Breast Implants Specialist

Adrien Aiache, MD

Plastic Surgery & Reconstructive Surgery located in Beverly Hills, CA & Tarzana, CA

Breast augmentation is the number one cosmetic surgery procedure in the United States today. At Adrien Aiache, MD, in Beverly Hills, California, Dr. Aiache customizes your breast implant surgery to give you the results you want. Whether you need a breast lift along with augmentation or simply a straightforward best augmentation, Dr. Aiache and his experienced team can help you get great results. Book online or call to check availability.

Breast Implants Q & A

Do I need breast augmentation or a breast lift?

In a breast augmentation, Dr. Aiache adds implants but doesn't make any other significant changes to your breast tissue. If you're happy with your breast position and your breasts don't sag, a breast augmentation may be the ideal way to get the volume you want.

If your breasts sag, regardless of size, adding implants without changing breast position will only add to the sagging. In this case, you may need a breast lift. Dr. Aiache can combine breast lift and breast implants to give you improved breast position and breast volume simultaneously.

What are my options in breast implant materials?

You can choose from two general categories of materials, saline and silicone.


Saline implants are filled with salt water and are round in shape. They're generally less-costly than silicone implants, but may have a less-natural look and feel than silicone.


Silicone implants come in a variety of options, from round to teardrop-shaped. Ordinary silicone implants have a tough shell filled with silicone liquid, but cohesive gel implants feature a thick gel that won't leak if the implant shell ruptures.

You'll discuss your needs and goals with Dr. Aiache to determine which is right for you.

Should I choose textured or smooth implants?

Smooth implants don't adhere to your muscle tissue but instead move slightly within the breast implant pocket. This gives smooth implants a natural-looking movement range. They also feel soft and natural. However, smooth implants could potentially shift out of position.

Textured implants have rough shells, which allows them to stick to your muscle tissue better. Over time, the movement of the textured implants against your muscle wall triggers scar tissue buildup, anchoring them in place.

While texture gives the implants less-natural looking movement, it also decreases the chance of the implant moving out of the pocket completely, as smooth implants could. Both come in saline and silicone.

What are breast implant surgery and recovery like?

You'll wear a support garment for at least a few weeks while you heal. Most patients have inframammary incisions, which are within the breast crease. Other options include periareolar incisions, which are around the nipple, and transaxillary incisions, which are under-the-arm.

Most patients feel better within just 1-5 days, and many patients return to work after about a week. Heavy lifting and other strenuous activities must wait for Dr. Aiache to give the go-ahead, usually at least six weeks after surgery.

Use online booking or call Adrien Aiache, MD, for your breast implant consultation today.