Posts

Dr. Constance Barone Explains How To Pick the Best Breast Implant

We asked San Antonio plastic surgeon Dr. Constance Barone to explain what options women have when choosing breast implants. Dr. Barone is a board-certified plastic surgeon with over 30 years of experience. She is a respected member of the medical community and known for her work as an innovator in plastic surgery, an author, and a teacher. Her extensive background, training, and work has resulted in her designation as one of America’s Top Doctors by multiple professional organizations, patient review sites, and media outlets. Recently she was named an IDEAL IMPLANT Premier Surgeon because she is one of the most experienced surgeons performing breast augmentations with the IDEAL IMPLANT® Structured Breast Implant.

Dr. Barone is dedicated to providing the safest and most efficient procedures for her patients. She also believes each patient should have access to a variety of choices in order to reach their goals. She offers every type of breast implant at her plastic surgery center and works to educate each patient about the benefits and compromises of each. Read below to learn what Dr. Barone has to say about choosing the best breast implants for you.

What Breast Implants are Available?

The FDA has approved 3 types of breast implants: saline breast implants, silicone gel breast implants, and IDEAL IMPLANT® Structured Breast Implants. At Dr. Barone’s plastic surgery center, you can see and feel each implant to help you make your choice. Before and after pictures are also available so you can see what the final results will look like.

  • Saline implants are filled with saline (saltwater), which is naturally and safely absorbed by the body if the implant ruptures. Saline has many medical uses, including filling IV bags to keep patients hydrated.  A rupture can be detected immediately because the implant will deflate as the saline flows out of it. These implants tend to visibly ripple and women complain that they feel unnatural, especially if they do not have much breast tissue or fat covering the implant.
  • Silicone gel implants have silicone gel inside the shell for a smooth and attractive result, but can give some women anxiety about potential complications. Silicone gel is not absorbed by the body, and it can be difficult to know if the implant has ruptured. Silicone gel has more recommended maintenance and a higher rate of complications than some other breast implant types. Many surgeons recommend replacing silicone gel breast implants every 10 years to avoid complications.
  • The IDEAL IMPLANT Structured Breast Implant is the newest breast implant type. Dr. Barone tells us, “it consists of a saltwater-filled structured breast implant. There is an outer fill valve, which covers the outer area, and then there’s an inner fill valve that covers the inner. So, there’s two actually fill sites, which allows this implant to have a very natural feel, as opposed to the saline implants, which felt hard and like a balloon.” The saltwater inside gives women peace of mind in the event of a rupture. It also has a low rate of complications such as capsular contracture and the lowest rate of rupture found in any breast implant.

How Does the IDEAL IMPLANT Structured Breast Implant Compare To Silicone Gel?

The IDEAL IMPLANT Structured Breast Implant was created to address common concerns with saline and silicone gel breast implants. Women should know about these concerns before they choose their breast implants. Dr. Barone explains the benefits and compromises of silicone gel breast implants, and how the IDEAL IMPLANT Structured Breast Implant compares.

“We like the feel of silicone gel implants. We just don’t like the fact that we should be getting MRIs at three years and every two years thereafter. That’s an out- of-pocket expense, which can be quite expensive. The other thing is, sometimes there’s silent ruptures. What’s that mean? That means it ruptures without you knowing it, and silicone gel leaks out. And what happens when that happens? Well, you can get a hard, calcified capsular contracture, and silicone gel can migrate. There have been studies that show silicone gel has been found in the livers of people who’ve had a silicone gel breast implant augmentation. The IDEAL IMPLANT is called a structured implant because it has little sleeves in this little shell, which allows it to have a buoyancy to it, so it feels more natural. It comes with a lifetime warranty. It also comes with a warranty for capsular contracture. We like the fact that this is a very, very user friendly implant and do you have to exchange it out? No. If you’re having no problems, it’s intended to be kept in place for a lifetime.” Overall, Dr. Barone believes the IDEAL IMPLANT Structured Breast Implant has many advantages over silicone gel breast implants and recommends them to women who want beautiful, natural looking results with peace of mind.

What Happens If a Breast Implant Ruptures?

What exactly is “implant rupture,” and how does it affect women? An implant can develop a small hole in the shell and begin to leak. In silicone gel breast implants, women may not notice a difference in their breasts, meaning the rupture is “silent” as Dr. Barone described above. Or they may feel a hardening or tightening, or feel lumps. As Dr. Barone mentioned, the silicone gel may migrate out of the breast capsule and into other parts of the body. In a recent survey of over 900 women 98% reported they would be somewhat concerned to constantly concerned about silent rupture with silicone gel implants. Before the IDEAL IMPLANT Structured Breast Implant was introduced many women felt they had to make the difficult choice between constant concern with silicone gel breast implants, and the unnatural feel of saline breast implants.

The IDEAL IMPLANT Structured Breast Implant can also rupture, but there is no risk of a rupture being silent. The saline inside begins to leak out of the implant and is safely absorbed by the body. A saline implant will deflate completely, leaving just the shell behind. Dr. Barone explains what happens when an IDEAL IMPLANT Structured Breast Implant ruptures, “one of the advantages of the IDEAL IMPLANT is that, if you get a deflation, it probably just deflates the outer sleeve so it’s not as obvious of a deflation.” This means that although you will notice a difference in your breasts, it will not be as obvious as with saline breast implants. You have the ability to plan a revision surgery around your life and your schedule.

The FDA recommends every type of implant be removed and replaced if a rupture occurs. The IDEAL IMPLANT Structured Breast Implant can easily be removed and replaced by your plastic surgeon. Silicone gel breast implants can be more complicated to remove after a rupture, especially if the silicone gel has migrated away from the breast capsule. The FDA explains what happens if silicone gel begins to travel outside the breast capsule, “The leaked silicone gel may cause lumps to form in the breast or in other tissue, most often the chest wall, armpit or arm. It may be difficult or impossible to remove silicone gel that has traveled to other parts of the body.”

How Do Breast Implants Compare Aesthetically?

