Have you ever wondered what happens during a breast augmentation surgery? Patients are under anesthesia during the surgery, unaware of what is being done; and surgeons sometimes do not explain the step by step process of the surgery to their patients. Now Dr. Matthew Galumbeck, a board-certified plastic surgeon in Virginia Beach, shares what really goes on during surgery. Dr. Galumbeck uses the IDEAL IMPLANT® Structured Breast Implant to give his patients beautiful, natural looking results.
And before surgery, there are important milestones to ensure success:
How to Find the Best Plastic Surgeons in Hampton Roads
Before you can even consider what surgery will entail you need to find a plastic surgeon. Start by searching for a plastic surgeon who is board-certified by the American Board of Plastic Surgery. A board-certified surgeon receives training specific to plastic surgery, and stays up to date with medical research. Schedule a consultation so you can get to know your surgeon and feel comfortable with them. Look at before and after pictures of previous surgeries, either at the surgeon’s office or on their website, to judge their skill level. Find out how many breast augmentations they have performed, and look at patient reviews on websites such as www.realself.com. Dr. Galumbeck’s patients often call him one of Hampton Roads best plastic surgeons because he is experienced, skilled, and compassionate. Learn more about Dr. Galumbeck’s education and experience by visiting his website.
Your Pre-Surgical Appointment
There are several decisions you will need to make at your pre-surgical appointment that will affect how your surgery is performed. Bring up any questions or concerns you may have about different methods your surgeon recommends. From the first consultation to the final check-up, Dr. Galumbeck welcomes any questions and concerns, and wants all of his patients to feel empowered to make the best decisions for their health. A few of the decisions Dr. Galumbeck discusses at a breast augmentation consultation are:
- Incision Site
- Type of Implant
- Implant Placement
These important decisions will be discussed in detail below. Dr. Galumbeck will assess your size, learn about your desired results, and make recommendations for an individualized treatment plan. Your breast augmentation can be combined with other procedures such as a breast lift or a tummy tuck in order to achieve your goals. While at his office, you will be able to view before and after pictures from real patients on whom Dr. Galumbeck has operated. Dr. Galumbeck is dedicated to listening to his patients and providing them the best options for a safe and effective plastic surgery experience.
Choosing an Incision Site
Before your breast augmentation, your surgeon will help you choose a type of incision. Your incision site will determine where your breast augmentation scar will be. There are benefits and compromises to each type of incision and your surgeon can explain these in detail. The incision itself will be a few centimeters long if you choose an IDEAL IMPLANT Structured Breast Implant, or longer if you choose a silicone gel breast implant. This is because silicone gel breast implants are pre-filled with silicone gel, while the IDEAL IMPLANT comes as a shell that can be rolled up, inserted, and then filled with saline once it is placed in the breast pocket. Below is a basic description of each type of incision.
Axillary Incision: An incision through the armpit, made so there is no scar on the breast. However, if a sleeveless top or swimsuit is worn the scar can be seen when the patient lifts her arms. An endoscope is used to create and check the pocket.
Inframammary Incision: This incision is performed under the breast, in the breast crease. The scar can be hidden under clothing and swimsuits, but may be visible when lying flat.
Transumbilical Incision: The implant is placed through an incision in the belly-button. This type of incision is uncommon because it is not recommended by breast implant manufacturers and many surgeons do not use it. Similar to an axillary incision, an endoscope is used to create and check the pocket.
Periareolar Incision: This incision goes around the areola. Dr. Galumbeck tells us this type of incision “is a good place because the color change hides the scar very well.” He explains that during surgery, “we’re going to go right around the tissue down to the bottom so we don’t cut through the breast tissue. It stays attached to the nipple, so after surgery patients are able to breastfeed, if they get pregnant and have children.”
Choosing the Breast Implant That’s Right for You
Choosing your breast implants is one of the most important decisions you will make. Each implant type has unique benefits and compromises to consider. Silicone gel breast implants used to be a popular choice because they offer a natural looking result. However, they come with a risk of silent rupture, which is a rupture that shows no symptoms initially. The FDA recommends that women with silicone gel breast implants get an MRI every three years to check for a silent rupture. A ruptured silicone gel breast implant must be removed, along with any silicone gel that has leaked into the breast tissue. Many women feel anxiety about not knowing the status of their implant. This, combined with the cost of repeated MRIs, caused many women to desire an alternative to silicone gel.
In 2014, the IDEAL IMPLANT Structured Breast Implant was created to give women the beautiful results they want, without worrying about silent rupture. The IDEAL IMPLANT Structured Breast Implant is a structured saline implant with multiple layered shells. These shells give the implant stability that results in a smooth, natural looking breast augmentation. Dr. Galumbeck is one of the only surgeons in the Virginia Beach and Hampton Roads area to offer the IDEAL IMPLANT Structured Breast Implant. He is also one of the top surgeons in the nation using this implant and was recently named an IDEAL IMPLANT Premier Surgeon.
Breast implant choices are important for women to have. It is up to you to decide the best breast implants for your body and your lifestyle. You can get more facts about how breast implants compare by visiting https://idealimplant.com/compare/.
