All About the IDEAL IMPLANT With Cosmetic Surgery Expert Dr. Gregory Park

IMPORTANT NOTE: Below you may find untouched before and after photos of patients who have granted permission to their surgeon to show them anonymously. While we protect the identities of our patients, please be advised that by their nature, these photos contain sensitive content.

When considering breast implants, cost should not be the number one factor influencing your choices. The bargain hunt is better saved for shoe shopping. Choosing the right plastic surgeon is one of the most important decisions you will make during your breast augmentation journey. Finding one who is qualified and with whom you feel comfortable can make all the difference in your overall experience and results. Dr. Gregory Park of North Coast Plastic Surgery in Oceanside, California has the training, experience, and expertise you want in a doctor, especially one you are trusting to make permanent changes to your appearance with cosmetic surgery. 

Dr. Gregory Park’s World-Class Training

Dr. Park has a diverse background of surgical experience that allows him to treat his patients on a personal level and give them beautiful results. After his schooling and internships, he was awarded his Flight Surgeon Wings at the School of Aerospace Medicine at Brooks Air Force Base. He was then assigned to Langley AFB in Hampton, Virginia, where he was the Chief of Flight Medicine. Dr. Park then continued his education at Wilford Hall Medical Center where he studied Otolaryngology-Head and Neck Surgery and graduated first among the Chief residents there. He later spent time practicing in Tokyo, Japan, and he is board-certified in both Plastic Surgery and Otolaryngology.

Extensive Cosmetic Surgery Experience

Dr. Park completed a Plastic and Reconstructive Surgery Residency at the University of Utah and graduated at the top of his class. Afterwards, he served in Afghanistan and Las Vegas, Nevada, performing plastic surgery for members of the military. After dedicating 24 years to serving his country, he began a new venture in private plastic surgery practice.

North Coast Plastic Surgery provides Dr. Park’s patients with a comfortable, safe environment where they can discuss and plan for their plastic surgery goals. Dr. Park and his staff are committed to giving their patients the highest standards of care while achieving the best possible surgical results. He says, 

“Respect, honesty, compassion, and the pursuit of perfection are the foundations of my plastic surgery practice. Through a commitment to excellence, experience, and an artist’s eye, it is my goal to deliver beautiful, natural cosmetic results with a personal approach for your personal transformation.”

Dr. Park focuses on his patients’ goals and strives to make them a reality. He wants his patients to be well-informed so they can make the best decisions and have realistic expectations for their results. He will create a personalized plan for you to help you achieve the outcome you want. 

IDEAL IMPLANT® Structured Breast Implants

Dr. Park is proud to be part of an exclusive network of plastic surgeons to offer their cosmetic surgery patients the new IDEAL IMPLANT. The IDEAL IMPLANT has a unique structured design that is changing the way women feel about their breast implants; they no longer have to choose between the peace of mind of saline and the beauty of silicone gel. While the IDEAL IMPLANT provides a natural feel similar to that of silicone gel breast implants, it comes with none of the associated health concerns such as “silent rupture.” The IDEAL IMPLANT is filled with saline, or sterile saltwater solution. It has advanced, structured technology inside that gives breasts a natural look, feel, and movement.     

IDEAL IMPLANT Before and After Photos

With the IDEAL IMPLANT, Dr. Park can give his cosmetic surgery patients the results they want in their breast enhancement. Dr. Park helped this woman achieve beautiful, natural looking results with 335 cc IDEAL IMPLANTS filled to 375 cc. In her ‘before’ photo, her bra size is 34B, and by 3 months post-op she was a 34D. 

Why Breast Implants Cost Less With IDEAL IMPLANT

The cost of different types of breast implants varies. But when you are planning for your breast augmentation, it is important to know that there is the potential for expenses beyond just the breast implants’ cost up front. Breast implants can rupture or leak. If this happens with a silicone gel implant, it is known as silent rupture because the silicone gel inside the implant may leak into the body tissues with no visible signs. The FDA has recommended that women with silicone gel breast implants have an MRI after the first 3 years, then every other year to watch for silent rupture. These regular screenings may not be covered by insurance, and over time, can add up to an expensive responsibility on top of your initial surgery.

