Newport Beach plastic surgeon, Dr. Ed Domanskis, specializes in breast augmentation surgery for Orange County women who desire larger breasts. Also referred to as breast enlargement or breast enhancement surgery, this is a procedure that places silicone or saline implants within the breasts to make them appear larger. Implants come in various shapes, sizes, textures, and profiles. There are also cases when patients desire a natural filler and will consider a fat transfer instead of artificial implants. We invite you to read more about the options for breast augmentation surgery and to please call our plastic surgery office with further questions.
Dr. Domanskis offers women throughout Orange County numerous options for breast augmentation. Depending on the condition of the patient and their specific aesthetic goals, he will recommend either silicone or saline breast implants, a fat transfer, or B-Lite implants, one of the newer and more lightweight implants to enter the market. During the initial consultation, Dr. Domanskis will explain each type and create a personal treatment approach so you can attain the look you desire.
Breast Augmentation Reviews
"Have not met Mr. Domanskis yet. But I called and set up my consultation. Rochelle was super sweet and answered all my questions. I'll be back to update soon. I'll be having a breast lift with XL breast augmentation. I'm so excited. Will be updating in the next few months. Wish me luck:)"- S.B. / Yelp / Jul 16, 2017
"Dr. Domanskis is top notch. He is a perfectionist, cares about what his patient thinks and listens to what your concerns are. He is very honest and when he does not think you need a specific procedure he will tell you. I have had 3 surgeries with Dr. D and every one has been amazing. The first surgery was a breast augmentation going from a B to a large C. He asked me to show him several pictures of what I would like and he nailed it to a T. That was over 10 years ago and they are still amazing and not in need of replacement whatsoever. My breasts are just as perfect as when he did my procedure.Three years ago I went to another person - BIG MISTAKE . Dr. Domankis is a plastic and RECONSTRUCTIVE surgeon. He took the ridiculously botched up job this Dr. did and fixed my face. He did scar revision which is impeccable. The outcome of his work is amazing. He's your man! Dr. D's nurse Rachelle is wonderful as well."- K.C. / Yelp / Feb 22, 2018
"Dr. Domanskis is top notch. He is a perfectionist, cares about what his patient thinks and listens to what your concerns are. He is very honest and when he does not think you need a specific procedure he will tell you. I have had 3 surgeries with Dr. D and every one has been amazing. The first surgery was a breast augmentation going from a B to a large C. He asked me to show him several pictures of what I would like and he nailed it to a T. That was over 10 years ago and they are still amazing and not in need of replacement whatsoever. My breasts are just as perfect as when he did my procedure. Three years ago I went to another person - BIG MISTAKE . Dr. Domankis is a plastic and RECONSTRUCTIVE surgeon. He took the ridiculously botched up job this Dr. did and fixed my face. He did scar revision which is impeccable. The outcome of his work is amazing. He's your man! Dr. D's nurse Rachelle is wonderful as well."- K.C. / Yelp / Feb 22, 2018
Types of Augmentation
Saline Breast Implants
Saline implants have always remained a positive choice for patients when deciding what type of implant to use for breast augmentation. Because these implants are filled with a sterile salt water solution, any potential leakage does not pose any threat as the solution is safely absorbed by the body. Saline implants also cost less than the silicone type. One of the disadvantages of saline implants is that in some cases, obvious rippling can appear. This is especially something to consider for women who are thin and have low breast volume tissue. Those who opt for this type of implant must be at least 18 years old.
Silicone Breast Implants
Silicone breast implants are very popular today and are highly recommended by surgeons for patients who are thin and desire a natural look. Since the FDA validated their safety and efficacy, safety concerns surrounding these implants are today almost no different than that of saline. The silicone shell is prefilled with silicone gel and comes in different sizes, shapes and textures. Unlike saline implants in which leakage is absorbed by the body and implant volume visibly flat, it is difficult to tell when a silicone implant ruptures. An MRI is required to detect any rupture. Patients considering silicone implants must be at least 22 years old.
For patients who desire fuller breasts but do not want an artificial implant to achieve this, I offer the option known as a fat transfer. In this procedure, I will harvest fat from sites with liposuction, such as the flank, abdomen and thighs. Then, the fat I collect I purify. The purified fat tissue I then reinject within the breasts to increase the size of the breasts as well as help with shape. I have used this more frequently since I have been doing en bloc capsulectomies as well as breast reconstructions.
Extra Large Breast Implants
Dr. Domanskis does larger breast implants for reconstructive and cosmetic purposes with tissue expanders, custom silicone implants, and saline implants. Please go here xlbreastimplants.info for further information.
B-Lite Breast Implants
Dr. Domanskis is proud to offer Newport Beach patients a new alternative when it comes to breast implant surgery. Known for augmenting the breast to all sizes, including extra large shapes, B-Lite allows Dr. Domanskis to offer a lighter weight implant to women who may otherwise not be able to have saline or silicone at a larger size. Up to 30% lighter than traditional implants, B-Lite reduces the gravitational stress that saline or silicone can sometimes create. Not only does this improve comfort, but it also significantly helps keep the breasts in their position decreasing the chance for breast sag over time due to the weight of a larger or heavier implant. All breast implants are made with a shell and a filler. B-Lite uses tiny bonding hollow spheres within standard medical grade silicone. These "microspheres" create a lighter weight implant with the natural enhancement and look of silicone.
