Archive for the ‘Breast Augmentation’ Category

Plastic Surgery Stats Down, Surgeons Remain Optimistic

Wednesday, March 10th, 2010 by editor

Every spring we hear the results of annual surveys from professional associationssurgery_san_francisco like the American Society for Aesthetic Plastic Surgery, which released 2009 statistics this week. The news always gives us an opportunity to speculate on and discuss nationwide trends in plastic surgery.

The numbers for 2009 show a mere two percent decrease in cosmetic treatments compared to 2008. Given the economic situation in most U.S. markets during 2009, that’s positive news.

Of the nearly 10 million cosmetic procedures performed in the U.S., non-surgical treatments like Botox and Juvederm increased slightly while a moderate (17 percent) decrease was seen in surgical procedures like the tummy tuck, liposuction or breast augmentation. While cosmetic surgeons were surely affected by the recession, many around the country are seeing strong demand return in their communities and are therefore very optimistic.

  • In Virginia, plastic surgeon Dr. Christopher Hess says his practice saw an increase of 11.5 percent from 2008 to 2009.
  • In the Pacific Northwest, Seattle plastic surgeon, Dr. Robert Grenley says despite the bump in the road that occured in late 2008 and early 2009, his plastic surgery practice has seen its busiest winter quarter in 24 years. “Patients who desire to have cosmetic surgery are finding a way to have it done” says Dr. Grenley.
  • At Boston Plastic Surgery, Dr. Fouad Samaha says the past few months have brought a “strong resurgence in patient interest and volume that appears to be well ahead of economic indicators.”  Samaha says he believes the resurgence is “testimony to the high level of motivation that people have for self-improvement, feeling better about their appearance, and increasing their self-confidence.”

From the statistics and talking to plastic surgeons, it seems that the latest non-surgical treatments and breast enhancements are the recession-proof offerings keeping doctors busy.

For the Second Year, Breast Augmentation is Top Cosmetic Surgery

For the second year in a row, breast augmentation was the most frequently performed cosmetic surgery, with 311,957 estimated procedures nationwide. Doctors have suggested several reasons for the procedure’s continuing popularity:

In a Wall Street Journal article, Dr. Renato Saltz cites the reintroduction of silicone gel breast implants as a factor pushing breast augmentation procedures to the top. A younger group of patients also appear to be heavily favoring the procedure. For patients 19-34 years old, it was the most chosen surgery, while patients age 35-50 actually chose liposuction more frequently.

More statistics for 2009 will be released in the coming weeks from other professional groups. We look forward to comparing them and continuing this discussion of plastic surgery trends.

Read the ASAPS press release

Factors That Affect The Natural Feel of Breast Implants

Monday, February 1st, 2010 by editor

How can I get a natural results from breast augmentation? Although breast implants are all designed to closely mimic natural breast tissue, this is a very common question.

Most plastic surgeons agree that silicone implants mimic natural breast tissue more closely than saline. However, natural results can be achieved with either implant. If you’re concerned about getting a natural look or feel in your breast implants, there are a few factors to consider:

  • The amount of tissue covering the implant will affect the way it looks and feels, so you make sure you discuss implant placement options (sub glandular, sub-muscular or partial sub-muscular) in breast implant placement.
  • After breast augmentation with saline implants, the breasts may be very firm but soften over time.
  • Patients with a thin body and thin breast tissue will often be advised to choose silicone implants because of the possibility of visible wrinkling caused by a lack of adequate soft tissue coverage.
  • Choosing the proper breast implant size is critical for achieving a natural result that matches your body size.

Read more about breast augmentation in San Francisco

Can Breast Implants Hinder Breast-feeding?

Monday, September 14th, 2009 by newseditor

Mother breast feeding her baby girlSometimes during surgical consultations patients will ask whether breast feeding will still be possible after breast augmentation. They might also inquire about the safety of the newborn.

Breast feeding is not typically disrupted by the presence of a saline or silicone breast implant. But in certain cases, often when an incision near the nipple is utilized, the patient’s ability to breast-feed is indeed disrupted.

Minimizing this risk
The general recommendation is to utilize a surgical incision that avoids manipulation of the nipple. So if this is a real concern for you, it may be a good idea to investigate incision techniques such as the inframmary fold incision, transaxillary incision, or transumbilical breast augmentation method.

Furthermore, although breast feeding is not necessarily compromised by sub-glandular (above the muscle) breast implant placement, some surgeons maintain that sub-muscular placement reduces the risk as well.

Safety concerns for the newborn
A study published in the June ‘98 issue of Plastic and Reconstructive Surgery found no measurable risks to the infant. When breast milk from breast augmentation patients and non-patients was compared, researchers found comparable levels of silicone (silicon – a natural occurrence).

Don’t hesitate to ask Dr. Maddali or your OB/GYN if you still have questions and concerns about this topic.  Whether you plan to become pregnant or not, it is best to understand all of the possible breast augmentation risks before proceeding with surgery.

New ASAPS Video About Breast Augmentation

Tuesday, July 7th, 2009 by newseditor

Why should one undergo breast augmentation? One patient discusses her reasons for getting implants, saying she “wanted to look more feminine” and to “have cleavage.” The most important point she touches on perhaps, is about education: “I had fears to begin with, but my fears lessened the more information that I gathered.”

The American Society for Aesthetic Plastic Surgery produced this educational video, and is devoted entirely to advancing the field of cosmetic plastic surgery through education and research. View our site on breast implants in San Francisco, or the ASAPS site for more information.

What is the cost of breast reduction surgery?

