Breast Implants Bottoming Out Repair

A successful breast augmentation surgery relies not only on the surgeon’s skill but also on the patient’s anatomy. Bottoming out is a complication that can occur either through an intentional or unintentional lowering of the breast crease or fold. A surgeon may need to lower the breast’s fold intentionally if a patient has a tight fold or […]

24-Year Old Breast Augmentation Revision Patient

This patient is a 24-year-old woman who previously underwent a breast augmentation with saline implants. She subsequently became pregnant and delivered a healthy baby, however, she suffered significant unfavorable cosmetic changes to her breasts. She presented me with complaints of the breasts being misshapen, droopy with larger areolae. And she was interested in her surgical options […]

Gummy Bear Implants

Gummy Bear Implants

Gummy Bear Breast Implants: Are They Right for You? Considering breast augmentation? You’ve likely heard about “Gummy Bear” breast implants (a common term for highly cohesive, form-stable silicone gel implants, including certain Sientra implants). Often hailed as a breakthrough in plastic surgery, these implants have generated a lot of buzz for their ability to maintain […]

Breast Augmentation Capsular Contracture

capsular contracture

Capsular contracture is one of the most common complications associated with breast augmentation both in San Diego and across the country. Unfortunately, it is a complication that we, as plastic surgeons, do not fully understand. This makes it a very frustrating problem for both patients and doctors alike. There is no way to predict, before surgery, who […]

Worldwide Concern Over PIP Breast Implants

It has recently come to light that the now-defunct French company, Poly Implant Prosthesis, had been illegally changing the silicone gel injected into their “approved” PIP breast implants to an inferior, non-medical grade “industrial” silicone. It is thought that this has caused the implants to have a higher incidence of spontaneous rupture and the specific health implications to […]

24-Year Old Breast Augmentation Patient

This patient is a 24-year-old San Diego woman who was unhappy about how she looked in clothes, especially when bathing suit shopping, and was interested in breast augmentation surgery. She felt self-conscious about her breasts’ size and thought she could never correctly “fill out” her preferred clothes.  At length, we discussed her surgical options for breast […]

No-Touch Technique Breast Augmentation

no-touch breast augmentation technique

Few new technologies change any surgical procedure, but the ones that do are often the most simple.  We have recently begun to use a tool more frequently called the Keller Funnel, a tool used to deliver silicone breast implants into a patient with little “trauma” or stretch to the incision.  Saline breast implants are inserted deflated […]

The Aging of Breast Implants

breast implants aging

Many women come to my office after having breast implants in place for many years and feel that their breasts “just don’t look the same.” This is a prevalent complaint for women who have breast implants for over ten years been pregnant and breastfeed after their original operation. The regular breast implant is being contained within a […]