Feeling attractive is an important part of being a woman. When in the correct proportion to your frame, your breasts can complement your figure and increase your sense of self confidence. But for many women, living with disproportionately small, sagging, or deflated breasts can make an enormous impact on their overall quality of life. At our Beverly Hills office, Dr. Schwartz offers many different breast augmentation techniques to suit every patients' desired goals.
INCREASE YOUR BREAST SIZE
The primary goal of breast augmentation surgery is to increase the size of your breasts using breast implants, a fat transfer, or a combination of both. Dr. Jaime Schwartz will evaluate your goals, desires, body shape, and medical history during your initial consultation to help determine the implant type, size, and the technique that will give you the most beautiful results.
Breast asymmetry is fairly common — in fact, most breasts are asymmetrical. Unevenness between breasts can vary in severity; one side can be a little bit larger or smaller than the other, or there may be a complete absence of a breast on one side. A breast augmentation can be used to correct asymmetry. If you are concerned with asymmetry, you should bring this up during your consultation with Dr. Schwartz, and together you can determine a treatment plan that will bring better balance to your breasts.
Many mothers choose a breast augmentation to correct the volume loss and sagging that often results from pregnancy and breastfeeding. Clients looking to restore volume to their breasts after childbearing or breastfeeding may benefit from a signature breast augmentation. Also, women with underdeveloped breasts looking for a breast enhancement that complements their body and fills out their proportions may benefit from a signature breast augmentation with Dr. Schwartz.
Whatever your desired outcome, Dr. Jaime Schwartz in Beverly Hills has developed precise measurement techniques to make sure that your breast augmentation will fit your body and your individual aesthetic goals.
VECTRA 3D IMAGING
During your initial consultation, Dr. Schwartz will use the VECTRA® 3D imaging system to help you better visualize your results, and to provide him with precise, detailed information about your breast size and breast tissue distribution. Vectra takes a high resolution, three dimensional photograph of your entire body, allowing Dr. Schwartz to digitally insert breast implants of different sizes under your breasts and show you what your potential results could look like.
Implant simulators will also be used during your consultation to help you make the best choice for your body. Additionally, you and Dr. Schwartz will discuss your aesthetic goals and review the different types and styles of breast implants that may be used for your augmentation.
Breast Augmentation Reviews
"Dr. Schwartz and his staff at The Roxbury Institute made my experience with plastic surgery an amazing one. Over the past few years, I lost a lot of weight and was carrying around a good deal of extra skin that needed to be removed. Dr. Schwartz spent a lot of time with me developing a plan and walking me through each of the multiple procedures that would help me get the body that was only in my dreams. I had a breast augmentation, a breast lift and a bra line back lift for my first round at The Roxbury Institute. I've never been confident in my body, Dr. Schwartz helped me see what I could become.It's hard to balance science with sexy, Dr. Schwartz and his team are the experts at both. He's incredibly knowledgeable and skilled in his craft and it shows in his results. Everything he told me about my experience and my results came true. My entire experience, from pre-op planning, to the surgery, to the aftercare went as smoothly as I could have ever hoped.Dr. Schwartz invests in every step of his patients' care. He and the whole team at The Roxbury Institute will ensure that you're healthy and happy throughout the entire process. If you are at all considering having plastic surgery, I highly recommend that you stop by and talk with Dr. Schwartz, it's so worth it!!I'm finally starting to like the skin I'm in and that's only because of Dr. Schwartz and his amazing work."- A.W. / Yelp / Dec 03, 2017
"I love, love, love Dr Schwartz! He is not just amazing surgeon, but he also cares for his patients. Perfectionist as well: he's only satisfied with the best work and that is what he delivers. I considered breast augmentation and lift for a while, but after meeting Dr Schwartz I made up my mind right away. My life changed after the procedure. I love my breasts now! Thank you Dr Schwarts for changing my life!"- D.C. / Yelp / Jul 27, 2017
"Stop looking for Doctor's. This guy is the one. He is Amazing!!. He does miracles. I has lost all hope. Thanks to Doctor Jaime SchwartzWonderful bedside manner.After having been botched by a different doctor I was terrified of having any more attempts at breast augmentation revision.In the past year and a half I have seen over a dozen doctors for breast revision. I didn't feel comfortable with any plastic surgeon until met Doctor Schwartz. Aside from having magic hands he truly loves what he does and is great at it. His staff is wonderful also.I came across doctor Schwartz by visiting doctor Amron who is one of the top Lipedema surgeons. He is also an amazing doctor. I wouldn't go to anyone else aside these two miracle doctors I'm very grateful to both doctors."- L.R. / Yelp / Jun 29, 2017
"Experience was more than amazing with Dr. Jamie Schwartz! I was tested positive for BRACA when I was 18. I saw a genetic counselor and she told me since I was so young no one would operate on me I till I was 25. Me being the hardhead that I am wouldn't take no for an answer. Thank goodness I didn't stop looking because I found the amazing Dr. Jamie Schwartz! Not only did you give me a beautiful natural look, he listed to all my wants and needs while still making them proportional To my body. My incisions are under the breast and very faint so you can barely see them when I model. (Even thoughI don't mind my battle scars.) They placed my drains perfectly so they didn't mess up my tattoo. All I have to say is I absolutely adore Dr. Jamie Schwartz and his team. They always have a patient in me!"- A.D. / Yelp / Jun 01, 2017
"If I could give Dr. Schwartz 10 stars I would. He has exceeded all my expectations. He gave me the most perfect, beautiful, natural looking breasts. I always had small breasts, and after breastfeeding they were ruined. They weren't just small, they were completely deflated. Dr. Schwartz gave me my dream breasts! I feel like a woman again. I feel sexy and confident in a way I never have! Dr. Schwartz and his staff are professional, caring and very attentive to your needs. To say that I am happy with my results is an understatement!"- J.A. / Yelp / Feb 21, 2017
Saline VS. Silicone
Saline Breast Implants
Saline breast implants have certain advantages, like their lower cost and safety. If a saline implant ruptures, the harmless solution is simply absorbed by the body, as the liquid used is the same one found in an IV. Additionally, saline implants are inflated after they are inserted into the breast pocket, so the incision required is much smaller and less invasive than with other types of implants.
