Saline v. Silicone Breast Implants and the Gummy Bear Implant: Choosing Your New Boobs

When it comes to breast augmentation surgery, your concerns likely focused around the size of your implants and the final outcome. However, the hardest decision you’ll have to make is also one of the first: do you want silicone or saline implants? To help ensure you make an informed decision, we’ve created a guide that covers both—including the new Gummy Bear breast implant.

Woman in bathroom debating between saline or gummy bear boob implantsChoose Wisely. Whether you’re leaning towards silicone or saline, there are a few facts about breast implants that are simply universal. Keep these points in mind while you’re deciding between silicone and saline:

  • They aren’t meant for a lifetime. Breast implants, regardless of what type you choose, aren’t meant to last forever. You’ll likely need to either replace or remove them at some point in your life. However, some implants do last longer than others, so be sure to ask your doctor.
  • Surgery is still surgery, which means you’re at risk for infection either way. Proper after-care is essential to ensuring your breast implants stay their best. In addition to infection, your implants may become uneven, deflate, rupture, wrinkle, or any other number of possible complications. Be sure to discuss these with your doctor.
  • Speaking of aftercare, you’ll likely need MRI screening for silent ruptures. Just as a precaution for your health, MRI screenings every two years following the initial surgery can help protect you against rupture.

Now that you have a better idea of what you can expect from the breast implantation surgery as a whole, you have a better basis for choosing between silicone and saline. Let us help:

Saline

Saline breast implants consist of a silicone shell filled with sterile saline water. These typically take on more of a round shape, than the tear-drop shape of some silicone implants. Because the surgeon fills the implant during the surgery, the initial incision is usually smaller than it would be for silicone implants. This also allows your doctor to change the size of your implants over time without needing an additional surgery due to a valve which your doctor can access with a small needle. Due to lower repercussions of an implant rupture, the FDA has approved saline implants for patients 18 years of age and older, compared to silicone implants’ minimum age of 22.

While complaints against saline implants are relatively low, the one common complaint has been that they don’t feel as natural as silicone implants. Variation in surgery technique and modified training has lessened these complaints, although the feel of saline is still different from that of silicone. Woman trying to decide between silicone, saline, and gummy bear boob implants

Silicone

Silicone breast implants consist of silicone shells filled with silicone-gel, and can encompass a variety of breast implant types—including the new Gummy Bear implant. In previous years, silicone implants have been hailed as being more “natural-looking” than saline implants, but also present more health risks if they begin to leak. In fact, from 1992 to 2006, the use of silicone implants was halted by the Food and Drug Administration (FDA) pending further research because they didn’t feel that the implants were safe enough for public use.

Now, silicone implants have undergone a major overhaul: in addition to being perfectly safe, they have become widely popular. The American Society of Plastic Surgeons (ASPS) claims that the amount of silicone implants used is equal to that of saline; in previous years, saline widely out-ranked silicone due to poor reviews. There are five types of silicone implants approved by the FDA, including the new Gummy Bear implant. Each is manufactured slightly different, but the Gummy Bear is by far the most modern.Gummy bear candy image to demonstrate the structure of the Gummy Bear boob implant.

Gummy Bear Implants

The Gummy Bear implant is the newest kid on the block—only having been approved by the FDA last spring. Even then, it’s only approved for adults over 22 years of age, or women of any age who are undergoing breast reconstruction following cancer. The Gummy Bear breast implant has been making waves due to its brand-new take on silicone implants: it’s a silicone shell filled with silicone-gel, but its “tear-drop” shape helps contribute to its stability. The additional cross-linking within the shell has given it more stability, resulting in a firmer shell that holds its shape, even when cut in half—much like a gummy bear candy.

Although the FDA is keen to continue studying this type of breast implant, they’re safe and available for the public. While they add a more natural look to breast implants, they also require a larger incision during surgery.  Like other implants, they may require additional surgeries in the future, and may become infected if not care for properly. Finally, the FDA insists that the Gummy Bear implant is not necessarily better than the previous types of implants, just different to fit different needs: for women undergoing breast reconstruction, the Gummy Bear is ideal because it doesn’t require fitting around existing breast tissue.

