As an Orange County Plastic Surgeon, I am asked this question frequently.  It is time to put this myth to death! Consider me the breast implant “myth busters”!

I am not sure how the facts became twisted, but here is the truth.  If you have had a breast augmentation with or without a lift in the past 8 years and the implant was made by either Mentor or Allergan (formerly called McGhan), there is a LIFE TIME warranty on the implant if a leak occurs.  Up to ten years from the time of surgery, both companies will also pay towards the cost of the procedure.  Currently, there are two warranties for saline implants: standard and extended.  The standard warranty will cover up to $1200 towards the cost of the procedure. The coverage increases to $2400 for the extended warranty.  For silicone implants, the most recent warranty is $3500.

After ten years, both companies will NOT cover any costs related to the procedure.  If your implant is more than 7 years old, it’s best to contact the company and confirm the terms of the warranty, as it may have been different.

I hope this clarifies any confusion regarding the ten year replacement fear.  If your implants are soft and look and feel natural, and there are no medical conditions such as breast cancer, leave those implants alone!

I also want to emphasize the importance of asking for your implant warranty card after your surgery.  Most reliable surgery centers place the implant serial number and volume on the card and it should be given to the patient before discharge.  I do keep track of all this information as well.  However, some surgeons don’t.  If your implant should deflate at any time, having your implant information will make it much easier for the surgeon to find the correct replacement.

Michael A. Jazayeri, M.D. is a board certified plastic surgeon with over 10 years of experience.  His office is located in Orange County, California.  To schedule a complimentary consultation, please call 714-834-0101.

As simple a concept as breast augmentation is (just place an implant to enhance the size of the breast), it amazes me how many issues one must consider.

First, the patient has to decide between saline (salt water) and silicone implant. Currently, the FDA has limited the use of silicone implants to patients 22 years of age or older. Secondly, the silicone implant is significantly more expensive than saline and, therefore, the cost will be higher. If age or cost is not an issue, silicone implant, overall, does feel more natural than saline implant. This advantage is more evident if the patient has thin skin, and less evident if the patient has adequate breast tissue and skin thickness. The disadvantage of the silicone implant is the additional cost, the inability to detect an implant leak in all cases (since the silicone gel is not absorbable, a leak may not be detected on physical exam), thus requiring additional imaging studies, and the inability to adjust the volume of the implant, which may be a factor if the patient has significant asymmetry before surgery.

Breast Implant Leaks

Since the subject of breast implant leak came about, let’s talk about it. ALL breast implants will eventually leak. When a leak occurs is unknown, I have had patients with a deflated breast implant 18 months after surgery, and I have seen patients who have had silicone implants for 22 years without any issues on physical exam. The good news is both Mentor and Allergan, which are the only two FDA approved manufacturers of breast implants in the United States, have a LIFETIME warranty on the implant, if it should fail. Currently, both companies also provide financial assistance towards the cost of surgery up to 10 years from the date of original surgery. To me, this indicates the rate of implant leak up to 10 years is low enough to allow both companies to exchange the implant AND cover some or all the cost of the surgery and still make a profit! This is good news for the patient.

Breast Implant Placement

The next question is should the breast implant be placed above the pectoralis muscle (the chest muscle which body builders flex to impress the judges) or below. I prefer to place the implant under the muscle for two reasons. First, the implant is partially covered by the muscle (there is no chest muscle at the bottom of the implant or to the side) thus minimizing the feel of the implant. Second, given that one in seven women in the United States will develop breast cancer, placing the implant under the muscle allows better visualization of the breast tissue.

Styles of Breast Implants

What about the style of the implant: low profile, moderate profile, high profile, tear shaped (also called anatomical), textured versus smooth or adjustable implant?

Low profile implants are so low in projection, I do not know of any surgeon who has used them for breast augmentation. The choice between moderate and high profile depends on maximizing the volume of the implant for the patient’s chest diameter and chest height. If the patient has a narrow chest and short chest height, but desires the largest implant volume possible, the high profile implant will allow us to place a larger volume (with more projection of course) and still keep the implant within the natural boundaries of the patient’s breast anatomy.

The tear shaped breast implant is flatter on the top and fuller on the bottom. Theoretically this will result in a more natural breast shape. In practice, however, the difference is NOT detectable. There have been some studies which have showed the tear shape implant to look less natural. In my opinion, the theoretical advantage of tear shaped breast implant does not justify the extra cost of the implant and the potential for rotation of the implant. All breast implants may rotate when placed inside the body. With the anatomical breast implant, if the implant should rotate, surgery is required to reposition the implant.

