Shahin Javaheri, MD
Over 20 Years of Experience in Plastic Surgery

Natural Breast Enhancement in San Francisco (Micro-Fat Grafting)

I'm skeptical about using implants in my body, is there any way I can have the size of my breasts fuller and larger without using implants?

Breast augmentations have traditionally been performed using implants.  These are usually in the form of silicone or saline filled.  The procedure involves placing the implant either below the chest (pectoralis) muscles, or directly under the breast tissue.  Patients who have breast implants are usually amongst the most satisfied of all patients undergoing aesthetic plastic surgery.  However, there are potential problems using implants.  Since the implants are man-made they will rupture at some point, necessitating their removal.  Also, infections, capsular contractures, improper positioning, large scars, inappropriate patient selection, and even the possibility of association with cancer are all possible pitfalls, or problems associated with implants.  Not to mention that their replacement, and other associated procedures, are real possibilities in the lifetime of implants.

Micro-fat grafting for breast enhancement is a relatively new procedure.  It is a very technically oriented procedure as well as artistically challenging.  No longer does a plastic surgeon merely place an implant.  The breast must now be sculpted.  Also, in order for the fat to survive, certain precise technical procedures and philosophies must be adhered.  The main advantages are that there are no implants to worry about removal at some point.  Also, the entire breast can be enlarged, not only a certain portion of it.  The main disadvantages are that approximately 2/3, or more, of the fat stays (if done correctly), and the amounts that can be placed are limited by the size of the breasts and the availability of usable fat from the patient.

My orientation is mainly using micro-fat grafting because I believe that natural breast enhancement is superior to anything foreign; however, there are exceptions (noted above).  More information can be found:

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  • “Thank you, in appreciation to your supreme dedication to duty. The surgery went well! Thank you very much.”
    – MF

    - MF*

  • “Everyday I see more change and improvement. The clock is turned back and it’s like I get a 2nd chance. Rather like a mini-magical miracle so…thank you. Thank you for your excellent work. I send you a little dance of gratitude.” - D

    - D*

  • “I would like to say THANK YOU to Dr. Javaheri for my surgery. I received excellent service. He explained everything he was doing step by step which help ease my mind.”- P

    - P*

  • “I was sorry to cause you to make an unneeded trip to Alta Bates yesterday. Thank you for the excellent care you are providing to Deborah.”- AE

    - AE*

  • “Thank you so much for your consideration and helpfulness in my face dilemma. I sincerely appreciate what you have done for me. THANK YOU!”- MR

    - MR*

  • “I came to you with a very uncomfortable feeling about a part of my stomach area. I have always wanted to have this procedure take care of but did not. After making that one phone call to your office and visiting you and your staff, everyone made me feel completely satisfied that I had found the right person to make this change in my life. I can go on and on but basically you have personally made a great change for me. You were completely gentle and very honest with me. I am very happy I had this procedure done by you. Thank you! Even in the hospital you made it all better knowing I was scared and nervous. You’re great! Thank you again.” - DB

    - DB*

  • “There are no words I can express to you how thankful I am for the wonderful job you did on my surgery. I feel 10 pounds lighter. I am and always will be eternally grateful.”*

    - F

  • “You did a wonderful job on my breast! I have never looked and felt better. My breasts were very big and I feel a hundred times better in my appearance now. Dr. Javaheri is very kind and does great work. I will never forget what he has done for me!” - LB

    - LB*

  • “I wanted to say thank you so much for the best tummy tuck. My husband and I are so very pleased. We look at my tummy often and cannot believe it’s mine. Dr. Javaheri, you are a man with high excellence and much gentleness. Rosh, you are a woman of much grace and joy. Thank you both so very much for everything, especially my new tummy.”*

    - Most Grateful Oct ’04

  • “Hi all, I wanted to send a thank you for all you guys did for me. I’m so thrilled. Everyone was so kind and knowledgeable and just plain fun. That really helped me get over being nervous and shy about the whole thing. Your experience really shines. I attached a picture of my new chest with a shirt I’m wearing that made me think of y’all!”

    “I have had 3 procedures so far with Dr. Javaheri, they are: tummy tuck with lower body lift, arms & breast reduction , and legs & gluteus maximus lift. My upcoming surgery is a face lift procedure. All these procedures are following weight loss surgery procedure called Gastric Bypass whereby I lost nearly 300 lbs. Dr. Javaheri performed all of my plastic & reconstructive surgeries to a great success. I am very pleased by the results. He even came to the office on a Sunday to deal with a small complication I had following one of my surgeries. It is so unusual to find a surgeon who cares so much about his patients; and an office staff that are so capable.”*

    - PB

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