Breast Augmentation FAQ’s

Farbod Esmailian | Plastic Surgery


What are the different incision options for my breast augmentation surgery?

During your initial consultation at FE Plastic Surgery, Dr. Esmailian will take into consideration your body shape, medical history, the type and size of your implants, and your personal preferences, in order to decide upon the appropriate incision type for your breast surgery. Possible incision types include:

  • Transaxillary incision—the incision is made in the underarm region
  • Inframammary incision—the incision is made within the curve below the breast
  • Trans-umbilical (TUBA) incision—the incision is made around the rim of the navel (belly-button)
  • Periareolar incision—the incision is made around the lower half of the areola

Will breast implants hinder the results of my mammogram?

Although there is a chance that breast implants could obstruct your mammogram results, if you notify your mammography technician about your breast implants, they will perform supplementary scans of your breasts to guarantee complete and accurate results. Numerous studies, as well as evidence from the National Cancer Institute, have shown that breast implants do not prevent the patient or their physician from detecting breast tumors.

Who is not a good candidate for breast surgery?

  • Women with serious pre-existing medical problems. Illness can impact the body’s ability to heal, and increase the risk of complications during or after surgery.
  • Women with previous family or personal history of frequent breast cysts. For these patients, multiple biopsies are often necessitated to rule out breast cancer, which can increase the chance of implant deflation.
  • Pregnant women, or women who are currently breast-feeding.
  • Women who are in the process of gaining or losing weight. Patients should postpone breast surgery until their weight has stabilized, because weight loss or gain can impact the appearance of the breasts.
  •  Women with poor mental health, who may be unable to follow pre- or post-operative guidelines, or have been pressured into undergoing breast surgery by others.

What is capsular contracture?

Breast Augmentation FAQs Orange CountyCapsular contracture is a potential complication of breast augmentation surgery causing the breast implant to harden and distort in appearance. Capsular contracture occurs when the patient’s body reacts to the presence of a foreign object (the implant) by creating a “capsule” beneath the implant, which causes the aforementioned hardening and distortion of the implant. When performing breast augmentation surgery, Dr. Esmailian utilizes precise surgical techniques in order to prevent the complication of capsular contraction, and takes all necessary precautions to ensure the lasting success of your breast enhancement procedure.

How long is the recovery period after breast surgery?

Recovery time varies substantially depending upon the specific breast surgery (or surgeries) performed, and the individual capacity of each patient’s body to heal itself. When two or more surgeries are performed in conjunction with one another, recovery periods may be more extensive than when a single procedure is performed. After any breast surgery, it is generally a good idea to have someone assist you for the first few days. You can expect mild-to-moderate discomfort, along with some swelling and bruising, which will dissipate over the next few weeks.  Sutures will be removed approximately seven days after your surgery, and you will be advised to refrain from vigorous exercise and heavy lifting for at least 4-6 weeks.

Will I lose nipple or breast sensation after breast surgery?

Hyper-sensitivity or sensation loss of the nipple/areola is common after breast surgery. However, for the vast majority of patients, this is a temporary side effect—less than 5% of patients experience a permanent loss of sensation in the nipple/areola region after breast surgery.

Will I need to replace my breast implants? If so, when will I need to do so?

The numerous variations among breast augmentation surgical methods, combined with the unique nature of each patient’s body, make a universally applicable answer to this question impossible. Ten years is a rough industry estimate for the time frame breast implants last; however, unless your breast implants rupture, deflate, or you experience capsular contracture or other complications, there is no need to replace your breast implants at any set point in time.  Some patients have had the same breast implants for more than 20 years without a single complication!

Will a breast lift make my breasts appear larger? 

A breast lift alone does not add size or fullness to the breasts—to achieve an increase in breast volume and fullness, a breast augmentation procedure is necessary. If your surgical objective is not only to enlarge your breasts, but also to lift and raise your breasts, a breast augmentation performed together with a breast lift will most likely be the most effective option to produce the results you desire.

Do I need to wait until I am done having children before having breast augmentation surgery?

It is generally advisable for patients to postpone having breast augmentation surgery until they are finished having children; however, Dr. Esmailian utilizes specific surgical techniques during breast augmentation surgery that are geared toward minimizing the impact on mammary glands and nipples. Many of Dr. Esmailian’s breast augmentation patients have gone on to successfully breastfeed their children without any complications, but it is recommended that pregnancy be postponed until 6 months after a patient’s breast surgery.


If you have additional questions that were not answered above, or would like to schedule an initial consultation with Dr. Esmailian, please contact FE Plastic Surgery today. We look forward to speaking with you, and to beginning your journey toward optimal breast health and aesthetics.