To minimize this risk, the surface of the implant is textured (rough to touch), with the hope that the rough surface will adhere to the muscle or breast tissue. The potential problem with the textured implant adhering to the tissue is that when the patient moves it may pull on the tissue, causing rippling. Most plastic surgeons currently use smooth, round implants for breast augmentation.

What about adjustable breast implants? Adjustable breast implants have an outside shell filled with silicone gel, with a central “second” implant, which can be filled with saline. Seems like a great idea, right? Not so fast! The problem is most patients have swelling after surgery, which may take 3-6 months to fully resolve. Therefore, during the initial period, it is difficult to know how much to fill the implant. After 3 moths, if the patient desires additional volume, it may be difficult to do so, as the body forms a capsule around the implant to “ignore it” and “wall it off” from the rest of the body.

It may be difficult or impossible to expand the implant and still retain a natural look and feel, if the capsule does not yield. Theoretically a great idea, but in practice does not justify the additional implant cost.

Nipple Sensitivity

What about nipple sensitivity, and breast feeding? Regarding nipple sensitivity after breast augmentation, the answer is no one can predict how nipple sensation will be.

In my experience, approximately 1/3 of patients have normal sensation, 1/3 has less, and 1/3 is more sensitive than pre-surgery. One important factor to keep in mind is the size of the implant. The nerve which gives sensation to the nipple comes from the underside of the chest muscle, at the outer edge of the muscle. It then travels towards the nipple to provide sensation. A larger (and therefore wider) implant will increase the risk of nerve injury. If the implant is too large, the patient may even lose nipple sensation completely. Therefore, it is critical to choose an implant which comfortably fits within the confines of the patient’s breast.

Regarding breast feeding, if a patient has never had a child, there is no way to know if that patient can breast feed at all. If a patient was able to breast feed with previous children, ANY type of breast surgery may affect breast feeding, and there is no way of predicting who will be affected.

“My friend got the same type of implant as I did, but my breasts don’t look anything like hers.”

Occasionally I hear this comment, usually from my younger patients. Young patients, for the most part, are very impatient! The culture of “every thing happening right now” can not be applied to surgery. Any surgical procedure will result in swelling. In case of breast augmentation, it may take 3-6 months for the implants to settle in their pockets.

Initially, when the implant is pushed up by the swelling, the breast may look smaller than it will be once the implant has settled in. Also, every one’s breast shape, amount and thickness of the breast tissue and skin is different. Therefore, having the same volume or style of implant is not going to achieve the same result in patients unless their breast shape is EXACTLY the same (even identical twins do not have perfectly symmetrical bodies). Therefore, competing or comparing your breasts after surgery is a self defeating exercise.

At our office, the patient tries the implant with a bra in front of the mirror. This is as close an approximation as we can provide the patient and the patient must be honest with herself.

Are Breast Implants Dangerous?

Does breast augmentation increase risk of breast cancer? Not according to studies. The risk of breast cancer does not appear to increase with breast augmentation surgery. Of course, the patient must follow the guidelines for breast examination and mammography. As mentioned previously, I prefer to place the implant under the chest muscle to increase the chance of tumor detection by mammography.

Are breast implants, especially silicone ones, dangerous if the implant leaks? No. Multiple studies, studying tens of thousand of women have found no correlation between auto-immune disease and breast augmentation (saline or silicone).

“My friend didn’t need a breast lift, why do I need one?”

Your friend’s nipple was in a good position relative to the breast tissue and she had no loose skin. If your nipple is low relative to the rest of the breast and you have loose skin, the nipple must be repositioned and the loose skin removed, otherwise the breast will have fullness on top with the nipple and loose skin hanging over the implant. Believe me, this is not an attractive breast! That is also why the same patient above is surprised about why her total cost is more than her friend. Depending on the type ofbreast lift, considerable amount of additional time is required, thus resulting in additional cost.

“I had breast augmentation and now my breasts feel hard and the shape is strange.”

What the patient is describing is capsular contracture, which is hardening and tightening of the capsule which normally forms around all breast implants. The most common classification used for describing capsular contracture is Baker’s.

• Grade 1: the breast and implant feel and look normal.
• Grade 2: the implant feels slightly firm, but otherwise the breast looks normal.
• Grade 3: the implant feels firm to touch and the breast shape is distorted.
• Grade 4: the implant feels hard to touch and the breast is painful to touch and is distorted.

