Dallas Silent Rupture Detection with Dr. Watumull

Getting to know doctors through interviews, like this recent one with Dr. Denton Watumull, is a great way to get a feel for their personality and practice. Once you know a bit more about them and what they offer, you can better decide who the right surgeon is for you. Dr. Watumull was recently chosen to participate in a study to assess the benefits of high resolution ultrasound technology for Dallas silent rupture detection. Read more to get to know Dr. Watumull, his thoughts on high resolution ultrasound technology, and what his patients think about it. 

Please tell us a little about yourself.

“I’m originally from Honolulu, Hawaii, but left to come to UT Southwestern for surgical training. I was recruited to a suburb of Dallas where I currently have a marvelous practice now with five other doctors. I’m a board-certified plastic surgeon. We have a dynamic practice that’s growing rapidly. My areas of focus and expertise right now are aesthetic surgery, specifically breast aesthetics, breast reconstruction, and anything on the face.”

Did you have ultrasound technology in your office prior to this study?

“We did have ultrasound in our office that we had been using for nearly a year before we had the opportunity to participate in this study. We felt that having ultrasound in the office was a new way to be current with our breast reconstruction patients. We’re commonly troubled by fluid collections in the reconstructed breast and being able to manage those appropriately was important. This study was unique in that it was using high resolution ultrasound (HRUS) to look for implant ruptures in patients who had breast implants placed between the years of 2000 and 2015. Through HRUS, we can offer patients, who’ve had silicone gel implants in for a period of time, the opportunity to come in and at no cost, get a study to evaluate if their implants are intact.”

How does this technology benefit both surgeons and patients?

“I think that one of the best things is that surgeons can now offer a followup tool for patients to see if their implants are doing well. The FDA has recommended MRI followup surveillance for silicone gel implants every two years to detect silent rupture. To be able to have that surveillance with ultrasound in your plastic surgeon’s office, who would be the one to help you make a decision about what to do should the implant not be intact, is a huge benefit to anyone with breast implants. Usually a woman has to go in for an MRI and if there is an abnormal result, book another appointment with a lot of anxiety. It could be weeks or months before one has a game plan. Having it offered in the plastic surgeon’s office is a huge step forward.”

How do you think MRI and ultrasound compare to one another from a clinical standpoint? 

“So far, the advantages of ultrasound have been that it’s quick and a lot less expensive. Many insurance companies won’t cover MRI scans for routine breast imaging purposes on women who’ve had implants placed for cosmetic reasons. So for many of our patients, an MRI at $2500 is not even an option. We are currently 100% accurate at detecting bonafide leaking silicone gel with ultrasound technology. So far we have had no false positives so I’m a big believer in the technology.”

What has been the patient response in terms of the convenience? 

“I think it adds a lot of feelings of assurance and relief for our patients to know that their implants are still doing well. It’s a sense of satisfaction to know that everything’s in good position and there are no leaking problems. I do think that they feel very relieved when they’re there. The few patients who have had a leak often have had a subconscious, if not overt, concern and were very happy to have something identified.”

Overall, do you feel like this study has produced any anxiety in patients? 

“I think that the bigger anxiety producing issue is to have an implant in place and not know if things are going well or if it’s intact. Most of our patients are well informed and don’t have anxiety about the technology. Yes, there can be false positives with any technology, but the advantage we have in this current environment is if there is a concern of a study being borderline, we can order an MRI and work with our patients to get that covered. If the implants are quite old and there are issues that a woman wants to address anyway, that can be addressed with well performed surgery. So we don’t have to leave anything undiagnosed. We always have a way to help.”

What sets your practice apart from other plastic surgeons in your area? 

“I try very hard to be extraordinarily accurate with our surgical plans. One thing that I know for a fact is my complication and revision rates are extraordinarily low, and that’s because we are very compulsive in our preparation and aftercare. Virtually all patients are followed meticulously for a year inclusive of their surgical date. I also spend a lot of time with my patients and many of them have my cell phone number. What sets us apart the most are our excellent results, low rated problems, and high rate of success. We also have excellent staff who take special care of our patients. People come to us because of our reputation for our bedside manner and we’re proud of that.” 

If you want access to convenient Dallas silent rupture detection, contact Dr. Watumull today to discuss your options. Simply call (972) 470-5000, or visit www.drwatumull.com. Dr. Watumull’s office is located at 12222 North Central Expressway #250, Dallas, TX 75243. Call today for more information about the IDEAL IMPLANT.

How Dr. Salzman Offers Easier Louisville, KY, Silent Rupture Detection

Women with silicone gel breast implants are often told MRI is the only option for silent rupture detection. According to FDA recommendations, women should get an MRI three years after receiving silicone gel breast implants, then every two years for the life of the implants. MRIs are expensive and time-consuming, causing many women to put them off or skip them altogether. Dr. Marc Salzman now offers a new option for Louisville, KY, silent rupture detection. We spoke with Dr. Salzman to learn more about how he uses high resolution ultrasound to check silicone gel breast implants for rupture at his cosmetic surgery practice.

What is High Resolution Ultrasound?

High resolution ultrasound gives patients a picture of what is happening inside their bodies, and can be used to check the status of a silicone gel breast implant. At Salzman Cosmetic Surgery and Spa, Dr. Salzman explains, 

“I use a Clarius device, which is one of the better images that really shows pretty much everything. It’s a wireless device, so we have the patient in the chair where we do a normal exam. I do my physical exam, I look for symmetry and then we lay them back and we type their name on to an iPad and turn the ultrasound on. Within about 45 seconds, you’re ultrasounding. and then I’ll usually do four images left and right, and if there’s anything that’s suspicious, we may do a cine or a movie file. The whole thing, even with talking and presenting it to one of my fellows, takes less than ten minutes and then you can go back and review later. If you want to annotate the images, we can add it to the patient’s chart just with a click. It’s really been revolutionary.”

