Choosing Breast Implants

According to the American Society of Plastic Surgeons’ statistics, Breast augmentation surgery has remained the most frequently pursued surgical cosmetic procedure for the past five years. Breast augmentation surgery is designed to enhance the size and shape of a woman’s breasts. For patients considering breast augmentation surgery, size is often their first consideration when thinking about implants. However, it is imperative to consider several other breast implant decisions such as shape, texture, and type to achieve a natural-looking balance between breast size and body type.

Before selecting a size or texture, it is important to understand silicone and saline are commonly used breast implant types. Saline breast implants, as the name implies, are filled with sterilized saline solution surrounded by a strong silicone shell. They pose few health risks if the implants should leak or burst because saline can be safely absorbed into the body. Silicone breast implants are made with the same type of silicone outer shell, but are filled with silicone gel. There are three, FDA approved breast implant manufacturers: Mentor, Sientra , and Allergan. Sientra was the first manufacturer to offer a high-strength cohesive silicone gel.   Dr. David Whiteman makes all of these options are available to Southern Plastic Surgery patients.

Depending on the type; implants also come in different shapes and textures. The breast implant shell can be shaped round or contoured like a teardrop. They can either be smooth or textured to prevent the implant from moving. These decisions will dictate which implant type is best for your needs. For example, saline breast implants are available in teardrop and round, but teardrop saline implants are only available with a textured surface to prevent the implant from moving around within the breast cavity.

As most patients know, breast implants come in a variety of sizes to accommodate different body types. Most people are familiar with the typical bra cup sizes of A,B,C, etc. measurements. Breast implants are slightly different because they are measured based on volume. According to the American Society of Plastic Surgeons, an average of 189 cubic centimeters of saline is needed to increase a breast size by “one cup.” It is very important to consider various aspects of a patient’s body, such as height, weight, previous breast size, and rib cage size to decide which implant size would be proportionally best. Some patients may also opt for breast lift surgery to raise the position of the breasts on the chest.

Dr. David Whiteman understands each patient’s needs and goals are different, so he can help you choose which type is best for you during a consultation. If you are interested in breast augmentation or any other cosmetic procedures, schedule a consultation today. Also, be sure to connect with us on Facebook, Twitter, and Google+ for the latest news and updates on plastic surgery.

Introducing Sientra High-Strength Silicone Gel Breast Implants

Patients seeking breast augmentation surgery now have a new option for breast implants. Prior to March 2012, there were only two FDA approved breast implant manufacturers: Mentor and Allergan. However, Sientra, a California-based company that manufacturers all types of plastic surgery implants known internationally as Silimed, recently gained FDA approval for their breast implants. Sientra offers an innovative type of breast implants made out of high-strength cohesive silicone gel, which will be available to appropriate Southern Plastic Surgery patients.

Breast implants have been somewhat controversial since the first silicone breast implants were designed in the 1960s by plastic surgeons Drs. Frank Gerow and Thomas Cronin due to safety concerns and the fact that plastic surgery was not as widely accepted back then as it is now. The fear of a silicone breast implant rupturing and leaking silicone into the body inspired the development of saline breast implants, which are made out of a silicone elastomer shell filled with sterile saline solution.

The safety debate continued, and in 1976, Congress passed an amendment to ensure the safety of medical devices by requiring FDA premarket notification. Between 1988 and 1991 the FDA battled with the breast implant classification requiring premarket approval and eventually submission of premarket approval applications. In 1992, silicone breast implants were actually taken off the market due to lack of data on their safety, but after 14 years of clinical studies, silicone breast implants were declared safe by the FDA and placed back on the market.

While Sientra’s newly designed implants are similar to other devices manufacturers have previously designed, they are the first to gain FDA approval and are currently the only cohesive gel implants available in the U.S. In fact, you may have already heard the term “gummy bear” breast implants, which originated in Europe to describe a similar type of breast implant that are slightly thicker than Sientra’s. Although Sientra does not use this description for their implants, their consistency can be compared to that of a gummy bear, and they are known for their singular shape retention and natural, soft feel.