Breast Implant Placement
Another choice your surgeon will discuss is whether to place the implant under the pectoral muscle, or on top of it. When the implant is placed under the muscle it is less likely to ripple, has a lower risk of capsular contracture, and is easier to read on a mammogram. However, implants placed under the muscle can also become displaced upward when the muscle is flexed. Implants placed above the muscle tend to have a rounder shape and are not distorted when the muscle is flexed. This type of implant placement may also prevent the need for a breast lift in some women. However, placing the implant above the muscle does have a higher incidence of capsular contracture and implant rippling. For patients choosing to place their implant above the muscle, the IDEAL IMPLANT Structured Breast Implant is recommended because the structure makes it less likely to ripple, and it has a low risk of capsular contracture.
Your Surgical Experience With Hampton Roads Best Plastic Surgeon
Dr. Galumbeck strives to provide his patients with the most effective treatments performed in a private and comfortable environment. He performs breast augmentations in his fully accredited operating suite. The first step before your surgery is to make preoperative markings, to ensure your breast implants are placed properly. A physician anesthesiologist will then administer IV anesthesia. After you are asleep, Dr. Galumbeck will use the incision you have chosen to begin your breast augmentation.
After performing the incision, Dr. Galumbeck will create a pocket in the breast tissue into which the breast implant will be placed. When using a periareolar incision, Dr. Galumbeck says he cuts “around the breast tissue, down to the bottom of the chest. We’re going to pick this tissue up and we’re going down to the muscle.”
Dr. Galumbeck tells us with one recent patient
“because she’s thin, we’re going to go under the pectoralis muscle. So we’re cutting down to it. We don’t cut the muscle, we’re just going to lift it up. We’re just going to develop the plane that’s separating the muscle off the chest wall, leaving it attached on the side so it doesn’t affect her strength, range of motion, anything like that. We decided pre-operatively where the pocket was going to be. She selected her size which is a 455cc implant. We’re going to make sure that the dissection of the pocket looks good.”
After checking the pocket Dr. Galumbeck uses a method to reduce risk of infections, “We’re going to get an antibiotic soaked gauze. I’m going to put that in to make sure that we don’t have any worries of infection.” Dr. Galumbeck uses an endoscope to check inside the pocket and make sure everything looks ready to place the breast implant. An endoscope is a small camera surgeons use to look inside the body. Dr. Galumbeck uses it during breast augmentations to check the breast pockets. When Dr. Galumbeck sees the pocket is dry, the surgery can move forward and he knows drains will not be necessary afterward. Using technology such as the endoscope is part of what makes Dr. Galumbeck one of the best plastic surgeons in Hampton Roads.
Inserting the Breast Implants:
Dr. Galumbeck tells us the process of inserting an IDEAL IMPLANT Structured Breast Implant. First the implant is soaked in an antibiotic to decrease risk of infection. After soaking, excess air is taken out of the implant and it can be placed through the incision. Dr. Galumbeck tells us, “the nice thing with the IDEAL IMPLANT is we fill it after the implant is in so it’s easier to make a smaller incision. Silicone gel implants, because they’re prefilled, you need to make a larger incision.” The IDEAL IMPLANT Structured Breast Implant is rolled up to make it small enough to fit through the incision. Once inside it is filled with saline and Dr. Galumbeck points out, “we actually have the ability to adjust to different fill sizes, if we need to adjust for symmetry we certainly can.” There are two fill ports and two fill tubes that surgeons use to fill the implant with saline after they are inserted into the breast pocket. After the breast implants are inserted and filled Dr. Galumbeck sits the patient up to make sure no adjustments are needed. When he is happy with the results, the fill tubes are taken out.
Closing the Incision:
Closing the incision is a delicate and artistic process which the best plastic surgeons in Hampton Roads take very seriously. Dr. Galumbeck uses a nylon suture that will be taken out at one week post-op. Dr. Galumbeck tells us this suture “won’t leave any stitch marks, it just slides right out in a week.” After this final step, each patient is taken to a recovery area for monitoring. Patients are typically sent home the same day, and can go back to work and social activities within a week. Remember to follow any post-op instructions given by your plastic surgeon, such as wearing a support bra or taking antibiotics. These instructions will help you to achieve your desired results and avoid excessive pain and infections.
Time to Enjoy Your Body
Congratulations, your breast augmentation is complete! If you chose the IDEAL IMPLANT Structured Breast Implant for your augmentation, there is nothing left to do but to get out there and enjoy your new body. With a rupture rate of only 1.8% according to FDA trial study results, the IDEAL IMPLANT offers beautiful results with low risk of future complications. And if the implant does rupture patients know immediately because the implant deflates slightly. There is no risk of silent rupture and no need for MRIs, giving women peace of mind. Women with silicone gel breast implants should schedule periodic MRIs to check for silent ruptures, and visit their surgeon if they feel any symptoms such as tightening, tingling, or hard lumps in their breasts as those can be signs of complications.
You deserve to feel confident and empowered in your new body. Visiting one of Hampton Roads best plastic surgeons, Dr. Galumbeck, is the first step in your journey. If you have ever considered breast augmentation, there has never been a better time to start.
