Archive for the ‘Breast Augmentation’ Category

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FDA Affirms Safety of Silicone Implants, Recommends Dropping MRI Requirement

Tuesday, September 6th, 2011

safety of silicone implantsLast week, an FDA advisory panel met to discuss the safety of silicone implants, including discussions on how to improve safety studies for the implants and whether to drop MRI recommendations.

Dr. William Maisel, of the FDA’s Center for Devices, said he had heard nothing to shake his faith in the safety of the popular implants. In 2006, the FDA lifted a 14-year ban on silicone gel-filled breast implants and approved the implants made by Allergan and Mentor for breast reconstruction and breast augmentation in women 22 and older in the U.S.

The committee also agreed that patients should no longer be told to get an MRI three years after getting their implants and every two years after that.

It is currently recommended that women have MRI’s after getting silicone breast implants because the implants sometimes rupture, and an MRI can reveal this problem.

However, many patients don’t follow this requirement because MRI’s are expensive, and the risks associated with ruptured implants may not be greater than the risks of the operation needed to take them out.

“FDA continues to believe, as does the panel, that MRI is the gold standard for evaluating breast implants for silent rupture,” Dr. Maisel said. “But there was consensus among the panel that the requirements for ongoing MRI’s should be removed.” Whether to drop the MRI requirement will be evaluated in further studies about silicone implant safety.

Radiologist Leonard M. Glassman, MD, was among those in favor of dropping the MRI requirements.

“It’s an impossible thing to request patients to do. Nobody pays for it except the patient. It is expensive. If the patient is asymptomatic and we find a rupture, chances are nobody will do anything about it; therefore we shouldn’t have done the test in the first place,” he said. “I would drop that MRI recommendation from the labeling.”

In addition to ruptures, complications with silicone implants include hardening of the area around the implant, scarring, infection and the need for additional surgeries.

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FAQ: Breast Feeding and Breast Augmentation

Tuesday, August 23rd, 2011

breastfeedingSome of the most common breast augmentation questions are about breast feeding, both before and after surgery.

To answer these questions, you should have an in-depth discussion with your cosmetic surgeon. Here are some general answers to the most frequently asked questions.

Can I breast feed with implants?

The presence of a saline or silicone breast implant does not typically disrupt breast feeding, and there’s no evidence that it creates a risk for a newborn.

Can I undergo breast augmentation after breast feeding?

Yes, but your surgeon will advise you to wait 3 to 6 months. This is necessary to get a good estimate of your starting breast size. Lactation should also be over by this time.

Can breast feeding affect my results?

Breast feeding won’t have a major effect on breast augmentation results. However, breast droop can occur after pregnancy, for patients who have breast implants as well as those who don’t. This is because your breast skin will often stretch during pregnancy as the breasts naturally get larger.

After childbirth, when your breasts shrink in size again, your skin tone might not recover, resulting in breast droop or deflation. Although breast droop can usually be corrected with a breast lift, you may want to plan your surgery accordingly to avoid these changes.

Which incision is the best if I plan on breast feeding?

If you want to minimize your risk for disruption of breast feeding, ask your surgeon about breast augmentation incisions below the breast, near the underarm or through the navel.

Still Have Questions?

Remember that a consultation with Dr. Mandell-Brown in Cincinnati is an excellent opportunity to get answers to these and other in-depth breast augmentation questions. Contact our office to inquire about an appointment.

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Reasons for Reducing Breast Implant Size

Friday, July 1st, 2011

When you think about breast implants, perhaps you picture noticeably large breasts, such as Pamela Anderson’s famous double-Ds. But not so fast: the dramatically-large look that was once so popular may be going out of style, with more starlets reducing their breast implant size.

In recent years, celebrities who may have downsized include Denise Richards, Victoria Beckham, and Drew Barrymore. Together they signify a trend toward smaller, more manageable breast implants.

Everyday women who are tired of having extremely large breast implants may be choosing a revision surgery to reduce size, according to CBS News health.

Why some women reduce their breast implant size

  • Too much attention to bust size
  • Desire for a more proportional (natural) appearance
  • Very large breasts can make exercise or physical activities more difficult
  • Back or neck pain (symptoms that indicate breast reduction)

While surgery to reduce implant size involves simply exchanging one implant for another, there’s usually some reconstruction required, since the pocket housing the implant needs to be modified. Risks of the surgery are similar to regular augmentation surgery, but the recovery time is typically shorter.

