Monthly Archives: July 2019

How to Choose the Best Breast Augmentation Method

5 Minute Read

Millions of women seek out breast augmentation surgery every year, and their general goal is the same: getting beautiful, voluptuous breasts. 

Sounds simple enough, right? 

Breast augmentation, however, can be as varied as the women who choose to have it performed.

Some women are simply looking for a little extra lift after childbirth or age has taken their toll. 

Others want a more natural look, while others want to be noticed everywhere they go. 

Women now have more options than ever when it comes to customizing their breast augmentation. 

From implant sizes, shapes, and where they’re placed, Dr. Mesbahi offers women a large variety to help them achieve their appearance goals. 

How Breast Augmentation Surgery Works

Breast augmentation surgery is designed to enhance the breasts by using implants to increase volume, breast shape, and size, creating fuller breasts. 

Breast augmentation surgery is typically performed by using incisions to insert implants, either under or over the chest muscle. 

The type of incision and implant can vary based on what women want to achieve. Dr. Mesbahi offers three different incision options:

  • Underarm (transaxillary) incision: The incision runs along the natural crease of the underarm. An endoscope is then used to insert the implant. This method leaves no visible scars on the breasts. 
  • Areola (Periareolar) incision: This method typically allows surgeons better control over where the implant is placed, and scarring is hidden around the border of the areola. 
  • Breast fold (Inframammary) incision: The incision is done on the underside of the breast, where it meets the chest. This method also makes it easier to place implants, and scars are usually hidden by the natural breast fold. 
A before and after image of a woman who has undergone breast augmentation. Her bust is much fuller after the procedure.

What Is a Breast Lift?

Breast lift surgery will not change the size of your breasts, but it can significantly help raise their profile by tightening breast tissues that have begun to sag. But it can also be combined with breast augmentation if needed to increase the size of the bust. 

Silicone and Saline: What Type of Implant Is Best?

Silicone implants are implants filled with a silicone gel. These types of implants tend to feel more like natural breasts, as the gel mimics the feel of natural breast tissue. Silicone implants tend to be sturdier than others, and are more likely to retain their shape in case of a leak. 

Saline breast implants are implants that are filled with a saline solution, or sterile saltwater. These implants are used to provide more firmness and more uniformity in breast shape. 

Both silicone and saline implants are safe to use and approved by the FDA. 

Choosing between silicone and saline implants may simply be a matter of preference, both for women and their surgeons, who may prefer a certain type of implant. 

Implant Shape, Size, and Texture

The shape, size, and texture of a breast implant also have a huge impact on how breasts look after surgery is completed. There are several types of implants available: 

Gummy bear breast implants: These are silicone implants that are filled with a thicker type of silicone gel than others, ensuring they keep their shape even if a leak occurs. They’re also firmer than other types of breast implants. 

Round breast implants: These implants are the same circular shape all over, and can be filled with silicone or saline. Round breast implants make breasts appear fuller than gummy bear implants, and there’s less risk of them rotating or shifting out of place. 

Smooth breast implants: Arguably the most natural-feeling implants, these implants have a smooth surface that can move with the rest of the breast tissue, mimicking the natural movement. 

Textured breast implants: These types of implants have a unique textured surface that causes scar tissue to develop and stick to the implant, making them less likely to shift around. 

 Breast augmentation can help women with small or sagging breasts reclaim a full and robust chest like this before and after patient image.

How Implant Placement Affects Breast Appearance

Choosing a certain implant is one thing—but deciding where it is placed is equally as important. 

Typically, breast implants can be placed either under the chest muscle (submuscular) or over the muscle (subglandular). 

Subglandular and Submuscular Placement

In a subglandular placement, surgeons will place the implant over the pectoral, or chest muscles, right beneath the breast tissue. Subglandular placement is great for patients who want noticeable cleavage, as this placement means the implant is more visible.

Submuscular placement means the implant is inserted beneath the chest muscle and breast tissue. This tends to provide more stability as the implant is kept in place by both the chest muscles and breast tissue. Submuscular placement also decreases the risks of the implant showing or being felt through the breast. 

Combining Implant Types and Placements 

Women can choose a certain type of implant and implant placement to achieve a certain look. 

For example, a subglandular round implant placement will visibly increase volume and breast projection, making breasts immediately appear larger and voluminous. 

Women who want firmer breasts could benefit from gummy bear implants or textured implants with submuscular placement. 

Both these implants are thicker, ensuring breasts stay firm, and placing them under the muscle decreases the risk of implants shifting or moving around. 

Submuscular placement is best suited for women seeking natural-looking enhancement. 

The implants are less likely to be seen through the breast tissue, and there’s less breast projection than with subglandular placement.

Want More Information?

Are you thinking about undergoing breast augmentation surgery? Learn more by scheduling a consultation with Dr. Mesbahi by calling our office at 703-287-8277.

How Can I Make My Face Look Younger?

5 Minute Read

Looking good can be a challenge. The effects of time can be brutal, leading millions to seek cosmetic surgeries, injectables, and other forms of rejuvenation—sometimes all at once. 

Dr. Mesbahi offers his patients several years of cosmetic surgery expertise and a wide variety of options to address signs of aging in the face. 

