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Seeking a Breast Enhancement in Richmond, VA? Dr. Blanchet Offers the IDEAL IMPLANT

A new type of breast implant is now available that offers all the benefits, without the drawbacks, of both silicone gel and saline implants. Women are no longer forced to choose between the natural feel of silicone gel, and the peace of mind that comes with saline. The new, innovative IDEAL IMPLANT® Structured Breast Implants combine the realistic look women want with the security they deserve.

A Richmond Breast Enhancement with Dr. Nadia Blanchet

The IDEAL IMPLANT is only offered by plastic surgeons who are board-certified, or eligible for certification by the American Board of Plastic Surgery. Dr. Nadia Blanchet is part of this exclusive network, and strives to provide the latest in implant technology to her patients. The unique design of the IDEAL IMPLANT makes it different than any other. It is comprised of a series of implant shells nested together that hold two separate chambers filled with saline. This advanced internal structure:

  • Reduces wrinkling and rippling commonly associated with saline implants
  • Supports the implant when upright to prevent collapse
  • Controls the movement of the saline filler to mitigate sloshing
  • Provides a youthful shape with desired projection and volume
  • Allows the implant to conform to the natural curve of a woman’s chest
  • Requires a smaller incision than with silicone gel implants
  • Lets a plastic surgeon adjust the volume of the implant to create tailored results
  • Carries no risk of “silent rupture”

What is a “Silent Rupture?”

When a saline implant ruptures, the implant deflates and the sterile saltwater solution is harmlessly absorbed by a woman’s body. This is not the case with a silicone gel implant. When a silicone gel implant ruptures, it can go undetected by a woman and begin to leak sticky silicone gel into her surrounding tissues. An extensive surgery is required to remove the trapped silicone gel and ruptured implant. It is referred to as a “silent rupture” because only an MRI scan can detect it. This is why the FDA recommends all women with silicone gel implants receive an MRI every two years. With the IDEAL IMPLANT, there is no chance of “silent rupture.” Women always know their implants are intact by simply looking in the mirror. Dr. Blanchet especially appreciates this feature of the IDEAL IMPLANT for those receiving a breast enhancement in Richmond, VA. She says:

“I have used the IDEAL IMPLANT for several years now. I was the first plastic surgeon to use them in the Richmond area. I definitely prefer them for my breast augmentation patients. The FDA re-released silicone implants on condition that these patients have an MRI to check the integrity of these implants every few years. This is because we do not know the long-term health effects of rupture in our latest generation of silicone implants. Insurance does not cover MRI’s in cosmetic breast augmentation the way it does for breast cancer reconstruction so we have no way to monitor for rupture other than mammogram and ultrasound which are not precise for this diagnosis. Unfortunately, this left cosmetic breast augmentation patients with the poor choice of safety versus natural feel until the advent of the IDEAL IMPLANT which offers both!”

Facts About the IDEAL IMPLANT

As a Richmond breast enhancement option, the IDEAL IMPLANT was approved by the FDA and Health Canada in 2014 based upon the results of a multi-center trial of 502 women, and information provided in volumes of safety, manufacturing, and clinical data. It underwent ten years of development, refinement, and testing to become the first of its kind. The IDEAL IMPLANT is made from proven breast implant materials, and manufactured in the USA at a FDA-inspected facility using advanced robotics to ensure high quality standards and greater product consistency. Furthermore, FDA trial data concluded the IDEAL IMPLANT to have a lower rupture rate than silicone gel implants.

Considering a Breast Enhancement in Richmond, VA?

Dr. Blanchet wants to help women feel and look their best. She is committed to providing the best Richmond breast enhancement experience possible. She was recently voted “Richmond’s Best Plastic Surgeon for Both Cosmetic and Reconstructive Surgery” by Richmond Magazine. In 2017, Our Health Magazine gave her the “Best Bedside Manner Award” and Virginia Living Magazine voted her as one of the best cosmetic surgeons in Central Virginia. A patient review on Realself by mb90 states:

“Nadia is such a wonderful woman inside and out! She is genuinely there to help you feel comfortable and achieve your best look. As a woman, I felt entirely more secure and in great hands with Dr. Blanchet. Her bedside manner was more than professional and time spent with me was invaluable. I knew she specialized in reconstructive surgery and that made me feel like I was in even better care. The pictures I chose before my surgery looks exactly how I pictured my breasts to be. We went with a more natural look, which is what she normally does, and I couldn’t tell you how happy I am about my results. I saw two different doctors in the Richmond area before meeting with Nadia and I have to say I would not recommend anyone other than her. She’s simply the greatest and has a heart of gold.”

Are you considering a breast enhancement in Richmond, VA? Contact Dr. Nadia Blanchet today to discuss your options. Simply call 804-320-8545, or visit nadiablanchetmd.com. Dr. Blanchet’s office is located at 9210 Forest Hill Avenue, Ste B-1, Richmond, VA 23235. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Are Silicone Breast Implants Safe?

Dr. Sophie Bartsich is one of the top plastic surgeons in New York City. Her award-winning research is focused on cosmetic breast surgery and is dedicated to the development of better breast implants. Her recently published article, “Déjà Vu: Silicone Breast Implants Have A Complicated History, But Are They Safe Now?” explores the questions surrounding silicone implants through the eyes of her experience not only as a physician, but as a woman.

Dr. Bartsich refers to the recent findings of the The University of Texas MD Anderson Cancer Center’s Plastic Surgery Department, which conducted the most extensive study ever among women who have silicone breast implants. The purpose of the study was to judge the relationship between silicone and certain autoimmune disorders, as well as other chronic illnesses. By surveying women with the implants, the hope was to find out if they were more likely to develop these illnesses than women without silicone in their breasts. While the study’s results were slightly uncertain due to inherent weaknesses, the findings strongly indicated that the illnesses were in fact related to breast implants filled with silicone gel.

A Difficult Background

From the early 1960s to the 1990s, most breast augmentations were done using silicone gel implants. The soft contour and natural feel made them the easy, popular choice over saline implants. However, rising concerns about the effects of implant leakage and reports of silicone causing various illnesses led to the removal of silicone implants from the market until 2006. During this time, saline was the filler of choice for most breast augmentation patients. But, when silicone gel was finally reintroduced to plastic surgery consumers, women embraced it because the implants were safer and better than ever. Today, it is still a favorite option as the “gummy revolution” has further improved the safety of silicone implants.

A Surgeon’s Experience With Silicone Gel

Dr. Bartsich underwent her surgical training at some of Manhattan’s most prestigious academic institutions. She performed many cosmetic and reconstructive breast augmentations using different types of implants. During those years, there was just one design for saline implants – which basically made them feel and act like a water balloon. When it came to instruction about the safety of silicone gel implants, she recalls,

“We were taught that these implants should be periodically monitored for rupture, since a ruptured silicone implant often looks and feels no different than one that is intact. But there was not much concern for general wellness in these patients.”

The vast majority of breast augmentation patients were willing to deal with the bother of routine monitoring if it meant they could have a better looking implant. Dr. Bartsich describes her patients as “very aware and motivated women, highly active and pressed for time.” When consulting with patients interested in silicone gel implants, she explained the risk of silent rupture and the necessity of MRIs. When the question came up about how often the implants would need to be replaced, Dr. Bartsich admits there was no easy answer. Most of her patients still ended up choosing silicone gel implants over saline implants.

