Breast Surgery Plastic Surgeon Dr. Sophie Bartsich on Breast Implants and the IDEAL IMPLANT

Ask Dr. Sophie Bartsich why she chose to become a plastic surgeon and she’ll tell you it’s because it unites everything she likes to do: medicine, surgery, working with her hands, and art. Dr. Bartsich practices in New York City, where she aims to restore form and function for each of her patients while seeking an intuitive balance. She is recognized by her patients as a kind, caring doctor who is passionate about her work.

What is unique about your practice compared to others in the New York area?

“I really feel like aesthetic surgery should be a ‘fake out.’ You should not know that someone had work done, it should just look natural. The majority of my patients are looking for something natural, low maintenance, low worry, and very high impact. They don’t want other people knowing exactly what they did, they just want to look and feel great. I try and give that to my patients. During a consultation, I also give my patients a lot of information because I want them to be educated about their choices. I have a very information-driven and natural result-driven practice, and I don’t think that represents most other plastic surgeons.”

Why did you become interested in breast surgery in particular?

“As a resident in training, my program was in the 99th percentile for breast surgeries. I didn’t even realize that that was unique to our program, so for a very long time I thought breast surgery was 60, 70 percent of all plastic surgery. It never occurred to me that it wasn’t! I became very well trained in breast surgery, but it’s also something that I just responded to. I think every surgeon has their tissue, and every surgeon has their body area, and they just respond to some and not to others. I just instinctively responded to breast surgery.”

How is your approach to breast surgery different from other plastic surgeons?

“Whether it’s reconstruction or cosmetic, I think there are a lot of things that you can make unique within breast surgery. There are a lot of ways you can technically approach things that limit post operative pain. I think it’s really important that the nipple be shaped exactly right, instead of considering it as an afterthought. It’s the focus of the whole breast.

“I put a lot of emphasis on symmetry and balance. I think as a woman, I can understand things that maybe a male surgeon might not. For instance, if you go to buy a bikini and you have to purchase two really expensive separate pieces because you can’t just buy a set, it’s really annoying. To me, that defines you not being balanced. If you were balanced, you could buy a set. Balance and harmony are really, really important to me. My goal with each patient is to find that balance.

“The breast tissue is also a tissue I’m very familiar with and comfortable operating on. I enjoy performing breast surgery because it’s a very high reward for my patients and a very high reward for me. I believe it’s important to listen to my patients and understand what they want, and then apply some very basic principles of aesthetics and balance. When you do that, I think you get a great result.

“The other thing I really love about breast surgery is it’s ‘undercover difficult,’ and I like things that are undercover difficult. It might seem really easy to take an implant and pop it in. Any surgeon could take an implant and pop it in. But it’s actually very challenging to get just the right size, just the right shape, and put it in just the right place. It’s very deceptive, because it sounds easy. Everyone knows that a rhinoplasty is difficult, they know that doing a nose is hard and every little thing shows and everyone sort of sweats it out when they’re going to do a nose.

“When it comes to breasts, I think a lot of people are like, ‘Eh, that’s no problem,’ and they send their patients home with a bunch of sizes. They tell them to choose one and they pop it in and they just expect it to be fabulous and it’s not like that at all. You have to understand a lot of things about how tissues reacts, how much breast tissue you have, how stretched it is, babies, no babies, future plans, level of activity, etc. I think there’s so much that goes into it. It takes a certain level of intuition and experience and it’s actually really hard to get a great outcome. If you really know what you’re doing you can get a great result with the satisfaction that what you did was difficult.”

Has the selection of breast implants changed over time? What is your experience with silicone gel and traditional saline implants vs. IDEAL IMPLANT® Structured Breast Implants?

“I’ve never really liked traditional saline implants. For me, the natural look is very important and I found it very difficult to get it with those implants. The way traditional saline implants feel has also been a problem for me and my patients. It doesn’t feel natural. I always had a bit of a hesitation with silicone gel implants, because once you’ve cleaned up a few ruptures, you get a little nervous about it. But the look and feel was so great, and so disproportionately better that I felt like it tipped the balance.

“So, for a really long time I was very pro-silicone gel. I never really subscribed to the form-stable implants that much. To me they felt a little too firm. I also really didn’t like the idea of them rotating. I don’t like having the potential for an additional complication in an elective procedure on a young, healthy person. I felt that was an unnecessary added risk. The textured implants also made me a little bit uneasy. I was never that into using them. When the overfilled silicone gel implants came out, I liked them because they gave women a little more upper pole fullness.