Harriet Bleiman, a breast implant reduction patient who spoke with CBS, loves her reduced bust size. “I just feel like this is the right proportion for me… I liked them at the beginning, and after a couple of years they felt like two large, standing out, almost cantaloupes, and that made me very uncomfortable.”

Now, Harriet says, it actually feels as if having a smaller breast size has helped everything from her self-confidence to her golf game.

Cincinnati breast surgeon Dr. Mark Mandell-Brown offers breast reduction surgery and breast augmentation. Contact us at 513-984-4700 for a consultation.

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FDA Update on Silicone Gel Implant Safety

Friday, June 24th, 2011

safety of silicone gel breast implants, woman holding implantsThe U.S. Food and Drug Administration has released a new white paper about silicone gel breast implant safety. Now available on the FDA website, you can download the full white paper or the executive summary and read findings from the latest research.

For patients and consumers, the most pertinent aspects of the document include the “Summary of key findings” and the “Recommendations for Patients Who Have or Who Are Considering Breast Implants.”

Some of the FDA’s silicone implant safety findings are as follows:

  • When used as labeled, silicone implants “have a reasonable assurance of safety and effectiveness.”
  • No association has become evident between silicone implants and connective tissue disease, breast cancer, or reproductive problems.
  • An MRI is still the recommended method for detecting silicone implant ruptures.
  • The longer you have silicone implants (or saline implants), the more likely it is that you will experience a complication or adverse outcome. Choosing breast augmentation or implant-based breast reconstruction means monitoring your implants for a lifetime. “Between 20 to 40 percent of augmentation patients and 40 to 70 percent of reconstruction patients had reoperations during the first 8 to 10 years after they received their implants,” the FDA reports. Although “routine replacement is not necessary,” a revision is necessary for many women.
  • Women who have breast implants have a very small, but increased likelihood of receiving diagnosis of analplastic large cell lymphoma.

The FDA continues to monitor the safety and effectiveness of silicone implants. For updates on the latest findings, visit www.fda.gov/breastimplants.

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Mommy Makeover Explored on TODAY Show

Friday, February 11th, 2011

New moms are usually overjoyed after the birth of their child, but many say they struggle trying to return their bodies to a youthful shape. In these cases, some women elect to have a mommy makeover series of cosmetic surgery procedures, which usually includes a tummy tuck, liposuction, and a breast lift or augmentation.

This video from the Today show is about “life changers” features a patient named Fatma Rice, who decided to undergo a mommy makeover after she couldn’t get her pre-baby body back.

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She says that after pregnancy, she “did everything in her power” to get back in shape, but “you take off your clothes in front of the mirror and it doesn’t look so great.” So she made a decision to do something about it with cosmetic surgery.

“I’m getting a mommy makeover,” she tells the Today show. On the show, she explains the transformation and shows off her mommy makeover before and after photos.

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How Breast Augmentation Patients Differ By Geography

Thursday, December 23rd, 2010

breast-surgery-geographyDo women in different areas have different needs or goals for breast augmentation? They might, according to a study in Winter 2010 issue of the Canadian Journal of Plastic Surgery, which explores the “physical characteristics and implant details” of breast augmentation patients in three locations in North America.

Breast augmentation cases from Texas, British Columbia and California were assessed. Among the different patient groups, the authors (Janae L Maher et. al) found significant differences in average weight, body mass index and breast implant volume. They also checked for differences in height, age and parity (breast symmetry).

In British Columbia, the average patient was 33 years old with a BMI of 20.8 and a 389ml implant. In California, the average patient was 32 years old with a BMI of 21.6 and a 385ml implant. Patients in Texas were, on average, slightly older at age 36 with an (slightly higher) average BMI of 22.6. The Texas group also seemed to show preference for a significantly smaller implant of 335 ml.

This article is currently available for free via the Canadian Journal of Plastic Surgery.

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Doctors Assess Psychological Changes After Breast Augmentation

Tuesday, December 14th, 2010

It’s quite common for women considering breast augmentation to wonder about the physical changes in their appearance. “How will I look?” is a common question, and plastic surgeons have several ways of explaining or visually representing the results.

But how will you feel? Will the procedure change the way you think? In a new study, doctors in Berlin explain how they sought to understand the psychological changes that occur after breast augmentation – specifically sub-muscular breast augmentation, a procedure that involves placement of the implant beneath the pectoral muscle.

The physicians outlined the following criteria to assess after surgery:

  • Attractiveness and self-confidence
  • Insecurity or anxiety
  • Emphasis placed on physical appearance
  • Sexual discomfort

Using a 100-point scale, they rated the responses of 58 patients who completed a body image questionnaire. The authors reported significant improvements in all areas except insecurity or anxiety, which they say exhibited “next to no change.”