High-strength silicone implants are also the only shaped silicone breast implants available in the U.S. Before Sientra designed these implants with a solid-like structure, shaped breast implants were only available with saline. Although some patients can achieve desired results with round breast implants, some prefer shaped breast implants for more natural results. Sientra’s breast implants are available in smooth, textured, moderate projection and high projection. The moderate and high projection implants show promise for women with very underdeveloped breast or those looking to correct breast sagging without breast lift surgery.

Plastic surgeons across the country are hoping high-strength silicone breast implants will be the solution for breast implant ruptures or leaks and more natural looking results. In wake of the recent French breast implant (PIP implants) recall, it’s important for patients to understand that the Sientra breast implants spent years in clinical trials and similar implants have been safely used for the past 30 years outside of the U.S. However, it is also essential for patients to understand all surgical procedures carry risks and breast implant complications are fairly common, but often avoidable. It’s imperative for patients to find a board certified plastic surgeon to minimize complication risk.

For more information on the various plastic surgery procedures Dr. David Whiteman performs, visit his website. Be sure to also connect with him on Facebook, Twitter, and Google+.

Atlanta Cosmetic Breast Surgery Explained

In my nineteen years as a plastic surgeon, I’ve discovered patients often pursue plastic surgery without knowing exactly what they need. With so many different plastic surgery procedures and variations of those procedures, it can be very overwhelming. That’s why I take time during patient consultations to listen to a patient’s concerns and explain their surgical options. I also try to help educate patients by offering information through my blog and social media. Since many women often inquire about which cosmetic breast procedure would meet their needs, I wanted to explain the diverse breast procedures available.

Breast augmentation surgery, the most popular cosmetic procedure in the US according to statistics from the American Society of Plastic Surgeons, involves the insertion of a breast implant to add volume to the breasts. Breast augmentation is the perfect option for women who desire larger breasts. Patients can choose the size of their implants, material (saline or silicone), shape (round or teardrop), and texture (textured or smooth). During a plastic surgery consultation, I will explain all of these options and offer recommendations based on the patient’s desires.

We will also discuss placement of incisions as well as placement of the breast implants (above or beneath pectoral muscles). Patients who have had breast augmentation surgery in the past and experienced complications, wish to exchange their implants for a different size, or just aren’t satisfied with results from their previous surgeon can benefit from breast revision surgery. I’ve recently started offering an additional technique for breast enlargement using fat injections, which involves using liposuction to remove excess fat from an area of the body, purifying the fat, and then injecting the fat into the breast to add volume.

Breast reduction surgery is a procedure designed for women with overly large breasts. Many women with overly large breasts suffer embarrassment along with physical discomfort. In fact, overly large breasts aren’t an issue limited to females as I often perform male breast reduction surgery on patients who suffer from gynecomastia. During breast reduction surgery, excess skin and tissue is removed and breasts are reshaped for a natural looking result.

Breast lift surgery is a procedure designed to repair sagging and drooping. Many variables can cause a woman’s breasts to sag such as weight loss or gain, pregnancy, and age. A typical breast lift surgery involves removing excess skin, repositioning the nipple and breast, and tightening the remaining tissue for a more youthful appearance. If the patient is happy with their breast volume, breast lift surgery can be performed on its own. However, breast lift can be combined with breast augmentation for women who wish to add volume, or it can be combined with breast reduction for women with overly large or sagging breasts.

At Southern Plastic Surgery, we understand each patient’s needs and desires are different, so we tailor each procedure to these specific needs to produce optimal plastic surgery results. If you’re interested in cosmetic or reconstructive breast surgery, schedule a consultation today to learn more. You can also visit my website to learn more about the facial and body contouring procedures I perform. If you haven’t already, be sure to connect with me on Facebook, Twitter, and Google+ for plastic surgery news and updates on specials.