“Most women who are getting a breast augmentation want to finally wear something that’s low-necked that shows off their cleavage. I mean, that’s the whole point. You don’t want to overdo it, but you need something there or there’s nothing to show. I always felt like the silicone gel implants sagged a little and the form-stable ones were skinnier up top, which is exactly where you want more.

“In addition to that, in the last couple years I’ve had several patients who’ve had MRIs done because there was a question about their existing silicone gel implant. I’ve found that sometimes MRIs are not actually very reliable. In some instances, a patient’s MRI said the silicone gel implant had ruptured, and then when I went in to operate on it, it actually hadn’t. I’ve had one or two patients where an MRI showed the implant wasn’t ruptured, but based on my clinical exam I really thought there was a concern, so I went in and it turned out it was ruptured.

“I became frustrated with the constant monitoring of the silicone gel implants, but they looked and felt good so I just dealt with whatever other issues came up. I wanted an option for my patients that felt psychologically and physically healthier and didn’t have these other concerns or challenges attached to them

“When I found IDEAL IMPLANT, I was very excited about it. I remember thinking, ‘If it looks and feels even half as good as silicone gel, I’m probably going to to try it because I think my patients will respond to that. Plus it will make management and monitoring easier and calm a lot of my concerns.’ So I did a few IDEAL IMPLANT cases and my patients were very happy. Then I did a few more and those patients were also very satisfied. When a patient comes in and I discuss all their implant choices, they’re excited to see that there’s something like that. People like the structure, the stability of the shape, and the feel. I’ve had no one complain it didn’t feel normal or natural. The IDEAL IMPLANT has been a very welcome addition to both my practice and my patients.”

What kind of changes have you seen in the last few years of what women want or expect out of breast surgery?

“I’ve seen changes in both the patients and the surgeons, but I’ve seen more changes in the patients. When I was in training, we were taught the most frequent complaint among patients after breast augmentation was, ‘I should’ve gone bigger.’ I think this was very much the teaching a while ago. A lot of the surgeons in practice who are maybe five or ten years ahead of me still have that sort of indoctrinated. So, there was a time when surgeons were putting in as big an implant as they could because they really didn’t want the patient to come back and say, ‘I wish I had gone bigger.’ I think those days are over. Celebrity trends and general lifestyle trends are moving more and more towards the natural look. People are getting plastic surgery earlier on but they’re doing less drastic things. I tell my patients, ‘Listen, no one will know they’re fake unless you feel like showing them,’ and they really like that.

“In my personal opinion as a woman, there’s also a fine line between wanting to be noticed, but not necessarily wanting too much attention. Most women don’t want to walk around broadcasting that they had a breast augmentation. They want to look good in a dress, they want to look good in a T-shirt and jeans. It’s not just about the bikini. They want to feel comfortable. They don’t want to wear an orthopedic device which calls itself a brassiere, because that’s sort of the point we’re at with underwear now. Women are doing this for themselves, they’re not doing this for other people. I think sometimes that also gets misunderstood.”

“Today’s patient is very educated, very sophisticated. There’s also a lot of concern about health.
In the last couple of years, my patients have become more concerned about silicone gel in particular. More and more people are coming in and saying, ‘I really don’t like the idea of silicone gel in my body.’ Patients have access to information on a scale that never existed before. Things are very different than they were ten years ago. If there’s a potential problem or complication a patient is worried about, they will look it up and find out more about it. Women in today’s world want to have peace of mind. These are women who are working and have children and have lives and marriages and households, and the last thing they need is something else to worry about and monitor all of the time.”

How do you help women determine the best size of breast implants for them?

“That’s an important question, because the way most people think about size is A, B, C, D. Those are not exact measurements. The sizing system for bras is actually not anatomic. It’s not based on anything real. Most people have no idea where these sizes even came from. In actuality, bra sizes are a leftover of the old school corset sizing system.

“All your cup size really measures is your projection, or how far from the chest wall your breast goes. If you are narrow and short breasted and perky, you might go pretty far out of the chest wall and have a tiny little breast. If you are wide and high and saggy, and things are sort of all over the place, you might go that same distance from the chest wall and measure the same letter but be five times bigger breasted. That’s why those sizes don’t really mean much.