Data from FDA Core clinical trials over an 8 year period for women with primary breast augmentation supports that IDEAL IMPLANT patients may enjoy greater peace of mind. The research revealed that the risks for breast implant complications such as rupture/deflation, and capsular contracture are all lower with IDEAL IMPLANT than they are for silicone gel implants. Breast augmentation revision surgeries are expensive, but with IDEAL IMPLANT, you are much less likely to need them. 

It’s hard to put a price on peace of mind, but women know the value it holds. Knowing that you will never experience silent rupture with IDEAL IMPLANT gives you the freedom to enjoy them without the stress. If an IDEAL IMPLANT ruptures, you will know immediately just by looking in a mirror and the saline solution is harmlessly absorbed into your body. When a silicone gel implant ruptures, the silicone gel inside sticks to the body tissues and requires a complicated surgery to clean up the mess of silicone gel and replace the implant.  When you compare the long-term cost of different types of breast implants, the IDEAL IMPLANT offers the most value by far.

Choosing IDEAL IMPLANT Over Unstructured Saline

The differences between the IDEAL IMPLANT and silicone gel breast implants is clear, but what sets them apart from traditional unstructured saline implants? Unstructured saline breast implants have been on the market for decades and are basically like a water balloon because they are filled with saline solution and lack any kind of internal structure.  

The drawbacks of unstructured saline implants are aesthetic in nature. They move and feel more like a water balloon than a natural breast. Wrinkles and rippling are common problems associated with them as well, especially for women who are thin or have little existing breast tissue of their own. If you are having cosmetic surgery, one main goal is to gain confidence and satisfaction in the way you look, but unstructured saline breast implants don’t always help patients achieve the results they want. The IDEAL IMPLANT is not susceptible to these types of problems because of its design with an internal structure. Women can now enjoy the natural look and feel of their enhanced breasts without silicone gel or its associated concerns. 

Learn More About IDEAL IMPLANT With Dr. Park

Considering breast implants in the San Diego area? Contact Dr. Gregory Park today to discuss your options. Simply call (760) 655-1414, or visit Dr. Park’s office is located at 3998 Vista Way Suite A, Oceanside, CA 92056. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

A RealSelf Breast Surgery Experience With IDEAL IMPLANT®

When it comes to receiving breast surgery, firsthand reports are invaluable. Reading personal accounts is a helpful way to learn what to expect following surgery, gain knowledge about your desired procedure, and hear about real-life outcomes. RealSelf is a platform where women and men can leave reviews and updates about a variety of medical procedures, plus upload plastic surgery before and after images.

Meet bonnie5555 from RealSelf 

On RealSelf, bonnie5555 describes her recovery and post-operative experience after receiving IDEAL IMPLANT® Structured Breast Implants. She writes:

“Since so many of you helped me with my process I decided to contribute and show my journey with breast augmentation! I am 25 yers old, 127 lbs and 5’7. I am currently a small B cup and decided to go with the ideal implant. After consultation with my doctor we decided to go with the 405 cc and doing a little more in my left breast. My goal is to look natural but also have a more fuller frame. I have read good reviews with ideal implant so I am hoping it lives up to its hype !! Here is a pic of me before with some stats.”

One Week After Breast Surgery

To show her plastic surgery before and after transformation, bonnie5555 posted images one week after breast surgery. She states:

“Feeling excited here are some pictures from one week post op! The first few days were brutal and sleeping was a complete nightmare. I took my pain meds only the first day then stuck to Tylenol extra strength. After surgery I was put into a post surgical bra that was black and resembled a very very tight bandeau that zipped in the front. When I went back one week later my PA said I will be switching to a white strap that goes around my mid torso and then around the top of my breasts to help them settle. I hate this thing !!!!!! It is so comfortable and painful. My left breast feels pain when I wear it around the inner mid section and my back feels like it’s broke lol. Other than that things are going smoothly my incisions are still healing and my breast[s] are still firm and swollen.”

