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Breast Implant Sizes and Options: An Experienced Patient’s Advice


Before your breast augmentation, it can be helpful to hear about other people’s experiences. Monica is a former breast augmentation patient of Dr. Ben Moosavi. Dr. Moosavi operates his private practice, Ultimate Plastic and Reconstructive Surgery in Huntington, West Virginia. Monica chose IDEAL IMPLANT® Structured Breast Implants for her procedure after learning about them from Dr. Moosavi. Monica is thrilled with the IDEAL IMPLANT and loves her results! She was interviewed and gave us permission to share her story with others.

“This was my third breast augmentation, and with the previous surgeries I’d chosen saline implants, so when it came to what type of implant I was going to use, I decided I still wanted a saline-filled implant, but I was interested in what was new.

“It had been eleven years since I had the previous surgery, so I had a lot of rippling, and I had three babies, so my body had changed a lot, and I was really looking for a new option that was closer to silicone but without having scary side-effects you hear of and read about online. So that’s when Dr. Moosavi recommended the IDEAL IMPLANT. I honestly researched it for a long time and couldn’t find anything negative on it, and it sounded to me like a great option.”

Monica says she didn’t have very much anxiety prior to her procedure because she was so confident in the advantages IDEAL IMPLANT had to offer.

“I wasn’t nervous about breast augmentation surgery at all, since I’d already gone through two surgeries. Honestly I was more excited! Everything I read online about IDEAL IMPLANT and everything I read in other people’s reviews was positive.”

Unlike older saline implants, the IDEAL IMPLANT is structured to hold its shape and keep the saline in place. A series of implant shells nested together and two separate chambers hold the saline filler. This structure gives women a more natural feel, while reducing folding and wrinkling. Monica says she could tell the difference in feel right away.

“I’ve had breast implants for a long time, and I was really excited to get the IDEAL IMPLANT because it felt different. I’ve had them since June, and I’m a runner. I work out, and they feel amazing. Obviously I had to wait for the recovery a little bit, but I’ve been feeling great since I’ve had them. It just seems like a wonderful switch out so far.”

With her first set of saline breast implants, Monica’s former plastic surgeon diagnosed her with capsular contracture. They tried multiple treatments to fix the problem, but nothing seemed to help.

“It was just a tightness, and my right implant sat much higher, so you could almost see that it was being pushed up a little bit more than it should have been. The left one settled, and the right one never did, so that was something I lived with for five years. They tried ultrasound treatment, and other things to get it to release a little bit, but at the end of the day I lived five years with it as long as I could, and then I had them switched out. And I had no problems with my second surgery. I was 20 when I got my first set, I was between 25 and 26 when I got my second set, and then I just turned 36 and got the IDEAL IMPLANT. I can tell a big difference. I know a good implant and a bad one, and the IDEAL IMPLANT just feels great.”

The IDEAL IMPLANT has a lower rate of capsular contracture when compared to other breast implant options. While silicone gel implants can have capsular contracture rates as high as 16%, the IDEAL IMPLANT has a capsular contracture risk of only 6.3%. The risks and safety concerns associated with silicone gel implants convinced Monica she didn’t want to go that route.

“I spent a lot of time researching, and I read about women having symptoms after silicone implants, and actually having their implants ex-planted because they were concerned about the side-effects that aren’t that well known. Most of the stories I read were tied to silicone gel breast implants. The articles on the internet listing side effects, and the comments from other women out there kind of scared me. I’m really active and and I have children, and I don’t want to have an implant rupture. People say it happens more commonly with silicone gel, so I was nervous about that too. Honestly, I never was displeased by the look of saline, I just wanted to stick with what I knew and what I felt safe with.”

When it comes to implant rupture, IDEAL IMPLANT carries a rupture risk of only 1.8% compared to silicone gel implants, which have rupture rates around 5-7%. If an IDEAL IMPLANT ruptures, women can tell just by looking in the mirror. With silicone implants, women have to shell out money for an MRI every 2-3 years to check for ruptures because implant rupture is silent. When it comes to rupture, women can have greater peace of mind with the IDEAL IMPLANT.

Some women who are considering breast augmentation surgery have a hard time choosing their implant size. Often augmentation patients will say they wish they had gone bigger or smaller. Monica has advice for those women struggling to pick what’s right for them.

“The first time my implants were at 330 ccs, and now I’m almost double that size. Each time you have surgery, you don’t realize your swelling goes up and then goes down, so you’re very happy with your results for the first six months, and then suddenly you’re like, “Hey. I went through all that, and they’re not that big.” So the second time I went up to 525 ccs. This third time with the IDEAL IMPLANT I went with around 625 ccs. I definitely went up each time, because I remembered how it felt after the swelling went away.”

