Dr. David Stoker
4640 Admiralty Way #1000
Marina del Rey, CA 90292
(310) 300-1779

Breast Implant Correction

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Breast Implant Correction

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After

Case 283

After having undergone breast augmentation and liposuction at another plastic surgery center, this 38-year-old woman wanted to increase the size of her breasts further and improve their shape. After looking for a board-certified Los Angeles plastic surgeon, she found Dr. Stoker's Practice and scheduled a consultation.

She expressed her concerns to her surgeon during her consultation. Because she was unhappy with the shape of her silicone implants, her surgeon recommended that she have 500cc cohesive gel implants placed through incisions around her areolas (or the skin around the nipple). These implants would mimic the feel of real breast tissue and when placed properly, would give her more natural-looking breasts. During her surgery, her surgeon removed the silicone implants and inserted her new gel implants into a desirable position.

Five months after her Los Angeles breast augmentation revision, she returned to have her post-operative photos taken. As can be seen in her photos, her breasts appear much more even and fuller than in her "before" photos. She was very happy with the results and was thankful for her surgeon's care and precision when performing her surgery.

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Case 78

Years after receiving disappointing results from other surgeons, this Los Angeles woman chose Dr. Stoker to help her achieve the results she had wanted all along. 19 years ago, this woman received breast augmentation with silicone implants in a procedure performed by another surgeon. Two years later, also from another surgeon, she had also received a circumareolar mastopexy (breast lift) to correct the diameters of her areolas. Over the next two decades, she developed a progressive deformity of both breasts, and at age 45 she decided to meet with Dr. Stoker to discuss how plastic surgery after pregnancy could help.

During her examination, her surgeon found that she had developed capsular contracture (excessive scar tissue around the implant pocket) on each side. Her areolas were enlarged and puffy, and she had highly visible scars around each. Her right implant had also ruptured, she had developed a "double bubble" deformity on the underside of each breast where the implant was positioned poorly, and she had also lost fullness at the sides of her breasts, creating an imbalanced shape.

After discussing her options thoroughly with Dr. Stoker, she decided on a combination procedure that would correct the excess of scar tissue (capsulotomy), replace her implants, and elevate her new breast mound. In her procedure her surgeon removed her old implants and performed capusulotomies on each side to refine the implant pocket, then placed new textured 275cc moderate-plus profile silicone gel implants in a submuscular position. During the same procedure he performed a breast lift (mastopexy) on each side to reduce her areola size and eliminate her double bubble shape.

In her postoperative photos, taken just six weeks after her breast implant corrective surgery and Beverly Hills breast lift, the patient shows obvious improvement. Notice in the 3/4 view photos how her revision surgery has not only corrected the position of her breasts, but also refined their shape and projection so that they look much more natural. Her scars are healing well, and she is already very pleased with her results.

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Case 77

This 41-year-old woman from Southern California desired breast implant corrective surgery. Fifteen years earlier she underwent breast augmentation by another surgeon using 435cc double lumen silicone gel and saline implants placed on top of the pectoralis major muscle through periareolar incisions. After researching plastic surgeons, she decided to consult with Dr. David Stoker because of his credentials, experience and results.

On examination, her surgeon found that she had a capsular contracture on the right side, areola distortion in shape, areola position asymmetry, and visible ripples in the cleavage area from the implants. She was a DD-cup and desired to be smaller and more symmetrical.

In the operating room her surgeon removed her right implant capsule and her 435cc implants. He then created new pockets under the muscle and placed Mentor Siltex textured 275cc moderate plus profile silicone gel implants on each side. After achieving a more ideal size, he then performed a breast lift (mastopexy). The breast lift improved the shape and symmetry of the areolas, tightened the excess skin and decreased rippling from the implants.

The patient is shown before and two months after her breast implant corrective surgery.

For more information on how these kinds of procedures might benefit you, click to set up an appointment or give us a call at (310) 300-1779.

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Case 76

This 30-year-old woman is a mother of two children and a nurse at a prominent Los Angeles university medical center.  She had undergone three previous breast implant surgeries by other surgeons with suboptimal results which she desired to improve.  She also had substantial stretching and droopiness of her left nipple from breast feeding, and she desired a shorter nipple that better matched her other side.

