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Understanding Your Breast Implant Options With Dr. Galumbeck

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.

Too Old for Breast Surgery? It’s Never Too Late to Shape the Body You Want

The Feel of Silicone Gel, the Safety of Saline: IDEAL IMPLANT with Dr. Jonathan Heistein

As a plastic surgeon certified by the American Board of Plastic Surgery, Fort Worth worth plastic surgeon Jonathan Heistein is part of an exclusive group of surgeons eligible to offer the IDEAL IMPLANT® Structured Breast Implant to his patients pursuing a breast augmentation. In a recent interview, he discussed the benefits of this new, innovative structured implant.

What are the different breast implant options available?

“Over the years, breast implant technology has changed a little bit. The choice for many, many years was either the standard saline implants or the newer silicone gel implants. Now we have a third option, which bridges the gap and has some of the best properties of both worlds. The IDEAL IMPLANT is a structured implant and so it offers the ability for the implant to maintain its shape a little bit better than a saline implant would, yet has some of the better qualities of silicone gel in terms of it being softer and more natural feeling.”

How do you help your patients decide what type of implant is right for them?

“When a woman comes in for a breast augmentation consultation, in addition to discussing all of the pros and cons of each of the styles of implants, I allow them to feel each one, see each one, and see how each one looks on them. They are able to try them on. I present the data in an unbiased way, so that they can see what the literature says about the implants in terms of the rupture rate and contracture rate. It gives people who want to have that information a better understanding of what they are choosing.

“Many women come in unsure of the kind of implant that they want. Some have heard good things about silicone gel, and some have heard bad things about silicone gel. They may have preconceived notions about one of the other. But if I present them an unbiased opinion and give them the facts about each one of those, many women are now choosing the IDEAL IMPLANT as a viable option, which can give them some of the properties of a saline that make it better and some of the properties in silicone gel that make it better.”

What happens when a woman with silicone gel implants experiences a “silent rupture” and wants to change her implant type?

“In general, when a silicone gel implant ruptures, it can be problematic. But for women who don’t want to deal with the problem of not knowing that they’re ruptured, then a saline or a ‘structured implant’ might be a better choice. When there’s a ruptured implant and an exchange is planned, I don’t think that the style of implant going back in really has much of a change of the outcome. The majority of the operation, the hard part of operation, is making sure that all the implant, implant material, and sometimes scar tissue, is removed appropriately. But once that groundwork has been laid, the process of putting in that new implant is pretty straightforward.”

How do you help women determine the cup size that will best fit their body?

“Determining size is one of the most important things we do at the consultation for a breast augmentation, because that is ultimately what determines the outcome. First, I find out what each patient’s goals are. So if they’re a B cup bra, and they want to end up something like a D or a C, that can give me a basic idea of where we should start. The first thing I do is take some measurements. That’s important to understand the dimensionality of the implants, and how they’re going to look and function. It also allows me to help decide which implant might look most natural based on those dimensions. Once we’ve determined the dimensions and what would fit and what wouldn’t, I allow patients to try on the different sizes in a bra that we provide for them. They look in the mirror and see what they look like and feel what they look like. This way they can really see what they are getting into with each volume.”

Why do you like the IDEAL IMPLANT® Structured Breast Implant?

“As a surgeon, the IDEAL IMPLANT offers some advantages over both saline and silicone gel. The biggest advantage is that it’s useful for women who worry about having a ‘silent rupture’ with a silicone gel implant. So the IDEAL IMPLANT, like saline implants, if there’s a rupture, it will deflate and you will know it right away. The other thing that’s very nice about the IDEAL IMPLANT is that it maintains the shape of the implant like a silicone gel implant would due to the structure that’s inside the implants. It combines the best of both worlds because there’s no risk of ‘silent rupture’ and there is no need for frequent MRIs. That’s also another added benefit that women like in choosing the IDEAL IMPLANT.”

What kind of response do you get from your patients that choose the IDEAL IMPLANT?

“I think that my patients that have come to the conclusion that the IDEAL IMPLANT is the right implant for them, are usually very comfortable and happy in their decision. Most of my patients, no matter what type of implant they use, are usually very happy with their breast augmentation outcome because I’ve involved them in the process of helping them decide how big they are and where the incision sites are going be. They have almost full control over deciding the outcome. My IDEAL IMPLANT patients seem to be very well informed and very happy with both their physical outcome and also their mental outcome as well.”

