Breast augmentation (also referred to as chest feminization or top surgery for transwomen) is an excellent option for those transwomen and non-binary individuals who are seeking a more feminine upper body. Hormone therapy does not always achieve the physique most MTF clients desire. During breast augmentation, the chest is recontoured and enhanced with silicone or saline breast implants. The size and shape of the implants can be customized to your unique wishes and aesthetic sensibilities. Sometimes, your own fat can also be used to enhance the chest contour. The ultimate goal of the surgery is to make you feel more secure and at home in your body, presenting to the world your most authentic and confident self.
"Where do I begin? Dr. Champaneria is AMAZING! I had been interested in breast augmentation surgery for many years and finally had the courage to move forward and search for a suitable doctor to help me achieve my ultimate look. Dr. Champ was recommended to me by a friend of a friend who had nothing but outstanding things to say about his phenomenal work and attention to detail as well as his genuine compassion for his patients. I met Dr. Champ during my first consultation and I immediately knew he was the one for the job. He made me feel more comfortable than I could have possibly imagined it would be to talk to a stranger about giving me bigger, fuller breasts. Through the whole process, I felt safe and at ease and I really enjoyed his supportive and lighthearted personality when discussing such personal topics as breast size and potential risks about the procedure. During my pre-op appointment, I got to try on some different types of implants and he gave me the utmost confidence that the ones I chose were suitable for my desired look as well as a healthy and safe option for my body. By the time I was ready for surgery, I had absolutely zero doubts that I had chosen the best doctor to do this for me. I ended up getting 450cc silicone implants which I absolutely LOVE! They look and feel so natural as if my body is finally proportioned to how it should have been my whole life. Dr. Champ understood exactly what I wanted to achieve and he delivered just that. With his keen attention to detail and his artistic touch, I really couldn't be happier with the results. And I had fun along the journey! If you are someone looking for a great plastic surgeon, I have all the faith in the world that Dr. Champaneria will be able to help you achieve your aesthetic goals. Thank you Dr. C and thank you to your incredible staff!"- J.S. / Google / Feb 18, 2021
"Phenomenal Surgeon and Truly Genuine Person - Where do I begin? Dr. Champaneria is AMAZING! I had been interested in breast augmentation surgery for many years and finally had the courage to move forward and search for a suitable doctor to help me achieve my ultimate look. Dr. Champ was recommended to me by a friend of a friend who had nothing but outstanding things to say about his phenomenal work and attention to detail as well as his genuine compassion for his patients. I met Dr. Champ during my first consultation and I immediately knew he was the one for the job. He made me feel more comfortable than I could have possibly imagined it would be to talk to a stranger about giving me bigger, fuller breasts. Through the whole process, I felt safe and at ease and I really enjoyed his supportive and lighthearted personality when discussing such personal topics as breast size and potential risks about the procedure. During my pre-op appointment, I got to try on some different types of implants and he gave me the utmost confidence that the ones I chose were suitable for my desired look as well as a healthy and safe option for my body. By the time I was ready for surgery, I had absolutely zero doubts that I had chosen the best doctor to do this for me. I ended up getting 450cc silicone implants which I absolutely LOVE! They look and feel so natural as if my body is finally proportioned to how it should have been my whole life. Dr. Champ understood exactly what I wanted to achieve and he delivered just that. With his keen attention to detail and his artistic touch, I really couldn't be happier with the results. And I had fun along the journey! If you are someone looking for a great plastic surgeon, I have all the faith in the world that Dr. Champaneria will be able to help you achieve your aesthetic goals. Thank you Dr. C and thank you to your incredible staff!"- J. / RealSelf / Feb 17, 2021
"As a transgender male seeking transitional services, it can be a nerve-wracking and vulnerable experience to navigate the process of top surgery. That said, from the moment I first met Dr. Champaneria at my initial consultation I knew that I was in the right place. He has such a friendly manner and was clearly knowledgeable about all things LGBTQ+. He answered practically all my "planned questions" before I asked them and made me feel respected, safe, and cared for the entire time. He talked me through the keyhole procedure he was going to do prior to surgery and the actual day of surgery ran very smoothly. I am SO PLEASED with the results. SO HAPPY!!!At my subsequent post-op appointments him and his staff continued to be very personable; they really made me feel special and proud of my new chest. Any questions I had, they were there! If you are FTM or NB and are looking for a caring, informed, and skilled top surgeon, 10/10 would recommend!"- M. / Healthgrades / Feb 17, 2021
"Hail to my amazing, exceptional, ultra knowledgeable plastic surgeon, Dr. Champaneria. His vast intelligence is obvious in all he communicates; his skills are beautifully pronounced in the work he performs and the results, amazing. Yet, he will offer you completely down to earth, kind, companionate comfort in his care—start to finish, each and every visit. Be it surgery or for fillers I can honestly say, his skills changed my life! What he was able to accomplish for my breast reconstruction and breast lift has made all the difference to a degree that will remain unmatched—in making me physically whole again. I could never honor the gift Dr. C has in restoring what was once lost—being found again. He is truly gifted in what he does. Thank you, Dr. Champaneria! You truly make a difference!! And, I do want to also mention that every staff member on his team is also thoroughly caring, kind, compassionate and competent! Grateful to be your patient!"- C.Z. / Google / Jan 22, 2021
"I had researched plastic surgeons, and as a nurse I was very picky. Dr. Champaneria has a very delicate hand, did fantastic work. I had a fantastic outcome and couldn't be happier."- T.S. / Google / Mar 08, 2021
Natrelle® Breast Implants
Dr. Champaneria proudly offers Natrelle® —the world's most elegant breast implants. The Natrelle Collection is the result of 25 years of experience with the science and aesthetics of breast augmentation and enhancement and represents today's most current breast augmentation and enhancement technology. Natrelle offers breast implants in both saline and silicone round implants as well as highly cohesive anatomically shaped silicone (also known as gummy bear) implants.