How do I choose my new boobs?

While the differences in types of breast implants are not drastically different, it is something that needs to be considered.  If you aren’t sure what type of implant is going to best suit you, talk with us! We’re here to help ensure you go home happy!

Breast Augmentation: Overcoming the Stigma and Society’s Opinions

dv1992032

In general, society seems to have a set of standards for women that are very different than the standards set for men. Men are more likely to be judged based on their education level, their professional accomplishments and their achievements in life. On the other hand, a woman is almost immediately judged based on her appearance — especially her figure.

For years, women who have chosen to have a breast augmentation performed have battled the stigma surrounding this cosmetic procedure. While that stigma is slowly lifting and society is having a change of heart about plastic surgery in general, women must still maneuver the opinions of others when discussing their personal decision to have a breast augmentation.

For years, stereotypes in movies, advertisements and even literature have portrayed women with large breasts as being overly-sexual, under-educated and reliant upon men for their happiness and fulfillment in life. Thus, the stigma quickly developed that women who opted to enlarge or reshape their breasts through cosmetic surgery must be vain, selfish and looking to attract men. However, choosing to have a breast augmentation does not make a woman any of these things. Many women choose to have this plastic surgery performed simply because it makes them feel better about themselves and improves their confidence.

According to Breast Enlargement Advice, the best way for women to overcome some of the stigmas associated with this cosmetic surgery is to choose a natural size for their new breasts. If a woman has small breasts to begin with and only wears an A cup bra, then moving up to a C cup will appear natural and normal. However, women who decide to go beyond the natural sizes may face increased scrutiny from peers, coworkers and people in the public. Whatever size a woman decides on for her new breasts, she may have to deal with negative feedback from others.

Some people find an increase in sexual harassment in the work place after they have a breast enlargement surgery done, while others hear derogatory comments from friends and family members about their new image. The best way for women to cope with this is to ignore the comments completely. While this is easier said than done, a woman must feel confident that she made her choice for the right reasons and not provide satisfaction to the people who are trying to bring her down.

Women may take comfort in the fact that breast enlargement surgery is increasing in popularity across the entire country, according to the American Society for Aesthetic Plastic Surgery. Even in conservative states, where plastic surgery has long had a stigma attached to it, more women are opting to have this surgery performed. The numbers have increased drastically since the late 1990s, when just more than 100,000 breast augmentation procedures were performed in the United States. In 2011, more than 315,000 breast enhancement surgeries were performed across the country.

According to the American Society of Plastic Surgeons, breast augmentation is defined as a surgical procedure designed to increase the fullness and size of the breasts while also improving their symmetry. Women who have small breasts as a result of genetics often opt to have this surgery to increase their size and improve their figure. However, many women opt to have this surgery done after their child-rearing years are complete, as pregnancy and breastfeeding can have a negative impact on the appearance of the breasts.

Cohesive silicone breast implants are the latest development in the field,” said Dr. Tim Love MD, a board-certified plastic surgeon in Oklahoma City. “This anatomical or tear drop shape implant is often ideal for use in patients with very little breast shape of their own.” He goes on to add, “These implants are commonly used in primary augmentation in a younger patient or in those correcting post pregnancy changes of volume and or shape loss.”

At the end of the day, having a breast augmentation procedure or any plastic surgery procedure is an extremely personal decision. Women should work with a highly-skilled and qualified cosmetic surgeon who will provide them with sound advice as well as natural-looking results. It’s important that women are aware of society’s opinions about this procedure, so that they can manage it and overcome the stigma after their own operation is complete.

Many plastic surgery patients take comfort in the fact that the stigmas surrounding cosmetic surgery and the breast augmentation procedure are slowly but surely changing. People are beginning to realize that cosmetic surgery is a wonderful way to boost your own self-confidence and improve many different aspects of your life.