Day 10, 12, 14, and 19 Post-Operative Posts

As bonnie5555 continued the recovery process, she provided regular updates:

“The pain has gone down significantly I am able to do everything except I am still sore and very careful. I go for walks in the morning and night because I am a workout freak and petrified to gain weight lol. Even though I feel bloated I hope it will go down. I noticed my left breast hurt more than my right. I go back for my second check [up] tomorrow so we will see if I can get this damn strap off !! Hope for the best …”

“Ideal implants still feel firm and I have noticed they are dropping. Tomorrow is my appointment so we’ll see what my doctor says …”

“I just went for my two week appointment everything is really well so far ! My breasts are dropping and the little indent in my left he said will go away once these bad boys drop! I only have to wear the strap at night until I go back for my checkup next week! I’m beginning to put the scar cream on today twice a day I also bought some silicone pasties for my nipples which are crazy sensitive !!!”

“Tomorrow is my three week visit to the doctor so we’ll see how things go and if I need to keep wearing my strap. The area in my left breast is going down and my boobies are beginning to feel slightly softer!! I’m curious when everyone else’s softened up??”

Additional Updates

“7 weeks post op … they are feeling SO much more natural ! My right is still dropping more than my left. No pain, but my right breast when I touch the top I do slightly feel the implant. My left was overfilled so I don’t feel the implant at all. I heard once you get to month 3 that’s when you feel the softest! Can anyone relate/update me on their progress.”

“My progress has been great! My right breast feels completely natural but I’m waiting for my left to settle in. I have been increasing my workouts weights I just don’t do push-ups because it feels very weird. But overall I love them!”

Six-Month Follow-Up

“6 months later and I love the boobs!!! They feel pretty normal except when I lay down they are hard but other than that they are fine. They are very perky and close together which I love but the top of my breasts do feel somewhat firm. I still can’t do push-ups but I do everything else workout wise. Love them!”

Video Upload at Seven Months

Seven months after her breast surgery, bonnie5555 posted a video of herself to RealSelf which sparked several comments and questions. bonnie5555 states: “I attached a video to show the softness of the ideal implant! Although they are not as soft as real breast I think they feel pretty soft!!”

A comment by joli2116 reads: “I have been seriously considering getting the ideal implants. Have it experienced any side effects from the implants? I.e. headaches, muscle aches etc?”

bonnie5555 responds: “I love the ideal! No side effects like that feels pretty nomal”

Another comment came in from jennacatt explaining her plastic surgery before and after experience: “They bounce! You’re so lucky! My high profile silicone never bounced. Looks so good! Makes me want ideal implants. Mine were high profile so they were rounder and filled to the max to reduce rippling. So they were not too soft and had no bounce. They were very firm. I didn’t like them so I had them taken out. They were big at 440 cc. I also had the old saline implants which were the worst. Rippling was crazy with those, so hard and ugly. I’m going to get around 220 cc with Ideal implants next. Really downsizing lol”

Ten Months Later

Nearly a year after receiving IDEAL IMPLANTS, bonnie5555 made a concluding post:

“Loving them! They are still a littttttle firm but most people I talk to say implants are never going to be exactly like the real thing. My left breast is overfilled to meet the size of my right and since my skin is on the thinner side I slightly feel the implant on the bottom of my left breast. But on my right breast I do not since there was more fat there. Other than that no complaints !!”