What is the recovery process after receiving a breast augmentation?

“The recovery process is fairly straightforward. If you take it easy and don’t try to over exert yourself or do more activity than is recommended, most often you will heal just fine. Problems can occur if you go back to activities too quickly or you pull or push something too heavy, then it might displace the implant or cause bleeding. The best advice is just to follow the directions that your surgeon gives you. Most of the time that’s going to be to limit your activity, use a compression bra or a sports bra, and to sometimes do some massage techniques which are shown to you usually at the first or second postoperative visit.”

What if a woman wants a breast lift and a breast augmentation?

“Some women come in and they have breasts sagging in addition to the fact that they want more volume. In those situations, I offer a breast lift at the same time as an augmentation. It does increase the complexity of the procedure a little bit, but it is convenient to be able to accomplish both of those goals at the same time. And so most often we do it that way. It changes the approach a little bit. The scarring is a little bit different, but it all depends on how much sagging and how much rejuvenation is necessary to determine the course of that. The surgery, when a breast lift is combined with an augmentation, is a little bit more complex than just having breast augmentation by itself. The cost is a little bit higher. The recovery is a little bit longer. But for most young, healthy patients without any other medical problems, the recovery period is quite simple and uncomplicated. It generally goes along without any hiccups.”

How do you address concerns about placement of the breast implant and potential scarring?

“In terms of whether I put the implants on top of the muscle or under the muscle, almost 100% of the time I recommend that women put an implant underneath the muscle. I think it offers some significant advantages and very, very few women are candidates for the other approach. Initially, in terms of some women who have already had implants put in on top of the muscle, if they come in for an exchange, for a new implant, many times in those situations, I’ll keep them in the position that they are. But for a primary breast augmentation, almost always I recommend that they go under the muscle.

“With relation to the approach and what scars to use to get that implant in, there are three main options. The underneath breast or the inframammary fold approach, that’s my most preferred and most common approach. Also the incision can be put around the areola on the underside of the areola, and that’s a viable approach. It has some advantages and some disadvantages, but certainly a useful technique when I’m already making an incision around the areola for another purpose. Then a third approach is in the armpit. It’s an option, but seemingly one that I probably use least often.”

What should women consider when searching out a plastic surgeon?

“I think it’s hard sometimes for patients to understand what doctor to go to. The first and most important thing I think women should look at is if their doctor or their intended doctor is board-certified by the American Board of Plastic Surgery. That is very easy to find out by going to the American Board of Plastic Surgery website. Once that piece is covered, I think that there are ways to find a doctor that you can trust. Word of mouth of friends or family members that have also used a doctor for a similar reason, or else somebody in the healthcare field that knows which plastic surgeons are better than the others. I think asking for advice from people that have been down the same route is a great way to start. If you don’t have any of those options available, then looking at various websites like realself.com can give you some insights into the doctors in your area that are worth seeing.

“I think that many of my patients are referred to me by word of mouth from other patients of mine that have had good outcomes. I believe that’s a really good way to find out if your surgeon is reasonable, acceptable, and willing to work with you to achieve the goals and outcomes that you desire. My patients are typically very happy with their outcomes, mostly because I start off by educating them about the options, allowing them to help in the decision-making, and then giving them the operation that they are requesting. I’m lucky enough to have a great support staff that really helps our patients both before and after surgery, and become a valuable resource in that process to be able to answer questions and help with anything that might go on.”

Considering breast implants in Fort Worth, TX? Contact Dr. Jonathan Heistein today to discuss your options. Simply call 817-820-0000 or visit www.drheistein.com. Dr. Heistein’s office is located at 521 West Southlake Boulevard, Suite 175, Southlake, TX 76092. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Breast Augmentation Questions Answered By Dr. Placik

Dr. Otto Placik is a board-certified plastic surgeon with offices in Chicago and Arlington Heights, Illinois. Dr. Placik has performed hundreds of procedures over the years, with primary breast augmentation being one of the most popular. We sat down with Dr. Placik and asked him about his experience as a surgeon as well as his opinion about the newest implant technology, the IDEAL IMPLANT® Structured Breast Implant.

