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What is breast augmentation?

There are many reasons that women choose to undergo a breast augmentation in Orange County. Breast augmentation, also known as augmentation mammaplasty, is a surgical procedure that involves the use of breast implants or fat transfer to increase the size, shape, or fullness of the breasts. Women may want to improve their proportions, feel shapelier, or fit better in their clothes. Many women also opt for breast augmentations following childbirth and nursing since the breasts may either change following the increased size during pregnancy or suffer from atrophy and/or deflation subsequent to nursing.


Benefits of Breast Augmentation

Breast implants in Orange County offers numerous benefits, including:

  • Enhanced Appearance: Improves breast size, shape, and symmetry
  • Boosted Confidence: Increases self-esteem and body image satisfaction
  • Clothing Fit: Better fit in a wider variety of clothing styles
  • Post-Pregnancy Restoration: Restores breast volume and shape after childbirth and breastfeeding
  • Customization: Tailored results based on individual goals and body type

Am I a Candidate for Breast Augmentation?

You might be a good candidate for breast augmentation if you:

  • Desire Enhanced Breasts: Want to improve breast size, shape, or symmetry
  • Post-Pregnancy Changes: Have experienced breast volume loss after pregnancy or breastfeeding
  • Good Health: Are in good physical health without serious medical conditions
  • Realistic Expectations: Have a positive outlook and realistic expectations about the results
  • Non-Smoker: Do not smoke or are willing to quit before and after surgery

The basics of breast augmentation

There are several different types of implants that can be used during a Breast Augmentation in Orange County. These include saline implants as well as silicone implants. Silicone implants have become much more popular over the past 15 years with the FDA approval of silicone implants for all women 22 and older.

There still are some women who opt for saline breast augmentations. However, silicone breast implants provide a much more natural feel to the breasts and may even give an improved, more natural shape.

Womans chest and abdomen, wearing a black bra

What Are My Breast Implant Placement Options?

DUAL PLANE (SUBPECTORAL) APPROACH

Historically, I have performed the majority of my breast augmentation procedures using the subpectoral (dual plane) approach. This involves positioning the implant partially beneath the pectoralis muscle.

Many women appreciate the dual plane approach because it can yield a natural-looking, gently sloping breast contour. Particularly when using modern cohesive gel implants—like the Motiva or Mentor Boost gummy bear implants—this method helps maintain upper pole fullness while still creating a soft, natural feel.

SUBFASCIAL APPROACH

With the introduction of more advanced cohesive gel implants in recent years, I have begun to utilize the subfascial approach (above the muscle) for select patients with sufficient breast tissue or tissue coverage.

When there is enough natural tissue to drape over the implant, placing the implant above the muscle can reduce potential animation deformities (implant movement when flexing the chest muscles) and speed up recovery time.

The subfascial positioning also supports a youthful shape while allowing for a softer feel, especially when paired with the Motiva or Mentor Boost gummy bear implants.

SUBGLANDULAR (ABOVE THE MUSCLE)

The term “subglandular” is often used interchangeably with subfascial. However, in the strictest sense, subglandular placement positions the implant directly beneath the breast gland.

Subfascial placement, on the other hand, tucks the implant beneath the thin fascial layer of the pectoralis muscle for slightly more support.

Both methods avoid disturbing the pectoralis muscle, but the subfascial method can be particularly beneficial for patients who want an implant placed above the muscle with more structure.

SUBMUSCULAR (COMPLETE)

For some patients, a fully submuscular (subpectoral) placement may be desired if they have minimal natural breast tissue. This completely positions the implant under the pectoralis major muscle, adding an extra layer of coverage over the implant. It can also help create a more gradual breast slope in very lean patients.

IMPLANT PLACEMENT APPROACHES

PERIAREOLAR (NIPPLE APPROACH)

  • The periareolar approach involves an incision placed along the border of the areola (the pigmented skin surrounding the nipple)
  • It can be a good option for patients seeking to address both breast shape and nipple position (or if a lift is necessary)
  • With the right candidate, this incision can heal discreetly along the areola’s edge

INFRAMAMMARY (UNDER THE BREAST FOLD) APPROACH

  • An incision in the natural fold beneath the breast is often the most common and versatile placement
  • It grants excellent visibility for the surgeon, allowing precise pocket creation whether the implant is placed using the dual plane, subfascial, or full submuscular method
  • This approach can be particularly advantageous when using cohesive gel implants—such as Motiva and Mentor Boost gummy bear implants—since it accommodates a variety of implant sizes and shapes and keeps the resulting scar well-hidden

TRANSAXILLARY (UNDERARM APPROACH)