Gaining Deeper Perspective

Performing many different types of implant revision surgeries over the course of several years has given Dr. Bartsich a fresh perspective on the effects of silicone gel on the body. Witnessing first hand what happens to implants anywhere from 5-46 years old has allowed her to advise her breast augmentation patients wisely. She has even performed surgery on patients whose MRI results indicated their implants were obviously ruptured, when in reality they were perfectly intact. She says,

“I no longer tell patients, “If they’re not bothering you, leave them alone,” as I had been taught. And I no longer expect that the MRI has the answer; I trust my exam and clinical judgment… I treat the patient, not the problem.”

Are Silicone Implants Safe or Not?

Like other plastic surgeons, Dr. Bartsich is often asked about the safety of silicone breast implants. It’s a question she has spent time researching and talking about with her patients. Some women report vague symptoms of unwellness when they have silicone gel in their body after an implant breaks. Others say they “just felt better” after they had their silicone implants removed. It’s hard to ignore the recurring testimonials of women with silicone gel implants who have felt a negative change in their health. Dr. Bartsich says, “One would argue that where there’s smoke, there’s fire, but we still don’t have definitive proof of what the problem might be nor how deep it runs.”

Beauty Without Compromise

With the sticky history of silicone gel implants, it’s easy to see why women would be torn when trying to choose between the peace of mind offered by saline breast implants and the beauty of silicone implants. Dr. Bartsich has had the internal debate herself, “I always imagined that if there were a saline implant that looked and felt comparable to silicone, it would be very welcome in our community. The Ideal Implant, with a structured multi-chamber design, saline fill, and perky contour, provides that low-maintenance possibility.”

IDEAL IMPLANT® Structured Breast Implants are for women who want beautiful, natural-feeling augmented breasts without having to worry about keeping up with MRIs and the potential risks that come with silicone gel leakage. Many of Dr. Bartsich’s breast augmentation patients choose the IDEAL IMPLANT for those very reasons. She believes in educating her patients on all of their options for breast implants so they can make the decisions that best suit their needs.

We’ve Come So Far, But Questions Remain

The current market for breast implants has a wide variety of options. Silicone gel implants and saline implants have both come a long way in terms of safety, look, and feel. The IDEAL IMPLANT offers an alternative to each, addressing patients’ desires for both beauty and security. The fact that we are revisiting the potential health risks associated with silicone breast implants is enough to concern women and plastic surgeons alike. Dr. Bartsich says, “The truth is that if it were me, I wouldn’t want a ruptured implant in my body… And as a woman, I also know that sometimes not feeling well is hard to explain and even harder to prove.”

Dr. Bartsich continues her research to pursue the answers that her breast augmentation patients need to make informed choices. Her article, “Déjà Vu: Silicone Breast Implants Have A Complicated History, But Are They Safe Now?” considers the questions at the forefront of the minds of women considering breast implants. She states,

“As a surgeon, I try to keep current with the latest data so I can accurately represent the facts. As a woman, I always consider what I would want someone to tell or offer me if I were the one having the consultation. As a patient, I weigh the risks and benefits of every choice I make, and what it might mean in the future. And as a physician, I have to feel good about what I did for someone today.”

Considering breast implants in New York City? Contact Dr. Sophie Bartsich today to discuss your options. Simply call 212-717-9200, or visit www.doctorsophie.com. Dr. Bartsich’s office is located at 960 Park Avenue, New York, New York 10028. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

How Much Do Breast Implants Cost? The True Cost of Breast Implants

If you’re researching “how much do breast implants cost,” chances are you are imagining all the benefits they offer. Breast augmentation is the top cosmetic plastic surgery procedure performed in the United States for a reason. Breast augmentations have a high rate of patient satisfaction according to research. In a study published in the May 2013 issue of Plastic and Reconstructive Surgery, researchers gathered information from 225 women after their breast augmentations. The study revealed that 91.1% of women felt improved self-esteem, 64.3% had an improved quality of life, and 98.7% would repeat the surgery. But there is another side to breast implants, one you should know about before scheduling your plastic surgery consultation. While the initial costs and satisfaction rates are similar between implant types, the long-term maintenance costs and emotional toll differs in important ways. Silicone gel breast implants carry a high rate of complications and an increased anxiety when compared to the newest breast implant on the market, IDEAL IMPLANT® Structured Breast Implants.

Primary Breast Augmentation Costs

How much do breast implants cost? That may seem like a simple question, but like many simple questions there are nuances to it. Primary breast augmentations vary based on location, surgeon, and implant you choose. The cost of a breast augmentation and any subsequent breast procedure is typically not covered by insurance companies because it is an elective, cosmetic procedure. Web MD states that the total cost for a breast augmentation surgery can range from $5,000 – $10,000. According to statistics from the American Society of Plastic Surgeons in 2017 the average cost of a breast augmentation was $3,718, however this estimate does not include things like anesthesia and other unavoidable surgical expenses. In 2017 the American Society for Aesthetic Plastic Surgery found the average surgeon fees for a breast augmentation with saline implants was $3,515. For silicone gel breast implants it rises to $4,014. Again, these average prices do not include the related medical expenses.

Breast Implant Maintenance Costs

Your primary augmentation is not the only cost you need to factor in when you are asking how much do breast implants cost. Women with silicone gel breast implants must factor in long term maintenance costs. Silicone gel breast implants can have “silent ruptures,” where an implant ruptures without showing any symptoms. The FDA recommends women with silicone gel implants get an MRI three years after getting their implants, then every two years for the life of the implant to detect silent ruptures. If a silicone gel implant ruptures, you will need surgery to remove the shell and any leaked silicone gel. It is important to remove implants that have ruptured because they may begin to leak outside of the capsule and cause painful symptoms. The FDA lists a few of these symptoms 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.” However, because of the out-of-pocket cost of MRIs, many women skip their recommended tests. According to Business Insider the average cost of an MRI is $444 to $1468. That means if a woman with silicone gel breast implants keeps up with the recommended MRIs she will pay on average $3,108 to $10,276 just for MRIs if her implants stay intact for 20 years. That puts the total cost of silicone gel breast implants closer to $10,000 – $20,000 over 20 years, and even more if a revision surgery is needed.

Problems With MRIs

Unfortunately, MRIs come with issues in addition to the financial strain. While the FDA states an MRI is the best way to detect a silent rupture, many plastic surgeons have reported that it isn’t always accurate. Dr. Sophie Bartsich, board-certified plastic surgeon in New York, tells us “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.”

How Much Do Breast Implants Cost Under Warranty?

Manufacturers’ warranty programs can mitigate some of the costs of treating complications. But, the warranty payment is only available if a rupture is detected. Some surgeons fail to inform their patients of the need for periodic MRIs, or downplay the FDA recommendation in order to make a sale. “Many women don’t know about the maintenance costs and potential expenses of silicone gel implants.” Reports Dr. Ellen Mahony, board-certified plastic surgeon in Westport, CT.  “Because rupture with a silicone gel implant is ‘silent,’ it can go undetected for an extended period, often not becoming obvious until the process of capsular contraction has begun.” Capsular contraction leads to a more complex surgery than a removal where the silicone has remained inside the shell. That means added surgical costs which your warranty may not cover.

How Much Do Breast Implants Cost to Remove and Replace?

If your breast implants rupture, or you develop capsular contracture (two of the top reasons for revision surgery according to the FDA), you will need surgery to correct the issue. You can choose to remove your breast implants with or without replacement. This surgery will be similar in cost to your primary breast augmentation, or could be higher depending on the complexity. Again, insurance companies do not usually cover costs associated with breast implants, even if you have a medical reason to remove them. As stated above, warranties may or may not cover costs as well.