Picking a Breast Implant

Do your patients come in requesting certain types of implants?

“So many people have resources available to them online before they even come in. It’s not unusual for patients to come in saying, “I want silicone under the muscle through a crease incision with a lift,” or, “I want the IDEAL IMPLANT® Structured Breast Implant and I see that you’re listed on the website and so I chose you because of that reason.”

What advice do you give women who are trying to decide what size implant they want?

“We try to devote a large amount of the consultation to sizing, but ultimately, it’s very important for them to go home and discuss this with family, to reconsider everything, and come back for a second consultation and to do a more formal sizing appointment. There’s a lot of information given and it’s not unusual that most of the patients will be in our office for two hours for the first visit, which can be exhausting. We want them to let everything percolate in, and think about it for a while. We don’t want anybody making a rush decision.

“One of the most common reasons we know for reoperations is the desire to go larger. Unfortunately, that’s true with patients who choose very small implants and patients who choose what would conventionally be considered very large implants. We have patients who choose implants that range 150[cc] come back and say, “I want to be larger and be 200[cc],” but we also have patients who have some of the largest implants available, which are around 800[cc], 850cc and say that they want to be larger. We try to guide them and let them know that size is one of the most important considerations for reoperations. We generally will encourage them to go larger, but we want to respect their goals and their aesthetic ideal. There are a lot of different options available for sizing and we sometimes want them to try the implants on, do the rice test, do a saline test and wear that size for a little while at home just to get comfortable with it.”

What factors contribute to breast implant cost?

“There are so many factors that go into that. I really want patients to feel comfortable with the prices that we charge before they come in. It’s very common for someone to say, “My breast sizes are even.” Then we measure them and they aren’t even. That means interventions have to be undertaken that will the increase the costs. It may necessitate sizers, different sized implants, or different style implants. It takes more time during surgery and there will, of course, be additional cost. Traditionally speaking, I will tell patients that the vast majority of breast augmentation will be in the $6-8,000 range, but it rarely is less than that. It can sometimes be higher than that depending on what needs to be done, which can include lifts or adjustments such as liposuction or fat transfer.

“There are people who do breast augmentations for less and I urge patients to be very cautious about those lower cost providers. Make sure that they’re board-certified, that they’re doing them in an accredited facility, that you’re being seen by the physician before surgery rather than the patient screen, and that you’re getting good quality implants. Unfortunately, people are using what we call “gray market implants” that are not warrantied. It’s also important to really feel comfortable with your surgeon and the person who’s going to be doing that procedure, and often times the lower cost providers will not allow you to meet the surgeons on the day of surgery.”

Why do you like the IDEAL IMPLANT® Structured Breast Implant?

“What I like about the IDEAL IMPLANT® Structured Breast Implant is that patients who are reluctant to have silicone gel breast implants can have peace of mind. They can have an implant that provides an aesthetic result that’s comparable to silicone gel without having the anxiety of worrying about the maintenance of silicone gel or the potential risk of silent rupture. I can also give my patients reassurance about the long term complication rates, which are lower when compared to either saline or silicone gel.”

Are your patients satisfied after getting the IDEAL IMPLANT® Structured Breast Implant?

“The patient satisfaction is high. These are patients who are interested in the procedure and have done their fair share of reading background studies and research. They’re educated and informed, and I think that gives them a lot of peace of mind in the recovery process, and long-term they feel much more comfortable.”

Breast Implant Surgery and Recovery

What do your patients need to know about scarring?

“Scarring is related to both the placement of the incision as well as a person’s own natural wound healing tendencies. I often times will tell patients that their scar is 50% my skill and 50% their response to my injury. When we go with the IDEAL IMPLANT® Structured Breast Implant,  we can use a smaller incision. We can use an incision that is almost half the size of what would be required for a comparable sized silicone gel when we use the IDEAL IMPLANT® Structured Breast Implant.”

What can you tell us about silent ruptures in silicone gel implants?

“They call silent ruptures ‘silent’ for a reason. The advantage of the silicone gel implants nowadays is it’s a more cohesive gel that sticks together. The disadvantage is when it ruptures, you don’t know that. MRI’s are not necessarily accurate, even though that’s the best non-invasive test we have. And, unfortunately, that test can be very expensive and not provide us with a 100% result. Then we don’t know about the silicone rupture until we go in during a surgery.