How Accurate is Ultrasound for Louisville, KY, Silent Rupture Detection?

Dr. Salzman tells us 

“I found in my experience with ultrasound that the positive predictive value is as close to 100% as you can get. I haven’t ordered an MRI in seven years. The only scenario that I would ever order an MRI is if the patient says ‘I want to know 100% if my implants are broken. Otherwise, I am not going to the operating room to have them removed.’ And I will look point blank at them and say, ‘There is no 100%, there’s going to be some false positives and false negatives even with an MRI.’” 

What Benefits Do Patients Gain from High Resolution Ultrasound?

Dr. Salzman describes several benefits he has seen since introducing high resolution ultrasound to his practice. The first benefits he mentions are reduced costs and ease of scheduling. 

“MRIs are not inexpensive. And in our town, on the low end, they’re $1,500. On the high end, they’re $2,500. Their insurance usually does not cover it. And it’s not a short thing. It’s a 45-minute to an hour-and-a-half ordeal. You’ve got to go to a center. A physician’s office like ours don’t usually have MRI machines in the office.” 

“If you see a patient that comes in with an Allergan implant and she says, ‘Well, what do I do with this?’ I can say, ‘Well let’s send you for an MRI.’ That’s not as effective as saying, ‘Well, let’s look at it with ultrasound. You have grade one capsules. There’s nothing wrong with your breasts. You’re happy with the way they look. Let’s see if they’re broken. Well, they’re not broken. What do you want to do?’ She can say, ‘Oh, nothing.’ and go on with her life.’” 

What if this method of Louisville, KY, silent rupture detection does detect a broken implant? In this case Dr. Salzman says, 

“‘Well, the right one is broken. If the right one’s broken, let’s put two new ones in. We’ll put a round, smooth implant. Do you want to go larger? Do you want to lift?’ All that takes place in one consultation. We don’t have to send somebody away to somebody else, to then read this MRI, and then have the patient come back. That is too long of a waiting period.”

Dr. Salzman says the other major benefit for patients is that he can discover more information with ultrasound than just Louisville, KY, silent rupture detection. Recently, the FDA has raised concerns about BIA-ALCL in certain textured-surface silicone gel breast implants. Patients who worried about BIA-ALCL, or are unsure if their breast implants are smooth or textured, can get a simple ultrasound to check them. Dr. Salzman tells us, 

“You can usually tell if an implant is textured or smooth. So if you see a smooth implant on ultrasound, you’re not really as worried about ALCL. If there’s no seroma on ultrasound—the vast majority of patients with ALCL present with a seroma—if there’s no thickening at all, the capsule looks very, very, very thin, it would be super rare for it to be positive for ALCL. So there’s been a vast number of patients that we’ve done exams with ultrasound just in the last couple of months because of this whole Allergan ALCL news that patients have been sent letters about.”

Visit Dr. Marc Salzman For More Cosmetic Surgery Options

Dr. Salzman has almost 30 years of experience in cosmetic surgery, with his primary focus in breast surgery. In addition to offering high resolution ultrasound, Dr. Salzman offers a wide variety of breast implant options. To explore your options for aesthetic enhancement, visit Dr. Salzman today.

Considering breast implants in Louisville? Contact Dr. Marc Salzman today to discuss your options. Simply call (502) 425-5200, or visit www.itbecomesyou.com. Dr. Salzman’s office is located at 4702 Chamberlain Lane, Louisville, KY, 40241. Call today!

Why Dr. Horowitz Likes IDEAL IMPLANT® Structured Breast Implants

Looking for “cosmetic surgery near me” in Newport Beach, CA? At the Pacific Center for Plastic Surgery, board-certified plastic surgeon Dr. Jed Horowtiz has over 34 years of experience and is known as one of “The Best Doctors in America” and one of the “Top Surgeons” around the area. He has extensive experience performing cosmetic plastic surgery for the face, body, and breast, and particular expertise in placing structured saline breast implants, or the new IDEAL IMPLANT®. Dr. Horowitz discusses some of the benefits to this new breast implant technology.

The IDEAL IMPLANT is Beauty Without Compromise

With silicone gel implants, patients have a risk of silent rupture, where their breast implant can leak or tear without their knowledge and without any symptoms. These ruptures can go undetected for weeks or even months, at which time sticky silicone gel can leak out of the implant and make contact with other body tissues, causing further complications. Dr. Horowitz says if this happens, “The recommendations are to remove all of the silicone gel, remove the capsule, and start fresh. A woman who has experienced that and now needs to have a new implant frequently will be concerned about having another silicone gel implant.” The FDA recommends women have an MRI every two to three years to check for silent ruptures, but these scans are expensive and not always 100% reliable.

“For the patients that are concerned about silicone gel, and they’re concerned about the safety of silicone gel, I am happy to give them an alternative,”  says Dr. Horowtiz. “And the only alternative I had before was the unstructured saline breast implants. And the standard saline implant doesn’t feel as natural as breast tissue or as natural as silicone gel, and has greater problems with rippling, wrinkling, or waviness for many patients. So for me as a surgeon, I like having IDEAL IMPLANT Structured Breast Implants as an option for all those patients, particularly the ones that have safety concerns.” 

There’s no need to worry about silent rupture with the IDEAL IMPLANT. Filled with saline for peace of mind, a rupture is immediately visible just by a quick glance in the mirror. When a rupture occurs, the implant will deflate, and you can go and get it replaced easily. There’s no need to rush, since the only thing leaking out is saline, which can be easily absorbed by your body with no harmful side effects. The replacement surgery for an IDEAL IMPLANT is quick and simple, usually taking less than 30 minutes. 

