Breast Augmentation

Breast Augmentation

What a Breast Augmentation Can Do

Treatment improves breast fullness and projection. It’s natural for women’s breasts to have some kind of asymmetry, and that asymmetry might endure even after a breast augmentation. Nevertheless, Dr. Waltzman’s patients have reported a very high rate of satisfaction.

After implant surgery, your breast will still retain their natural shape and contours—they’ll just be more voluminous. So, if your breasts are naturally wide apart, your new breasts will be, too. The same goes if one of your nipples is slightly higher than the other one.

Placing implants will result in some minor lift, but if you’re experiencing substantial sagging you might benefit from a separate procedure called a breast lift instead.

How Your Breast Augmentation in Long Beach Is Planned

Dr. Waltzman builds each treatment plan around one important component—you, the patient. Your procedure is highly customizable; patients and surgeons work together to determine where the breast implant is placed, what incision is used to place the implant, the size and shape of implant, and the type of implant. That’s why so it’s crucial that you find a surgeon that can help you make the right choices for your procedure. During your consultation, Dr. Waltzman will perform a thorough examination to analyze your skin, your frame, and take detailed measurements. He’ll listen intently to what your personal goals are and walk you through what can be achieved.

Dr. Waltzman knows that patients are sometimes unhappy with their results because their treatment wasn’t tailored to their needs or the surgeon didn’t quite listen to their aesthetic goals. Before moving forward, Dr. Waltzman always takes the time to discuss important steps to the procedure so you can be an active collaborator in your own procedure.

Before each breast augmentation, Dr. Waltzman will take into consideration your measurements, your skin’s elasticity, your lifestyle, whether you’ve had children, whether you’ve breastfed, and other factors to help plan the surgery. When we talk about results that look “natural,” what we really mean is that the results look perfectly tailored to your unique body. By respecting your anatomy, Dr. Waltzman can create results that look impeccable and last for years.

Our breasts are such a crucial part of our feminine identity; it stands to reason that breast augmentation is the most popular plastic surgery procedure of all time. Cosmetic breast surgery has helped millions of women all over the world achieve fuller breasts and restore lost volume. But there’s more to breast enhancement than enhancing the size of the breasts and improving their projection; those seeking breast implants in Long Beach are also looking to boost their confidence and pride in their body.

Breast enhancement techniques and the surgeons that perform them have evolved considerably in the last 50 years.  Results look more natural than ever because surgeons are better able to customize treatment towards a patient’s unique body and aesthetic goals. With that degree of personalization, implants can give women a new figure that looks proportional and balanced.

Of course, even with the incredible advancements in cosmetic surgery, your surgeon is still the most crucial aspect of your treatment plan. That’s why so many women choose Dr. Waltzman, a Board-Certified Plastic Surgeon that’s renowned for his work with breast augmentation. Dr. Waltzman was specialty trained at an Aesthetic Surgery fellowship at the world-renowned Cleveland Clinic, where he learned advanced techniques for this procedure.

Dr. Waltzman is known for his dedication to helping women achieve self-confidence, and he takes great care to support every patient throughout their entire journey. From the consultation to the recovery period, Dr. Waltzman will be there to personally guide you. Dr. Waltzman understands that breast augmentation is a transformative process, and his ultimate goal is to make sure every patient feels a peace of mind.

In addition to providing outstanding patient care, Dr. Waltzman personalizes your treatment so your results won’t just look stunning—they’ll look right and natural for your body.

How Your Breast Enhancement is Performed

Your procedure will be performed using general anesthesia, and the procedure will be held in a Long Beach hospital, or surgery center, where Dr. Waltzman has hospital privileges.

The first step is the creation of an incision; Dr. Waltzman will create an incision either around the areola or under the breast crease. He’ll then create a pocket inside the breast (either under or over the chest muscle), and slip the implant inside and center it behind the nipple.

Dr. Waltzman uses an innovative device called the Keller Funnell to insert all implants; with the Keller Funnell, Dr. Waltzman can perform a type of no-touch breast augmentation where the implants never touch the patient’s skin. By limiting contact with the skin, the Keller Funnell keeps the implants sterile and drastically reduces the risk of certain complications.

Your Choice of Implants

This is one of the most important decisions: what kind of implants you get. You’ll get to choose between an incredible variety of implants, but the end goal is to find the implant that fits best with your unique needs. 

Dr. Waltzman will explain all the factors that go into choosing your implant:

  • The quality of your skin
  • The texture of your skin
  • The elasticity of your skin
  • Whether you’ve had children
  •  Whether you used to breastfeed
  • The amount breast tissue you have available
  • The width of your breast

Of course, these implants all have different variations in size, projection, shape, and texture, but in general, there are three types a patient can choose from:

Silicone implants are becoming more and more popular with breast augmentation patients because the soft silicone gel moves and feels like natural tissue. Silicone implants come pre-filled, so they need to be inserted through a somewhat larger incision on the body.