Unfortunately, we do not know what causes capsular contracture and therefore cannot prevent it or predict who is at higher risk. What is known is the risk for contracture increases with the age of the implant.

In my experience, patient’s who had bleeding right after surgery, even if the amount was small enough not to warrant surgery, are at much higher risk of capsular contracture. Patient’s who do not massage their implants after surgery are also at higher risk.

Currently, the only solution for treating Baker grade 3 and 4 capsular contracture is surgery. The options are capsulotomy (making vertical cuts in the capsule to open up the pocket) or capsulectomy (removing a portion or the entire capsule).

In general, if the capsule is not too hard and this is the initial episode of contracture, I perform a capsulotomy. If the surgery is for recurrent contracture, I perform a capsulectomy. It is important to note both procedures increase the risk of thinning of the breast tissue, thus increasing the possibility of implant visibility and palpability.

“I had surgery six months ago and I want to go larger.”

Increasing the volume of the implant or exchanging to a larger size is not as care free as it seems. First, in my experience, in order to notice a significant change in the breast size, an increase of at least 60cc (2 ounces) is required. This usually requires exchanging the implant, since adding 60cc to an already fully filled implant may make the implant feel harder than desired. Second, since the capsule has already formed, a capsulotomy is required to increase the pocket size for the new implant. The patient must seriously consider whether the cost and potential risk of complications is worth the additional volume or not. My advise is “if it isn’t broke, don’t fix it!”

“I had breast augmentation and now the skin at the bottom of my breast is slightly red and the skin is shiny.”

This can imply an infection and you must contact your surgeon immediately! Although in rare cases the implant can be “saved” by admitting the patient and giving IV antibiotics, the usual scenario is removal of the implant followed by antibiotics. The patient must then wait at least six months before contemplating insertion of a new implant (the same implant should NEVER be used). This is a horrible experience for both the patient and the surgeon. Although the risk of infection is very low, infection is always a possibility with any surgery or procedure.

Michael A. Jazayeri, M.D. is a board certified plastic surgeon with over ten years of experience. His office is located in central Orange County. To schedule a complimentary consultation, please call 714-834-0101.

As an Orange County breast augmentation surgeon, the question of pregnancy and breast augmentation often comes up.

Obviously, if you are pregnant, the surgery has to be delayed until after delivery.  But how long after delivery can breast augmentation be performed?  The recommendation from the American Society of Plastic Surgeons is to delay breast augmentation for six months after breast feeding.  This is a guideline, however, and every case should be individualized.  I agree with waiting the six month period, mainly to allow the breast, and hopefully the patient’s weight, to return to a stable size.  It will be a mistake to size the breast with an implant if the breast is still “swollen”, since a smaller implant will be chosen leading to patient dissatisfaction.

What if there is still milk expressed from the nipple after the six month period?  This can get tricky.  In general, if the patient requires a full lift (which means there is a scar at the bottom of the breast) and the amount of milk expressed is very small, then the implant can be placed through the inframmamary incision (the incision at the base of the breast), thus avoiding majority of the breast tissue and milk ducts.  The rest of the breast lift is removing skin only and does not affect the breast tissue.   If the patient requires a less invasive type of lift, then the breast tissue has to be entered for implant placement, exposing the implant to the milk ducts.  In this situation, I recommend waiting until the breast milk “dries out”.  If the patient does not require a lift, the implant can be placed through the inframmamary incision, thus avoiding majority of the breast tissue.

It is important to realize the presence of milk theoretically can increase the risk of infection.  Milk contains lactose (a form of sugar) and bacteria love sugar!  However, I have had several patients who were one or two years post breast feeding and had no milk expressed on exam, only to find small amount of milk in the milk ducts at the time of surgery! I thoroughly cleaned the breast tissue with antibiotic solution until all the milk was removed and continued the surgery.  As of yet, no patient has developed an infection.  This is not to recommend a “cowboy” approach to breast augmentation in the presence of breast milk production.  My point is that the rate of infection may be higher, but still low.

Michael A. Jazayeri, M.D. is a board certified plastic surgeon and a member of American Society of Plastic Surgeons.  His office is located in central Orange County.  If you like to schedule a complimentary consultation, please call 714-834-0101.