These procedures can be combined to address a specific area of the face or for longer-lasting results. 

Facelift and Neck Lift

The gold standard when it comes to fighting the effects of aging, a facelift helps to smooth and tighten facial contours. 

Facelift surgery is typically combined with a neck lift, which targets sagging skin along the jawline and neck area. 

Dr. Mesbahi performs facelift surgery by using small incisions along the hairline, temples, and behind the ears, specifically placed to remain as inconspicuous as possible. 

Facial muscles are pulled tight while excess skin and fat are removed. 

With a neck lift, the incision is made underneath the chin, and Dr. Mesbahi may use liposuction to remove excess fat along the jawline before the neck muscles are pulled tighter. 

General anesthesia is typically used during these procedures. 

There will be swelling for about two weeks after surgery, and patients will need to keep their head elevated during that time. 

Most people can go back to work after two weeks and should be well on their way to recovery after a month of recovery. 


Sometimes referred to as an eyelid lift, blepharoplasty specifically targets wrinkles and drooping skin along the eyes for a younger, brighter look.  

Upper blepharoplasty

  • Targets and corrects sagging or drooping upper eyelids.
  • Uses incisions created along the upper eyelid to remove and reposition muscles.
  • Corrects wrinkles and brightens the eye area.

Lower blepharoplasty:

  • Correct bags, dark circles, and puffiness under the eyes.
  • Incisions made either within the eyelid or just below the lower lash line. 

Similar to a facelift and neck lift, blepharoplasty recovery will take several weeks. 

Patients will experience swelling, especially in the period right after surgery, but symptoms usually subside quickly enough for most people to go back to work after two weeks.

 Before and after image of a women who underwent blepharoplasty, or eyelid surgery, to reduce the folding of her upper facial skin.

Laser Skin Rejuvenation 

This procedure is a powerful, yet non-invasive way to address aging concerns, leaving behind skin that immediately looks and feels younger. 

It uses lasers to ablate or destroy the outer layers of skin, removing years of damage, age, and other defects.

Laser skin resurfacing can:

  • Reduce wrinkles and creases
  • Remove dark age or sun spots
  • Decrease scars or other skin defects
  • Tighten loose skin

Most patients are candidates for laser rejuvenation. Dr. Mesbahi will usually cleanse the skin with oils before performing the procedure using an anesthetic to minimize any discomfort. 

There may be some swelling and skin will be irritated right after the procedure. Recovery depends on the size of the area treated, but downtime is typically minimal. 

BOTOX® Cosmetic

One of the most popular rejuvenation methods available, BOTOX® Cosmetic is a particularly effective treatment for the deep creases that often form along the forehead, between the brows, and around the eyes. 

This non-surgical injectable uses the natural botulinum toxin type A, a neuromodulator that temporarily paralyzes muscle movement. 

This helps to immediately smooth out deep creases in the skin but also inhibits the development of future fine lines and wrinkles.

BOTOX® Cosmetic treatments can be completed in about twenty minutes, and there is no need for anesthesia or any other preparation. 

There’s also little to no downtime, and results are almost immediately apparent. Smoother skin is obvious after the very first injection. 

Repeated treatments are necessary to ensure the best long-term results. 

How to Choose Which Procedure Is Best for Your Face

Upper Face and Eye Area

A traditional facelift will help reduce some of the wrinkles and creases that form along the upper face and eye area. Laser skin resurfacing is also effective at smoothing out creases along the forehead and brows. 

Blepharoplasty is one of the best surgical methods to correct wrinkles and remove sagging skin around the eyes. 

Patients looking for less invasive measures to combat aging in the upper face and eyes can use BOTOX® Cosmetic. This injectable smooths out creases in this area and also prevents future wrinkles from occurring, making it an attractive option for younger patients. 

General Facial Area, Mid-face, and Cheeks

There’s nothing that goes quite as deep as a traditional facelift procedure does when it comes to lifting, smoothing, and tightening facial contours. 

Facelift surgery is particularly effective in removing excess or sagging skin, literally lifting years off the face. 

Some patients experience a severe loss of volume in the cheeks as collagen production slows, causing skin to grow thinner and weaker. 

A facelift can help restore some of the lost volume by redraping tissues to better fill facial contours. 

Laser skin resurfacing or other laser treatments are also effective for patients who don’t want surgery. Laser skin resurfacing can help erase wrinkles, age spots, sun damage, and tighten loose skin. 

A before and after image of a women who underwent a facelift and neck lift combination procedure.

Lower Face, Jawline, and Neck

A facelift combined with a neck lift is one of the best methods to remove the sagging skin that often develops along the lower face and jaw areas. These two procedures help craft smoother overall contours along the face, neckline, and collar for a more youthful, refreshed look. 

A neck lift may be performed by itself if a patient needs it, but the procedures are almost always combined for the best overall outcome. 

Patients who want to avoid surgery may also use laser rejuvenation treatments to tighten loose skin. Laser rejuvenation is particularly effective in removing fatty deposits that tend to develop along the neck and jawline. 

Would you like to learn more? Schedule a consultation with Dr. Mesbahi by calling our office at 703-287-8277.