Saline breast implants are often compared to water balloons because they are simply a silicone shell filled with saltwater. They are not as dense as breast tissue, and tend to ripple under the skin. This can be a problem especially in women without much breast tissue or fat to cover the implant. Dr. Barone tells us “I was very excited when the IDEAL IMPLANT came out because one of the things I hated, and most women hated, about the saline implant was just the unnatural feel. They felt like balloons underneath the chest wall.” The internal structure of the IDEAL IMPLANT Structured Breast Implant gives it a smooth, natural looking result that many compare to the look and feel of silicone gel breast implants.

Dr. Barone tells us about the aesthetic benefits of the IDEAL IMPLANT Structured Breast Implant as compared to silicone gel breast implants. “One of the other advantages of the IDEAL IMPLANT is the fact that it’s got a nice contour to it. It’s not super high profile, so you don’t get that real full upper pole, but it’s a more natural look. The other advantage is that there’s less rippling associated with IDEAL IMPLANT. I know everybody says that silicone gel implants don’t ripple, but guess what? They do. There’s rippling associated with both types of implants, but I feel far less with the IDEAL IMPLANT.” Aesthetically, the IDEAL IMPLANT Structured Breast Implant gives women the natural, beautiful results they want.

How Does Dr. Barone Present Choices to Patients?

Patient choice and education are very important. No patient should ever feel pushed into a decision they feel uncomfortable with. Dr. Barone tells us how she presents breast implant options to her patients. “When people make their selection in my office, I present all types of breast implants to them. I present to them the adjustable breast implant. I present to them the silicone gel breast implant. I present to them the IDEAL IMPLANT. And I present to them the saline implant. Why do I do that? I think that’s an important part of an informed consent. So, a woman can make their own decision as to what type of implant they want. I give them brochures on all different types of breast implants so that they can do their homework and they can study on it. I’m an investor in IDEAL IMPLANTS because I believe in this implant. I think it’s a great choice for women who want a breast augmentation. Because, if it does leak it’s only saltwater. I don’t try to influence my patients. I let them make the decisions as they feel, and look at the implants. But I also tell them the pros and cons of all the implants. For breast augmentation, I think the IDEAL IMPLANT Structured Breast Implant is the choice today.”

How Should Women Choose a Plastic Surgeon?

Women should know it is important to choose an experienced board-certified plastic surgeon to perform your breast augmentation. A board-certified plastic surgeon has spent years training and performing plastic surgery procedures, learning about every complication and how to get the best possible outcome. Additionally, to maintain board-certification by the American Board of Plastic Surgery physicians must meet continuing education requirements and take exams periodically.

Dr. Barone is board-certified in plastic surgery, so her patients know from the first meeting that she is dedicated to providing safe and effective medical care. Her patient reviews reflect her level of professionalism and her compassion. Read what some recent patients had to say about their experiences below.

“I was very satisfied and comfortable discussing my options with the doctor. She was very attentive to my needs and met all expectations, always very friendly and professional. I love the new me and highly recommend her to make you happy.”

www.RealSelf.com user liviaodabachian

“Excellent doctor and staff! Very caring, they take time to answer questions and follow up. Would recommend to anyone! I have been coming here for years. What a difference it has made in my life and confidence.”

www.Google.com user Ruby Rupprecht

“Dr. Barone is the best of the best and I am very happy with my results. I highly recommend her to my family and friends. Go see her!”

www.Facebook.com user Carmen Pazmino

If you curious about plastic surgery, visit Dr. Barone’s website to see what procedures she offers in addition to breast augmentations. She is trained in “awake” surgical technique for patients who feel uncomfortable with full sedation. Dr. Barone’s office is a state of the art plastic surgery center and features a spa facility, a laser center, an outpatient center for cosmetic surgeries, and rooms for treatment and recovery. Her patients enjoy a relaxing environment that allows them to discover their full potential. Don’t wait to start on your journey to a new you, your only regret will be that you didn’t start sooner!

Considering breast implants in San Antonio? Contact Dr. Constance Barone today to discuss your options. Simply call 210-614-0400, or visit baroneplasticsurgery.com. Dr. Barone’s office is located at 9502 Huebner Road, Building 2, Suite 202, San Antonio, TX 78240. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Understanding Your Breast Implant Options With Dr. Galumbeck

Breast augmentation is the most popular plastic surgery procedure in the United States, with over 300,000 surgeries performed last year. Dr. Matthew Galumbeck, a board-certified plastic surgeon in Virginia Beach, Virginia, has performed hundreds of breast augmentations in his 25 year career. Dr. Galumbeck explains why he thinks breast augmentation is so popular, saying. “I think women who come in and get breast augmentation do it for themselves so that they feel better about themselves. It gives them better shape, better proportion, more confidence. I think most women who come in say, “I want to be able to get in a bathing suit and fill it up when I walk down the beach,” but not have people point and say, ‘oh, you look fake.’”

There are many reasons to seek out a breast augmentation, some of the most popular being:

  • Small breasts
  • Loss of breast volume following pregnancy and breastfeeding
  • Change in breast size after losing weight
  • Asymmetrical breasts

Women in all of these situations are good candidates for a breast augmentation. In addition, breast augmentation can be combined with other procedures such as a tummy tuck or liposuction to further enhance your natural beauty.

Dr. Galumbeck is an expert in breast augmentation, and provides women with the the newest surgical technologies in a safe and relaxing environment. His desire is that every patient would feel beautiful, empowered, and confident after her procedure. Great plastic surgery results start with access to choices, which Dr. Galumbeck provides for his patients. Dr. Galumbeck was recently named an IDEAL IMPLANT Premier Surgeon because he is one of the top surgeons in the nation to provide the newest breast implant, the IDEAL IMPLANT® Structured Breast Implant. The IDEAL IMPLANT Structured Breast Implant has quickly become one of the top implant choices for women at Dr. Galumbeck’s surgical center.

Breast Implant Options: What to Expect

If you’re meeting with your plastic surgeon to discuss breast augmentation, what should you expect? Dr. Galumbeck tells us, “One of the biggest options that women have now is the type of implant for breast augmentation that they can use.” Many women don’t realize there are options when it comes to breast implants. In fact, your choice of breast implant can have a lasting impact on your lifestyle so it is important to choose carefully.

