Posts Tagged ‘Breast Augmentation’

PIP and safety of Breast implants

Monday, January 16th, 2012

Recently a French manufacturer of silicone breast implants, Poly Implant Prothèse or PIP, came under Investigation by the French government for using low grade silicone in their silicone gel breast implants. The French have recommended that patients with these implants have them removed and replaced as a preventive, but not urgent matter.

These breast implants are not approved for use in the United States and I have never used them in my practice. The concern is only relevant for patients who have had breast augmentation outside the United States.

The only gel breast implants approved for use in the United States are manufactured by American companies and adhere to strict quality and manufacturing requirements.

The FDA requires extensive bio-compatibility testing on all its breast implants as described in their administration’s Summary of Safety and Effectiveness Data. These guidelines have resulted in silicone shells that have been tested and shown to possess excellent strength, resilience and elasticity.

If you have any concerns or questions about what is going on in France please do not hesitate to contact our office. If you had breast augmentation surgery outside the U.S. and would like to remove or replace your gel breast implants just please let us know.

Exchange Saline Implants for Silicone gel breast implants?

Monday, October 24th, 2011

I recently put a special on my website offering patients with saline breast implants the opportunity to switch to silicone breast implants. I think it’s a wonderful opportunity for patients who have considered switching.

So why switch to silicone breast implants?

A silicone gel implant is softer than saline, mushier and generally more natural looking. A gel implant softens the transition from the chest wall to the upper portion of the breast.

So who might make the switch?

- If you wanted silicone in the first place but had your breast augmentation surgery back when silicone was not available in Maryland.

- If you are very slender with little breast tissue and wish to look more natural.

- If you have rippling from a saline implant that bothers you. Silicone gel implants can ripple too but they ripple the least.

- If you’re saline breast implants are old and you’ve been considering an exchange anyway.

- If you’ve thought about changing your size.

To find out if switching to silicone is right for you and learn more details just contact us through my web site or e-mail my assistant Pei@washingtonplastics.com for a complimentary consultation at one of my three locations in Annapolis or Rockville, Maryland or in McLean, Virginia.

Correction of Inverted Nipples through Breast Surgery

Wednesday, August 17th, 2011

Congenital inverted nipples are more common than people realize. However, this problem can easily be corrected under local anesthesia and can also be treated during breast surgery whether undergoing breast augmentation, reduction and or breast lift. To release the nipples, a minor incision is made at the bottom of the nipple and the breast ducts which bind the inverted nipple are released. Release of the nipple which requires the release of the underlying ducts may affected breast-feeding and sensation. If an inverted nipple is a new finding it must be evaluated prior to correction to make sure that there is no underlying breast cancer.

If you are interested in correction of inverted nipples, breast augmentation, reduction or another type of breast surgery procedure in Maryland or Virginia; contact my practice today to schedule a consultation.

Postpartum Restoration A.K.A. The Mommy Makeover

Friday, August 12th, 2011

As the proud father of two beautiful children and a plastic surgeon, I have had the first hand opportunity to see how such a magnificent miracle can dramatically alter the female body. Hereditary, unpredictable, and often unfair, pregnancy is a body-altering experience. The body is incredibly intelligent and throughout pregnancy has the ability to change dramatically in response to the hormones associated with it. The breast become fuller, skin stretches and abdominal wall and pelvic muscles loosen, among other things.

Unfortunately, the body does not always do as good of a job restoring itself. Following child-birth skin loses elasticity and breasts often lose even more volume than they started with before pregnancy. The combination of loose skin and diminished volume can leave the breasts deflated and saggy. The abdominal wall can remain loose despite exercise, and weight can be unbearably difficult to lose. These affects are often discouraging for many women.

After pregnancy, and in general, I always encourage my patients to be healthy and attain a comfortable weight. This doesn’t imply stick thin and certainly does not involve crash dieting. It simply means a realistic weight that can be reasonably maintained.

Unfortunately, sometimes doing the right things such as eating an appropriate diet and exercising are not always enough. That is where I come in. The first part of my involvement is a consultation and physical examination to see if a patient would be healthy enough to undergo a Mommy Makeover and which procedures such as tummy tuck, breast lift, breast augmentation, liposuction, labioplasty and or another type of procedure they would benefit from. Safety must always come first and surgical treatments can only proceed after a clean bill of health is ascertained.

Here are the most common procedures or treatments I offer my postpartum patients in the area of Maryland and Virginia.

Breast Augmentation
Breast lift
Breast lift and augmentation
Tummy Tuck mini or full
Liposuction
Labioplasty

This is certainly not a complete list of the procedures that I perform in the postpartum patient, but these measures are in many ways the most gratifying. These are the options that many people initially explore with trepidation and ultimately regret not pursuing sooner.

If you are interested in learning more about the mommy makeover, contact Pei at our practice today to learn about special pricing for procedures booked in August. We have three convenient locations, Rockville, Maryland; Annapolis, Maryland; and McLean, Virginia.

Breast Augmentation: Questions to Ask During your Consultation

Thursday, January 20th, 2011

If you are considering breast augmentation, it is important to discuss your options with a plastic surgeon. You will want to make sure your plastic surgeon is knowledgeable, certified, experienced, and to ensure all of the above it is important to ask your surgeon questions upon consultation. Additionally, a consultation will go over your desired results, medical history, etc. During this time, breast implant options will be discussed, as well as technique. Based off your desires, health and body frame one implant type may be better than another, as well as one technique may be more appropriate then another.

What to ask during your consultation for breast augmentation:

1. What are your credentials?

*The only board recognized by the American Board of Medical Specialties in the field of plastic surgery is the American Board of Plastic Surgery. Your plastic surgeon should be certified by the American Board of Plastic Surgery as this will ensure he has undergone extensive training and met all standards as deemed by the Board.

2. What plastic surgery societies are you a member of?

*Certain societies such as the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons only accept applicants after they have received certain certification, training and met their society’s standards.

3. What hospitals are you affiliated with?

*Breast augmentation is an outpatient procedure and can be performed in an accredited surgical facility. However, some individuals prefer to have breast augmentation in a hospital. Additionally, in the unlikely hood of an unforeseen event, it is important to know which hospitals in your plastic surgeon has privileges to operate at.

4. If you have not already done so, ask to view before and after photos of breast augmentation patients.

5. What breast augmentation techniques do you perform and how many have you performed for each technique?

6. What techniques do you provide to improve healing if any?

7. Do you offer techniques that utilize instruments that will provide less trauma to the breasts?

8. What does the recovery process entail following breast implants?

9. What medications or technology do you provide to reduce swelling, inflammation, and speed up recovery if any?

10. I am allergic to ______? Will this have an effect on which breast implant I am able to have and or could I have a reaction due to this allergy?

It is important to disclose your full medical history at time of consultation so your plastic surgeon is able to give you the best advice possible based off your needs.

If you are considering breast enhancement surgery, consult with board certified plastic surgeon Dr. Adam Tattelbaum, contact his office today.