Patients considering breast implants in Los Angeles now have more breast implant options than ever before. Two brands of silicone gel implants received FDA approval in 2006 after more than a decade of careful clinical studies. Saline implants, which I now use less commonly, are still a smart choice for some. There are now far more implant styles, sizes, shapes and textures available to accommodate the needs of every breast augmentation patient.
This 33-year-old woman underwent breast augmentation by Dr. Stoker. Silicone gel implants, moderate profile plus, size 550cc were placed through areolar incisions into a submuscular pocket. She is shown before and seven weeks following her surgery. Read More
This 35-year-old mother was disappointed with the size of her breasts and the shape of her areolas (the skin around the nipple). She wanted to have fuller breasts and wanted her areolas to be symmetrical in size and shape. After some consideration, she decided to find a talented Los Angeles breast augmentation surgeon who had a great deal of experience... Read More
This 23-year-old woman desired breast augmentation to achieve D-cup size breasts. Dr. Stoker performed breast augmentation with round, textured, midrange profile silicone gel implants size 401cc placed through areolar incisions into submuscular pockets. She is shown before and six weeks following her surgery. Read More
This 31-year-old woman wanted to increase the size of her breasts from a 34A to a 34C. She also had breast asymmetry with her left side being lower. Dr. Stoker performed breast augmentation with silicone gel implants placed through periareolar incisions into submuscular pockets. He used Allergan, textured, round, 354cc, silicone gel, moderate plus... Read More
This 32-year-old woman desired to increase from a 34A to full 34B size breasts. She wanted to enhance her curves with a subtle increase in size. Dr. Stoker performed breast augmentation with textured, 272cc, moderate plus profile, silicone gel implants. He placed the incisions through a periareolar incision into a submuscular pocket. She is shown... Read More
This 33-year-old mother desired breast augmentation to increase her size from a small B-cup to a full D-cup. She also wanted her breasts to be closer to the same size. Dr. Stoker performed breast augmentation with textured, round, silicone gel implants placed under the muscle through areolar incisions. He used a 350cc implant on the right and a 400cc... Read More
This 32-year-old woman wanted to increase the size of her breasts from an A-cup to a D-cup. Dr. Stoker performed breast augmentation with silicone gel implants placed under the muscle through periareolar incisions. He used a 400cc implant on the right and a 375cc implant on the left to improve her asymmetry. She is shown before and ten weeks following... Read More
This 36-year-old mother wanted to restore the fullness in her breasts that she lost following pregnancy. Because she was an active long distance runner, she did not want to be larger than a full B-cup. Dr. Stoker performed breast augmentation with 272cc, round, textured, silicone gel implants placed under the muscle through areolar incisions. She... Read More
This 22-year-old woman wanted to increase the size of her breasts from an A-cup to a C-cup. Dr. Stoker performed breast augmentation with 325 cc moderate profile implants placed under the muscle through areolar incisions. She is shown before and three months following her surgery. Read More
This 46-year-old woman desired full D-cup sized breasts. Dr. Stoker performed breast augmentation using an areolar incision and placement under the muscle. He used high profile, 500cc, silicone gel implants. She is shown before and approximately two months following the surgery. Read More
This 26-year-old woman desired breast augmentation to increase her size to approximately a C-cup. Dr. Stoker placed 378cc textured, midrange profile silicone gel implants through areolar incisions on each side. She is shown before and four months following her surgery. Read More
This 28-year-old woman was very petite, but wanted to have fuller breasts that still looked natural. Concerned about finding the right surgeon to perform her surgery, she made sure to research each Los Angeles cosmetic surgeon she discovered. After careful consideration, she made an appointment with Dr. David Stoker to discuss breast enhancement.During... Read More
This 50-year-old woman was unhappy with the look of her small breasts. She wanted to have fuller breasts with more feminine curves and felt that it was time she found a qualified Los Angeles plastic surgeon to perform breast augmentation. After some consideration, she decided to contact Dr. David Stoker for a consultation.When she met with... Read More
This 45-year-old woman decided to explore her options for breast enlargement in Los Angeles and contacted Dr. David Stoker.Many women who lose breast volume over time and are considering breast augmentation want to know whether their breasts will look natural after surgery. Women with enough skin and relatively good current breast positions... Read More
This 28-year-old woman desired breast augmentation with the newest generation of cohesive gel implants, sometimes referred to as gummy bear implants. She wanted to increase her breast size from an A-cup to approximately a C-cup. Dr. Stoker performed breast augmentation with cohesive silicone, moderate plus profile, 322cc implants. The implants were... Read More
This 41-year-old woman wanted to increase the size of her breasts from a B-cup to a full C-cup. Dr. Stoker performed breast augmentation using 322cc, textured, silicone gel implants placed under the muscle through areolar incisions. She is shown four weeks following her surgery. Read More
This 36-year-old woman desired breast augmentation. Dr. Stoker placed 270cc moderate profile, smooth breast implants in submuscular pockets through areolar incisions. She is shown before and six weeks following her surgery.