The History of Plastic Surgery: A Long, Bright Future

The History of Plastic Surgery: A Long, Bright Future While it is easy to think of plastic surgery as a modern convenience for the wealthy, it actually has a long history of helping people deal with physical ailments and defects. The fact is that reconstructive and plastic surgeons work to improve the appearance and quality of life of millions. The ability to treat congenital wounds, burn injuries, and other problems is as important as the elective surgeries for cosmetic reasons. All of these capabilities have their roots in an ancient pursuit of ways to deal with such problems via surgery.

The First Nose Job

Numerous sources date early efforts of rudimentary plastic surgery back as far as 4,000 years in India, and others indicate early efforts at reconstructive surgery by the Egyptians over 2,000 years ago. Sushruta, "founding father of surgery" However, an abstract at Internet Scientific Publications credits the Indian surgeon Sushruta as the first person to actually study and describe plastic surgery in a systematic manner. He published the seminal work Sushruta Samhita (Sushruta’s compendium) in 600 B.C., setting forth the principles of plastic surgery as a form of medical treatment. Many of the issues concerning surgery discussed in this book are relevant to surgery today. In fact, it is believed that Sushruta pioneered the correct approach to rhinoplasty, and he is known as the father of plastic surgery for this reason.

Empire, War and Plastic Surgery

The Roman nation conquered the world with the first professional army, including a full medical corps. Efforts to do reconstructive surgery on wounded soldiers made Rome a center of work in the area of early plastic surgery.

In fact, according to the United Nations of Roma Victrix, successes in this area made such surgery an early resource to wealthy citizens for purely cosmetic reasons. One popular procedure was otoplasty, repairing ear lobes of women stretched too far because of the heavy earrings popular at the time."Italian method" of nasal reconstruction

War continued to influence the development of reconstructive surgery and techniques. According to an article by Dr. Gus Colon of Tulane Univeristy, Gaspare Tagliacozzi worked on wounded soldiers and sword dueling victims, ultimately publishing the first modern textbook dealing with plastic surgery. While several doctors are given the honorary title of “Father of Plastic Surgery,” Tagliacozzi is considered by most to be the first true plastic surgeon.

The American Society of Plastic Surgery site reports that the first recorded breast augmentation was performed in 1895, followed by development of more advanced breast implant materials in 1895. However, it was war that produced the next major advances in reconstructive surgery. The Gillies Archives tell the story of a young surgeon who committed his work to restoration of the many young men wounded during WWI. Modern warfare produced horrific injuries, including many facial burns and disfigurations. Dr. Harold Gillies worked on thousands of wounded soldiers and sailors and did the first successful replacement of eyelids, among other innovative procedures.

Plastic Surgery of the Face

He published his still-used book, Plastic Surgery of the Face, in 1920. Gillies is another who is often referred to as the Father of Plastic Surgery.

An Expanding Field

Dr. Vilray Blair is another surgeon who honed his skills in WWI, focusing on skin grafts. Washington University School of Medicine notes the legacy of Dr. Blair, explaining how he left the U.S. to serve as a troop surgeon for the British Army during the Ashanti War. Blair published a number of books based on his wartime procedures and lessons learned. He also played a key role in establishing the American Board of Plastic Surgery in 1937. With the momentum spurred by these advances during both world wars in the first half of the twentieth century, plastic surgery rapidly became a specialty focused on elective procedures, as well as reconstructive surgeries.

According to Medscape, more than 10 million cosmetic procedures were performed in 2005, with a continual annual increase in total procedures greater than 10 percent. The 2013 Plastic Surgery report indicates that number is now more than 15 million when including minimally invasive procedures such as Botox injections. With continued advances in equipment, procedures and materials, the field of plastic surgery is entering a new and exciting phase of its history.