Cosmetic Surgery Near Me: How an IDEAL IMPLANT is Filled

Unlike silicone gel implants which come pre-filled to specific sizes, the IDEAL IMPLANT is not filled with saline until the actual day of surgery. This allows Dr. Horowtiz to achieve greater symmetry by adding a little more saline to one side or another. This also means your incision will be smaller than incisions needed for silicone gel implants. 

The IDEAL IMPLANT is composed of a series of implant shells nested together and two separate chambers that hold the sterile saline solution. So, you can add more saline to the back chamber or the front chamber depending on the look you want. This structure also controls the movement of the saline for a more natural feel, while reducing folding and wrinkling, thought to be the main cause of implant rupture and deflation. 

Another Advantage to Structured Saline Breast Implants

In this video, you’ll see that Dr. Horowitz uses a M.D. Resource Tumescent Measuring Device (TMD) pump during breast augmentation surgery, which makes filling the IDEAL IMPLANT even simpler. “It’s a closed system,” he says. “So the saline goes from the saline bag all the way through the pump, then into this tubing. So it doesn’t involve any syringes, there’s no open basin of saline.”

Almost like filling up at a gas station where you watch the numbers and stop the pump when you attain the right amount of gas, the TMD pump measures the amount needed to fill the implant and the surgeon keeps an eye on the counter until it reaches the correct amount. For example, “We just watch the counter. For this particular implant which is 240 cc (142 cc in the back and 90 cc in the front) plus the weight of the implant will make it a total of 240 cc. . . . So anybody that’s using IDEAL IMPLANT should really get one of these TMD pump counters because it makes the saline filling process incredibly easy. “ says Dr. Horowitz. 

Choose Dr. Horowitz and the IDEAL IMPLANT

Patients appreciate Dr. Horowitz’s thorough knowledge of plastic surgery procedures and his caring and compassionate bedside manner throughout their cosmetic surgery near me journey. Dr. Horowitz believes strongly in educating his patients about their options and has years of experience using the IDEAL IMPLANT in breast augmentation surgery.

Considering structured saline breast implants in Newport Beach, CA? Contact Dr. Horowitz today to discuss your options. Simply call  949-565-2121, or visit www.pacificcenterplasticsurgery.com. Dr. Horowitz’s office is located at 3991 MacArthur Boulevard, Suite 320/340, Newport Beach, CA, 92660. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Orlando Silent Rupture Detection Has Never Been Easier

Getting to know doctors through interviews, like this recent interview with Dr. Thomas Fiala, is a great way to get a feel for their personality and practice. Once you know a bit more about them and what they offer, you can better decide who the right surgeon is for you. Read more to get to know Dr. Fiala, his thoughts on high resolution ultrasound technology for Orlando silent rupture detection, and what his patients think about it. 

How did you become involved with the high resolution ultrasound (HRUS) technology study to detect silent ruptures in silicone gel breast implants? 

“I was already using ultrasound a lot to do TAP [transverse abdominis plane] blocks and pectoral muscle blocks for many of my patients, so when Dr. Hamas approached me about participating in the study, it seemed to be a natural outgrowth for my practice. I liked that patients would get an answer right away. If they have concerns about their implant, we can pop the scanner on and check the implant right away. They can see what’s happening on the screen and be involved with the process. So it’s convenient, educational, and you get instant feedback.”

How have women responded since you’ve begun offering HRUS technology?

“The study has been very well received by the ladies who have taken advantage of it. Most of them had concerns about their implant and worried about the risk of silent rupture in general.  We were able to scan them quickly in the office. Of the 27 patients we scanned, we found three that had issues that nobody knew about. These were ladies that have had implants for eight to twelve years and hadn’t checked on their implants at all before now. There’s a multitude of reasons why women don’t get MRIs, but the ultrasound is quick, easy, painless, and women are familiar with it from the obstetrical ultrasound experience.”

How do you find the ultrasound results compare with those of an MRI? 

“In terms of false positives and false negatives, I did have one experience where a lady I was operating on was in the study and she had a ruptured implant. I went back after surgery and looked at her scans and even though I had originally thought her implant was not ruptured, I realized it was one of the early ones that I had looked at and I had missed a subtle finding on the ultrasound. It was my mistake in reading it and now I’m a little better knowing what less obvious signs to look for. I’ve had experiences where the MRI report claims that the implant is ruptured but when you get them to surgery the implant is intact and it was just the way the implant was folded within the pocket. I think both ways are trustworthy and the convenience of the ultrasound is going to win out. I think we can get women to do this and that’s more important in the greater scheme of things.”

Do you feel like the ultrasound technology has provided women with more peace of mind surrounding their implants? 

“I’ve been so impressed with the feeling of relief that the ladies experience when they have the ultrasound done, knowing that everything is okay. I’ve decided that even once the study is completed, I’m going to offer this service in my practice. I have my own ultrasound unit and it’s just going to be something that we offer to patients that I’ve operated on as a free service. Our practice strives to make our patients happy and be forward thinking and up to date on the latest technology.”

Why do you think patients choose you over other practices? 

“We’ve been here for 20 years and working hard to get each patient a great experience. For every patient I see, I really give them my wholehearted best effort every time we’re together. In terms of the surgery, I’ve had a long history of bringing innovations into the practice at an early stage, before they’re widely adopted. Patients know that when they come here they’re going to get a good service, really good surgery, and the latest and greatest stuff that’s proven by science to work. I’m proud to say that we’ve been voted the number one plastic surgery practice in the greater Orlando area five times in the past six years by the readers of our local Orlando magazine. Patients come because of the results they see in their friends or our gallery. What we do is partially technical and partially artistic so you have a little bit of both. I’m certainly thankful to our patients who’ve supported us over the last 20 years.”

