Category Archives: Breast Enlargement and Implants

A More Self-Confident You for the New Year

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We all search for ways to look and feel our best. Typically, the New Year has us analyzing ourselves more than ever. You begin to think about what you’d like to change, perhaps obtain a new job, eat healthier, go to the gym more or improve our body in some way. Women often visit us to discuss how they’d like to improve the size and shape of their breasts. They look to increase or reduce the size of their breasts or improve lift to restore firmness and shape.

Breast augmentation is the surgical placement of breast implants. This procedure is typically used when you’ve lost weight or breast volume after pregnancy. Or if you simply desire a larger cup size.

Mastopexy is the technical terminology for the breast lift. It will restore the firmness and shape of your breasts. If you’re experiencing breasts that have lost their firmness, sag, have a flatter elongated shape or a nipple that points downward or falls below the breast crease, then you may wish to schedule a consultation to discuss if a breast lift is right for you.

A breast reduction may be beneficial if you’re experiencing back and neck pain, skeletal deformities, breathing problems or skin irritation from large, pendulous breasts. This procedure, also called the reduction mammoplasty, is the removal of fat, glandular tissue and skin from the breasts. It will reduce the size of your breasts while making them lighter and firmer. An areola may be reduced during the surgery as well.

Dr Golla is a Board Certified Plastic Surgeon who is ready to discuss your personal goals. Our simple surgical procedures can give you a more balanced figure that you’ve been dreaming of. With nine locations in Pennsylvania and West Virginia – three of them in the Pittsburgh area alone – you’re never far away. Our friendly, knowledgeable staff and state-of-the-art technology are ready to you meet all of your beauty goals.

Give us a call today on 412-963-6677 to schedule your consultation, or send us an email at If you prefer to instantly make your own appointment, download our convenient app. It’s available for free from iTunesGoogle Play, and Amazon.

Is Breast Augmentation right for me?

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What is Breast Augmentation Surgery?

Breast augmentation surgery is a procedure which involves inserting implants or fat transfer in order to augment or increase the size of the breasts. Breast augmentation also serves to enhance breast volume that may have decreased due to aging, significant weight loss, or pregnancy. Breast augmentation is a beneficial procedure for many candidates, and is becoming increasingly common among women of all ages.

Breast Augmentation Candidates

Women who have asymmetrical breasts, a totally natural occurrence, may be good candidates for breast augmentation. The size of the breasts may be equalized by increasing the size of one breast in order to align to the other breast, or both breasts can be supplemented with varying sizes of implants in order to create a more symmetrical appearance. Women with abnormal breasts due to medical and/or physical conditions may be good candidates for the breast augmentation procedure as well. In fact, breast augmentation is a common form of reconstruction after a patient undergoes a mastectomy or suffers an injury.

Is Breast Augmentation Right For me

New mothers are great candidates for a breast augmentation procedure. Many new mothers experience sagging and decreased breast volume after childbirth. Pregnancy instills significant weight fluctuations and may wreak havoc on a woman’s skin. Breast augmentation is a common procedure to bring back the pre-mommy body and rejuvenate a youthful appearance.  Women who have experienced sagging due to age are also great candidates for the breast augmentation. In these cases, a breast lift may be a great complement to the augmentation procedure. By lifting the breasts and inserting an implant, the breasts have a fuller and more youthful appearance.

Breast augmentation is also a common procedure for women who consider themselves to have small breasts. This is a deeply personal choice, but women who want to increase their cup size for purely physical or aesthetic reasons are also great candidates for the surgery, so long as they completely understand the associated risks and have realistic expectations of what the procedure will be like.