“It’s not unusual for me to have to go into somebody for reasons other than rupture, and then we find that coincidentally there was a silent rupture. When we have a silent rupture it changes the scope of the procedure as we go from what would be considered just capsulotomy to a capsulectomy, which is a much more extensive procedure and no one wants to be caught by surprise with it. When we’re talking about primary breast augmentation, these surgeries are not covered by insurance unless you have some very good insurance coverage.”

What should women know about the recovery process in order to get the best results?

“I think knowing about the process ahead of time makes the recovery a lot easier. There are things that we’ve learned over time that any good practitioner knows, which is what we call a rapid recovery process. I have meticulous inter-operative attention to detail, trying to minimize injury. Then, we involve the patient in the recovery process, meaning that we want them to get active and moving.

“In the past, we used to bind people up and not have them move their arms. We found through time that when we get them moving sooner, the recovery is much faster. I provide my patients with a lot of  instructional brochures beforehand and can have them watch this on YouTube as well. I also have an app where people can time their exercises throughout the day. I think getting them involved, having a plan, and knowing what to expect definitely help the recovery process.”

Considering breast implants in Chicago? Contact Dr. Otto Placik today to discuss your options. Simply call 847-398-1660 or visit www.bodysculptor.com. Dr. Placik’’s office is located at 880 West Central Road, #3100, Arlington Heights, IL 60005. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

What Makes the IDEAL IMPLANT Unique? Dr. Paul Leahy Explains

What makes IDEAL IMPLANT® Structured Breast Implants different from traditional saline or silicone gel implants? Dr. Paul Leahy, a board-certified plastic surgeon located in Kansas City, KS, discussed these three options and more about the breast augmentation process in a recent interview.

Describe your practice and what procedures you offer?

“I am one of currently five plastic surgeons in our group here in Leawood, Kansas, called Monarch Plastic Surgery. It has a lot of history to it. It’s been around for coming up on 25 years. Some of the core members are still part of our practice, so I really enjoy being able to walk down the hallway and say to one of my partners, ‘Hey, look at this case. What do you think about this?’ I can bounce ideas off them, and we really enjoy the collegial atmosphere that we have at Monarch.

“We have a full service range of things that we do, ranging from breast surgery of all kinds. We do a lot of breast cancer reconstruction in our practice, which helps me get a lot of experience using different kinds of breast implants. We do a lot of breast reduction surgery, and certainly a lot of cosmetic breast surgery as well. That’s where my focus is. I’d say the biggest focus in my practice is any kind of breast surgery involving plastic surgery. I really enjoy the cosmetic component but also the reconstructive breast surgery that we do for people that have had breast disease.”

What can your patients expect throughout the breast augmentation process?

“We have several choices and decisions to make together as a team. There are a few things you have to decide as a patient, and first is what incision you’d like to use. The most common incision is directly underneath the breasts in the crease there. It seems very reproducible and controllable, as opposed to, for example, going around the nipple or in the armpit. I usually highly direct patients to that incision. I think it works well.

“Then we have to decide if we should go above the muscle or underneath the muscle in the chest. I think the vast majority of people, at least in our practice here in Kansas City and the midwest area, are going underneath the muscle. There are a couple of situations in which going above the muscle might be useful. But by in large, I think for most people, the implants tend to do a little bit better and look a little more natural underneath the muscle. I present things that way, and then we can make a decision about that.

“Then the last choice comes down to what implant we’re going to use. I like to have a series of different companies, styles, and implants available, and just take a look. I’ll try to give you the pros and cons, and talk you through the advantages and disadvantages. We have a huge range of implants here. We take a non-padded sports bra, and play with the different sizes. I insist that they come in at least twice to do this. I don’t want them to just pick one size and that’s it. I like for them to confirm at a second appointment, after they’ve been able to think about it and bring in different clothing. I really feel strongly about doing that, and even then, it’s hard to know exactly how this is going to look. How are my clothes going to fit? What cup size am I going to be? Those are all questions that are so hard to answer. I really focus on how do you like how this looks. We put a tight fitted top on you and ask, ‘Does that look pretty to you?’ Then we just go left and right, and switch out implants, until we arrive at a size.”

What do you tell your patients about IDEAL IMPLANT® Structured Breast Implants?

