Posts Tagged breast augmentation

Fixing Implanted Breasts in the OC

Posted by admin in Dr D's Patients on February 27, 2013

Redo Breast Implant Patient by Dr D - Orange County California

Breast implant surgery does not always go as planned. The reasons vary from patients seeking poor surgical talent at their local $3000 chop shop, smoking too many cigarettes or just plain having bad luck.
Much of this can be fixed or at least improved with additional surgery.
This young lady found me after having had four operations with her prior surgeon at which point he uttered those unforgettable words: “This is as good as it is going to get.”

She had poor scarring partially due to her genetics, but the poor shape and firmness was correctable. She found her way to my practice after a friend with whom I had worked in the past referred her to me. We performed a modified breast lift and implant exchange with capsule removal in a local Orange County surgical center and she achieved a nice improvement.

Fixing Bad Plastic Surgery:

** Get into the best hands you can afford and check into your surgeon’s qualifications before you let him operate upon you. Understand that redos are harder and less predictable than first time surgery.

Best Regards,

John Di Saia MD

Related:

Cosmetic Breast Surgery at Dr D’s Practice Site

Originally posted 2010-10-12 07:30:51.

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Porn Stars and Their Boob Jobs

Posted by admin in Dr D's Truth on January 8, 2013

I wrote an article for “Exotic Dancer” magazine a few years ago in which I discussed the problem with many adult entertainer / porn star breast augmentation outcomes. The funny thing (when looked from outside the practice) is that women in general come to plastic surgeons wanting pretty large breasts. At times, the requests are destined to look unnatural or perhaps even freakish.

Personally I turn away the freakish ones. I don’t do this very often. :) When women “go really large” and have little of their own tissues available to cover the implants they not only end up looking unnatural, but also have a higher chance of hardening (capsular contracture), rippling (showing signs of the underlying implant – visible through the skin) as well as other complications. These complications usually amount to more surgery.

This is all relative; relative to the amount of tissue you have over your chest to begin with (skin, breast, and muscle) compared to the dimensions of the implant you’d like placed. Many women can get the size they want and not end up with problems. If you are very thin though, maybe those DD’s should be off the menu.

Really pretty women can end up with funky-looking breast implants. These kinds of outcomes can be avoided many times by simply choosing smaller implants (or avoiding high profile implants.) Choosing qualified surgical talent and following the guidelines such surgeons offer can be helpful as well.

When patients follow my advice, their implants tend to last ten years or more without additional surgery. Ask how many of your friends have seen that kind of longevity with their implants. I call this low maintenance breast augmentation.

Best Regards,

John Di Saia MD

Originally posted 2005-05-20 07:13:00.

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Good Plastic Surgery in the OC – Nice Breast Implant Exchange Revision

Posted by admin in "Good Plastic Surgery in the OC", breast implant pre-op tutorial on March 8, 2012

Some Orange County women come to consultation interested in breast augmentation with anatomic or tear drop shaped breast implants to look more “natural.” A case in which I was asked to fix the breasts of a woman who had had five “bad boobjobs” (the patient’s words) by another surgeon actually involved removal of her tear drop shaped implants and replacement with round implants in addition to a modified breast lift. The “swapping out” of one breast implant (or pair) for another is called a breast implant exchange:

Bad Orange County Boobjob before Improvement Surgery

Her original tear drop implants didn’t look so great. (This is her “Before Dr D” Image.)

After her revision surgery, she was nicely improved:

Take a look Here if you would like.

Best Regards,

John Di Saia MD

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Irish Doctor Ignores Infected Breast Implant Patient

Posted by admin in plastic surgery news on October 3, 2011

A DOCTOR’S treatment of a young woman when she became gravely ill following breast augmentation surgery at a cosmetic surgery clinic in Co Wicklow was branded “absolutely reckless in the extreme” yesterday at a Medical Council fitness to practise inquiry. The inquiry heard Kate Murray (25) developed a severe infection after the operation at Cosmedico in Kilmacanogue on March 15th, 2008, but despite returning to the clinic several times and complaining of being in serious pain, the infection was not diagnosed until she was taken by ambulance from her home in south Dublin to St Vincent’s hospital on April 3rd.

Her breast surgery was carried out by Dr Marco Loiacono (35), who faced several allegations of professional misconduct arising out of his failure to provide her with proper post-operative care, including failing to take or review blood test results or to refer her to hospital.

The fitness to practice committee found him guilty of professional misconduct and recommended he be struck off. It also recommended steps be taken to ensure cosmetic surgery clinics attain proper standards of pre- and post-operative care.
Source: irishtimes.com/newspaper/ireland/2011/0521/1224297467391.html

Cosmetic surgery is routine and pretty safe in the right hands, but can get scary when corners are cut. In this case an Irish clinic doctor performed breast implant surgery and then neglected to see the patient for nearly a week despite reports from the patient that she was ill. One of the most important parts of a patient:surgeon interaction is proper follow-up. The care doesn’t end when the surgery is complete.

Interesting in this story is the fact that Ireland has a review system similar to that which we have here in California. It appears that an expert reviewer looked over the case to assist in classifying the care of the patient. I perform a similar job for the California Medical Board.

As such a reviewer it is often hard to tell whether or not malpractice has occurred. The unequivocal statements of the reviewer in this case leave little doubt in my mind that the patient suffered at the hands of her doctor’s malpractice. Hopefully she will be able to obtain a good result medically after all the legal dust settles.

Best Regards,

John Di Saia MD

Originally posted 2011-05-25 07:30:41.

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