Breast Augmentation Recovery

Breast augmentation surgery patients may be able to return home after just a few hours following surgery. Upon waking from the anesthesia, the patient will be monitored in a recovery area. The patient’s breasts will be wrapped in a gauze and a support bra in order to support the sensitive skin and tissue during healing. Patients may experience a sense of pressure on their chest due to the swelling and tenderness of the breast augmentation site. The plastic surgeon will provide proper care instructions for the weeks following the procedure; this may include topical ointments as well as oral antibiotics in order to minimize the risk of infection and to promote healing. It is common for the patient to experience tenderness, soreness, or swelling for several weeks following a breast augmentation. Typically, the patient will undergo a follow-up visit to the surgeon in order to monitor the healing progress and in order for the surgeon to determine when normal activity may resume.


Breast Enlargement with Implants

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Breast enlargement or breast enhancement is a very common cosmetic surgery to augment the shape or size of the breasts. There are two types of implants that are used for breast enlargement namely saline and silicon. Saline implants are placed through a small incision and are composed of silicone elastomer filled with saline water once placed in a correct position. They give a more natural look and feel after enlargement. There could be many reasons for a breast implant like breasts being disproportionate to the size of the body, loss in the breast shape after pregnancy and asymmetry in breast sizes.

Procedure for Breast Enlargement

The consultation process starts with a thorough examination of the breasts wherein our Pittsburgh plastic surgeon and patient discuss various options of implant sizes to achieve the desired goal most efficiently. The surgeon would also discuss the technicalities of the surgery to inform patients about the position of incisions and the advantages and disadvantages of the surgery. It is an outpatient procedure and usually takes about an hour or two. The procedure of the surgery depends on the different types of incisions discussed as follows:

  • Inframammary incision is made in the folds between the breast and the torso. It gives direct access to pockets for implants and it may potentially leave scars.
  • Periareolar incision placed around and along the areola.  With this type of incision nipple asymmetry can be corrected and breast lift can be performed. Since incision is mostly at the junction of two different skin colors, the scar is camouflaged and not visible.
  • Transaxillary incision is the one done in the armpit. The scars, if any, are not visible due the location of the incision in the armpit.
  • Transumbilical (TUBA) approach includes making an incision in the naval and then moving towards the breasts. A camera is used in this procedure to make sure that the implants are placed correctly. Saline implants are performed with this approach usually.
  • Transabdominolasty incision is placed in the abdomen and is most apt when the patient also chooses to go for an abdominoplasty or tummy tuck.


The above incisions are followed by implant pocket placement and silicone or saline implants are used depending upon what has been decided for the patient. There are two kinds of implant placements namely subglandular, subpectoral, subfascial and submuscular. Subglandular is the placement of the implants underneath the breast tissue and gives more projected results. Subpectoral is performed at the upper portion of the breast facilitating maximal implant coverage. Subfascial is a position under the large pectoralis muscle.


Recovery Process

 The recovery process usually takes about one week and any kind of strenuous activity should be avoided for up to six weeks. The most uncomfortable and painful period lasts only until 72 hours of the surgery. Sometimes with subglandular placement of the implants the breasts may look projected but they settle down within a couple of weeks. The scars from a surgery may take up to one year to fade away and become inconspicuous. If an armpit incision is performed then the scar is hidden and is mostly counted as a scar free surgery.


Patient Profile

 Women who have malformed breasts and are conscious about the looks of their body mostly go for a breast enlargement process. Even after pregnancy a lot of women wish to fix the changes after childbirth that make the breast appear awkward. A lot of times women observe asymmetry in their breasts. These asymmetries can be very little to be observed or highly pronounced. Depending on the extent of asymmetry, women may decide to go for a corrective surgery.


Side Effects and Risks

Breast enlargement has minimum risks as compared to other surgeries and the surgeon informs the patients of all the risks during the consultation performed before the surgery. Implant rupture and capsular contracture are the potential risks relevant to breast implants and these may cause wrinkling or rippling. Other risks include the ones that accompany any surgical procedure like bleeding, infection or change in skin color and scarring. It may also affect the breastfeeding potential of a woman. When performed with expert surgeons, these risks can be greatly reduced.