With all of her experience, Monica also suggests that breast augmentation patients keep in mind their long-term plans and goals.

“Remember that breast implants are temporary. At some point you do have to change them out. You have to think about that in the future. Is that something you want to do or not? If you don’t want to be in it for the long haul, don’t do it because here I am three surgeries in. It happens. That’s the negative end. The positive end is it’s life changing. Breast implants can make you feel great about yourself, really. This far into it I feel like you owe it to yourself to be the best you. I don’t really have any regrets.”

Monica believes it’s important to pick a plastic surgeon you feel confident in and who doesn’t try to sway you in one direction or another when choosing your implants.

“We’re a military family, so we move about every four years. I’m originally from south Florida. My first two surgeries were done in south Florida before I was a part of the military. When we  landed in West Virginia I found Dr. Moosavi. Dr. Moosavi is a mutual friend of a friend here in West Virginia. A few other military wives I know had gone to him and I heard his name a lot. I started asking other women who had gone to him, ‘What was your experience like?’ And I also did some of my own research online, and that’s how I narrowed that down. You have to be knowledgeable about researching surgeons. I never had a surgeon try to push silicone gel on me, but that is not always the case.”

Now that she has the IDEAL IMPLANT, Monica is extremely satisfied with how her breast implants look and feel.

“Now that I’ve switched to the IDEAL IMPLANT, they feel really natural so far. Running feels great. I don’t have that sloshy weird feeling. That’s gone. They just feel comfortable and natural. It doesn’t feel like there’s anything in there! They feel great.”

About Dr. Ben Moosavi

Dr. Moosavi established his practice Ultimate Plastic and Reconstructive Surgery in 2013. He completed one of the most prestigious plastic surgery fellowships in the world at Emory University, after undergoing a rigorous education in general surgery. Dr. Moosavi has a reputation for providing safe, exceptional, quality care and treats each and every patient with respect and compassion. His breadth of training in the reconstructive and aesthetic realm has allowed him to perfect his surgical skills and technique. Dr. Moosavi is one of a limited number of board-certified plastic surgeons who offers his patients the latest in breast implant technology with the IDEAL IMPLANT.

Considering breast implants in West Virginia? Contact Dr. Moosavi today to discuss your options. Simply call 304-399-4220, or visit www.ultimateprs.com. Dr. Moosavi’s office is located at 5170 U.S. 60, Huntington, WV 25705. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Your Breast Surgery Questions Answered by Dr. Jed Horowitz

Dr. Jed Horowitz is a board-certified plastic surgeon at Pacific Center for Plastic Surgery in Newport Beach California. Dr. Horowitz has been practicing since 1985 and has expertise in many different areas of plastic surgery. We recently asked him about his experience in plastic surgery, what he thinks about the IDEAL IMPLANT® Structured Breast Implant, his breast enhancement recommendations, and more. Read below for his expert answers then visit his website to schedule a consultation.

How many breast enhancements do you perform and what is the breakdown of breast implant types?

“Breast enhancement has always been a big part of plastic and cosmetic surgery in general and, in our practice, it’s always been a large part. Along with breast enhancement, which is basically breast enlargement and breast augmentation, we also do breast lifts and breast reductions.

“Our practice probably 50% revision or secondary breast surgery because we have patients who have breast implants for 10, 15, 20, 30 years. Their bodies have gone through changes, their breasts have responded through their lives to all of these changes. Now maybe their breasts are sagging a little bit. Maybe they’re emptying in their upper part. Maybe the implants are too large, maybe they’ve gained weight and their breasts are just too large. Or they’ve had their breast implants for 20 years and it’s time for a change. Implants still play a large part in those changes.

“When I started doing the surgery a long time ago, the only implants that are available were silicone gel implants and traditional saline implants. We have silicone gel that’s more cohesive, more gummy bear or like jello, and some that are more liquidy. Then we have the IDEAL IMPLANT® Structured Breast Implant. The IDEAL IMPLANT is a structured implant filled with saline as opposed to silicone gel. It feels more like a traditional silicone gel implant because of the way it’s structured.

“The company spent more than ten years in developing and testing this implant. The idea was that if you put in inner layers into this outer silicone shell, it would slow down the flow of saline when you would touch the implant. It’s the way the saline flows through the implant that makes it feel more like a silicone gel implant. The saline doesn’t just slosh through the implant as in a more typical saline implant. It has a much more natural feel. It feels more like breast tissue. It feels more like silicone gel. It’s a great option for the women who has concerns about a silicone gel implant that still wants to have a breast implant. It’s just a great alternative for those reasons and several other reasons.”