However, I never forget what happened one night when I was a second year general surgery resident rotating at the intensive care unit (ICU).  One evening, I received news about an 18 year old female who was pregnant with her first child.  During or after delivery and the details were not clear, she stopped breathing and sustained several minutes of oxygen deprivation to the brain.  She was subsequently intubated and transferred to the ICU.  Fortunately the child was healthy.  Over the next two days, due to the unknown time of oxygen deprivation and since the patient did not respond appropriately to external stimuli, multiple studies were performed to asses her brain function.   All studies came to the same conclusion:   brain death.

In the evening, when the last set of test results was noted, I approached the family regarding organ donation.  I explained to them her brain damage was severe and irreversible and she will never be able to function or breathe on her own.  The family deliberated for 30 minutes in a private room and decided against organ donation.  They asked me to disconnect her from the breathing machine.

While they were in the room, I hoped the family chose organ donation, since I did not want to face her death.  She was so young!  It also would have benefited another patient who desperately was in need of an organ donor.

With the family in the room, holding hands and with their heads down in prayer mode, I disconnected her from the breathing machine.  It was eight or nine o’clock at night and the ICU was quiet.  This time it was eerily silent.  Although I could have left the room, I did not.  Here was a family I hardly knew, a patient I had known for two days.  After tonight, I probably would never see any of them again.  Yet, I couldn’t leave.  It didn’t feel right for me to leave.

Here I was, a second year surgical resident, helpless.  Neither surgery nor medical technology could save this patient now.  I watched the monitor showing her heart beat gradually slowing down….3 beats per minute…2 beats per minute…one beat per minute…flat line.

No words were spoken to me, but I knew the family appreciated my presence.  I left the room and went to the bathroom and started crying.

I realized something no medical school book or teacher could have taught me.  I was given the privilege and power not only to save lives, but to take life away.  I better not mess up and I better take my responsibilities seriously!

I often think of this patient, just to make sure I don’t forget what it means to be a physician.

Michael A. Jazayeri, M.D. is a board certified plastic surgeon and a member of American Society of Plastic Surgeons.  His office is located in central Orange County.  If you like to schedule a complimentary consultation, please call 714-834-0101.

As have been stated in my previous blog, mommy makeover surgery addresses the changes which occur after pregnancy.  These changes primarily affect the breast and the abdomen.

The breast can be enhanced with an implant (breast augmentation) with or without a breast lift.  A breast lift may be required to reposition the nipple and tighten the loose skin.

Although some patients are lucky enough only to require liposuction, most patients will require a tummy tuck (abdominoplasty) to address the loose skin, stretch marks, and the weakened abdominal muscles which occur after pregnancy.

So, can both surgeries be combined together?  The answer, in most cases, is yes!

There are two limiting factors preventing both procedures to be performed at the same time: the patient’s financial situation, and the total time the patient is under anesthesia.

Mommy Makeover surgery is among the more expensive procedures performed by plastic surgeons.  The surgery may take 4-6 hours and the cost of anesthesia/operating room, implant and surgeon’s fee will add up quickly.  Having said this, if the patient can afford the cost, there are many benefits to having the procedures combined.  First, there is one recovery period, both from anesthesia and from the surgery.  For patients who work, one recovery period is financially advantageous.  Second, combining both surgeries will result in a 10-15% reduction in overall cost.  Surgery centers typically charge more the first hour and the price decreases after that.  Therefore, staging the surgeries will result in more added cost to the patient.

The second limiting factor is the anticipated anesthesia time.  The current recommendation by the American Society of Plastic Surgeons is to limit anesthesia time for elective, outpatient surgery to six hours.   Therefore, if the surgeon feels the surgery may take longer, it is best to stage the procedures.

Michael A. Jazayeri, M.D. is a board certified plastic surgeon with over 10 years of experience.  His office is located in Orange County, California.  To schedule a complimentary consultation, please call 714-834-0101.

Mommy makeover is the catch phrase for cosmetic surgery involving the breast and abdomen, the two areas most commonly affected by pregnancy.

The breasts typically “deflate” after pregnancy and breast feeding and almost always will require a breast augmentation to regain the lost volume.  If there is sagging of the nipple and loose skin, a breast lift (mastopexy) may be needed as well.

Some patients (the lucky ones!) have little effect on their stomach area after pregnancy.  However, most patients will develop loose skin, stretch marks and weakness of the abdominal muscles, resulting in a “beer belly” appearance.  Typically a standard or extended abdominoplasty is required, although some patients can achieve an excellent result with a mini-tummy tuck.