“A patient might come in and say, ‘Well, I’m a B and I want to be a C,’ or, ‘I don’t want to be a D.’ The first thing I have to dispel is the fact that those letters are actually anything to hold onto. I know what they mean when they say that, and it’s sort of a guide and a concept, but it’s not a measurement. The most important measurement of the breast is its width. Unless the fit model has the same width breast as you, the foundation of the bra is wrong and you’re just trying to squeeze things either narrower or wider depending on how things measure out. So the most important thing is that the implant has to be the same width as the breast. It’s like a foot in a shoe. If you go into to a shoe store and you just pick whatever shoe you think looks nice but you don’t actually pay any attention to size, it’s not going to fit.

“A lot of my breast augmentation patients will show me a picture and say, ‘I really don’t like this,’ and the first thing I say is, ‘It’s not the implant’s fault.’ With implants, (in terms of size), there’s sort of a range. I tell all my patients, ‘There’s a range that will fit you. There is some wiggle room within that range, and you can go on the lower end or the higher end.’ Once you know what that range is, then the patient can give you feedback. Patients can tell you they want to be higher up or lower down within that range. Sometimes people will come in and say, you know, ‘I’m getting married in six months and I want to look classy in my wedding dress. I want to fill it out and not have to worry that I’m not wearing a bra, but I don’t want it to be weird.’

“I understand a woman’s perspective. I know what having breasts means and how the world responds to your breasts and how you feel about your breasts and how you wear them. Because, basically, you wear them. Breast implants are just like anything else you wear. If they’re sized right and proportionate and fit your lifestyle, then they’re going to work great and enhance everything and make you feel awesome. Size is important and the patient can give you guidance, but they can’t pick it because it has to be chosen with training.”

Do you have a preference on placement of breast surgery incisions? What do you say to women who are concerned about scarring?

“A lot of plastic surgeons like to use the trans-axillary technique for breast augmentation. That places the incision in the armpit (axilla). I don’t like that approach. I never really understood why anybody would think the armpit was hidden on a woman. If you go to a black tie dinner, your armpit’s open. It’s not just on the beach or in the shower. It’s shaved and it’s open and everyone can see it. The minute you reach to get your champagne glass, everyone’s going to see it. So that’s not hidden, and if it doesn’t turn out well, you’re stuck with a scar on your armpit. On top of which, technically it’s a difficult surgical approach. So I never really understood the benefit of that either. It makes the surgery much more difficult for a potential scar in a really bad place.

“I also don’t like to make incisions around the nipple, because the areola transitions to skin as a fading rather than a definite line. I’ve done a lot of research on the bacteria that live in the breast. Many people don’t know that bacteria can cause you to get infections when you’re nursing. They’re all in the ducts and they all converge on the nipple where all the ducts meet. So if you do that approach, you’re potentially contaminating the implant and you have a higher risk of contractures. You also have less area to work with, and what if the breast tissue that you just went right through doesn’t line back up again? Now you have an additional problem.

“In my professional opinion, the incision under the fold, or the inframammary approach, makes the most sense. Even if you don’t have a fold, once you have a breast augmentation you’re going to have a fold. That, to me, is the most hidden spot. When my patients come in for post op, for me to see the scar they have to be completely undressed and lift their breast for me. If they’re just standing there, I don’t see it. If my patients have an issue with the scar, that’s about as hidden as you’re going to get. It’s also an area that lends itself to revision if you ever have to cut the scar out for some reason, which is really not very common. You can do that in that spot, but you can’t do it around the nipple. I prefer to make my incisions under the fold. You have the most visibility during the surgery, you have the most control over the surgical field, and the scar is as hidden as you’re going to get.”

What specifically do you like about IDEAL IMPLANT?

“I don’t want to do anything to someone else I wouldn’t want done to myself. I think a lot of the implants I’ve used in the past gave me excellent results, patients were happy, I think that they’re still very reasonable alternatives to use, and I still offer them to my patients. But when I first started using IDEAL IMPLANT® Structured Breast Implants, I thought to myself, ‘I’m sure there’s going to be a couple of patients who just really like the idea of this,’ but I was shocked at just how many patients started requesting it once I introduced it to my practice.