This 58-year-old woman desired fuller breasts and a repair of her left inverted nipple. She had previous surgery on her nipples over a decade earlier, but did not have a complete correction of the inversion. Dr. Stoker repaired her left inverted nipple and performed breast augmentation as well. He placed 272cc, textured, moderate plus profile silicone... Read More
This 47-year-old woman underwent her mommy makeover with breast implants and a tummy tuck by Dr. Stoker. He placed 375 cc moderate profile implants through areolar incisions into position underneath the muscle.
This 42-year-old mother desired the breast fullness that she experienced when she was pregnant. Dr. Stoker placed textured silicone gel implants, midrange profile, size 290cc, through areolar incisions into submuscular pockets. She is shown before and two months following her surgery. Read More
This 40-year-old mother wanted to restore the fullness in her breasts that she lost following pregnancy. Dr. Stoker performed breast augmentation with textured silicone gel implants, midrange profile, size 272cc, through areolar incisions into a submuscular pocket. The photographs are before and six months following her surgery. Read More
This 35-year-old woman underwent breast augmentation by Dr. Stoker. He placed textured silicone gel implants, midrange profile, size 290cc, through areolar incisions into a submuscular pocket. She is shown before and two months following her surgery. Read More
After being unhappy with her small breasts for some time, this 25-year-old woman wanted to undergo breast augmentation. She began researching cosmetic surgeons in Los Angeles to find one who had regularly performed breast surgery and produced excellent results. She discovered Dr. David Stoker and scheduled a consultation.During her consultation,... Read More
This 28-year-old mother was unhappy with the volume she had lost in her breasts from having children. She also experienced slight breast asymmetry and sagging, which led her to opt for a breast augmentation in Los Angeles in combination with a breast lift. She knew she wanted an experienced surgeon to perform her surgery, which is why she explored... Read More
This 34-year-old woman wanted her breasts to be fuller. She was unhappy with how her breasts looked deflated and felt that it was time to explore her options for breast enlargement in Los Angeles. Wanting to find a talented surgeon to perform her procedure, she began researching different surgeons in the area, finally deciding to contact Dr. David... Read More
This 37-year-old woman was unhappy with the small size of her breasts. She often had trouble fitting into clothing properly and felt limited in what she could wear because of it. Wanting her breasts to be fuller, she began considering undergoing breast augmentation. She knew that the first step toward her goal was to find a highly-qualified and talented... Read More
This 24-year-old woman wanted to learn more about breast enlargement in Los Angeles. She contacted Dr. Stoker for a consultation.Women interested in breast implants often ask how the implant options differ. At our practice, we discuss all options with our patients, explaining considerations such as the feel, sizing, and costs.Dr. Stoker... Read More
This 29-year-old woman was tired of her extremely small breasts which made it difficult for her to fit into clothing and swimsuits. Wanting her breasts to be fuller and more feminine-looking, she decided to contact Dr. Stoker after looking for a Los Angeles plastic surgeon with expertise in breast surgery.When she met with Dr. Stoker, she... Read More
The two main categories of breast implants are silicone gel or saline-filled implants. Silicone gel implants have been popular since the early 1960’s, and they have gone through multiple generations of improvements since that time. From 1992 to 2006, the FDA restricted the use of gel implants while carefully controlled studies were performed to confirm their safety. Because extensive studies demonstrated that the silicone gel implants are safe, the FDA the implants for use in patients age 22 years and older.