If you’re interested in participating in the ultrasound study on Orlando silent rupture detection, contact Dr. Fiala today to discuss your options. Simply call (407) 917-8898, or visit www.plasticsurgeryinflorida.com. Dr. Fiala’s office is located at 220 East Central Parkway, Suite 2020, Altamonte Springs, FL 32701. Call today!

Dr. James Apesos: The Best Surgeon for All Breast Implant Sizes and Types

When you choose to have plastic surgery, you need a surgeon you can trust. At a minimum, they should be board certified by the American Board of Plastic Surgery. But when you are putting your health, safety, and appearance in their hands, your standards should be high. If you live in Dayton, Ohio, or the surrounding areas and are searching for the ‘best plastic surgeons near me’, you don’t need to look far. Dr. James Apesos is a board-certified plastic surgeon with outstanding qualifications. From questions about breast implant sizes to which type of implant is best, Dr. Apesos has the experience to give you the information you need and the results you want. 

Education and Training

Two important aspects of a plastic surgeon’s background that you should review are their education and training. Dr. Apesos has spent many years furthering his education and, as a result, has become an expert in his field. He earned his Bachelor of Arts in Biology from the University of Pennsylvania. He went on to receive his Doctor of Medicine from Georgetown University School of Medicine in Washington, DC, and his Bachelor of Science in Fire Science Technology from the University of Cincinnati.

A Passion for Service 

With experience in quite literally every aspect of plastic surgery, Dr. Apesos is one of the most experienced plastic and reconstructive surgeons in the state of Ohio. Before opening his private plastic surgery practice about 20 years ago, Dr. Apesos was an instructor to Miami Valley students as a Clinical Professor of Surgery. He also served as chairman and program director of plastic surgery at Wright State University. Dr. Apesos has been serving patients in his community for a long time, and is a doctor that people know and trust. 

Dr. Apesos is a member of Ohio’s National Disaster Medical Assistance Team. He also serves as Washington Township County Medical Examiner and Firefighter and Physician Advisor for the American Red Cross. All of the capacities in which he serves reflect his passion for his profession as well as his community, which may be a rare find on your list of ‘plastic surgeons near me’.

Experience With Breast Augmentation

Breast augmentation is the most popular plastic surgery in the nation and many of Dr. Apesos’ patients come to see him for his expertise in the procedure. When it comes to making the decision about breast implants, Dr. Apesos wants his patients to fully understand their options for breast implant sizes and types. He offers saline, silicone gel, and the new IDEAL IMPLANT® Structured Breast Implants. The majority of his breast augmentation patients choose saline or the IDEAL IMPLANT, which contrasts with other plastic surgeons who mostly use silicone gel implants.

Dr. Apesos has seen what can happen when a silicone gel breast implant breaks. He wrote the first paper on broken implants diagnosed by mammography after witnessing the negative result silicone gel left when an implant burst during a closed capsulotomy. He wanted other surgeons and patients to know the truth about the risks of silicone gel implants, so he and a radiologist published the paper in both plastic surgery and radiology journals.

Discovering the ‘Implant of the Future’ 

For over 2 years, Dr. Apesos has been using the IDEAL IMPLANT for his breast augmentation patients who want beautiful results without the hassle or worry of silicone gel. He has implanted the IDEAL IMPLANT more than any other plastic surgeon in Ohio. Dr. Apesos’ negative experiences with silicone gel have led him to become a believer in the IDEAL IMPLANT for all kinds of breast implant sizes. He explains:

“When the IDEAL IMPLANT came along… It became obvious that this was the implant of the future. The implant does not ripple and if it breaks, the outer bag breaks so the implant has some volume and you can get a new one in pretty quickly. It makes all the sense in the world to use it. You’re not dealing with silicone gel or having to worry about any questions with silicone gel or elastic or anything like that…There is no disadvantage to the IDEAL IMPLANT.”

On your list of ‘plastic surgeons near me,’ you can cross out the ones who do not offer the IDEAL IMPLANT if you want beauty without compromise. Dr. Apesos has enough experience to know that it is the only breast implant that offers a natural look and feel free of any concerns about silicone gel. The innovative implant comes in many different breast implant sizes, and Dr. Apesos can give you the results that will help you achieve your best appearance.  

Looking for a ‘Plastic Surgeon Near Me’ With IDEAL IMPLANT Experience?

Considering breast implants in Ohio? Contact Dr. James Apesos today to discuss your options. Simply call (937) 435-0031, or visit www.DrApesos.com. Dr. Apesos’ office is located at 5441 Far Hills Avenue, Dayton, OH, 45429. Call today for more information on IDEAL IMPLANT® Structured Breast Implants. 

How Much Do Breast Implants Cost?

IMPORTANT NOTE: Below you may find untouched before and after photos of patients who have granted permission to their surgeon to show them anonymously. While we protect the identities of our patients, please be advised that by their nature, these photos contain sensitive content.

If you’re considering breast implants, you probably have a lot of questions about the procedure, recovery, and importantly, how much breast implants cost. If you want a natural looking breast augmentation, you have a few options for breast implants. Your primary breast augmentation cost will depend largely on the breast implants you choose. But did you know the long-term maintenance costs of breast implants can be extremely varied? This guide will help you pick the best breast implants for your body and your budget.

Before and After Pictures From Dr. Van Raalte

Your breast augmentation should leave you feeling confident and beautiful. Dr. Benjamin Van Raalte shares the following before and after pictures from a recent patient. This patient received 595 cc IDEAL IMPLANT® Structured Breast Implants filled to 625 cc. 