Saline Breast Implants

Saline breast implants are made from silicone shells filled with saline (sterile salt water). As Dr. Galumbeck explains, they were the only implant choice for many years. “So, originally all we had was the saline implant. The advantage of the saline implant is that if it leaks, it is all absorbed by the body. The problem with this is it’s not very cohesive, so it can ripple. It’s not a very natural feel or very natural look.” Women still love the peace of mind they get with saline breast implants. Because the saline is absorbed, there is no need to worry about complicated surgery to remove it if the implant ruptures. However, women began moving away from this choice when silicone gel breast implants became available because of the aesthetic concerns.

Silicone Gel Breast Implants

Dr. Galumbeck explains why women liked the silicone gel breast implant when it was first introduced, “In 2007, the silicone gel implants came out and the advantage is that because it’s more cohesive, it has a more natural look, more natural feel.” Silicone gel is a thick, sticky substance that provides more stability to a breast implant than saline. The result is an implant that does not ripple or wrinkle and looks natural. Since the FDA approved silicone gel breast implants they have grown in popularity. However, these implants have a downside which Dr. Galumbeck explains, “The disadvantage is that if it leaks, the silicone gel stays in the breast tissue and so you can’t tell that its leaked with a “silent rupture”. The FDA actually recommends that women get MRIs every three years to look for leakage.” Women do not like the hassle and expense of repeated MRIs, which cost on average between $444-$1468. In addition, the anxiety caused by not knowing the status of their breast implants can be a daily stress for some women.

IDEAL IMPLANT Structured Breast Implant

The IDEAL IMPLANT Structured Breast Implant was created to give women an option for beautiful, natural looking breast implants without the worry about silent rupture. Since it became available it has grown in popularity, quickly becoming the next generation of breast implant. Dr. Galumbeck explains more about it saying, “The third implant that’s been out since 2014 is the IDEAL IMPLANT. The nice thing about this is it’s an all saline implant, but its structured so that it’s an implant surrounding an implant. And because of the structure it looks and feels like the silicone gel implant. It has a very natural look, very natural feel, doesn’t ripple, but it also has the advantage that if it leaks, because it’s saline, the salt water is absorbed by the body.”

Breast Augmentation Complications: How Implant Types Compare

Breast augmentation is not without potential complications. Additional surgeries may be required to address complications such as rupture, capsular contracture, or cyst removal. According to the FDA, rupture and capsular contracture are two of the top reasons for breast implant revision surgery. The breast implant you choose can give you a statistically higher or lower risk of needing a revision. Knowing statistics on rupture rates and capsular contracture rates can help you plan financially and prepare mentally for the possibility of additional breast surgery.

Unfortunately, many women are not aware of the high rates of complications with silicone gel breast implants. Silicone gel breast implants have a capsular contracture rate of 9.8 – 16.2%, and a rupture rate of 3.4 – 7.4% in 6 – 7 year trials. Ruptured silicone gel breast implants can also lead to other complications. The FDA lists these possible complications as, “a decrease in breast size, change in breast implant shape, hard lumps over the implant or chest area, an uneven appearance of the breasts, pain or tenderness, tingling, swelling, numbness, burning, or changes in sensation.” It is important to get the recommended MRIs every three years to check for a silent rupture before it turns into a larger issue.

The IDEAL IMPLANT Structured Breast Implant has a capsular contracture rate of 6.3% and a rupture rate of 1.8% at 7 years. The lower rates of complication mean you are at a lower risk of lifetime surgeries. Additionally, because the implant is filled with saline there is no need for repeated MRIs to check the status of your breast implant. As Dr. Galumbeck explains with the IDEAL IMPLANT Structured Breast Implant, “women have not only the look and feel, but also the confidence that she doesn’t have to worry about a silicone gel rupture or getting MRIs.”

When you’re considering your breast implant options make sure you get all the facts. Talk with your surgeon, look at before and after pictures, and feel the difference for yourself in your surgeon’s office. Educating yourself, especially when it comes to common complications such as rupture and capsular contracture, will help you make an informed decision. Choose an option that makes you feel beautiful, and leaves you without anxiety for the future.

Breast Augmentation Surgery and Recovery

Many women worry what surgery and recovery will be like after a breast augmentation. Is surgery safe? Will you be out of work for weeks? Dr. Galumbeck answers these common concerns for us:

“The procedure is very safe. It has been done for many, many years. The recovery is quick. During the operation that we perform here at our fully accredited facility, I use an endoscope, which is a specialized TV camera, to look inside. So I keep the incisions smaller, and don’t have to use drains afterwards. We have a hyperbaric oxygen unit that we have patients get in after surgery to help speed the recovery process.”

The surgical process typically includes the following steps:

  • Preoperative Markings: These markings ensure your breast implant is placed properly.
  • IV Anesthesia: A physician anesthesiologist gives intravenous anesthesia.
  • Incision: An incision is used to gain access to breast tissue. There are four choices for incisions – axillary, periareolar, inframammary, and transumbilical.
  • Creation Of The Breast Pocket: A pocket is created to place the implant into. Dr. Galumbeck uses an endoscope to allow for precise dissection.
  • Inserting The Breast Implant: The breast implant is inserted into the pocket.
  • Final Check: Surgeon checks to make sure breasts are symmetrical.
  • Incision Closure: The final step, closing the incision with methods to minimize scarring.

The whole procedure is finished in about an hour, after which you will be taken to a recovery room. After some observation patients are usually sent home the same day. Dr. Galumbeck tells us, “most women are back to work and social activities in a day or two after breast augmentation.”

Dr. Galumbeck uses the newest surgical technology to provide safe and efficient breast augmentations for his patients. His training and experience provide him with the knowledge needed to minimize risks and complications. The result is a natural and beautiful looking breast augmentation.

How to Select a Plastic Surgeon

Finding the right plastic surgeon for your procedure is very important. Dr. Galumbeck shared the following tips and questions to ask when searching for a plastic surgeon:

  • Is the plastic surgeon board-certified in plastic surgery?  
  • How many procedures have they done?  
  • See before and after pictures of that physician’s patients.
  • Feel comfortable with the plastic surgeon.

Board-certification by the American Board of Plastic Surgery is especially important to ensure great results. Surgeons who maintain their board-certification are committed to providing a high standard of care and staying up to date with medical research.  