Women with ruptured silicone gel implants also need to factor in downtime when asking how much do breast implants cost. Whether you take time off work, hire a babysitter for your kids, or make other accommodations while you recover from surgery, you need to factor in these costs. Dr. Jane Rowley, board-certified plastic surgeon in Lubbock, Texas, explains the difference between removal of silicone gel implants and the IDEAL IMPLANT, “there’s a big difference between removing a ruptured IDEAL IMPLANT and a ruptured silicone gel implant. A ruptured IDEAL IMPLANT can be removed easily with a local anesthetic. A silicone gel implant, if they’re not ruptured, can come out that easy. But if they are ruptured most of the time its stuck, and it bleeds, and you have to put drains in. So it’s not an easy recovery, it’s not an easy surgery. With an IDEAL IMPLANT I can almost guarantee them ahead of time, if your implant is leaking it will be easy to remove and replace, you will be back to work in a day or two at the most. With a silicone gel implant I’ll say, ‘I don’t know what your recovery is going to be, it might come out easily, it might not come out easily. You might need to take week off work, you might have to take two days off work.’”

The Likelihood of Subsequent Surgeries

Many women are tempted to brush aside the idea of complications when asking how much do breast implants cost, thinking it won’t happen to them. Knowing your statistical risk of complications will help you plan ahead and pick an implant that is more likely to keep you out of complex surgery in the future. Silicone gel implants have a higher complication rate for both capsular contracture (9.8 – 16.2% at 6-7 years) and implant rupture (3.4 – 7.4% at 6-7 years), than other implant types. “The silicone gel from a ruptured implant can stick to the tissues on the chest wall and a capsulectomy is often required,” explains Dr. Mahony.  “The warranty may not fully cover these costs. In contrast, Structured breast implants have a capsule contracture risk of only 6.3% and a rupture risk of only 1.8% at 7 years, with revision surgery generally being less invasive.” Dr. Larry Nichter, board-certified plastic surgeon in Newport Beach, California, tells us about the likelihood of subsequent surgeries with IDEAL IMPLANT saying, “It’s incredibly safe and so there’s far fewer lifetime surgeries with an IDEAL IMPLANT Structured Breast Implant, compared to silicone gel implants.”

Emotional Toll of Silicone Gel Breast Implants

In addition to the financial cost of breast implants, women need to be aware of the emotional cost when asking how much do breast implants cost. Not knowing the status of their implants can take a toll on woman’s peace of mind. Recent survey findings* showed over 98% of women reported feeling concerned about silent rupture, including many women who already had silicone gel implants. When rupture is detected, it can result in feelings of insecurity and anxiety, as they don’t know how long it has been going on or whether they could have found out sooner. Both the worry and reality of silent rupture take a real toll on a woman’s overall well being, yet too many women don’t have all the facts before making a decision about their choice of implant.

How Much Do Breast Implants Cost With IDEAL IMPLANT Structured Breast Implants?

The IDEAL IMPLANT Structured Breast Implant is often compared to silicone gel breast implants because they both offer beautiful, natural looking results. But, beyond the aesthetic comparisons, the IDEAL IMPLANT Structured Breast Implant and silicone gel breast implants are very different. The IDEAL IMPLANT Structured Breast Implant is filled with saline for a woman’s peace of mind. Saline is naturally absorbed by the body in case of a rupture, and a rupture can be easily detected by simply looking at the breasts. Without silicone gel inside there is no need for repeated MRIs and no anxiety about silent ruptures. The risk of complications such as rupture and capsular contracture are also much lower with the IDEAL IMPLANT. That means the cost of your primary breast augmentation is likely the only cost you need to consider when asking how much do breast implants cost.

How to Choose Breast Implants

When you choose a breast implant, you are choosing a device that will be part of your body for many years. Breast implants are not lifetime devices, but if your implants do not encounter complications there is no reason for a revision. Your implants could be with you for over 30 years, so you should spend some time weighing the benefits and compromises of each implant type. Pick an implant that you feel comfortable with, but also gives you great results. The IDEAL IMPLANT Structured Breast Implant offers one of the lowest rates of complications, but still gives women a beautiful, natural look. Silicone gel breast implants give women beautiful results, but at an increased financial strain and emotional toll. Dr. Mahony tells us, “The old saline implants offered peace of mind but a less realistic result; silicone gel implants offered a more realistic look and feel but with concerns about silent rupture as well as long term safety and complications. The timing could not be better for the structured breast implant which uniquely offers women the benefits of natural look and feel in addition to an unparalleled safety profile and peace of mind. This would be my personal choice for breast augmentation and has become the choice the majority of informed women in my practice are making for themselves.”

Start Your Breast Augmentation Journey Today

“How much do breast implants cost” is an important question to ask before starting your breast augmentation journey. If you’re thinking about a breast augmentation, make sure you know the true cost of breast implants, not just the cost of a primary augmentation. Take into consideration the likelihood of complications, the cost of ongoing maintenance, and the anxiety you may feel not knowing the status of your implant. Beautiful, natural looking breast implants with low maintenance and low risk of complications are within your reach. For more information on the IDEAL IMPLANT Structured Breast Implant, including how you can find an IDEAL IMPLANT surgeon near you visit www.idealimplant.com.

*Survey presented by Dr. Vivian Ting, “What Women Want in Breast Implants,” presented at the March 2018 ASPS meeting.

Get to Know Atlanta Plastic Surgery Expert, Dr. Colgrove, and His Thoughts on the New IDEAL IMPLANT®

At Vinings Surgery Center in Atlanta, Georgia, you can be positive that you’ll receive the best care by Dr. Robert Colgrove. He understands what women look for when it comes to treatments for their face, breasts, and body. We recently interviewed Dr. Colgrove to learn more about a typical consultation and his thoughts on the new IDEAL IMPLANT® Structured Breast Implants.

Tell us a little bit about you and your practice.

I’ve been in private practice here in Atlanta since 1986. I’m board certified by the American Board of Plastic Surgery. We are located near the new stadium at interstate 285 and interstate 75.”

Why do you think women choose you?

“Women mainly choose our practice because of my extensive experience. I’ve done several thousand breast augmentations and breast lifts. Many patients that come in don’t realize they need a breast lift to get the correct result.

“We also offer the latest Vectra 3D simulation, which helps a patient visualize and understand what the various implants are going to look like. I also have an excellent staff, who’ve been with me for many years. Many of my staff have had plastic surgery, including breast implants. They’re very understanding and helpful as far as answering questions and getting you to feel comfortable with the process.”

Can you walk us through a typical consultation?

“When a woman comes in for a breast consultation, we begin with the Vectra 3D simulation. Vectra pictures will be taken, they’ll come back to the consultation room, then the nurse and I will go over the measurements and what we feel is going to be the definitive plan for this particular patient. We show them the various types of implants, along with the breast lift if necessary. Then my office manager will go over pricing, scheduling, the required blood work, and a preop visit can be scheduled if they so desire.”

Why is a breast lift only necessary in some cases?

“On the breast lift, we have measurements on the Vectra equipment that gives us a guideline. It’s just a guideline, we still have to look at the patient and see where they’re at. But typically if there’s a measurement of eight centimeters between the breast crease and the nipple, that’s typically too much for the implant to provide the necessary lift. Occasionally you can get away with it. Of course, I still have to see the patient in person and make a decision on that. But there’s the measurement, and then there’s also the elasticity of the patient’s skin. Obviously you have to examine the patient in person to determine that.”

