Marina del Rey
Dr. David Stoker
4640 Admiralty Way #1000
Marina del Rey, CA 90292
Dr. David Stoker approaches each breast surgery with a unique treatment plan. Even if you are frustrated by poor results from previous breast surgery elsewhere, Dr. Stoker will find a way to improve the look and shape of your breasts. Here are some answers to questions you may have when considering undergoing breast surgery revision in Los Angeles.
It's not necessary to change implants just because a certain number of years have elapsed.
When any type of implant is placed in the body, a layer of fibrous scar tissue is formed around the implant. In some cases, this scar capsule may thicken and contract. Because breast implants are soft and deformable, a contracting capsule may distort the shape and feel of the breast. Surgery is typically required to treat advanced capsular contracture. However, because of improvements in modern implants, capsular contracture is much less common today than it was decades ago.
When a saline implant ruptures, saline leaks out over the course of a few days and the breast shrinks in size. The saline, which is the same as used for intravenous fluid, is rapidly absorbed by the body and has no harmful effects.
When silicone gel implants rupture, the silicone leaks outside of the implant shell. The gel in older implants was more of a liquid than today's gels. The current FDA-approved implants contain a more viscous gel that is unlikely to diffuse far from a ruptured implant. The newest generation of implants, still in clinical trials, is a cohesive gel that is the least likely to have gel leak from a ruptured implant. The FDA recommends MRI scans every three years to check for a ruptured silicone implant. If a rupture is suspected, the implants should be replaced.
The newest silicone gel implants are sometimes referred to as cohesive gel implants because of their firm feel. This new generation of implants uses a cohesive gel that is thought to be less likely to rupture. The implants are popular internationally, but in the U.S. they are still restricted by the FDA. Clinical trials are now being conducted to confirm the safety of the implants.
Implants may move in the years following breast augmentation. The implants may drop to a lower position or slide to the side of the chest wall. Many variables contribute to whether or not implants move, including initial pocket dissection, implant size, and patient body type. Textured implants are less likely to move than smooth implants. If implant movement causes a suboptimal breast appearance, a revision operation may be warranted.
Most patients are better served with implants placed under the pectoralis major muscle. This provides thicker coverage over the implants in the critical cleavage area and makes ripples less likely. The submuscular location is also associated with a lower capsular contracture rate. Patients with narrow chests who desire particularly large implants may need to consider implant placement on top of the muscle.
Implants do provide some lift to most breasts. Implants are not, however, a substitute for a breast lift in patients with significant breast droopiness. Breast lift surgery, with or without an implant, is more effective in those cases.
Complications sometimes associated with implant revision may include recurrence of a problem, seroma formation or slow wound healing.