Since I started using IDEAL IMPLANT, I’ve had almost no patients choose anything else. That’s not because I’m pushing one implant over the other, and it’s not because I say to them, ‘Well, this is the one that I want you to use, and also there’s this other stuff.’ I don’t think that’s fair. I think that silicone gel implants are still fine and I’ve gotten amazing results for years. I’ve had many patients in the past who have chosen silicone gel that are happy, they like the feel, they like the look. But, I think there’s something IDEAL IMPLANT offers that I’m responding to and that my patients are responding to.

“So, for me, IDEAL IMPLANT has been a very welcome addition to my practice, and for my patients it’s been wonderful. I’ll tell some of my existing patients who need a revision for whatever reason, ‘Two years ago I didn’t have this option, but just so that you know, this is a new implant I’ve been working with,’ and the majority of them say, ‘Oh, I think I want that instead, I like the idea of that.’

“Also I’ve had a lot of patients who come to me who’ve had silicone gel implants placed many, many years ago and they’re sort of at a loss of what to do. These patients will say, ‘Some people say I should take them out, and some people say leave them alone, and it’s been 15 years. What do I do?’ I’ve had some changes in my approach to that question as well. Now I’m leaning towards the opinion that after a certain amount of time maybe that patient should think about switching them out.

“A lot of those patients say to me, ‘If I’m going to do it, now that I have another option, I think I might actually do it with IDEAL IMPLANT instead. I just don’t want to have to worry about these things again, and it’s really challenging to monitor something all the time. Since we’re going back, let’s just go to something simpler.’ The results have been great and the patient satisfaction is very high. Overall, IDEAL IMPLANT® Structured Breast Implants are a wonderful addition to my practice.”

Considering breast implants in New York City? Contact Dr. Sophie Bartsich today to discuss your options. Simply call 516-773-9200 or visit Dr. Bartsich’s office is located at 960 Park Avenue, New York City, NY 10028. 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 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.

“Phenomenal” Results from Breast Surgery in Newport Beach

A Southern California woman named Meredith recently appeared on the television show The Doctors to discuss her experience with post-pregnancy breast surgery in Newport Beach, and why she is so happy with her choice o the IDEAL IMPLANT for her breast augmentation. Meredith, a mother of two, explains why she thinks women who are considering breast surgery, or a combination of procedures known as a “mommy makeover,” are great candidates for the IDEAL IMPLANT® Structured Breast Implant. The Doctors is a nationally-syndicated daytime talk show created by Dr. Phil McGraw that focuses on health and medical issues, as a team of medical professionals and guests discuss health-related topics and answer questions from viewers they may be too embarrassed to ask their own doctors.

A Natural Feel, Without the Risk of Silent Rupture

Meredith, like many women, was disappointed with the loss of volume in her breast tissue after breastfeeding her kids.  She wanted a return to her pre-pregnancy shape and her mother-in-law recommended IDEAL IMPLANT. Meredith wanted saline-filled implants, stating she was “being cautious . . . being a mom.” She understood that in case of a rupture, unlike silicone gel implants, the saline (a sterile salt water solution) would be safely absorbed into her body and she would know immediately by just looking in the mirror.

By contrast, silicone gel is not absorbed into the body but remains around the implant. Because of this, the rupture is a “silent rupture,” not detectable without expensive medical imaging, typically not covered by insurance. When a silicone gel implant ruptures, more extensive surgery is required to remove the silicone gel that is leaking into the surrounding tissue. While silicone gel implants tend to look more natural than traditional saline implants, the IDEAL IMPLANTS unique structured design controls the saline, resulting in a natural look and feel similar to silicone gel, but with the peace of mind of only saline inside.

When Meredith heard about IDEAL IMPLANT she found what she calls “the perfect solution.” Six years after getting IDEAL IMPLANT she says they’re “phenomenal” Watch the video for before and after images of Meredith and see for yourself why she’s so happy with her striking results.

Dr. Larry Nichter offers IDEAL IMPLANT for Breast Surgery in Newport Beach

Meredith got her IDEAL IMPLANT breast surgery in Newport Beach from Dr. Larry Nichter.  Dr. Nichter is a board-certified plastic surgeon with extensive experience and a commitment to keeping up to date on techniques and developments in medicine. Because of this, Dr. Nichter is one of the exclusive plastic surgeons offering the latest in breast implant technology, IDEAL IMPLANT.

