Breast Augmentation

RS900_shutterstock_76765228Dr. John Silverton, a talented breast augmentation specialist with decades of experience and unquestioned artistic ability, consistently produces aesthetically pleasing results. Further, our location allows us to offer significantly lower prices than leading Bay Area practices. Visit our offices today to learn more about breast enlargement, or browse our gallery to view the results Dr. Silverton has achieved for his breast augmentation patients.

Choices Before Undergoing Breast Augmentation in Stockton

Before your breast enlargement procedure, you have some important choices to make. During your pre-surgical consultation, Dr. Silverton will explore all the available options with you to ensure that you choose the treatment that best meets your needs. With Dr. Silverton’s help, you decide on saline-filled or silicone gel breast implants, settle on the right size and shape for your implants, and explore the different alternatives available for incision location and implant placement. The decisions you make will be based on your goals, medical history, and plans for the future. It is also important to take into account factors such as your lifestyle and plans for future breastfeeding and childbearing in addition to your aesthetic goals.

Types of Breast Implants

Ideal Implant

The Ideal Implant is the newest type of implant on the market. It is technically a saline implant, but unlike traditional saline implants, it is designed with a complex multishell structure. This design makes these implants structurally stronger than traditional saline implants, and makes them feel much more natural, and less like “water balloons”. Essentially, the Ideal Implant combines the ease of mind of a saline implant with the near look and feel of a silicone implant. It really is an Ideal Implant!

Silicone Breast Implants

Early silicone gel breast implants were not as good as today’s breast implants. They were eventually abandoned in favor of saline-filled implants. Today, advances in breast augmentation technology have made safe silicone-gel-filled implants available, giving our breast implants patients a choice between saline and silicone breast implants.

Modern silicone implants are safer than earlier designs because they do not leak or rupture easily. While both saline and silicone implants produce excellent results, many patients choose silicone implants because they consider them to have a more natural look and feel.

Saline Breast Implants

Saline implants, on the other hand, give Dr. Silverton more flexibility during breast enlargement surgery, as they are inflated after being implanted, but they have the disadvantage of feeling ripply in some people. They are full of saltwater and go flat if they break. Today’s silicone gel implants are very safe and feel better than saline implants. They are filled with cohesive silicone gel. So, in addition to feeling better, the silicone does not come out if they break.

Size and Shape

Implant size is one of the most important considerations for our breast augmentation patients when planning breast enlargement surgery. Smaller implants tend to look the most natural, while larger implants offer the most dramatic breast enhancement. When choosing the ideal size of your breast implants, it is important to consider how larger breasts might affect your lifestyle. Extremely large implants can get in the way of certain athletic activities, such as running, and some women who choose larger implants may experience other problems due to the increased implant weight.

Shape is also important. Breast implants are available in both round and teardrop shapes. Today, most women prefer round, smooth implants, because of their better appearance and softness. Dr. Silverton uses breast implants in a variety of widths and projections to achieve each patient’s desired appearance.

Incision Location and Implant

Breast implants can be placed through a choice of incisions. Dr. Silverton uses the infra-mammary incision (incision under the breast) and the peri-areola incision (around the lower part of the areola). Your shape is important in deciding on the choice of incision and whether a lift (mastopexy) might be required. There are advantages and disadvantages with both choices, and the details will be discussed in detail at your consultation.

Silicone implants require a slightly larger incision than saline filled implants. Sometimes they must be placed through incisions located in the crease beneath the breast known as the infra-mammary fold. This location allows for longer incisions but may leave more visible scars in patients with smaller natural breasts.

Because they can be filled after placement, saline implants can be implanted through smaller incisions in a wider variety of locations. Dr. Silverton prefers to avoid the incision in the armpit.

Dr. Silverton generally prefers to place breast implants behind the chest wall muscle rather than in front. The procedure to place the implant behind the muscle generally produces a better visual result. The scar is better and the long term shape usually holds up better. This option is also less likely to interfere with mammograms in the future and minimizes the likelihood of complications such as rippling and capsular contracture.