How does IDEAL IMPLANT® Structured Breast Implant compare to traditional saline implants? Do incisions play a role in determining which implant you recommend?

“In my practice, I’ve been doing this long enough that I’ve used pretty much every implant that’s available and has been developed. We’ve used all the different incisions that are available. That includes incisions under the breast (inframammary), incisions around the nipple (periareolar incision), and incisions in the armpit (transaxillary). For many patients, we used to do a TUBA or transumbilical breast augmentation. The only scar is in the belly button. That’s the only time that we’ll use a standard traditional saline implant. The saline implants roll up very thin so can roll them up like a cigar when you insert them. You can make a small incision in the belly button, roll this up, make a small tunnel from the belly button to the bottom of the breast and then insert the implant in that matter. Currently the most commonly requested incision is actually under the breast. If I’m making an incision under the breast, there’s no benefit of using a traditional saline implant. It doesn’t feel as natural as breast tissue.

“The IDEAL IMPLANT® Structured Breast Implant is just a much better implant. We have now more than ten years of follow up. The complication rate for IDEAL IMPLANT® Structured Breast Implants is very, very low. When I say complication, in particular we’re talking about deflation of the implant where the saline just leaks out, and capsular contracture where you develop firmness around the implant. IDEAL IMPLANT has better statistics right now in their six year follow up then traditional saline implants and even traditional silicone gel implants. Those are other reasons why the IDEAL IMPLANT is just a better choice for many patients.”

How does the IDEAL IMPLANT® Structured Breast Implant compare to silicone gel options available?

“Even with a silicone gel implant, it’s still possible to see some of these same problems of rippling, wrinkling, waviness of the implant. And there are some women that still have concerns about silicone gel. Some women have had silicone gel implants for many years and have had what’s called “silent rupture” where the implant can actually leak and break and you don’t know it until you have a mammogram or an MRI. The recommendations are to remove all of the silicone gel, remove the capsule, and start fresh. A woman who has experienced that and now needs to have a new implant frequently will be concerned about having another silicone gel implant. That’s one group of women that frequently will switch to the IDEAL IMPLANT® Structured Breast Implant. Another group of women are women who know women who’ve had that problem and are concerned because their best friend had to have repeated breast implant surgeries because of problems with their silicone gel implant. They feel more comfortable having saline. When an IDEAL IMPLANT® Structured Breast Implant leaks, it doesn’t happen frequently and it happens less than silicone gel. But when it does, our bodies just absorb the saline, which is a natural part of our body. There’s nothing that’s fearful about that.”

How do you help patients who are trying to determine the best implant size for them?

“I think I’ve done pretty well on sizing over the years because I haven’t had anybody request a change in size for a long time. The number one cause for a secondary breast operation is for a women to change the size of her implant.

“The conversation starts off with education. I have to explain the difference between cup size and bra size and patient size. Their height and their weight and their size. A zero size versus a six or eight and what that all means relative to cc’s of volume of the implant. For some reason, this is just not intuitive to many patients when they come in. That’s a long discussion as part of the consult.

“Another part of the consult may involve a patient bringing in photos taken usually from a website of what she would like to look like. Then we have to look at the photos and see if her before photo looks anything like the patient. You need to look at the patient’s height and weight and see if they’re similar. If the patient brings in an image of a patient who is 5 foot ten and 145 pounds and she’s 105 pounds, the implant is going to be very different. We have to digest all of that information, then have a long discussion with a patient so she understands why we’re choosing a certain size. It’s confusing for the patients because the patients will go to three different doctors and they’ll come and see me. They’ll say, ‘I just saw doctor so-and-so down the street and they say I need 450cc.’ I say, “That’s great. That’s gonna make you a 32F cup. If that’s what you would like to be, that’s fine. That’s not what I think you want.’ It’s difficult for the patients sometimes. They get a lot of different information and it’s not always correct.”

What advice do you give to patients who are concerned about scarring?

“Most patients coming in for cosmetic surgery are concerned about the incisions or placement of the incisions. I always ask the patient what they’ve been thinking of because they’ve absorbed a lot of information from social media, the Internet, previous consults, what their friends have told them, so I always ask if they have ideas in mind.

“I spoke a little bit earlier about the incisions that are available. Most typically now, we’re not using the belly button incision. They’re through the armpit, around the nipple and under the breast. Some women are fearful now about the incision around the nipple or the areola because there’s some information saying there’s more bacteria and a higher risk of encapsulation. There’s some literature available to that, but I’m not sure it’s concrete. My personal experience, I think my rate of capsular contracture has been the same, regardless of the incision that we use. I personally think that there are good options for each patient.