Plastic Surgery Before and After with IDEAL

IDEAL IMPLANT Structured Breast Implants are the first of their kind, with no other breast implant utilizing the same advanced technology. FDA-approved in 2014, the IDEAL IMPLANT is made up of a unique internal structure—a series of shells nested together that hold two separate chambers filled with saline. This design allows the implant to provide the natural feel and realistic look commonly associated with silicone gel implants, yet the peace of mind that comes with saline and no risk of “silent rupture.” Plus, the IDEAL IMPLANT is only available to an exclusive group of board-certified plastic surgeons. If you are interested in learning more about IDEAL IMPLANT Structured Breast Implants or to find an eligible surgeon near you, visit

Breast Enhancement Surgery with Dr. Paul Leahy

While a quick Internet search of “plastic surgeons near me” will yield all sorts of results, it is important to remember that not all plastic surgeons have the same qualifications, specialties, or even preferences. Who you choose to perform your breast enhancement surgery will have a big impact on your results and overall experience. A positive plastic surgery experience begins with a skilled and caring plastic surgeon. 

Dr. Paul Leahy at Monarch Plastic Surgery

In the Kansas City area, Dr. Paul Leahy is a well-known plastic surgeon that can provide care and treatment in every aspect of cosmetic and reconstructive plastic surgery. He is board-certified by the American Board of Plastic Surgery, as well as an active member of both the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons. Furthermore, he is a clinical instructor at the University of Kansas School of Medicine, and was the President of the Kansas City Plastic Surgery Society in 2012.

Schooling and Awards

Dr. Leahy grew up in the Kansas City area and attended Rockhurst High School. He went on to receive an undergraduate degree from the University of Kansas and a graduate degree from the University of Missouri-Kansas City. He completed medical school at the University of Kansas Medical Center where he also remained for a six-year residency in plastic surgery. In addition, among all the “plastic surgeons near me” in the Kansas City area, Dr. Leahy was named a Super Doctor in Plastic/Cosmetic Surgery after an extensive nomination and evaluation process where the results were published in the January 2015 issue of KC Magazine.

Patient Reviews

In a Google review, Samantha Woodgate spoke of her experience at Monarch Plastic Surgery: “Dr Leahy is very caring and makes sure he answers all of your questions. I had reconstruction after a double mastectomy … He was very comforting and made me feel much better about what was a scary surgery. He did such a good job with that! I thought I was going to be disfigured but it came out beautifully. Dr Leahy and his staff are in a class of their own. Best plastic surgeon, I recommend him to everyone I know! Made a very scary time so much easier. Thank you!”

Another patient review featured on RealSelf by nattyn2113 reads: “After having kids my breasts drastically changed and strongly affected my self esteem. I went to Dr. Leahy initially and had a very good experience. He explained the process in an effective manner. Allowed time for questions/concerns. He told me exactly what he recommended after I told him what I wanted. I was very hesitant about the size … He made me feel comfortable and allowed me to come back any time to try on different sizes with different tops … The day of surgery he was so reassuring. Made me feel confident and eased my apprehension with the entire process. I am so very pleased with how they look. I am so extremely happy that I listened to his advice and expertise. They are exactly what I wanted!!! It was the best decision I ever made. And I am so thankful for his patience, expertise, bedside manner, and his skills as a surgeon. I would definitely recommend choosing Dr. Paul Leahy!”

A Breast Enhancement Consultation with Dr. Leahy

A no-obligation consultation with Dr. Leahy is a great way to get to know his work ethic, personality, and mannerisms. You will meet together privately to discuss your breast enhancement options and what you hope to accomplish from receiving plastic surgery. He works hard to make sure his patients understand all their breast implant choices to ensure they find the right fit for their desired results and personal needs.

Dr. Leahy also remains up-to-date on the latest advancements in the plastic surgery industry, including the latest in implant technology. He was recently named an Ideal Implant Premier Surgeon as part of an exclusive group of plastic surgeons eligible to offer the new IDEAL IMPLANT® Structured Breast Implants.  The IDEAL IMPLANT is a solution for women that want the youthful look and natural feel of silicone gel implants, without the worry of “silent rupture.” As a “structured” implant, the IDEAL IMPLANT utilizes a unique internal design consisting of a series of implant shells nested together that hold two separate chambers filled with saline. With IDEAL IMPLANT, women no longer have to compromise beauty for security.