Before scheduling a consultation you should check out online reviews to see what past patients have to say about the surgeon. Websites like www.realself.com, www.facebook.com, or www.google.com have real patient reviews.

Read reviews like the ones below for Dr. Galumbeck and his staff:

Wonderful Experience!! After having 3 kids, my mommy makeover by Dr. Galumbeck has really helped me feel beautiful again! His staff is AMAZING! Everyone was super friendly, caring, and easy to talk to. I would recommend Dr. Galumbeck to everyone!!

Google.com reviewer Charlotte Reed

Absolutely amazing. My results are phenomenal!!! I couldn’t be happier with my decision. You don’t realize how much of a positive change you can make until you take a leap of faith. Dr. Galumbeck and his staff were professional, made me feel at home and 6 months post surgery they still make me feel like a part of their family. 100% recommend and would do it all over again!! Thank you guys.”

Facebook.com reviewer Stefani Skiest

Dr. Galumbeck and his staff were outstanding. I never ever felt rushed or pushed to make a decision. He offers the Ideal implant which after researching for years on implants, I felt this was the best for me. He was personable and easy to talk to. He didn’t even mind the kiddos (sitter bailed) on procedure day! He let my husband watch the kiddos in a side room just so it was more convenient for us all. I would do this over in a heartbeat! His procedure is fantastic! No muscles cut or torn and no need for drainage tubes! He changed my life!!!!

Realself.com reviewer Stski

Finding a skilled and experienced board-certified plastic surgeon is the first step toward a new you. If you’re in Virginia Beach call Dr. Galumbeck to set up your complimentary breast augmentation consultation. Dr. Galumbeck was trained at Case Western Reserve University and Eastern Virginia Medical School. He also received advanced body contour training in Paris. In addition to his plastic surgery practice, Dr. Galumbeck founded and serves as the medical director of Spa Phoenix, the area’s first doctor directed medispa. Dr. Galumbeck prides himself on providing safe and efficient cosmetic procedures that get his patients the results they want.

Considering breast implants in Virginia Beach? Contact Dr. Matthew Galumbeck today to discuss your options. Simply call (757) 491-3204, or visit www.galumbeckplasticsurgery.com. Dr. Galumbeck’s office is located at 1817 Republic Rd Virginia Beach, Virginia 23454 US. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

The Advantages of the IDEAL IMPLANT: Dr. Adam Hamawy Discusses Structured Implants

Do you want a breast implant that allows you to achieve a natural look and feel, similar to a silicone gel implant, but also comes with peace of mind of a saline implant? The IDEAL IMPLANT® Structured Breast Implant is a new, innovative choice available to women seeking the advantages, without the drawbacks, of those traditional types of breast implants. In a recent interview, board-certified plastic surgeon Dr. Adam Hamawy of Princeton, NJ, talked about this unique option.

What do you discuss with women that are considering a breast augmentation?

“I spend a lot of time with my patients. If someone’s coming in for a breast augmentation, they’re here for at least an hour. For the first part of it, we are just talking, seeing what you’re trying to achieve, where you’re at, what’s bothering you. But the next part is the education. I always like to talk about five decisions you need to make with the breast augmentation. We need to decide, is it just a breast implant that we’re looking after or do we also need to do a lift. We also talk about where we are going to put the incision, where we are going to put the implants, what size of implant, and what type of implant.

“Those are five things everyone has to decide, and in order to decide them properly, you need to be educated even if you think you’ve done all your online research. There are so many different things out there. Even if the patient has seen other surgeons, I like to cover everything to make sure we are complete. Once you have all that information, the pros and cons of each one of them, then you can make a proper decision.

“I always tell everybody, ‘You have a lot of tools, and you have to be able to use all these tools to get the best results.’ It’s usually not just one surgery or one technique or one device that will get you to your goals. And by being a plastic surgeon, I have access to all of these and can do a surgical procedure. I have access to different breast implants. We could do fat grafting in addition to implants. If we’re doing breasts, same thing with devices. I don’t have one device that does everything. That’s why I love being a plastic surgeon. We get to talk and tailor results, really tailor them, to what you actually need for your body and your goals.”

How do you help your patients decide on the type and size of breast implant that will be best for them?

“I have a silicone gel implant, I have a saline implant, and then I have the IDEAL IMPLANT. I give them those in each hand, and then say, ‘Feel this.’ Feeling it in your hands is one thing, having it behind your skin and your tissues is a completely different thing. So I apply something over them and say, ‘This is what it is going to feel like in your body.’

“As part of every visit, there is an examination. During the exam, I’m looking at a few things. I’m looking at dimensions, how wide the chest is, how wide each breast is. I’m looking at asymmetry. Everyone’s asymmetric, but some are more asymmetric than others. So if it is within physiological limits, where you can’t really tell unless you look closely, then we’re talking about putting the same size implants in.

“Also, we’re looking at how much skin and breast tissue we already have that you could cover an implant. So someone who is very thin with very little breast tissue, that will factor into our decisions like whether we are going to go over or under the muscle and what kind of implant we are going to place. We’re looking at your actual muscle there, that pectoral muscle. Some people are doing these really hard workouts in the gym, and we’re going to start considering going above the muscle rather than below. These are all individual things that we have to take into account when we are deciding what kind of implant to place and where to place it.

Some patients will choose one or the other based on how they feel. But if I give them all that information, then together we can make a decision, rather than me telling them, ‘This is what I want to do for you.’ We are making that decision together.”

What do you tell your patients about the IDEAL IMPLANT?

“I’ve been working with the IDEAL IMPLANT maybe two or three years. I came across it at a plastic surgery meeting, and they were talking about a better saline implant. Initially I said, ‘Well, who needs another saline implant when everyone’s going with silicone gel.’ But when you place them side-by-side, it’s definitely an option that fills in a gap.

“I tell everyone who’s coming in, if they’re worried about breast implants, ‘This is the most studied device that the FDA has ever looked at, more than anything else.’ But there’s still a certain sense of security when telling someone that we’re going to put in a saline implant that’s going to feel almost as good as the silicone gel, and also give the security of being able to know if it’s ruptured right away. So the IDEAL IMPLANT fills in that gap for people who are still worried about silicone gel, want a natural result, and don’t want the rippling that comes with a traditional saline implant. I tend to find that although most people are happy with traditional saline implants, it does have some issues with rippling and a little bit less natural look in some patients. I haven’t found that to be at all a problem with the IDEAL IMPLANT.

