Breast Augmentation Los Angeles
About the procedure
Breast augmentation — increasing breast size using implants — is one of the most common cosmetic procedures performed in Los Angeles and across the United States each year.
Women choose breast implants in Los Angeles for a variety of reasons:
- To restore volume lost after pregnancy or weight changes
- To improve symmetry between breasts
- To enhance size and shape for aesthetic reasons
Sometimes, breast augmentation may also be combined with fat transfer to the breasts for a more natural feel and subtle volume.
Click here to learn more about fat transfer to the breasts
Patients have multiple breast implant options when considering breast augmentation procedures. The video below explains differences between gummy bear implants and silicone gel implants. Most silicone implants used today are “gummy bear” style — meaning the silicone is cohesive and does not leak if ruptured.
Dr. Hirsch, a board-certified plastic surgeon in Los Angeles, performs breast augmentation most commonly using implants. During surgery, he makes a small incision (periareolar, inframammary, or transaxillary), creates a pocket either above or below the muscle, and inserts the implant before closing the incision.
Over time, patients with implants may notice changes in breast shape. This may include asymmetries, implant rupture, visible deformities such as “double-bubble,” or capsular contracture. In some cases, implants may deflate or shift position.
Dr. Hirsch specializes in breast implant revision surgery for patients who have had implants placed in the past and now seek correction. He uses advanced techniques such as implant exchange, neosubpectoral pocket creation, mastopexy, fat grafting, and liposuction to restore a balanced appearance.
Learn more about breast implant revision
After surgery, most patients describe a soreness similar to post-workout muscle fatigue. This usually subsides within a few days. Mild swelling and bruising are common and typically resolve within 2–3 weeks.
Dr. Hirsch recommends wearing a supportive sports bra or soft bra without underwire for the first few weeks after surgery to help with healing and comfort.
Some patients may be prescribed pain medication to manage discomfort during the early recovery period.
For existing patients, please download post operative instructions.
Patient Reviews
Dr. Hirsch is an artist with a scalpel. He did my breast augmentation 6 months ago, and my results are so natural and amazing. I had almost no pain, and the entire process was super smooth and easy! I’m coming back to him for my tummy tuck later this year.
– Aimee L.
I had been to see 3 different beverly hills surgeons before I was referred to Dr. Hirsch by a friend. I knew right away that he was different. He was easy to talk to, has a great sense of humor, and really took his time to understand what I was looking for in my breast augmentation. The day of surgery, I was a little nervous but he calmed me down and surgery went great. My results are amazing of course, I’m so glad that I found him! Thanks Dr. H!
– Jennifer C.
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 there is a complication such as implant rupture, deflation, or capsular contracture. 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.
Who is a good candidate for breast augmentation?
Ideal candidates for breast augmentation are women in good overall health who desire fuller or more symmetrical breasts. It’s important to have realistic expectations, be a non-smoker, and not be pregnant or breastfeeding. Dr. Hirsch will evaluate your anatomy and goals to determine if breast implants in Los Angeles are right for you.
Feel free to browse the following links to learn more about breast implants:
https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation
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