Not all breast augmentations will look the same. Your results are based on several factors including your body type, the breast implants you choose, and your surgeon’s experience. To get natural results like the patient above, visit Dr. Van Raalte at Iowa Plastic Surgery. Dr. Van Raalte says when patients come in for a consultation 

“We tend to offer all the different implant choices and review all of them. Some people are best fit with a particular implant because of their skin characteristics. There are some that have concerns about the gel or concerns about a long term rupture. The structured implant, or IDEAL IMPLANT, answers a lot of those concerns because it’s been demonstrated to have a very low deflation rate over time and yet has the feel of gel for those patients.”

Get the Look You Want From Your Breast Augmentation

You’ve waited and saved for a breast augmentation, you deserve to get the look you want. At your plastic surgeon’s office, you will be given several options for breast implants. How do you know which one is right for you? If you’re on a budget, you may be tempted to pick the least expensive option provided by your plastic surgeon. But, all breast implants are not going to give you the same look. Before we discuss how much breast implants cost, we need to look at the differences between the three types of implants so you can be sure you’re getting the look you want. Here is a short description of each type of breast implant. 

  • Unstructured Saline: These implants are made from solid silicone shells filled with saline solution. Some surgeons describe them as feeling similar to water-balloons, and women complain they wrinkle under the skin. Many women choose saline because it is naturally absorbed by the body if the implant ruptures.
  • Silicone Gel: Silicone gel breast implants are known for providing a natural look and feel. They are made by filling a solid silicone shell with thick, sticky silicone gel. The downside to silicone gel breast implants is, if they rupture, the silicone gel should be removed as it is not naturally absorbed like saline. 
  • Structured IDEAL IMPLANT: The newest breast implant type, the IDEAL IMPLANT Structured Breast Implant combines the benefits of saline and silicone gel. It is made of a solid silicone shell with two chambers and baffled layers. It is then filled with saline, but, because of the internal structure, it has a natural look and feel. 

Dr. Van Raalte says that in addition to talking about how much breast implants cost, when women come in for a consultation, “We try to utilize everything from a lot of education to really doing a great job of figuring out the correct size and shape. It’s fitting the width, fitting their chest characteristics and between the education and the fit and figuring out what’s best for them.” 

How Much Does a Breast Augmentation Cost?

The total cost of a primary breast augmentation will include the implants, surgeon’s fee, surgical facility, and anesthesia. RealSelf users report the average price around the nation is $6,475 while the American Society of Plastic Surgeons statistics show the cost averaged $3,824 in 2018. Some surgeons will offer a quote that only includes the surgeon’s fee. At Dr. Van Raalte’s office you will receive a quote that covers all aspects of surgery. Breast augmentations by Dr. Van Raalte range in price from $3,900 to $6,200. Learn more about what goes into the cost of a breast augmentation by visiting this page

Long Term Maintenance Factored Into Breast Implant Cost

What the estimates above do not reveal is the long term maintenance costs of some breast implants. The FDA recommends women with silicone gel breast implants get an MRI three years after a breast augmentation and every two years after that to check for silent ruptures. A silent rupture happens when a silicone gel breast implant begins to leak without showing symptoms. According to Nerdwallet the average price of an MRI, before insurance, is $2,600. Most insurance companies do not cover any costs associated with breast augmentation, including complications that result from one. 

If you follow FDA recommendations after a silicone gel breast augmentation, your costs will quickly add up. Even if you do not ever encounter a rupture you will be paying thousands of dollars in maintenance costs over the years. Some women choose to ignore FDA recommendations and only return to their surgeon if they begin to feel symptoms such as hardening, pain, and lumps near their breast implants. That is why the FDA recommends removing it as soon as a rupture is detected in order to avoid symptoms or silicone gel migrating into your tissues or other parts of your body. Plastic surgery to remove and replace a leaked silicone gel breast implant can get messy. According to the FDA, “sometimes, after a rupture, the gel moves to other distant areas around the body, which is called extracapsular rupture with gel migration. It may be difficult or impossible to remove silicone gel after a rupture.”

There is no MRI requirement for women with saline and structured breast implants, as ruptures will be evident immediately. A hole in the outer shell means the saline will flow out, the implant will partially deflate, and the saline is naturally absorbed by the body. Lower maintenance costs, along with the peace of mind that rupture detection is instant, causes many women to choose saline implants. Now with the new IDEAL IMPLANT Structured Breast Implant women can have the same natural looking results of silicone gel, with the peace of mind that comes with saline. 

Revision Surgery and Breast Implant Cost

Do you need to budget for a breast implant revision? How often do breast implants encounter complications such as rupture and capsular contracture? That again depends on the type of breast implant you choose. No one can tell you for certain whether you will need revision surgery in the future, though revision surgery is statistically more likely for women with certain breast implant types. Educating yourself about complication rates before you select a breast implant can give you peace of mind. Learn more about breast implant complications by visiting this page.

Visit Dr. Van Raalte

Dr. Van Raalte offers a wide variety of breast implant choices, knowing that what works for one person won’t work for everyone. According to Dr. Van Raalte, “our practices always offered all the options and has been one of the leaders in using all options out there. We’re here to help the patient make the best choice for them as well as help them understand which implant is going to give them the best look.” Visit Dr. Van Raalte today to discuss your plastic surgery.

Considering breast implants in Davenport? Contact Dr. Benjamin Van Raalte today to discuss your options. Simply call (563) 322-8877, or visit www.iowaplasticsurgery.com. Dr. Van Raalte’s office is located at 4334 East 53rd Street Davenport, IA, 52807. Call today for more information on IDEAL IMPLANT Structured Breast Implants.

