Category Archives: breast augmentation

Breast Augmentation: Is Bigger Better?

Everywhere you turn, it seems you’re being told you need more of something. Whether you’re being compelled to “super-size” a fast food combo, purchase the vehicle with more horsepower or buy one product to get another one free, you’re constantly being told that bigger is better. In this blog post, Dr. Samuel Pearl and Dr. Alexander Ereso outline why going giant-sized on breast augmentation isn’t necessarily the best choice for everyone.     Continue reading

Treating Breasts that Are Different Sizes

No two breasts are exactly alike. Most women notice that when they look close enough, one breast appears bigger than the other. Unfortunately for some, this asymmetry is more pronounced (occasionally even considered a deformity) and can cause a woman to feel excessively self-conscious.

Padded bras may help balance out breasts that are two different sizes, but surgery is the only way to permanently fix the problem. Here, the team at Pearl-Ereso Plastic Surgery Center explains how breast surgery can correct this type of asymmetry to improve self-image and confidence. Continue reading

Is It Possible to Get a Hernia from a Breast Lift or Breast Augmentation?

Breast surgeries are among the most common cosmetic surgeries, and they also have a very high patient satisfaction rate. Many women seek to improve the appearance of their breasts with a breast lift and/or a breast augmentation. Some of these women feel that their breasts are not sufficient in size, while others have lost breast volume due to aging or pregnancy.

As with all surgeries, there are some risks associated with these procedures, so it’s best to go over these in your consultation with your board certified plastic surgeon. In this blog post, Dr. Samuel N. Pearl and Dr. Alexander Ereso of the Pearl-Ereso Plastic Surgery Center discuss whether it’s possible to get a hernia from either a breast lift or breast augmentation. Continue reading

Do I Need a Breast Lift with My Breast Implants?

Perhaps you are unhappy with breasts that have become saggy as a result of having children, breast lift with implantsbreastfeeding, weight fluctuations or the aging process. You may wish to have a breast lift, but wonder if that procedure alone will give you the breasts you desire. At Pearl Plastic Surgery, Dr. Samuel Pearl offers breast lift both with implants and without. In this blog post, he will help you to determine which procedure is right for your needs.

Good Candidates for a Breast Lift without Implants

If your breasts are droopy and your nipples fall below your breast fold, but you are still happy with the size of your breasts, then breast lift surgery alone is sufficient for lifting your breasts to a higher and more youthful position. Dr. Pearl accomplishes this by removing excess, sagging skin and tissue from the breast, reshaping the remaining breast tissue higher on the chest and then shifting the areola and nipple to a higher position on the breast mound.

When a Breast Lift with Implants is Right for You

For women who not only wish to lift their breasts but who have also lost volume (often as a result of breastfeeding and significant fluctuations in weight), a breast lift surgery with implants may better suit their needs. With this procedure, not only is the excess breast skin and tissue removed from the breast, but an implant is placed in order to add fullness to the breast, particularly in the upper pole area. Women who wish to have breast implants can choose from saline, silicone and highly cohesive silicone gel implants. Silicone implants retain their shape within the breast pocket and are associated with a lower risk of capsular contracture and rippling.

Other Factors to Determine Candidacy

Generally, candidates for breast lift with or without implants also:

  • Are physically healthy overall (with no serious medical conditions)
  • Have fully developed breasts
  • Have realistic expectations of surgery
  • Have downward-pointing nipples
  • Have breast skin that is stretched out
  • Have elongated nipples
  • Have one breast that is lower than the other

Do you have more questions about your breast surgery options? Schedule a private consultation with Dr. Pearl and he can answer your questions about implant placement options, what to expect from recovery and any other concerns you may have. Call Pearl Plastic Surgery Center today at (650) 964-6600.

How Can I Tell If I Need Implants With My Breast Lift?

Do I Need Implants With My Breast Lift?Are you frustrated with sagging breasts, nipples that have migrated down the front of the breast, overly enlarged areolas (the darkly colored skin encircling the nipples) or deflated-looking breasts? If so, you might be a suitable candidate for breast lift surgery (with or without breast implants) with Dr. Samuel Pearl or Dr. Alexander Ereso. Keep reading to find out how to determine whether you need breast implants included with your breast lift surgery.

