Where do you make the incisions?
For most of our patients the incision is created at the lower half of the nipple along the areola border. The lighter skin of the breast meets the darker skin of the areola and allows the incision to be very well camouflaged.
We also offer the armpit or axillary approach to our patients who may have too small of an areola for the standard incision. Dr. Aiello uses endoscopic technology when inserting an implant through the armpit area. This approach is a nice alternative for many patients.
Can I go without a bra?
Going without a bra is a personal choice for the patient. Immediately following the surgery you will wear a support bra that we provide. After the first postoperative month we recommend that our patients find a variety of comfortable fitting bras and wear them for daily activities. When dressing up for the evening or dressing down for fun in the
Why do some women have a big gap between their breasts? I want more cleavage.
This is a result of 1 or 2 things. The sternum may be thick or raised at the junction of the ribs and sternum, creating a small obstacle beneath the implant not allowing the implant to come toward the center, or the rib cage or chest wall is round so the implants don’t sit closely together.
Dr. Aiello, creates a beautiful pocket into the midline along the center of the chest (the sternum) allowing for beautiful cleavage!!
How long do the implants last? When should I get them replaced?
The implants may last your lifetime. However, nothing on this planet is indestructible. A number of the implant manufacturers provide a lifetime replacement policy in the event of deflation. This is great news but rarely necessary.
What kind of implants do you use? What are the advantages and/or disadvantages?
Roughly 99% of our patients have the smooth round saline filled implants. These implants move with your breasts and with your body to provide a much more natural look and feel.
The textured, contoured, anatomical or teardrop shaped implant does not have the same mobility as the smooth implants and therefore doesn’t allow for the same natural quality of the breast. The aesthetics can be nice but breasts have a certain feel as well.
At Ocean Plastic Surgery our goal is for your results to look and feel natural.
What is capsular contracture?
When the breast becomes very firm and the implant cannot move
Does the textured implant help reduce capsular contracture?
The textured implant helps to reduce capsular contracture when comparing against the smooth implant over the muscle. However, the smooth implant under the muscle has the lowest occurance of capsular contracture.
Do I have to move the implants?
Because we understand the importance of a natural looking and feeling breast it is important to move the implants under the muscle. This also aids in reducing the occurrence of capsular contracture. Our patients are always so pleased at how natural the breasts look, feel and behave.
How do you determine size?
When you come for your free visit you and Dr. Aiello will have the opportunity to discuss what your needs and wants are. We also provide several photographs for your review; this is a tremendous help when determining implant and breast size. Finally, while you are sleeping during your procedure, you are sat up with actual implants in place to asscess correct size based on your wants.
Where is the surgery performed?
We have a fully accredited operating room on site at our Los Alamitos office. We perform about 30 surgeries a month in our operating room.
Will I be asleep during the surgery?
Yes you will be asleep during your surgery. Most breast surgeries are performed using general anesthesia. We use MD anesthesiologist in our operating room.
Are you board certified?
Yes. Dr. Aiello is Board Certified in Plastic and Reconstructive Surgery.
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