Your Breast Surgery Options with Dr. Rapaport

NYC board certified plastic surgeon, Dr. David Rapaport of Rapaport Plastic Surgery, loves being a plastic surgeon. He believes that there’s no one-size-fits-all answer to plastic surgery issues and treats each patient as an individual, creating a completely customized plan for them. When asked about his practice, he explained,

I think our practice stands out because we very much individualize our treatments. I’m very proud to be able to offer minimally invasive treatments that hide scars. I’m proud that I do virtually all my liposuction, and the vast majority of my facelifts, under IV sedation. I tell you to take a deep breath, roll over, and I beat the chances of airway problems or blood clot. I enjoy the act of surgery as well as the relationships with the patients that occur from the whole process. So I guess I’m a pretty happy guy.”

Known for his expertise in endoscopic breast surgeries, Dr. Rapaport is happy to now offer the latest in implant technology, the IDEAL IMPLANT® Structured Breast Implant. He understands that women need more choices and less risks.

Breast Surgery Options

Women can choose from a variety of breast surgery options, thanks to talented surgeons like Dr. Rapaport, who are skilled in more than one method of breast implant surgery, as well as innovative implant options like the IDEAL IMPLANT, that allow women a larger variety of implant designs and breast implant sizes. When you go in for your one-on-one consultation with Dr. Rapaport, he will help you understand all of the options that are available for you and the trade-offs involved with each one. He will take into account your personal concerns and anatomy, and then be honest with you about all of the realistic options. This way, you and Dr. Rapaport can discuss and decide on what would be the best option for you. 

When you go in for a breast surgery, you have the option of incision through the underarm, areola, or in the skin that connects underneath your breast to your chest. Most patients prefer an underarm scar because it prevents obvious scars from forming on their breasts. Dr. Rapaport studied and pioneered endoscopic technology and now performs underarm incisions all the time. This means that rather than tearing the lower border of the muscle and risking the implant changing positions due to incomplete muscle division, the muscle is precisely divided under magnified endoscopic visualization, allowing for precise implant positioning. 

Breast Implant Options

Women can choose between unstructured saline, silicone gel, and now, structured implants and a variety of breast implant sizes. The IDEAL IMPLANT is considered a structured implant because of its unique design. It consists of a silicone shell (no silicone gel) filled with saline. There are two chambers that hold saline and the outer shells are baffled, meaning they consist of thin silicone sheets. This structured implant controls  the saline movement when you touch it, creating that natural feel that all women want. This implant is ideal for women who are worried about the safety of silicone gel, or would like the endoscopic approach to surgery so that they don’t have scars on their breasts. 

The IDEAL IMPLANT is the newest implant to approach the market of cosmetic surgery in NYC. Patient satisfaction is high when it comes to this implant because it has a natural feel with a very low risk of rupture. When inserted through the armpit, the implant can be adjusted to any breast implant size desired, also making sure that breasts are perfectly symmetrical. Another benefit to the IDEAL IMPLANT is that in a recent eight-year study, the IDEAL IMPLANT proved to have the lowest risk of rupture and capsular contracture rates compared to certain silicone gel implants. This implant provides the priceless peace of mind that women want.

“Based on my experience, I would say the IDEAL IMPLANT is an excellent option. Patients like the look and the feel. Above all they really like the peace of mind of knowing that they haven’t done anything they might regret down the road or that if there is a rupture, the process of replacing it is easier than with other implants that rupture.” – Dr. Rapaport

About Dr. Rapaport 

Dr. Rapaport, did his plastic surgery and breast surgery training at the New York University’s Institute of Reconstructive Plastic Surgery, which is widely regarded as the nation’s top plastic and cosmetic surgery residency program. After a one-year microsurgery fellowship, Dr. Rapaport moved to Florida. There, he developed a successful and respected practice as a cosmetic plastic surgeon. In 1997, he returned to New York and opened his private practice. His practice is one of the exclusive places available to find the IDEAL IMPLANT because it is only offered by Ideal Implant Premier plastic surgeons like Dr. Rapaport, who have extensive experience and training with this particular implant. 

Considering breast surgery in NYC? Contact Dr. Rapaport today to discuss your options. Simply call 212-249-9955, or visit www.parkavenueplasticsurgeon.com. Dr. Rapaport’s office is located at 905 5th Avenue (at 72nd Street), New York, NY, 10021. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

What is Cosmetic Surgery with the IDEAL IMPLANT® Really Like?

Board-certified plastic surgeon Dr. Herluf Lund wants each and every one of his patients to feel beautiful and confident after their cosmetic surgery. Women who go in for a breast augmentation may have questions about what different breast implant sizes look like on their body, or wonder what the actual day of surgery will entail. At St. Louis Cosmetic Surgery, Dr. Lund answers some of the most common questions he’s asked about breast implants and explains a breast augmentation surgery step-by-step using the new IDEAL IMPLANT®.

How big will the incisions be and where will they be placed during the cosmetic surgery

“The incision we use to put the IDEAL IMPLANT in is less than two inches, and it’s placed underneath the breast where the breast joins to chest wall where it’s very well hidden. Before I put the IDEAL IMPLANT into the patient, I first use a test implant which we call a sizer. A sizer is a temporary implant that we put in before we put the IDEAL IMPLANT in. We inflate the test implant up, that allows us to see the size. Is it correct? Is the pocket correct? Do we need to do any adjustments before we actually use the real IDEAL IMPLANT?”

The IDEAL IMPLANT® does not come pre-filled like silicone gel implants do. This allows the surgeon to adjust it during the procedure to accommodate differing breast implant sizes. How is the implant filled to the desired size? 

