Breast Augmentation

When you are dissatisfied with the size of your breasts it can be difficult to feel attractive and feminine. You might wish nature had given you more, and often, pregnancy or weight loss can leave your breasts smaller than before. Breast augmentation in La Jolla has given San Diego women the natural looking curves and fullness they desire to help them enjoy life with self-assured confidence.

Choosing to undergo cosmetic surgery is an exciting, but serious decision. It's important to feel comfortable and confident about your choice of plastic surgeon. Many women choose triple board certified plastic surgeon Dr. Richard Chaffoo because he focuses on their desires and strives to exceed their expectations with natural looking improvements. To learn more, request your complimentary cosmetic consultation online or call our office at (858) 623-6333.

Improvements From Breast Enlargement

The women who visit Dr. Chaffoo in La Jolla (San Diego) for breast augmentation have a variety of personal reasons for considering the procedure. Reasons for choosing this procedure often include one or more of the following:

  • Increasing the size of naturally small or underdeveloped breasts
  • Replacing breast volume lost due to pregnancy, breastfeeding, or weight loss
  • Achieving symmetry between uneven breasts
  • Attaining a more balanced figure

Once you've decided to go forward with breast augmentation, you will have some additional decisions to make. Dr. Chaffoo will help you through your breast implant options for personalized results. As a triple board certified plastic surgeon, he can offer patients the Sientra® Silimed® cohesive gel (gummy bear) implants, which received FDA approval in 2012. Dr. Chaffoo will support, inform, and guide you all the way, helping you make the right choice for your cosmetic goals, lifestyle, and body type.

The Right Combination For You

While it can be challenging to take time out for surgery and recovery, having a single recovery period can help you make the most of your downtime.

Dr. Chaffoo can combine breast augmentation with other procedures such as liposuction to sculpt areas of stubborn fat. Another popular option for women who have lost weight or had children is a tummy tuck to remove excess fat and skin and tighten stretched abdominal muscles. At your private complimentary consultation, Dr. Chaffoo will review all of the options that can help you feel more feminine and confident.

What To Expect

Dr. Chaffoo evaluates your breasts and chest wall as part of a physical exam to ensure you are a good breast augmentation candidate. It's normal for the breasts to have some asymmetry, a fact some women don't realize. Asymmetry may involve a difference in the size, shape or width of either breast; nipple position; or breast volume. Furthermore, there may be differences within the chest wall, including mild scoliosis or curvature of the spine, and variations in the shape of the sternum or breastbone, called pectus carinatum and pectus excavatum.

Dr. Chaffoo points out these imperfections to you during the initial consultation. He carefully measures the nipple position, nipple diameter, and position of the breast fold because there can be considerable variation from one breast to another and from one patient to another.

By carefully noting your existing breast anatomy, Dr. Chaffoo ensures you can have realistic expectations about the surgery's outcome. Even though some asymmetries such as nipple position can be corrected during surgery, other asymmetries may remain after breast augmentation and would not have been noticed by the patient prior to surgery.

The position of the breast on the chest wall largely determines the amount of cleavage. In other words, if the breasts sit relatively close together, then creating cleavage is fairly easy. However, if the breasts sit farther apart on the chest wall with a relatively large sternum or breast bone, then there will be less cleavage. Breast augmentation enlarges breasts, but doesn't move their position on the chest wall.

Breast Augmentation Surgery

Dr. Chaffoo performs breast augmentation as an outpatient procedure that takes approximately 1 to 2 hours to complete. He typically places the incisions along the crease just above where the breast connects to the chest wall (the inframammary fold), or along the lower edge of the nipple. He then creates a pocket for each breast implant.

The location of the implants is something you discuss with Dr. Chaffoo at your consultation. If you're concerned about getting results that look and feel as natural as possible, Dr. Chaffoo recommends placing the implants under the chest muscles. In some cases, though, patients choose to have implants placed behind the existing breast tissue, but above the muscles.

