Breast Augmentation

As a woman, it’s natural to want to look feminine and feel confident about the way you look. Whether you have always felt that your breasts were too small or they became smaller after losing weight or having children, plastic surgery can help you have the beautiful breasts you desire. Board-certified plastic surgeon Dr. Wayne Yamahata provides natural-looking enhancements through breast augmentation for Sacramento, Roseville, Folsom, and Granite Bay women who want a fuller bustline.

Breast Augmentation Techniques & Options

For every procedure he performs, Dr. Yamahata strives to provide improvements that look attractive yet natural. That includes explaining your options when it comes to breast implants. The women who visit Dr. Yamahata in Sacramento and Granite Bay for breast augmentation have several decisions to make that affect the way their breasts will look and feel after the procedure. During your consultation, Dr. Yamahata will discuss each choice with you to help you attain the look you envision for yourself.

Breast Implant Options

Breast implant material can be either saline or silicone. Dr. Yamahata will help you understand the benefits each type has to offer. He will also explain breast implant options in detail.

Breast Augmentation Incision Options

The incision is usually placed in one of the following locations (see illustration): around the areola (periareolar), along the breast crease (inframammary), or in an underarm crease (axillary). Dr. Yamahata will use other specialized approaches to accommodate a woman’s unique anatomy when necessary.

Illustrated breast with white dashed lines along lower areolas, the breast crease, and in underarm

Breast Implant Placement Options

Implant placement beneath the chest muscle (submuscular) gives a smooth, natural look for most women. In some cases, Dr. Yamahata uses the subglandular placement, which is beneath the breast tissue but on top of the chest muscle.

Watercolor side view of a breast with implant under the breast tissue on the left and under the chest muscle on the right.

Subglandular & Submuscular Placement

Subglandular placement (above the pectoral muscle) is shown on the left, and submuscular (below the muscle) is shown on the right.

Breast Implant Profile Options

Depending on the type of implant selected, there will be 4 or 5 options for profiles such as low, moderate, and high. Dr. Yamahata will help you select the best profile for you based on your anatomy and cosmetic goals.

Doctor Wayne Yamahata, MD

Meet Dr. Yamahata

A board-certified plastic surgeon, Dr. Yamahata has the skill and experience necessary to provide attractive results that look natural.

Meet The Doctor

“I had a long awaited breast augmentation with Dr. Yamahata. I can only say this is the best result/experience I could’ve imagined. He was to the point, knowledgeable, and gave me exactly what I asked for. He personally called me after my procedure to check on me, that I appreciated. I did not feel like “one of many” I felt like the only one…Thank you Dr. Yamahata!!!!”*

RealSelf review by Lizzylou82

*Your results may vary.

What is breast augmentation with fat transfer?

Fat transfer involves removing fat from one area of the body using liposuction, purifying the fat, and carefully injecting it into another area. Dr. Yamahata can use fat transfer as an alternative to implants, but it is generally not the best choice for most patients. The increase in volume is rarely over 1 cup size per procedure, and the majority of patients find this volume increase to be inadequate.

How is breast augmentation surgery performed?

Breast augmentation with Dr. Yamahata is almost always performed in the comfort and safety of our onsite, AAAASF-accredited outpatient surgery center. Depending on the scope of your surgery, Dr. Yamahata may use either general anesthesia or intravenous sedation with local anesthesia. Typical breast augmentation requires between 1 ½ and 2 hours to complete, but it can take longer when performed as part of a Mommy Makeover.

While Dr. Yamahata is experienced in standard breast augmentation techniques, he customizes each procedure to his patients’ unique needs. He begins the surgery by making the initial incisions in the areas you chose – whether along your breast crease, around the bottom edge of your areola, or in your armpit. Once he’s made the incision, he creates a space within the breast tissue to place the implant. This space is typically called a “pocket.” Depending on your preferences, he may make the pocket above or below the chest muscle. He positions the implants, evaluates them for symmetry and size, and closes the incisions before bandaging them.

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Find more answers about your desired procedure on our FAQ page.
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Which procedures can be combined with breast enlargement surgery?

