Breast Surgery

VG Plastic Surgery in Glendale offers the full spectrum of breast surgical procedures, including breast augmentation with silicone or saline implants, breast lift (mastopexy), breast reduction, breast reconstruction, and gynecomastia (male breast reduction). Implant options include sub-muscular placement via inframammary, periareolar, or transaxillary incisions. Breast lift addresses ptosis and can be combined with implants where volume restoration is also desired. Procedures are performed under general or local sedation anesthesia and are tailored to each patient's anatomy and goals.

Breast surgery at VG Plastic Surgery encompasses the complete range of aesthetic and reconstructive breast procedures, performed by Dr. Vladimir Grigoryants at his Glendale, California practice. Breast augmentation uses FDA-approved cohesive silicone gel or saline implants selected to harmonise with the patient's existing breast dimensions, chest wall width, and desired final profile. Incision options include the inframammary fold (most common, offering the best access for precise pocket creation), the periareolar (at the areola border), and the transaxillary (armpit, with no scar on the breast itself). Implant placement is sub-muscular (beneath the pectoralis major muscle) as the standard approach at the practice, minimising implant visibility in lean patients and reducing capsular contracture rates. For patients with existing breast ptosis (sagging), combining augmentation with a mastopexy addresses both volume and position in a single surgical episode. Breast lift (mastopexy) surgery elevates the breast mound, repositions the nipple-areola complex to a youthful anatomical position, tightens the breast skin envelope, and can simultaneously correct nipple-to-nipple symmetry differences. The technique — whether a crescent, periareolar, lollipop, or anchor-scar approach — is selected based on the degree of ptosis and breast volume present. Breast reduction addresses symptomatic macromastia, alleviating neck, shoulder, and upper back pain, shoulder strap grooving, rashes in the inframammary fold, and postural complaints; it is the breast procedure most frequently covered in part by insurance when functional impairment is documented. Breast reconstruction is offered in the practice's reconstructive portfolio alongside burn surgery, scar revision, and cleft lip and nasal surgery. Gynecomastia (male breast reduction) addresses abnormal male breast tissue enlargement through liposuction (for fatty pseudogynecomastia), direct glandular excision via a small periareolar incision (for dense glandular tissue), or a combined approach — with technique selected at the time of physical examination. Each breast procedure at the Glendale clinic is preceded by a thorough consultation that reviews implant sizing, tissue quality, surgical expectations, and post-operative recovery requirements.