Be Wise When Searching “Plastic Surgeons Near Me

While there are a variety of “plastic surgeons near me,” no one compares to the care and compassion of Dr. Leahy. He will listen to your concerns and answer your questions, plus create a customized treatment plan designed just for you. With his excellent surgical skills and many years of experience, you are sure to achieve beautiful results. He will help you learn what to expect following breast enhancement surgery, and how you can best recover and heal. You will be in good hands with Dr. Leahy at Monarch Plastic Surgery.

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

Structured Breast Implant Outperforms Silicone Implants in 8-year Study

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

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

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

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

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

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

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

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

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

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

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

What do you tell your patients about the IDEAL IMPLANT?

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

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

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

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

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

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

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

What should women know about the possibility of implant rupture?

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

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

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

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

What characteristics should women look for in a plastic surgeon?

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

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

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

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

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

What is a Structured Breast Implant? Dr. Steven Ringler Explains the IDEAL IMPLANT

If you are considering a breast augmentation, it is important to know all your options. Dr. Steven Ringler, a board-certified plastic surgeon, helps his patients understand the different types of breast implants available. In a recent interview, Dr. Ringler outlined how the new IDEAL IMPLANT® Structured Breast Implants are different from saline or silicone gel implants.

Describe your practice and work experience as a plastic surgeon.

“My practice is totally dedicated to cosmetic or aesthetic surgery. I have been in plastic surgery for over 33 years. My practice is divided about a third facial cosmetic surgery, a third breast and cosmetic, and body contouring the remaining third. I see patients from our local community, but I also see patients from out of town. We have a beautiful facility, very private, with a great team of employees and staff to help patients make decisions about what’s best for them. My cosmetic practice patients are happy. They’re treated with respect. We’re good at listening and learning what patient’s goals and expectations are, and trying to meet those with procedures and treatments we have to offer.

“Many years ago, a patient asked me what I would do if it was my wife, and at that time, it was saline or silicone gel. I said saline without hesitating. I made a decision at that time, that I would specialize in saline breast augmentation because I thought it was a better option for women, and I don’t regret that decision. I’ve always done saline and silicone gel, because I’ve always made it a patient’s option. I think that it is important that the patients have options, and that’s why I like to offer options to patients – saline, silicone gel, and now the IDEAL IMPLANT. I think these are three great options for patients. I don’t think any patient that I see now can’t come up with a decision given those options.”

How do you help your patients achieve their goals?

“I try and manage expectations by getting a really clear understanding about what the patient’s goal is, and what their expectation is. Size is a big factor. We use computer imaging to help with that. We also use external sizers and clinical photographs to help with that. Patients will occasionally bring in photos that they think look good, that they’ve downloaded, and I’ll review those with them. I think the most important thing is that the patient has a pretty good understanding about what the size and shape of the breast is going to look like, and if they need a lift or they don’t need a lift. It’s really important that they understand that. I think that if you’re really good at communicating those points with the patient, and have a long conversation about it, they’re going to be happy with the result. I have a very high level of satisfaction in my patients. Very rarely do I have a patient coming back asking for something to be revised, unless they’ve had an issue with scar tissue or implant position, which is a risk of the surgery.”

How do you help women decide between traditional saline implants, silicone gel implants, and IDEAL IMPLANT® Structured Breast Implants?

“I think it’s really important, as a physician, to educate the patient. That’s part of the informed consent process. I think patients need to understand what their options are. It’s their body. They need to make the decision. That being said, I don’t feel that a ‘gummy bear’ implant is a good option really for anybody anymore, especially with the issues that are coming up with the ‘textured’ implants. I don’t use any ‘textured’ implants, and many of my colleagues have stopped using ‘textured’ implants because of concerns over long-term safety.

