Breast augmentation — also known medically as augmentation mammoplasty — is one of the most popular cosmetic procedures performed worldwide, and one of the most personal decisions a woman can make about her body. For some patients, the goal is to enhance breast size or shape that has felt disproportionate to the rest of their figure for as long as they can remember. For others, the procedure restores volume lost after pregnancy, breastfeeding, or significant weight loss. For still others, breast augmentation is part of reconstruction following mastectomy, trauma, or congenital conditions. Whatever the reason, the surgeon performing the procedure is the single most important factor in determining the result — and Dr. John Anastasatos has built his Beverly Hills breast augmentation practice around the academic credentials, technical refinement, and personalized aesthetic judgment that define exceptional outcomes.

Dr. John Anastasatos is a Los Angeles plastic surgeon internationally recognized for his work in cosmetic breast surgery, with peer-reviewed research and academic teaching credentials specifically focused on breast augmentation. Dr. Anastasatos has published peer-reviewed research on cell-assisted lipotransfer (CAL) for breast augmentation — foundational research on natural fat-based breast enhancement — and has delivered plenary lectures at the Pan-Hellenic Congress of Plastic Surgery on endoscopic breast surgery at the highest academic level. He has also presented at Cedars-Sinai Medical Center Grand Rounds on advanced breast surgical techniques. Board certified by the American Board of Plastic Surgery, a Fellow of the American College of Surgeons (FACS), a member of the American Society of Plastic Surgeons (ASPS) and American Society for Aesthetic Plastic Surgery (ASAPS), and named by The Luxe Insider as one of the Top 10 Plastic Surgeons in the World. The breasts are an important aspect of a woman’s silhouette and confidence — and Dr. Anastasatos’s Beverly Hills breast augmentation patients consistently describe the difference an experienced, refined surgical approach makes.

Reasons to Consider Breast Augmentation

Augmentation mammoplasty is a versatile procedure addressing a wide range of patient concerns:

• Personal Aesthetic Goals: Enhancing the size or shape of breasts that feel too small or disproportionate to the patient’s body.
• Restoring Post-Pregnancy or Post-Weight-Loss Volume: Replacing the volume lost during breastfeeding, weight fluctuation, or natural aging.
• Correcting Breast Asymmetry: Achieving better symmetry when the breasts differ moderately in size or shape.
• Improving Sagging or Loss of Firmness: Often performed in combination with a breast lift (mastopexy) when both volume and position need restoration.
• Reconstruction After Breast Cancer: Providing breast contour after mastectomy or lumpectomy as part of breast reconstruction.
• Correcting Congenital or Trauma-Related Differences: Addressing tubular breast deformity, traumatic injury, or other congenital differences in breast development.

FDA-Approved Breast Implant Types

In the United States, two main types of breast implants are FDA-approved for breast augmentation:

• Silicone Gel Implants: Constructed with a silicone outer shell and a cohesive silicone elastomer gel filling. Silicone gel implants generally produce the most natural look and feel, particularly in patients with limited natural breast tissue.
• Saline-Filled Implants: Constructed with a silicone outer shell filled with sterile saline solution. Saline implants are inserted empty and filled to the desired volume during surgery, allowing for some intraoperative adjustment.

Both implant types come in a range of sizes, profiles (low, moderate, high, ultra-high), shapes (round or anatomical/teardrop), and surface textures (smooth or textured). The selection of implant type, size, and profile is made during consultation based on each patient’s anatomy, aesthetic goals, and lifestyle considerations.

For patients seeking a more natural, fat-based approach, Dr. Anastasatos also offers natural breast augmentation using fat transfer alone, and hybrid breast augmentation that combines implants with fat transfer to deliver enhanced volume with a natural-looking finish.

Breast Augmentation Surgical Approaches

The choice of incision location is one of the most important technical decisions in breast augmentation. Dr. Anastasatos offers four primary surgical approaches:

• Inframammary Approach: The incision is placed in the natural fold beneath the breast, typically about 5 centimeters (approximately 1¼ inches) long. This is the preferred approach for most patients — the incision heals well, sits in the natural breast fold where it is least visible, and allows the most precise control during implant placement.
• Periareolar (Nipple-Areolar Margin) Approach: The incision is placed along the lower border of the areola. This approach camouflages the scar within the natural color transition between the areola and surrounding skin, but can leave a visible scar on the areola itself and may affect nipple sensation or breastfeeding ability.
• Transaxillary Approach: The incision is placed in the armpit, often performed endoscopically with the assistance of a small camera. This approach avoids any visible scar on the breast itself.
• Transumbilical Approach (TUBA): A specialized technique placing the incision in the belly button, used selectively. TUBA is limited to saline implants and to surgeons specifically trained in the technique.

The right approach depends on each patient’s anatomy, implant choice, breastfeeding plans, and aesthetic priorities. The consultation evaluates these factors individually.