In most cases, both breast and abdominal surgery can be performed together, if the anesthesia time can be kept under six hours (this is the recommended time limit for outpatient elective surgery by the American Board of Plastic Surgery).  Performing both surgeries together has the benefit of one recovery term (this is especially critical for patients who work) and lower cost.

Mommy makeover surgery is amongst the most expensive cosmetic surgery procedures performed.   This is due to the prolonged surgery and anesthesia/operating room time required to adequately address and correct the changes discussed previously.  Whether the time and cost is worth it is a personal question only the patient can answer.  However, if you have realistic expectations and are doing the procedure for YOU and YOU ONLY, it is one of the most rewarding surgeries I perform.  Imagine reversing the effects of pregnancy, what a wonderful concept!  Many patients have told me their sex life has improved since the surgery because they feel more confident about themselves.  The smile on the partner’s lips is always a big give-away!

Michael A. Jazayeri, M.D. is a board certified plastic surgeon with over 10 years of experience.  His office is located in Orange County, California.  To schedule a complimentary consultation, please call 714-834-0101.

“Will my nipple sensation change after surgery?” This is a common question asked by my Orange County patients seeking breast augmentation.

Unfortunately, there is no way to know how your nipple sensitivity will change after augmentation.  I tell my patients you have an equal chance of becoming more sensitive than less sensitive.

Contrary to popular belief, the addition of a breast lift does not increase the risk of nipple sensory change.  In other words, the risk for nipple sensory change is the same for breast augmentation with or without a lift.

The chance of decreased or absent nipple sensation, however, will increase with a larger implant.  The main nerve which gives sensation to the nipple comes from the lateral (outer) side of the chest muscle and travels under the breast until it reaches the nipple.  A large implant will, therefore, have a higher chance of putting pressure and stretching this nerve.  A larger than recommended breast implant may cause stretching and sagging of the skin, lead to enlargement of the areola, and increase the chance of nipple numbness.

It is important to be patient.  Many of the unusual sensations in the nipple and breast will improve with time.  It may take up to one year for the breast to settle and for the nerves to reach equilibrium.

Michael A. Jazayeri, M.D. is a board certified plastic surgeon with over 10 years of experience.  His office is located in Santa Ana, California.  To schedule a complimentary consultation, please call 714-834-0101.

Some of my Orange County patients are surprised and sometimes shocked to find out in addition to a breast augmentation, they require a breast lift (mastopexy) as well.  Since most of my practice is referrals from previous Orange County patients, the patient compares herself to her friend.  This is a common quote: “But my friend didn’t need a lift, why do I need one?”

One cannot compare apples to oranges, and the same applies to one’s body.  Your body is different than your friends, sister, neighbor, etc. Your friend did not receive a breast lift because she did not require it.

It is important to keep in mind the position of the nipple relative to the breast implant.  For a breast augmentation to look cosmetically pleasing, the nipple has to be at the center (the highest point) of the implant.  Otherwise, the breast shape will look strange.  This is an important point to remember:  a breast implant without a lift will look much worse and unnatural than a breast which is naturally saggy and loose.

Therefore, if a patient has nipple and skin ptosis, both must be corrected to achieve an aesthetically pleasing result.  The only way to do this is by moving the nipple up so that it is at the center of the implant, and then removing the excess skin, so the skin is not loose and hanging. 

Scarring is always a concern for patients.  However, having done hundreds of mastopexies, I can say the risk of noticeable scarring (scars which are thick and raised) is rare.

Michael A. Jazayeri, M.D. is a Orange County board certified plastic surgeon with over 10 years of experience.  His office is located in Orange County, CA.  To schedule a complimentary consultation, please call 714-834-0101.

The goal of breast augmentation is to enhance the size of the breast and mainly provide fullness to the upper portion of the breast.

Currently, there are two types of implant available: saline and silicone.  For a detailed discussion about these implants, please click here.

The implant can be placed above or below the pectoralis muscle (by flexing the muscle one can make the breasts move up and down), and many factors will determine which approach is better.  Generally, I prefer to place the implant under the muscle because of more protection, less palpability, and less interference with mammography in the future.

For breast augmentation, majority of plastic surgeons perform the surgery either through an incision around the areola or underneath the breast crease.  The advantage of the inframmamary fold incision (at the breast crease), is that the scar is not visible unless the patient is lying down.  Also, the dissection causes minimal injury to the breast tissue when the implant is placed under the muscle.  The final result is independent of the type of incision used, and is dependent on the surgical skill of the surgeon.

