How Many Times Do You Need to Get a Breast Augmentation?

Women have been enhancing their breasts with implants for several decades. Whether your goal is to increase breast size, improve breast shape, or correct breast asymmetry, breast implants can help you achieve your body shaping goals with long-lasting results. But the question is, for how long?

Do breast implants last a lifetime, or will they need exchanging every so often? Or, perhaps your lifestyle has changed, and it’s time to try something new. Will the devices begin to leak or rupture after a specific period?

It has become a matter of debate among surgeons and patients, and there are no right or wrong answers on how long an implant will last. There have been some estimates of 10 to 20 years, but the data is not concrete. Here are some things to consider if you are considering breast surgery for the first time or have been carrying your implants for years.

Are You Still Happy With Your Breast Appearance?

We’ll use the old cliché, “If it ain’t broke, don’t fix it.” If you are still happy with your figure and your breast appearance, don’t worry about changing your implants. If they don’t cause discomfort and show no sign of leakage or rupture, you’re good to leave well enough alone. Yes, you’ve probably read implants are not lifetime devices, but your mileage may vary.

However, there may come a time in your life where your original implants have outlived their usefulness. This phenomenon happens due to lifestyle changes and, of course, the natural aging process. Consider the following.

Lifestyle Preferences Have Changed

Women who become more active and take up physical exercise later in life may find larger implants bothersome. Heavy breasts can make running, swimming, and interval training uncomfortable. There are breast surgery options to help women who choose a healthier lifestyle if necessary. If your implants are too heavy or oversized for an active lifestyle, you could opt to downsize.

You’ve Entered a New Season in Life

Age is another reason implants may have outlived their usefulness. Older women have different body shaping goals than when they were younger. Plus, other parts of their body have changed, and they want their breasts to complement the differences.

Complications That Make a Change Necessary

Another thing to consider is unexpected life events that make a change necessary. These could be health-related or a problem with one or both of the implants.

An MRI Reveals a Problem

If you have silicone breast implants, you should have them tested with periodic MRIs to ensure no rupture or breakage. If the test reveals a ruptured implant, you should have them removed as soon as possible. Irritation, pain, or infection may result if left untreated. After removal, you can have them replaced with new models.

Capsular Contracture

This term describes the unpredictable complication of scar tissue forming around the breast implant. It may cause your breasts to harden. As a result, your breasts may look or feel different, and there could be some discomfort because the capsule tightens.

Implant Migration

This complication occurs when the complete implant moves out of its designated pocket. This issue is most prevalent after the first year and will require attention from a qualified plastic surgeon.


Breast implant rippling occurs when insufficient soft tissue coverage results from little overlying breast tissue and body fat. This possible phenomenon is most prevalent with thinner patients getting saline implants over the breast muscle.

Aesthetic Options After Implant Removal

Women who decide to have their implants removed have options to keep an aesthetically pleasing body that complements their lifestyle.

Implant Exchange

Breast implant exchange is a straightforward procedure, especially if there are no complications in the years following your original breast augmentation. First, Dr. Sajjadian will perform new incisions along your existing breast augmentation scars. Next, he will open the scar tissue capsules around your implants, then carefully remove the current implants. Lastly, he will insert the new implants you choose into the pockets and close them with sutures. The recovery that follows implant exchange is similar to the healing process after breast augmentation surgery.  

Breast Lift With Implants

Like large natural breasts, augmented breasts with implants may sag over time. Normal aging and gravity may have created loose, stretched skin around implants you’ve had for several years. Other factors, like childbearing and weight fluctuation, can also contribute to this problem.

Dr. Sajjadian may combine your implant exchange with a breast lift to ensure your new implants remain in the correct position. Then, he will remove excess skin, insert your new implants, and adjust your nipple position if necessary. This operation will eliminate stretch marks, correct breast asymmetry, and create beautiful breast contours.

Saline vs. Silicone Implants

There are two different types of implants available to use for replacement. Saline implants have a silicone shell that gets filled with a saltwater solution after insertion into the breasts. If you choose saline implants, Dr. Sajjadian can make smaller incisions to introduce them. Saline also causes fewer complications in the event of a leak or rupture, because saltwater is harmless to your body. However, this material might ripple or feel less like genuine breast tissue.

A silicone implant has a silicone shell filled with a silicone gel, creating a feel more like natural breast tissue. Cohesive “gummy bear” implants are similar to their candy namesake, and are more anatomical for natural feel and look.

Implant Removal

Not all women require a breast lift after explant surgery, though many do. For example, if your breast implants were small, and you have excellent skin elasticity, you can have them removed without a breast lift. This operation is a simple surgical procedure that entails taking out your breast implants and their associated scar tissue through small incisions beneath each breast.

Before proceeding with breast implant removal, you should be aware your breasts will need time to adjust after the operation with a breast lift. That’s because breast implants apply pressure on the soft tissue inside the breasts, squeezing it into the lower portion of each breast. As a result, the compressed tissue gradually expands and migrates back into the upper part of your breasts after implant removal.

Why Choose Dr. Sajjadian?

Dr. Sajjadian has carefully crafted a reputation for his surgical skill and patient compassion. Moreover, he understands the importance of a beautiful figure to a woman’s self-esteem. Therefore, he artistically augments the breasts to achieve beautiful and natural-looking results.

Dr. Sajjadian would love to help you choose the right surgery or combination of procedures to help you reach your desired goals. Contact our Newport Beach, CA, surgical center at (949) 515-0550 today to schedule your consultation.

When Can I Get Implants After Breast Reduction Surgery?