Considering breast implants in Virginia Beach? Contact Dr. Matthew Galumbeck today to discuss your options. Simply call 757-320-4115, or visit https://www.galumbeckplasticsurgery.com/. Dr. Galumbeck’s office is located at 1817 Republic Rd. Virginia Beach, Virginia 23454. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.
We asked San Antonio plastic surgeon Dr. Constance Barone to explain what options women have when choosing breast implants. Dr. Barone is a board-certified plastic surgeon with over 30 years of experience. She is a respected member of the medical community and known for her work as an innovator in plastic surgery, an author, and a teacher. Her extensive background, training, and work has resulted in her designation as one of America’s Top Doctors by multiple professional organizations, patient review sites, and media outlets. Recently she was named an IDEAL IMPLANT Premier Surgeon because she is one of the most experienced surgeons performing breast augmentations with the IDEAL IMPLANT® Structured Breast Implant.
Dr. Barone is dedicated to providing the safest and most efficient procedures for her patients. She also believes each patient should have access to a variety of choices in order to reach their goals. She offers every type of breast implant at her plastic surgery center and works to educate each patient about the benefits and compromises of each. Read below to learn what Dr. Barone has to say about choosing the best breast implants for you.
What Breast Implants are Available?
The FDA has approved 3 types of breast implants: saline breast implants, silicone gel breast implants, and IDEAL IMPLANT® Structured Breast Implants. At Dr. Barone’s plastic surgery center, you can see and feel each implant to help you make your choice. Before and after pictures are also available so you can see what the final results will look like.
- Saline implants are filled with saline (saltwater), which is naturally and safely absorbed by the body if the implant ruptures. Saline has many medical uses, including filling IV bags to keep patients hydrated. A rupture can be detected immediately because the implant will deflate as the saline flows out of it. These implants tend to visibly ripple and women complain that they feel unnatural, especially if they do not have much breast tissue or fat covering the implant.
- Silicone gel implants have silicone gel inside the shell for a smooth and attractive result, but can give some women anxiety about potential complications. Silicone gel is not absorbed by the body, and it can be difficult to know if the implant has ruptured. Silicone gel has more recommended maintenance and a higher rate of complications than some other breast implant types. Many surgeons recommend replacing silicone gel breast implants every 10 years to avoid complications.
- The IDEAL IMPLANT Structured Breast Implant is the newest breast implant type. Dr. Barone tells us, “it consists of a saltwater-filled structured breast implant. There is an outer fill valve, which covers the outer area, and then there’s an inner fill valve that covers the inner. So, there’s two actually fill sites, which allows this implant to have a very natural feel, as opposed to the saline implants, which felt hard and like a balloon.” The saltwater inside gives women peace of mind in the event of a rupture. It also has a low rate of complications such as capsular contracture and the lowest rate of rupture found in any breast implant.
How Does the IDEAL IMPLANT Structured Breast Implant Compare To Silicone Gel?
The IDEAL IMPLANT Structured Breast Implant was created to address common concerns with saline and silicone gel breast implants. Women should know about these concerns before they choose their breast implants. Dr. Barone explains the benefits and compromises of silicone gel breast implants, and how the IDEAL IMPLANT Structured Breast Implant compares.
“We like the feel of silicone gel implants. We just don’t like the fact that we should be getting MRIs at three years and every two years thereafter. That’s an out- of-pocket expense, which can be quite expensive. The other thing is, sometimes there’s silent ruptures. What’s that mean? That means it ruptures without you knowing it, and silicone gel leaks out. And what happens when that happens? Well, you can get a hard, calcified capsular contracture, and silicone gel can migrate. There have been studies that show silicone gel has been found in the livers of people who’ve had a silicone gel breast implant augmentation. The IDEAL IMPLANT is called a structured implant because it has little sleeves in this little shell, which allows it to have a buoyancy to it, so it feels more natural. It comes with a lifetime warranty. It also comes with a warranty for capsular contracture. We like the fact that this is a very, very user friendly implant and do you have to exchange it out? No. If you’re having no problems, it’s intended to be kept in place for a lifetime.” Overall, Dr. Barone believes the IDEAL IMPLANT Structured Breast Implant has many advantages over silicone gel breast implants and recommends them to women who want beautiful, natural looking results with peace of mind.
What Happens If a Breast Implant Ruptures?
What exactly is “implant rupture,” and how does it affect women? An implant can develop a small hole in the shell and begin to leak. In silicone gel breast implants, women may not notice a difference in their breasts, meaning the rupture is “silent” as Dr. Barone described above. Or they may feel a hardening or tightening, or feel lumps. As Dr. Barone mentioned, the silicone gel may migrate out of the breast capsule and into other parts of the body. In a recent survey of over 900 women 98% reported they would be somewhat concerned to constantly concerned about silent rupture with silicone gel implants. Before the IDEAL IMPLANT Structured Breast Implant was introduced many women felt they had to make the difficult choice between constant concern with silicone gel breast implants, and the unnatural feel of saline breast implants.