“A patient who has a very small areola . . . they’re not a good candidate for an areola incision at all, it’s just too small. If we try to make the incision under the breast, if they’re very small and they’re very flat chested, they don’t have a good fold, and that scar will be more visible. For that patient, a transaxillary incision is a great option. Doctors who don’t do a transaxillary incision will frequently have bad things to say about it. They’ll say, ‘You can have bleeding, you can have nerve damage. You can’t place the implant correctly,’ and that’s all nonsense. Any doctor who has done that operation consistently knows you can get the same result with any of the incisions that I spoke about.

“For another woman that comes in and already has had children, maybe she has some laxity of her skin, she already has a well-defined fold under her breast, an incision under the breast is great. It’s going to be hidden no matter what, we don’t have to cut any of the breast tissue. When we do a periareolar incision, usually we’ll cut through the lower part of the breast tissue to get to the muscle or to go under the breast, so you’re disrupting a little bit more of the glands of the breast. When you make the incision under the breast in the fold, you’re immediately under everything. If a woman has more breast tissue, more gland, then going underneath the breast in the fold might be a better operation for her.”

How do you advise patients who aren’t sure which implant type to pick?

“Every woman is different, their breasts are different, their needs are different. I try to educate my patients and tell them what I think is best for them given all of the options. In my practice, silicone gel implants are still probably 85% of the implants that I use, but every year we’re putting in more of the IDEAL IMPLANT® Structured Breast Implants. Because patients now are becoming more aware of IDEAL IMPLANT and they are more readily available.

“When patients come in, before they just sit down and we start talking about silicone gel implants, I will give them a sheet of paper that discusses IDEAL IMPLANT, because they may not be familiar with it. It will outline why the IDEAL IMPLANT® Structured Breast Implant might be a better choice for them compared to the silicone gel implant, so at least it’s in their mind. They’ve had the ability to at least read about it and know that that’s an option. Then we’ll continue with the rest of the consult I’ve just discussed. At that point we’ll say, ‘What do you think about the IDEAL IMPLANT? Are you set on having a silicone gel implant? Is this of interest to you? Do you want more information?’ Then we’ll go from there. I like for my patients to make educated choices, to make their choices for good reasons.

“If they say, ‘I want this silicone gel implant,’ I ask, ‘Well, why are you choosing that?’ They’ll say, ‘I’ve been told that it’s this and this and this. I’ve felt them, I’ve read about it. I just think it’s a good choice for me.’ That’s great. Then if a patient is just reading about the IDEAL IMPLANT® Structured Breast Implant for the first time, I’ll say, ‘How do you feel about the IDEAL IMPLANT?’ They’ll say, ‘It’s the first I’ve heard about it.’ I’ll say, ‘Good. Why don’t you take home the information, here’s a website. Think about it. We’re not doing the surgery for six weeks. See if this is a good option for you and we’ll go from there.’

How long can women expect their breast implants to last?

“The longevity of an implant is something we’ll discuss at a consult. It’s an important discussion because the party line right now for most implants has been that implants will last about 10 years. That’s just all implants across the board, different companies, different styles of implants. Now there are doctors who’ve told patients, ‘You need to come in and replace your silicone gel implants at 10 years, you have to do that.’ Again, there’s no statistic, there’s no literature that supports that. I tell my patients that implants become weaker over time and at 10 years, you need to think about possibly having to replace them and it would be a good time at that point, if you haven’t already had mammograms and ultrasounds, to at least get that as a starting point, and if there’s any concern, to get an MRI, which is recommended by the FDA for a silicone gel implant.

“Now our own bodies don’t last a lifetime. We get arthritis, our knees give out, our shoulders give out, we get neck pain or back pain, so our bodies don’t last a lifetime. There’s no man-made device that lasts a lifetime. It would be great if our cars would last forever but they don’t. Man-made devices wear out. When you put a breast implant into a woman’s body, her heart is beating, she’s breathing. If she’s athletic she’s moving, her breasts are moving, there’s constant motion. If you think about taking a paperclip and bend that paperclip back and forth and back and forth and back and forth, you develop a weak spot in that paperclip, and at some point, it just breaks. Implants are no different, just like every other device, so over time, they will wear. Now some of the companies have been really good about warranting their implant, at least for 10 years, as IDEAL IMPLANT does. They will replace the implant if they become defective before that 10 year period.