Dr. Domanskis will discuss B-Lite, as well as the other options for breast augmentation during your private consultation.
Breast implants come in a variety of different profiles. The selection is based on how enhanced the breasts’ projection would be, as well as how wide the implant will be on the chest wall in relation to the base width. Since the silicone implants are already pre-filled, the standard profiles come in low, moderate, high and extra high. Saline implants, however, come in variants that are either prefilled; or, the silicone shell is inserted then filled with saline solution up to the patient’s preferred profile. High profile breast implants will have greater projection, but less width on each side, whereas a moderate profile, for example, will not have as much projection, but will be broader.
The standard shape of a breast implant can either be rounded or tear-shaped. Each shape serves a different aesthetic function as it pertains to the patient’s goals. Rounded implants produce a shapelier curve on the top portion of the breast. The teardrop implants are shaped to copy the natural appearance of the breast, so they will not appear as high.
Dr. Domanskis does not use any textured implants. These have been shown to cause Breast Implant Associated Atypical Large Cell Lymphoma(BIA-ALCL). Several hundred cases have been reported to date. If you have any symptoms such as fluid collecting around your breast implant(seroma), feeling of any masses close to breast implant capsule, you should make an appointment to see me or your implanting plastic surgeon. Diagnosis is made with ultrasound or MRI.
Dr. Domanskis makes each placement individualized to the patient, either on top of the muscle beneath the breast tissue or underneath the muscle or a dual-plane depending on what your breasts look like, as well as your desired appearance. Each placement has its own advantages and disadvantages. The one disadvantage of placing the breast implant below the muscle is that you will experience what is called a flexion deformity when your chest muscle contracts. By using a Keller funnel to minimize contamination of the breast implant upon placement; Dr. Domanskis usually places a saline implant in that location to minimize the possibility of rippling that can be seen through the skin.
There are several standard incision approaches for breast implants. The most common is known as an inframammary incision, which is an incision near the breast fold. Second, is an incision made under the areola, which is known as a periareolar incision. A third option is to place the incision within the armpit, known as a transaxillary approach. There is also an incision approach that takes place around the belly button, but this is the least recommended way. It is up to the patient’s desires and surgeon recommendation as to what approach is best to take. Scarring is also discussed at this time with each method.
Breast augmentation is an outpatient procedure that may last from an hour to several hours. It is performed using general anesthesia in an accredited surgical facility. All activities must be limited within 48 hours after surgery. There will be bruising and swelling, and a compression support bra will also be worn to help in healing. It is normal to feel tightness around the chest area as the skin adjusts to the breast’s new shape. Most patients can resume normal activities within 7 days; exercise should be avoided for 4-6 weeks. It takes approximately 6 months for the breasts to look, feel and function normally in regards to softness, sensation and final placement.
The cost of breast augmentation varies from $3600 to $8000 depending on which breast implant is used, the facility where your operation is performed and if any other procedures are done at the same time.
Plan Your Procedure
- Average Cost
- $5,200 - $8,500
- Recovery Time
- 5-14 Days
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- 2 Months
- Procedure Recovery Location
Breast Augmentation FAQs
Natural or Artificial?
This depends on the patient’s breast make up. Those who opt for implants may choose between saline or silicone as each has its own advantages. Generally, patients who have low breast tissue will benefit from silicone implants; otherwise, saline implants are recommended. For fat transfer, the advantage is that it poses less risk since there is no introduction of foreign material in the body. However, the results do not last long compared to artificial implants as fat can be reabsorbed by the body.
There is always a risk with any foreign object that is placed into our bodies. In most cases, silicone is one of the most non-reactive substances but our bodies do react to it and form a capsule. This may be very thin or may be very constrictive causing firmness to hardness to the feel or capsular contracture. Breast implant illness(BII) is also of a concern. I treat this by removal of the breast implant and capsule, doing this en bloc if at all possible. Many patients that have Breast Implant illness have reported that their symptoms are definitely improved.
Implant or Lift?
Breast augmentation is a cosmetic procedure designed to enlarge breasts while a breast lift is designed to tighten the loose skin of a droopy breast. Both resolve different breast issues. There are cases that the procedures are simultaneously done when it is agreed that a breast lift with augmentation is necessary.
Todays’ silicone implants are much more durable and stronger than those in the past. However, they do microscopically leak into the surrounding capsule and can still unusually rupture. This is detected by an ultrasound or MRI study.
If there is deflation or loss of volume with a saline implant, then it can be replaced and the manufacturers within a certain time-frame will help pay for that process. If a silicone implant ruptures, which happens less frequently with the newer breast implants, then it too can be replaced. I would recommend to remove the rupture breast implant with the enveloping capsule(en bloc capsulectomy) to prevent contamination of the breast tissue.