargement of the areola. Los Angeles breast implants and breast augmentation surgery has been able to give these women normal-looking and beautiful breasts.

Los Angeles Breast Augmentation with breast implants has been a viable and safe option for breast reconstruction, which is done on many women who have lost their breasts to breast cancer. Breast Reconstruction with breast implants utilizes breast implant expanders to first enlarge the breast skin envelope before the final saline or silicone breast implant is placed. Talk to a Los Angeles cosmetic surgeon about the many options available in Breast Augmentation Surgery in Los Angeles and Beverly Hills.

Disclaimer: This blog or article is for information purpose only, and should not be treated a professional advise or price protection guarantee. This blog is mainly used for search engine optimization and other commercial purposes and it is advised that readers seek professional consultation in the field of interest for more information.