The IDEAL IMPLANT Structured Breast Implant can also rupture, but there is no risk of a rupture being silent. The saline inside begins to leak out of the implant and is safely absorbed by the body. A saline implant will deflate completely, leaving just the shell behind. Dr. Barone explains what happens when an IDEAL IMPLANT Structured Breast Implant ruptures, “one of the advantages of the IDEAL IMPLANT is that, if you get a deflation, it probably just deflates the outer sleeve so it’s not as obvious of a deflation.” This means that although you will notice a difference in your breasts, it will not be as obvious as with saline breast implants. You have the ability to plan a revision surgery around your life and your schedule.
The FDA recommends every type of implant be removed and replaced if a rupture occurs. The IDEAL IMPLANT Structured Breast Implant can easily be removed and replaced by your plastic surgeon. Silicone gel breast implants can be more complicated to remove after a rupture, especially if the silicone gel has migrated away from the breast capsule. The FDA explains what happens if silicone gel begins to travel outside the breast capsule, “The leaked silicone gel may cause lumps to form in the breast or in other tissue, most often the chest wall, armpit or arm. It may be difficult or impossible to remove silicone gel that has traveled to other parts of the body.”
How Do Breast Implants Compare Aesthetically?
Saline breast implants are often compared to water balloons because they are simply a silicone shell filled with saltwater. They are not as dense as breast tissue, and tend to ripple under the skin. This can be a problem especially in women without much breast tissue or fat to cover the implant. Dr. Barone tells us “I was very excited when the IDEAL IMPLANT came out because one of the things I hated, and most women hated, about the saline implant was just the unnatural feel. They felt like balloons underneath the chest wall.” The internal structure of the IDEAL IMPLANT Structured Breast Implant gives it a smooth, natural looking result that many compare to the look and feel of silicone gel breast implants.
Dr. Barone tells us about the aesthetic benefits of the IDEAL IMPLANT Structured Breast Implant as compared to silicone gel breast implants. “One of the other advantages of the IDEAL IMPLANT is the fact that it’s got a nice contour to it. It’s not super high profile, so you don’t get that real full upper pole, but it’s a more natural look. The other advantage is that there’s less rippling associated with IDEAL IMPLANT. I know everybody says that silicone gel implants don’t ripple, but guess what? They do. There’s rippling associated with both types of implants, but I feel far less with the IDEAL IMPLANT.” Aesthetically, the IDEAL IMPLANT Structured Breast Implant gives women the natural, beautiful results they want.
How Does Dr. Barone Present Choices to Patients?
Patient choice and education are very important. No patient should ever feel pushed into a decision they feel uncomfortable with. Dr. Barone tells us how she presents breast implant options to her patients. “When people make their selection in my office, I present all types of breast implants to them. I present to them the adjustable breast implant. I present to them the silicone gel breast implant. I present to them the IDEAL IMPLANT. And I present to them the saline implant. Why do I do that? I think that’s an important part of an informed consent. So, a woman can make their own decision as to what type of implant they want. I give them brochures on all different types of breast implants so that they can do their homework and they can study on it. I’m an investor in IDEAL IMPLANTS because I believe in this implant. I think it’s a great choice for women who want a breast augmentation. Because, if it does leak it’s only saltwater. I don’t try to influence my patients. I let them make the decisions as they feel, and look at the implants. But I also tell them the pros and cons of all the implants. For breast augmentation, I think the IDEAL IMPLANT Structured Breast Implant is the choice today.”
How Should Women Choose a Plastic Surgeon?
Women should know it is important to choose an experienced board-certified plastic surgeon to perform your breast augmentation. A board-certified plastic surgeon has spent years training and performing plastic surgery procedures, learning about every complication and how to get the best possible outcome. Additionally, to maintain board-certification by the American Board of Plastic Surgery physicians must meet continuing education requirements and take exams periodically.
Dr. Barone is board-certified in plastic surgery, so her patients know from the first meeting that she is dedicated to providing safe and effective medical care. Her patient reviews reflect her level of professionalism and her compassion. Read what some recent patients had to say about their experiences below.
“I was very satisfied and comfortable discussing my options with the doctor. She was very attentive to my needs and met all expectations, always very friendly and professional. I love the new me and highly recommend her to make you happy.”
www.RealSelf.com user liviaodabachian
“Excellent doctor and staff! Very caring, they take time to answer questions and follow up. Would recommend to anyone! I have been coming here for years. What a difference it has made in my life and confidence.”
www.Google.com user Ruby Rupprecht
“Dr. Barone is the best of the best and I am very happy with my results. I highly recommend her to my family and friends. Go see her!”
www.Facebook.com user Carmen Pazmino
If you curious about plastic surgery, visit Dr. Barone’s website to see what procedures she offers in addition to breast augmentations. She is trained in “awake” surgical technique for patients who feel uncomfortable with full sedation. Dr. Barone’s office is a state of the art plastic surgery center and features a spa facility, a laser center, an outpatient center for cosmetic surgeries, and rooms for treatment and recovery. Her patients enjoy a relaxing environment that allows them to discover their full potential. Don’t wait to start on your journey to a new you, your only regret will be that you didn’t start sooner!