“I have patients coming in that have implants that are 30 years old. I have patients coming in for their light lift facelifts and I’ll go through their medical history and they’ll say they had breast implant surgery 25 years ago. I’ll say, ‘Oh, that’s great. When did you replace them?’ They’ll say, ‘I haven’t replaced them.’ I’ll say, ‘Have you thought about it?’ They’ll say, ‘They’re fine.’ We’ll talk a little bit about that and why it might be a good idea to do a little bit of research on that and think about it, but there are a lot of patients, they just come in, they’ve had their implants for 10, 15, 20, 30 years and they’re good, they’re fine.”

Through your years in practice have you seen any trends in cosmetic surgery?

“I’ve been in practice for a while now and I’ve seen all the changes that have occurred with breast implants, breast sizing, types of surgery. Breast implants initially were pretty much mostly silicone gel. We had traditional saline implants then, but almost everybody had silicone gel placed. There were all almost always placed through an incision in the mammary fold. In the United States, they were almost always placed under the muscle. Since that time, we’ve gone through smooth implants, we’ve gone through textured implants. We’ve had textured implants with different types of texturing. Minimal texturing, coarse texturing, and all of that was focused at cutting down on scar tissue or the rate of encapsulation. We’ve gone through shaped implants, we had saline shaped implants, we’ve had silicone gel shaped implants.

“Those are trends with implants and now we have the IDEAL IMPLANT, of course, a much better structured saline implant, so it’s rare to use a traditional saline implant at all. I’ll just go to the IDEAL IMPLANT, and it’s a great name. It’s the ideal implant for that patient. The other big change, the other really big change in breast surgery has been, again, it’s called hybrid or composite breast surgery, there may be some other names that doctors use. It’s using a combination of your own tissue, your own body fat, and an implant or no implant.

“The hybrid operations are usually a combination of an implant, whether it’s an IDEAL IMPLANT® Structured Breast Implant or a silicone gel implant, and, again, the body’s own fat. You put the implant in and, if it’s just a breast augmentation, we may decide the patient needs a little bit more fullness in one part of the breast or the other, and because the implants are a fixed shape, they can’t take a customization of the contours. Most women have breasts that are unequal, they’re asymmetric, so the ability to correct small asymmetries by adding their own fat is a great advance. That’s a big change.”

Have size requests changed much over time?

“Size requests for implants go a little bit like fashion. When I started, Twiggy was really popular. Twiggy was a model back in the early ’70s and she was very young and she must have been like a size double zero, very flat chested, and that was the image of a model at that point in time. Women just wanted a little bit of breast enhancement. I mean, a typical breast implant volume in the late ’70s was probably 240cc for an average size woman. Then we got into the 1980s and 1990s, and everything got bigger, the world got bigger, breasts got bigger. We got to a point where the average size implant probably went up to about 375cc, 390cc.

“The average cup size, the average bra size sold was a 36C. If you went to clothing manufacturers, I think that’s what they would gear most of their clothing towards. Either a 34 or 36C was the average size. Along with that, that became the average size breast implant, and there were always extremes. Most women did not want smaller, larger sometimes.

“Now I think it’s going backwards. I think women now are coming in, some women are having their implants removed. A lot of those women are having a small lift, maybe they’ve had children. Maybe their bodies have changed a little bit. Maybe they’ve gained a little bit of weight. They’re now in their 40s or 50s. They’re beyond having that 375cc implant.

“Smaller implants also have less complications. Smaller implants have less problems of stretching of the skin, stretch marks, dropping into a low position below the fold. I think in general, smaller implants, they’re more modest, you’re placing less of a demand on the woman’s body. I think they heal better, longevity is probably better. Bigger breasts sag, whether you have implants or natural breasts. More weight and gravity is a bad combination, so it’s not just implants.”

As a surgeon, what do you like about the IDEAL IMPLANT® Structured Breast Implant? Why should women be aware of this option?

“First of all, I want to give my patients options, so it’s good having choices for my patients when they come in. For the patients that are concerned about silicone gel, and they’re concerned about the safety of silicone gel, I am happy to give them an alternative. And the only alternative I had before was the standard saline implant. And the standard saline implant doesn’t feel as natural as breast tissue or as natural as silicone gel, and has greater problems with rippling, wrinkling, or waviness for many patients. So for me as a surgeon, I like having the IDEAL IMPLANT as an option for all those patients, particularly the ones that have safety concerns.”

What is your advice for women who aren’t in Newport Beach to find the right plastic surgeon?