“If someone comes in asking for a silicone gel, and I think their physical dimensions are a good fit for the IDEAL IMPLANT, then I generally tell them why I think the IDEAL IMPLANT is as good. I let them feel the implant. I show them the differences between the implants, even the same size IDEAL IMPLANT sitting next to a silicone gel implant has a different shape. I explain to them why I think the shape is better, and then I show them clinical photos of patients with standard implants and the IDEAL IMPLANT. The uniform response is, ‘I like the IDEAL IMPLANT results better. Those look better.’ So it’s fairly easy for me to convince patients. They know I think it’s better. I tell them I have a very strong bias that way. But most patients, by the time I’m through discussing the differences, they pretty much agree with me.

“I still have patients that will end up choosing a traditional saline implant. I had one patient with a very broad chest, and as a result, I thought it would be a better fit for her. She wanted a very large implant. I was concerned that the IDEAL IMPLANT might have too narrow a base diameter. But then there are also patients who I recommend the IDEAL IMPLANT, and they make the decision. A lot of patients come in and they say, ‘Well, if you’ve been getting great results with traditional saline, and my girlfriends have saline, I’m good with that. I don’t see the advantages.’ I have others that say, ‘I want the latest, the greatest thing.’ They want the IDEAL IMPLANT. And I do get good results with both. So it’s a little bit of a unique situation for me to come up with a reason why I should switch. But now that I’ve seen the clinical results, I tend to recommend the IDEAL IMPLANT over traditional saline, if all other things are equal.”

Why do you like IDEAL IMPLANT® Structured Breast Implants?

“As soon as the IDEAL IMPLANT became commercially available, I began using the product. It’s a great advancement because it’s really the best design change that I’ve seen in implants throughout my entire career, especially being a big fan of saline implants.

“I’ve done a little over 50 patients with the IDEAL IMPLANT. When I first started using them, my staff that uploads my photos, they started telling me I was getting better results. I always thought I had pretty good results all along, so to find out from my employees that the IDEAL IMPLANT results were better, I started looking at them, comparing them to my saline breast augmentation that I thought were pretty good. But I think what I’ve really noticed with the IDEAL IMPLANT, is I think the shape of the breast is quite a bit better. Patients have had a very high level of satisfaction. I’ve not had anybody come back saying that they weren’t happy with the IDEAL IMPLANT. And now, I’m getting many patients coming in who have heard about the IDEAL IMPLANT. They’ve seen them online. They’ve heard from other patients. They’re starting to ask for the IDEAL IMPLANT by name.

“I like the shape of the IDEAL IMPLANT. I think the clinical results are better, especially in women who have very little breast tissue and have lost a lot of breast volume. Even with a silicone gel or traditional saline, I don’t think I get as good a shape in those patients as I’ve been seeing with the IDEAL IMPLANT. So that’s been very important to me.”

How do you educate women about the advantages and disadvantages between a saline implant and a silicone gel implant?

“When I’m talking to patients about implants, I always talk about silicone gel also. If it’s a silicone gel implant, I tell them that many surgeons are recommending replacement every 10 to 15 years. I also tell them the issues about requiring an MRI. With a traditional saline or the IDEAL IMPLANT, I tell them my 20-year data is 1.8% deflation rate. [Note: For the IDEAL IMPLANT, the seven-year data shows a 1.8% deflation rate.] So I’m an optimist, 98% don’t leak. If the implant doesn’t leak, and they’re not having problems with implant position, there’s no reason to replace the implant. Nobody can guarantee that the implants are going to last their whole life, but I have patients who’ve had saline implants in for 30 years and are doing just fine. At that point, there’s no reason to replace them, unless they’re having an issue. Maybe later in life their breast volume will change, they’ll want a smaller implant or a bigger implant. That’s a possibility. There’s not a long-term necessity to change the saline implant if they’re not having problems.

