A Plastic Surgeon’s Perspective On Breast Augmentation

Dr. David Creech has been a board-certified plastic surgeon for 30 years. In his Chandler, Arizona, practice he has performed hundreds of breast augmentations. We sat down to ask him about his experiences and why he is excited to offer the latest breast implant technology, the IDEAL IMPLANT® Structured Breast Implant.

The IDEAL IMPLANT® Structured Breast Implant From a Surgeon’s Perspective

We asked Dr. Creech how he feels about the IDEAL IMPLANT® Structured Breast Implant, how it compares to saline implants and silicone gel implants. With 30 years of experience Dr. Creech has seen the good and bad of what breast implants have to offer. This gives him a unique perspective on the benefits and compromises of breast implant types.

“What I’ve found through the years is my lack of content with the implants available prior to IDEAL IMPLANT® Structured Breast Implant. Silicone gel implants are soft, but the IDEAL IMPLANT is also soft and has turned out to be a really good alternative to silicone gel. This is because you don’t need an MRI or a surgery to determine if the implant is leaking. With the IDEAL IMPLANT, if it leaks you’ll lose volume in the upper part of your breast, so when you look in your mirror you can tell that there is probably something going on. Through clinical exam I can determine whether there’s a leak or not.

“The other advantage of the IDEAL IMPLANT® Structured Breast Implant compared to saline implants is, it has very minimal wrinkling that’s visible and very natural feel. That is in direct contrast to the older saline.

“I can also adjust the volume on the IDEAL IMPLANT to get more symmetry between the two breasts. With silicone gel, it comes pre-filled, so whatever size you choose is what you get. There’s no adjustments with that.

“Complications are low with the IDEAL IMPLANT® Structured Breast Implant. So far I’ve only had one capsular contracture with the IDEAL IMPLANT® Structured Breast Implant. I’ve had many more with the other implant types.”

The IDEAL IMPLANT® Structured Breast Implant vs. Silicone Gel Implants

One goal of breast augmentations is to make your breasts look as natural as possible. This is one reason women choose silicone gel implants and the IDEAL IMPLANT® Structured Breast Implant over saline implants. But how does silicone gel compare to the IDEAL IMPLANT in terms of softness and similarity to natural breast tissue?

“I have two implants here. One is the silicone gel, this is the softest implant on the market. The other is the IDEAL IMPLANT® Structured Breast Implant. The beauty of this implant is with the way it was designed, the IDEAL IMPLANT® Structured Breast Implant has two primary chambers. In between the inner chamber and the other chamber are multiple sub-chambers which have baffling between, so it allows the saline to go in and out between that outer chamber. That creates softness and diminishes wrinkling. I think with diminished wrinkling you also diminish the risk of rupture.

“When you squeeze an IDEAL IMPLANT it is very similar to silicone gel without the disadvantages that I think silicone gel has. The IDEAL IMPLANT company has shown statistically, for the first six-to-seven years, it has a much better track record versus the silicone gel and the saline implants. That’s a huge advantage.

“In terms of scarring, the two primary incisions that I use are the areola approach and through the inframammary crease approach. The scar for the silicone gel has to be a certain size to get it into the space. With the IDEAL IMPLANT® Structured Breast Implant, I can typically get the implant in safely, deflated, through a four centimeter incision. With the silicone gel implant, it could be as much as five or six centimeters, depending on the size and the projection of the implant. silicone gel implants go in already pre-filled, so you have to adjust the incision to allow for that to go through the incision.”

Breast Implant Surgery Tips

With so much information available on the Internet it is important that women follow the instructions given by their board-certified plastic surgeon. You may hear an anecdote about a woman who started exercising 3 weeks post-op and did fine! But is that woman putting herself at risk? Here, Dr. Creech discusses what recovery will be like and how women can ensure they get the best results from their breast implant surgery so they don’t find themselves back on the operating table.

“When I prep the patient, I want her to know that there are certain things I don’t want her to do prior to the surgery. One is taking non-steroidal pills, which can increase the risk of bleeding. In my career, I’ve had maybe three or four over the last 20 years. Every time a patient has been on Ibuprofen or a non-steroidals. That also increases bruising, which is not a problem as long as there’s no blood around the implant. Anti-inflammatories that are touted for good health can also cause a problem. In lay terms, they thin the blood, I want them to avoid that.

“Post-operatively is another thing. When you go below the muscle, the edge of the muscle is very fragile. I want the patient to take it easy. Don’t pull down a hatchback on a truck or a car, don’t do heavy lifting, don’t reach up high, don’t pull yourself up on a ledge, no working out. The working out part, depending on the type of workout, is going to be limited until four-to-six weeks. After that I don’t mind them doing a treadmill or something that does not use the chest muscles. The chest muscle can get back to a full workout at eight weeks. The reason for that is that muscle that has been divided at the bottom part isn’t strong enough to tolerate exercise for about eight weeks.

“Once the skin is healed, it’s like armor, it protects your implant from getting an infection. If you have an infection around the implant, the implant has to be removed for up to three months before a new one can be put in. I don’t want my patients to go through that, and I don’t want to have to replace an implant. I want a perfect result every time we do these operations.”

Considering breast implants in Chandler, Arizona? Contact Dr. David Creech today to discuss your options. Simply call (480) 899-3737 or visit www.davidcreechmd.com. Dr. Creech’s office is located at 485 S Dobson Road, #217, Chandler, AZ 85224. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.