Breast Augmentation


Breast augmentation is more than a plastic surgery procedure for breast enhancement; for millions of women all over the world, breast augmentation is a chance to reclaim their femininity and boost their self-confidence. Breast augmentation can enhance your breasts in so many ways; women can increase volume and fullness to their chests, or correct uneven breasts. Breast augmentation can even improve projection and firmness of the breast for a more balanced, proportional figure. You might be a mother wanting to return your breasts to their youthful state, or maybe you want a better fit for your clothes or want a more feminine figure. Whatever your reasons might be, it’s important to choose a practice in the San Jose area like Aesthetx, whose surgeons have an extensive history with cosmetic and reconstructive breast surgeries.

Our exquisite results are made possible by more than our surgeons’ talent and expertise in breast augmentation. Dr. Zeidler and Dr. Berkowitz believe in deeply personalizing each procedure; they practice dimension based planning, a unique perspective on planning breast augmentation that takes into account a woman’s specific anatomy. We believe that every woman is unique, and our surgeons will meticulously plan your breast augmentation, taking detailed measurements, and carefully analyzing breast tissue and your body frame to find the perfect fit. More importantly, both Dr. Zeidler and Dr. Berkowitz believe that breast augmentation should be a collaboration, and we listen to each patient’s goals and ideal aesthetics so that we can work together on creating the best results. Aesthetx’s breast augmentation results are natural, balanced, and are designed expertly enough to withstand the tests of time.

Breast Augmentation Topics


The History of Breast Augmentation

Even long before technology had advanced enough for it to be safe, finding ways to enlarge the breasts has always captivated our society. From the late 19th century to the early 20th century, surgeons and patients alike experimented with different substances that were injected or inserted into the breasts to increase their size. Substances ranging from paraffin, ivory balls, vegetable oils, mineral oil, lanolin, beeswax, putty, goat’s milk, and more were used to enlarge the breasts, with disastrous results. By the 1950s, women were implanting Ivalon sponges or polyethylene tape wound into a ball, which years down the road caused horrible shrinking and hardening of the breasts.

Alas, the first true revolution in breast augmentation finally occurred in 1961, when Houston plastic surgeons Dr. Thomas Cronin and Dr. Frank Gerow developed the first silicone breast implant. The first breast implant consisted of a thick silicone gel material enveloped in a rubber bag, and in 1962 it was used to perform the very first breast augmentation for patient Timmie Jean Lindsay in Texas.

The next step forward was in 1964 when French company Laboratories Arion developed saline-filled implants. Both saline and silicone breast implants flourished until 1992 when the FDA issued a moratorium on all silicone implants in the United States for breast augmentation due to concerns about patients having adverse reactions to the silicone filling. Saline breast implants became the sole option for breast augmentation in the United States, with the newest evolution, a thin silicone outer shell with a saline filling, dominating the market for decades.

Newer saline implants were also incredibly versatile, with the newer versions containing a small valve making it possible to be filled once inside the body, giving the options for women to have breast augmentation with smaller incisions.

In 2006, after years of clinical trials and studies, the FDA reversed their moratorium on silicone breast implants after confirming it was safe and effective. As popularity for silicone breast implants skyrocketed, further generations of implants evolved and rose in popularity, like 5th generation highly cohesive silicone gel implants (“gummy bear”) implants and implants made with anatomical or teardrop shapes to give an alternative more natural appearing option.

Thanks to light-speed development and innovation, breast augmentation is the most popular plastic surgery procedure in the world. Aesthetx is proud to be led by two elite San Jose surgeons – Dr. Zeidler and Dr. Berkowitz – who have created their own significant contributions to a procedure that has brought confidence and pride to millions of women around the world.

Breast Augmentation Techniques

The Aesthetx surgeons believe that getting the best results is dependent on a surgeon’s willingness to adapt, to change with the times and improve on their technique. It’s why they have pioneered so many techniques that have led to superior results and greater patient safety. Aesthetx’s Dr. Berkowitz himself pioneered an advanced technique for saline implants: endoscopic breast augmentation. Using a small camera called an endoscope to guide the procedure, the saline implant can be inserted through a one-inch incision in the armpit area, also known as the transaxillary incision pattern. In this technique, an endoscope (a small tube with a small camera and a light at the end) will be inserted through the small incision in the armpit. Your surgeon will be able to see the inside of your body through a video feed displayed on a screen. A pocket in the breast will then be created, and your saline implant will be placed in the pocket. The implant can then be filled in the body, leaving some of the most discreet scars available for breast augmentation.