“Plus, the safety record that the IDEAL IMPLANT has so far has been excellent from what I’ve seen personally, as well as in the plastic surgery community.”

What is your advice to women after they receive a breast augmentation?

“Follow your recovery instructions, and follow up with your surgeon. Don’t disappear. Your body heals and changes over time, so I usually like to see people one week later, one month later, and three months later. Then an annual check up with your regular physician, as well as your plastic surgeon, is important as well. You should be doing your self-breast exams. You should be doing mammograms if you’ve reached that age where it’s recommended. You should be taking care of your breasts just like you would if you didn’t have implants.”

What are the potential complications women should be aware of following a breast augmentation?

“The most common complication we see with breast implants is mal-position; this is when one’s a little bit higher or a little bit lower than the other side, something called capsular contracture. Capsular contracture is basically a capsular around a breast, scar tissue that forms around the implant. Just like you can have a scar on the outside, you’re going to have a scar on the inside, and most of the time this is not something that you can see or feel. Everyone has that. But just like some people have poor scars on the outside, you can have a poor capsular on the inside, and that’s when there could be a problem. That’s when it could be a little bit tight, it could be a little bit painful, and it could often move the implant from where it’s at. So, if we notice that two or three months later, that the implant has shifted or there’s a tightness that shouldn’t be there versus the other side, that’s something that can often be fixed, either in the office or in the operating room. We remove the capsule and things are made normal again.”

What should women know about the possibility of implant rupture?

“If an implant ruptures, then we need to change that. One good thing about the IDEAL IMPLANT is that if it’s ruptured, you know right away. You’ll look like you have a deflated implant, a flat tire on one side. It’s filled with saline, and your body will absorb that. You go to your doctor, and he’ll schedule to have that removed.

“With silicone gel implants, it’s a little bit different. They can rupture, but it doesn’t go everywhere, it doesn’t go anywhere at all. What it tends to do is stay in that space. It might cause that capsule we were talking about to form a little bit harder, so it might feel a little bit different, it might look a little bit different, or might be a little bit painful. There’s nothing specific in that case. You actually have to get either an MRI or an ultrasound to confirm that there’s a rupture there.

“The newer silicone gel implants are a lot better than the earlier generation. So right now, if I have a ruptured silicone gel implant, it’s easy to take out. You go in there and pull it out, and there is very little residue that’s left over depending on how old it is. If you have a silicone gel implant that’s over ten years old, it’s a little bit more difficult, especially with the older generations. It could take sometimes hours to get all that leaked silicone gel out.

“Really the issue comes down to detection. Is it ruptured or not? You could have a fall or an accident, something feels different, and there’s a lot of worry that goes with that. Is it ruptured or not? And having a saline implant eliminates that. There’s really no question. I get women who say they have a saline implant, and they come in and say they are worried that it’s ruptured. I just look at it and I can tell them yes it is or it’s not. I don’t need anything more than that. With silicone gel implants, it does take more than that.”

What characteristics should women look for in a plastic surgeon?

“You want someone that is going to give you options, not someone that’s telling you, ‘This is what you have to do and that’s all I do, all the time. I just do silicone gel implants. Or I just do implants that go under the arm.’ If someone does just one thing, then they’re probably not tailoring it toward you. So one consideration is to see how many options they are giving you.

“Two, see how much you are being involved in the conversation. Are they actually sitting down with you, talking to you, giving you different choices and educating you so that you are coming to a decision together?

“And, three, I encourage people to shop around. I don’t think you need to see a million doctors, but I think maybe two or three. It gives you a sense of perspective and even if you like your first doctor more than anybody else. When you go to someone else, it’ll secure your decision and you’ll know, ‘I like that person, and now I know why.’ When people come and tell me I’m going to see a few more other people or I’m seeing someone else, I encourage that. It makes me secure that you’re a little bit more educated, that you know what’s out there, and what you are getting.

“So, go look around. Find a plastic surgeon that is board-certified. Find someone who offers the IDEAL IMPLANT, even though you might not want one. For example, if you wanted the silicone gel implant and you know you don’t want the IDEAL IMPLANT, well maybe it’s at least worth a feel. If they are giving you the choice, even if you don’t choose it, that’s a good thing. Look for choices, and make sure you are looking around at other doctors. Make sure you are comfortable. This is someone that you’re not just going to be seeing at the surgery, but afterwards. You want that relationship, that bond, to be there. That’s very important as well.”

Considering breast implants in Princeton? Contact Dr. Adam Hamawy today to discuss your options. Simply call 609-301-0760 or visit www.drhamawy.com. Dr. Hamawy’s office is located at 106 Stanhope Street, Princeton, NJ 08540. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

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 www.doctorsophie.com. 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.

An Interview With Dr. Scott Greenberg: Questions for Your Plastic Surgeon and the IDEAL IMPLANT

Dr. Scott Greenberg is a board certified plastic surgeon in Winter Park, Florida who has over 25 years of experience in cosmetic surgery. Former patients of Dr. Greenberg appreciate his attentiveness, his professionalism, and his dedication to meeting their individual goals. We recently sat down with Dr. Greenberg and discussed his practice, breast augmentation, and IDEAL IMPLANT® Structured Breast Implants.

Tell us a little about your background and experience.

“I’ve been in practice here for close to 20 years and I practiced in New Orleans for 10 years prior to coming to Winter Park. My training is initially in general surgery. I completed a plastic surgery residency in Norfolk, Virginia, and then I did a fellowship after that in pediatric plastic surgery and maxillofacial surgery at the Akron Children’s Hospital in Akron, Ohio.”

What percentage of your practice focuses on breast surgery?

“About 75% of my practice is breast surgery and that runs the gamut from augmentation to reduction to breast lifts, etc. We perform a lot of implant exchanges and removal and replacements as well. We see patients who want a lot of “bodywork” done, including massive weight loss patients and body lifts.”

What other procedures do you specialize in?

“We offer all the cosmetic medicine treatments including injectables, Botox, fillers, as well as having extensive laser treatments and surgery. Our practice is really able to offer everything from A to Z. When a patient comes in and requests a consultation for a particular problem, we have all the tools here that we need to to correct that.”

