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Breast augmentation is the surgical enhancement of breast size performed by placing breast implants or with natural fat transfer. The procedure involves a careful selection of the type, shape, and projection of implants, and a customized, precision surgery to create a surgical pocket, into which the implant is placed, and the incision sutured.


Fuller, More Attractive Breasts That Look and Feel Natural.

A Comprehensive, Personalized Approach

Attaining fuller, more attractive breasts through surgery no longer means sacrificing their natural look and feel. Dr. Daniel J. Casper has an international reputation, and has performed more than 10,000 breast augmentation surgeries, and an exceptionally experienced plastic surgeon, highly-skilled in breast augmentation procedures. Dr. Casper provides beautiful breast augmentation results, creating breasts with a fuller, shapelier appearance that are soft, natural and beautiful.

Breast Augmentation Pasadena

What is the Breast Augmentation Procedure?


Dr. Casper utilizes all incision techniques as well as above-and-below-muscle placements, depending on your needs. Dr. Casper is recognized as being among the finest breast augmentation surgeons practicing in the Los Angeles and Beverly Hills areas. Working closely with him, you will decide which method and implant style is best for you.

Before & After

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Choosing the Right Implants… It Matters.

Choosing the right implant involves much more than just deciding on how large it should be. Saline and silicone implants have different characteristics in shape, feel and how they move. Another factor that Dr. Casper considers is the physiology of his patient. An implant that would suit a tall woman with a large frame would not be aesthetically pleasing for a petite woman with a small frame.

  • Periareolar Incision: Incision is made around the pigmented areolar complex.
  • Transaxillary Incision: Incision is made within the folds of the armpit, which spares the entire breast from scarring.
  • Inframammary Incision: Incision is placed in the breast crease, where it is hidden and can also be reused for a later revision or even a reverse tummy tuck.
  • TUBA Incision: Incision is made at the belly button, and an endoscope is used to tunnel up to the breast area. Many plastic surgeons feel this method is insufficient for fully viewing the surgical area, leading to complications and a greater risk of error.

Balance and Harmony

Dr. Casper obtains fabulous results from his Pasadena breast augmentation surgery by creating the exact balance and harmony that complements each individual woman. Dr. Casper has over 10,000 breast augmentation surgeries to his credit. He routinely provides his patients with among the best breast implants Pasadena can offer.

Minimal Scarring

Dr. Casper will work diligently to ensure that any visible scarring from the procedure is minimal and as light as possible. Results are critical and how you look and feel about your new breasts matters above all. The entire procedure typically takes about two hours or less to complete and is performed on an outpatient basis. With his painstaking attention to detail, Dr. Casper is recognized for surgical excellence and consistently beautiful outcomes after breast augmentation surgery.

What Are The Different Breast Implant Types?

A Comprehensive, Personalized Approach

  • Saline: Saline implants are rounder which might be a better choice for a thinner woman. They feel a little less natural than silicone gel implants since they are filled with liquid. Saline implants allow a smaller incision since they are inserted before they are filled. A smaller incision heals faster and produces a shorter and less visible scar. Both silicone and saline implants look beautiful and natural as long as they are fitted correctly.
  • Silicone: Silicone implants feel and move more naturally since the gel is specifically developed to mimic the natural breast. The latest generation of gel implants is composed of a highly cohesive gel shaped to be fuller at the bottom, also known as gummy bear implants. This makes them softer to the touch and capable of returning to shape if compressed. Silicone implants require a larger incision and therefore form a longer scar.
Breast Implants Los Angeles

What is the Implant Shell?


Both saline and silicone implants are encased in a tough outer silicone shell. This material is essentially the same with the exception that the saline implant shell has a filler valve.

Saline implants are made of a silicone outer shell that is filled with a salt water solution, while silicone implants are also composed of a silicone outer shell but contain a thick silicone gel. Saline breast implants are approved by the U. S. Food and Drug Administration for patients over 18. Silicone breast implants have been approved by the FDA since 2006 to use in breast augmentation patients age 22 and over, and breast reconstruction patients of any age.

