Are Modern Breast Implants Safe?

We have seen some horror stories involving breast implant surgery on the news at some point in our lives, and while sometimes there are over publicized tragedies that cause people to fear going forward with their desire for implants; the truth is that the surgery has become very commonplace and very safe in the last decade. This doesn’t mean you shouldn’t research your doctor thoroughly, and know exactly what options are available to you; it cannot be understated how important choosing a reputable surgeon is in your decision. Oftentimes, the best way to get a great doctor is through a reference of someone you know, so ask around and see what others experienced before you jump right into it.

The most common materials used in breast implants are silicone and saline. These products are FDA approved for use in breast enhancement surgery, and have a long history of being successful and safe. Scientists have decades worth of cases to examine, yet have not found any health risks or side effects from either silicon, or saline breast implants.

What are some things that can go wrong during or after the surgery? This is probably what you’re wondering, and the answer is that there really is not much to worry about, but there are some things to be aware of. The most common mishap with breast implants is a rupture, it doesn’t happen often, but it can happen in some extreme situations; such as a car accident, or puncturing of the breast. If this does happen, there is no cause for alarm, the materials will not harm you, but will simply be absorbed into the body and be naturally transported out of your system. Of course, this will most likely require additional surgery to repair, or replace the damaged implant. It is a wise idea to consult with your doctor about what activities are safe, and what you might want to avoid, to keep your implants full and firm.

Now, let’s say that you have found a doctor you like, and who you trust to deliver the results that you’re looking for, and you have thoroughly considered what size and shape you think will best compliment your body type, then comes the actual surgery. This is the scariest and most painful part of the entire experience, but fortunately you will be under anesthesia and not feel a thing until you begin recovery. As with surgery of any type, there is a small risk of infection from the incision, and an even smaller chance of complications with the anesthesia, but with hundreds of successful surgeries being performed every day, the odds are in your favor of safely obtaining the breasts you’ve always wanted.

The Importance of Finding Good Plastic Surgeons

The importance of finding a good plastic surgeon cannot be understated. News of botched up jobs by plastic surgeons and near deaths have also accompanied celebrity endorsements of plastic surgeons and their clinics. The networks have recently been rocked by gruesome details of unsuccessful cosmetic surgical procedures which wound up badly for the patient. You would not want to get the exact opposite of what you expected.

Your criterion for finding a good plastic surgeon will be based on whether it is a reconstructive or aesthetic surgery, or both. A safe approach to finding a good surgeon would first be to verify your referral with the Professional Regulation Commission (PRC), the Philippine Medical Association (PMA) and the Philippine Association of Plastic, Reconstructive and Aesthetic Surgeons, Inc. (PAPRAS) at their websites at the following:

prc.gov.ph

philippinemedicalassociation.org

papras.org

The websites are equipped with search engines for finding a member doctor’s name. You may also e-mail them at their contact addresses for your queries. Your guide to rating the doctor will be his credentials, which should include board certification certifying that he is a plastic surgeon. His hospital affiliation and rapport with other doctors and patients should also be determined. Cosmetic surgery being a special field of medicine, requires the completion of two years in this field of specialization on top of three years of general practice. His hospital affiliation is important because cosmetic surgery requires specialized equipment. A doctor’s affiliation with a prestigious hospital or clinic known not only for its modern equipment but for research and development, as well, in this special field, would certainly add to his credentials. Medical journals, both offline and online would be a great help to patients who are scouting for the right doctor and hospital or clinic.

Good plastic surgeons also advertise with credible advertising agencies or media. Credentials are best enhanced by testimonies of successful operations and endorsements by celebrities. Your doctor’s reputation is also important. You might also want to search your doctor’s name in any of search engines in the internet for anything irregular. Some doctors associated with a known celebrity cosmetic surgeon, for example, have been recently dragged to court for unprofessional conduct involving their patients. Patients have a right to keep their medical records private. Most non-celebrity patients prefer to be discreet and keep the procedure a secret. Furthermore, unless you are a celebrity, it is deemed to be prudent to prefer a plastic surgeon who is known to be discreet.

Plastic Surgery Questions to Ask

A recent study published in 2008 by the American Society of plastic surgeons has predicted that by the year 2015 more than 55 million plastic surgeries will be performed yearly. This is wonderful news for the Los Angeles plastic surgery industry. However, new patients should now more than ever be thorough in their due diligence when selecting a plastic surgeon. During the consultation process patients discussing potential surgical and nonsurgical procedures with a prospective surgeon would be well advised to thoroughly evaluate answers to questions, general attitude and communication skills of medical staff, as well as the experience of the surgeon. 

