Listed in "San
as one of the Best Cosmetic Surgeons in the
San Francisco Bay Area.
Breast Enlargement (Breast Augmentation)
enlargement surgery involves
the placement of implants to
increase the volume and
enhance the shape of your
breasts. Breast enlargement
surgery performed by a top
Bay Area cosmetic surgeon
operating in the
greater San Jose & San
Francisco regions can boost
your confidence in your
Call our Bay Area cosmetic
surgery center today for a
free private consultation with
Dr. Zandi about your breast
your initial consultation you will discuss
with Dr. Zandi your past and
present medical conditions and current
medications used. He should be made aware
if you have hypertension, thyroid problems
or diabetes or if you may be pregnant.
He should also know about your past surgeries
personal habits, such as smoking and drinking.
You should reveal any past surgeries or
allergies to any medications. It is of
utmost importance to mention the history
of breast cancer in your family. A physical
examination will be performed and preoperative
photographs will be taken. You may be
shown before and after photographs. Lab
tests, x-rays or EKG may be ordered depending
on your general health. A baseline mammogram
is suggested for women over 35 years old.
After the conclusion of your consultation
and physical examination the fees will
be discussed with you by the doctor and
It is advisable to stop smoking two weeks
prior to and two weeks following surgery.
Do not drink any alcoholic beverage two
days prior to and one week following
Have your mammogram and any lab work done
at least two weeks prior to surgery if you
are over 35 years old or if there is any
history of breast cancer in your family.
aspirin containing products
such as Advil and avoid garlic and garlic
products two weeks prior to surgery. These
products can prolong bleeding and increase
bruising. Tylenol may be taken during this
For a period of two days before surgery
you should wash your upper torso from neck
to waist with Betadine soap for 15 minutes
twice per day. An additional wash should
be done right before the surgery. No skin
product should be used two days prior to
the surgery. Do not eat or drink anything
after midnight before surgery. You may,
however, take prescriptive medication with
a small amount of water and brush your
teeth the morning of surgery. Wear a loose
fitting blouse or dress that does not pull
over your head to the surgical suite.
Loose sweats are recommended as you will
be in a compression garment after surgery
and clothing may be difficult to get on.
Do not wear jewelry or bring valuables
when coming for surgery.
Please plan to have someone bring you to
and take you home from surgery and stay
with you for at least the first 24 hours.
Notify the office staff of this person's
name and telephone number prior to
surgery. Have all prescriptions filled a
few days before surgery, so they will be
available for you when you arrive home
operation is usually performed under general
anesthesia and occasionally under local
anesthesia with conscious sedation as
an outpatient. There are different approaches
and each surgeon has his or her own
I approach the breasts mostly through
an incision on the lower border of the
areola, (the dark skin around the nipple);
however, it can be performed through the
under arm or under the breast as well. The
implant can be placed in front of or
behind the chest muscles. I usually place
them behind the muscles.
Breast enlargement surgery is performed on millions of
women with success, but anyone undergoing
the procedure should be aware of
the benefits and risks. Potential
complications include reaction to the
anesthesia, blood collection that may need
drainage or re-surgery, infection, which
may require removal and later replacement
of the implants, change in sensation of
the nipple and surrounding skin, which is
usually temporary. The scar is usually
unnoticeable, but on occasion it may require a
minor procedure for improvement. The capsule,
which is a natural scar formation around
the implants may undergo contracture (shrinkage)
and make the breast firm. By placing the
implant behind the muscle, this risk decreases.
It can be corrected by surgical release
of the capsule.
the saline filled implant leaks, it causes
no harm and the saline will be absorbed
by the body within hours. The implant can
be replaced with no difficulty.
is no scientific evidence that breast
augmentation increases the risk of breast
cancer; however, presence of breast implants
makes it more difficult to take and read mammograms. Placement of the implant
beneath the chest muscles may improve this
After breast augmentation it is possible
to return to work in about a week or so
depending on your job. Vigorous activity,
especially movement of the arms, may be
restricted for one to three weeks.
Recovery time varies from person to person
depending on the patient's motivation.
Most patients should be able to drive
within three to five days after surgery.
Strenuous exercise and aerobics should
resume no earlier than three to four weeks
after surgery. Sexual activity should be
avoided for at least two weeks after
surgery and you
should be extremely gentle with the breasts
for the first month or so. Self examination
or examination by your physician can be
resumed approximately one month following
The night after surgery, rest on your back on
one or two pillows.
may experience moderate pain for the first
two to three days following surgery. Pain
medication is given to reduce discomfort
during your recovery period. A slight
fever is normal during the first few days
will have bandages in place for about
three days. These bandages should remain
dry and intact. You may
remove them and take a shower on the third
or fourth day after surgery. You will
have sutures in place for 7 - 10 days.
You may experience bruising and swelling
for one to two weeks. Please bring an underwire bra with you on your first postoperative
visit in case any minor adjustments are
are encouraged to call the office if you
have any questions.
Breast enlargement surgery fees are
customarily paid two weeks prior to
surgery to ensure the patient is sincere
in her motivation. The fees include the
cosmetic surgeon's fee, the facility
charge for a private and fully
accredited Bay Area clinic, and the
anesthesiologist or certified nurse
anesthetist's fee, if general anesthesia
is used. Also included are any
laboratory tests performed in the office
or use of special equipment. Insurance
plans rarely cover cosmetic surgery, but
please feel free to ask the office staff
if you have any questions in that regard.
We understand that the decision to
undergo breast enlargement is a very
important one, and we are here to
address your concerns and questions.
Please call our cosmetic surgery center
near San Jose to talk to knowledgeable
staff or to set up a free private
consultation. Dr. Zandi is a top-rated,
board certified Bay Area cosmetic
surgeon whose breast enlargement patients come from all
over the greater San Jose and San