Marina del Rey
Dr. David Stoker
4640 Admiralty Way #1000
Marina del Rey, CA 90292
Dr. David Stoker offers many options for breast implants in Los Angeles. There are many factors to consider when selecting a breast implant. While your specific questions are best addressed during a consultation with Dr. Stoker, here are a few answers to frequently asked questions about breast augmentation and breast implants.
Breast augmentation is in an operation that increases the size of the breast by placing an implant behind it Breast augmentation was first performed in the early 1960's and, over the last five decades, the implants have evolved to become better and more reliable products. Breast augmentation is now one of the most commonly performed plastic surgery operations in Los Angeles and nationwide.
There are many different types of implants. Key options include silicone gel or saline filled, smooth or textured shell, round or anatomical shape, and profile that is high, midrange, moderate or low. There are currently two major manufacturers of breast implants in the United States, Allergan and Mentor (now owned by Johnson & Johnson). A new generation of implants is now being studied in clinical trials. These implants have a firmer, more viscous silicone gel. These new cohesive gel implants may be less likely to ripple or rupture.
The profile that is the best fit depends on two key variables: the patient's pre-operative body and the patient's goal. In my experience, the midrange profile implants are most often the best fit for my Los Angeles breast implant patients. High profile implants are more likely to be optimal for a woman with a narrow chest who desires a large increase in size. Patients with broad chests who desire modest increases in size may benefit from moderate or low profile implants.
The most common incision locations are the lower areola border, the crease under the breast or the armpit. For saline implants, a minority of surgeons will use the belly button. In my opinion, the areola incision is the best for most patients. The scar heals beautifully and is camouflaged at the interface of the pigmented areola and the lighter surrounding skin. The incision underneath the breast is also a good option, especially if the patient has small areolas and desires large silicone gel implants. The axillary, or armpit, incision has a number of disadvantages that make it a less desirable choice for most gel implant patients.
Implants do not have to be changed just because a certain number of years elapse. However, implants should be changed if there is a problem with the implant, if the patient's breast changes significantly, or if the patient's desires change. Most young people who undergo breast augmentation will have other breast operations in their lifetime for one of those reasons.
General anesthesia is appropriate for breast augmentation surgery. I prefer a "light" general anesthesia, where a mask in the mouth is used rather than a tube through the vocal cords. The lighter anesthesia does not require paralysis, and I believe patients emerge from anesthesia more quickly and smoothly. I also use a long-acting local anesthetic to reduce discomfort significantly in the hours following the procedure. Skilled, board-certified anesthesiologist physicians provide an increased level of safety over nurse anesthetists.
Breast augmentation usually takes less than one hour of surgery.
Most patients take a few days off of work to recover from surgery. Heavy lifting and exercise are best avoided for a few weeks.
There are advantages and disadvantages to smooth and textured implants. While I most commonly use a textured breast implant in Los Angeles; I make that decision for each patient after a thorough consultation with them.
It is most likely that a patient will still be able to breastfeed following breast augmentation surgery. I take special precautions to minimize the likelihood of the surgery affecting the function of the breast.
Some of the complications that may be seen in breast augmentation include bleeding, infection, capsular contracture and implant rupture.
Extensive studies on thousands of women over decades have demonstrated no increased risk of breast cancer in patients with implants.