Premier Breast Implant Surgeon

Comprehensive, Personalized

As a provider of among the best breast augmentation procedures in the Los Angeles area, plastic surgeon Dr. Casper uses only FDA-approved saline and silicone breast implants from the finest manufacturers in the nation. He is a principal investigator both for Mentor and Allergan and has been recognized by these breast implant manufacturers as a “preferred surgeon.” Dr. Casper was unanimously voted as Chief of Plastic Surgery at Huntington Memorial Hospital in Pasadena, serving in this capacity since 2011.


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View our full before and after gallery to see Dr. Daniel Casper's expert work. Here you will be able to see the same real patient results that you can expect for yourself.

What is a Good Age for Breast Augmentation?

There is no upper limit for undergoing the procedure. However, all clients must be non-smokers in good physical and mental health, with no major medical concerns such as hypertension or bleeding disorders. You must be at least 18 years old before breast augmentation. The breasts need time to completely finish growing. Other concerns for younger patients include the fact that pregnancy may affect the breast shape and size in the future, requiring breast implant revision.

How Much Do Breast Implants Cost?

Breast augmentation cost varies on surgery type, the type of implants used, and other factors such as facility and anesthesia fees. According to RealSelf, the average cost for breast augmentation in Los Angeles for saline and silicone breast implants is in the range of $4,000 to $10,000.

What is the Recovery After Breast Augmentation?

Recovering from breast augmentation surgery is more likely to be uneventful when you prepare for the process. Your day-to-day demands should be postponed for a week or two so that all you need to do is rest and recover. You will likely be more tired than usual after receiving your breast implants. This is due to the anesthetic more than the surgery itself. Preparing ahead of time makes the process easier.

Take care of paying the bills, buying groceries and arranging for the care of small children. If you have school-aged children arrange for transportation to school and their other activities for a few weeks. Both Los Angeles and Beverly Hills have driving services for children as well as other convenient services such as grocery delivery. You won’t be able to drive until you no longer need to take any opiate-based pain medication.

Preparing for recovery: Some tips

It is recommended that you prepare an area well away from the noise and activity of the household which has everything you will need close to hand. Have your medication, water, cellphone, TV remote, snacks, your tablet, etc. within arm’s reach.

  • If you have a busy household, you might consider arranging some help during the early stages of recovery.
  • You will need to sleep on your back in a slightly elevated position for a several days to minimize swelling. Keeping the surgical area elevated above the heart is one of the primary rules of recovering from any surgery. Breast implants will not move around but it is beneficial to let them settle before trying to sleep on your stomach. Some women find a recliner very comfortable for this period of recovery. If you don’t have a recliner, sleeping with a few pillows under your shoulders will create the slight elevation that is needed.
  • Arrange your everyday responsibilities so you can have uninterrupted rest and relaxation and you will likely discover you will be back to normal much faster than anticipated.

What Are the Side Effects?

A Comprehensive, Personalized Approach

Some swelling, bruising, and a feeling of numbness can be expected after surgery. Any pain and discomfort during recovery can be alleviated with medication. Dr. Casper will remove your stitches about 14 days after the procedure, and you can expect to resume your normal daily activities a few days to a week after surgery. You can bathe or shower a few days following surgery and will receive full instructions on caring for your incisions while performing normal hygiene activities.

You may experience tingling for several days to several weeks as well as changes in sensitivity of the nipples. This feeling will gradually disappear as your breast implants heal and settle into the pockets. We are always available for follow up appointments if there is anything that concerns you during the recovery period. If you are flying in for treatment from Dr. Casper, we can arrange a phone consultation to discuss any concerns or questions.

Mammograms After Breast Augmentation


Dr. Casper will advise you to continue having mammograms after breast enlargement. A special version of the mammogram test will need to be performed so that your doctor can see around the implants for the most accurate results.

What about implant rupture?