SALINE BREAST IMPLANTS:
- Filled with sterile saltwater encased in a silicone shell
- Can be used in patients who are under 22 years of age
- Can be filled to different volumes from side to side to correct asymmetry
- Tend to have more rippling
- Tend to feel less natural
- Tend to have higher implant rupture rates
Silicone and "Gummy bear"
Silicone breast implants have the advantage of feeling and looking extremely natural. These implants are already inflated prior to insertion, so they require a slightly larger incision which can be discreetly hidden in the breast crease, or within the darkened contours of the areola complex. They are ideal for clients with less natural breast tissue to work with.
SILICONE BREAST IMPLANTS:
- Are chosen by 80% of women worldwide
- Have a lower rupture rate
- Possess a more stable shape
- Have less rippling
- Generally cost more
- Require a larger incision
- Require a larger areola if they are to be placed through the nipple
- Cannot be placed through the armpit if large size is selected
- Cannot be reabsorbed into the body if the implant shell ruptures
Another type of popular silicone implant is the "gummy bear" or cohesive gel implant. One advantage of the gummy bear implant is that the implant is anatomically tear-shaped, mimicking the organic curves of the breast.
GUMMY BEAR IMPLANTS:
- Were FDA approved in 2013
- Possess solid consistency and firmness
- Have a dense silicone core, more like a solid than a soft gelatin
- Are an excellent choice if one is undergoing reconstructive surgery
- Are an excellent choice for transgender patients (MTF) undergoing top surgery
- Lower risk of capsular contracture and rupturing
Dr. Schwartz prefers to use Mentor®, an American breast implant manufacturer, known for their superior safety aspects as well as their lifetime guarantee. He is also a principle investigator in the GLOW Study, a Mentor® clinical study investigating the long-term performance of Mentor® MemoryShape™ and MemoryGel™ breast implants. The study is open to any and all breast augmentation patients. Clients who qualify for the study will receive compensation for their participation in the clinical trial, as well as a free enhanced warranty from Mentor®. To find out if you qualify for the GLOW study, please feel free to bring this up with Dr. Schwartz during your breast augmentation consultation.
Implants come in high, medium, and low profiles. The volume of the implant is the same, but the amount of projection increases with each profile, and the base diameter of the implant gets more narrow.
For greater than 90% of clients, a medium profile is the best because it gives just enough upper pole fullness as well as projection. However, with Dr. Schwartz's specific measurements, once in a while he will recommend using a low profile or high profile implant.
Implants come in round and anatomic shapes. Dr. Schwartz specializes in both types of implants and has an extensive background in using anatomic implants. If a client has a nice shape to their breasts already and just wants an increase in volume, Dr. Schwartz tends to recommend round implants. If a client has an undesirable breast shape, such as flat chested, or has had breast tissue removed after a mastectomy, Dr. Schwartz tends to recommend anatomic silicone implants.
Implants can be either textured or smooth. The most common implant used in the United States is a smooth, round, silicone gel implant. Textured implants are sometimes recommended when the implant is placed over the muscle or if there is a history of capsular contracture.
Textured implants have been linked to BIA-ALCL (breast implant-associated anaplastic large cell lymphoma). Out of millions of implants place in the world, there are less than 400 cases of this. The treatment, should it occur, is to remove the implant and the capsule. Because it is such a small number of cases, textured implants may still be used safely.
There are different types of texturing among implant manufacturers. Mentor implants are known to have a less aggressive texturing, and have been rarely linked to BIA-ALCL.