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.
The main advantage of silicone implants is that they feel more natural than saline implants. Gel implants are less prone to rippling than saline, which makes them particularly advantageous for thin patients. The current generation of silicone implants is cohesive, meaning that the gel is viscous enough that even if the implant ruptures the gel tends to remain in the same place. The cohesive gel implants are an important advance in implant technology.
I am one of several surgeons in Southern California conducting a clinical trial on a new generation of cohesive gel implants. The gel is firmer than the current FDA-approved options. In theory, the implants may be even less likely to ripple or rupture. This newest generation of implant is most popular outside of the United States. In the U.S. we will await the FDA ruling on the current clinical trial to determine if the implants will become widely available. Participants in the clinical trial must be at least 18 years of age. Other restrictions apply as well.
Sientra® Breast Implants
A newer cohesive gel implant giving women more options. Dr. David Stoker offers the latest FDA-approved silicone breast implants including gel implants by Sientra.
Saline implants have a long record of safety and are less expensive than silicone gel implants. Because they are placed when they are empty and filled once they are inside the breast pocket, the access incisions may be even smaller. When a saline implant leaks, most of the saline from the implant is rapidly and harmlessly absorbed by the body. The deflation is usually obvious, and the patient returns for removal and replacement of the saline implant. This may be done under local anesthesia if the patient is an appropriate candidate. The primary disadvantage of saline implants is that they don’t look or feel as natural as the silicone gel implants. This is a particularly important issue for women who are thin or have decreased elasticity of their skin.
Anatomical Versus Round Implants
Breast implants come in a large variety of sizes and shapes. In choosing an implant shape, it’s important to understand that the implants look different when they are placed behind a breast than when they are sitting on a shelf. Round implants, for instance, take on a more anatomical shape when they are placed under the muscle. The pectoralis major muscle compresses the upper portion of the implant, creating a teardrop shape. Gravity has a similar effect on the implant when the patient is in the standing position. I believe round implants under the muscle are the best option for most patients.
Anatomical implants may have some advantages in select cases. In theory, because the implant has the shape of an ideal breast, it should give the most natural result. In practice, however, there are many other variables that affect the final outcome of the surgery. It is uncommon for the anatomical implants to appear more natural than round implants, in my experience. The anatomical implants also require an incision underneath the breast for appropriate positioning, and this limits incision options for patients choosing these implants. There’s a small chance that the anatomical shaped implant may rotate, creating an unnatural bulge that may require the implant to be repositioned with another operation. Round implants do not have that disadvantage.
Our expertise extends beyond plastic surgery. We offer an extensive range of non-surgical treatments administered by our talented, experienced team of aesthetic providers under the guidance of board-certified plastic surgeon Dr. David Stoker.
If you have a treatment in mind, review our complete offering of non-surgical services. If you need a little help deciding, narrow down your options with our interactive treatment planner.
If you’ve been researching breast augmentation, you’ve probably noticed that most women’s goals are to have breast implants that look natural. What looks natural to someone in Miami, Las Vegas, or New York, however, may be different from what a breast augmentation patient in Los Angeles considers natural. At my Los Angeles plastic surgery practice, I’ve developed… Read On
Even though women know pregnancy changes their bodies, the physical toll it can take still comes as a bit of a shock for some mothers. It can also be a source of frustration to women who dedicate themselves to regaining their pre-pregnancy bodies by leading healthy lifestyles but still can’t regain their confidence. And confidence… Read On
One of the perks enjoyed by breast augmentation patients at my plastic surgery practice in Los Angeles is the confidence they feel wearing clothes, workout gear, and bathing suits that they avoided before getting breast implants. This newfound confidence also inspires shopping for sexier and more fashionable bras. It’s important, however, that women with new… Read On