“I have a saline implant here, a silicone gel implant here, and then we meet in the middle with the IDEAL IMPLANT. It truly is a blend, and takes the best of both worlds. For cosmetic uses, I really like to use the saline filled implants, especially with the advantages of the IDEAL IMPLANT. It speaks tons in terms of safety. It has a documented less risk of it rupturing and less risk of a scar developing around the implant, a problem called a capsular contracture. I think the biggest selling point is the fact that if there’s a problem with it and it does leak, you know instantly. There is none of the guesswork involved in getting MRIs. Any of us that have gone and taken out ruptured silicone gel implants will tell you, it can be a mess and the silicone gel is very sticky. You have to get the scar tissue around it, and that sort of thing can lead to other sorts of issues. When you take out a saline implant that’s ruptured, it couldn’t be easier. It’s simple.

“We can use a little smaller incision to get the implant in there. And because you fill it during the surgery, you can make accommodations if someone’s left or right breast is a little bit different. Also, the IDEAL IMPLANT is really nice because if we get to surgery and the person shows up and says, ‘I’ve been thinking about it, and I think I’d like to be at the upper end of the range that we can put in the implant.’ I say, ‘Great, no problem.’ We can decide that there that day.

“So it’s come to the point where I’ve used the IDEAL IMPLANT enough and had enough exposure to it, I really think it is something women should be considering.”

What do you say to women that are concerned about how new the IDEAL IMPLANT is compared to saline implants or silicone gel implants?

I feel really confident in offering the IDEAL IMPLANT, even though it is relatively new. I’m just beginning my 11th year of private practice, and I definitely have seen some fads or trends in plastic surgery, including in breast implant technology. Sometimes you get a new device and you think, ‘Oh, this is going to solve all the world’s problems.’ As it turns out, issues arise that we simply couldn’t have predicted until we started using them more and more. However, because the IDEAL IMPLANT is sort of an extension of things we’ve already had, just reworked and re-engineered, I don’t think we’re going to see that. I don’t anticipate big problems with the IDEAL IMPLANT, especially with the seven-year data that we’ve got so far. When people come and they look at the different implants, I like to show them what data we’ve got. The numbers don’t lie. The data really is leading us to believe that everything about the IDEAL IMPLANT is better, including its stability and durability too. I’m really excited about it. I know it’s relatively new, but it’s not like the surgical techniques are all that different. It’s really just a different device that we’re using. Looking at the data that’s already been collected, and having done some of these cases already, it’s just so smooth and slick to work with that I have no reservations about offering it at all.”

After receiving a breast augmentation, what can women anticipate afterward during recovery?

“We try to put a limit on too much strenuous activity for the first week. Little by little, we’ll give you instructions about more things that you can do. I let people shower within 24 hours and wear a sports bra day and night. I don’t like people going underwater for about three to four weeks. You can go to the gym and do light things, but just no heavy, strenuous chest exercises for about three to four weeks. I’ve found yoga to be not so good. That’s a very stretching exercise, so we limit that too.

“Most people, within a few weeks, turn a corner. They’re feeling better. When you meet people a couple of days after surgery, some people think, ‘What I have done to myself? I wasted my money. I shouldn’t have. Why did I put myself through this?’ Then we say, ‘Okay, we know. We’ve seen this. It’s normal to have a little bit of the blues.’ A little depression sets in temporarily, but by three weeks, most people turn a corner and are feeling back to their lives. If you look at the well-done studies and even some of the more recent websites where people rate their experiences with surgeries, breast augmentation is almost at the top of that list in terms of patient satisfaction.”

What advice would you give women looking for a plastic surgeon?

“When trying to choose a plastic surgeon, my advice to people is to ask their friends. Ask some friends who have had some surgery, could have been reconstructive, it could have been cosmetic. Ask your doctor – your primary doctor, your OBGYN, you name it. They are going to have some idea about the community, who people have had good outcomes with and a good rapport with.

“Do a little homework. I think the most reputable site to research doctors is the American Society of Plastic Surgery website. There’s a listing there of all the surgeons who are part of that big society. You must be board-certified to belong to it. I think as long as you’re getting someone with good training, it’s really hard to go wrong.