With silicone breast implants, our surgeons use inframammary incisions, which are incisions made under the breast crease. Our Aesthetx surgeons, Dr. Zeidler and Dr. Berkowitz, prefer this incision because they’ve shown a much lower risk of complications after surgery and a higher probability of a faster recovery. Inframammary incisions lead to lower tension in the breast tissue, and it’s associated with lower rates of post-surgery complications. The incisions are also relatively easy to hide. Ultimately, the kind of incision a woman gets will depend on what type of implant she chooses, and her own unique needs.

One other criterion that you will get to decide is the placement of the implants, with the most common placements being over the muscle (subglandular) and under the muscle (submuscular). Placing implants under the muscle often leads to lower rates of post-surgery complications like capsular contracture, and women tend to like the more natural look it creates. However, other women tend to like the dramatic cleavage and round shape that comes from placing implants over the muscle.

For women who want a small amount of lift, Aesthetx offers a breast augmentation technique called the dual plane mini lift, a technique that places the implant partially under the muscle while separating the muscle from the breast tissue. The dual plane mini lift is perfect for creating a small amount of lift by giving fullness in the lower part of the breast and raising the nipple to a perkier position. For women who need a more significant lift, a full breast lift or mastopexy can also be performed.

Aesthetx also offers subfascial breast augmentation, a technique where the breast implants are placed above the muscle but beneath a strong muscle sheath surrounding the muscle. This option is gaining popularity in Silicon Valley especially amongst women who want the implants to feel natural and women who are active with their upper body workout routines.  In the end, you and your surgeon will decide on what breast augmentation placement will work best for you.

Breast Implants – Which Are for You?

Aesthetx believes that every patient deserves a wide array of options, and you and your surgeon will discuss the benefits and negatives of each implant before you make a decision. Our San Jose patients have the option of choosing between saline or silicone, highly cohesive silicone implants or a softer silicone gel, anatomic or round, textured or smooth. With hundreds of different varieties available, Aesthetx is here to guide each patient in picking the right one. For those seeking anatomic highly cohesive silicone breast implants (shaped gummy bear implants), Dr. Zeidler and Dr. Berkowitz happen to be some of the most experienced with anatomic implants in the San Jose area. Thanks to their textured shell and anatomically correct shape, these breast implants are more likely to retain your breast shape over time while lowering risks of typical complications associated with traditional silicone implants.

Your lifestyle, anatomy, and aesthetic goals should figure heavily in your choice of implants. Do you want shaped, anatomic implants that impart a more natural shape, or the more dramatic cleavage that round implants create? Would you rather have a drastic increase in size or a modest size that allows for freedom of movement? All of these questions and more will be used to help choose your perfect implant.

Planning Your Breast Augmentation

There is no type of implant, implant placement, or type of incision that will work for all patients. It’s why we work hard to help the patient find the right choices. We believe that the best way to create the best breast augmentation results is by listening intently and carefully considering a patient’s aesthetic wishes. We plan each breast augmentation extensively in advance so that when the big day comes, the procedure will be based on decisions made together with the patient, not completely for them. During their consultation, we will spend considerable time educating women on their options and helping them fine-tune each decision.

After the patient has decided on a certain aesthetic for their breast augmentation, we’ll carefully analyze the quality of breast tissue and the level of asymmetry if it exists. Then we’ll look at the patient’s figure overall to make sure the breast implants will look balanced and proportional.

A large part of your pre-procedure planning will be spent sizing your breast implants. We want our patients in the San Jose area to feel confident about how their new breasts will feel on them, so we use our very large collection of sizers to help give our patients a sense of how certain implants will look in their bra.

Creating the Perfect Breast Augmentation Results

Aesthetically, we try to create perfectly proportioned breasts that are symmetrical and have a good ratio between the breast mount and the areola. But we shoot for more than aesthetics; through proper planning and by addressing a patient’s unique tissue quality, we strive to create results that can endure the tests of time.

