Breast Implant Removal – An Increasingly Common Trend

Six years ago I wrote a blog detailing the rarity of women who had breast implants, either for breast augmentation or breast reconstruction, wanting to have them removed permanently (An Uncommon Form Of Breast Revision Surgery: Permanent Removal of the Breast Implants). The very positive impact that their cosmetic or…

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Does Fat Grafting In Breast Reconstruction Patients Increase the Risk for Breast Cancer or its Recurrence?

Breast reconstruction philosophies and techniques have evolved over time aided by major advances. The results have been remarkably improved outcomes that can provide women with more realistic and far better results than were obtainable years ago. These innovations also increase the number of options for each woman thus allowing for…

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The Long Awaited “Gummy Bear” Silicone Breast Implants Now FDA Approved for Use

For years, we have been awaiting FDA approval (U.S. Food and Drug Administration) of the “gummy bear” silicone breast implants so that they could be offered here as an option for breast augmentation, breast reconstruction and breast revision surgery. The wait is, alas, finally over. Yesterday, on February 20th, 2013…

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Breast Reconstruction Revision: Recent Innovations Can Now Make Great Results Possible

In a previous article, Fat Grafting in Breast Reconstruction: A Major Innovation That Can Lead to Great Results, I reviewed some of the most important innovations in breast reconstruction over the last 25 years with the most recent one being the usage of fat grafting for improvement in contouring. This…

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Fat Grafting in Breast Reconstruction: A Major Innovation That Can Lead to Great Results

There have been numerous major innovations in breast reconstruction over the last quarter century that have paved the way for dramatic improvements in the final results. Starting with tissue expanders that are designed to stretch out the chest wall tissues in order to accommodate breast implants, to a multitude of…

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Is Routine MRI a Prudent, Cost Effective Choice for Women with Silicone Breast Implants?

You might have heard from someone or read online various recommendations regarding the need for MRI of your breasts every few years following the insertion of silicone breast implants such as for breast enlargement, breast lift with implants or breast reconstruction. If you recently had silicone implants placed or are…

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Fat Injections to Improve Breast Reconstruction Results: Is it Safe?

Fat injections have been used in the treatment of contour deformities of various areas of the body as well as for rejuvenation, particularly in the face. Referred to also as lipofilling, fat is suctioned from areas of excess deposits, then processed and injected into where it is needed. This technique…

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Silicone Breast Implants and the Utility of MRI’s to Screen for Rupture

There have been considerable technological advances in the design and construction of silicone breast implants since their early days. They are made with much thicker, stronger and durable outer shells that are filled with a very cohesive silicone gel – almost like taffy. The result is that they will withstand…

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Silicone Breast Implants: Cohesive Gel But Not “Gummy Bear” Type … Yet

For several years now, word has “leaked out” that there is a new type of silicone gel breast implant available for breast augmentation and breast reconstruction that is the state of the art, “safe” and the one to request. My office has received countless calls regarding these implants and I…

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Patients Overwhelmingly Prefer Silicone Breast Implants Over Saline Ones

All my patients who are considering cosmetic or reconstructive breast surgery procedures that involve the placement of breast implants are given the choice of using either silicone or saline implants. This includes women contemplating a breast augmentation, breast lift with implants, breast implant exchange and breast reconstruction. During their consultations,…

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Symmastia (Uniboob) Following a Breast Implant Exchange

Whether inserting implants for a breast augmentation or in breast reconstruction, the outcome is not always what was expected or desired. One such unplanned result is where the breast implants are so close together that they form a “uniboob” which is technically known as symmastia. A variant is where the…

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Breast Revision Surgery Results In A Woman Who Had A Prophylactic Mastectomy

Breast revision is a commonly performed procedure that serves to address one or more issues in a woman who has previously undergone a cosmetic or reconstructive breast surgery. This can involve a prior breast augmentation, breast reduction, breast lift or even a breast reconstruction. Each individual has unique issues which…

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Common Reasons For Breast Implant Exchange Surgery

Breast implant exchange surgery is the replacing of one or both of one’s implants for a newer one or pair after previously having had a breast augmentation, mastopexy with implants or breast reconstruction. Why would a woman elect to undergo such a procedure? There are many reasons for this with…

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The Popularity Of Silicone Breast Implants

During the moratorium imposed by the U.S. Food and Drug Administration between 1992 and November 2006 that limited specific uses of silicone breast implants, women who wanted to have a breast augmentation could only be offered saline breast implants. Since the end of 2006, silicone breast implants have once again…

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Usage of Acellular Dermis In Breast Reconstruction Improves Results and Predictability and Shortens Time For Final Result

Advances in breast reconstruction techniques for the correction of deformities resultant from treatment for breast cancer have shown great potential and results. This specifically relates to the usage of acellular dermis which is specially treated human tissue devoid of cells, infective agents and immunogenic potential (can’t be rejected by one’s…

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Bilateral Tissue Expander Breast Reconstruction With Previous Unilateral Breast Radiation Treatments

In breast reconstruction, the ultimate goal is to recreate a breast that is as close as possible to the remaining breast. Perfect symmetry is naturally impossible. Even in situations where the reconstructed breast may be somewhat “similar” to the remaining breast in appearance in the immediate postoperative period, the two…

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Advantages of Placing Breast Implants Behind The Muscle (Submuscular)

There are many advantages of placing breast implants behind the pectoralis major muscle for a breast augmentation, breast lift (mastopexy) and in breast reconstruction. The most significant of these include: Better ability to detect abnormalities on mammograms versus in front of the muscle (submammary) Lower risk for capsular contracture (hardness…

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Breast Cancer Detected in Specimens Following a Breast Reduction in Women With Normal Mammograms

Prior to undergoing a breast reduction, it is the standard of care to have an up to date mammogram for women of at least a certain age (which can vary). The purpose of this is to screen for any abnormalities that may need to be addressed prior to surgery. If…

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Problems With Tissue Expansion Breast Reconstruction In Previously Irradiated Tissue

Radiation treatment following a mastectomy in the treatment of breast cancer is fairly common. Though refinements have been made in the radiation therapy that have significantly reduced both short and long term sequelae to the skin and underlying tissues, permanent consequences nevertheless exist which will affect the tissue expander breast…

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