In this recent interview with Dr. Kevin Tehrani, we answer all of your questions about what a breast augmentation consultation looks like, what your implant options are, and how Dr. Tehrani minimizes scarring for his patients. If you’re wondering how much does breast augmentation surgery cost, you will discuss that with him in a comprehensive one-on-one consultation where you are free to bring up any and all concerns. Because it varies from surgeon to surgeon, it’s important to know what you are paying for and find someone like Dr. Tehrani who can provide the latest in implant and 3D imaging technology as well as outstanding results that you’ll be in love with for years to come.
Tell us a little bit about you and your practice.
“My name is Dr. Kevin Tehrani. I’m a board-certified plastic surgeon who has offices in both Manhattan and Great Neck, Long Island. I specifically specialize in breast augmentation, mommy makeovers, and using all different kinds of implants, including the IDEAL IMPLANT®.”
What does a typical breast implant consultation look like?
“When a woman comes into my practice for a breast augmentation, there are multiple things that we do. The initial meeting is a virtual consultation at which we’ll talk about the different types of implants that are available- unstructured saline, silicone gel, cohesive, smooth texture, and the IDEAL IMPLANT. We’ll discuss how some are more suited for certain patients, as opposed to others.
“After we’ve had that initial discussion, then we’re going to have a in-person consultation during which we’re going to talk about the different choices of implants as well as do some 3D imaging to kind of simulate the different looks on that particular patient, whether it’s the silicone gel implants, unstructured saline implant, or the IDEAL IMPLANT. Occasionally I do the implants through the belly button called TUBA or transumbilical breast augmentation. Those all fit within different categories for different patients that could use that type of service.”
What implant choices do you offer and how do you decide which implant to use?
“We have a lot of different choices in terms of implants. I actually work with all the manufacturers that use Allergan implants. I use Sientra implants. I use Mentor implants and, of course, I use IDEAL IMPLANTS.
“One of the choices that we initially talk about is whether or not the patient is most suited towards an unstructured saline implant in general or a silicone gel implant. That has a lot to do with the overall size of the breast after surgery. And if it’s a very small increment of volume that’s added, then the unstructured saline implant is a really good option. If the implant starts getting larger, then a structured IDEAL IMPLANT, which feels more natural to the touch, is my preferred choice because patients no longer need to worry about additional imaging after surgery.
“There are a lot of patients that would like to not have to worry about their implants in the future. The only thing they have to worry about with the IDEAL IMPLANT is a very small risk of rupture [2.1% at eight years for a primary breast augmentation] during which if that happens, they’re going to know that they have a leak. As opposed to a silicone gel implant, where if they have a rupture, they will not know until they get imaging done to diagnose it.”
Why did you choose to offer the IDEAL IMPLANT?
“I think patients should have the choice of different types of implants. And there are some patients that are really good structured implant candidates, and I need them to be able to have the option of choosing the right implant for their own body, as opposed to me kind of pigeonholing them into, ‘Hey, you have to have this type of implant just because that’s what I like.’
“I want them to make that conscious decision themselves and be able to have the option. It also helps to have them in my office to feel the difference between implants and then 3D image them with the different implant choices to see that, ‘Hey, if I put a silicone gel implant on one side and a structured IDEAL IMPLANT on the other side, the look is actually the exact same.’ We’re talking about the same look, without the need of additional imaging, without the worry of silent rupture.”
Have you placed many IDEAL IMPLANTs during your practice?
“I have, especially for patients that require a lift with an implant. I love the IDEAL IMPLANT because I have the option of adjusting it to a certain extent, which you cannot do with the silicone gel implants. A bit of adjustment is sometimes necessary when you do a lift and since the size difference in a saline-filled implant is more customizable, I can get the patient quite perfect, using that adjustability. That’s one of my preferred methods for a breast lift with implants.”
Why do patients choose the IDEAL IMPLANT?
“They have heard bad things about silicone gel implants. Silicone gel implants obviously had a lot of issues in the nineties. The new silicone gel implants are a different animal, much better made, and don’t have as many issues. The reason we image them is because in very rare instances there can be ruptures that are undiagnosed and the implant needs to be replaced. Whereas with the IDEAL IMPLANT, you have this safety valve of, ‘I know I have a rupture and I need to address it,’ with however rare that minute patient population will be. The majority of patients are very astute and they’ve done the research and they know about the subtleties of the different implants. They know that there is a new, better version of a saline-filled implant that’s available for people that do not want a silicone gel implant.”
How does the IDEAL IMPLANT’s risk of capsular contracture compare to other implants?
“I do not find any higher or lower capsule contracture rates among unstructured saline implants, structured IDEAL IMPLANTs, or silicone gel implants. My capsule contracture rate in my practice in general is on the low end of about 5%. I don’t particularly see a lot higher in one implant over another.” [IDEAL IMPLANT’s capsule contracture rate is 6.6% at eight years for a primary augmentation.]
What would you tell another surgeon about the IDEAL IMPLANT?
“I think intuitively it may seem like it’s a more complex implant, more complex procedure. You have to do a bit more math to put the implants in. If that’s the worry, I think most plastic surgeons would agree that you’re kind of on the smarter end of the spectrum, and don’t have to worry about a little bit of math. I actually use a specialized weight-graded, saline filler [machine] that actually calculates it for you. You don’t even have to do the math and calculate it. That’s because I do a lot of unstructured implants through the belly button. And that’s how I fill my structured implants.
“What I prefer about the IDEAL IMPLANT is the fact that it comes in one profile. It comes with a moderate profile. Then I have the option of making it a high, super high, or normal profile by how much volume I have in there. It gives me predictability for controlling the base and that’s completely designed or optimized for the patient. That says a lot about the implant and the thought process that went behind building this really nice structured implant.”
How do you minimize scarring for your patients?
“I have a lot of scar-adverse patients that absolutely do not want any scars anywhere and going through the belly button gives them that option. I’ve actually, on occasion, had to replace an unstructured saline implant with a structured IDEAL IMPLANT through the nipple, not underneath the areola. We’re writing it up in a paper now where the incision is actually made through the nipple. So that’s an area of the body for somebody who’s scar adverse. That’s a scar that you never see and we’ve been able to do that and still stay away from using a silicone gel device.”
What feedback have you received from patients about the IDEAL IMPLANT?
“They’re always very happy. I’ve actually had a patient who had silicone gel implants in the past and switched to the IDEAL IMPLANT, who is the happiest patient out of all my IDEAL patients, or one that I remember the most because of the feel of their implant. For her having experienced firsthand silicone gel versus IDEAL was testament on how good an implant this is.”
Anything else you’d like to share about your practice?
“We are a AAAASF certified facility in both locations. I actually have a large selection of prefilled unstructured saline implants so that patients can actually feel an unstructured saline implant versus an IDEAL IMPLANT, and then silicone gel implants in that order. I think that’s really good for them to see the differences. Of course I also have 3D imaging, which I think is super important for patients to have during the consultation in order for them to make a wise choice.
“The breast consultation process is a long one. It’s one that we spend probably about 15 to 20 minutes on virtually, and then probably about an hour in person at my office to try different implants, feel them and try them on—physically try them on and 3D imaging try them on. I think that having all the choices helps patients make the perfect choice.”
Want to know how much does breast augmentation surgery cost in Long Island? Contact Dr. Tehrani today to discuss your options. Simply call 516-498-9790 or visit aristocratps.com. Dr. Tehrani’s office is located at 560 Northern Boulevard, Suite 109 Great Neck, Long Island, NY 11021. Call today for more information on IDEAL IMPLANT Structured Breast Implants.