“The only person who touches the implant is the surgeon and this implant is kept inside its container until it actually goes into the patient. The IDEAL IMPLANT has two chambers that the saline (the saltwater solution) is put into. Once the fill tubes are in the IDEAL IMPLANT, the implant has to be folded in order to insert it. I will fold it so one tube is tucked inside one way and the other tube is tucked inside the other way. This makes it very easy for me to insert the IDEAL IMPLANT into the pocket. Once I have the proper amount of fluid, the fill tubes are removed and the fill valves are sealed leaving the implant with the desired size.”

“No woman has exactly perfectly matched breasts. Every woman’s breasts are asymmetrical. One of the great advantages of the IDEAL IMPLANT is that because it’s a structured implant I can add more volume to one breast to better match the opposite larger breast. Sometimes that amount could be equivalent to a half of a shot glass, or 15 cc.”

Can you explain the recovery process after breast augmentation cosmetic surgery?

“After surgery, the patients go to recovery for about an hour or so and then most patients are going to go home. I encourage them to get up and walk around that day and do a number of their normal activities. Most patients can return to brisk walking and to a desk job in two to three days after having their IDEAL IMPLANT breast augmentation and most patients can return back to the gym to full activities at three weeks. 

Breast implant sizes differ according to personal preference and body type. Some women want larger implants, while others go for a more natural look. Do bigger implants mean bigger scars? What will the scars look like after surgery?

“One of the advantages of using the IDEAL IMPLANT for breast augmentation is the small incision size, and this incision is going to fade over the next number of months. At about two months, it’s going to be significantly faded and usually by the end of the year, it’s faded completely. It’s well hidden, tucked underneath the breast.”

One Patient Who Chose the IDEAL IMPLANT is Extremely Pleased

“Now it’s been almost three months and I am very happy with my choice. They feel very, very natural. I lost a lot of volume from pregnancy and nursing and I got that upper full volume back which is what I really wanted with an implant. Going into it I was a little afraid just with saline that I would get maybe a water balloon type of feel, it would feel bouncy, it wouldn’t feel natural. It does not feel like that at all. It feels like my natural breasts used to be. It feels like they were back in the position where they used to be and I’m very, very happy with it.” – Patient review from Stephanie

When you choose Dr. Lund and St. Louis Cosmetic Surgery for your procedure, you’re choosing an office that is proud to offer the latest in breast implant technology with the new IDEAL IMPLANT. This innovative implant was designed to give women a beautiful, natural look without the fear of silent rupture. The IDEAL IMPLANT was approved by both the FDA and Health Canada in 2014. Dr. Lund says, “Pregnancy and childbirth, weight fluctuations, and aging are all reasons people seek cosmetic surgery. These changes in the practice of cosmetic medicine require that plastic surgeons continue to be innovators.”

Considering breast implants in St. Louis, MO? Contact Dr. Lund today to discuss your options. Simply call (636) 224-6322, or visit www.stlcosmeticsurgery.com. Dr. Lund’s office is located at 17300 North Outer 40 Road #300 Chesterfield, MO 63005. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

All the Answers to Your Boob Job Questions with Dr. Sophie Bartsich

Have you considered getting a boob job, but had second thoughts because of concerns you may have about breast implants? With all of the different sources of information patients have today, it can be confusing trying to separate fact from fiction. Dr. Sophie Bartsich is a New York City plastic surgeon with expertise in cosmetic breast surgery, and was a recent guest on Dr. Ronald Hoffman’s podcast, Intelligent Medicine. Her interview, entitled “Is ‘Breast Implant Illness’ Real?,” provides great insight for patients with questions about breast augmentation

Breast Implants in the News Again

It’s been 13 years since the FDA lifted the ban on silicone gel breast implants. Concerns about the implants are trending once again, some old and some new. A condition termed “breast implant illness” has some patients reconsidering their preference for silicone gel implants. The illness is often self-diagnosed and these women report a variety of symptoms including fatigue, headaches, anxiety, and brain fog. Their breast augmentation cost is higher than it should be because their symptoms can lead to follow up doctor visits, tests, prescriptions, and even more surgeries. Dr. Bartsich has seen a small group of her patients experience these problems. She explains:  

“In my personal practice … I was using a lot of silicone gel for a long time … I started to see some of these patients who’ve [had silicone gel] implants in for a very long time and once they come out they tend to feel better. It’s not everybody … but it’s a real thing that I’ve observed and I remember saying to myself ‘I wish there were a saline-based alternative that could be aesthetically comparable.’” 

Enter IDEAL IMPLANT® Structured Breast Implants

The IDEAL IMPLANT was invented by a plastic surgeon who felt the same as Dr. Bartsich. He created the IDEAL IMPLANT to address the concerns women and their doctors had about silicone gel breast implants. He believes that women deserve an implant that gives them beautiful results without concerns about safety, which can add to their overall breast augmentation cost. The IDEAL IMPLANT is a structured implant. Its inner shells and chambers enable it to provide the natural look and feel that silicone gel is known for, with none of the worry of silent rupture. Dr. Bartsich belongs to an exclusive network of plastic surgeons who offer the IDEAL IMPLANT, which has become a popular choice for her patients who want a “boob job.” She says: 

“It holds a really nice shape. You avoid the silicone connection and you get a really good aesthetic result. I’ve been using a lot of the IDEAL IMPLANT for exactly all those reasons.”

How IDEAL IMPLANT Offers Peace of Mind

With the IDEAL IMPLANT, there is zero risk of silent rupture. If a leak or rupture does happen, you will know right away just by looking in a mirror. Leakage of a silicone gel implant can go unnoticed for a long time, potentially causing symptoms and creating a sticky mess that requires a complicated surgery just to correct. This is why the FDA recommends women with silicone gel implants have an MRI three years after their initial augmentation, and every two years after that. These routine MRIs will add substantially to your overall breast augmentation cost. 