How does submuscular breast augmentation work?

During breast augmentation, your cosmetic surgeon has the option to place the implant above or underneath the pectoral muscle. In many cases, breast implant placement is determined by the patient’s body type.  For example, a petite woman and a muscular woman might be recommended different placement options. Read more about breast augmentation in Cincinnati.

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Breast Surgery at the Forefront of Regenerative Medicine: Cytori in Wired Mag

Wednesday, October 27th, 2010

Wired Magazine published an excellent article last week documenting the progress of Cytori Therapeutics as they develop methods for breast surgery using “adipose-derived stem cell fat grafting.”

Using fat grafts and stem cells taken from adipose tissue, a woman could undergo breast augmentation or breast reconstruction using her own natural tissue – not an implant. At least that’s the hypothesis behind much of Cytori’s research and development of their Celution system.

How does it work? The fat cells provide increased volume while the regenerative cells within the mixture encourage growth of the blood supply, allowing the fat graft to survive in the breast.

But “breasts are just the beginning,” says the article. The technology has potential in many other regenerative therapies for different organs. And the stem cells are readily available in body fat, the same fat that’s typically removed during liposuction.

According to Wired, “regulators in Europe and Japan were satisfied with the animal and human studies Cytori submitted for approval of the Celution machine, “ but the US FDA has not given their approval for the device.

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Model With Largest Breasts Experiences Complications After Surgery

Monday, July 19th, 2010

A Brazilian model who underwent breast augmentation to have the largest breasts in the world, is now experiencing complications after her 32nd surgical procedure, which was performed in Brazil.  According to news reports, Sheyla Hershey has a staph infection in both breasts, which could be life threatening if it reaches the bloodstream.

Is this a common complication? Dr. Angelo Cuzalina, Tulsa cosmetic surgeon and President Elect of the American Academy of Cosmetic Surgery, gave a brief statement about the topic:

Any infection in a breast implant is unwanted by both patient and surgeon.  They are fortunately very rare (just less than 3 in 1000 patients), but a breast implant infection is difficult to deal with when they do occur and almost always require implant removal.  Having massive implants just complicates the problem further due to the excess skin after removal.

Certain infections such as methocillin resistant staph (MRSA) are becoming more common in today’s society and require more aggressive treatment.  Patients should let their surgeon know if redness or unusual pain occurs along with fever combined with a general feeling of extreme malaise during the first few weeks following breast augmentation.

“Sheyla takes her craft seriously,” says the model’s official website.  After undergoing multiple surgical procedures on her breasts, lips and buttocks, she seems very comfortable going under the knife and talking about it publicly.

But in an interview with Fox News, she expresses regret for choosing extremely large breast implants and suggests that if she could start over again, she would.  As she demonstrates her daily routine on video, it’s clear that she’s a very dedicated and strong-willed woman.

Fox News Houston has a series of video interviews with Sheyla Hershey and you can read regular updates about her status on her website, sheylahershey.net

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Breast Surgery Workshop Hosted By Mandell-Brown Plastic Surgery Center

Friday, May 14th, 2010

The Mandell-Brown Plastic Surgery Center recently hosted the 4th annual Breast Surgery Workshop.  Sponsored through the American Academy of Cosmetic Surgery, the nation’s largest medical society of cosmetic surgeons, the Montgomery based office held a 3 day workshop on breast augmentation, breast lift, and breast reduction surgery.

Dr Mark Mandell-Brown, course director,  noted  there were  40 cosmetic surgeons attending from throughout the United States, England, Canada, and Taiwan.  “Our breast course has earned excellent recognition and is one of the most popular breast courses in the Academy,” stated Dr Mandell-Brown.

The doctors  learn the latest development in cosmetic breast surgery.  Through a combination of lectures, surgery, and anatomy labs, the visiting physicians can improve their skills.  “Its a great way to showcase Cincinnati to our visiting doctors” observed Therese Holden, Nursing director.  She added, “we really strive to make this an outstanding educational experience for the participants.”

With a practical approach, Dr Mandell-Brown, who has been named “Top Doc” in breast augmentation in the Tri-State, emphasizes what works and enhancing patient safety.  The doctors earn continuing medical education credits approved by the Accrediation Council for Continuing Medical Education.

Doctors attending the 4th Breast Surgery Workshop at The Mandell-Brown Plastic Surgery Center.

Physicians attended from throughout the United States, England, Canada, and Taiwan.

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