Why should patients who are seeking breast surgery come to your office?

“I have many years of experience in breast surgery and I’m able to perform procedures in an accredited in-office facility. In fact, nearly 100% of our surgical procedures are done in the office. We can also accommodate patients who need to stay overnight if the particular situation demands that, too. Most patients really appreciate that convenience. Our staff is dedicated and well trained. We do a lot of the same procedures day-in and day-out, so we are very efficient and skilled at it. If a post-surgery complication arises, we can reduce the cost of additional surgery because everything can be taken care of in our facility. If this were not the case, patients would have to go to a special surgery center or a hospital and incur significant additional expenses.”

How do you help your patients decide on the right type and size of breast implant for their body?

“Unlike other surgeons, I don’t have my patients try on different implants in their bra or take a lot of measurements. In my experience, these methods are not effective. Just because two women measure the same, they may not want to look the same. So, I usually draw them a series of drawings to show how we can control not only breast size, but breast shape with successively increasing sizes of round implants. Our patients can bring in photographs of breasts they like and breasts they don’t like, but we recommend that they go to our website where they can look at photos of patients who have had breast augmentation. We have pictures taken from the front and the sides. I ask my patients to especially look at the side views. It’s been my experience that if we can get the upper pole of the breasts the way a patient wants in terms of the amount of fullness, then they will be happy.

“We go over those photographs at the preoperative consultation which is two weeks prior to surgery. Then we go over them again immediately before we walk into the operating room and that gives me a clear idea of exactly what they want. I tell my patients not to get caught up in letters or numbers when it comes to the cup size they want. Most patients leave the implant selection up to me to get to their individual goal. Women are not going to care about what the size of the implant is as long as they walk out of the shower, look in the mirror, and are happy with how they look. That’s worked very well for me for the last 20 years.”

What has been your experience in managing silicone gel implant rupture in patients?

“Since I have been in practice for close to 30 years, I have had a lot of experience dealing with the pre-1992 implants. These were made with thinner shells and runnier gel and that was a big mess. With the more recent silicone gel implants, the damage of the ruptures tends to not be quite as extensive because the gel is more cohesive. When a patient decides on a silicone gel implant, I let them know there are some risks. Silent rupture is much less likely with the newer generation gel implants than the previous one, but it does happen. I want my patients to be comfortable with the implant choice they make. There is a risk of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) with textured implants, so we don’t offer those any longer.”

What are some questions patients should ask or some things they need to know before choosing a plastic surgeon?

“A patient needs to know that their surgeon is going to stand behind them and be available to them no matter what. A good plastic surgeon will take their time with you and not rush you through your initial appointment. If you go to a surgeon who gives you five minutes during a consultation when they’re trying to solicit your business, how much time do you think you’re going to get when you have a complication?

“Patients should absolutely make sure their surgeon is board-certified, so they can feel confident knowing their doctor has the experience, knowledge, and judgment to help them meet their goals. All board certified plastic surgeons are members of the American Society for Plastic Surgeons, but you should also look for a board certified plastic surgeon that is a member of the Aesthetic Society. That indicates a particular expertise and interest in cosmetic surgery. A board-certified plastic surgeon may just do hand surgery and may not do breast augmentation all that often. Patients should also find out where a particular surgeon operates. I think that my patients feel much more comfortable actually being in an office surgical facility because by the time they come in on the day of surgery, it’s the third time they’ve been here. They come for the initial consultation, they come for a preoperative consultation two weeks prior to surgery, and then they come for the day of surgery. So their surgery is taking place in a familiar room with familiar faces and it’s much less anxiety provoking.

“For women who are wanting breast augmentation in particular, you have to ask your surgeon about their experience with breast surgery. You should ask questions like:

  • How many breast surgeries have you done?
  • How many breast surgeries do you perform in a month?
  • What is your experience with complications?
  • How are complications handled?
  • Who is expected to pay for complications?  

“One of the most important things a patient should also think about is how they feel they’ve been treated by the office. If they call the office and they speak to someone who’s affable, who can give them information, who’s interested in not just soliciting their business but giving them an educational experience, I think that speaks well for the whole process. Last, most all plastic surgeons now have websites and personally I would look for a website that is more of an educational site than a promotional site, because I feel strongly that that’s what it should be.”

What percentage of women that you see are choosing IDEAL IMPLANT® Structured Breast Implants?

“We’ve really just started using the IDEAL IMPLANT in the last month or two. I’ve done just a couple of cases, so it’s obviously a smaller percentage of my practice now. The IDEAL IMPLANT is great for that woman that still has some concerns about the safety of silicone gel. For that woman who has had multiple operations with multiple different types of implants this may be a great option for her. In my experience, if a woman wants the safety of saline without the risk of silent rupture, but she doesn’t like how a traditional saline implant feels, then she is an ideal candidate for the IDEAL IMPLANT.”

Why have you decided to include IDEAL IMPLANT in your practice?

“I want to be able to offer my patients all the best options that are out there. It’s important for patients to be well educated about their choices, so they can work together with their surgeon to pick the implant that works best for them. When a patient holds these implants they can figure out if the IDEAL IMPLANT is best for their particular situation and comfort level. The IDEAL IMPLANT feels really close to what a silicone gel implant feels like, with the safety profile of saline.”

Considering breast implants in Orlando, FL? Contact Dr. Scott Greenberg today to discuss your options. Simply call 407-499-8154 or visit www.scottgreenbergmd.com. Dr. Greenberg’s office is located at 1925 Mizell Avenue, Suite 303, Winter Park, FL 32792 . Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Breast Implant Surgery: Finding the Ideal Implants for You

Picking the Ideal Implants For You

Before making an appointment with your plastic surgeon to discuss a breast augmentation, educate yourself on the three different types of implants, risks, complications, and what to expect during surgery. Picking breast implants is a decision that will have a lasting impact on your lifestyle and your confidence. Thoroughly researching breast implants before you see a surgeon will allow you to ask the right questions and make informed decisions which will lead to a better outcome physically, mentally, and emotionally. Visiting our Breast Implant Education Center is a great step to getting your breast implant surgery questions answered.