One innovative type of silicone implant, called highly-cohesive or “gummy bear” implants, have a special gel that’s less fluid than most silicone implants. If highly-cohesive implants rupture, the filling will stick to each other rather than seep into the body. Gummy bear implants also come in anatomic, also known as “teardrop-shaped” implants. Anatomic implants have a sloped shape that looks more like the natural breast. These anatomic implants also tend to have a textured surface, so that it can adhere to the tissues adequately. Because it can adhere to the tissues, the anatomic implants are less likely to rotate and create an unnatural position in the breast.

Silicone gel implants are FDA-approved for patients 22 and up, but it’s still highly recommended that patients receive an MRI every few years or so to check for ruptured implants, so-called “silent ruptures” because they’re difficult to detect with the naked eye.

Saline implants have been around for quite some time, but they’re known for their reliability and high level of safety. Saline implants are filled with a saline solution (the same liquid they put in most IVs), and they tend to feel firmer than other implants. Women tend to like saline implants because they can easily notice when an implant has ruptured (the breast will deflate), and the saline solution can be absorbed by the body without any complications.

Patients also tend to like saline implants because they’re inserted into the body deflated and then filled once placed inside the breast. This allows the plastic surgeon to see how a certain implant volume will look once it’s in the chest. It also allows for a smaller incision to be used.

The IDEAL Implant is a revolutionary new implant that combines the best qualities of saline and silicone implants: safety and a natural feel. The FDA- approved IDEAL Implant is filled with saline, but it has a unique structure that gives it additional properties. Inside the implant are a series of chambers and shells that prevent the liquid from “sloshing” inside the envelope and allowing the implant to feel softer and more dynamic.

Over time, older saline implants tended to collect on the bottom of the breast or its edges would fold and wrinkle, making the implant visible under the skin. The IDEAL Implant’s various intricate system of shells and chambers prevent that from happening, making it an incredibly durable model of a saline implant.

Dr. Waltzman is proud to be one of the very first plastic surgeons in southern California to offer the IDEAL Implant.

The IDEAL Implant has a number of benefits:

  • More natural look and feel
  • Achieves a seamless contour with the chest wall
  • Peace of mind regarding rupture
  • Smaller incision than silicone implant requires
  • Low capsular contracture rate

Breast Implant Shape

Another selection you will make with Dr. Waltzman is what shape of implants you want. He offers two basic shapes: round and teardrop. While a round shape has traditionally been used and tends to create more cleavage and a fuller look, a teardrop shape tends to create a more natural appearance. Teardrop shapes also tend to be a bit firmer than round shapes. Some women appreciate this while others prefer the softer feel of the round implant.

Dr. Waltzman finds that teardrop shapes tend to work best for women who want a more natural, firmer feel and those who do not have a lot of skin or fat tissue to cover their implants. However, which shape looks best on you is based on both your preference as well as your body shape. During your consultation, Dr. Waltzman will fully explain both shapes and show you before and after pictures of patients who have chosen both the round and teardrop shape. This will help you better understand the two choices and select the one that is right for you.

Breast Implant Sizing

Dr. Waltzman helps patients choose the size of their implants based on their unique characteristics; during the consultation process, Dr. Waltzman will perform a thorough analysis of your breasts. One of the most important measurements that can define the size of your implants is the width of your breasts, and your implant will need to be smaller than the width of your breasts to fit naturally.

Breast Augmentation Silicone Gel Special


*All-inclusive pricing

  • No Hidden Fees: This offer includes Dr. Waltzman’s surgical fee, latest generation silicone gel implants, surgical facility fee, and a Board Certified Anesthesiologist. There are no surprises.
  • Professional: Dr. Waltzman is a board-certified plastic surgeon who believes every patient deserves high quality, safe, and individualized care to help optimize their own personal goals.
  • Our Priority: Patient safety is paramount.

Schedule your consultation or call (562) 448-6100.

Breast Augmentation Incisions

Dr. Waltzman uses two types of incisions, but the inframammary is Dr. Waltzman’s preferred incision for breast implant placement.

Benefits of the inframammary incision:

  • Greater visibility when placing the implant
  • It removes the incision from the breast and places it neatly within the breast fold
  • It has lower capsular contracture rates
  • Less risk of damaging the milk ducts

The peri-areolar incision allows Dr. Waltzman to hide the incisions around the borders of the nipple, but there is a risk that the ability to breastfeed will be impeded in the future.