Unfortunately, even though the MRI is supposed to be the “gold standard” for silent rupture detection, it is not always reliable. Dr. Bartsich has had patients get MRI results which led them to have surgery to fix an implant that was not actually broken. She says, “Sometimes [MRIs are] not 100 percent accurate, so you have to make a decision about surgery based on a test that may or may not be completely accurate. That, for me, is very frustrating and kind of unsettling.”

Learn About Your Options

Dr. Bartsich believes patient education is an essential part of what makes a “boob job” successful. She encourages all of her patients to learn what they can about the choices involved, because not all options are created equal. She says,”The procedure is only as good and as safe as the devices, but we have options. I think it’s important … to understand everything that comes with all of them and then make an informed choice for yourself.”

Define Your Own Beauty

In her podcast interview, “Is “Breast Implant Illness” Real?”, Dr. Sophie Bartsich answers all the important questions a woman might have if she is considering getting a “boob job,” including concerns about what might add to breast augmentation cost. Her practice is dedicated to helping her patients enhance their own natural beauty. She explains, “All of these surgeries are journeys that you take with your patient. I will emphatically and fiercely defend any woman’s right to do whatever it is she feels she wants to do to feel comfortable in her skin and with her body.”

Schedule a Consultation

Considering breast implants in New York City? Contact Dr. Sophie Bartsich today to discuss your options. Simply call 212-717-9200, or visit www.doctorsophie.com. Dr. Bartsich’s office is located at 960 Park Avenue, New York, NY, 10028. Call today for more information on IDEAL IMPLANT® Structured Breast Implants. 

Choosing the Right Implant Size for Natural Breasts

The size you choose for your breast implants is a personal decision that depends on your goals, preferences, and body type. Years ago, the trend for breast augmentation patients was to get big, round breasts that looked obvious and fake. Now, women are gearing more towards the look of natural breasts with additional volume. The natural look has become so popular, in fact, that many patients err on the side of caution when choosing an implant size. These women end up liking their look, but know they would like it even more if they would have gone with a bigger size.  

Getting Used to the New You

Dr. Paul Chasan, a board-certified plastic surgeon in San Diego, has explored the psychology behind changing your appearance. He has found that it takes a very short amount of time for patients to get used to their new look after plastic surgery—only about 2 to 3 weeks. He explains, “By accepting their new image, people (men and women) forget about their previous form. This is precisely why all of us plastic surgeons take so many of those pre-operative and post-operative pictures.”  

But the results you see in those ‘after’ photos don’t happen overnight. In the days immediately following surgery, your breasts are not going to look like natural breasts quite yet. It is common for them to be swollen, firm, and even a little high on the chest as the breasts heal during the first two to three weeks. By then, women have had time to get used to their breasts looking this way. The six to eight week timeframe is when augmented breasts start to look more natural as they descend to a more normal position and begin to soften up. Dr. Chasan says, “I usually tell most patients that if they feel that their breasts are just a little too large in the first few weeks after surgery, then they will be perfect.”  

Communication is Key

Dr. Chasan understands why some women wish for bigger breasts, even after they’ve had breast augmentation. He attributes part of the issue to fear. Most people feel nervous about having surgery in general, but plastic surgery patients also worry about whether they will be happy with their results. Dr. Chasan says, “A lot of women tell me that they were so afraid that they would end up with too large of breasts that they told me pre-operatively to go smaller than what they otherwise might have wanted.” 

This is why it is so important to communicate your wishes to your surgeon clearly during your consultation visits. Dr. Chasan always makes sure to spend plenty of time with his patients so he can gain a complete understanding of their aesthetic goals, concerns, and expectations. Sometimes it can be difficult to describe the exact look you want. Having the look of ‘natural breasts’ can mean different things to different women. Dr. Chasan explains that he has found before and after photos to be helpful for his plastic surgery patients: “Nude pictures are an important communication tool. Don’t try to anticipate what your surgeon is going to do, rather tell him or her what you want as specifically as possible. At some point you need to trust the artistic ability of your surgeon.”  

No Regrets With IDEAL IMPLANT® Structured Breast Implants

Dr. Chasan uses the IDEAL IMPLANT to help him artistically create enhanced femenine bustlines for his breast augmentation patients. He is part of an exclusive network of plastic surgeons to offer the new implant for women who want beautiful results that come with peace of mind. The IDEAL IMPLANT is the latest breast implant technology and is the only implant with a structured design. It is filled with saline, which means that IDEAL IMPLANT patients have zero risk of silent rupture. Silicone gel breast implants can leak without any signs or symptoms, but with the IDEAL IMPLANT, you will know if there is a problem just by looking in the mirror. The implant provides the natural look and feel of silicone gel breast implants without some of the health concerns.   

The IDEAL IMPLANT is filled during breast augmentation surgery, so if Dr. Chasan knows his plastic surgery patients’ expectations, he can give them precisely the look and size they want. This way, his patients are more likely to feel satisfied with their results instead of wishing they had chosen a larger size. Implant size is an important choice for any patient, but so is the type of implant she chooses. With the IDEAL IMPLANT, you can have the look and feel of natural breasts and enjoy peace of mind at the same time. 

Experience the IDEAL IMPLANT With Dr. Chasan

Considering breast implants in San Diego? Contact Dr. Paul Chasan today to discuss your options. Simply call (858) 450-1555, or visit ranchandcoastplasticsurgery.com. Dr. Chasan’s office is located at 1431 Camino Del Mar, Del Mar, CA, 92014. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.