Michael Niccole, M.D.

Award Winning Plastic Surgeons to Ensure Your Best Treatment

We are the leading destination in Southern California for full-service aesthetics, where patients can receive first-class care with proven results from experts they trust.

We relentlessly dedicate our practice to providing the best care available, cutting-edge services, and proven results, maintained by our highly qualified team.

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Voted by his patients as one of the “Best Plastic Surgeons In Orange County.”

Michael Niccole, M.D.

Voted by his patients as one of the “Best Plastic Surgeons In Orange County,” Dr. Michael Niccole is the founder and Medical Director of CosmetiCare Plastic Surgery Center & MedSpa. Since opening the doors in 1982, he has turned CosmetiCare into one of the most successful multi-specialty cosmetic rejuvenation centers in Southern California.

Dr. Niccole has extensive experience and a refined technique in performing many cosmetic and reconstructive procedures. His skills as a surgeon and the positive results seen on thousands of satisfied patients have helped him create recognition for CosmetiCare around the world, receiving patients from Germany, Italy, France, England, Australia, Israel, Costa Rica, and a host of other countries.

Dedicated to his work as a plastic surgeon, Orange County resident Dr. Niccole loves helping people, and it shows with every patient he sees. He has been honored over the years for his abilities as a surgeon and his countless humanitarian efforts. The MDA (Muscular Dystrophy Association) chose him as their “Man of the Year” in 2008 for his continued humanitarian efforts dedicated to reconstructing lives for children and adults through donated plastic surgery. Additionally, he was honored at the MDA’s Gala fundraiser, “Gift of Hope.”

Dr. Niccole was selected by the Consumer’s Research Council of America as one of the TOP PLASTIC SURGEONS IN AMERICA and included in the “Guide to America’s Top Plastic Surgeons.” Due to his leadership, CosmetiCare was voted one of the “Best Plastic Surgery Centers in Orange County” (multiple times) by The Orange County Register’s “Peoples’ Choice” and published in its guide, “The Best of Orange County.”

Request a consultation today to learn how Dr. Niccole
can help you look your very best.


  • Bachelor of Science, Pepperdine University, Malibu, California

  • Medical Degree, University of California, Irvine Medical School

  • Surgical Internship, University of California, Irvine

  • Surgical Residency, University of California, Irvine

  • Otolaryngology (Ear, Nose & Throat) Residency, University of California, Irvine

  • Plastic Surgery Residency, University of Utah School of Medicine, Salt Lake City

Board Certifications

  • Board Certified, American Board of Plastic Surgery

  • Board Certified, American Board of Otolaryngology


  • State of California

  • State of Utah

Professional Organizations

  • American Society of Plastic Surgeons

  • American Academy of Facial Plastics & Reconstructive Surgery

  • California Society of Plastic Surgeons

  • Orange County and Long Beach Medical Associations

  • Lipoplasty Society of North America

  • American Medical Association

  • American Burn Association

  • American Council of Otolaryngology

  • The Double Boarded Society

Volunteer Work

  • Member, Rotaplast International

  • Leader, Rotaplast International, Argentina Trip, where 199 reconstructive surgeries were performed on children & adults with congenital deformities

  • Donated reconstructive surgery to children and adults living with congenital deformities in Alamos, Mexico

  • Founder, Magic Mirror Foundation – created to help those with deformities live more normal lives through donated plastic surgery

  • Sojourn Services for Battered Women & their Children


  • Outstanding Resident, University of California, Irvine

  • Physician’s Recognition Award from the American Medical Association

  • “Humanitarian of the Year,” Sojourn Services for Battered Women and their Children for donated reconstructive surgery to victims of domestic violence

  • Chosen as “Man of the Year” – honored June 2008 by the Muscular Dystrophy Association for humanitarian efforts

  • Included in Consumer Research Council of America’s “Guide to America’s Top Plastic Surgeons”

  • Voted OC Weekly “Best Cosmetic Surgeon” multiple years, most recently in 2018

  • CosmetiCare has been named one of the “Best Plastic Surgery Centers in Orange County” by the Orange County Register’s “Reader’s Poll” and listed in the annual guide to “The Best of Orange County”

CosmetiCare Media Appearances

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Breast Implant Shape

When it comes to breast augmentation, it is critical to find the right shape and size for your body. Most patients prefer a more natural-looking implant that will fit their body and be almost impossible to tell whether they’re natural.

