Did you know?

In the 25 years that Dr. Pearl has been performing breast implant surgery, he has used virtually every type and style of breast implant.


"I am very happy with the results. They seriously couldn't look any better. My recovery was very quick, too. I had my breast augmentation on Friday and went back to work on Monday and went out the following Friday with my friends."

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Breast Implants

Natrelle Certified 410

Breast Augmentation in Mountain View

Ideal Candidates Your Personal Consultation Sizing The Procedure Safety
Silicone Gel Implants EXPAREL® Recovery Results Breast Implant Options

Breast Implants in Mountain View, San Jose and the Bay Area

Breast augmentation is a personal and private decision that can potentially have life-changing effects on a person. Highly skilled San Jose plastic surgeon Dr. Samuel Pearl has been performing breast augmentation procedures for Mountain View, Los Altos, Sunnyvale, and Bay Area women for over two decades. Dr. Pearl is known for his artistic touch and extensive surgical experience. View his before and after work from patients who have undergone a breast augmentation in San Jose and the Bay Area.

Breast augmentation can enhance natural body proportion and frequently correct the evolutional changes of the breasts noted after pregnancy. Improved self-confidence and image are common after this procedure. Through a variety of incisions, a soft, natural-shaped breast implant is placed behind the breast tissue and frequently behind the chest muscles to achieve the desired size and shape. If you are contemplating breast augmentation through the permanent insertion breast implants, women should consult Dr. Pearl, an experienced and knowledgeable surgeon.

Ideal Breast Augmentation Candidates

Women who choose to have breast augmentation surgery do so to improve their self-image. Some breasts never developed to a size that meets their expectation. Often, women want the breast augmentation procedure to restore their natural breast volume, which may have decreased as a result of pregnancy, weight loss or aging.

Any one of the following feelings or conditions may indicate that you are a good candidate for breast implants:

  • You are bothered by the feeling that your breasts are too small
  • Weight loss has changed the size and shape of your breasts
  • After having children, your breasts have become smaller and have lost their firmness
  • Dresses that fit well around the hips are often too large at the bust line
  • You feel self-conscious wearing a swimsuit or form-fitting top

In addition, there are several "musts" for anyone considering breast augmentation:

  • Breast development must be complete
  • Candidate must be emotionally mature and fully understand their motivations for wanting the procedure
  • Candidate must have realistic expectations, knowing that the procedure can bring improvement, but not perfection

If you believe you can benefit from the cosmetic enhancements of breast implants, Palo Alto, San Jose, Sunnyvale, Los Altos, and Bay Area residents can contact Dr. Pearl, the breast augmentation expert, in Mountain View, California.

Your Personal Breast Augmentation Consultation

A personal consultation is the first step. Dr. Pearl will assess your physical and emotional health and discuss your specific cosmetic goals for breast augmentation surgery.

You should arrive at the consultation prepared to provide complete information about:

  • Previous surgeries
  • Past and present medical conditions
  • Treatments you have received
  • Medications that you are taking, including nutritional supplements and herbal remedies
  • The results of mammograms you have had
  • Any history of breast cancer in your family

If you would like to arrange a consultation to discuss breast implants or breast augmentation, contact Dr. Pearl, Mountain View and San Jose's premier cosmetic plastic surgeon.

Breast Augmentation Sizing

To make sure you are happy with your breast augmentation procedure, Dr. Pearl offers 4 separate opportunities for the sizing of breast implants at his Mountain View practice. Dr. Pearl believes the most important sizing takes place in the privacy of your own home, and he gives every patient specific instructions on how to best determine the appropriate size and shape of their breast implants.

During your initial visit, Dr. Pearl will discuss appropriate size and give you the opportunity to see what you would look like with different sized breast implants. The second, and most important sizing will occur at home. Dr. Pearl instructs his breast augmentation patients in Mountain View, Palo Alto, San Jose, Los Altos, and across the Bay Area to create and experiment with their own home-made breast implants in order to determine what size works best for their body.

  • Begin by cutting a 12 inch segment of old pantyhose (not the foot area), tying a knot on one end, filling the pantyhose with approximately 8-12 ounces of rice, and tying the other end in a knot. Remember, you pick the size, and one ounce = ~30 cc's.
  • Purchase a lycra bra (with no underwire) in the cup size that you are looking to achieve with surgery. Make sure the bra doesn’t fit too tightly, and purchase several sizes if you are unsure of the look you are going for.
  • Place the “rice implant” inside the bra, and add or remove rice until you find the most flattering size.

Now is your opportunity to try on clothes, bathing suits and lingerie in stores or in the privacy of your own home. Consult your friends, families and partners for advice, and spend as much time as needed. At your pre-op appointment, you can bring your rice implants to the office, and Dr. Pearl can measure the rice and compare it to the goals that were discussed during your initial appointment. You may discover that your preferences have changed, and your final implant size may be larger or smaller that what you initially desired. During your breast augmentation procedure in Mountain View, Dr. Pearl will have one final opportunity to adjust the size and position of your breast implants to best satisfy your desires.