A Los Angeles plastic surgeon should have a patient referral list available, and be willing to answer extensive questions about their years in practice, prior medical specialties, and board certification. Additionally, potential surgeons should be honest and forthcoming about any disciplinary actions taken against them by the state medical board. Likewise, frank discussions about their malpractice insurance in any malpractice lawsuits should be a part of the initial consultation process. If the surgeon has had any hospital privileges suspended or revoked this should also be disclosed. Regardless of the answers the surgeon provides to these questions, part of your due diligence is to verify their answers. 

In addition to basic background information about the surgeon’s practice and any negative issues on their record, there are other questions of equal importance that should be on your list. Other questions to ask prior to plastic surgery Los Angeles, include specific procedures they prefer to perform, how many times they have performed the specific surgery you are considering, as well as any revisions to their own work they have performed. You may also want to ask how many of these revisions were due to poor outcomes versus how many were the result of patient decisions. These questions serve to ensure you find the best surgeon for your particular procedure. 

In addition to questions specific to the plastic surgeon in Los Angeles with whom you’re consulting, you should also ask questions relative to your specific situation. These might include whether you are a good candidate for the surgery, potential complications, and steps to ease pain or discomfort.

Additionally, questions regarding anesthesia such as how long it will be under, the type of anesthesia, and who will administer it should also be on your list. While these suggestions for questions cover a broad range of topics, you should include any other questions that might help you make your final decision.

Plastic Surgeon Los Angeles

What Treatment Options Exist For Correcting A Capsular Contracture After Breast Augmentation?

What is a Capsular Contracture?

Capsular contracture is a rare, but concerning complication of breast augmentation. While breast augmentation continues to be one of the most common aesthetic procedures undertaken in the USA, capsular contractors can and do occur. Capsular contracture refers to a process where your body forms an abnormally hard shell around your implant, causing pain, discomfort, and loss of the breast shape. While this complication is obviously concerning, we routinely treat this unfortunate complication at our facility for all types of patients. As with all types of plastic surgery, treatment of this problem begins with defining the problem and how it specifically effects you.

4 Stages of Capsular Contracture

Grade I Capsular Contracture

To begin, all breast implants cause creation of a capsule. The magnificent machine that is the human body recognizes the presence of a foreign body internally. It then creates a soft capsule around the breast implant that is completely organic and physiologic. This capsule is actually quite helpful for both patient and plastic surgeon, as it creates a permanent “home” for the breast implant. This type of capsule is considered a Grade I capsule. No treatment or surveillance is necessary at this stage. This is actually what both patient and plastic surgeon want to have. Grade I breast is normally soft and appears natural in size and shape

Grade II Capsular Contracture

When the capsule begins to thicken up, and the implant feels slightly firmer, but does not change its overall shape, the capsule is then considered a Grade II capsule. The good news is that surgery is usually NOT indicated. In these instances, we treat the capsule through medical and mechanical means only. Lymphatic massage, ultrasound therapy, and the use of Zafirlukast can often reverse thickening at this stage, and salvage your augmentation. Grade II breast is a little firm, but appears normal.

Grade III Capsular Contracture

The next stage of capsular contracture involves continued hardening of the implant capsule, but now the hardening has changed the overall shape of your implant and/or breast. Grade III breast is firm and appears abnormal. This type of contracture is considered Grade III, and is obviously extremely distressing to women, but it can be treated!! Treatment involves a careful balance of medical and surgical management, and as always, it relies upon wide open communication between our staff and you. In this stage, the capsule has created a mechanical compression of the implant. These patients do require surgical revision. As always, the type of surgery used is individualized to the patient, and we have a number of different approaches to choose from:

  • Partial Capsulectomy – This procedure involves removal of only a portion of the capsule. This is our least common procedure for treatment of contracture, but it does play a role for some patients who have a focused area of scar contracture. Typically, this type of procedure is done on patients who have not had appropriate unilateral descent of their implant. Surgery involves removing only the offending area of capsule. Post-operatively, patients are started on lymphatic massage and medical therapy. In appropriately selected patients, this treatment is very effective, but not all patients are candidates for this approach. We do not use surgical drains with this procedure.
  • Total Capsulectomy – This operation removes the entire capsule and all associated scar tissue with your existing implant. Once the implant and capsule are removed, a new implant is placed after the entire area is irrigated with a triple antibiotic solution. This type of procedure may also require a breast lift be done simultaneously, depending on the shape and size of the breast.
  • Neopectoral Pocket – This operation uses the abnormal capsule to our advantage! In this procedure the capsule is meticulously dissected free from the surrounding breast tissue and muscle. Once this is complete, the capsule is then collapsed down to the chest wall and oversewn to provide more projection and volume to the new implant. This is a fantastic approach to contracture, and it provides some of our best results. Unfortunately, a small 8mm surgical drain is required on each side for this procedure. The drain usually removed between days 3-5 after surgery. This is a highly specialized procedure that we perform.
  • Implant Plant Exchange with Strattice – There is a great deal of long-term clinical data that suggests that implants placed above the muscle may have more capsular contracture than implants placed below the muscle. If you have an above the muscle implant with contracture, the treatment of choice is total capsulectomy, removal of your current implant, and placement of a new implant beneath the muscle with a Strattice sling. This procedure is our most common form of revision, as it provides a soft, natural look to your breast. Strattice is a type of biologic mesh that revascularizes once inside your body. It essentially becomes part of the breast structure, providing a permanent internal support bra for your implant in its new position.
  • Implant Removal Only – This is a very viable approach to treating contracture, and while most clients wish to save their augmentation, many do not want to keep their implant. Removal of the entire implant without capsulectomy can be done with local anesthesia only. In this approach, the capsule is left behind, but it will commonly soften up over time. In cases where it continues to be hardened, secondary capsulectomy can be used at a later date to reduce internal scar burden.

Grade IV Capsular Contracture

The last stage of capsular contracture, Grade IV, involves a permanent dull throbbing pain, and commonly, a sense that the breast feels cooler to the touch. As with Grade III, your treatment options are the same. Patients again are maintained post-operatively on maximal medical therapy (massage, Zafirlukast). Use of total capsulectomy with Strattice sling is very common in this group. Grade IV – the breast is hard, painful to the touch, and appears abnormal

In summary, there are multiple treatment options available for women who have experienced capsular contracture of their breast implants. Treatment options vary from non-surgical treatment options to implant removal. Capsular contracture does not necessarily require permanent removal of the implant.

Exploring the Field Of Cosmetic Surgery in India

In recent years many people are going for cosmetic surgery to improve their appearance and thereby feel more confident. Men and women both are very conscious of how they look and the advancement of medicines has resulted in opening many ways so that in case a person is not happy with his or her looks or body they can very well get it transformed with the help of cosmetic surgery.

Though there are many people who try some traditional methods such as diet, workouts and lifestyle changes, there are many who resort to cosmetic surgery as the traditional methods often do not provide desired results. Some of the famous cosmetic surgeries which are in demand are facelift, lip reduction, octoplasty, Eyelift, breast surgery and so on.

As per researchers surgery originated in India in approximately 600B.C. Today India is again in news and is considered one of the best destination for getting cosmetic surgeries done. Some of the reasons why many people from within the country as well as from overseas are considering going for cosmetic surgeries in India are:

  • Growth of cosmetic surgery: As per statistics about 20,000-30,000 doctors are churned out by different medical colleges in India every year. The doctors need to complete a four and half year of bachelor’s degree and after that they need to do internship from a reputed medical college. In order to become a surgeon they again need to do a two year post graduation degree where they need to focus on their area of specialization. The rigorous medical course ensures that the doctors are equipped with the latest knowledge and are also aware of the latest technology. Cosmetic surgeon and other parts are also experts in their field with vast knowledge and can be trusted to do a great job.
  • Experts handling surgery in India: It is not unknown how a plastic surgery can go wrong if not done by experts. However, India’s private medical facilities are considered one of the best and the cosmetic surgeon in and other parts are experts in their field and can be trusted to give you the desired result. Cosmetic surgeries and other parts offer some of the best facilities. The technology that is used is world class making it a sought after destination for patients from all over the world.
  • Cheaper costs: Clients from many developed countries such as Britain, America and other parts of Europe have been flocking India so as to escape the high medical cost in their country. Medical cost in most of the developed countries is tremendous and as per experts it is quite less when it comes to India. So patients get the advantage of availing world class services at less cost due to the fact that the countries standard of living is low.
  • The scenario of India has changed a lot and the country is no longer lacking in technology. Moreover Indian doctors have international qualification as well as expertise which make them all the more experts in the field and they can be trusted to do fantastic job at cost which is almost 30-40% less than that of developed countries.

Although India is a great place to get cosmetic surgery done, one should research well before zeroing in on any particular doctor. The surgeon selected should understand your desires perfectly. Apart from qualification and expertise of the doctor, reference also helps in choosing the right doctor. He or she should be having expertise in similar type of operations that you want to be performed on your body.