Considering breast implants in San Antonio? Contact Dr. Constance Barone today to discuss your options. Simply call 210-614-0400, or visit baroneplasticsurgery.com. Dr. Barone’s office is located at 9502 Huebner Road, Building 2, Suite 202, San Antonio, TX 78240. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.
Stephanie Conley has been thinking about getting breast implants for 17 years because she has always been self conscious. After long consideration, Stephanie has finally booked her appointment. She made sure to spend a significant amount of time researching the different types of breast implants and the various surgeons available. Wanting to be informed and make the right choice for her body and lifestyle, Stephanie asked her surgeon numerous questions and made sure she felt completely informed. With eleven more days to go until her procedure, she tells us a little about the process and her decision:
“Since I was about 16, I’ve had multiple lumpectomies. Nothing resulting in anything serious, but I obviously have a loss of tissue. And so it was one of those things where I can balance it out with a bra, but I didn’t have the look I wanted if I was in a bathing suit or I wasn’t wearing a bra. So it was definitely a confidence issue for me. I was self conscious. And I had thought about it for a long time, and it just kind of got to the point where I was ready to make a change, and I’d heard about the IDEAL IMPLANT [® Structured Breast Implants], but I didn’t know a lot…
“So I started looking around and I found Dr. Creech as one of the doctors for the IDEAL IMPLANT, and he had done a surgery for me when I was a teenager on my ears…And so it seemed worth it for me to go talk to him and talk about the safety. And I really didn’t want a silicone gel implant. I’m really apprehensive about the possibility of the silent rupture. I don’t want the upkeep of an MRI every couple of years. It was just something that, to me, wasn’t worth it with that type of [breast] implant.”
Wanting the feel of a silicone gel implant without having to deal with the worry of a possible silent rupture and frequent MRI visits, Stephanie decided to go with the IDEAL IMPLANT. She now has the peace of mind going into her surgery that the type of breast implant she chose has the lowest risk of rupture rate. She knows that if the implant does rupture, she will be able to tell right away, and the saline solution inside the implant will be harmlessly absorbed by her body. Because of its multi-layered shell structure, the IDEAL IMPLANT is known for keeping its natural looking shape and feel. With the IDEAL IMPLANT becoming more well known, women are starting to realize it is the obvious choice when considering types of breast implant.
Stephanie trusted Dr. David Creech from her previous surgery, and knew that he provided the implant she was wanting. She felt comfortable asking him about the IDEAL IMPLANT and knew that he would address any questions she had as well as help her choose the proportional, natural looking size implant she desired. When deciding on which surgeon to choose, Stephanie said that once she saw Dr. Creech’s website, the answer was pretty simple:
“First I went out to his website. I was looking through a few doctors that I had heard of in my area. And I went out to his website and I saw that he was an IDEAL IMPLANT surgeon…[During the consultation], he helped me with sizers; that was our main way to figure out what would look best. But he was really helpful in guiding me into the right direction of what size was going to look right and what was going to give me the look I was going for after explaining my goals.”
The surgeon you select to perform your procedure matters just as much as the type of breast implant you choose. Dr. David Creech is a Board Certified plastic surgeon with extensive experience and concern for his patients. The goal of his practice is not just to obtain beautiful cosmetic enhancement results, but also to provide patients with an excellent overall experience. The number one priority is the patient. From the moment patients first walk through the doors of the office he wants them to feel comfortable, cared for, and appreciated. Dr. Creech and his excellent staff are now one of the exclusive places that offer the latest type of breast implant in implant technology, the IDEAL IMPLANT.
“Patients have many choices to consider.” states Dr. Creech. “My job includes educating patients so they can make a well-informed decision. Every procedure I perform is highly customized. There is no substitute for experience and the use of technology with a well-documented track record and history of success. We see new technologies come and go, that are hyped in the marketplace as the ‘next greatest thing.’ It takes experience to know what works and what does not, and if one method is truly superior to another.”
Dr. Creech has seen trends come and go with types of breast implants, and he stands behind the quality and innovative technology of the IDEAL IMPLANT. This is precisely why he has chosen to become part of the exclusive group of surgeons who now offer and recommend the IDEAL IMPLANT to patients. Because it’s exclusively offered in only certain places, women like Stephanie occasionally have a hard time finding information or other women’s experiences with the IDEAL IMPLANT. She hopes to change that by opening up about her experience:
“…one of the reasons why I am so willing to [open up] is because I know it was hard for me to find people that went with the IDEAL IMPLANT and I use social media a lot and found some people that way. I actually am chatting with a girl that I met online that had hers today, so we are going to compare experiences. But it’s definitely harder to find, and when I talk about it … Because most people immediately assume you’re getting silicone gel. And when I talk about the IDEAL IMPLANT, they don’t know what it is. So I would definitely like to have more stories out there for people.”