While breast augmentation can improve the shape of breasts that sag, Dr. Yamahata might recommend a breast lift as well if your breasts have dropped significantly. This combination of procedures enables him to give you a more attractive breast shape in addition to increasing breast size. If you’ve already undergone breast augmentation but are dissatisfied with the results, a breast augmentation revision can address complications and help you achieve ideal results.

Many women choose a Mommy Makeover, where breast augmentation is combined with other procedures, such as liposuction and a tummy tuck, for a complete renewal and a single recovery period.

Breast Augmentation Recovery

Directly after surgery, you’ll need a friend or loved one to drive you home and help you with making meals and self-care for at least the first 24 hours. You will return home in a surgical support bra that you will need to wear at all times, except while showering, during the initial stages of healing.

How painful is breast augmentation recovery?

Pain can be very well controlled following breast augmentation surgery with a combination of pain pills and muscle relaxants, which patients typically only need for 2 to 3 days after surgery. It is normal to feel pressure or tightness in the breasts for about a week.

How can I speed up my recovery after breast augmentation?

The best way to minimize your recovery time is by allowing your body to heal properly. It is important not to rush the recovery process. Dr. Yamahata will give you detailed post-operative instructions to help speed up your recovery. You will need to:

  • Wear your surgical support bra for the first few weeks.
  • Keep yourself hydrated.
  • Make sure incisions are dry until you’re released to shower.
  • Avoid foods and drugs that thin the blood.
  • Come in for your regular follow-up visits.
  • Get up and move about frequently rather than lying in bed.
  • Refrain from strenuous activity as directed.

Dr. Yamahata and/or a staff member will personally check in with you after your surgery and address any concerns if necessary.

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Sacramento Magazine’s annual list honors medical professionals from the Sacramento area in their respective fields — and Dr. Yamahata is among them.

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When can I return to work?

After breast augmentation surgery, you can expect to return to your normal daily activities after about a week.

When can I start exercising again after my breast augmentation?

Breast augmentation patients are typically ready to resume gentle walking within a few days, low impact cardio workouts after about 3 or 4 weeks, and then gradually add in more strenuous activity. It’s important to follow Dr. Yamahata’s post-op restrictions to avoid setbacks in your recovery.

How do you reduce bruising after breast augmentation?

Bruising and swelling are a normal part of the recovery process. There are a number of ways to help keep them to a minimum, including:

  • Applying ice packs
  • Keeping your upper body elevated at all times, including sleeping propped up or in a recliner
  • Taking arnica montana before and after surgery

Dr. Yamahata will review pre- and post-opt instructions with you during your consultation to ensure you have the smoothest recovery possible.

How long will it take my breast implants to drop?

It takes some time for swelling to fade and the breast skin, muscle, and tissues to relax and allow the breasts to settle into a soft, natural shape and position. This process, sometimes called “drop and fluff,” depends on whether your breast skin was relaxed before surgery by breastfeeding or weight changes, the position of your implants–over or under the muscle, and individual factors. Patients usually see improvement in about 3 weeks as swelling fades. It typically takes about 6 weeks for the breasts to look more natural, with additional softening until about week 12.

Is breast augmentation safe?

Breast augmentation is very safe in healthy patients, as evidenced by the fact that it is one of the most common cosmetic procedures performed by plastic surgeons today. The very low complication rate has been widely documented. Dr. Yamahata will begin your breast augmentation consultation by reviewing your health history and determining if there are any risks for you. If significant risks are present, he will counsel you against having the procedure. If you are concerned about the risks of general anesthesia, you may have the option of local anesthesia with sedation.

You can learn more prior to your consultation by visiting our Breast Augmentation FAQ page. If you have additional questions, Dr. Yamahata encourages you to bring a list to your consultation to help you remember.

Your next step

Among all the choices you make before getting breast augmentation surgery, the most important decision is selecting a top plastic surgeon. Dr. Yamahata believes successful plastic surgery begins with your consultation, where he listens carefully to your cosmetic goals and takes the time to answer your questions. To get started, request a consultation using his online form or call his office in Sacramento at (916) 929-1833 or Granite Bay at (916) 773-5559.