  • For select patients, a transaxillary incision—located in the underarm region—may be an option
  • Endoscopic assistance is typically used to create the implant pocket, ensuring accuracy and minimizing bleeding
  • However, because of the narrow incision, this approach can sometimes be more challenging when placing larger or cohesive gel silicone implants

Silicone vs. Saline Breast Implants

Breast implants come in different profiles as well. There are several different companies that offer breast implants in the United States that include Allergan, Mentor, and Sientra; Allergan and Mentor offer both silicone and saline implants, and Sientra only offers silicone implants. All 3 companies have FDA approval to provide implants to the United States for different types of implants. Saline implants were more popular back in the 1990’s and 2000’s as there was a temporary ban on silicone implants in 1992. However, about fifteen years ago, the FDA approved silicone implants for use by all women 22 and older, and for some women under 22 given reconstructive purposes, and since that time, more and more women are undergoing silicone breast augmentations. In my practice, over 95% of my patients elect to have breast augmentations utilizing a silicone implant as it gives them a much more natural feel and appearance.

All implants are warrantied by the US manufacturers for their lifetime, so if there is ever a failure, rupture or a deflation of an implant, the company will replace the implant at no charge. There is no set rule as to when somebody needs to replace their breast implants. With earlier generations of silicone implants, it was noted that there was a high rupture rate by 10 years, and in the past, it was recommended that women switch out of their silicone implants within the first 10 years of augmentation. Today, that is not necessarily the case as we know that breast implants are much sturdier and after 10 years have only a 5 to 15% rate of rupture. Thus, one may choose to wait a little bit longer and undergo radiographic evaluation of the implant to determine if an implant exchange is required.

Choosing the Right Breast Implants

When selecting the right breast implant in Newport Beach, it’s important to consider several factors, including:

  • Implant profile (low, moderate, moderate plus, high, or extra/high profile)
  • Overall width
  • Projection

A lower-profile implant is flatter and wider, while a higher-profile implant is narrower and offers greater projection. Dr. Grover will recommend a specific implant type and profile based on your chest measurements, the amount of existing breast tissue, and the aesthetic goals you hope to achieve.

  • Saline vs. Silicone: Saline implants can sometimes be more prone to rippling, especially in thinner patients or with lower-profile implants. Silicone implants—particularly today’s cohesive gel versions—tend to ripple less and often provide a softer, more natural-looking result.
  • Motiva and Mentor Boost Cohesive Gel: Motiva and Mentor Boost “gummy bear” silicone implants are particularly popular thanks to their form-stable consistency, natural feel, and lower risk of folding or rippling. They also maintain shape over time more effectively than many older silicone or saline devices.

YOUR IMPLANT OPTIONS

THE GUMMY BEAR IMPLANT

Often referred to as “form-stable,” “shaped,” or simply “cohesive gel” implants, gummy bear implants have gained approval and popularity in recent years.

Major manufacturers like Motiva, Mentor (including the Mentor Boost line), Allergan, and Sientra offer cohesive gel implants in various shapes and profiles, enabling a more natural or teardrop-shaped breast.

Because the gel inside is thicker, gummy bear implants can better maintain their shape even if the outer shell ruptures.

ADVANTAGES OF GUMMY BEAR IMPLANTS

  • More natural breast shape, especially for women with minimal breast tissue
  • Lower likelihood of rippling compared to saline or older silicone implants
  • Potentially lower rupture rates and reduced risk of capsular contracture

SURGICAL CONSIDERATIONS

  • Typically placed via the inframammary (under-breast) incision to accommodate their slightly larger size
  • Require precise pocket dissection and size determination
  • May have a textured surface (especially in anatomically shaped versions) to prevent rotation

TEARDROP BREAST AUGMENTATION

Often referred to as “anatomical” or “shaped” implants, teardrop breast augmentation focuses on creating a gently sloping, natural-looking breast contour.

While cohesive gel implants with an anatomical shape can produce a highly realistic silhouette, it’s important to note that only a limited number of U.S. surgeons consistently use them.

This is primarily because anatomically shaped implants often require a textured surface to prevent rotation, and textured implants have been linked to a rare lymphoma called ALCL (Anaplastic Large Cell Lymphoma).

By contrast, round implants can remain smooth, thus eliminating the need for texturing, yet still deliver a similar teardrop-like appearance when placed properly.