Sunday, July 5th, 2009 by newseditor

 

Because her insurance company would most likely not cover breast reduction surgery, a patient expressed her concern about the potential cost.  She complained about severe pain in her back and neck and asked what a reputable surgeon would charge.

I told her that it depends on many factors:  The fee you will pay depends on factors like your geographic area, the type of facility, the skill of the surgeon, and so on. 

The American Society of Plastic Surgery has some statistics we can use to get a general picture:  In 2007, the average surgeon cost was $5400. On average, you would add another $2000 for the facility fee and the anesthesiologist. So the total would probably be around $7400. The price will vary significantly from doctor to doctor, so expect a range somewhere between $6000-$10,000. 

For information on breast reduction in San Francisco, contact us.

Is it safe to undergo liposuction and breast reduction surgery at the same time?

Monday, June 22nd, 2009 by newseditor

A patient asked us whether she could safely undergo breast reduction surgery and liposuction during the same surgical procedure.

I said that it could be safe, but I’d consider the patient’s medical history, habits, and overall fitness.

In a young individual, combining breast reduction with liposuction of about 2000-3000 cc does not necessarily increase operative risk by a large magnitude. However, if the patient has some underlying medical problems, is not physically fit, has excessively large breasts (which can take a longer time to complete), or has a lot of volume for liposuction, then it would be best to stage the procedures.

In that case, we would perform one first, then do the second at a later date, which would keep the overall surgical risk to a minimum.

What if I dislike my breast implants?

Friday, June 19th, 2009 by newseditor

 

A patient who was considering breast implants came to us with concerns about the permanence of the outcome.  She asked: If I decided that I did not like them, could the procedure be reversed? Would I look the same afterwards?  I told her to take some more time to think, and do some more research.

Plastic surgery isn’t for everybody. Breast augmentation will alter your appearance, and most patients find that satisfying. If you are unsure about breast augmentation, that is fine. Take some more time to think it over; there is definitely no rush. Go back to your surgeon and try out samples of implants under your bra. See how you feel with them. If they feel abnormal and uncomfortable, then you may not be ready for the procedure. Speak to your surgeon some more and then see how you feel.

It is very rare for patients to ask that we reverse the augmentation once it is done. 

However, it is possible to remove implants through the same incision and leave a small scar. There would most likely be no change to your breast size and shape after removing the implants, especially with younger patients and those with moderate sized implants.

Can you get breast implants if you’ve already gotten a breast reduction or breast lift?

Monday, June 15th, 2009 by newseditor

 

Planning to get a breast reduction and lift, one patient worried that her breasts wouldn’t have the fullness she desired, so she asked if she could use implants later on.

I told her that it is possible to have implants after a breast reduction.

Together, breast reduction surgery and the breast lift accomplish the main goal of decreasing overall breast volume and lifting them to a more natural position. This relieves back pain and encourages more physical activity. However, it is true that once these procedures are finished, the upper portion of the breast (upper pole) may not exhibit the ‘full’ appearance you desire.

It is definitely not a common practice to place implants at the same time as a reduction/lift.  However, there are a few surgeons who have done it.  

The ideal approach is to have the reduction/lift performed first. Then you should recover from the procedure and evaluate your new shape and breast position. If you still desire an augmentation, then your surgeon can indeed do a second procedure to place breast implants and improve the upper pole.

Can you estimate the cup size I'd have with breast implants?

Friday, June 12th, 2009 by newseditor

 

A patient asked if I could estimate her bra cup size given that she is a 34B using a 280cc implant.

I told her that with respect to cup size, there’s no easy answer.  The garment industry uses terms of cup sizes like A, B, C, and so on, while plastic surgeons use more clinical terms like ‘moderate’ or ‘high’ profile and silicone ‘200 cc’ or ‘300 cc.’ The former and the latter are incommensurable terms; we can’t equate them, despite the fact that patients often ask us to do so.

The reality is that you need to try the implants under a bra, pick a size that you like, and that is what we will choose (after measuring your breast width, etc.).  Once the procedure is done, whether the new size fits in a 36C bra or a 36D bra does not matter much.

You’re probably aware that if you change bra manufacturers, your bra size usually changes as well, because there’s no strict standard for that industry.

Breast Implants Beat Liposuction in 2008

Tuesday, March 17th, 2009 by newseditor

Newly released industry statistics seem to indicate a shift in the popularity of certain cosmetic surgery procedures, namely breast implants. According to ASPS figures from 2008, the number of breast augmentation procedures exceeded those of liposuction for the first time.

341,144 liposuctions were done in 2008, but breast augmentations exceeded that figure with a surprising  355,671 procedures done during the same period.

President Alan Gold told the press, “for the first time in the twelve years these statistics have been collected, liposuction is a runner up in popularity to breast augmentation. Gold went on to predict that “this turnabout will generate discussions in the medical community and the public at large.”

Dr. Gold also offered a theory, suggesting that “changes in fashion, i.e. décolletage baring styles, might be a factor in bringing about this change.”

10.2 million cosmetic procedures were performed in 2008 and an overwhelming majority (92 percent) of them were had by female patients.  The top 5 include:

  1. Breast Implants
  2. Liposuction
  3. Eyelid Surgery
  4. Rhinoplasty
  5. Tummy Tuck

The top 5 non-surgical cosmetic procedures included the following:

  1. Botox
  2. Laser Hair Removal
  3. Hyaluronic acid wrinkle fillers (Juvederm, Restylane)
  4. Chemical Peel
  5. Laser Skin Resurfacing