Monthly Archives: October 2008

Beverly Hills Rhinoplasty

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The nose is the most prominent focal point and characteristic feature of the face. The slightest reshaping of the nose can greatly improve or alter the appearance of the entire face.

In conjunction with a new and improved appearance Rhinoplasty can
simultaneously be used to treat functional problems such as breathing
difficulty.

Two common techniques that are used in Rhinoplasty are the Closed and Open Surgical procedures.

Closed Surgery_No Scarring
Closed Rhinoplasty offers all of the benefits of the traditional
Rhinoplasty but without the scarring. No scarring is noted by
making a small incision inside of the nose to perform the Rhinoplasty.
This is the procedure most commonly used in our Beverly Hills and
Lancaster locations.

Open Rhinoplasty on the other hand, may be used on occasions when
it is necessary to have more visible working space to complete the Rhinoplasty procedure. The incision in this case would be made across
the Columella (the tissue that separates the nostrils). Small scarring
is left as a result of Open Rhinoplasty.

Lancaster Office location – 1629 W. Avenue J, Suite 107, Lancaster CA.93534

Phone: (661) 949-0404 or our Beverly Hills location – 9025 Wilshire Blvd., Suite 203, Beverly Hills CA.90211 Phone: (310) 203-8297

Beverly Hills Breast Implants _Choosing a Surgeon

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When choosing a plastic surgeon for your breast implant surgery you should know all of the answers to the following questions:

 
1. Is he/she certified by the American Board of Plastic Surgery?

Be aware that Gynecologists, General Surgeons, Ear Nose and Throat Specialists perform breast augmentation under the guise of “Cosmetic Surgeons”.

2. How many years has he/she performed breast implantation procedures?

3. How many breast implant procedures does he/ she perform per year?

4. In which states is he/she licensed to practice surgery? Note that some states provide information on disciplinary action and malpractice claims/settlements to prospective patients either by request or on the World Wide Web.

5. What is the most common complication he/she encounters with breast implantation?

6. What is his/her re-operation rate with breast implantation and what is the most common type of re-operation he/she performs?

 

For more information on Breast Implant procedures, please follow the link to contact us at our Beverly Hills or Lancaster Ca. Locations.

Beverly Hills Breast Implants_Making the Right Choice

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Thoughts on choosing between Saline VS. Silicone

For women choosing breast augmentation who already have a modest amount of normal breast tissue and subcutaneous fatty tissue, either type of implant will normally be very satisfactory and often almost undistinguishable.  This also applies to women desiring a very minimal augmentation. 

For women choosing breast augmentation who are relatively thin or have relatively little breast tissue, sub muscular placement can greatly minimize the undesirable properties of the saline implant.  This is why sub muscular placement is virtually always used in patients who have had mastectomies undergoing reconstruction even with silicone gel filled implants.

  For women choosing breast augmentation who are extremely thin and with minimal breast tissue the silicone gel filled implant has a number of advantages particularly when it comes to the issues of rippling and “natural feel”.  These implants may be placed sub muscular or under the breast tissue at the discretion of the surgeon. 

 

 

 

 

Find out if you are a candidate for this procedure by scheduling a consultation at either of our convenient office locations:

 

Lanacaster Office location – 1629 W. Avenue J, Suite 107, Lancaster CA.93534

Phone: (661) 949-0404 or our Beverly Hills location – 9025 Wilshire Blvd., Suite 203, Beverly Hills CA.90211 Phone: (310) 203-8297

 

 

 

Beverly Hills Breast Augmentation | Silicone Implants

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FDA Banned and Subsequently Allowed Silicone Implants

 

  Why did the FDA ban silicone implants in the first place? 

  The ban occurred for a number of reasons:

Ø       Pressure from the media, trial lawyers, and various activist groups was intense after the Connie Chung show in 1990. 

Ø        There was fear that they were not safe. 

Ø        They were never approved by the FDA to begin with.  They were “grandfathered in 1976 when the FDA began the process of approval as a formal process.

   Even though there was a large amount of research including animal data and human data on the safety of these devices, the FDA elected to take implants off the market entirely at first and then allowed their use in reconstruction only.  As of November 17, 2006 the FDA lifted the ban on the use of silicone implants for breast augmentation surgery. This was because 14 years of research in the U.S. and abroad found no connection between silicone implants and all the diseases claimed by women to be associated with their silicone implants. That means that women desiring breast augmentation surgery have the option of choosing a silicone gel filled implant for her augmentation. This choice will have a number of requirements imposed by the FDA. The FDA is requiring, or at least strongly suggesting, MRI examinations after the first three years and every two years following that.  Also the patient must be a minimum of 22 years of age (18 years of age minimum for saline implants).

  For more information, check out the FDA website: www.fda.gov/cdrh/breastimplants. This website has a wealth of information regarding breast implants and is helpful to women trying to make a rational choice regarding breast augmentation surgery.  It also spells out the long term follow up of silicone gel filled implants.

Beverly Hills Breast Implants

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Breast Implants: Silicone or Saline

I came across an editorial in the Plastic and Reconstructive Surgery Journal Feb. 2008, summarizing the differences between silicone and saline implants.  I find this summary very accurate and informative and recommend it to all my patients who are interested in breast augmentation.

 

1.  Saline implants have overall decreased capsular contracture and rupture rates compared with silicone breast implants.

 

2.  Saline Implants require a smaller incision for placement than silicone implants.

 

3.  Rupture detection for silicone implants depends on MRI scanning which the FDA recommends and is not likely to be reimbursed by insurance.

 

4.  Primary breast augmentation surgery is not an isolated (lifetime) operation and implants will (or may) need to be replaced for a variety of reasons sometime in the future. Revision surgery is often easier with saline than with silicone implants.

 

5.  Patient satisfaction is high with both types of implants.

 

6.  Saline implants have less of an effect on mammography detection of breast cancer.

 

7.  The cost of saline implants is roughly one half that of silicone gel implants.

 

8.  Both implant types require additional views to adequately image the breasts.

 

 

 

Find out if you are a candidate for this procedure by scheduling a consultation at either of our convenient office locations:

 

Lanacaster Office location – 1629 W. Avenue J, Suite 107, Lancaster CA.93534

Phone: (661) 949-0404 or our Century City, Beverly Hills location – 9025 Wilshire Blvd. Suite 203, Beverly Hills CA.90211 Phone: (310) 203-8297