Recovering from Breast Augmentation

Patients tend to recover after 1-2 weeks, but it really depends on what the patient’s work is like. If their job is much more physical than an office job, then the recovery process might be longer.

In general, Dr. Waltzman’s patients tend to feel some soreness, swelling, and tightness after the procedure. Dr. Waltzman’s more active patients tend to experience more soreness in their chest muscles. However, many of his patients also report that the recovery is very tolerable and that they can switch from prescription pain medication to over-the-counter pain pills in just after a few days.

Dr. Waltzman recommends that patients are gentle with their body during the first few months of recovery as the muscles and the body heals. During the first couple of weeks, patients should avoid upper body workouts, and after a month, they could slowly ease into a gentler workout regimen.

Dr. Waltzman can explain the implant procedure in better detail during a one-on-one consultation. To speak with the renowned Board-Certified plastic surgeon himself, contact Waltzman Plastic & Reconstructive Surgery for a consultation.

Frequently Asked Questions About Breast Augmentation

One is not better, they are just different. It depends on a variety of factors which are unique for each patient. There are pros and cons to each option, but beautiful results are possible with each approach.

Patients are asked to stop taking blood-thinning medications such as Aspirin, along with Vitamin E, fish oil, and more. Patients are also asked to stop smoking for at least 6 weeks before and after your surgery.

Dr. Waltzman will give you specific instructions on how to prepare for your journey.

At first, your breasts will appear swollen and sit in a higher, more unnatural position. The swelling will decrease in a month, and in 3-6 months the implants should drop and settle into the breast pocket.

Dr. Waltzman offers his Long Beach patients a chance to visualize their possible results with Crisalix 3D, a simulation program that allows patients to “try on” their post-surgical results. The Crisalix 3D offers a 3D view of your new breasts before the big surgery day.

Finding the lowest cost does not always ensure the best results. There are 4 basic components which make up the cost of breast augmentation surgery: the surgeon fee, the OR fee, the anesthesia fee, and the cost of the implants. Other factors which influence the cost of your procedure include:

  • The geographic location of where you have the surgery performed.
  • The surgeon’s training and experience.
  • The type of implant: Silicone is often more expensive than saline. And shaped implants are typically more expensive than round implants.

Put your trust in Dr. Waltzman. His honesty, integrity, and devotion to his patients will serve you well. Contact us today to schedule a consultation.

Any surgical procedure which carries potential risks.  Dr. Waltzman will spend time in the office with you discussing the risks and benefits of breast surgery in detail.  Some of these risks include:

  • Bleeding: If there is significant bleeding around in the implant (called a hematoma), this will require going back to the operating room to remove the implant, wash out the collection of blood, and then replacing the implant. It is not a good idea to leave collections of blood around the implant because it is uncomfortable for the patient and can increase their risk of infection and capsular contracture.
  • Excessive scar tissue can form around the implant and distort the shape of the breast implant. This is called capsular contracture. Whenever a foreign substance is put in the body, the body recognizes it as foreign and attempts to isolate the material. However, if this capsule becomes too thick it may cause the breasts that feel firm and hard. Between 5-10% of patients will develop capsular contractures. If this happens, it may require an additional surgical procedure to correct it. Capsular contractures pose no health threat, but they can compromise the aesthetic results and be uncomfortable.
  • At the first sign of any infection, the patient is immediately placed on antibiotics. Unfortunately, if the actual implant is infected then if often times requires removing the implant to treat the infection.  The implant can be replaced at a future date once the infection is appropriately treated.
  • Changes in sensation in the nipples and breast. This can result in increased or decreased sensation.  This is usually only temporary.
  • Implant rupture or leakage. When a saline implant ruptures patients notice almost an immediate change in breast shape or size.  This is similar to breaking a balloon filled with water.  In contrast, if a silicone implant is damaged or ruptured, the patient may not notice any difference.  Often times the rupture is detected incidentally during an imaging study. This is referred to as a “silent rupture”.  Many implant companies will cover the replacement of a ruptured implant under the product warranty.
" Great Office, staff very friendly. I went in to speak about breast augmentation and body contouring treatments. Dr. Waltzman was very helpful from the beginning to the end result. I have recommended several friends so far. He has several before and after pictures of his work, he listened to my concerns. I look so natural and full. I am so much more confident (and happy!)​"

Schedule a Consultation

Ready to book a procedure with Dr. Waltzman? Contact us today to schedule a consultation and begin your new aesthetic journey today!

Schedule a Consultation

Ready to book a procedure with Dr. Waltzman? Contact us today to schedule a consultation and begin your new aesthetic journey today!