Dr. Pearl offers this series of sizing steps for all of his breast augmentation patients in Mountain View and across Palo Alto, Sunnyvale, Los Altos and the Bay Area because he wants to make sure they achieve their aesthetic goals. Dr. Pearl believes that sizing at home gives you more control over your final result, and empowers you to experiment with size in a way that may have been uncomfortable in an office. When patients are comfortable with their breast augmentation treatment plan, they are more likely to be satisfied with their results.

The Breast Augmentation Procedure

The technique used for your surgery depends not only on Dr. Pearl's preferences but also on your desired results. The incision is small and is usually made in one of three locations, underneath the breast just above the crease, around the lower edge of the areola, or within the axillary fold.

Once the incisions are made, Dr. Pearl creates the pockets into which the breast implants are inserted. This pocket is made either directly behind the breast tissue or more frequently beneath the pectoral muscle located below the breast tissue and above the chest wall.

Safety of Breast Implants

Each year, thousands of people have breast augmentations and experience no major complications. However, it is important for you to be informed of the risks as well as the benefits. Breast implants have been used with great success for more than 30 years. Dr. Pearl has been performing breast augmentation for over 20 years! Recently new medical studies have confirmed that breast implants do not increase the risk of breast cancer and they are not directly responsible for causing autoimmune diseases (Lupus, Rheumatoid Arthritis, Scleroderma, Fibromyalgia, etc). In Dr. pearl's opinion, both saline and silicone gel-filled breast implants are medically safe.

Dr. Pearl will inform you of the possible complications of breast augmentation surgery. In addition to listening carefully to what he tells you, be sure to raise any questions you may have about the safety of the procedure.

By carefully following our advice and instructions - both before and after surgery - you can minimize some of the risks.

FDA Approves Silicone Gel Implants

Silicone Gel Implants are now FDA approved and are available for everyone 22 years of age or older. Dr. Pearl has always believed that, for most patients, gel implants offer the most natural look and feel. They are particularly good for patients that are thin and have minimal breast tissue.

"I am excited that I can again offer you the adjustability of saline and the softness of gel implants!"

What are shaped textured highly cohesive gel breast implants?

This new type of implant is sometimes referred to as the “gummy bear” implant because it is made with an extremely cohesive silicone gel. It retains its shape and reduces rippling, and recent studies have shown a reduced incidence of capsular contracture, which is responsible for firm breasts that can feel hard and cause pain. Gel leakage appears to be less than with traditional gel implants. In addition, the anatomic teardrop shape helps to produce a very pleasing natural result.

Dr. Pearl is very excited about these implants. “These are great implants for slender women that desire a modest natural breast augmentation.” Dr. Pearl is proud to offer two brands of these implants: the NATRELLE 410 Shaped Textured implant made by Allergan and the SIENTRA Shaped Textured implant. These implants come in a wide variety of sizes that make it possible for Dr. Pearl to customize your breast augmentation to your individual preferences.

What are the disadvantages to these firmer cohesive silicone gel implants?

Women who desire a very round, full breast shape or who are looking for a very large breast size are not ideal candidates for these implants. It is extremely important that you discuss your true desires in detail with Dr. Pearl. This will allow you and Dr. Pearl to choose the best alternative to achieve your ideal result.

"I think the biggest disadvantage of these implants is the additional cost. Luckily, both companies have offered me a discount to use these implants," Dr. Pearl says. This discount will last only for a limited time. If you are interested in these new implants, please ask Peggy, Jez or Shelley if the discount is still available.

How is the procedure performed and how long is the recovery?

The surgery is very similar to the procedure for standard silicone gel implants. An incision is made in the crease below the breast (the inframammary area) that is 1 cm longer than a traditional incision, to accommodate for the texturing on the implant, which makes it more difficult to place in the surgically created submuscular pocket. The pocket is made to closely resemble the size and shape of the implant. The shaped implant needs to be placed precisely in the correct position. Because the implant has an anatomic teardrop shape, every attempt is made to avoid rotation and malposition, which will negatively affect the appearance of the breast.

The procedure is typically performed in our accredited on-site surgical facility under general anesthesia on an outpatient basis. Expect a recovery of approximately five days, with limited vigorous activity for about two weeks.

"This is a great procedure for well-selected patients," says to Dr. Pearl. The shape and feel of the implant gives very natural, long-lasting results. If you are interested in this exciting new procedure, schedule a consultation by calling the office and speaking to Jez or Peggy.