ADVANTAGES OF TEARDROP BREAST AUGMENTATION

  • Creates a more natural breast slope, especially for those with minimal tissue
  • May offer a highly realistic look in certain body types
  • Can be beneficial for patients seeking a gentle, tapered upper pole

SURGICAL CONSIDERATIONS

  • Patients concerned about the associated risks may consider round, smooth implants that can still achieve a “teardrop” aesthetic through proper placement
  • Many patients seeking a teardrop look opt for a dual-plane placement, which partially situates the implant beneath the pectoralis major muscle
  • By carefully releasing the lower portion of the muscle from the chest wall, the implant can settle lower for a natural slope—without necessitating anatomically shaped or textured implants

THE SALINE IDEAL IMPLANT

The Ideal Implant is an innovative saline-filled device that pairs the familiarity of traditional saline implants with enhanced shape retention. Its unique design includes one to three nested “baffle” shells inside, which help control the flow of saline and limit excess movement or rippling. The smooth, round exterior surface contributes to a youthful breast shape.

ADVANTAGES OF THE SALINE IDEAL IMPLANT

  • If a rupture occurs, the implant visibly deflates, making identification straightforward
  • Studies indicate a lower incidence of rupture and capsular contracture compared to many conventional saline options
  • Thanks to the internal baffle structure, these implants often provide a more natural look and texture than standard saline implants

SURGICAL CONSIDERATIONS

  • Like other implants, the Ideal Implant can be placed through various approaches (inframammary, periareolar, transaxillary)
  • Proper sizing and pocket creation are essential to maintaining the implant’s form and minimizing rippling
  • This implant is particularly well-suited to those seeking a saline option but desiring a smoother, more cohesive look and feel

How to select the best size of implant for your breast augmentation

When Dr. Grover sees a patient for an initial consultation for Breast Augmentation in Orange County, he likes to get an idea of what shape, size and appearance of the breasts the patient has in mind. He also likes to see the patient’s desired result by viewing their preferred breast images from the before/after gallery on the Grover Aesthetics' website and/or even magazine photos.

There are certain tools that can be used to help determine sizing including a sizing kit developed by Mentor where one can place silicone forms or implants in a bra to help determine the size that they feel comfortable with and the size that will provide them with some of the best breast implant results Orange County can offer. However, Dr. Grover’s ultimate preference is to have a multiple sizes and options of implants available during surgery so that he can create a pocket in the patient’s breasts and place temporary implant sizers in each in order to determine which sizes fit the patient’s expectations and offer the most symmetry.

Many of our Newport Beach breast augmentation patients have underlying asymmetries that they are not aware of. They may have a different amount of breast tissue on each side. Additionally, many women have some sort of chest asymmetry or chest deformity that most women do not realize until Dr. Grover references it at their initial consultation. By using temporary silicone implant sizers, it helps Dr. Grover select the final implants to get the most symmetric result.

The procedure is performed using general anesthesia in an outpatient setting.

Check out our new Natrelle Breast Implant Simulator!

Getting a breast augmentation is a big decision and it’s important to become fully informed. Dr. Grover, a Breast Implant Newport Beach specialist, will answer any questions that you may have about surgery. Click here to contact Dr. Grover and setup a consultation today!

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More About Breast Enlargementin Newport Beach

One of the most popular cosmetic procedures done in the United States is Breast Enlargement. Many women in Newport Beach desire to increase the size of their breasts for many personal reasons. Some women are born with naturally small breasts that are out of proportion with the rest of their body. Some women may experience a decrease in breast size after weight loss or nursing. Sometimes breast augmentation procedures may even be done to bring symmetry to asymmetrical breasts in which one breast is notably smaller than the other. For all of these reasons and many more, breast augmentation has become one of the most popular procedures in the United States today. Dr. Grover is a board-certified plastic surgeon and serves patients in both Los Angeles and Orange County. Dr. Grover is very well known for his beautiful breast augmentation results – view them here: Newport Beach Breast Augmentation Photos.

Ideal candidates for this procedure are in good health both physically and mentally, and should have realistic expectations for the procedure and its potential outcome. Breast implants may be able to help women who have long been bothered by the naturally small size or their breasts, women whose breasts are disproportionately small compared to the rest of their body, women who have difficulty finding clothes or swimsuits that fit on top, women whose breasts have decreased in size and/or firmness after weight loss or having children, and women with one breast significantly smaller than the other.

The most important step in your breast augmentation journey is finding the right board-certified plastic surgeon. We encourage you to have a one on one consultation with Dr. Grover.

We suggest visiting Dr. Grover’s extensive before and after gallery and also the testimonials page of happy plastic surgery patients from Newport Beach, Los Angeles and throughout the world.

Learn More About Dr. Grover

CLICK ON THE VIDEOS BELOW TO LEARN MORE ABOUT THE BREAST AUGMENTATION AND BREAST LIFT PROCEDURES.

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