Breast Implants

Breast Surgery

Valley Dermatology & Plastic Surgery is a comprehensive skin care center in the heart of the Napa Valley. Our practice provides complete and integrated dermatology and plastic surgery services to people of all ages. We maintain a patient-centered approach while offering compassionate and the most up to date care. Our goal is to educate and empower you to make the right decisions for your health.

Breast Implants

Breast Implant surgery or Breast Augmentation is surgery used to make the breasts larger. The most reliable way to do this is using implants. Implants are filled with either silicone or saline and come in different shapes and sizes. Together with Dr. Street, you will select which implants are right for you. This surgery is safe and effective and has a high patient satisfaction rate.

Anesthesia: General
Operative Time: 1 hour
Incisions: Inframammary Fold (IMF) or Axillary (armpit)
Drains: None

Recovery Timeline:


Are saline implants safer than silicone implants?

In short, No. Both implant types have silicone shells but are filled with different material. Saline implants are filled with salt water and if they rupture, this salt water will safely get absorbed by the body. If a silicone implant ruptures, the material stays inside the shell and has not been shown to cause any issues.

Do breast implants interfere with cancer screening?

No. Radiologists who read mammograms have experience judging the breast tissue around implants. Various papers have shown that implants don’t impact a radiologist’s ability to detect breast cancer with a mammogram. When implants are under the muscle, they are even farther away from the breast tissue. Sometimes special displacement techniques are necessary when taking the mammogram.

Can I get an augmentation without an implant using just my own fat?

Yes but we typically can’t safely get enough fat in the breast at one time to cause a large size increase. Fat grafting into the breast is safe and widely used, mostly in breast reconstruction for cancer. But, for the typical volume increases desired with cosmetic augmentation patients, the small amount of fat that can safely be injected in one surgery usually isn’t enough.

What is ALCL?

Anaplastic Large Cell Lymphoma is a type of cancer that can be associated with breast implants. Fortunately it is exceedingly rare, and is only definitively linked to textured implants. For this reason, Dr. Street only uses smooth implants. The treatment for ALCL usually involves removing the implant and could involve more conventional cancer treatments like chemotherapy. Patients that have a large fluid collection gather around their implant over 1 year out of surgery should have this worked up for ALCL.

Do breast implants have to be removed in 10 years?

No. Implant approval studies for the FDA were tested with 10 year intervals but that does not mean that implants cannot last longer than 10 years. Frequently we see implants last a lifetime. As long as the implant isn’t causing problems, and the patient still wants it, the implant can stay in place.

How can I tell if an implant has ruptured?

When saline implants rupture, the salt water leaks out and the implant deflates. Typically this can be seen on physical exam and often the patient diagnoses it themselves. Silicone implants usually rupture silently, meaning there is no outward sign. To confirm a rupture in a silicone implant, we need to order an MRI.

What is capsular contracture?

The body surrounds all implants with a capsule. This is normal. However, if the implant gets exposed to bacteria on the skin during the insertion process, the immune response from the body can cause the capsule walls to close in. This makes the implant higher and tighter and can even cause pain. We take many steps to prevent this process in the OR. This is also why we do not offer the Nipple incision for primary breast augmentation, because it has been shown to have higher capsular contracture rates.

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Our goal is to educate and empower you to make the right decisions for your health.

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