For many women, reducing the size of their breasts is a life-changing event. Their wardrobe choices expand beyond what’s comfortable to what’s fashionable. They tend to stand straighter and walk with more confidence without neck or back pain. They can participate in sports and other activities without fear of repetitive stress injuries. And they will see less chance of attaining stretch marks later on in life. 

A breast reduction removes glandular fat, tissue, and skin to deliver proportionate breasts and bring the bust area into balance with the rest of the body. Breasts become shapelier and easier to carry around.

Some women choose to have implants after a breast reduction. Read on to learn more about breast reduction surgery, breast augmentation surgery, and how the two can be combined.

Breast Reduction

A breast reduction is used to remove excess fat, tissue, and skin for women with significantly large breasts. It is basically the same surgery as the breast lift. Many choose to have a breast reduction to ease discomfort and achieve a breast size in harmony with the rest of their body. It may also help boost self-image and the ability to participate in physical activities.

If you’re considering breast reduction surgery, we invite you to consult with Dr. Sajjadian. It’s essential to realize what a breast reduction entails — including possible risks and complications — and what the procedure can and cannot do.

A successful breast reduction relieves discomfort and numbness in your neck, upper back, and shoulders. It may also increase your capacity to participate in physical activities and boost your self-image. 

Although you’ll see immediate results, remember it can take months for swelling to abate and any surgical scars to fade. Benefits are generally permanent — although breast size and shape can change due to aging and weight loss or gain.

Breast Reduction Gallery

Different Breast Reduction Techniques

Breast reduction surgery offers different techniques to achieve optimal results. Dr. Sajjadian will use one of the following approaches:

  • Keyhole-shaped Incision: removes glandular chest tissue and fat through a small incision placed under the nipples’ areolas. This process is minimally invasive and avoids a long horizontal scar.
  • Anchor-shaped incisions: are made circumferentially around both areolas, extending down to the breast crease, then horizontally along the crease.
  • Donut-shaped Incision: An incision is made around the deep-pigmented areola only.
  • Crescent-shaped Incision: An incision is made on the top part of the areola.

Through the dedicated incision, Dr. Sajjadian removes excess skin and reposition the nipple and areola to a higher position on the breast. He can reduce areola size if necessary.

Breast Augmentation

Breast augmentation is one of the more requested plastic surgeries in the United States, especially around the beaches of Southern California. Many women in Newport Beach and beyond seek out the expertise breast augmentation surgeon Dr. Ali Sajjadian, a triple board-certified plastic surgeon who specializes in breast implant procedures.

Breast augmentation involves placing silicone or saline implants to improve your body outline and contours.  Breast augmentation is one of the most popular elective surgeries because it addresses these major concerns:

  • Breast volume
  • Breast size
  • Breast symmetry
  • Breast shape

Breast augmentation with Dr. Sajjadian can be positively life-changing. Restoring youthful appearance, correcting physical abnormalities, or increasing size make many patients feel better about themselves.

Breast Augmentation Gallery

Does Subtracting Then Adding Make Sense?

Although it may seem counterintuitive to remove breast tissue and then add implants for volume, studies indicate that inserting implants with proper technique results in better shape, fewer scars, and more predictable results. Breast reduction surgery has one of the highest patient satisfaction rates in all cosmetic surgery. Still, some women want further improvement after reducing their oversized breasts.

With many reduction surgeries, the upper part of the breast is often hollow after a year or so.  The use of implants is to produce the upper pole fullness that many women desire. Using a reduction will decrease the chance of natural breast tissue from falling again. 

Once both surgeries are complete, we find our patients right where they want to be with their breast size, shape, and location.

Can the Two Operations Be Combined?

Dr. Sajjadian usually performs these operations in a two-stage process, and here’ why. Breast reduction and breast augmentation are attempting to achieve opposing results. A breast reduction will remove a significant amount of tissue and skin to reduce size. The insertion of an implant will stretch the skin to add weight and volume.

When performing the procedures concurrently, the result may not be the best. After fat, tissue, and skin are removed and an implant inserted, the internal weight and stress will push against incision lines. This effect may cause healing difficulties, wound breakdowns, and possible infection.

What About a Breast Lift?

Another breast surgery to consider is a breast lift (mastopexy), a surgery that lifts sagging or drooping breasts after pregnancy, breastfeeding, or weight loss. Breast lifts are similar to in technique to breast reduction but do not involve substantial tissue removal.

Breast lifts can:

  • lift the breasts and nipples into a higher position
  • reduce areola size
  • make the breasts appear younger and perkier
  • include the insertion of breast implants for added volume

The incision techniques used for a breast lift are very similar to a breast reduction. Ask Dr. Sajjadian if he thinks a breast lift is right for you.

Why Dr. Sajjadian

While plenty of plastic surgeons offer breast surgeries at often rock-bottom prices, skill and understanding are essential for achieving the best results from these operations. Creating a natural breast appearance requires much more than asking patients what size they would like to be. With various breast shapes, sizes, and contours, many benefits can be accomplished with any particular breast surgery.

Dr. Sajjadian takes his time to understand you and your cosmetic goals and personally create a surgical plan to achieve those results. In some cases, there may be only one area that a patient wants to be corrected. In contrast, some patients may require multiple procedures to adjust shape, size, and position.

Dr. Sajjadian is known for his compassion and skill. He understands the importance of a beautiful form to a woman’s self-esteem. He artistically augments the breast to achieve beautiful and natural-looking results.

Dr. Sajjadian would love to help you choose the right surgery or combination of procedures to help you reach your desired goals. Contact our Newport Beach, CA surgical center at 949-515-0550 today to schedule your consultation.

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