Thirteen years earlier the patient underwent her first breast operation by another surgeon, the placement of 350cc saline implants on top of the pectoralis major muscle.  Three years later the patient elected to exchange her implants for larger 450cc saline implants also placed on top of the muscle.  Three years after that she underwent her third breast operation (also by another surgeon) to remove her saline implants and replace them with 570cc high profile silicone gel implants placed under the muscle.  The large implants caused the skin between the breasts separated from the sternum creating a deformity called synmastia (one breast rather than two).  She also was bothered by implant ripples.

She consulted with a surgeon at Plastic Surgery because of their credentials and expertise with corrective breast implant surgery.  Her surgeon performed a difficult operation where her implants were removed and her breast capsules were divided and then sutured to her ribs to recreate the normal space between the breasts.  He replaced the 570cc implants with 450cc Siltex textured moderate plus profile silicone gel implants in the pocket under the pectoralis major muscle.

At the patient's request, her surgeon also performed a left nipple reduction.  The skin around the base of the nipple was removed and sutured to the areola.  The nipple projection was successfully decreased by more than 50%, and it closely matched her other side.

She is shown before and six months after her surgery for breast implant correction and nipple reduction.

For more information on how these kinds of procedures might benefit you, click to set up an appointment or give us a call at (310) 300-1779.

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Case 75

This is a 32-year-old woman in the financial services industry who flew in from New York for corrective surgery on her breast implants.  She had previously undergone three breast implant operations by other plastic surgeons in New York City.  Before plastic surgery she wore a 34B size support and she desired to increase her breast volume to approximately a C-cup.  Her first breast surgery in New York was a bilateral breast augmentation with 230cc saline implants placed under the muscle through periareolar incisions.  She felt that the left inframammary crease (at the bottom of the breast) was substantially lower than the right, and right breast implant was displaced upward and firm with a capsular contracture.  Four months later, the same surgeon performed corrective surgery to raise the left crease and to perform a right breast capsulotomy.  The patient had some improvement, but felt that the left breast crease was raised too much and the breast implants were not optimal for size, shape and symmetry.  Four months later, she underwent a third operation to raise the left breast crease (this time through a new incision beneath the breast) and the implants were changed to 250cc saline on the left and 240cc saline on the right.  Although she did have some improvement with each of her operations, she was frustrated that she could not obtain the natural shape and symmetry that she desired.  Three years went by before she heard some encouraging news that inspired her to seek out other options for her breasts.  She talked to several of her friends in Los Angeles, California who had breast surgery with beautiful results by board certified plastic surgeon at Dr. Stoker’s Practice, in Marina del Rey, CA.  After doing extensive research online, she was impressed with her surgeon’s distinguished credentials, extensive experience and appealing results.  She first did a Virtual Consultation with her surgeon, who felt optimistic that he would be able to help her.  The patient elected to fly in for surgery to Los Angeles from her home in New York (she was pleasantly surprised to find out that many patients travel to have surgery and that Plastic Surgery had a Fly-In Program to facilitate the process).

When the patient arrived at the office for her first consultation in person, her surgeon confirmed that he thought he could help her. On physical exam he felt that she had a nipple to crease distance on each side that was longer than ideal for her breast volume, her nipples were displaced to the sides, the right implant was displaced too far medially, and she had an early stage capsular contracture on the right.  He also emphasized that no surgeon obtains perfect results all of the time, especially when a patient has had multiple operations with suboptimal results by other plastic surgeons.

In the operating room, her surgeon removed her saline implants and performed capsulotomies on each side to adjust the implant pocket size and proportions.  He also sutured the right medial capsule to her ribs in order to improve the symmetry of her breasts.  He placed a long-acting local anesthesia solution in each of the pockets so that the patient would have minimal discomfort when she awakened from surgery.  He then placed Mentor Siltex textured, round, moderate plus profile silicone gel implants, size 325cc on each side.  She then wore a special support and dressing that protected the results of the delicate surgery while she was healing.

The patient was amazed that she was able to obtain such a beautiful and natural result after having difficulty with her previous three breast operations.  She said she didn’t even have much discomfort following this operation.  The only setback she had was a rash from the surgical tape that started several days after surgery and lasted approximately one week.  In these photographs she is shown before and eleven days following corrective breast implant surgery at Plastic Surgery.

For more information on how these kinds of procedures might benefit you, click to set up an appointment or give us a call at (310) 300-1779.

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Dr. David Stoker

Educated at some of the most elite institutions in the country, Dr. David Stoker uses his highly advanced knowledge to ensure that each patient achieves beautiful, harmonious results — whether it's through a simple non-surgical procedure or a more advanced surgical transformation. Learn more about his unique credentials and his approach to plastic surgery.

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