How do you know which insertion approach to take?

“When a patient comes in we go over the various options for the insertion of the implant, you do have the axillary approach through the armpit, the areola approach, and the approach through the crease at the bottom of the breast. For most patients the crease incision is the favorable one. It heals the quickest, has the least amount of complications, and the quickest recovery. If you go through the areola area, obviously you have to go through some milk ducts, which could increase your risk of infection.

“Same with the axillary or armpit incision; there is a higher chance of infection. More pain, because you have to tunnel across from the armpit over to the breast. It’s a little harder on the patient because it takes more time for the patient to heal. Also, if they have an undesirable scar in the armpit, it’s impossible to conceal if they’re wearing a tank top or swimsuit.

“We’re certainly open to patients if they have a strong desire for one incision over the other. Some of our patients don’t scar well. Many of our Asian patient like the areola incision, because the scar is less detectable than the other areas.”

What are the long-term factors breast implant patients should consider?

“We tell the patient that they may need another procedure some point in the future, depending on several factors. Such as if they have a pregnancy after the procedure, that’s going to affect their breast. It may necessitate a breast lift at a later time. Also, the pocket of where the implants sit may change and have to be corrected.

“There’s a difference, we feel, between saline implants and silicone gel implants as far as the longevity and then need for further surgery. I tell my patients if they choose a saline filled implant and it doesn’t deflate, that they won’t have to change it. That’s assuming they don’t have a pregnancy, or rapid weight gain, or weight loss that would cause another problem.”

Why did you choose to offer the IDEAL IMPLANT as part of your practice?

“I’ve been doing this for 32 years and I’ve seen the pros and cons of the various implants. I think the IDEAL IMPLANT is going to cut down the need for future surgeries.”

How do saline and silicone gel implants compare with the structured IDEAL IMPLANT?

The typical saline implant is basically water inside a bag and it tends to be causing more ripples and wrinkles for the patient. The silicone gel implants are softer and more natural, but then you have to deal with the silent rupture issue.

“That means that the patient and I don’t know if they have a rupture or not, unless we do an MRI or actually open the patient and look at the implant. We prefer not to do that if we don’t have to. The FDA has recommended that patients with silicone gel implants have an MRI after three years and every other year after that. It’s very expensive. I don’t think most insurance companies pay for it, therefore a lot of patients are more likely to go with a saline implant.

“The IDEAL IMPLANT offers the advantages of feeling more natural than the typical saline implant and feels a little bit more like the silicone gel implants without the drawbacks of silent rupture and the frequent MRI’s.”

Do you do any saline implants anymore, or do you mainly use the IDEAL IMPLANT? 

“Well, patients will still sometimes use the regular saline implant just because of the cost situation. The IDEAL IMPLANT is going to cost more, but you’re going to get a better product.

“I think if they cost the same they’d probably go with the Ideal Implant every time, but we can’t really do that just because it is a more expensive implant. It’s a more complicated implant and it deserves to cost more.”

What has been your experience with silicone gel implant rupture?

“When silicone gel implants rupture, it becomes a very complicated procedure. Particularly, if they’ve been ruptured for a long period of time. I have seen patients that have had silicone gel implants for 30 to 35 years and probably been ruptured for many years. That takes several hours to take out the capsule and the silicone gel, which is basically free floating in the pocket.

“The capsule becomes very calcified and very painful for the patient. So, it’s a bigger surgery for the patient. You have to take out the capsule along with the implant, which means that there’s a need to put drains in for the patient and a longer recovery time. That’s the issue with a silicone gel implant that has been ruptured for a long period of time.

“Say you were getting the MRI for some other reason and you identified a rupture early. Then, you would still do a capsulectomy, but you probably wouldn’t have the calcification and the painful contractures.”

How does that compare to a leak with the IDEAL IMPLANT?

“With the IDEAL IMPLANT, if you need to change that out, you typically just remove the implant and put a new one in if the patient so desires. You don’t have to go through the process of cleaning up silicone gel because it’s filled with saline which is harmlessly absorbed by the body.”

How does this compare with handling a saline or IDEAL IMPLANT rupture?

“It’s a sterile saline that’s there and is easily absorbed by the patient. Most of the time there will be nothing there but the implant, which is easily removed. If you are changing the pocket, you may have to put a drain in.

“If there’s a deflation, patients usually call us on the phone and say, ‘Well, I was changing my clothes or putting my swimsuit on and noticed that my left breast or my right breast is smaller today. I need to come in and have it replaced.’

“They don’t have to spend money on an MRI, which is nice. It’s an easy diagnosis for them and for me. Again, it’s picked up early, not late.”

What would you tell other surgeons about the IDEAL IMPLANT?

A plastic surgeon in Ohio who was my mentor called me up and said, “I see you’re using these IDEAL IMPLANTS. How do you like them? What kind of problems have you had with them and so forth?

“I told him the experience has been very good, it has been very positive for both the patient and me. I feel good about putting the implant in, because I know I’m helping these patients in the long run avoid issues down the road. They’re not perfect. Nothing is perfect, but I would say that when you look at them long-term and the patient is not having to worry about the silent rupture, I think it’s worth it to both them and me.”

How do you help women make their implant choice?

When we’re doing the consultation, some patients come in and they think that they want silicone gel, but then we show them the IDEAL IMPLANT and explain to them the problems with silicone gel’s silent rupture and MRI’s. Most patients go with the IDEAL IMPLANT after they hear that. They like the safety aspect of it and they like the fact that they don’t have to come in every so many years to have the implant replaced.”

What has been your experience with the IDEAL IMPLANT as far as patient satisfaction?

“The patient satisfaction has been very good across the board. We haven’t had to go back in and remove them because they didn’t like them. I would say at this point it’s been very positive for the patient and the surgeon and continues to grow. It has basically overtaken my practice as the number one choice for breast implants.”

Anything else you want to mention about your practice?

“In summary I would like to say, here at Vinings Surgery Center, we have an accredited office surgery center where procedures can be done onsite. This makes it more private and confidential for you than going to the hospital. It’s going to be easier for you psychologically to have caregivers that understand why you’re here. A lot of my staff have breast implants so they won’t be judgmental. They will be supportive, which is helpful as far as giving you a positive experience.”

Considering breast implants in Atlanta? Contact Dr. Colgrove today to discuss your options. Simply call 770-955-9000 or visit www.colgrove.com. Dr. Colgrove’s office is located at 1900 The Exchange SE, Bldg. 300, Ste 300, Atlanta, GA 30339. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

A Conversation About Breast Augmentation, Implants, and More With Dr. Paul Loewenstein

Doctor Paul Loewenstein practices in Brookfield, a suburb of Milwaukee, Wisconsin. With over 34 years of experience in the plastic surgery industry, Dr. Loewenstein’s current practice is devoted mostly to aesthetic surgery, including but not limited to face lifts, nose jobs, eye lifts, breast augmentation, breast lifts, breast reduction, tummy tucks and liposuction. Here, we discuss his practice, breast augmentation, and all the breast implant options available.

What are the advantages of your practice over the other options women might have in your area?

“I have a broad training in plastic surgery. I had six years of training in general surgery and plastic surgery combined. At our office, we don’t specialize in one part of the body, so if a woman comes in and she wants to have a breast augmentation and a nose job, we can do both. We have the flexibility of being able to approach different parts of the body all at once, which is something that my patients find convenient.”