Optimizing Your Results

As a skilled and experienced plastic surgeon, Dr. Chaffoo takes steps during the procedure that can help you achieve a more flattering breast size and contour, taking into consideration the goals you described during the consultation.

During the procedure, Dr. Chaffoo places sterile surgical sizers and he views the breasts from several angles (the operating table is placed at an incline) to determine the optimum implant size. Once he determines the optimal size, the sterile surgical sizers are removed and replaced with the permanent implant. The sizers help Dr. Chaffoo confirm that the desired breast implant size will achieve the patient's aesthetic goals. He believes that taking these steps for his breast augmentation patients gives them the most accurate breast volume and shape.

Potential Risks

For the most in-depth information about complications and an assessment of your specific risk profile with breast augmentation, be sure to ask Dr. Chaffoo plenty of questions during your complimentary consultation.

Each breast implant type has its own safety profile with unique physical characteristics that affect the chance of rupture or other complications. Studies show that cohesive gel breast implants, now offered by Dr. Chaffoo, may have a lowered risk of complications. Ask Dr. Chaffoo about these implants. There are other more general risks that can be associated with surgery of any kind. Dr. Chaffoo will discuss these with you fully during your consultation. Patients should be aware of the following possible complications:

  • Infection is uncommon and can be treated with antibiotics.
  • Capsular contracture is one of the more common breast augmentation complications. When it occurs, excessive scar tissue develops and squeezes the implant, causing the breast to become hard, visibly unbalanced and, in some cases, uncomfortable.
  • Loss of sensation is usually temporary and restricted to the nipple and skin.
  • Scarring can be concealed and minimized by a skilled surgeon, but the result depends on many factors, such as incision method and an individual patient's skin type.
  • Wrinkling is more common with saline implants. The implant may appear to have a wrinkled texture on the upper portion of the breast when viewed from certain angles.
  • Asymmetry is usually not obvious, as the human body is not perfectly symmetrical. As the implants settle into place following surgery, one may rest slightly higher or lower than the other.
  • Calcium deposits can develop several years after surgery and may make mammograms more difficult to read.


Your initial complimentary consultation with Dr. Chaffoo is a time to share your goals, ask questions, and have your concerns addressed. During this visit, Dr. Chaffoo:

  • Obtains a complete medical history and performs a physical exam
  • Reviews breast implant options
  • Discusses the procedure's risks and the recovery process
  • Determines whether you would benefit from a breast lift instead of, or in addition to, breast augmentation

To help his patients choose the breast implants that will provide the results they want, Dr. Chaffoo provides implant "sizers." You will be given the opportunity to see how you look by placing various sizes of these saline and silicone implants in your bra. We recommend wearing or bringing along a form-fitting shirt to the consultation.

Dr. Chaffoo also encourages you to review his extensive gallery of breast augmentation photos, showing real patient results, prior to your consultation. You can then share your favorite cases with him and even bring with you pictures of models from the internet or magazines to help communicate your desired breast size and shape. The extra effort that goes into the planning of your breast augmentation is part of the process that allows you to achieve your aesthetic goals.

Prevention Recovery

In addition to these guidelines, be sure to follow all of Dr. Chaffoo's post-surgical instructions very carefully. By being a good patient, you are actively participating in the success of your breast augmentation. You can go a long way toward preventing complications by following Dr. Chaffoo's recovery instructions, which may include:

  • Give yourself ample time to recover. Enjoy the opportunity to rest, sleep, and relax as much as you need.
  • Don't drink alcohol or smoke for at least 2 weeks.
  • Don't drive for about the first week.
  • Take antibiotics if they are prescribed.
  • Sleep on your back for the first week.
  • Avoid heavy lifting, raising your arms above your head, or strenuous exercise for about 3 weeks.
  • Wear a support bra, if one is given to you, for about a month.

Come visit Dr. Stuart & Dr. Chaffoo and let us help you achieve the spectacular look you deserve!

9850 Genesee Ave #480 La Jolla, CA 92037

Call Today (858) 623-6333