CosmetiCare primarily uses smooth high-profile implants. We do not recommend anatomical, also known as teardrop implants. However, the shape of the implant is something that should be discussed with your board-certified plastic surgeon during your initial consultation.

When it comes to determining the best breast implant shape for you, here are a few things to keep in mind.

Your Body Type

The breast implants you choose should conform to your own shape and size. Some women prefer a round shape to correct sagging, while others chose a teardrop shape. Each type will have a different appeal. What looks good on someone else may look very different on you.

Think about your natural breasts and what you think the breast implant should do for you. Take your thoughts into your consultation and your plastic surgeon will help you determine which option is best.

Implant Placement and Incision Site

Believe it or not, there are different types of placements for implants and different placements for incision sites. Both will depend on your own breast tissue, your body history, including whether you will be nursing in the future, or where you prefer the surgery incision. Remember, you may not have a choice of where the incision site will be. It is up to your surgeon to come up with the best options and discuss them with you.

Read more: How It Feels To Have Breast Implants

Orange County Breast Augmentation Implant Shape

There are two types of breast implant shapes: round and teardrop. Let’s discuss both so that you have a better understanding of what each shape means and can discuss it with your surgeon.

Round Breast Implants

Round implants are the most common shape of breast implants. After surgery, the breast will look spherical. These implants also come in four types ranging from low to high projection. None of these options is better than the other, and your personal preference will be taken into account.

Round implants give the appearance of fullness at the top of the breast. If you’re going for a fuller look or are trying to correct sagging, round implants may be the best option. Typically, round implants cost less than teardrop-shaped implants. Round breast implants resemble a compressed ball and can be filled with saline or silicone gel to create a soft, round, and well-proportioned appearance.

Teardrop Implants

Teardrop breast implants have a more natural look. This means that the bottom of the implant is fuller than the top of the breast, like a teardrop. Women who want their breasts to look very natural typically choose this type. The fullness of the breast is typically not lost, only concentrated more in the bottom portion of the breast.

Teardrop implants have a textured surface. This helps to prevent shifting or rotation. Unlike round breast implants, teardrop implants can only be filled with silicone gel, not saline. The newer products are often referred to as “gummy bear implants”.

These implants offer the option of a highly cohesive, form-stable gel that retains its shape and is soft to the touch. The teardrop implant may be an ideal choice for those who want to correct mild sagging.

Breast Implant Types

Benefits and Differences Between Round and Teardrop Implants


Many women believe that teardrop implants will look more natural because they are pre-shaped. However, round implants can also look natural because their liquid fillers tend to settle at the bottom of the implant. Round implants typically tend to look more natural when the patient is lying down whereas teardrop implants remain constricted to their pre-formed shape.


Teardrop implants are asymmetrically shaped. This means that they carry a risk of rotating within the breast pocket. The rotation can compromise the shape and symmetry of the breast, and in some cases, may require corrective surgery. On the other hand, round implants are symmetrical and carry no risk of rotating.


To limit the chances of rotating within the breast pocket, teardrop implants are only available with a textured or rough surface. This textured shell can make the teardrop implants prone to wrinkling, which can lead to a rippling of the implant. Textured implants are also associated with the development of internal scar tissue that forms a constricting capsule around the implant. Smooth, high-profile, round implants don’t carry these same complications.

Incision Sizes

The shape and texture of a teardrop implant typically require larger incisions to place the implant into the breast pocket. These larger incisions mean a higher chance of noticeable scarring as well as an extended recovery period when compared to round implants.


Typically, teardrop breast implants cost more than round implants. Because surgical procedures with teardrop implants are more complicated and time-consuming, you can expect a higher surgeon’s fee as well.

Which Implant Shape is Right For You?

This question can only be answered by yourself and your surgeon. Round implants are typically preferred because they have a long track record of success.

