Breast Procedures are popular cosmetic procedures designed to restore confidence in a woman’s body. Cosmetic breast surgery is centered around increasing breast volume, projection, and breast perkiness. As with any other area of the body, the breast may age with time and our expert Los Angeles plastic surgeon can help improve the shape and size of your breasts.
Kare Plastic Surgery and Skin Health Center offers comprehensive plastic surgery in a professional and luxury setting in Los Angeles. We offer a state-of-the-art and in-house surgery center with dedicated anesthesia providers. Our office performs the following breast procedures in Santa Monica and Beverly Hills:
-
Breast Augmentation (Motiva, Sientra, Allergan Natrelle, and Mentor implants)
-
Breast Reduction
-
Breast Lift
-
Implant-Free Breast Augmentation
Breast Lift
A breast lift is commonly performed in women who desire firmer and more youthful looking breasts. Many women complain of increased sagginess of the breast and nipple that has occurred with age or after child-birth. Breast lifts can be performed alone, in combination with breast implants, or during breast reduction surgery. A candidate for surgery may also complain of droopy nipples, loss of breast volume, or breast asymmetry.
Goals of Breast Lift Mastopexy in Los Angeles
Breast lift surgery, also known as mastopexy, is designed to restore youthful breast shape and position after the physical changes that commonly occur following pregnancy and childbirth. During pregnancy and breastfeeding, the breasts often enlarge significantly and then lose volume once milk production stops. These changes can stretch the skin and supporting ligaments of the breast, leading to drooping breasts, medically known as breast ptosis. Many women also notice enlarged areolas, downward-pointing nipples, and a loss of upper-pole fullness that once gave the breasts a youthful contour.
The goals of breast lift surgery are to elevate sagging breast tissue, reposition the nipple and areola to a more youthful level, and reshape the breast mound for improved contour and symmetry. In many cases, the procedure also reduces the size of enlarged areolas and tightens stretched skin. Breast lift surgery is frequently performed as part of a comprehensive mommy makeover, which addresses the body changes that occur after pregnancy.
Depending on the patient’s needs, treatment options may include a breast lift alone, a breast lift combined with breast implants to restore lost volume, or a breast reduction for women whose breasts remain excessively large and heavy. Board-certified plastic surgeon
Dr. Raffy Karamanoukian is known for performing natural-looking breast lift procedures that restore balanced breast proportions while maintaining a soft, feminine appearance. His expertise in breast surgery allows patients to achieve lifted, youthful breasts that complement the overall goals of mommy makeover surgery.
Breast Lift with Motiva Breast Implants | Santa Monica Beverly Hills
A breast lift with a small implant is an elegant solution for women who desire both rejuvenation and subtle volumization. Pregnancy, weight changes, and aging can lead to breast ptosis (sagging), stretched skin, and loss of upper pole fullness. A mastopexy reshapes and elevates the breast by tightening skin and repositioning the nipple–areolar complex, while the addition of a small implant restores youthful contour and balanced projection. The goal is not exaggerated size, but refined fullness and structural support that looks natural in clothing and without it.
Modern technology has elevated this combination procedure with the introduction of Motiva Implants. These next-generation silicone implants are engineered with advanced cohesive gel that distributes stress more evenly across the shell, reducing fold flaws and implant fatigue over time. Their proprietary surface technology is designed to minimize inflammation and has been shown in clinical studies to reduce rates of capsular contracture. Unlike traditional textured implants, Motiva features a smooth yet nano-textured interface that promotes biocompatibility while limiting aggressive tissue response. The result is a softer feel, improved integration with surrounding tissue, and a lower long-term inflammatory profile.
Raffy Karamanoukian, a double board-certified plastic surgeon serving Santa Monica and Beverly Hills, specializes in natural-looking breast lift with implant procedures. With meticulous attention to pocket creation, implant selection, and lift pattern design, he achieves balanced, proportionate results. His expertise ensures that the implant complements the lift—enhancing shape without overwhelming the breast’s natural elegance.
Nipple and Areola Reduction in Los Angeles
The areola is a central anatomic component of the female breast. With age, the size of the areola may become enlarged, leading to a size mismatch between the native breast and the areola. In most cases, the areola loses symmetry and may become eccentric and elongated.
During your consultation with Dr. Karamanoukian in his Los Angeles plastic surgery office, the areolar dimension will be measured and compared to the contralateral breast. The measurements of the breast, including breast width, nipple position, eccentricity, and other important anatomic parameters will also be made. The degree of breast ptosis, or droopiness, will also be assessed by Dr. Karamanoukian. These measurements will help determine whether an additional corrective breast lift should be performed at the same time as the areolar correction.
Areolar reduction is a safe procedure that does not readily compromise the breast tissue, nipple sensitivity, or breast shape. It can be performed under local anesthesia with sedation or under general anesthesia. In minor cases, it can also be performed as an outpatient office procedure under local anesthesia. The surgery is designed to provide increasing symmetry to bilateral breasts or to provide a more aesthetically pleasing shape or dimension to the breasts.
Dr. Karamanoukian is a dedicated plastic surgeon and will discuss your options for areola reduction during your consultation. The surgery involves excision or removal of redundant areolar and/or breast tissue using standard plastic surgery techniques. The pattern of excision and suturing may vary from patient to patient depending on the degree of breast droopiness and the overall quality of the breast skin.