“For the few patients that just don’t want to travel and want to go to somebody local I think board-certification is always at the top of the list. At least it’s a starting point to make sure your doctor has had appropriate training and has gone through appropriate testing to make sure that they have the correct information, the ability and the skill sets to do the correct operation. The next thing of course is experience because you have young doctors. That’s great, when I was a young doctor, I felt I knew everything, and I knew a lot and I was good then. But with time and experience, most doctors get better at what they do. Also, I think the experience of the doctor who has used different types of implants, different incisions, different type of breast enhancement, I think it’s important because they’re not just choosing the one operation that they’ve learned how to do well.

“Because every patient is different. And one incision may be great in one patient, but the other incision might be better for the next patient. So to go to a doctor who has experience in doing the different techniques, the different placement of implants. Who has used the different types of implants. I think if you can get to a surgeon who has that experience, that’s a plus for that patient. It’s not always possible if you live in a geographic area where you have limited number of doctors. But that’s when it pays sometimes to travel.”

What information do women need for a successful outcome?

“We give our patients maybe too much information. There’s a lot of information that they get to prepare for surgery. And then a lot of information about what they can expect after surgery and the things they need to do. For a breast augmentation, it may be as simple as wearing a tape over the incision. All the stitching is always done underneath the skin, so there are never any stitch marks. But we want to support that initially, so we may use tapes.

“Now, full on activity, if we’re going underneath the muscle for a lift or an augmentation, we want to let that pectoralis muscle mend a little bit. So I may start to increase their activity over two to six weeks for full on activity. At six weeks we cut them free to do whatever they want. But again, things that they can do: taking care of the incisions with the products that we give them, wearing their sports bra or whichever bra that we feel is necessary for them for their particular operation, sometimes we use a support strap that goes over the top of the breast, if we need the bottom parts of the breasts to stretch a little bit. And that goes on over about two or three months. And those are most of the things we ask our patients to do.”

Why should women choose Pacific Center Plastic Surgery in Newport Beach?

“I think Newport Beach has many, many plastic surgeons. They have many well-trained plastic surgeons. I think what’s different about our practice, Dr. Nichter and I have performed surgery for many years now. We’ve done these operations every way they could be done, used every implant. And I think our experience is very important to patients coming to visit us. I think right now there are not many doctors in this area that have that level of experience with all the incisions, all the devices, different types of anesthesia, different operating room settings. Outpatient, inpatient, you know, we’ve done this surgery pretty much every way it could be done.

“Dr. Nichter and I also spend a lot of time researching products that are available to our patients. We were on the first group of people to start using IDEAL IMPLANT® Structured Breast Implants. We won’t do anything that is not safe, anything that we don’t believe in, anything that we feel has not been researched and studied. But as soon as we get to that point, we will get that device, that product, and make it available to our patients, if we think it’s something our patients will benefit from. Like the IDEAL IMPLANT® Structured Breast Implant. IDEAL IMPLANT and Sientra are the only two implant companies that will sell implants only to board-certified plastic surgeons. And I think that speaks volumes to the integrity of both of those companies. And it speaks volumes to our practice. Because a lot of doctors will continue to use the other implants because for whatever reason, they’re part of a buying program. If you buy Allergan products, use their Botox, get their implants, you have a better arrangement with that company. But we told that company, unless you sell only to board-certified surgeons, we will stop using your product. And now that we have two alternatives, that’s what we’ve done.”

Considering breast implants in Newport Beach? Contact Dr. Horowitz today to discuss your options. Simply call  949-720-3888 or visit www.PacificCenterPlasticSurgery.com. Dr. Horowitz’s office is located at 3991 MacArthur Boulevard, Suite 320/340, Newport Beach, CA 92660. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

A Chat With Alexandria Plastic Surgeon Dr. Eric Desman About Breast Enhancement Surgery and the IDEAL IMPLANT

Dr. Eric Desman has been providing highly personalized care to residents in the Northern Virginia and Washington, D.C., areas since he opened the Virginia Center for Plastic Surgery in 1999. He greatly enjoys getting to know his patients and building an ongoing relationship with them. Dr. Desman’s practice is focused on body contouring procedures such as breast augmentation, tummy tuck, and liposuction.

Why should patients choose your practice over other options in the area?

“At the Virginia Center for Plastic Surgery, we help our patients achieve a natural and not overdone look. I help each individual figure out what that means for them, and I do my best to help them achieve their plastic surgery goals.”

Have you seen any changes or trends when it comes to breast implants?

“In general, people are much more educated about breast augmentation and what goals are attainable. Patients get a lot of information from the internet. There’s pretty good information out there, but my job during your consultation is to find out what’s important for you specifically so you can make a good decision for yourself.”