Are you considering breast surgery in Newport Beach? Contact Dr. Nichter today to discuss your options. Simply call  949-720-3888 or visit Dr. Nichter’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.

Preparing for Breast Enlargement or Breast Lift Surgery

If you’re considering breast enlargement or breast lift surgery, you need to prepare yourself physically and emotionally. Breast augmentation could take a toll on your body if you aren’t prepared for it, and knowing what you are getting into will help you deal with any unexpected emotions post-op. Here are some ways to prepare both physically and emotionally so you can get the best outcome and enjoy your new body for years to come.

Choosing a Doctor

One of the most important steps in your journey is picking a plastic surgeon. Your surgeon should make sure you are comfortable with the procedure, answer your questions, and keep you informed about the surgical process. Pick a surgeon who has been certified by the American Board of Plastic Surgery. The American Board of Plastic Surgery states its mission is to “promote safe, ethical, efficacious plastic surgery to the public by maintaining high standards for the education, examination, certification and maintenance of certification of plastic surgeons as specialists and subspecialists.” If your plastic surgeon is unable to obtain certification through the board, you should question why and potentially start looking for a new surgeon. If needed, interview several surgeons until you find one you are comfortable with and treats you with respect. The American Society of Plastic Surgeons has a list of helpful questions to ask your surgeon before a breast augmentation. Finally, make sure your surgeon offers the IDEAL IMPLANT® Structured Breast Implant, so you have all the breast implant options available. The IDEAL IMPLANT is only offered through an exclusive network of board-certified plastic surgeons. To find one near you visit the surgeon finder.  

Choosing a Breast Implant

The type of implant you get will make a dramatic difference in your life, both physically and emotionally. Talk with your surgeon about what implants are available for an enlargement or breast lift surgery and the benefits and compromises of each type. Here is a basic break down of the three types of implant you will encounter:

  • Saline-Filled Breast Implants: these implants have a silicone shell filled with sterilized salt water (saline). Many women love these implants because they feel at peace knowing the saline is naturally absorbed by their body in case of a rupture. However, these implants tend to ripple and look unnatural under the skin because they are not as dense as breast tissue.
  • Silicone Gel Breast Implants: these implants also have a silicone shell but are filled with a thick, sticky silicone-gel. Women and surgeons tend to pick these implants because of the natural feeling results they give. One drawback is that silicone-gel is not absorbed by the body if the implant ruptures and often a rupture is only detectable on an MRI (silent rupture). The FDA recommends women with silicone gel implants get an MRI every few years to check for a rupture, and remove the implant with any leaked silicone if a rupture occurs.
  • The IDEAL IMPLANT® Structured Breast Implants: the IDEAL IMPLANT was developed to address common concerns women have about the unnatural look of saline-filled implants and the worry about silent ruptures in silicone gel implants. The IDEAL IMPLANT is filled with saline, making ruptures immediately detectable and allowing the filling to be naturally absorbed into the body. The structure inside the IDEAL IMPLANT gives the implant stability, meaning less rippling and a natural, beautiful appearance and natural feel.

Educate Yourself About Risks

It is important to know the risks and safety factors of breast lift surgery and compare each type of implant before you make a final decision. Any surgery will include a certain amount of risk, but some implants will leave you will a higher risk of post-op complications such as capsular contracture or rupture. Ask your doctor for data, such as the tables below, before choosing an implant.

Implant Brand Capsular Contracture Risk for Primary Augmentation (in FDA 6 or-7 year clinical trial data)
Allergan silicone gel 16.2%
Mentor silicone gel 9.8%
Sientra silicone gel 10.0%
IDEAL IMPLANT® Structured Breast Implant 6.3%


Implant Brandc Rupture Risk for Primary Augmentation (in FDA 6 or-7 year clinical trial data)
Allergan silicone gel 7.4%
Mentor silicone gel 3.4%
Sientra silicone gel 5.4%
IDEAL IMPLANT® Structured Breast Implant 1.8%

Your doctor may ask you to sign a consent form before your breast augmentation or breast lift surgery stating you understand the risks and complications. If you feel uncomfortable or confused by this form, make sure you talk to your doctor about your questions. Don’t be afraid to switch doctors if your doctor seems too pushy toward silicone gel or refuses to answer your questions. You should be at peace with your decision before, during, and after your breast enhancement.