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 saltwater solution, any potential leakage does not pose a 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, rippling can appear. This is especially something to consider for women who are thin and have low breast 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 appears 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.
Dr. Champaneria believes that your breast augmentation recovery should be as quick and painless as possible, which is why he uses the latest advanced surgical techniques that he developed while training with some of the top leaders in breast augmentation surgery. The Rapid Recovery Breast Augmentation technique minimizes trauma to the breast tissue, thereby reducing pain and bruising, and allows most patients to return to activities of daily living in 24 hours; most patients are even comfortable enough to go out for dinner the night after their surgery! During the operation, Dr. Champaneria will make a small incision, typically in the inframammary location under the breast. Other incision choices are also available. Through this incision, he creates a precise pocket for your breast implant. Before placing the final implant, the pocket is irrigated with a specific antibiotic solution which helps prevent post-operative infection, and reduces the risk of capsular contracture. All of your incisions are then closed with absorbable sutures.
This technique includes an incision in the crease beneath the breast (inframammary), which sits in or near the skin fold and is hardly perceptible once healed.
This incision is made in the axilla, or armpit. The implant is then placed through this incision into a pocket created beneath the breast.
This will be an option for those women with an areolar diameter that is neither too small nor too wide for the incision to be made properly. Scarring is greatly minimized, as the incisions are well-hidden within the darker pigmentation of the areolas. Because the incision goes through the breast ducts and glands, a periareolar incision may result in a higher rate of implant infection and capsular contracture.
Implant Placement Options
During your breast augmentation consultation in San Diego, CA, Dr. Champaneria can place the implants either sub-muscularly beneath the pec muscles, or subglandularly above the pec muscles. Additionally, a dual plane method may be utilized, which places them only partially below the pec muscles. Dr. Champaneria will help counsel you on the best placement for your unique body and aesthetic goals during your confidential breast implants consultation in San Diego, CA.
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.
Plan Your Procedure
Breast Augmentation FAQs
Natural or artifical?
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.
Negative notions about silicone started back in the early 90s when there were cases of leakage and complications. With today’s advancements in engineering, the silicone-based shells are made durable and safe, and have been proven so by the FDA. Today, in fact, silicone is more preferred than saline since they last longer and feel more natural. The rates of reported complications have significantly decreased in the last decade.
Today’s silicone implants are strong, durable and safe. Technical advancements have come so far, that even if a silicone implant does rupture, the shell of the implant will keep the silicone gel encased and protected from entering the body. In a rare case that a silicone implant does rupture, an MRI will be needed to detect the rupture. This is the main reason why MRI checks are recommended 3 years after surgery and every 2 years succeeding the first MRI.
Implants may last up to 10-15 years. As long as the implant shows no signs of damage or visible defects, such as breast rippling or a deformity, replacing them is not necessary. What’s necessary, however, is a periodic check of the implants to make sure that they are still intact.
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.
Scars disappear over time?
Your scars will not completely disappear, but they will fade over time, typically appearing as a fine line matching your skin tone. The degree to which scars fade and the final appearance is based you’re your skin type and genetics, along with your individual healing capacity. The incisions are always made in the most discreet areas so that they are not noticeable.
Rapid recovery breast augmentation?
A typical breast augmentation surgery usually requires anywhere from several days to over one week of recovery time with the use of prescription pain narcotics and time away from work. However, with the Rapid Recovery Breast Augmentation, patients will generally be able to resume their normal daily activities within 24 hours after surgery. This is possible because San Diego Breast Augmentation specialist, Dr. Champaneria utilizes several specific surgical techniques to reduce tissue trauma, which minimizes post-operative pain and shortens the recovery time. Most patients are on over-the-counter pain medications and feel comfortable walking around, washing their hair, and sometimes even going out to dinner within a day or two of their surgery. Patients are instructed to complete special arm stretches several times a day and receive specific instructions to help expedite the healing process. In short, the benefit of breast enlargement using the rapid recovery technique is that it allows you to get back to your normal life sooner!
Recommended sleeping position?
Patients are advised to sleep on their backs with their heads elevated on at least two pillows for the first 24 hours. Most patients find that it is the most comfortable to sleep on their backs or sides for the first few weeks. When we sleep at night, our bodies are aware if something is causing pain and will adjust accordingly. Patients are encouraged to pay attention to how their bodies are feeling and sleep in the most comfortable position.