As the IDEAL IMPLANT continues to grow as one of the most sought after types of breast implant, information will be easier to find and women will hear more and more positive experiences that they can use to help them make the right decision for their individual lifestyle. As Stephanie explains,
“…with the IDEAL IMPLANT having the saline option but also reducing the wrinkling and getting that more natural and similar to what you would feel with a silicone gel implant, to me that was worth it. I wouldn’t have ever done a silicone gel, but knowing I could do the saline safer option, that was worth it to me.”
Considering types of breast implants in Chandler? Contact Dr. 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 Rd. Suite 217 Chandler, AZ 85224. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.
Breast augmentation is the most popular plastic surgery procedure in the United States, with over 300,000 surgeries performed last year. Dr. Matthew Galumbeck, a board-certified plastic surgeon in Virginia Beach, Virginia, has performed hundreds of breast augmentations in his 25 year career. Dr. Galumbeck explains why he thinks breast augmentation is so popular, saying. “I think women who come in and get breast augmentation do it for themselves so that they feel better about themselves. It gives them better shape, better proportion, more confidence. I think most women who come in say, “I want to be able to get in a bathing suit and fill it up when I walk down the beach,” but not have people point and say, ‘oh, you look fake.’”
There are many reasons to seek out a breast augmentation, some of the most popular being:
- Small breasts
- Loss of breast volume following pregnancy and breastfeeding
- Change in breast size after losing weight
- Asymmetrical breasts
Women in all of these situations are good candidates for a breast augmentation. In addition, breast augmentation can be combined with other procedures such as a tummy tuck or liposuction to further enhance your natural beauty.
Dr. Galumbeck is an expert in breast augmentation, and provides women with the the newest surgical technologies in a safe and relaxing environment. His desire is that every patient would feel beautiful, empowered, and confident after her procedure. Great plastic surgery results start with access to choices, which Dr. Galumbeck provides for his patients. Dr. Galumbeck was recently named an IDEAL IMPLANT Premier Surgeon because he is one of the top surgeons in the nation to provide the newest breast implant, the IDEAL IMPLANT® Structured Breast Implant. The IDEAL IMPLANT Structured Breast Implant has quickly become one of the top implant choices for women at Dr. Galumbeck’s surgical center.
Breast Implant Options: What to Expect
If you’re meeting with your plastic surgeon to discuss breast augmentation, what should you expect? Dr. Galumbeck tells us, “One of the biggest options that women have now is the type of implant for breast augmentation that they can use.” Many women don’t realize there are options when it comes to breast implants. In fact, your choice of breast implant can have a lasting impact on your lifestyle so it is important to choose carefully.
Saline Breast Implants
Saline breast implants are made from silicone shells filled with saline (sterile salt water). As Dr. Galumbeck explains, they were the only implant choice for many years. “So, originally all we had was the saline implant. The advantage of the saline implant is that if it leaks, it is all absorbed by the body. The problem with this is it’s not very cohesive, so it can ripple. It’s not a very natural feel or very natural look.” Women still love the peace of mind they get with saline breast implants. Because the saline is absorbed, there is no need to worry about complicated surgery to remove it if the implant ruptures. However, women began moving away from this choice when silicone gel breast implants became available because of the aesthetic concerns.
Silicone Gel Breast Implants
Dr. Galumbeck explains why women liked the silicone gel breast implant when it was first introduced, “In 2007, the silicone gel implants came out and the advantage is that because it’s more cohesive, it has a more natural look, more natural feel.” Silicone gel is a thick, sticky substance that provides more stability to a breast implant than saline. The result is an implant that does not ripple or wrinkle and looks natural. Since the FDA approved silicone gel breast implants they have grown in popularity. However, these implants have a downside which Dr. Galumbeck explains, “The disadvantage is that if it leaks, the silicone gel stays in the breast tissue and so you can’t tell that its leaked with a “silent rupture”. The FDA actually recommends that women get MRIs every three years to look for leakage.” Women do not like the hassle and expense of repeated MRIs, which cost on average between $444-$1468. In addition, the anxiety caused by not knowing the status of their breast implants can be a daily stress for some women.
IDEAL IMPLANT Structured Breast Implant
The IDEAL IMPLANT Structured Breast Implant was created to give women an option for beautiful, natural looking breast implants without the worry about silent rupture. Since it became available it has grown in popularity, quickly becoming the next generation of breast implant. Dr. Galumbeck explains more about it saying, “The third implant that’s been out since 2014 is the IDEAL IMPLANT. The nice thing about this is it’s an all saline implant, but its structured so that it’s an implant surrounding an implant. And because of the structure it looks and feels like the silicone gel implant. It has a very natural look, very natural feel, doesn’t ripple, but it also has the advantage that if it leaks, because it’s saline, the salt water is absorbed by the body.”
Breast Augmentation Complications: How Implant Types Compare
Breast augmentation is not without potential complications. Additional surgeries may be required to address complications such as rupture, capsular contracture, or cyst removal. According to the FDA, rupture and capsular contracture are two of the top reasons for breast implant revision surgery. The breast implant you choose can give you a statistically higher or lower risk of needing a revision. Knowing statistics on rupture rates and capsular contracture rates can help you plan financially and prepare mentally for the possibility of additional breast surgery.