Aesthetx uses dimension based planning to find optimal breast implants for every patient. That means that Dr. Zeidler and Dr. Berkowitz practice a philosophy that strongly takes a woman’s tissue quality and specific body measurements into account. By respecting a woman’s specific physical attributes and natural measurements, Dr. Zeidler and Dr. Berkowitz avoid stretching, sagging, and other breast augmentation complications.

Breast Augmentation with Fat Transfer

To help refine your results, Dr. Zeidler and Dr. Berkowitz also offer the breast augmentation with fat transfer. By adding fatty tissue over the breast implants, you can correct size differences between the breasts and give your breast augmentation a little cleavage “boost.” By adding your own tissue, your breast augmentation can look and feel even softer. Adding another layer of fatty tissue over the implants also gives a more natural feel and movement to the breasts. The other added benefit of the breast augmentation with fat transfer is the opportunity to remove some excess fat in target areas for improvement in body contour.

Research in Breast Implants

Dr. Zeidler and Dr. Berkowitz are known in the San Jose, Silicon Valley community for their innovative work. They’re true pioneers in the world of breast augmentation, having worked as clinical trial investigators for some of the most prominent developers of breast implants in the world. Most recently, both doctors helped bring Allergan’s highly cohesive anatomically shaped breast implants to FDA approval. They are also investigators for Sientra’s post-FDA approval study for their breast implants. Dr. Zeidler, in particular, is active within Sientra, and is currently the Medical Director of Clinical Trials for their devices and serves as a trusted advisor on their Medical Advisory Board. Dr. Zeidler has been selected to be a clinical investigator for an exciting new breast implant clinical trial that will be launching later this year and just received approval from the FDA. This will be a new breast implant company, Motiva made by Establishment Labs. They offer some new advances including nanotexture, a super-silicone, and an implanted microchip that holds implant information. Dr. Zeidler will be the only surgeon in Northern California and Silicon Valley offering this breast implant clinical trial.

Dr. Zeidler and Dr. Berkowitz’s history in breast augmentation research have made them trusted authorities in the world of breast augmentation; to this day they are the most experienced practice in the San Francisco Bay Area when it comes to the revolutionary anatomically-shaped breast implants.

Questions to Ask During Your Breast Augmentation Consultation

What Kind of Recovery Can I Expect from Breast Augmentation?

After a breast augmentation, it’s common to experience bruising, swelling, and some pain in the breasts during the first few days. However, you will be provided with a prescription for pain medication to alleviate any discomfort. You may also need to wear a surgical support bra during the first few weeks to facilitate healing.

Most patients return to work and their daily routine within a week, but exercise and other strenuous activity will need to be avoided for up to six weeks. The surgeons at Aesthetx are here to help you at every step of your breast augmentation journey, so be sure to reach out to them if any problems arise during your recovery.

Where Will the Procedure Be Performed?

For best results, your procedure should be performed in an accredited surgical facility. Aesthetx has a beautiful surgical suite onsite that is fully accredited to meet strict national standards of the American Association of Accreditation of Ambulatory Surgical Facilities (AAAASF). This private surgical suite was built with privacy, comfort, and safety in mind, ensuring patients have an exceptional surgical experience.

Will I Have Scars After My Breast Augmentation?

Every surgical procedure produces scars, but the surgeons at Aesthetx take great care to make incisions as discreetly as possible. The inframammary incision produces well-concealed scars, as it is hidden along the crease where the breast meets the chest. The transaxillary incision is made in the underarm, so it leaves the breasts untouched in terms of scarring. Many things are done to minimize the scars, including careful suturing techniques, specialized skin glue and postoperative silicone scar therapy. Our Director of Dermatology, Dr. Amelia Hausauer, often sees patients for early laser treatments to manage scars and sometimes sees high-risk patients to pretreat the scars.

Can I Breastfeed After Having Breast Implants?

Your ability to breastfeed will depend on how much the milk ducts were disturbed during surgery. In general, the vast majority of women will still be able to breastfeed after having breast implants.

Dr. Zeidler and Dr. Berkowitz are both renowned for extremely informative and in-depth consultations. To schedule your private consultation for breast augmentation or to learn more about the procedure, contact Aesthetx by visiting HERE or calling (408) 559-7177.

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