Implants do rupture very occasionally due to impact trauma from a car accident, accidental puncture during a medical biopsy or mammogram. Patients with saline implants will notice the deflation right away but those with silicone implants may not be aware of the rupture until their next mammogram.

The highly cohesive gel is formulated to stay in the shell even under pressure. Because the gel is so effective at staying in place, if you have silicone gel breast implants, you are advised to undergo routine mammograms to check for rupture as well as for cancer screening.

Are breast implants safe?

Multiple studies have determined that silicone implants are as safe as saline implants, although the FDA warns that there is a slightly higher risk of developing ALCL if you have textured-shell implants, and smooth shells are advised. Personal choice in this matter is the primary factor in choosing size, shape, and projection of your new breasts. Both of silicone and saline have different and distinct advantages and can ultimately work to help you obtain fuller breasts with natural-looking results.

Unhappy with a primary augmentation?

If you have previously received breast surgery but aren't happy with the results, you can read more about breast implant revision surgery from Dr. Casper.

How long will my breast implants last?

On average, breast implants last in the range of 10 to 20 years. In some case, significant weight gain or weight loss may change the appearance of the implant, or the implant may shift or cause complications, requiring revision surgery.

Breast Augmentation FAQ's

When can I exercise after the procedure?

You can expect to return to your exercise routine after about four weeks. Your body will let you know what you can do – and you will be given the okay for vigorous exercise by Dr. Casper. If you feel any discomfort or pain performing a specific exercise, stop. There should be no problems in all of your normal physical activities after about six weeks.

Will lose sensation after breast augmentation?

Numbness is a common side effect after surgery, as the nerves have been traumatized or are compressed by residual swelling. You may experience some sensory changes after breast augmentation. For the majority of patients, the sensation returns within three to six months. It is more common to have some nipple sensation loss along with some loss of feeling to the area directly around the scar line. This can take up to two years to resolve and may never fully restore to exactly what your breasts felt like prior to surgery.

Am I too old for breast augmentation?

When deciding on breast augmentation, your overall health is more of a factor to consider than your age. Every person is different, so it is important that we review your medical history and have any of your concerns addressed. Essentially, if you are generally healthy and safe to undergo surgery, you are probably not too old!

Can I breastfeed after breast augmentation?

Most women who have had breast implants are able to breastfeed. The silicone implants of today are far superior, do not pose a risk of silicone ending up in breast milk. When considering a breast augmentation your ability to breastfeed can be impacted by where the incision is made in the breast. A carefully-performed breast augmentation should not impact the milk ducts. If you plan on breastfeeding a baby in the future, discuss this with Dr. Casper so the correct incisions and procedure can be planned.

How long do breast implants last?

The longevity of breast implants varies, but they can last many, many years – there is no hard and fast standard “shelf life,” although most have warranties for ten years. If your implants are in good shape, there is no need to replace them. Modern implants are superior in quality and typically last longer than the implants produced in the past.

What are some of the complications?

Most breast augmentations go smoothly, but as with any surgery, in rare cases a patient could experience complications such as infection, issues with anesthesia, implant rippling or wrinkling, or abnormal scarring and capsular contracture. To avoid complications, we will carefully monitor your progress throughout the recovery process. Follow your aftercare instructions carefully, and the likelihood of problems is very, very low.

Are there any viable non-surgical alternatives for breast enhancement?

If you are seeking a permanent increase in breast size, breast augmentation surgery with implants is the most common and effective method. For subtler breast augmentation, natural fat transfer is an option, but will not dramatically increase breast size, but creates a subtle enlargement, typically about one half to a full cup size. To learn more, contact us today and schedule a consultation for arguably the best results in breast augmentation Los Angeles has to offer.


*The content/images on this website are not a guarantee of individual results. Individual results may vary. The information provided on this site is for general informational purposes only, and does not replace the need for a formal consultation with a plastic and reconstructive surgeon before undergoing a surgical procedure or skin care treatment.Results may vary depending on the person.

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