Over your 34 years of practice, what trends or changes have you seen in breast enhancement and with silicone gel-filled implants in particular?

“Breast implants over the years have undergone a lot of changes. Silicone gel-filled implants have undergone three or maybe even four or five generations of shell and filler material. In the early 1990s the FDA put a moratorium on the use of silicone gel implants for breast enhancement. This was based on some claims patients made (mostly in the state of Texas) that the silicone gel implants were causing them to have diseases such a rheumatoid arthritis, scleroderma, lupus, or what we call connective tissue diseases.

“After thorough research was completed using large populations of women and extensive analysis, those studies showed there was no statistical association between silicone gel-filled implants and those diseases. So the silicone gel implant came back on the market and the companies have improved those implants over the years. The current generation has a little bit thicker shell, a more cohesive gel, but they still haven’t been able to get around the fact that the body builds a shell around the implant. If there’s a break in the silicone shell it’s going to be contained by the bodies’ scar tissue layer, so women don’t know if they have a leaking silicone implant. They have to get an MRI to detect a leak.”

How have saline implants changed over the years?

“Traditional saline implants haven’t really changed much at all in 30 plus years, with the exception of the IDEAL IMPLANT. The old saline implants were basically a bag of salt water, and they sloshed around like a bag of salt water. Now, once it was in the body, there wasn’t as much of a problem with that, but you could still tell the difference in most patients. The IDEAL IMPLANT is made up of baffled shells nested inside of each other so that the saline doesn’t slosh, it sort of flows more gradually, similar to what a silicone gel-filled implant does. So the one big change with saline has been the advance of the IDEAL IMPLANT.”

Do women come in to see you already aware of the different types of implants?

“Women are a little bit more health conscious overall than maybe they were 30 years ago when I started. They’re certainly more educated, they spend time on the internet doing their research. They know a lot more about what is available, what is out there, and the pros and cons of each type of implant. So they come in much better educated, but yet they know enough to know that sometimes the Internet isn’t 100% accurate, and almost all the time they’ll say, ‘well, what’s your opinion, Doctor?’  They may have a preconceived notion of what they want when they come in, but they’re willing to listen in spite of the fact that they’re much better educated than they were 20, 30 years ago. They’re still willing to get a professional opinion.”

Have women’s preferences shifted when it comes to breast size?

“When a patient comes in for a breast augmentation consultation, we take measurements of the patients’ chest width, the base diameter of the breast, the amount of skin elasticity, and we determine how much the skin will stretch. We look at the overall shape of the breast. Is it a little bit droopy? Is it perky to begin with, but small? All these different measurements and parameters are put into our computer and help us make the decision as to what size implant would work best. I think in the last 5 to 10 years I’ve seen a shift from women coming in saying, ‘I want 500 or 600cc implants’ to, ‘What do you think would work for me, Doctor?’

“There are anatomic limitations as to how big you can go, and I think again women appreciate a professional who has experience and knowledge and can give them advice. I think size preferences are also somewhat regional in terms of the United States. Maybe even worldwide, where it’s said in South America men prefer small breasts, and large rear ends. Different parts of the country where women are going to be wearing swimsuits more during the year may put an emphasis on a larger size. In some of the conservative North Eastern states, the overall implant size tends to be less from what I’ve heard, while the Midwest tends to be somewhat conservative. In California, Texas, or Florida the sizes may average a little bit higher.”

How can a woman know if she is or is not a good candidate for breast implants?

“The people who are not good candidates are generally the ones that have unrealistic expectations. If a patient comes in and they want to have a 600cc implant and they’re five feet, 100 pounds, that is probably not a good option for them. If they’re insistent on that, I will tell them, ‘I can’t give you that kind of a result just because of the limitations of your anatomy.’ Someone who has an active infection is also not a good candidate.”

Should a woman be finished with her childbearing and nursing years before she has a breast augmentation?

“Not necessarily. I see women who are single, young, and flat-chested, and want to enhance what they have. I think they’re perfectly good candidates for breast augmentation, and there’s no reason to tell them to wait 15 years before doing it. Then there are the women I see who are done having children. Some of them have nursed and what they used to have in the chest area has been deflated. So they’re another group of people who are very good candidates for breast augmentation.”

What would you tell a woman who is worried about scars from her breast enhancement surgery?

“Certainly it’s a cosmetic operation and both the patient and I myself are concerned about the scars. There are three different areas of the body where breast implants are usually inserted. There’s the inframammary crease under the breast, there is the areola or nipple approach, and then there’s the armpit, the axillary approach. Of those three options, I do about 80% of my incisions in the crease, 15% in the armpit and about 5% around the areola.

“If the patient is really concerned about having a visible scar, or a scar on the breast I will recommend the axillary approach. That is done endoscopically. The axillary approach got a bad reputation before the advent of the endoscope because it was a blind operation and it was generally done under the muscle. With endoscopy, you can look to see the extent of your dissection and make sure that you have done an adequate job so that the implant rests low enough and it doesn’t look too high. Having said that, there is a noticeable scar for a period of time while it’s red, and if you’re wearing a sleeveless top or a tank top, and you raise your arm up that’s going to be noticeable. On the other hand when it’s all said and done, that scar is very imperceptible, it looks just like a wrinkle in the armpit.

“The one around the areola seems to be popular in some parts of the country. I certainly will do that if that’s what the patient wants. Sometimes those scars depending on the pigmentation of the areola can be even more noticeable. They are on the front part of the breast. I have never had to do a revision of an inframammary crease incision in all my 34 years. They tend to heal with a very fine line. So the inframammary crease under the breast gives you the most flexibility if you have to go back down the road 10, 15, 20 years later and do something else.”

Should implants go in over or under the muscle? Do you have a personal preference?

“I find it’s very difficult to do on top of the muscle unless you make a large incision, which then sort of defeats the purpose of going through the axilla and having a very small, inch long scar. So when I go through the armpit, I virtually always go under the muscle. However, there are a lot of factors that come into play when you’re trying to decide to go over versus under the muscle. If a person has a really physical job, or if they’re really into weight lifting and bodybuilding, going under the muscle may not be the best approach. I’ve done some placements on top of the muscle in those situations. For a person who’s really thin, the edges of the implant may be more visible going over the muscle, so it may be better to go under the muscle in those situations.

“If I’m seeing a patient with a family history of breast cancer, I’d prefer to go under the muscle because it should be easier to perform a good mammogram with the implant under the muscle. The majority of the implants I put in are done under the muscle.”

What is your advice to help women ensure that they have the results that they want?

“In order to ensure a successful operation, patients should have in mind what their goals are. I don’t mind having a patient bring in pictures of other people, of what they think looks good. It may be unrealistic, but at least I can have a visual sense what they’re looking to accomplish. I’m in the Midwest and some women say, ‘I don’t want to look like Dolly Parton. I don’t want to look like a Barbie doll. I just want to restore what was there before I got pregnant and had children.’ while other women have different goals in mind.”

What should a woman do to ensure she’s getting a great plastic surgeon?

“I think communication is all important. If you don’t feel comfortable with your plastic surgeon, no matter what their credentials, see someone else! If you don’t feel like you’re communicating on the same page, see someone else! Of course a woman should seek out a board-certified plastic surgeon, preferably one who does a fair number of breast augmentations in their practice. He or she should have an open approach to different types of implants. I know some of my colleagues tend to steer their patient in one direction or the other because of deals they may have with certain companies.

