Breast Augmentation

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Breast Augmentation Expert Dev Wali, MD

Breast augmentation is a personal choice for many women. The primary reason is cosmetic. Increasing the size or shape of their breasts is the goal they hope to achieve with implant surgery. This is known as primary augmentation.

There is also revision-augmentation. This surgery is required to correct or improve the results of a prior breast augmentation surgery. Many women undergo the surgery numerous times, slowly achieving the end results they desire.

Replacement of breast tissue that was removed because of cancer, trauma or that failed to develop properly because of a severe breast abnormality, is considered primary reconstruction surgery. Corrections or revisions to this surgery are called revision-reconstruction surgery.

Post-operative surveys on the issues of mental health and quality of life have reported improvement in a number of areas. These areas include health, appearance, self confidence, self esteem, social life and sexual function. Most women report long term satisfaction with their breast implants.


Dr. Wali will meet with you and discuss your goals. He will then review your medical history and perform a standard examination. During the exam he will take note of the relevant anatomy as well as take the proper measurements. Measurements are important to understand how large an implant can be placed safely.

About Dev Wali, MD


logos-for-dr-waliDr. Dev Wali is a cosmetic and reconstructive surgeon who is one of the few plastic surgeons to be certified in two surgical fields recognized by the American Board of Medical Specialties.  He is certified by the American Board of Plastic Surgery as well as the American Board of Surgery.  During his surgical training Dr. Wali developed a unique style and artistry very similar in fashion to the renaissance painters and sculptors which he has also spent years studying.  Dr. Wali has developed a modern approach to plastic surgery which blends art and science to create and enhance the beauty of the human form.  Most critical in his approach to plastic surgery is his adherence to the Hippocratic Oath of first do no harm.  Dr. Wali only agrees to perform a plastic surgery procedure when he is medically certain that it can be done safely.  Once he is absolutely certain the he is performing the safest possible procedure, Dr. Wali is free to search for and release the beauty that is within each of his patients.  It takes an artistic eye to recognize the beautiful shapes and forms that are present within each patient he operates upon.


Dr. Wali’s Breast Enhancement Philosophy:

In general there are 3 categories of women seeking breast augmentation.

Category I: Young women who have never been pregnant, are happy with the shape of their breasts, but are seeking enlargement not necessarily for the sake of being bigger, but to fit better in clothing. For example many category I women would like to fit into a strapless gown or wear a fine blouse without having to wear a heavily padded bra. These ladies usually insist on not being large and are seeking a very “natural look” to the breast. I will discuss natural look later.

Category II: Young women who may be modeling, dancing, bartending or in other fields that want enhancement for work related reasons. These women frequently desire large augmentations and are not as concerned with a natural look but more concerned with volume and outward projection.

Category III: These women have been pregnant and possibly breast fed one or more children. Often times they have sagging of the breast tissue and desire improvement in the shape as well as the size of the breast. Frequently, category III women tell me that they just want their breasts to look like they did when they were 20’s or to look the way they did when they were pregnant and engorged. Often times these women may need a lift in addition to augmentation.

Also there are women that do not exactly fit into these categories but maybe a little bit of all of them. These are mere guidelines to help make a decision regarding what type of implant and procedure would be best.

Please try to figure out what category or combination of categories you fit into before your consultation.

Breast augmentation, also known as mammoplasty, is a surgical enhancement procedure to accentuate the size and shape of a woman’s breasts. While breast augmentation will make the breasts larger, the surgery will not move the breasts closer together or lift sagging breasts. Breast augmentation is tremendous help to patients who desire a fuller profile, who have lost breast volume due to pregnancy or nursing, or who have undergone breast reconstruction and want to gain a more natural look again.

Recovery Process

Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. Bandages are applied right after surgery to aid the healing process and to minimize movement of the breasts. Once the bandages are removed, a specialized surgical bra will need to be worn for several weeks. Patients sometimes report minor pain associated with the surgery. This pain can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the directions given by the physician after surgery.


I am a 20 years old women with no children wanting breast augmentation surgery. I know it's difficult and almost impossible for you to predict the size i am going to be but i want to be a C or D cup and want 500cc implants. Is this possible?
Selecting implant size requires knowing how wide your breasts are. A 500cc implant may be the right size for you but you cannot know unless the base width of your breast is measured. If you have a narrow breast then likely a higher profile implant will give you the look you are seeking. I moderate profile 500cc implant could be too wide for your breast. Also you have to consider that in the photo it appears that your right breast is smaller and the fold is higher than on the left. There are many things to consider, and you should discuss all this with your plastic surgeon.

I want to be a C cup and I want a 400cc implant is this possible?
First, you have to reconsider using cup size as your measurement since this can vary depending on what brand of bra you wear. Next the implant you choose should fit within the measurements of how wide your breast is. The larger the implant the more your breast will take the shape of the implant and the less natural it will look. If your breast is narrow you may only be able to fit a higher profile implant if you are looking to go into the 400cc range. The most important factor is to have an implant that fits your measurements. If you use an implant that is too large for your breast to stretch into then there is a much higher risk of developing complications of shape and nipple position distortion later on. Also you are at a higher risk of getting visibility of the implant in the form of rippling the larger you go.
How long does it take for the swelling to go down and the final result to shape after a breast augmentation?
The final shape after a breast augmentation can take up to 6 months to take effect. There often times is swelling of the upper portion of the breast which is worse when the implant is under the muscle. Also the implant can be high on the breast and take a few months to settle into the appropriate position. This has to do with the breast stretching out and the swelling going down enough to allow the tissues to stretch.
I want breast augmentation with silicone breast implants but can't figure out what size I want.
The size of the implant that would work for you depends a lot on how wide your chest and breast are. Once you have a size you want then the profile of the implant can come into play. If you wan a look that gives you a lot of top cleavage and volume then you may benefit from a higher profile implant. If you want a more natural less projecting look then a lower profile implant would work better. All of these variables can be discussed once you are measured. I usually take the measurements and then review the different options until we find one the fits what you want and is also going to be safe and have the best cosmetic result.
I can't decide what size implant to get. I am not sure if I should get a 400cc or 450cc implant?
The most important factor in determining what size implant to get is how wide your breast width is. After this it is important to know what kind of look you want and approximately how big you would like to be. It is better to know how big by using sizers in your bra in the office and not using cup size. Cup size is like dress size. There is no standard to these measurements and it is much better to know the volume in cc’s. Your plastic surgeon can advise you well knowing your measurements. Also there is little difference between 50cc or less. I usually advise people if there are deciding between 2 sizes and they are only 50cc difference they would in general be happier with the bigger size. If they are deciding between implants that are 100cc or more difference then the measurements need to be considered carefully.
How do I figure out what size breast implant I would like?
In my opinion, the best way to figure out what size breast implant you would like is to do the rice test. The rice test involves getting small ziploc bags and filling each bag up with about 100cc of rice which is roughly 3oz. After you fill a bunch of bags up put on a non padded bra and put a fitted tank top on. After you have the bra and tank top on, fill each bra cup with a few bags of rice at a time. Check yourself in the mirror after each ziploc bag placement. This will give you a rough idea of what size you may be comfortable with. Also I usually suggest walking around in public with the bags in place to see how comfortable you feel with a larger bust size.

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