What is your approach to helping women pick the right breast implant size?

“A 300cc implant is going to look vastly different in a woman who is 5’ 1”, 105 pounds who’s never had any children compared to a 5’ 7”, 147 pound woman who’s had 2 or 3 kids. Those women are very different in body physique and tissue type. So, during the course of a consultation, we’ll take some measurements of your breast tissues. This helps me see if what you wish to get out of breast augmentation is an achievable result. Some women who want a certain breast implant size have enough breast tissue to achieve that size and some don’t. Taking these measurements gives us the ability to pick the best type and size of implants for your body. We spend a lot of time prior to surgery trying to pinpoint your desired outcome post-procedure. As a surgeon, I can tell by looking at your body frame and looking at a volume number what we can expect in the range of cup size. Since there is no such thing as a standard cup size, most women are after kind of a full C, small D range. If you come in for your consultation and want to have exactly the same procedure as your best friend, that may just not be right for you. I try not to focus so much on cup size, and really hone in on the final look my patient wants.”

What should women know before choosing a plastic surgeon?

“You’ve got to look at the surgeon’s years of experience. You should also take into account how their office staff responds to you, because that is almost always a reflection of the doctor. Throughout the course of your surgery, you will sometimes have as much contact with the office staff as with the doctor in the day-to-day visits. So if the office staff treats you well, that’s a good sign. Then once you make it into the office, think about how closely you feel you’re being listened to. Some of it is a little bit of a gut instinct, a gut feeling to make sure that the practice and the surgeon are a good fit for you personally.”

Can you talk to us about placement of the breast implants? Is above or below the muscle better?

“With a breast augmentation surgery, there are two basic choices of where to put the implant. One is above the muscle and one is mostly below the muscle. The very bottom part of the implant is typically not below the muscle, but the upper two-thirds to three-quarters of the implant are covered by the muscle. I like to go below the muscle as there’s a little bit more of a natural feel to the touch. Mammograms are also easier to read if the implant is under the muscle. So most women choose to go underneath the muscle and typically that’s my recommendation unless there’s any special extenuating circumstances that would indicate a need to go above the muscle. Depending upon what type of implant you choose, you have a lot of options on placement of the incisions. I discuss that with my patients throughout the whole process so we’re on the same page.”

How can women speed along the healing process after breast surgery?

“One of the things that we do at the Virginia Center for Plastic Surgery that has been very successful over the past 15 years is a rapid recovery approach to breast augmentation surgery. This rapid recovery approach allows most women to get back to normal activities, (sore but functional), 24 to 48 hours after surgery. There are three things that allow us to get most women back to normal activities very quickly after surgery:

  1. We pick the right implant for your body.
  2. We use a meticulous surgical technique that allows very little bleeding which helps the recovery process.
  3. We ask the patient to come in and complete arm stretches after surgery which will also help hasten her recovery.

“My approach to rapid recovery breast augmentation means there are no special bras or narcotics needed after surgery. You can get into the shower the night of your procedure and women love it because they can get back on their feet very quickly.”

What can you tell us about silent rupture in breast implants?

“Breast implants are man-made devices. They’re not lifetime devices. So every implant, in my opinion, eventually will leak or rupture. If you have silicone gel implants and you detect a rupture early enough, a lot of times we’re able to remove the implant as well as the scar tissue that surrounds the implant as one unit. But frequently that leak in the silicone gel implant is not detected quickly and the silicone starts to leak through that scar tissue. A patient will then need a challenging, complicated surgery to get that old implant out and then put a new implant in. If the patient puts new silicone gel implants back in, then they’re just restarting the clock on the next problem or process with a leaked silicone gel implant. With IDEAL IMPLANT® Structured Breast Implants, it’s easy to detect a leak because the breast will just start to get a little bit smaller as the saline leaks out. If that does happen, then it’s a fairly straightforward operation to replace that implant.”

What do you like about the IDEAL IMPLANT?

“From a surgeon’s perspective, I like the IDEAL IMPLANT because they have a fill range and that gives us a lot of control in the operating room for sizing of the implant. Most women have a bit of asymmetry, so we’re able to even that out during a breast enhancement procedure. The IDEAL IMPLANT also has a great feel to the touch after surgery and gives women a very natural look. Combine that with the lower capsular contracture rates and lower rupture rates that come along with IDEAL IMPLANT and these are all things that really make it a nice device to work with. Most of my patients are choosing IDEAL IMPLANT® Structured Breast Implants for these reasons over silicone gel implants.”

What do your patients think about the IDEAL IMPLANT?