“The most important conversation in breast augmentation isn’t about implant size — it’s about the patient’s actual goals, anatomy, and lifestyle, and how those factors work together to determine the right combination of implant type, size, profile, and incision approach. I spend significant time with every breast augmentation patient making sure we land on the combination that’s actually right for her, not just generally popular. The result is what defines my practice — patients whose results look like the best version of their natural anatomy, not like obvious enhancement.” — Dr. John Anastasatos

Implant Size, Profile, and Shape Considerations

There is no single “right” size or shape for breast augmentation. The right combination is the one that fits the patient’s body proportions, frame, and aesthetic goals. During consultation, Dr. Anastasatos discusses:

• Body Frame Compatibility: How implant base width relates to chest wall width.
• Aesthetic Goals: Subtle enhancement, moderate volume increase, or significant size change.
• Lifestyle Considerations: How active the patient is, what kind of activities the implants need to accommodate.
• Profile and Projection: The trade-off between projection (how far the implant extends from the chest wall) and base width.
• Round vs. Anatomical Shape: When each is appropriate for the patient’s specific anatomy and goals.
• Long-Term Considerations: How the implant choice will look as the patient ages and how subsequent pregnancies may affect the result.

Finding this combination — not just picking from a catalog — is what separates a thoughtful augmentation from a generic one.

Frequently Asked Questions About Breast Augmentation

How do I choose between silicone gel and saline implants?

Both are FDA-approved and safe. Silicone gel implants generally feel more natural, particularly in patients with limited natural tissue. Saline implants allow some intraoperative size adjustment and any rupture is immediately visible. The consultation discusses your specific anatomy and goals to determine which is most appropriate.

What is the recovery from breast augmentation like?

Most patients return to desk-based work within five to seven days. Compression garments and activity restrictions apply for two to four weeks. Strenuous upper-body exercise is restricted for approximately four to six weeks. Final settling continues over three to six months as residual swelling fully resolves.

How long do breast implants last?

Modern breast implants do not have a fixed expiration date, but they do not last forever. Most manufacturers recommend monitoring with imaging studies starting several years after placement. The frequency of implant rupture increases after about 10-12 years. Many patients eventually choose to have their implants exchanged or removed.

Will breast augmentation affect breastfeeding?

Most patients can breastfeed after augmentation, particularly when the inframammary approach is used. The periareolar approach carries a higher risk of affecting milk ducts and breastfeeding ability. The consultation addresses this directly for patients planning future pregnancies.

Can breast augmentation be combined with a breast lift?

Yes. Breast augmentation is frequently combined with breast lift (mastopexy) for patients whose breasts have lost both volume and position. The consultation evaluates whether augmentation alone, lift alone, or the combination is the appropriate approach.

How much does breast augmentation cost?

Pricing varies by implant type, surgical approach, anesthesia, and combined procedures. The office provides specific pricing during consultation tailored to your particular plan.

Why Choose Dr. Anastasatos for Breast Augmentation

• Peer-Reviewed Publication on Cell-Assisted Lipotransfer for Breast Augmentation: Foundational research on natural fat-based breast enhancement — a credential rare even among breast augmentation specialists.
• Pan-Hellenic Congress Plenary Lecturer on Endoscopic Breast Surgery: Academic authority on advanced breast surgical technique at the specialty’s highest level.
• Cedars-Sinai Medical Center Grand Rounds Presenter: Teaching credentials at one of the leading medical institutions in Southern California.
• Board-Certified and FACS: Certification by the American Board of Plastic Surgery and Fellowship in the American College of Surgeons reflect rigorous, verified training.
• ASPS and ASAPS Member: Full membership in the specialty’s two most respected peer societies.
• Full Range of Augmentation Options: Silicone, saline, fat transfer alone, and hybrid implant + fat approaches — matched precisely to each patient’s anatomy and goals.
• All Four Surgical Approaches: Inframammary, periareolar, transaxillary, and transumbilical (TUBA) — the right approach selected for each patient rather than defaulted.
• Featured in Leading Media: Reuters, the Boston Globe, FOX News, Forbes, Vogue, Elle, and the plastic surgery series Nip/Tuck.
• Top 10 International Recognition: Named by The Luxe Insider as one of the Top 10 Plastic Surgeons in the World.

Schedule Your Breast Augmentation Consultation in Beverly Hills

If you are considering breast augmentation in Beverly Hills or the greater Los Angeles area, the consultation is the right starting point — a private, unhurried conversation about your goals, your anatomy, and the surgical options that fit both. Dr. John Anastasatos welcomes patients to the Beverly Hills office at 436 North Bedford Drive, Suite 202, Beverly Hills, CA 90210, for a consultation covering implant type, size and profile selection, surgical approach, recovery expectations, and realistic outcomes for your specific case. Contact us at Los Angeles Plastic Surgery to schedule your breast augmentation consultation with Dr. Anastasatos.