Category Archives: breast implants

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

Signs You Are a Candidate for Breast Revision

Breast revision, also referred to as breast implant replacement, is sometimes required to remove and replace implants that have developed a problem, or to contour breasts as the body changes with age. If you wish to correct complications that arose from your primary augmentation, or if you simply want to change the size of your implants, you may be considering breast revision. In this blog post, Dr. Samuel Pearl and Dr. Alexander Ereso discuss what makes someone a good candidate for breast revision. Continue reading

How Long Do Breast Implants Last?

shutterstock_278020784Breast implants are used in breast augmentation to replace lost volume and improve bodily proportions. Patients have a choice of saline, standard silicone or highly cohesive silicone gel (“gummy bear”) implants. There are advantages and disadvantages to all implant types; some of the factors to consider are your anatomy, your goals and your budget.

One thing many breast augmentation patients wonder regardless of implant type is how long their breast implants will last. In this blog post, Dr. Samuel N. Pearl and Dr. Alexander Ereso of the Pearl-Ereso Plastic Surgery Center discuss how long implants last and what some factors are that might cause a need for implant replacement or revision. 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.

The Benefits of Combining Breast Lift with Implants

Breast lift with implantsMore often than not, women have more than one concern about their breasts. Some may feel their breasts are too small, or too saggy or shapeless following weight loss, pregnancy or aging. If more than one of these concerns sound familiar, it may be time to consider combining a breast lift with implants. These two procedures are increasingly being combined, and for good reasons. Read on to find out why more women are choosing breast lift with implants.

A Safe Procedure

When considering breast lift and implants, many women wonder if the two procedures be combined and performed safely. According to a study from the American Society of Plastic Surgeons (ASPS), the simple answer is yes. Researchers found there was no increase in complications when combining breast lift with implants between 2005 and 2009. Patients at our Mountain View plastic surgery facility can rest assured they are in good hands with Drs. Pearl and Ereso. New, advanced techniques are used to improve the breast shape and minimize scars, resulting in beautiful, natural-looking breasts.

Faster Results and Recovery

Many women undergo breast lift surgery only to realize they are not fully satisfied with the results. This is because while a breast lift raises the breast, nipple and areola to a higher position on the chest, the breast retains a natural teardrop shape, and there is more fullness on the bottom half than on the top. Implants can restore balance to the breast by making it rounder and more evenly shaped. Similarly, women who undergo breast augmentation surgery later decide to get a breast lift to perk up their heavier, fuller breasts. By combining the two procedures, you get the full results you desire faster, avoid multiple visits to your plastic surgeon’s office, and heal all at once.

An Improved Figure

Improving the shape and size of your breasts can do wonders to your overall body figure. During your one-on-one consultation, Dr. Pearl or Dr. Ereso will discuss with you what size implants can best improve your body figure depending on your height and body frame. A breast lift further improves your figure by providing a beautiful, sexier shape.

A Boost in Self-Confidence

As we previously mentioned, many women have more than one concern about their breasts, meaning they have more than one reason to feel self-conscious. A combination procedure improves the shape, size and overall appearance of your breasts, giving you more than one reason to smile and feel good about yourself! Not only will your breasts be the size you’ve always dreamed of, they will also look younger and perkier.

Schedule a Personal Consultation Today

Having performed breast lift with implants on hundreds of patients, Drs. Pearl and Ereso know that no two procedures are the same. Before your surgery, one of the doctors will meet with you one-on-one to discuss your desired goals and plastic surgery options. To make an appointment, call our Mountain View office at (650) 964-6690.

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.