Semira Bayati, MD Plastic Surgeon

Breast Augmentation

Breast augmentation with implants is one of the most popular cosmetic surgery procedures available, and it can do wonders for enhancing your body contours. Patients who would like to add volume and definition to the breasts can see remarkable results that look natural and beautiful with breast augmentation. Dr. Semira Bayati, our board-certified plastic surgeon, can meet with you for an initial consultation to discuss the type and size of implants that will best meet your goals.

To learn more or to schedule an appointment with Dr. Bayati to discuss breast augmentation, please contact us today.

Who Is a Candidate for Breast Augmentation With Implants?

Breast augmentation with implants, or breast enlargement, can give your breasts additional volume and contour while making them appear more proportionate to the rest of your body. The procedure often helps women who are:

big-gel2Breast implants come in a variety of sizes, shapes, and types. Depending on your preferences and what is best for your needs, Dr. Bayati will recommend one or more implant types as well as placement and incision options. During your initial consultation, she will discuss all aspects of the breast augmentation procedure with you, including risks and benefits, and address any questions or concerns you may have.

What Are My Breast Implant Options?

As mentioned, implants come in a broad array of sizes, shapes, and types. In addition to silicone and saline, implants can be round or shaped and smooth or textured. Furthermore, the projection (or profile) of the implant can also help you achieve your desired shape. These options make it possible to customize breast augmentation to best suit your unique needs, body shape, and cosmetic goals.


The most popular option at our practice, silicone breast implants can provide a result that both looks and feels more like natural breast tissue. Modern silicone implants, which come in round and teardrop-shaped styles, are comprised of form-stable silicone gel that resists leaking. Rupture is rare, but if it occurs, you may not realize when it happens since the interior material should remain within the implant. As a result, we recommend patients with silicone implants receive occasional MRIs for best health. Silicone implants are FDA-approved in women 22 years of age or older, or for women of any age after mastectomy.


Saline breast implants are filled with a saltwater solution (saline) that is contained by a silicone shell. In the rare event that a saline implant ruptures, the solution should be harmlessly absorbed by the body. Some women prefer these types of implants for this reason; however, they may not look as natural as silicone in some cases. Another benefit of saline implants is that they can be inserted empty and filled after placement, making it possible to achieve better breast proportion for patients who naturally have asymmetry. Saline implants are FDA-approved for women 18 years of age or older, or women of any age for breast reconstruction procedures.

What Are the Incision Options?

Breast implants can be placed in the body using a variety of techniques, and the right approach for your needs and goals will depend on your individual treatment plan. Dr. Bayati typically uses one of three methods: transaxillary (through an incision in the armpit), periareolar (through an incision created in the areola, the pigmented area around the nipple), or inframammary (through an incision created in the fold where the breast meets the body). The transaxillary incision is only available for use with saline implants, as these can be filled after placement. Advanced techniques make it possible to create a very fine incision that typically heals extremely well. Topical treatments and laser skin resurfacing technology can often further reduce the appearance of the scars if desired.

Breast implants can be placed above or below the muscle, and Dr. Bayati will discuss the benefits of each approach with you during your initial consultation. Very slender women with minimal existing breast tissue may particularly benefit from under-the-muscle placement, which usually offers a more natural-looking result. And women with significant breast tissue, especially if there is some ptosis (droop), may prefer over-the-muscle, as this approach may provide a small “lifting” effect.

We understand that there are a lot of options and a lot of decisions to make. We’re here to help. Dr. Bayati can provide the information and the guidance you need to make the best possible decision for your individual goals.

What Is the Procedure Like?

Dr. Bayati will have some pre-operative instructions for you to follow, which should include when to stop taking certain types of medications. You should also cease smoking at least two weeks before the operation. Breast augmentation with implants typically begins with an incision in one of three locations, as described earlier. These can be made either in the underside of the breast, in the armpit, or around the areola (the dark-pigmented region surrounding the nipple). The implants are placed either beneath the chest muscle or directly behind the breast tissue. Dr. Bayati will go over possible incision locations and implant placement with you at your initial consultation and explain the advantages and disadvantages of each. Dr. Bayati is highly adept at making any residual scarring from incisions as discreet as possible. The entire breast augmentation procedure typically takes about one to two hours, and is usually performed under general anesthesia. This procedure can be performed as an outpatient.

What Is Breast Augmentation Recovery Like?

Some degree of pain and discomfort after breast augmentation can be expected; however, this can be managed with medication. Patients can also expect some swelling, numbness, and/or a burning sensation in the nipples after surgery, but this should dissipate as your breasts continue to heal during recovery. Normal daily routines can typically be resumed about five to seven days after the procedure. Patients are cautioned to avoid strenuous activity and direct stimulation to the breasts for about six to eight weeks after surgery.

With breast implants, Dr. Semira Bayati can give your breasts a larger, more sensual appearance that can not only be a boost to your bustline, but also to your self-esteem!

Contact Dr. Bayati for more details on breast augmentation, or to schedule a consultation.

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Newport Beach, CA. 92660

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