Dr. Schwartz will choose to either place the implant in a subglandular position, meaning under the breast tissue but above the pec muscles; or he will place the implants in a sub-muscular position, below the pec muscles. Dr. Schwartz can discuss the drawbacks and benefits of each kind of placement with you during your initial consultation.
Dr. Jaime Schwartz will help you to choose the best type of incision, based on your anatomy, aesthetic goals and lifestyle.
INFRAMAMMARY FOLD (IMF): This incision is the most common in the United States and also Dr. Schwartz's preferred method for implant placement. The reason being is that this incision has been shown to have a decreased risk of complications, including capsular contracture and loss of nipple sensation, because the implants do not come in contact with the breast tissue where bacteria could contaminate the implant and increase inflammation. Another important reason why this is a preferred incision method is because it gives more direct access to the muscle and the pocket to place the implant into. The IMF incision is also beautifully camouflaged underneath the breast and can be completely obscured when wearing a bra or bikini.
PERIAREOLAR: This incision is preferred by some patients due to the fact that if it heals well, the incision is hidden between the darker areola skin and the lighter skin of the breast. The drawback with this incision is that if it doesn't heal well, you may have an undesirable scar on the front of the breast, rather than underneath it. Dr. Schwartz also feels there may be a trade off in safety, in comparison to the IMF incision. However, if a client prefers this incision, or is going to have a breast lift at the same time, this may be the best incision for the implant placement.
TRANSAXILLARY: Also known as an armpit incision, this is Dr. Jaime Schwartz's least preferred method for placing a breast implant. The reasons are that the surgery is more difficult and involved, since an endoscope may have to be utilized to complete the pocket creation where the implant will be placed. Also, if the scar heals poorly in the armpit, it will always be visible in all types of clothing.
WHAT ABOUT SCARRING?
Dr. Schwartz is a leading scar expert who has been published in journal articles on the subject of scarring and has served as the principal investigator for an FDA clinical trial studying breast scars and their healing and improvement. No matter what incision type is chosen for your breast augmentation, Dr. Schwartz will be taking the utmost precautions and utilizing many advanced methods to relieve tension on the incisions, and prevent poor scar healing. While scar formation is natural after surgery and is largely based on your body's ability to heal, most scars tend to fade over time.
Rapid Recovery™ is a term used to describe a combination of techniques Dr. Jaime Schwartz uses to accelerate the recovery process after your breast augmentation.
Rapid Recovery™ starts with anesthesia. Dr. Schwartz uses a gentler form of general anesthesia called TIVA, which stands for total intravenous anesthesia. Breast augmentation clients are given an IV with medication that puts them in an adequate state of anesthesia without needing to use a breathing tube or anesthetic gases. You will essentially be asleep for the duration of the procedure and breathing on your own.
Because TIVA medications wear off quickly and are typically out of the body in a few hours, you are less likely to feel nauseous after the procedure. In fact, the IV medication has an anti-nausea effect, resulting in a shorter time in the recovery room and an overall smoother experience.
Another component of Rapid Recovery™ is minimizing the discomfort of surgery. Dr. Schwartz may inject BOTOX® into the muscles of your chest prior to surgery, or use EXPAREL® (a long-acting local anesthetic) which he places into the muscles during surgery. Most clients take only TYLENOL® after their breast augmentation procedure, can go out to dinner the following night, and typically return to work after one week.
Support from Dr. Schwartz’s nurses and team will be available to you 24/7 after your breast augmentation.
As you and Dr. Schwartz develop your treatment plan together, he will give you more precise information on what to expect in terms of your recovery.
Plan Your Procedure
- Average Cost
- $6,000 - $10,000
- Recovery Time
- 1-2 Weeks
- Procedure Recovery Location
Breast Augmentation FAQs
Is Silicone Safe?
The amount of silicone material released from silicone breast implants is extremely minimal. In fact, it is less than what is absorbed from daily consumer products containing silicone.
Over 200,000 women have participated in Mentor’s clinical studies in order to provide a significant body of evidence demonstrating the safety and effectiveness of silicone-filled breast implants.
Breast Aug or Lift?
It's important to remember that a breast augmentation procedure cannot elevate the breasts, but can only enlarge them. To both augment and elevate the breasts, a combination procedure with mastopexy (breast lift) may be the ideal choice. Again, Dr. Schwartz will help you determine what's best for your needs and goals during your consultation.
Some women choose to have a fat transfer as part of their breast augmentation. This method takes fat from elsewhere in the body, typically unwanted areas such as the abdomen, flanks and thighs, and places it in the breasts. This can be performed in conjunction with implants to improve contour, or alone to achieve a modest increase in breast volume.
How Long do They Last?
Breast implants are not intended to last forever. The FDA recommends removal of breast implants with/without replacement at 15 years. We advise that you begin thinking about exchanging them around 10 years after placement.