My goals is to recommend an implant which is proportional to the patient’s body, and make the implant look, feel, and behave as naturally as possible.

If the patient has loose skin in the lower portion of the breast and the nipple position is low relative to the center of the breast, a breast lift (mastopexy) is then required.  This breast ptosis (sagging of breast tissue) becomes even more critical to correct with an augmentation.  Remember, for the best result, the nipple must be positioned at the center (the highest point of the implant); otherwise the breast shape will look unnatural.  Therefore, it is imperative to correct any ptosis present.

I perform three types of mastopexy, and each is chosen to give the best result for an individual patient. 

The first is a peri-areolar mastopexy (donut lift).  In this procedure, a circle of skin is removed around the areola and the skin in closed in a circle.  This results in the incision being around the areola. 

The second type is a vertical mastopexy.  Not only is a donut lift performed, but some skin is removed in a vertical fashion from the breast as well.  The final incision looks like a lollipop.  There is an incision around the areola, and an incision going down from the areola towards the base of the breast.

The most aggressive lift is used for patients who have a lot of loose skin and the nipple is at the lowest portion of the breast.  The incision is a vertical mastopexy with the addition of an incision underneath the base of the breast.  This type of mastopexy is also called an anchor lift, since the final incision looks like an anchor.  In all cases, the size of the areola can be reduced, if needed.

My goal is to obtain the best result with the minimum amount of scarring.  Patients are always afraid of the final shape of the scars.  Fortunately, unsightly scars are rare.  I have performed hundreds of breast augmentation and lift procedures, and the risk of noticeable scar formation is less than 1% in my experience. 

For better visualization, I have attached a link to our web-site which explains these procedures through 3-D animation.  Please click here.

I have attached before and after photos to illustrate the effectiveness of these procedures.

Dr. Jazayeri is a board certified plastic surgeon with over 10 years of experience.  To schedule a complimentary consultation at our Santa Ana office, please call 714-834-0101.

The essence of mommy makeover is to improve the appearance of the breast and abdomen.  Since these two areas are the most affected after a pregnancy, the term mommy makeover was coined for this combination procedure.

Regarding the breast surgery portion, the options are breast augmentation, breast enhancement with or without a breast lift (mastopexy), breast lift alone, and breast reduction (in cases of very large, heavy breasts).  During your complimentary consultation, I will recommend the best procedure(s) to address these issues. 

The abdominal portion entails an abdominoplasty, also known as tummy tuck, with or without liposuction of the flanks (love handles), or liposuction of the abdomen alone.
An abdominoplasty is indicated if loose skin, stretch marks, and a “beer belly” appearance are present, due to weakness of the abdominal muscles.

These procedures can usually be performed together, although the final determination depends on the anticipated amount of anesthesia time required.  The recommendation by the American Society of Plastic Surgeons is to keep anesthesia time up to 6 hours for elective, out patient surgery.  The advantage of performing both procedures together is avoidance of two recovery period, and the overall reduction in surgery room/anesthesia cost.

In my experience, mommy makeover surgery is one of the most rewarding procedures I perform.  It is a pleasure to see the regained confidence and happiness in the face of my patients after this surgery.  Needless to say, the smile on the face of the husband or significant other is always a plus!

Please remember although the term mommy makeover is used, this surgery also applies to patients who have had significant weight loss on their own or after gastric bypass surgery (bariatric surgery).  You do not have to be a mother to take advantage of these procedures!

If you are interested in a mommy makeover procedure, please feel free to contact my office and schedule a complimentary consultation.  Our office number is 714-834-0101.

I have attached a before and after photo to demonstrate the effectiveness of this procedure.

Dr. Jazayeri is a board certified plastic surgeon, with over 10 years of experience.  Our office is centrally located in Orange County, in the city of Santa Ana.  We provide plastic surgery services to the following cities: Aliso Viejo, Anaheim, Brea, Buena Park, Costa Mesa, Cypress, Dana Point, Fountain Valley, Fullerton, Garden Grove, Huntington Beach, Irvine, La Habra, La Habra Heights, La Palma, Laguna Beach, Laguna Hills, Laguna Niguel, Laguna Woods, Lake Forest, Los Alamitos, Mission Viejo, Newport Beach, Orange, Placentia, Rancho Santa Margarita, San Clemente, San Juan Capistrano, Santa Ana, Seal Beach, Stanton, Tustin, Villa Park
Westminster and Yorba Linda.

If you like to schedule a complimentary consultation, please contact our office at 714-834-0101