The Breast Augmentation Procedure

Breast augmentation usually takes between one and two hours to complete and is typically performed under general anesthesia administered by our board-certified anesthesiologist. After anesthesia has taken hold, Dr. Silverton makes the appropriate incisions and places the breast implants. Once the implants are in place, he carefully closes the incisions with dissolving sutures and secures the treated area with a light dressing and a comfortable bra. Patients recover under the supervision of skilled RNs and there is usually minimal discomfort. Patients are able to return home, or to a local hotel if they live some distance away, after they have recovered in the recovery room.

Recovering from Breast Enlargement

Recovery time varies for patients depending on how the breast augmentation procedure was performed. In most cases, our patients have their implants placed behind the chest muscles. For the first 24 to 48 hours after surgery, most patients experience mild discomfort, which can be controlled with pain medication. During this time, it is important to relax and get plenty of rest for the best result.

Bandages can usually be discontinued within 7 to 10 days. Breast enlargement patients leave our surgical center wearing a comfortable bra. No compression bandages are required. Within a week most patients can buy a bra of their own selection at a store of their choosing. Dr. Silverton will make recommendations. The breast implants settle into place over the next several weeks and the breasts soften. It is best to avoid exercise and other strenuous activity for about six weeks. Surgical scars may take several months to fade, and they never disappear completely. However, they are typically subtle and most patients consider this a small price to pay for breast enhancement.

Questions and Answers About Breast Augmentation

Will Augmentation Help Correct Sagging Breasts?

Breast augmentation changes the shape of your breasts by increasing their volume. If your breasts are sagging, you may want to combine augmentation with a breast lift. The two procedures enhance the appearance of the breasts in different ways, and a combination may be what you need. In your consultation with Dr. Silverton, he can explain how each of these procedures, or both of them, can benefit you.

Will I Be Able to Breastfeed After Breast Augmentation?

With careful placement of breast implants, augmentation will not affect a mother’s ability to breastfeed. If this is a concern for you, bring it up in your consultation with Dr. Silverton. He may suggest a particular approach to the procedure, placing the implants behind the chest wall muscle, for example, or the choice of incision location. Studies of breast milk in mothers with implants have shown no effect on the quality of the milk produced, whether they have silicone or saline implants.

How Long Do Breast Implants Last?

While breast implants often last for 15 years or more, implant manufacturers do not consider them lifetime devices. Implants can rupture, requiring replacement or removal. Your breasts will also naturally change over time, as may your ideal body image. When considering breast implants, it’s best to think of them as an enhancement for the next 10 or 15 years, after which you may choose to have them adjusted or replaced.

What Problems Can Occur After Breast Augmentation?

All cosmetic surgery involves some health risks, including the possibility of infection or complications from anesthesia. Breast implants have two other risks to consider, as well.

  • They can rupture, which may require replacement or removal. When a saline implant ruptures, it deflates harmlessly. This is a cosmetic concern, as the breasts will no longer be the same size, but it is not a health risk. When a silicone implant ruptures, the effect may not be visible, but you will need to have the implant and the leaked gel removed within a few years to avoid possible health problems. The FDA advises women with silicone implants to have an MRI three years after placement and every two years after that.
  • An issue called capsular contracture may occur. With this condition, hardened scar tissue forms around the implant. Dr. Silverton corrects it by removing the implants and giving the breasts time to heal.

Contact Our Practice to Schedule a Breast Enlargement Consultation

Schedule Your Consultation

If you are concerned about the size of your breasts, we encourage you to contact our cosmetic surgery practice today. Dr. John Silverton offers natural-looking breast enlargement through augmentation with implants at very competitive prices. As one of the area’s most experienced cosmetic surgeons, Dr. Silverton is an excellent choice for your breast enhancement procedure.

Call us at (209) 952-2251 or
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