“Clearly I like the advantages of saline over silicone gel. I like the safety of saline over silicone gel. I don’t think that women are going to get MRI’s every three or four years to monitor their silicone gel implants. I’ve taken out hundreds of ruptured silicone gel implants during my career. It’s a big operation, removing the silicone gel. If I never see another silicone gel implant related problem, I’d be very happy.

“With the saline implant, if it leaks, it’s a very easy thing to change. There’s minimal downtime, and it’s minimal inconvenience to the patient. A saline implant is not subject to monitoring. They come in for an exam, they look at themselves in the mirror, and they can tell if their implant is leaking. I do think that the double-lumen of the IDEAL IMPLANT is nice because it’s never going to totally deflate. Patients don’t have to worry about that. It’s still going to maintain roughly 60% of its volume, even if the outer shell leaks. That seems to be reassuring to some patients. Overall, I’ve just been very happy and find myself more enthusiastic about the IDEAL IMPLANT. As I use the IDEAL IMPLANT, the long-term results I’ve been seeing, they feel natural. I can’t tell the difference between the IDEAL IMPLANT and a silicone gel implant when I examine the patient. I have to look at their chart to know what they have in.”

How do you help your patients determine an incision location and the placement of the implant?

“I see a lot of patients specifically because they want a transaxillary approach. I feel that I can get an optimal result, without a breast scar. This is a cosmetic operation. I don’t see why we should ever put a scar on the breast if we don’t have to. I see patients back for other procedures or for long-term follow up, and I can’t even find their axillary scar. They’re thrilled with that.

“There are some situations, due to the patient’s anatomy or personal preference, where they want an incision in the breast fold. I’m certainly qualified to do it that way, but I just don’t see any advantage, for the majority of patients, to have a scar on their breast. With the IDEAL IMPLANT, I’ve not had any issues using them through the armpit. I know there are some other surgeons in the country that are doing it that way. I actually find it goes really smoothly.

“For patients who need a lift, and we’re talking about an implant, and I’m going to use the IDEAL IMPLANT, I still as a general rule put the implant in from underneath the arm because I feel like I get better muscle coverage of the implant, and I don’t expose the implant to the breast tissue. Many surgeons believe that this is somehow protective, whether it’s low-grade bacteria or what’s called biofilm that might be from exposing the implant by inserting it through a breast incision. That may be reduced. I looked at my long-term data with saline implants, and have had extremely low incidence of capsular contracture. I’ve always attributed that to the transaxillary approach. I can’t prove that because I don’t have a double blind study, but I think many surgeons in the community feel that that does protect the implant, so I still use that approach, even when I’m doing a lift.

“Also, I almost always put an implant underneath muscle. I do only in a very rare situation where the patient insists that it be in front of the muscle, and then it’s a much longer conversation because it’s a higher rate of capsular contracture. I don’t think the results look as natural. I’ve never put the IDEAL IMPLANT or saline implant in front of the muscle. I’ve only used silicone gel in front of the muscle, and that goes back to my earlier career. I don’t really look forward to doing that again, unless a patient really had a unique situation. I think in the last 10 years, I’ve done that once where the patient had insisted on it.”

What should women consider when they are researching plastic surgeons?

“I think the most important thing that any woman can do that is interested in breast augmentation, start by seeing a board-certified plastic surgeon that has extensive experience in aesthetic breast surgery and offers patients options, whether it’s silicone gel, traditional saline, or the IDEAL IMPLANT. They have options and experience to really address patients concerns and meet their needs. That’s the best way to have a good outcome for the surgery, and minimize any risks.”

Considering breast implants in Grand Rapids? Contact Dr. Steven Ringler today to discuss your options. Simply call 616-328-8800 or visit Dr. Ringler’s office is located at 1151 East Paris Avenue SE, #200, Grand Rapids, MI 49546. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.