Breast augmentation is one of the most popular cosmetic procedures for women seeking to enhance their figure, restore lost volume, or improve breast symmetry. Whether your goals are to achieve fuller breasts, regain volume after pregnancy or weight loss, or create a more balanced silhouette, board-certified plastic surgeon Dr. Ali Totonchi offers personalized breast augmentation procedures tailored to your unique anatomy and aesthetic vision. Using advanced surgical techniques and a comprehensive selection of silicone and saline implants, Dr. Totonchi creates natural-looking, proportionate results that complement your body while helping you feel more confident in your appearance. Every treatment plan is customized to your lifestyle, body frame, and desired outcome, ensuring beautiful, long-lasting results.
Real Dr. Totonchi Patient: Before & After Breast Augmentation*
Breast augmentation is a surgical procedure that is performed to increase breast fullness, increase breast projection, and improve breast symmetry. Dr. Ali Totonchi takes pride in helping his patients exude self-confidence and look their best. The procedure involves the insertion of a silicone or saline implant inside the patient’s breast, resulting in a fuller appearance and a younger breast profile.
Patients who have lost breast volume due to drastic weight changes, pregnancy, and breastfeeding can restore the fullness of their breasts and even achieve larger breast size with breast augmentation. Patients with naturally small breasts can also benefit to achieve their ideal breast size. Performing the Rice Test can help you determine what size you may want your breasts to be.
Patients who are looking to lift and enhance breast size should consider breast augmentation in combination with a mastopexy (breast lift), to ensure optimal results. An exam will be done to determine if a breast lift is needed in conjunction with your augmentation. Implants alone can correct mild ptosis, or dropping, but the nipple must be in good position. A breast lift is generally needed if the drooping is severe and the nipple is pointing downward or in poor position. Nipple sensation can be altered due to breast augmentation and breast lift surgeries. All breast surgeries disrupt the nerves and blood vessels that surround the nipples. Generally speaking, the effects are temporary and only last a few months while the nerves and blood vessels heal and restore. If you have plans to breast feed in the future, please inform Dr Totonchi so he chooses the best approach to maximize the potential to be able to breastfeed after surgery.
Dr. Ali Totonchi counsels his patients in making the important decision regarding which type of breast implant to select for the breast augmentation procedure. Board-certified plastic surgeon Dr. Totonchi discusses and reviews the risks and benefits of available options so that the patient may make a well-informed and educated decision prior to selecting their breast augmentation procedure.
Patients are given a choice between saline breast implants and silicone-filled breast implants for their breast augmentation. Saline breast implants can be filled with sterile salt water to a range during the breast augmentation procedure to allow your surgeon to make small changes as he sees fit for symmetry. Silicone-filled breast implants are filled with an elastic silicone gel that is soft and mimics the same texture of a patient’s breast. These are pre-filled, and patients who opt for this type of implant will have a slightly longer incision under the breast for the implant insertion.
Breast implants, both saline and silicone generally need to be replaced or revised in 10-20 years. Some need revisions sooner, and others may never need a revision.
The placement of the implant over or under the muscle will be decided on your consultation day. The pectoralis major is he large chest muscle which implants are often placed under to soften the look of the upper edge of the implant. The down side to the submuscular, or “under the muscle” approach is that the implant moves or animates with the contraction of the muscle.
The subglandular, or “over the muscle” approach avoids movement or animation of the implant with muscle contraction and enhances the shape of the natural breast when choosing a silicone implant. Generally there is less pain involved post operatively with the subglandular or “over the muscle” approach. The results of the breast augmentation can be appreciated almost immediately after the procedure. The results of the breast augmentation can be appreciated almost immediately after the procedure.
You will be given a prescription for pain medication. Pain is variable from patient to patient. The maximum pain will be in the first 48-72 hours. Most people tolerate breast augmentation surgery well and feel good 4-5 days post op, and return to work after the first week. Wearing a good support bra/sports bra post op is important. You may return to your regular exercise routine 6-8 weeks after surgery. Instructions about post-operative care are provided to each patient and can also be printed from Dr Totonchi’s website.
Choosing breast augmentation is a personal decision, and Dr. Ali Totonchi is committed to helping you achieve results that look and feel naturally beautiful. Whether you’re seeking subtle enhancement, restored volume after pregnancy, or a more proportionate figure, Dr. Totonchi combines surgical expertise with an artistic eye to create results that complement your body and reflect your personal goals.
During your private consultation, Dr. Totonchi will take the time to understand your expectations, discuss implant options, review your surgical plan, and answer all of your questions so you can make a confident, informed decision. His personalized approach and commitment to patient care have made him a trusted choice for breast augmentation throughout Northeast Ohio.
Take the first step toward feeling more confident in your body. Contact Totonchi Plastic Surgery today at (216) 778-2262 for our Cleveland and Westlake locations or (440) 461-7999 for our Lyndhurst location to schedule your personalized breast augmentation consultation.
Real Totonchi Patient Before & After Breast Augmentation in Cleveland *
Most of the breast enhancement procedures that Dr. Totonchi performs utilize incisions on the lower crease of the breast where scarring is easy to hide. This is called an inframammary incision. However, some patients may prefer or be better candidates for a periareolar incision, which places the incision around the perimeter of the areola (or dark circle of pigmentation around the nipple). Others may opt for a transaxillary incision, which is placed inside the armpit.
Many women have breast augmentation prior to having children and find that their implants do not pose a significant obstacle to breastfeeding. For mothers who believe they may want to nurse one day, Dr. Totonchi generally recommends a submuscular implant placement since it interferes less with the milk glands. The only time Dr. Totonchi would suggest delaying breast augmentation is if a woman is imminently planning to start a family. Since the breasts often change shape and size while producing milk, it often makes sense to wait to recontour the breasts once weaning the child.