“Doctors need to be forthright about what each implant can and can’t do for the patient. They should present it in an honest and open fashion. In some cases, if the patient feels like they’re being steered one way they should say, ‘Is there a reason you’re trying to talk me into this? I came in asking for one implant and you’re trying to talk me into a different implant.’ If you don’t feel comfortable with that situation, get another opinion from another plastic surgeon.”

What kind of complications should women be aware of when it comes to breast enhancement surgery?

“Capsular contracture (or the buildup of scar tissue around an implant) has bothered us plastic surgeons over the years, because no one has been able to figure out a true solution to it. There are a lot of theories as to why it happens. Those theories change about every five or ten years. The current theory is that there is a biofilm formation of bacterial slime around the implant. So some doctors irrigate the pocket with antibiotic solutions and put the patient on antibiotics for a period of time. Most surgeons try a “no-touch” technique where there’s only one person that contacts the implant and that’s the surgeon.

“I use, for example, a barrier film over the skin called IOBAN, which is impregnated with iodine that prevents bacteria from being dragged in the pocket. Having said that, capsular contraction still exists. It’s graded one, two, three, and four. One and two are mild, and probably aren’t going to require additional surgery, but the three and four capsular contractures may cause visible distortion of the breasts to the point where additional surgery is necessary.

“There’s another problem called BIA ALCL, which is Breast Implant Associated Anaplastic Large-Cell Lymphoma, because it is associated with and occurs around a breast implant. It’s a type of lymphoma or blood cancer that can occur around breast implants. To my knowledge, that has been described and confirmed only with textured implants. With so-called “fuzzy” implants, or implants that don’t have a smooth surface. IDEAL IMPLANT, for example, has a smooth surface. With most silicone gel-filled implants you can choose between a smooth or textured surface depending on the shape. The tear drop shapes are pretty much all textured, and the round tend to be smooth. The incidence is extremely low, maybe as low as one in a million, but it is a real entity, something to be aware of.

“Probably the most common complication would be a hematoma, or a bleeding issue that occurs after the surgery is over. I find that my incidence is extremely low, especially since we’ve been emphasizing avoiding medications that can contribute to bleeding. For example, I tell all my patients, no aspirin for two weeks, no ibuprofen, Aleve, etc., for at least a week. Also things like fish oil and vitamin E and many of the herbal supplements can cause prolonged bleeding. A lot of people don’t consider those drugs I listed as medications, but they are. They have side effects, known side effects that can cause problems with bleeding or even prolong the effects of anesthesia.

“It’s important to communicate to your plastic surgeon what medications you’re taking in all regards, not just prescriptions. I would say my hematomas have gone down significantly since emphasizing the importance of avoiding certain medications. If an infection occurs around the breast implant, the body’s immune system can’t function properly without having to remove the implant. I, for one, have never had to do that in my 34 years of practice, but infections do happen and they have been reported.

What should women do to avoid any complications post-surgery?

“Your plastic surgeon should give you a definite set of printed instructions on what to do after the surgery. Pay attention to that. Don’t ask your girlfriend, ‘What do you think I should do in this situation?’ Your girlfriend hasn’t done hundreds and hundreds of breast augmentations, she’s maybe had one herself, but every person’s experience is different. I just can’t emphasize enough that women should listen to the advice of their plastic surgeon. They are the best person to tell you what you should and shouldn’t be doing.

“Activity does have to be restricted afterwards, particularly if you go under the muscle. There are certain exercises like push ups and bench presses that I don’t want my patients doing for at least three months after the surgery. If your surgeon has a longer period of time where they restrict your activities, there’s probably a reason for that. So listen to your doctor, they’ve got the experience, they’ve got the knowledge.”

How long have you been using the IDEAL IMPLANT?

“I was first introduced to the IDEAL IMPLANT at one of our national meetings by the inventor, Dr. Hamas, and I had no knowledge of it prior to that time. He lined up an IDEAL IMPLANT next to a traditional saline implant and a silicone gel-filled implant and covered them with a cloth, and had me feel each implant through a cloth. I could tell an obvious difference between the traditional saline and silicone-gel implants. Then when I felt the third implant, which was the IDEAL IMPLANT, I thought it felt very similar to silicone gel. I could tell a little bit of a difference but it felt very, very close. So I started using IDEAL IMPLANT as soon as it became available to the general plastic surgery community around 2014.”

Have you noticed more women asking specifically for the IDEAL IMPLANT?

“As time has gone on and women have heard about it, more and more people come in requesting it. In the beginning I would present all the different types of implants to my patients and sort of let them decide. When patients would ask my opinion I tried not to say, ‘Go with this one for sure,’ but I would try to present the pluses and minuses and ask them what their concern was. If their concern was silent rupture and having to get MRIs to determine if they had a rupture, I would steer them more toward the IDEAL IMPLANT or the traditional saline implant. But after showing them the difference physically by having them examine each with their own hands, 100% choose IDEAL IMPLANT over traditional saline implants. Some patients and some husbands actually thought IDEAL IMPLANT felt more natural than a silicone implant. Not everybody chooses it, but a larger and larger percentage of my practice has been devoted to inserting IDEAL IMPLANT as time goes on.

What can you tell us about IDEAL IMPLANT and silent ruptures?

I’ve used IDEAL IMPLANT in my practice for at least three and a half years. I see people coming in with silicone gel-filled implants and something may have happened. Maybe they got into a car accident. They’re worried if they have a leak or not. If they have silicone gel, you may have to tell them, ‘The only way to know for sure is to have an MRI.’ But with my IDEAL IMPLANT patients, you can tell whether you have a leak or not by just looking in the mirror. I don’t have to send them for additional x-rays or studies. I can tell when they walk in the office if they have a leak or not. Women who want to have peace of mind about knowing whether they have a silent rupture are not stressed after surgery when they choose the IDEAL IMPLANT.”

What else do you like about the IDEAL IMPLANT?

“It has a very natural look and feel. The rippling that you sometimes see with the traditional saline implants just hasn’t been an issue. There are a lot of advantages. So far I haven’t seen capsular contracture as a major problem. Now that may change 15 years from now, but for now, the incidents of capsular contracture are extremely low. It’s lowest among all the different types of implants available. I just find that there’s a lot of reasons to have peace of mind when using the IDEAL IMPLANT.”

Do you feel like your IDEAL IMPLANT patients are satisfied with their results?

“Yes, our IDEAL IMPLANT patients are very happy, very satisfied. It really is, I think, the ideal implant.”

Considering breast implants in Brookfield, WI? Contact Dr. Paul Loewenstein today to discuss your options. Simply call 262-717-4000 or visit www.drloewenstein.com. Dr. Loewenstein’s office is located at 13800 West North Avenue, Suite 110, Brookfield, WI 53005. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Virginia Breast Implants: Why Dr. Michael Lofgren Says, “The IDEAL IMPLANT® is Fantastic”

At Plastic Surgery Center of Hampton Roads, you’ll find board-certified plastic surgeon Dr. Michael Lofgren to be professional, experienced, and compassionate. A New York native, Dr. Lofgren has been in the Virginia area for over 20 years. He specializes in cosmetic surgery, focusing primarily on breast and bodywork. In a recent interview, he spoke with us about his breast augmentation process, silent rupture, and the new IDEAL IMPLANT® Structured Breast Implants.

Why should patients choose your practice over others in the area?