Why Breast Lift Becomes Necessary

Over time, the body gradually stops generating elastin and collagen, proteins that are essential for elastic, young-looking skin. Without these proteins, the skin — including breast skin — loses its elastic quality and begins to sag. This contributes to the look of sagging breasts.

In addition, pregnancy and breastfeeding, major weight loss or simply the effect of gravity can compound this aesthetic concern. They can also cause additional cosmetic issues, including downward-pointing nipples, excessively large areolas, breasts that appear flattened or perhaps breasts that are smaller in size than they were prior to having children or losing a substantial amount of weight.

Fortunately, undergoing breast lift surgery, with or without breast implants, can help improve these aesthetic concerns.

Whether Implants Should Be Included in Breast Lift

If you are concerned with sagging breasts, southward-pointing nipples or overly large areolas, but are happy with the size of your breasts, breast lift alone should address your aesthetic concerns. With breast lift surgery, Dr. Pearl or Dr. Ereso removes excess skin and reshapes the breast tissue mound while moving it to a higher, more youthful-looking position on the chest wall. He can also adjust the position of the nipples, so they are again in the center of the breasts and point forward instead of toward the ground. During breast lift surgery, Dr. Pearl or Dr. Ereso will reduce the size of the areolas, if necessary, as well.

If you are frustrated by both breast ptosis (sagginess) and flattened or small breasts, Dr. Pearl or Dr. Ereso can place breast implants while he performs breast lift surgery. Combination breast lift with implants will both lift the breasts and restore or enhance their volume, for a fuller, more voluptuous breast profile.

Visit Us for a Consultation

The best way to establish with certainty whether or not to include breast implants with your breast lift surgery is to visit Pearl Plastic Surgery for a consultation. During your personal consultation, Dr. Pearl or Dr. Ereso evaluates your breast anatomy, listens to your aesthetic concerns and recommends an appropriate treatment plan to satisfy your unique needs.

To schedule a private consultation with Dr. Pearl or Dr. Ereso and learn more about your cosmetic breast surgery treatment options, contact us by calling (659) 964-6600 today.

The Non-Surgical Shoelace Breast Cast Technique

Shoelace Breast CastIn the July 2014 issue of Aesthetic Surgery Journal (ASJ), Dr. Daniel Mills and Dr. Alexander Ereso describe an innovative technique that nonsurgically treats breast asymmetry and double bubble-deformities that may appear after implant-based breast augmentation in the early post-operative period. Previously, the only methods that could fix these types of problems involved undergoing revision surgery, which is not without its risks, including the risks of surgery and anesthesia. Furthermore, revision surgery may involve further financial costs to patients. The Shoelace Breast Cast is a technique that effectively treats the asymmetry while eliminating those factors that accompany revision surgery. When worn continuously, the shoelaces act as an external breast cast that allows the inframammary fold to be set and heal in the correct position.

The technique utilizes the placement of shoelaces around the breast in a manner that acts as a “cast” to allow the inframammary fold of the breast to heal in the correct position. Two wide-bodied, flat shoelaces are tied together and then wrapped around the neck, under the breast, around the back, and then tied together and worn for a prescribed length of time. The shoelaces effectively create a new inframammary fold in the location on the chest that will yield symmetry with the opposite breast. The shoelace breast cast, if placed and worn properly, has been shown to be a cheap and effective technique that solves a significant potential complication. Furthermore, the technique can be utilized to raise the inframammary fold on both breasts if the implants are considered to be placed too low. Based on almost 20 years of results, the shoelace breast cast has a success rate above 90%, meaning the vast majority of patients can have their asymmetry or double-bubble deformity corrected without the need for undergoing revision surgery.

About Alexander Ereso, MD

Dr. Ereso graduated from the University of California at Berkeley before earning his medical degree from Meharry Medical College, School of Medicine. He then completed a full residency in general surgery at UCSF-East Bay followed by a residency in plastic and reconstructive surgery at Wayne State University. Dr. Ereso received further subspecialty training completing a fellowship in reconstructive microvascular surgery at the University of Pittsburgh and an aesthetic surgery fellowship with Dr. Daniel Mills in Laguna Beach, CA. Dr. Ereso is available for interview upon request.