Teardrop implants are commonly used for breast reconstruction following a mastectomy, but it is also a good option for those with little to no natural breast tissue.

Both round and teardrop implant shapes come in a variety of sizes and profiles. The term “profiles” refers to how far the breasts project forward from the chest wall. A high-profile breast implant has the smallest base width and offers the most pronounced silhouette.

Implant selection, which includes both breast implant size and shape is an essential part of preparing for breast augmentation. You should have a general idea before walking into your consultation about the results you want and some knowledge about each shape. Your surgeon is there for you to answer all of your questions and provide you with insight that can help you determine which implant shape is right for you.

Schedule your Orange County breast augmentation consultation today!

According to a 2018 study by American Society of Plastic Surgeons (ASPS), breast augmentation remains the most requested cosmetic surgical procedure in the United States and has been since 2016. Those interested in breast implants in Orange County can easily schedule a consultation with one of our board-certified plastic surgeons. Before your consultation, one of your biggest curiosities may be how your new implants will feel.

While your implants settle

Immediately after your breast augmentation surgery, your implants may sit a little higher on your chest than you might imagine. Implants are often placed a little higher than expected to allow the muscles surrounding the implants time to stretch. It can take a few months before your muscles fully adjust and allow your implants to settle. You’ll probably notice minor adjustments to the size and shape of your breasts as the implants get into their final position.

You will most likely be held in a recovery area for an hour or so after surgery. The majority of your recovery will take place in the first two weeks. Be careful not to overdo it during this time. Try to avoid heavy lifting, overhead motions, or anything else involving excessive arm movement.

Typically, you can return to normal activities at around six weeks, but be sure to confirm with your surgeon. Full recovery is generally set when the implants are fully established, approximately twelve weeks for most patients.

Improved sex life

A study conducted at the University of Porto found that most women are more satisfied with their sex lives after receiving breast implants. Women found they had higher levels of desire and arousal. Most of the researchers pointed to increased self-confidence as a critical factor.

Higher self-confidence can have an impact in more than just the bedroom. Many women who have breast augmentation procedures also make positive changes in other areas of their lives. With a new sense of self, many women take bolder approaches to their careers and social lives as well.

How implants will feel: physically

Breasts with implants tend to feel different to the touch than natural breasts. You may lose feeling in your nipples immediately after the procedure. Sensation loss in your nipples is perfectly normal. Even if you have a slight loss of sensation, your nipples will still respond to cold air and stimulation via touch.

The types of breast implants you get will also affect how your breasts will feel.  There is a slight difference between saline, silicone and textured implants. Another factor that will impact the feel of your new breasts is the amount of existing tissue. Typically, if you have more muscle and more tissue in your chest wall, your results will feel a bit more natural.

How implants will feel: emotionally

While most people tend to fixate on the physical results of breast augmentation surgery, there is also a psychological side to consider. 

Emotional responses are normal with cosmetic surgery. You are making a significant change to the body you’ve lived with your entire life. Incorporating your new shape into your identity can take time; you might even feel like your new breasts don’t really belong to you. Some of your favorite clothes might not look the same.

Be patient and don’t panic; these feelings are entirely normal and will come and go. Within a few weeks to months, most patients don’t even think about the fact that they have breast implants. 

How implants feel: to other people

Some people claim that they can tell the difference between natural breasts and breast implants. In reality, it isn’t always easy to tell, and many professionals are fooled. Of course, several factors can give away that breasts have been augmented.

It can be easier to tell immediately after a procedure since the implants aren’t in their final resting places yet. Breasts that are too high or too close together can be a dead giveaway. 

What’s most important is how you feel about your new look. 

Return visits

Nearly a quarter of all women who undergo breast augmentation plastic surgery return for another procedure. Unfortunately, implants do not last forever. The FDA rates most implants for ten years, but many factors can impact the time it takes before implants need replacing.

While mostly harmless, implants can leak over time or due to hard falls. Weight loss and pregnancy can also change the shape of the breasts. These changes often push women to replace their breast implants.

