An Interview With Dr. Scott Greenberg: Questions for Your Plastic Surgeon and the IDEAL IMPLANT

Dr. Scott Greenberg is a board certified plastic surgeon in Winter Park, Florida who has over 25 years of experience in cosmetic surgery. Former patients of Dr. Greenberg appreciate his attentiveness, his professionalism, and his dedication to meeting their individual goals. We recently sat down with Dr. Greenberg and discussed his practice, breast augmentation, and IDEAL IMPLANT® Structured Breast Implants.

Tell us a little about your background and experience.

“I’ve been in practice here for close to 20 years and I practiced in New Orleans for 10 years prior to coming to Winter Park. My training is initially in general surgery. I completed a plastic surgery residency in Norfolk, Virginia, and then I did a fellowship after that in pediatric plastic surgery and maxillofacial surgery at the Akron Children’s Hospital in Akron, Ohio.”

What percentage of your practice focuses on breast surgery?

“About 75% of my practice is breast surgery and that runs the gamut from augmentation to reduction to breast lifts, etc. We perform a lot of implant exchanges and removal and replacements as well. We see patients who want a lot of “bodywork” done, including massive weight loss patients and body lifts.”

What other procedures do you specialize in?

“We offer all the cosmetic medicine treatments including injectables, Botox, fillers, as well as having extensive laser treatments and surgery. Our practice is really able to offer everything from A to Z. When a patient comes in and requests a consultation for a particular problem, we have all the tools here that we need to to correct that.”

Why should patients who are seeking breast surgery come to your office?

“I have many years of experience in breast surgery and I’m able to perform procedures in an accredited in-office facility. In fact, nearly 100% of our surgical procedures are done in the office. We can also accommodate patients who need to stay overnight if the particular situation demands that, too. Most patients really appreciate that convenience. Our staff is dedicated and well trained. We do a lot of the same procedures day-in and day-out, so we are very efficient and skilled at it. If a post-surgery complication arises, we can reduce the cost of additional surgery because everything can be taken care of in our facility. If this were not the case, patients would have to go to a special surgery center or a hospital and incur significant additional expenses.”

How do you help your patients decide on the right type and size of breast implant for their body?

“Unlike other surgeons, I don’t have my patients try on different implants in their bra or take a lot of measurements. In my experience, these methods are not effective. Just because two women measure the same, they may not want to look the same. So, I usually draw them a series of drawings to show how we can control not only breast size, but breast shape with successively increasing sizes of round implants. Our patients can bring in photographs of breasts they like and breasts they don’t like, but we recommend that they go to our website where they can look at photos of patients who have had breast augmentation. We have pictures taken from the front and the sides. I ask my patients to especially look at the side views. It’s been my experience that if we can get the upper pole of the breasts the way a patient wants in terms of the amount of fullness, then they will be happy.

“We go over those photographs at the preoperative consultation which is two weeks prior to surgery. Then we go over them again immediately before we walk into the operating room and that gives me a clear idea of exactly what they want. I tell my patients not to get caught up in letters or numbers when it comes to the cup size they want. Most patients leave the implant selection up to me to get to their individual goal. Women are not going to care about what the size of the implant is as long as they walk out of the shower, look in the mirror, and are happy with how they look. That’s worked very well for me for the last 20 years.”

What has been your experience in managing silicone gel implant rupture in patients?

“Since I have been in practice for close to 30 years, I have had a lot of experience dealing with the pre-1992 implants. These were made with thinner shells and runnier gel and that was a big mess. With the more recent silicone gel implants, the damage of the ruptures tends to not be quite as extensive because the gel is more cohesive. When a patient decides on a silicone gel implant, I let them know there are some risks. Silent rupture is much less likely with the newer generation gel implants than the previous one, but it does happen. I want my patients to be comfortable with the implant choice they make. There is a risk of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) with textured implants, so we don’t offer those any longer.”

What are some questions patients should ask or some things they need to know before choosing a plastic surgeon?

“A patient needs to know that their surgeon is going to stand behind them and be available to them no matter what. A good plastic surgeon will take their time with you and not rush you through your initial appointment. If you go to a surgeon who gives you five minutes during a consultation when they’re trying to solicit your business, how much time do you think you’re going to get when you have a complication?

“Patients should absolutely make sure their surgeon is board-certified, so they can feel confident knowing their doctor has the experience, knowledge, and judgment to help them meet their goals. All board certified plastic surgeons are members of the American Society for Plastic Surgeons, but you should also look for a board certified plastic surgeon that is a member of the Aesthetic Society. That indicates a particular expertise and interest in cosmetic surgery. A board-certified plastic surgeon may just do hand surgery and may not do breast augmentation all that often. Patients should also find out where a particular surgeon operates. I think that my patients feel much more comfortable actually being in an office surgical facility because by the time they come in on the day of surgery, it’s the third time they’ve been here. They come for the initial consultation, they come for a preoperative consultation two weeks prior to surgery, and then they come for the day of surgery. So their surgery is taking place in a familiar room with familiar faces and it’s much less anxiety provoking.

“For women who are wanting breast augmentation in particular, you have to ask your surgeon about their experience with breast surgery. You should ask questions like:

  • How many breast surgeries have you done?
  • How many breast surgeries do you perform in a month?
  • What is your experience with complications?
  • How are complications handled?
  • Who is expected to pay for complications?  

“One of the most important things a patient should also think about is how they feel they’ve been treated by the office. If they call the office and they speak to someone who’s affable, who can give them information, who’s interested in not just soliciting their business but giving them an educational experience, I think that speaks well for the whole process. Last, most all plastic surgeons now have websites and personally I would look for a website that is more of an educational site than a promotional site, because I feel strongly that that’s what it should be.”

What percentage of women that you see are choosing IDEAL IMPLANT® Structured Breast Implants?

“We’ve really just started using the IDEAL IMPLANT in the last month or two. I’ve done just a couple of cases, so it’s obviously a smaller percentage of my practice now. The IDEAL IMPLANT is great for that woman that still has some concerns about the safety of silicone gel. For that woman who has had multiple operations with multiple different types of implants this may be a great option for her. In my experience, if a woman wants the safety of saline without the risk of silent rupture, but she doesn’t like how a traditional saline implant feels, then she is an ideal candidate for the IDEAL IMPLANT.”

Why have you decided to include IDEAL IMPLANT in your practice?

“I want to be able to offer my patients all the best options that are out there. It’s important for patients to be well educated about their choices, so they can work together with their surgeon to pick the implant that works best for them. When a patient holds these implants they can figure out if the IDEAL IMPLANT is best for their particular situation and comfort level. The IDEAL IMPLANT feels really close to what a silicone gel implant feels like, with the safety profile of saline.”

Considering breast implants in Orlando, FL? Contact Dr. Scott Greenberg today to discuss your options. Simply call 407-499-8154 or visit www.scottgreenbergmd.com. Dr. Greenberg’s office is located at 1925 Mizell Avenue, Suite 303, Winter Park, FL 32792 . Call today for more information on IDEAL IMPLANT® Structured Breast Implants.