“Go in for a consult. I think you will get a feel right away whether or not you’re going to be a good fit. I think it’s a good idea to probably see at least two doctors. I wouldn’t go and shop 10 though. I think that’s a bad idea. I’ve been a part of people who have done that. They get so lost in the details that they can’t remember who said what and why they were going to choose or make this decision. Don’t make it too complicated. But see two doctors, and ultimately, go with your gut feeling on which doctor you feel is going to get you to where you want to be.”

What is your goal as a plastic surgeon?

“I think the key to having a good result and a good outcome, and ultimately what you really want, is a happy patient. That’s what we’re all after. It doesn’t really matter if I like a patient’s choice or not. If the person is not happy with it, then we’ve not accomplished our goal. So, I think it all starts way back in the office when we meet for the first time, and the second time. We counsel people about how this is going to go, what to expect, and what I expect, plus the research we have patients do. All of that before you’ve gone to surgery is so important.

“None of us are born exactly the same, mirror image left to right, men or women. When we’re done with this operation, we’re just basically making the breast bigger. Yes, we can try to accommodate for little differences here and there. But in the end, if you’re the type of person that’s going to take a laser pointer across your breasts and obsess about something in the mirror, this is not a good operation for you. This is not how it works. There are more broad strokes in creating curves, and more beauty in the breast in the way of sizing, shaping, and profiles, as opposed to measuring my incision and making sure it’s exactly the same as on the other side. Mother Nature does not cooperate with us as surgeons. You can be as precise as you want to, and I am. I pride myself on trying to be that, but ultimately, things are just not that way. That’s not how we heal. Having said that, the vast majority of breast augmentation patients come back very happy, once you’ve healed.”

Considering breast implants in Kansas City, KS? Contact Dr. Paul Leahy today to discuss your options. Simply call 913-663-3838 or visit www.monarchps.com. Dr. Leahy’s office is located at 4801 West 135th Street, Leawood, KS 66224. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Breast Enhancement: Things to Consider Before Surgery

Are you ready to make a change? Is 2018 the year you’ll finally get those breast implants you want? Before you schedule your procedure, you should ask yourself the following questions:

  • Which implants are right for me?
  • What is the post-surgery recovery like?
  • How much maintenance is required?

Let’s look at some of the answers to the above questions and find out how the new IDEAL IMPLANT® Structured Breast Implants can help you achieve the breast enhancement results you want.

Which Implants are Right for Me?

In the past, women had two basic options for their breast enhancement. They could choose from silicone gel-filled implants or traditional saline implants. Silicone gel-filled implants feel more like natural breast tissue, but carry a high rate of rupture and require MRI scans every two years to detect a leak. Knowing these risks, many women opted for traditional saline because salt water can be absorbed easily by the body without harmful effects. However, traditional saline implants tend to ripple and give the breast an abnormal shape. The IDEAL IMPLANT is the best option out there for breast implants because they are filled with saline, yet the multiple shells inside give the implant structure and support, so they look and feel natural. Plus, you can detect a leak just by looking in the mirror.

What is the Post-Surgery Recovery Like?

You will have to restrict the amount of cardio you do after your breast enhancement surgery. For up to 12 weeks, you’ll be limited in what you can do. So plan on lots of rest and taking it easy after surgery. Most patients can go back to work after 5 to 7 days, as long as you’re not expected to perform manual labor. If you choose to have your breast implants placed behind muscle instead of on top, you may be sore longer. Your surgeon will discuss the right recovery plan for you.

How Much Maintenance is Required?

When you talk to a board-certified plastic surgeon about your breast enhancement surgery, be sure to ask how long your implants will last and what other procedures you might expect down the road. Some women need surgery after about ten years to replace the implants if they’re leaking or causing other problems. You may also decide you want your implants out because your weight has changed, you’ve decided to get pregnant, or you are tired of the maintenance.

A Recent 2017 Survey About Breast Implants

“89% of women (91% of nurses) said that they would be less likely to choose a silicone gel implant after learning that the FDA recommends regular MRI scans to check for silent rupture with silicone gel implants.”

With the IDEAL IMPLANT, no MRIs are necessary. Your capsular contracture risk is lower, and you have a lower risk of rupture compared to the other options out there. Plus all IDEAL IMPLANTS come with a lifetime replacement warranty!

Ask your doctor for more information on IDEAL IMPLANT® Structured Breast Implants.