A Brief History of Breast Implants

Like many devices in the history of medicine, the road to developing the ideal implants for women has been rocky. Before modern-day implants, doctors were injecting women with a variety of materials including goat’s milk, ground rubber, and silk fabric. According to researchers Walter Peters and Victor Fornasier, paraffin injections and liquid silicone injections have been among the most popular choices from the 1890s up until modern implants began to be used in the 1960s. However, they caused many issues in unsuspecting patients ranging from painful lumps to death. Injections often traveled to other parts of the body such as the abdomen or armpits. One of the important facts to note in this history is the lack of regulation before the 1970s. In the US, Congress passed the Medical Device Amendment in 1976 which opened the door for regulators to ensure devices such as breast implants were tested and approved for safety before being placed on the market. To learn more about this history of breast implants read our post on the subject.

The Three Types of Modern Breast Implants

The breast implants you will encounter at your board-certified surgeon’s office are no longer injectables or hazardous substances but properly tested medical grade devices. Here is a brief overview of the three types of breast implants you should consider before your breast implant surgery.

  • Silicone Gel: the FDA approved silicone gel implants in 2006 after a lengthy testing and approval process. Silicone gel filled implants are comprised of a silicone shell filled with silicone gel. The gel inside is thick, sometimes giving these implants the nickname “gummy-bear” implants. Many women love the look and feel of these implants, and they have enjoyed popularity. However, a recent survey found that women do have concerns about the possibility of the implant rupturing without their knowledge, known as a “silent rupture.”  While the silicone gel implant is safe when intact, the FDA does recommend removing a ruptured silicone gel implant including the shell and any leaked silicone, so it does not become misshapen, cause discomfort, or migrate. However, the only way to detect a silent rupture is with an MRI, which is why the FDA also recommends women with silicone gel implants get an MRI at three years post-op, then every two years for the life of the implant.
  • Saline: saline breast implants have a silicone shell filled with sterilized salt water (saline).  These implants were the only implants approved by the FDA between 1992 and 2006. Women enjoy the peace of mind that comes with saline breast implants because the body naturally absorbs saline in the case of a rupture. There is no need for repeated MRIs as a rupture will be immediately evident, and nothing will migrate and need to be removed like silicone gel. However, because saline is less dense than breast tissue, these implants tend to look and feel unnatural and can cause ripples under the skin.
  • The IDEAL IMPLANT® Structured Breast Implant: the FDA approved the new technology found in the IDEAL IMPLANT after years of research, testing, and clinical trials. It was developed by a plastic surgeon to address the compromises women feel they have to make when choosing between saline implants and silicone gel implants for their breast implant surgery. The IDEAL IMPLANT is a saline filled implant with an outer silicone shell and a baffle structure inside that controls the flow of saline. The result is an implant that has structure and stability, fewer ripples, a natural look, a natural feel and peace of mind.

What Complications and Risks Should You Know About?

According to the FDA, the most common complications with breast augmentations are implant rupture, capsular contracture, reoperation, and removal. Reoperation and removal can occur due to a variety of reasons such as rupture or dissatisfaction with results. Removal may or may not be followed by replacement. It is important to note that breast augmentation is surgery and comes with the same risks and complications that occur with any other surgery. Your doctor can further explain risks and complications you should be aware of, including infection and problems with anesthesia. Different implant types and brands have their own statistics on the rate and risk of reoperation, removal, rupture, and capsular contracture. Choosing an implant with statistically lower risks means a decreased chance of complications that can lead to discomfort and removal. Read below for more information about implant rupture and capsular contracture, including important statistics.

Implant Rupture

An implant rupture is when the outer shell of an implant tears. With saline implants, this causes deflation as the saline flows out and is naturally absorbed by surrounding tissue. A rupture in a saline implant is immediately detectable because of total deflation. With the IDEAL IMPLANT® Structured Breast Implant, a rupture is still easily detectable, but the structured layers and two lumens inside mean the deflation will not be total. In silicone gel filled implants, the silicone gel may stay close to the tear or stick to the surrounding tissues. To remove ruptured implants the surgeon must remove the shell, and in the case of silicone gel implants, the surgeon must also remove any silicone gel stuck to the tissues. Removal surgery for silicone gel implants that have ruptured or had capsular contracture may include a capsulectomy, where the surgeon removes the thickened scar tissue surrounding the breast implant. To confirm a tear or hole in a silicone gel filled implant, your doctor will order an MRI. Some women with silicone gel implants may have had a tear or hole for several years without knowing it, which is why the FDA recommends regular MRIs for these women. The FDA recommends removal of all types of implants that have torn, even if the implant is not causing symptoms. See the table below for the rupture risk of some of the top silicone gel brands and the IDEAL IMPLANT® Structured Breast Implant.

Brand Name Rupture Risk for Primary Augmentation*
 

Allergan gel

Mentor gel

Sientra gel

IDEAL IMPLANT

 

7.4%

3.4%

5.4%

1.8%

*FDA Core clinical trial results for primary augmentation; 7-year for IDEAL IMPLANT and Allergan; 6-year for Mentor and Sientra since 7-year results not published.

Capsular Contracture

According to the FDA, capsular contracture is “the hardening of the breast area around the implant. It can occur in the tissue surrounding one or both implants. This hardening causes the tissue to tighten, which can be painful.” Capsular contracture can happen any time after your breast implant surgery. In many cases, your doctor will recommend removal and replacement. See the table below for the capsular contracture risk of some of the top silicone gel brands and the IDEAL IMPLANT® Structured Breast Implant.

Brand Name Capsular Contracture Risk for Primary Augmentation*
  

Allergan gel

Mentor gel

Sientra gel

IDEAL IMPLANT

 

16.2%

9.8%

10.0%

6.3%

*FDA Core clinical trial results for primary augmentation; 7-year for IDEAL IMPLANT and Allergan; 6-year for Mentor and Sientra since 7-year results not published.

To read more about implant types and common complications visit this post.

What Will Breast Implant Surgery Entail?

Before your surgery, gather information on what to expect before, during, and after the procedure. Knowing what will happen to your body will allow you to prepare mentally, physically, and emotionally, leading to a better outcome.