5 Advantages of Using the Keller Funnel

iStock_000011370977SmallDr. Pearl is continually looking for techniques and technology to improve his patients’ plastic surgery experiences. An instrument that has monumentally helped improve breast augmentation surgery is the Keller Funnel, an FDA-approved device that helps Dr. Pearl place silicone gel implants.

To use the device, Dr. Pearl places the tip of the soft, conical-shaped nylon device through the surgical incision, and places the pre-filled implant in the funnel. Then, he uses a gentle pushing/squeezing motion to coax the implant through the funnel and into place within the breast pocket. The Keller Funnel can safely be used with periareolar, transaxillary and inframammary surgical incision patterns.

Let’s look at five ways that using the Keller Funnel improves the delivery of silicone breast implants.

1.     Requires Shorter Incisions

Dr. Pearl is able to make smaller surgical incisions, similar to those used in saline implant placement. Smaller incisions produce less visible post-operative scarring (especially helpful for women who are prone to scarring).

2.     Reduces the Risk of Infection

Using the Keller Funnel involves a no-touch sterile approach that reduces the risk of bacteria contaminating the implant shell and causing an infection. This is also believed to reduce capsular contracture, a painful implant-related complication in which the capsule contracts and hardens.

3.     Faster Healing

Placing implants with the Kennel Funnel technique reduces the amount of trauma on the breast tissue; this lends itself to a quicker, easier recovery with less post-operative pain.

4.     Less Stress/Force on the Implant Shell

The funnel’s slippery coating allows Dr. Pearl to use a minimal amount of force when positioning and placing the breast implant. This puts less stress on the implant shell and reduces the risk of the implant weakening or rupturing (which would require another surgery to remove or replace the implants). The Keller Funnel can prolong the life of the breast implants.

5.     Quicker Procedure

The Keller Funnel generally makes the entire surgery proceed more quickly.

Learn More About Breast Augmentation Using the Keller Funnel

For more information about the Keller Funnel technique, or to schedule a breast implants consultation, please contact Dr. Pearl by calling (650) 964-6600.

Good News for Women Desiring Natural-Looking Breast Implants

black braPlastic surgery technology is constantly evolving — and one of the most exciting advances has happened within the breast implant industry. In the past year, Allergan and Sientra have both released anatomically shaped implants filled with a special type of silicone gel that is very similar to natural breast tissue. According to Dr. Pearl, these implants are perfect for women seeking subtle breast augmentation results.

Let’s look at the two types of anatomically shaped, highly cohesive silicone gel breast implants in more detail:

Allergan Natrelle 410 Breast Implants

Allergan’s Natrelle 410 breast implants are filled with a highly cohesive silicone gel material that has a thicker consistency than traditional silicone gel implants. The highly cohesive silicone gel helps the implant maintain its shape over time, and it produces a very natural look and feel.

Natrelle implants are teardrop shaped, meaning they have a gently sloping contour. They also have a textured surface that reduces the risk of capsular contracture (a hardening around the implant shell). Natrelle implants are available in various sizes, heights and projections.

Sientra Shaped, Textured Breast Implants

Like the Natrelle implants, Sientra anatomically shaped breast implants have a shape, weight and feel that is similar to natural breast tissue. They are filled with highly cohesive silicone gel that enables the implants to retain their form. Highly cohesive silicone gel virtually eliminates the risk of the implant rippling or folding within its shell. The filling material is so stable that even if the implant were to be twisted, stretched or sliced in half, it would not leak.

Sientra implants are teardrop shaped to mimic the natural breast contour (a round shape is also available) and they come with either a smooth or textured shell. A smooth shell allows the implant to move around more freely within the breast pocket. Sientra implants also come in a variety of projections.

If you opt for anatomically shaped breast implants, Dr. Pearl will help you select the best pair based on your body type and ideal cosmetic outcome.

Achieve a More Natural Look With Anatomically Shaped Breast Implants

If you’d like more information about anatomically correct breast implants, or you’d like to see some of Dr. Pearl’s before and after photographs, please contact our office by calling (650) 964-6600.