The Keller Funnel

Silicone gel implants are a lot like really tough water balloons. Up until now, surgeons needed to poke the pre-filled breast implants by hand through small incision sites, potentially bruising surrounding tissue and weakening the implant shell. The Keller Funnel is a soft, cone-shaped, sterile device made of nylon. The Funnel allows Dr. Pearl to use a no-touch delivery technique, which is believed to reduce capsular contracture, a painful complication associated with breast augmentation procedures. The Funnel has a special interior coating that creates a super slick surface. Once the Funnel tip is placed through the incision, Dr. Pearl quickly propels the implant gently into place with minimal force, bypassing the implant's contact with the skin.

The Funnel was introduced to surgeons in 2009, shortly after silicone gels were FDA-approved and re-entered the U.S. market. Designed by a plastic surgeon, The Keller Funnel improves the delivery of silicone gel implants during breast augmentation procedures. Now, Dr. Pearl can give you the aesthetic advantages of silicone gel implants, combined with a gentler surgical approach. Benefits of using the Keller Funnel include:

  • Shorter incision lengths
  • Improved comfort and faster healing
  • No touch technique
  • More choices for incision placement
  • Reduced force on the implant and incision
  • Reduced risk of contamination and infection

The Keller Funnel allows Dr. Pearl to make smaller incisions, similar to those used in saline implant procedures.

Women and their surgeons have increasingly selected silicone gels for their natural look and feel, and today, according to the annual report provided by the American Society of Plastic Surgery, more silicone gels procedures are performed than saline.

According to a recent survey conducted among surgeons with experience using the Funnel:

  • 91% reported that use of the Funnel reduces incision lengths
  • 92% of physicians using the Funnel believe use of the Funnel reduces force on the implant shell
  • 43% feel that incisions heal better with the use of the Funnel, and believe patients appear less swollen and bruised
  • 75% reported using the device reduced the risk of infection
  • Nearly 70% believed it lessened patient bruising and may reduce the incidence of capsular contracture, a painful complication associated with breast augmentation procedures

Other benefits attractive to both Dr. Pearl and patients like you include a reduced force of the implant shell which may prevent a rupture of the implant and the ability for Dr. Pearl to use a no-touch technique during the procedure which can lessen the chance of contamination.

EXPAREL® & Breast Augmentation

Recently, Dr. Pearl has begun to offer EXPAREL® to his breast augmentation and tummy tuck (abdominoplasty) patients. EXPAREL in selected individuals can dramatically reduce post-operative discomfort.

To help control your pain after surgery, Dr. Pearl will inject EXPAREL into your surgical incision just before the end of the procedure.

  • EXPAREL is a local analgesic that contains the local anesthetic bupivacaine. Local anesthetics provide pain relief by numbing the tissue around the surgical site.
  • EXPAREL is specifically designed to release pain medication over time and can control pain for up to 72 hours. This is fantastic!
  • In addition to EXPAREL, Dr. Pearl may provide other pain medications to control your pain.
  • Each patient is different and responds differently to pain medication. Depending on how you respond to EXPAREL, you may require less additional pain medication during your recovery.

Be sure to ask Dr. Pearl and his staff about this exciting way to reduce your discomfort, enhance your experience, and help you achieve the superior result that you deserve!

Recovery from Breast Augmentation

Within a day after surgery, you should be up and around. Most of the discomfort that you feel can be controlled with medication prescribed by your surgeon. Although everyone heals at a different rate, you can expect that your recovery will follow this general time line:

Within the first week

  • Bandages will be removed, and you may shower 3 days after surgery
  • Sutures will be removed at one week after surgery
  • You may return to light activity, non strenuous work usually at 5 days after surgery
  • You can resume sexual relations (as long as the breasts are treated gently)

After several weeks

  • You may resume exercise
  • Most of the swelling will subside and you'll start to see your 'new shape'
  • You may resume vigorous exercise and arm movements

Avoid straining, bending and lifting during the early postoperative period. You may resume most of your normal activities within several weeks.

Breast Augmentation Results

If you are like most women who have the procedure, you'll be very pleased with the results of your breast augmentation. You will no longer need padded bras or other breast-enlarging undergarments. Your new, natural curves will let you wear a greater variety of fashions - even dresses with low-cut necklines and form-fitting tops. Many women find that their new figure gives them a greater sense of self-confidence, whether they're on the beach or in the boardroom.

You are likely to be happy with your results for many years. However, keep in mind that breast implants are not immune to the effects of weight fluctuations or aging. The life span of breast implants is approximately 8-20 years. Therefore, you can expect to have at least one or two additional procedures during your lifetime even if your initial breast augmentation procedure has a 'perfect' result.

If you would feel you could benefit from breast augmentation, breast lift or breast reduction in Mountain View, Palo Alto, Los Altos, San Jose, and Bay Area women should contact our plastic surgery center today.

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