Unfortunately, many women are not aware of the high rates of complications with silicone gel breast implants. Silicone gel breast implants have a capsular contracture rate of 9.8 – 16.2%, and a rupture rate of 3.4 – 7.4% in 6 – 7 year trials. Ruptured silicone gel breast implants can also lead to other complications. The FDA lists these possible complications as, “a decrease in breast size, change in breast implant shape, hard lumps over the implant or chest area, an uneven appearance of the breasts, pain or tenderness, tingling, swelling, numbness, burning, or changes in sensation.” It is important to get the recommended MRIs every three years to check for a silent rupture before it turns into a larger issue.
The IDEAL IMPLANT Structured Breast Implant has a capsular contracture rate of 6.3% and a rupture rate of 1.8% at 7 years. The lower rates of complication mean you are at a lower risk of lifetime surgeries. Additionally, because the implant is filled with saline there is no need for repeated MRIs to check the status of your breast implant. As Dr. Galumbeck explains with the IDEAL IMPLANT Structured Breast Implant, “women have not only the look and feel, but also the confidence that she doesn’t have to worry about a silicone gel rupture or getting MRIs.”
When you’re considering your breast implant options make sure you get all the facts. Talk with your surgeon, look at before and after pictures, and feel the difference for yourself in your surgeon’s office. Educating yourself, especially when it comes to common complications such as rupture and capsular contracture, will help you make an informed decision. Choose an option that makes you feel beautiful, and leaves you without anxiety for the future.
Breast Augmentation Surgery and Recovery
Many women worry what surgery and recovery will be like after a breast augmentation. Is surgery safe? Will you be out of work for weeks? Dr. Galumbeck answers these common concerns for us:
“The procedure is very safe. It has been done for many, many years. The recovery is quick. During the operation that we perform here at our fully accredited facility, I use an endoscope, which is a specialized TV camera, to look inside. So I keep the incisions smaller, and don’t have to use drains afterwards. We have a hyperbaric oxygen unit that we have patients get in after surgery to help speed the recovery process.”
The surgical process typically includes the following steps:
- Preoperative Markings: These markings ensure your breast implant is placed properly.
- IV Anesthesia: A physician anesthesiologist gives intravenous anesthesia.
- Incision: An incision is used to gain access to breast tissue. There are four choices for incisions – axillary, periareolar, inframammary, and transumbilical.
- Creation Of The Breast Pocket: A pocket is created to place the implant into. Dr. Galumbeck uses an endoscope to allow for precise dissection.
- Inserting The Breast Implant: The breast implant is inserted into the pocket.
- Final Check: Surgeon checks to make sure breasts are symmetrical.
- Incision Closure: The final step, closing the incision with methods to minimize scarring.
The whole procedure is finished in about an hour, after which you will be taken to a recovery room. After some observation patients are usually sent home the same day. Dr. Galumbeck tells us, “most women are back to work and social activities in a day or two after breast augmentation.”
Dr. Galumbeck uses the newest surgical technology to provide safe and efficient breast augmentations for his patients. His training and experience provide him with the knowledge needed to minimize risks and complications. The result is a natural and beautiful looking breast augmentation.
How to Select a Plastic Surgeon
Finding the right plastic surgeon for your procedure is very important. Dr. Galumbeck shared the following tips and questions to ask when searching for a plastic surgeon:
- Is the plastic surgeon board-certified in plastic surgery?
- How many procedures have they done?
- See before and after pictures of that physician’s patients.
- Feel comfortable with the plastic surgeon.
Board-certification by the American Board of Plastic Surgery is especially important to ensure great results. Surgeons who maintain their board-certification are committed to providing a high standard of care and staying up to date with medical research.
Before scheduling a consultation you should check out online reviews to see what past patients have to say about the surgeon. Websites like www.realself.com, www.facebook.com, or www.google.com have real patient reviews.
Read reviews like the ones below for Dr. Galumbeck and his staff:
“Wonderful Experience!! After having 3 kids, my mommy makeover by Dr. Galumbeck has really helped me feel beautiful again! His staff is AMAZING! Everyone was super friendly, caring, and easy to talk to. I would recommend Dr. Galumbeck to everyone!!”
Google.com reviewer Charlotte Reed
“Absolutely amazing. My results are phenomenal!!! I couldn’t be happier with my decision. You don’t realize how much of a positive change you can make until you take a leap of faith. Dr. Galumbeck and his staff were professional, made me feel at home and 6 months post surgery they still make me feel like a part of their family. 100% recommend and would do it all over again!! Thank you guys.”
Facebook.com reviewer Stefani Skiest
“Dr. Galumbeck and his staff were outstanding. I never ever felt rushed or pushed to make a decision. He offers the Ideal implant which after researching for years on implants, I felt this was the best for me. He was personable and easy to talk to. He didn’t even mind the kiddos (sitter bailed) on procedure day! He let my husband watch the kiddos in a side room just so it was more convenient for us all. I would do this over in a heartbeat! His procedure is fantastic! No muscles cut or torn and no need for drainage tubes! He changed my life!!!!”