“We’ve been using IDEAL IMPLANT for almost a year now, and my patients have been very happy with the results. They’ve been very satisfied with their look, and it’s equalled or exceeded their expectations. With IDEAL IMPLANT® Structured Breast Implants, I see this trend continuing for a long time.

Considering breast implants in Alexandria, VA? Contact Dr. Eric Desman today to discuss your options. Simply call 703-982-7106 or visit www.vcps.com. Dr. Desman’s office is located at 6355 Walker Lane, Suite 510 Alexandria, VA 22310. 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.

Plastic Surgeon Shows Why IDEAL IMPLANT is Good for Women and Doctors

Dr. Farhad Rafizadeh is a leading, board-certified plastic surgeon with expertise in using IDEAL IMPLANT® Structured Breast Implants for surgery with all breast implant sizes. Here he offers a surgeon’s perspective on the benefits of this new technology. As more women are seeking options which offer greater peace of mind and a lower complication risk, an increasing number of patients are choosing this IDEAL IMPLANT for primary breast augmentation, correcting asymmetry, or replacement of previous silicone implants.

Designed by a Plastic Surgeon, Inspired by Women’s Concerns

In the video Dr. Rafizadeh’s first observation is that “[s]o much planning has gone into the design and functioning of the IDEAL IMPLANT,” as he discusses how even the packaging is designed for maximum functionality in the operating suite. This reflects the fact that IDEAL IMPLANT was designed by a plastic surgeon based on real world experience in breast augmentation procedures of all breast implant sizes, resulting in an overall improved product.

IDEAL IMPLANT’s Unique Design Allows Adjustment to Optimal Breast Implant Sizes

Dr. Rafizadeh shows how the implant appears in its packaging, how its removed and prepared for placement, and, ultimately, how it is placed in the submuscular pocket of an actual patient. Dr. Rafizadeh shows how the IDEAL IMPLANT, because it can be filled after insertion, is rolled to fit through a smaller incision. This is in contrast to silicone-gel implants which are prefilled, generally requiring a larger incision.

Dr. Rafizadeh notes how, even before the IDEAL IMPLANT is filled with saline, you can feel the unique baffle structure that gives IDEAL IMPLANT its ability to provide a natural feel. The chambers within the structure are filled separately, tested, and adjusted by the surgeon to get the patient’s desired results. While traditional saline implants may appear less natural than silicone gel, and have a tendency to cause rippling, the IDEAL IMPLANT is designed to overcome these limitations. Its interior baffles control the flow of saline and prevent folding, which causes rippling. But because it’s filled with saline, there is no risk of “silent rupture” that comes with silicone gel, and no need for costly MRIs to check the integrity of the implant.

Are you considering breast implants in Morristown? Contact Dr. Rafizadeh today to discuss your options, including breast implant sizes. Simply call 973-267-0928 or visit www.betterplasticsurgery.com. Dr. Rafizadeh ’s office is located at 101 Madison Avenue, Suite 105, Morristown, NJ 07960. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Breast Implant Sizes and Options with Dr. Koneru

Thinking about getting breast enlargement plastic surgery? San Antonio patients put their faith in the skills and expertise of board-certified plastic surgeon Dr. Suresh Koneru. Dr. Koneru has over 18 years of experience in plastic surgery, and was recently recognized by Texas Monthly as a “Texas Super Doctor”. He wants to inform his patients about the latest technology in breast implants, including the new IDEAL IMPLANT.

IDEAL IMPLANT® Structured Breast Implants

The IDEAL IMPLANT is a dramatic improvement over traditional saline implants. Though it is filled with saline, the IDEAL IMPLANT is surrounded by a structured shell, which eliminates rippling and gives women a more natural, beautiful look. You won’t need to have an expensive MRI to look for a “silent rupture” as you would with silicone gel implants because you can tell these implants are intact just by looking in the mirror. When it comes to breast implant sizes, the largest size available for IDEAL IMPLANT right now is 475cc. If you desire a bigger size for your breast enlargement procedure, implants with a capacity as high as 755cc should become accessible soon.

Advanced Technological Methods for Plastic Surgery San Antonio Patients

At your initial consultation, you can check out all the different implant sizes and shapes and how they’ll look on your body. Dr. Koneru uses realistic 3D imaging on an iPad to help give patients more realistic expectations before surgery.

Looking at breast implant sizes for your breast enlargement procedure in San Antonio, TX? Contact Dr. Koneru today to discuss your options. Simply call 210-499-5900 or visit https://www.drkoneru.com. Dr. Koneru’s office is located at 423 Treeline Park, Suite 300 San Antonio, TX 78209. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Breast Augmentation Q&A