
Dr. Emil Kohan | Beverly Hills
Breast Augmentation
Breast Augmentation in Beverly Hills
Breast augmentation in Beverly Hills with Dr. Emil Kohan remains one of the most popular cosmetic surgery procedures in the country. Breast augmentation may be performed in several different ways. The most popular method of breast augmentation remains the placement of implants (either silicone or saline). Other methods include fat transfer, which involves the liposuction and injection of the patients own fat to augment the breast. We find this to be more predictable than other methods, such as fat transfer to the breast. Incisions also vary depending on technique and patient anatomy. The most commonly used incisions include the peri-areolar (around the bottom half of the areola), and the inframammary fold incisions. Breast implants may be placed in a sub-glandular position (under the breast tissue, but above the pectoralis major muscle), or a sub-muscular position (under the pectoralis major muscle). Due to decreased risk of capsular contracture and various other reasons, a vast majority of breast augmentations that we perform are sub-muscular (under the pectorals major muscle), with the inferior portion of the implant under the breast gland - making it a "dual plane" breast augmentation (under 2 planes). The decision regarding silicone vs saline depends on the patients anatomy, incisional preferences, patient age (the minimum age requirement for silicone breast augmentation is 22), and amount of overlying breast tissue. All of these factors will be discussed in detail during your consultation.

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Frequently
Asked Questions
What are the primary aesthetic goals of a breast augmentation?
The surgery is designed to increase the size, fullness, and symmetry of the breasts through the surgical placement of implants. Many patients at EmilMD seek this procedure to restore volume lost after pregnancy or weight loss, or to balance a naturally asymmetrical chest. By selecting the appropriate implant shape and size, the surgical team can create a more proportionate figure that aligns with the patient's specific body goals. Dr. Emil Kohan focuses on achieving a result that feels natural and complements the individual's unique frame.
How does a surgeon choose between saline and silicone implants?
The choice of material depends on the patient's desired feel, the amount of existing breast tissue, and their personal aesthetic preferences. Silicone gel implants are often favored at EmilMD for their ability to closely mimic the feel of natural breast tissue and their lower risk of visible rippling. Saline implants consist of a silicone shell filled with sterile salt water, offering the benefit of a smaller incision during the insertion process. During a detailed consultation, the clinical team reviews the pros and cons of each option to find the best fit. Dr. Kohan provides expert guidance on which implant type will yield the most harmonious and long-lasting outcome.
What is the typical recovery timeline after breast implant surgery?
Most patients can expect to return to a sedentary work environment and light daily activities within one week of the operation. During the initial healing phase, it is common to experience some tightness and swelling as the tissues adjust to the new implants. EmilMD's clinical team provides specialized surgical bras and detailed instructions to support the breasts and minimize discomfort during the first few weeks. Strenuous exercise, heavy lifting, and overhead reaching should generally be avoided for at least one month to ensure the incisions heal properly. Dr. Emil Kohan monitors the recovery progress through regular follow-up visits to ensure the implants are settling correctly.
Where are the incisions typically located for this procedure?
Incisions are strategically placed in inconspicuous areas to minimize the visibility of any resulting marks once they have fully healed. Common entry points used at EmilMD include the crease under the breast, around the edge of the areola, or occasionally within the armpit. The selection of the incision site depends on the type of implant used, the patient's anatomy, and the specific surgical goals. Meticulous suturing techniques are employed to encourage the scars to fade into the natural folds of the skin over time. Dr. Emil Kohan prioritizes surgical discretion to ensure the aesthetic integrity of the chest remains intact.
Can a breast lift be performed at the same time as an augmentation?
If a patient experiences significant sagging along with a loss of volume, the experts at EmilMD may recommend an augmentation-mastopexy. This combined approach allows the surgeon to lift the breast tissue to a higher position on the chest wall while simultaneously adding the desired fullness with an implant. Combining these procedures into a single session provides a more comprehensive rejuvenation of the breast profile and requires only one recovery period. Without the lift, an implant alone may not be sufficient to correct a drooping appearance. Dr. Emil Kohan evaluates the degree of skin laxity to determine if a dual approach is the most effective solution.
Are the results of breast augmentation considered permanent?
While the enhancements are long-lasting and designed to endure for many years, breast implants are not considered lifetime devices. Over several decades, the natural aging process, gravity, and weight fluctuations will continue to affect the appearance and position of the breasts. Patients at EmilMD are encouraged to attend regular check-ups to monitor the integrity of their implants and the health of the surrounding tissue. If an implant eventually requires replacement due to wear or a change in aesthetic preference, a secondary procedure can be performed. Dr. Kohan utilizes advanced surgical techniques to provide a stable foundation that maintains its beauty for as long as possible.
Is anesthesia required for a breast enhancement operation?
The procedure is performed under general anesthesia in a fully accredited surgical facility to ensure the patient remains completely comfortable and safe. This allows the experts at EmilMD to work with precision while the patient is in a relaxed, monitored state throughout the surgery. A thorough preoperative medical screening is conducted to confirm that the individual is a healthy candidate for the chosen anesthetic. The safety of the patient is the highest priority for the entire surgical staff during the duration of the procedure. Dr. Emil Kohan reviews the anesthesia protocol in detail with each patient prior to the scheduled surgery date.
How does a patient determine the best implant size for their body?
The sizing process involves a careful analysis of the patient's chest wall dimensions, existing breast width, and overall physical proportions. At EmilMD, patients have the opportunity to use sizers and view before-and-after galleries to better visualize how different volumes will look on their frame. It is important to choose a size that the existing tissue can comfortably support to ensure a natural look and minimize future complications. This collaborative planning stage ensures that the patient's expectations align with what is surgically achievable and safe. Dr. Emil Kohan provides professional recommendations based on years of experience in aesthetic breast surgery.