Before Surgery

Before your surgery, you will meet with a surgeon and choose the ideal implants for your body, desired results, and lifestyle. If you desire a natural look and natural feel, your doctor will most likely recommend the IDEAL IMPLANT® Structured Breast Implant, or a silicone gel filled implant. If you are concerned about the cost or hassle of repeated MRIs, or you feel uncomfortable with silicone gel, make sure your doctor offers the IDEAL IMPLANT so you can choose a saline-filled implant with a natural look and natural feel. Your surgeon should talk you through the procedure and answer any questions you have. If your surgeon ever makes you feel uncomfortable or refuses to answer important questions, consider looking for a new surgeon. For more information on finding the right surgeon read our post here.  

During Surgery

Breast implant surgery typically takes a few hours and, as long as there are no complications, you should be able to go home the same day. During the operation, you will be put under general anesthesia or IV sedation. Your surgeon will make one of the following incisions to place the breast implant:

  • Inframammary – under the breast fold
  • Transaxillary – under the arm
  • Periareolar – around the nipple

Silicone gel filled implants are pre-filled to a predetermined size. Saline implants are placed and then filled by the surgeon with the desired amount of saline. Because they are not pre-filled, the IDEAL IMPLANT, can fit through a smaller incision site. Your surgeon will place the implants either below the chest wall muscles (submuscular) or above them (subglandular). Your surgeon will then close the incision with tape, stitches, or glue.

Post-Op

Breast implant surgery typically does not require an overnight stay at the surgery center or hospital. Be sure you have a friend or family member available to bring you home, which should be an hour or so after surgery. Your breasts will be wrapped with gauze and a bandage or support bra. It is important to follow all your surgeon’s post-op instructions for the best possible outcome. Wear your support bra and rest for as long as your surgeon recommends, take any medication prescribed, and be aware of the signs of infection. Call your doctor immediately if you have any concerns, or visit the ER if you believe it is an emergency. After the first week, the worst of the pain should be gone, but swelling and soreness will remain for a few weeks. Following your surgeon’s instructions for limiting activities, exercising, and follow-up visits will ensure you end up with the ideal implants for years to come.

To learn more about what to expect from a breast augmentation visit this page.

How to Choose a Doctor

How do you know you’re choosing an experienced, compassionate surgeon who will help you through this process? Asking the right questions during your initial consultation will help you determine if a plastic surgeon is the right one for you. Your breast augmentation is a decision that will affect you physically, emotionally, and mentally for many years to come. Make sure you have a surgeon who listens to and responds to your questions and concerns. Keep in mind the following when interviewing a plastic surgeon.

For a checklist of questions, you should ask your surgeon, print this FDA Checklist.  

To find a board-certified surgeon in your area, visit the IDEAL IMPLANT plastic surgeon finder.

How Much Does Breast Implant Surgery Cost?

Breast implants vary based on the office you choose, the implant you choose, and your location. Because it is a cosmetic procedure insurance companies typically do not cover the surgery or any complications that may arise as a result of the operation. Despite this, many women feel like it is the best money they have spent because of the increased self-esteem they have. When calculating your costs don’t forget to add the following:

  • MRIs: if you choose a silicone gel implant the FDA recommends an MRI every two years to check for a “silent rupture”. Most insurance companies do not cover this procedure.
  • Rupture Risk, Capsular Contracture Risk: all breast implants are at risk of a rupture or causing capsular contracture, but some have a higher risk than others. Look at the statistics when choosing breast implants to make an educated decision. Don’t let your surgeon push you toward a specific implant if the risk factors make you concerned. Make sure you have money put aside in case you need a reoperation.

Your Life Beyond Breast Implant Surgery

Breast implants can give you more confidence and self-esteem, but getting them shouldn’t be a spur of the moment decision. When you educate yourself about the options, the risks, and what to expect you will be able to enjoy your new body for years to come. It all starts with picking the ideal implants for you. For more information about breast implants visit IDEAL IMPLANT today.

How do I Choose Between the Plastic Surgeons Near Me?

Decisions, decisions. Life is full of options and opinions. Often we ask our friends and family for opinions before making big decisions, but can end up even more confused than before. When researching plastic surgeons near me, who can you ask?  And what to ask? Who knows about silicone gel implants, “gummy bear” implants, saline implants, or the new IDEAL IMPLANT® Structured Breast Implants? Continue reading for tips on how to figure out what is right for you-especially when it comes to plastic surgery.

Plastic Surgeons Near Me

As you search plastic surgeons near you it’s important to consider the following:

  • Do they take the time to explain potential concerns?
  • Do they answer all of my questions?
  • Are they board certified?
  • Do they have extensive experience?

If you can answer “yes” to all of the above questions, then you should feel confident. The next step is to schedule a consultation with them to discuss your options. See how they make you feel and if you can be open with them about your concerns.

IDEAL IMPLANT® Structured Breast Implants

Once you decide between the plastic surgeons near you, proceed to what type of breast implant do you want. The silicone gel implant, or “gummy bear” implants is one option. The latest in implant technology, however, is the IDEAL IMPLANT. It is structured in a way so that it feels natural but also poses no risk of harm to the body in case of rupture. WIth IDEAL IMPLANTS, women have a greater sense of security knowing they will instantly know if their implant ruptures by looking at their breast, without the need for an MRI scan as with silicone gel implants..

About Dr. James Pietraszek

Dr. Pietraszek was provided with a wonderful role model in his dad as to how to treat a patient with care and respect. He decided to pursue plastic surgery and trained and learned from many of the leaders in the field. Since he moved to San Diego, he has been in private practice. Dr. Pietraszek will be able to tell you about all your options, from “gummy bear” implants to the IDEAL IMPLANTS which he now offers. He says, “It gives me great satisfaction to know that when I improve a patient’s’ appearance, I enhance their self-image and their self-esteem, which will allow them to more fully realize their true potential.”

Considering breast enhancement in San Diego or researching “plastic surgeons near me”?  Contact Dr. Piestraszek today to discuss your options. Simply call 858-450-3377 or visit www.plasticsurgerylajolla.com. Dr. Piestraszek’s office is located at 8929 University Center Lane, Suite 102, San Diego, CA 92122. Call today for more information on IDEAL IMPLANT ® Structured Breast Implants.