Think About Peace of Mind

How do you imagine your life after breast augmentation or breast lift surgery? Most women imagine the joy they will have with their new body, but few think about the emotional and psychological effects they might have. A recent survey found that 98% of women would feel somewhat to constantly worried about the possibility of a silent rupture with silicone gel implants. After learning about the IDEAL IMPLANT® Structured Breast Implant, 49% of women said they would specifically seek out a doctor who offers these new implants. Don’t discount peace of mind when you are weighing the benefits and compromises of breast implant types.

Prepare Your Body

Preparing your body physically for breast enhancement or breast lift surgery will help you have the best possible outcome. Your doctor should give you comprehensive pre-surgery instructions, but here are some basics things the American Society of Plastic Surgeons recommends you do before surgery:

  • Take a blood test
  • Review your current medications with your doctor
  • Stop smoking and taking recreational drugs
  • Do not take aspirin or anti-inflammatory drugs, which can increase bleeding

It is important to be open and honest with your doctor about your medical history. Holding back information can lead to complications during or after surgery.

Setting Expectations

Set clear expectations for your recovery time, post-op pain, and what emotional mood swings may come. Everyone’s experience will differ, but the most important thing you can do is listen to your surgeon’s instructions and recommendations. Your breasts may take a few weeks to settle into place and for the swelling to reduce. Do not expect to engage in any vigorous activity until you are cleared by your surgeon. You should also be aware of emotional mood swings you may experience, and know they are normal after a procedure such as breast lift surgery. Talking to a friend who has had the procedure or finding an online message board can help you cope with any of these situations. Realself has a forum where you can learn and connect with others in the breast augmentation community. If you find yourself in a large amount of pain or experience moods you are not used to, don’t hesitate to contact your surgeon.

Get Started On Your Journey Today!

Now that you know more about how to prepare for breast enlargement or breast lift surgery, get started on your journey today. Find a doctor who offers the IDEAL IMPLANT® Structured Breast Implant through the IDEAL IMPLANT surgeon finder. Learn more FDA statistics about breast implants. Join a breast augmentation forum. And learn more about the IDEAL IMPLANT® Structured Breast Implant and how it is revolutionizing the breast implant industry.

Boston Breast Implants with Dr. Jonathan Hall

Dr. Jonathan Hall wants you to be happy with your choice for breast implants, before and after the procedure.  He will thoroughly explain your breast enhancement options during your consultation. Dr. Hall’s patients get one on one personalized treatment, designed to do more than simply carry out procedures. His office offers education, consultation, and always discloses the benefits, risks, and anticipated results of any treatment.

Women who have done their research know they have options in Boston. Breast implants are one thing, but who to choose as your surgeon is another. Dr. Hall describes his practice style in this way; “I treat my patients like I would treat members of my own family.” Dr. Hall’s interest in plastic surgery began while still in high school. He was influenced by a family friend, a plastic surgeon, who pointed out that this was a field that combined both art and science in the care of people. Dr. Hall explains in this way; “I had always loved science and art, having been heavily exposed to these areas by my parents and from that moment on I knew what I wanted to do.”

Boston Breast Implants-The Latest

For years, women have wanted a new type of breast implant – one that would combine the natural feel of a silicone gel implant but filled with saline for safety and peace of mind. When it came to implants in the past, women felt like they had to choose the lesser of two evils. This problem affected women everywhere, including in Boston. Breast implants have changed since then. After years of research and a large US clinical trial, the IDEAL IMPLANT® Structured Breast Implant was approved and is available through a limited network of board certified or eligible plastic surgeons, now including Dr. Hall.

The IDEAL IMPLANT has a natural feel, and advantages over silicone gel, such as only saline inside for peace of mind. Unlike silicone gel implants that have a high risk of silent rupture and require an MRI scan for detection, with the IDEAL IMPLANT, you can look in the mirror each day and be confident your implants are intact. If the IDEAL IMPLANT ruptures, the saline inside is harmlessly absorbed by the body.

Researching breast implants? Contact Dr. Hall today to schedule your consultation. Simply call 781-473-0277 or visit Dr. Hall’s office is located at 92 Montvale Avenue, Suite 3300, Stoneham, MA 02180. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.