The new you

Breast implant surgery is one of the most popular cosmetic surgeries in the country. While most people are aware of what the final results look like, they may not consider how new implants will feel. There may be some discomfort during recovery, and the outcome depends on several factors, including implant material, size, and so on. Ultimately, breast augmentation surgery has been shown to improve self-confidence, making it a truly life-changing procedure.

What tips would you give someone undergoing breast augmentation surgery? Leave your comments below.

If you are one of the millions of American women who have undergone or are considering breast augmentation for achieving your ideal breast size, you may have questions about your health and safety throughout the process and aftercare. There is a great deal of conversation regarding breast augmentation in Orange County; here is what you need to know to make wise and safe decisions. 

Types of breast implants

In the United States, there are two general types of breast implants: saline and silicone. While they both are made of a silicone outer shell, they are different on the inside. Saline implants are filled with saline or sterile water, while silicone breast implants are filled with silicone gel. 

A quick history

Silicone gel breast implants were first used in 1962 and were the primary implant for breast augmentation procedures. During the 1980s, there were claims suggesting silicone gel implants were linked to diseases like lupus and fibromyalgia. 

Even though no scientific studies confirmed any link between this material and the diseases, the Food and Drug Administration (FDA) set certain restrictions on silicone gel in breast implants. Women having a breast implant procedure then only had one option: saline. 

By 2006, the FDA did another round of testing. In their research, they again found no connection between silicone gel implants and disease. The FDA reversed its previous decision and once again allowed the use of silicone gel in breast augmentation procedures. 

Read more: Breast Augmentation Incision and Implant Placement Methods

Things to know before getting breast implants – Safety and Effectiveness 

There isn’t any significant difference between the safety of silicone gel and saline-filled implants. As with any procedure, there are risks. Proper handling of these risks involves knowing what they are and how they are alleviated. It’s important always to have your plastic surgery done by a board-certified plastic surgeon in Orange County with lots of experience. 


Ruptures occur when the outer casing breaks. These are most commonly caused by a surgical error or a hard fall. Saline ruptures are generally easy to spot. Rapid changes in the breast’s shape over days is a clear indication of a saline rupture. The saline/saltwater is absorbed into the body and causes no harm. 

Silicone ruptures aren’t as easy to notice and can only be confirmed by an MRI. It is recommended that women with silicone gel implants have routine MRIs done every few years. While the silicone isn’t absorbed the same way saline is, there is no evidence that the ruptured silicone causes disease. Most often, if this type of implant ruptures, your doctor will recommend removing any loose silicone and replacing the implant. 

Further surgeries 

It is possible that, over time, breast implants may change shape. One breast may look slightly different than the other. This is no different than when aging breasts without augmentation change shape over time. The FDA estimates that breast implants should last at least ten years; some last much longer.  


Any surgical procedure has risks, but there are no guarantees that there will or will not be any complications. Consulting with the best breast augmentation surgeons is critical in decreasing your risks. Each year, nearly 300,000 women undergo breast augmentation procedures with extremely high rates of satisfaction. 

It is natural to have concerns about long-term health or complications. Be candid with your doctor and make sure to understand both the best and worst-case scenarios fully. The more you know about the procedure, the more confident you’ll feel about your decision. 

What about Allergan?

Allergan is a company with an extensive portfolio of products focusing on medical aesthetics, eye care, the central nervous systems, and gastroenterology. One of their most popular departments creates a highly cohesive, anatomically shaped, silicone-filled breast implant. There are several versions of this under the Natrelle brand. They also offer saline versions of some of their products. 

Allergan is known for its ardent work towards safety and transparency. They have worked with the FDA, clinicians, and regulatory bodies worldwide to advance research, understanding, and awareness about breast implant and safety. 

How Can I Find Out More?

Any time there are breakthroughs or development in new medicines or technologies, there are concerns about safety. While some claims are based on a lack of understanding, all health concerns should be investigated to ensure patients can make sound decisions. 

It’s important to know that there are always risks involved when dealing with medical procedures. If you are considering breast augmentation surgery, make sure to talk to your doctor about any concerns that you may have. Get all of the information, but stick with evidence-based opinions over anecdotes from the potentially misinformed or unstudied. 

Do you have experience with breast implants that you’d like to share? Leave your comment below.