“When a person is looking for a practice to go to and they’re considering having any type of breast surgery done, I think it’s important to make sure that they go to an accredited facility. They should look for plastic surgeons that are board certified. They should also be sure that the practice they’re looking into has a wide variety of experiences in dealing with the specific type of surgery they’re seeking. We’re fortunate in our practice that we have a quad-ASF certified facility. All of our surgeons are board certified and we do extensive breast and bodywork here.”

How do you guide women through the breast augmentation process?

“When we have a patient first come to us considering breast augmentation, we try to break down all the components that are important in making that decision. The first is, how are we going to place the implant? Where will the incision be? There’s a wide variety of ways to do that. We can make inframammary incisions, where we place the incisions underneath the breast, we can go with a transaxillary incision in the armpit, or we can make an incision around the areola or even through the belly button. Secondly, we look at exactly where we are going to place the implant. We decide if it’s going to be under just the breast tissue itself, or actually under the muscle, which is more common these days.

“We also look at the type of implant that’s going to be used for the breast augmentation. We used to be quite limited in that, with a traditional saline implant or a silicone gel implant as the only options, but thankfully now we have the IDEAL IMPLANT that offers a lot of tremendous advantages. Finally, we’ll talk about the overall size and type of look that the patient’s going for. That’s where we really get involved with the patient and help them determine what is going to fit their body the best and get them the results that they really desire.”

In your years of practice, have you noticed any trends over time in terms of breast implant size?

“In breast augmentation surgery, I think a lot of it is regionally dependent. I’m originally from the Northeast, where I tended to see much smaller breast augmentations, much more of a natural look. I did my training in Miami, Florida, and down there the overall size was a bit bigger than we see on a daily basis. And then here in the Mid-Atlantic, I think we fall somewhere right in the middle. Most women want an average size in the upper 300s to low 400 range, and I think that size still gives a very nice, more natural look.”

How did you hear about the IDEAL IMPLANT and when did you start using it in your practice?

“We had the opportunity to learn about the IDEAL IMPLANT very early. We started to hear rumors about the implant soon after it was developed, and we actually sought out the implant and did some research to find out more about it. Very quickly we saw the advantages of it, and we contacted the company. They had one of their sales reps come to us and spend some time with us, and so we’ve been offering the IDEAL IMPLANT as an option to our patients for a few years. It’s worked out tremendously for us.”

What are the advantages of the IDEAL IMPLANT to both the patient and the surgeon?

“The first advantage is the feel of the implant. Its overall feel is much improved compared to a traditional saline implant. I think that also translates into the appearance of the implant in the body. You see much less rippling, and you get a much more natural feel. I think the higher fill volume that’s achievable with the IDEAL IMPLANT also gives women a much nicer, fuller appearance. And then most importantly, when women select a structured saline implant over a silicone gel implant, it alleviates a lot of the fears they have about the risks of silent rupture, and having to perform routine monitoring of the implants and eventual replacement or removal.”

Are your patients satisfied with the IDEAL IMPLANT?

“When it comes to our satisfaction rates with IDEAL IMPLANT, I think it’s well above what our normal satisfaction rates are with other implants. I’ve found personally in my practice that I have much fewer women who complain about either visible or palpable rippling of the IDEAL IMPLANT. Years after women have breast augmentation surgery, they don’t have to worry about checking the implants or deal with the hassle of obtaining MRIs. That just makes for a more happy, satisfied patient in general.”

Complications are inherent to any surgery and breast surgeries have their sets. What has been your experience in complications with the IDEAL IMPLANT?

“When it comes to complication rates and the IDEAL IMPLANT specifically, in my practice I’ve seen a significant decrease in the rates of capsular contracture. As far as rupture is concerned, I think it’s also less than our traditional saline implants that we had used previously. And when compared to silicone gel implants such as the gummy bears or the anatomically shaped implants, we don’t run into the problems with malposition and shape issues that we had with those implants. Overall, I think the IDEAL IMPLANT has the least complications out of any of the implants that we currently use today.”

How do you educate your patients about the realities of silent rupture?

“When it comes to silent rupture in breast implants, I think that a lot of women are inherently concerned about it. Here at the practice we have a typical cohesive silicone gel implant that we’ve intentionally ruptured that we keep in a plastic bag to show patients what it’s going to look like in their body if their implant has a silent rupture. And honestly, even though it’s a cohesive silicone gel implant, it’s still just a gooey mess! People are absolutely amazed that that would be in their body. With the rates of silent rupture in silicone gel implants as high as they are, (and in my own practice I was quite surprised to find that there’s more silent ruptures than even I had suspected), the IDEAL IMPLANT is a great option for patients to alleviate that fear.”

What is it like to clean up a silent rupture?

“It depends on the generation of the implant. There are several different generations of silicone gel implants. Some have a more cohesive gel than others. I’ve found personally that when I have to go in and remove an early generation silicone gel implant, (or a non-cohesive gel implant), the tissue reaction can be profound. Cleaning out one of those pockets often requires complete capsulectomies. Quite extensive surgery. When it comes to the later generation silicone gel implants, even though they are a cohesive gel and the majority of the implant stays together, there is still significant leakage within the pocket that does require significant work to remove it, just not quite as much as the earlier implants.”

What is surgery like if an IDEAL IMPLANT ruptures?

“In the event of a rupture with IDEAL IMPLANT, it has several advantages over older silicone gel implants. The ability to detect the rupture is much easier. It’s just a simple change in shape or overall fullness of the breast, and you know quite readily that that implant has a problem with the shell. And as far as repairing it or managing that issue, it’s extremely easy. It’s just a simple 20 minute surgery to basically go in, remove the shell, place a new implant, refill it and close the incision. It’s much less invasive, much faster recovery, and much less of a headache compared to a traditional silicone gel implant.”

Are more women asking about IDEAL IMPLANT than just a few years ago?

“In my practice here, we’re very excited to have the IDEAL IMPLANT as an option for our patients. I think we’re truly at the cusp of seeing it absolutely explode as far as popularity is concerned. People are starting to come in asking for it by name. When women understand the inherent benefits of it and the decreased risks, the decreased rupture rates, the decreased risks of capsular contracture, and just the overall peace of mind, the implant really speaks for itself. I think we’re really at the very early stages of that. I know in my personal business, I’ve gone from doing 80% silicone gel implants now to doing about 35% silicone gel implants with almost all of that being a change into the IDEAL IMPLANT market.”

No other breast implant company besides Ideal Implant Incorporated can manufacture or sell the IDEAL IMPLANT. What has been your experience working with them?

“In looking at the company overall, they’re incredibly responsive to the individual surgeons and their patients. They’ve been very receptive to ideas as far as improving the implant and making adjustments to things. Just as an example, the enhancement of the warranty that’s now available with the implant is tremendous. We’ve actually gone so far as to package that as part of our normal breast augmentation package. It gives women an added reason to really trust in their product, something that’s going to be in their body for many years and it gives them that extra little bit of satisfaction and peace of mind.”

Any other thoughts about the IDEAL IMPLANT?

“The IDEAL IMPLANT is fantastic. Once I express to my patients the different characteristics of the implant and the natural advantages that it has over some of the other implants, women just naturally recognize it as the great choice that it is. I don’t think that there’s anything specific about the other implants that necessarily make them bad, it’s just that the advantages of the IDEAL IMPLANT are really head and shoulders above some of the other choices that are available.”