Bigger Isn’t Always Better: Gynecomastia and Breast Reduction Surgery

Everyone has boobs: it’s just a matter of how big they are. In some cases, bigger isn’t always better: large breasts can lead to a myriad of health problems, including damage to self-esteem. Whether you’re a female reconsidering a breast enlargement you had years ago or a male suffering from gynecomastia, there is no shortage of reasons to want a breast reduction. We’re here to help you decide.

gynecomastia

Gynecomastia For Men

According to the American Academy of Family Physicians, gynecomastia—the abnormal enlargement of male breast tissue—affects as many as 65 percent of boys aged 14-years or older. While onset is typically around puberty and resolves itself within two-to-three years, gynecomastia can affect men at any age and sometimes requires surgical removal. The enlargement may be barely noticeable—with a small form just behind the nipple—to a larger, more feminine-looking breast. The condition may affect one or both breasts, and may be painful at times.

In addition to the confidence and social stigma, gynecomastia can be a painful sign of an underlying condition like hyperthyroidism or a side effect of certain medications. While some minor cases of gynecomastia may be treated with minor lifestyle changes, more pronounced cases require surgery to correct the enlarged breast tissue. While the tissue growth is benign, other tests may be performed on the tissue once extracted to confirm it is not a sign of another, more serious condition. Recovery from gynecomastia surgery typically involves a chest wrap and a few days of bed rest. Depending on the discernible cause of your gynecomastia, your doctor may also recommend a few lifestyle changes.

Gynecomastia For Women

For women, excessively large breasts affect over one million women in the United States alone. Breasts that are too large may lead to back aches, neck pain, migraines and even numbness in the extremities. As women age, their shoulders naturally roll forward, causing compression on the chest; with large breasts, the discomfort may be felt sooner rather than later. breast reduction

Large breasts can be caused through a genetic disposition, menopause, after puberty, pregnancy, weight gain or any of those combined with breast augmentation surgery. Whatever the reason, abnormally large breasts can lead to a myriad of health problems that may be resolved through a breast reduction surgery.

While you may be uncertain regarding your breast size, your doctor may help you measure your breast-to-body ratio to determine if they are too large for your body frame. Additionally, a proper bra-fitting may give you an indication of the actual size of your breasts. The surgical approach of your breast reduction may vary depending on the cause of your enlarged breasts, meaning recovery specifications may be different as well. Be sure to talk to your doctor regarding what you need to expect and prepare for prior to surgery.

 

Plastic surgery isn’t just for any specific person, and neither is a breast reduction: regardless of the cause, sometimes there is such a thing as too big. Call us to talk about your questions and concerns, or to schedule a consultation. We’re happy to help get you back to a body you love!

Thigh Lift: Your Path to Youthful Looking Legs

56569499Athletic, toned legs are most often associated with young, healthy women. But the truth is, women of all ages may be unhappy with their legs – most notably, their thighs. While gravity is the enemy of high, firm thighs during the aging process, illness or extreme weight loss can also change the contour of a younger woman’s legs.

Some cosmetic procedures — like face lifts and tummy tucks — are everyday phrases, and people generally understand what they mean. Thigh lifts are more of a mystery, perhaps because fewer patients have experienced them. Still, as word gets out about this method of regaining youthful-looking legs, the procedure is sure to become more popular.

78295234

Thigh lift surgery is fairly straightforward. Your surgeon will make an incision below the bikini line, in the upper inner thigh. This incision allows him to remove fat and excess skin. Surgeons typically use liposuction to get to those stubborn pockets of fat that prevent a taut, toned appearance. The remaining skin is then pulled tight in order to create a smooth look and deep sutures are used to hold the skin firmly in place. Patients go home with temporary drains and wear a compression garment that helps reduces discomfort and maintain the new contours of the thighs as they heal. Ideal candidates for a thigh lift include:

  • Those with relatively stable weight
  • Patients with excess soft tissue along the inner and outer thigh
  • Healthy people with no medical conditions that could impair healing or heighten the risks associated with surgery
  • Non-smokers
  • Patients with a realistic view of what a thigh lift can accomplish
  • Individuals who are committed to leading a healthy lifestyle, including nutrition and exercise

It is important for anyone considering a thigh lift to put a good amount of work into looking for a capable surgeon. Finding the right surgeon for the job is about making sure that a physician is willing to answer questions and explain the process. A good surgeon will perform a rigorous preoperative examination and openly discuss all aspects of the thigh lift procedure. The preoperative appointment will likely include:

  • A discussion of any medical treatments a patient is undergoing, drug allergies, and medical conditions that can impact the outcome of elective surgery
  • Previous surgeries and how the patient reacted and healed from those
  • All medications, herbal supplements, and vitamins the patient takes
  • An evaluation of general health status, including pre-existing conditions
  • Detailed body measurements
  • A discussion of thigh lift options
  • A recommended course of treatment
  • Honest discussion of likely outcome of thigh lift surgery
  • Any risk or potential complications and how those are handled
  • Questions about who will be caring for the patient at home

80702471

A surgeon may also use the preoperative appointment as an opportunity to educate a patient as to what she can expect after thigh lift surgery. The surgeon will likely tell a patient to take it easy so that incisions are not subjected to swelling or abrasion as they heal. The surgeon may also emphasize that patients who experience shortness of breath, unusual heart rate, or chest pains should seek immediate medical attention. Finally, a surgeon should leave plenty of time for a patient to ask questions of her own and should not seem in a hurry to give pat answers. The best surgeons understand that patients are nervous about surgical procedures and respect those concerns by offering honest answers.

Thigh Lift: Your Path to Youthful Looking Legs

56569499Athletic, toned legs are most often associated with young, healthy women. But the truth is, women of all ages may be unhappy with their legs – most notably, their thighs. While gravity is the enemy of high, firm thighs during the aging process, illness or extreme weight loss can also change the contour of a younger woman’s legs.

Some cosmetic procedures — like face lifts and tummy tucks — are everyday phrases, and people generally understand what they mean. Thigh lifts are more of a mystery, perhaps because fewer patients have experienced them. Still, as word gets out about this method of regaining youthful-looking legs, the procedure is sure to become more popular.

78295234

Thigh lift surgery is fairly straightforward. Your surgeon will make an incision below the bikini line, in the upper inner thigh. This incision allows him to remove fat and excess skin. Surgeons typically use liposuction to get to those stubborn pockets of fat that prevent a taut, toned appearance. The remaining skin is then pulled tight in order to create a smooth look and deep sutures are used to hold the skin firmly in place. Patients go home with temporary drains and wear a compression garment that helps reduces discomfort and maintain the new contours of the thighs as they heal. Ideal candidates for a thigh lift include:

  • Those with relatively stable weight
  • Patients with excess soft tissue along the inner and outer thigh
  • Healthy people with no medical conditions that could impair healing or heighten the risks associated with surgery
  • Non-smokers
  • Patients with a realistic view of what a thigh lift can accomplish
  • Individuals who are committed to leading a healthy lifestyle, including nutrition and exercise

It is important for anyone considering a thigh lift to put a good amount of work into looking for a capable surgeon. Finding the right surgeon for the job is about making sure that a physician is willing to answer questions and explain the process. A good surgeon will perform a rigorous preoperative examination and openly discuss all aspects of the thigh lift procedure. The preoperative appointment will likely include:

  • A discussion of any medical treatments a patient is undergoing, drug allergies, and medical conditions that can impact the outcome of elective surgery
  • Previous surgeries and how the patient reacted and healed from those
  • All medications, herbal supplements, and vitamins the patient takes
  • An evaluation of general health status, including pre-existing conditions
  • Detailed body measurements
  • A discussion of thigh lift options
  • A recommended course of treatment
  • Honest discussion of likely outcome of thigh lift surgery
  • Any risk or potential complications and how those are handled
  • Questions about who will be caring for the patient at home

80702471

A surgeon may also use the preoperative appointment as an opportunity to educate a patient as to what she can expect after thigh lift surgery. The surgeon will likely tell a patient to take it easy so that incisions are not subjected to swelling or abrasion as they heal. The surgeon may also emphasize that patients who experience shortness of breath, unusual heart rate, or chest pains should seek immediate medical attention. Finally, a surgeon should leave plenty of time for a patient to ask questions of her own and should not seem in a hurry to give pat answers. The best surgeons understand that patients are nervous about surgical procedures and respect those concerns by offering honest answers.