Breast augmentation surgery, also known as augmentation mammoplasty, is a surgical placement of breast implants to increase fullness and improve symmetry of the breasts, or to restore breast volume. Women whose breast size is currently less than they desire due to weight loss, pregnancy, mastectomy, or hereditary can achieve more desirable results with a breast augmentation procedure.

Breast augmentation procedures can enhance your self-image and self-confidence. This procedure is well-established and effective and our practice makes achieving your desired results in a most natural presentation our utmost goal.

Dr. Michael J. Brucker offers patients in La Jolla and Del Mar breast augmentation procedures that focus on safety, comfort, and aesthetics. He brings over 15 years of experience to each surgery and takes the time necessary to refine features of the breast for the most attractive outcome.

The Purpose of Breast Augmentation

La Jolla and Del Mar patients come to breast augmentation surgery with different motivations. Some women have always wanted larger breasts, the chance to have a more proportionate figure, and the ability to wear different styles of clothing. For other patients, surgery is about rejuvenating their figure. Aging, pregnancy, and other factors can reduce the volume of the breasts, and augmentation can restore youthfulness to their appearance.  Dr. Brucker’s approach to breast augmentation is to provide an in-depth patient consultation because size determination is of utmost importance and the source of most concern for women.

Dr. Brucker has extensive experience with the full range of implants on the market: saline, round silicone, and shaped silicone.

The majority women opt for silicone implants, which have a number of advantages:

  • Silicone breast implants tend to add a more natural look and are less prone to rippling than saline implants.
  • They tend to have a softer and more natural feel.
  • They move more realistically with the breast tissue.
  • They tend to have a better longevity than saline implants
  • Occasionally, depending on the patient’s pre-existing anatomy and ultimate end goal, Dr. Brucker may advise the use of shaped silicone implants, also known as anatomical or tear drop implants. These implants have a more gradual slope in their upper pole. 

Saline implants may also be an option for various reasons:

  • Their cost is less than that of silicone
  • Routine surveillance via MRI is not necessary
  • Saline implants tend to give patients a fuller, rounder look to the upper pole of the breasts

As part of your initial consultation, Dr. Brucker can answer any questions you have about silicone and saline implants. The products he uses are FDA-approved, rigorously tested, and provide high-quality outcomes. Furthermore, Dr. Brucker uses implants with the best published longevity and lifetime warranties for your safety and peace of mind. 

While most augmentations are performed submuscularly (under the muscle), there may be certain instances where subglandular placement (over the muscle, under the breast tissue) may be warranted.  A patient who could benefit from a slight lift to the breasts but is not yet a candidate for a breast lift, or fitness competitors or professional athletes are some examples of those who may be candidates for this option. 

How Dr. Brucker Performs a Breast Augmentation

During your consultation, Dr. Brucker will talk with you about what you want to achieve with breast augmentation. Some of his La Jolla and Del Mar patients have a clear idea of how they want to look. Other women have a general goal of increasing the size of their breasts. While you may initially base the changes you would like to see on cup size, Dr. Brucker may recommend that you also focus on shape, movement, and feel, as these are the aspects that add beauty and a natural appearance.

For all of his augmentations consultations, Dr. Brucker offers Vectra 3D imaging.  This is a new technology which allows patients to see how they might look after surgery with various sizes and shapes of implants.

Dr. Brucker agrees that “patients absolutely love this technology because for the first time, it enables them to see a 3D picture of themselves with a new look. Because it is in 3D, the image can be rotated to any viewpoint and patients can really examine the desired result. We can make changes here and there and agree on a final look in advance, and this truly helps them in the decision-making process and helps ensure that there are no surprises after surgery.”

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Your Experience with Breast Augmentation

La Jolla and Del Mar patients have their augmentation procedures in our AAAASF-certified surgical facility. In addition to the high standards required for this certification, the advantage of performing surgery on-site is that we can offer a more personalized approach and a more private and comfortable environment than in a hospital setting.  For your safety and peace of mind, our operating rooms, equipment, and staff are certified to meet the same rigorous standards as hospital operating rooms.

Dr. Brucker will perform your breast augmentation procedure with general anesthesia to keep you comfortable throughout the surgery. To help prevent complications such as infection and capsular contracture, he will use the KELLER FUNNEL®, which minimizes contact with the implant. Studies show that this minimal contact—allowing the implant to pass from its sterile packaging into the breast pocket without manual manipulation—eliminates skin contact with the implant and reduces bacterial contamination.  Bacterial contamination is theorized to be one possible cause of capsular contracture (excessive scar tissue formation around breast implants).

In his many years in practice, Dr. Brucker has experience with all incision techniques:  inframammary (under the breast), periareolar (through the lower border of the areola), transaxillary (through the underarm), and transumbilical (through the belly button).

He has found that placing the implant through an incision in the inframammary fold provides the lowest incidence of capsular contracture with the added benefit of having no scar directly on the breast. By keeping the incision as short as possible, scars should practically disappear beneath the fold of the breast. He will discuss this approach and your other options with you during your consultation.

Following your breast augmentation surgery, expect to take pain medication for 1 to 4 days. Many patients in La Jolla and Del Mar are able to return to non-strenuous activity shortly afterward, but a full recovery takes about 1 week. Most women are able to resume light exercise in 2 to 3 weeks and upper body weight lifting and golf in about 6 weeks.

Whether your goal is rejuvenation or natural-looking transformation, explore breast augmentation with Dr. Brucker. La Jolla and Del Mar patients can contact the practice online or by phone at 858-707-7517.