Considering Virginia breast implants? Contact Dr. Lofgren today to discuss your options. Simply call 757-873-3500 or visit www.PSCHR.com. Dr. Lofgren’s office is located at 895 City Center Boulevard Suite 300 Newport News, VA 23606. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

Your Breast Surgery Questions Answered by Dr. Jed Horowitz

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

How long can women expect their breast implants to last?

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

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

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

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

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

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

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

Have size requests changed much over time?

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

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

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

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

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

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

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

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

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

What information do women need for a successful outcome?

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

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

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

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

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

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

Dr. Naveen Setty Helps You Understand Your Breast Implant Options

Receiving a breast augmentation is a big decision. Women seeking a breast augmentation often feel caught choosing between the natural look of silicone gel and the safety of saline implants. But a new option is now available—IDEAL IMPLANT® Structured Breast Implants.

What is a “Structured Implant”?

The IDEAL IMPLANT is known as a “structured implant” because of its unique design. It consists of a series of implant shells nested together with two separate chambers that hold saline. This advanced internal structure:

  • Helps the implant to look and feel similar to a silicone gel implant
  • Gives the peace of mind and safety that comes with a saline implant
  • Controls the movement of the saline filler
  • Mitigates sloshing, eliminating the “water-hammer” effect
  • Supports the edges and upper portion of the implant, preventing collapse when upright
  • Provides a youthful shape with desired volume and projection
  • Reduces wrinkling and rippling that is often associated with saline implants
  • Requires a smaller incision than with silicone gel implants
  • Allows for a lower rupture rate and higher rupture strength
  • Removes the need for regular MRIs to detect implant rupture

As the latest advancement in breast implant technology, the IDEAL IMPLANT enables women to achieve the natural feel they desire with silicone gel, without sacrificing the security of saline.

The Safety of Saline

There is no risk of “silent rupture” with IDEAL IMPLANT. A “silent rupture” occurs when a silicone gel implant ruptures and begins to leak sticky silicone gel into the surrounding tissues of a woman’s body. Only an MRI can detect the occurrence of a “silent rupture” and surgery is then required to remove the silicone gel. The FDA recommends that all women with silicone gel implants receive an MRI scan every other year to ensure their implants are still intact.

With the IDEAL IMPLANT, women always know their implants are intact by simply looking in the mirror. There is no maintenance required and no expensive MRI needed to detect rupture. If a rupture does occur, a woman’s body safely absorbs the saline until the implant is replaced. Also, because the implant consists of two separate chambers of saline, the implant will not completely deflate if ruptured, unlike other saline implants.

An IDEAL Testimonial

In the video below, Heather describes her experience with the IDEAL IMPLANT. She states:

“I work in the plastic surgery industry, and I’ve seen all of the different options of implants for several years now. I’ve wanted implants for most of my life, to be honest. Prior to having children, I did experience a little bit of asymmetry. After breastfeeding, I definitely experienced them hanging lower. So after my second child, and I knew I wasn’t going to have any more kids, I decided that was the time to go ahead and do something for myself. I really just wanted a lift originally, but after talking to my surgeon, he suggested that to get the volume and achieve that more youthful look that I wanted, I would be required to get an implant. When I chose to have my procedure done, I did choose IDEAL IMPLANT because after looking at some of the silicone gel options, and just thinking about putting something foreign in my body, I was more comfortable with the ‘structured implant’ from IDEAL. I definitely feel overall better. I feel more confident, that’s the best word to describe it. I can wear so many different shirts and dresses and other things I couldn’t wear in the past. I have friends who are interested in getting implants. They talk about it, and I hear those stories, and just tell them every single time, ‘Stop talking about it. Get it done. You’re going to never regret what you did. If you use the right surgeon and you pick the right implant, you’re going to be very happy with the results.’”

Benefits of the IDEAL IMPLANT Structured Breast Implants

The IDEAL IMPLANT was developed after years of research and extensive testing. They are made in the USA from safe, proven materials at FDA-inspected facilities using advanced robotics to achieve greater product consistency. When you compare IDEAL IMPLANT Structured Breast Implants to silicone gel or saline implants, the benefits are clear.

Saline: a saline implant is like a water balloon in that it lacks any internal structure. This makes the upper portion of the implant collapse when upright, causing it to wrinkle under the skin. Ultimately, saline implants do not give the natural feel of breast tissue. Yet because women want the peace of mind that comes with saline, they may feel forced to deal with these drawbacks.

Silicone Gel: while silicone gel implants offer a more natural look over saline implants, they leave women wondering if their implants have ruptured. The risk of “silent rupture” and the possibility of silicone gel unknowingly leaking into the body are major concerns expressed by many women seeking a breast augmentation. Plus, the recommended MRI scans tend to be psychologically and financially difficult to bear.

IDEAL IMPLANT: With the IDEAL IMPLANT, women do not have to compromise beauty for safety. This technology-driven “structured implant” addresses the disadvantages of any previous implant options.

  • Lower rupture rate
  • Lower capsular contracture rate
  • No MRIs needed to detect rupture
  • Higher rupture strength
  • Look and feel of silicone gel implants
  • Peace of mind of saline implants

Furthermore, silicone gel implants are filled when they are manufactured. The IDEAL IMPLANT is not. The internal structure of the IDEAL IMPLANT allows plastic surgeons to adjust the volume of each implant to cater to the different sizes and cosmetic goals desired by their patients. This adjustable volume also allows plastic surgeons to use a smaller incision during surgery than with silicone gel implants.

Dr. Naveen Setty Offers the IDEAL IMPLANT

The IDEAL IMPLANT is only offered by plastic surgeons board-certified or eligible for certification by the American Board of Plastic Surgery. Dr. Naveen Setty is located in the Dallas/Fort Worth area and part of this exclusive group of plastic surgeons. As a leader in plastic surgery, he strives to offer the best breast augmentation experience possible. Dr. Setty was recognized by “D Magazine” from 2010-2018 as one of the leading plastic surgeons in “The Best of Big D”. RealSelf.com also named him “Top Doctor” for his breast and body contouring procedures.

Dr. Setty has an extensive background in the field of plastic surgery. He received his undergraduate degree from Columbia University, earned his Doctor of Medicine degree from Ohio State University, and completed his residency training in plastic surgery at Saint Louis University. He then went on to receive further training at the Institute of Reconstructive Plastic Surgery at the New York University Medical Center in New York, NY, where he finished two one-year fellowships in hand surgery and plastic surgery. Dr. Setty has national memberships with the American Association for Hand Surgery, American College of Surgeons, American MedSpa Association, American Society for Aesthetic Plastic Surgery, American Society for Surgery of the Hand, and the American Society of Plastic Surgeons.

Dr. Setty specializes in reconstructive plus cosmetic surgery, and performs surgery in Dallas, Allen, McKinney, Plano, and Frisco, TX. With a focus on body and breast procedures, he strives to educate women about their breast implant options to help them feel comfortable and confident moving forward with a breast augmentation. As his patient, you can count on Dr. Setty to take the time to listen to your concerns and help you achieve the outcome you desire.

Are you considering breast implants in Dallas, TX? Contact Dr. Naveen Setty today to discuss your options. Simply call 214-842-6960 or visit settyplastics.com. Dr. Setty’s office is located at 175 Ridge Road, Suite 200, McKinney, TX 75070. Call today for more information on IDEAL IMPLANT.

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

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

What are the different breast implant options available?

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

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

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

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

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

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

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

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

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

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

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

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

What is the recovery process after receiving a breast augmentation?

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

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

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

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

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

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

What should women consider when searching out a plastic surgeon?

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

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

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