Realself.com reviewer Stski
Finding a skilled and experienced board-certified plastic surgeon is the first step toward a new you. If you’re in Virginia Beach call Dr. Galumbeck to set up your complimentary breast augmentation consultation. Dr. Galumbeck was trained at Case Western Reserve University and Eastern Virginia Medical School. He also received advanced body contour training in Paris. In addition to his plastic surgery practice, Dr. Galumbeck founded and serves as the medical director of Spa Phoenix, the area’s first doctor directed medispa. Dr. Galumbeck prides himself on providing safe and efficient cosmetic procedures that get his patients the results they want.
Considering breast implants in Virginia Beach? Contact Dr. Matthew Galumbeck today to discuss your options. Simply call (757) 491-3204, or visit www.galumbeckplasticsurgery.com. Dr. Galumbeck’s office is located at 1817 Republic Rd Virginia Beach, Virginia 23454 US. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.
Manhattan women have a lot of options when it comes to their plastic surgeon. Getting to know doctors through interviews, like this recent interview with Dr. David Rapaport, are a great way to get a feel for their personality and practice. Read more to get to know Dr. Rapaport and his thoughts on the new IDEAL IMPLANT® Structured Breast Implants.
Tell us a little bit about you and your practice.
“I’ve been in practice for about 25 years, and in private practice in Manhattan for 20 years. I perform a wide range of plastic surgery procedures from face to breast to body on both men and women. I’ve developed quite a following in terms of my breast enhancement practice. Which includes primary augmentation as well as secondary breast work.”
Why do you think women choose your practice over other options?
“I look at a breast augmentation consultation as an educational process, with the necessity being that the patient learn about her options. Most people who come in for a consultation aren’t truly informed of their options and the trade-offs involved. I take into consideration a woman’s concerns and anatomy, and then I educate her in terms of what her options are. I try to honestly portray the pluses and minuses with each option so that she can make the best decision for her.”
What is the process like for a woman coming in for her first breast augmentation consultation?
“When a woman is having a breast augmentation for the first time, it’s very important for her to understand what her choices are in terms of implants. I was training in plastic surgery in 1990 when the FDA said not to use silicone gel implants for anything other than breast reconstruction. That remained true until 2006. Because of that, I learned very quickly in the 90’s how to use saline implants. Soon after I finished training, endoscopic plastic surgery hit the scene. I was one of the developers of endoscopic breast augmentation, which means putting implants in through the underarm. The saline implant is a very attractive implant because it can be rolled into a small cigar shape and put in through a very small scar. It is a wonderful implant when hiding behind the right breast. The issue with saline implants is that in some patients there were issues with rippling which could be visible. They also didn’t feel that natural. The other problem with it was a relatively high rupture rate.
“It is for these reasons that when the IDEAL IMPLANT came on the market I was very attracted to it from the beginning. This implant gives you the best of both worlds with its structure and design. Many women are concerned about implant safety. I respect the FDA greatly, but it tends to change its mind. We don’t always know the truth because the truth evolves in terms of our perception and over time. So many women look at silicone gel in a similar light and worry that the FDA says silicone gel is fine and harmless now, but who knows in 10 years if it will be? A woman that isn’t so comfortable with silicone gel now has a really, really good option that gives her the peace of mind of no silicone gel in her body and yet having an implant with an exceptionally low rupture rate, a very, very good feel, a very natural appearance, and no worrying about ripples. The IDEAL IMPLANT really presents a solution that the more I educate my patients on, the more I see that it’s a great solution for many, many women.”
How did you hear about the IDEAL IMPLANT ?
“The first time I learned about the IDEAL IMPLANT was at a plastic surgery meeting. I met Dr. Hamas and he explained to me what it was. I immediately was attracted to this implant. I learned about a couple of my peers who were already involved, and it was a very natural step for me to get involved as well.”
What’s been your overall impression of the IDEAL IMPLANT ?
“I’ve been using the IDEAL IMPLANT for about three years and my experience has been very positive. It’s an implant that’s well presented, the educational materials and samples are good. The insertion is really straightforward, and it’s a foolproof device in terms of how the surgeon can use it. Because I’m very familiar with saline implants, the process of adopting the IDEAL IMPLANT was a very easy process.”
What has been your experience with the IDEAL IMPLANT as far as patient satisfaction?
“My patients’ responses are uniformly positive. I have augmented patients through every approach you can imagine and am very well known for the endoscopic approach. Being able to insert the IDEAL IMPLANT empty allows for a smaller incision, which makes it a very attractive component of what I can offer my patients.”
Do you feel like IDEAL IMPLANT compares nicely with other options you’ve used?
“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.”
Anything else you want to mention about your practice?
“I love being a doctor, I love being a surgeon. It all started with my residency at Harvard in general surgery. My mentor there taught me to listen to my patients. You need to understand that there is no all-purpose algorithm for treatment. Treatments need to be customized based on the concerns and values of the patients. I find that too many doctors these days do everything on a reflex action. That’s overly simplistic and it’s simply wrong. Patients need a variety of options.
“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.”
Considering breast implants in Manhattan? 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 (@72nd Street) New York, NY 10021. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.