Posts Tagged breast implant
Dr D Writes for CoedMagazine.com
Posted by admin in Dr D article on May 6, 2013
Dr D’s “What To Do When Your Girl Hints Breast Implants”
Here’s a piece I wrote somewhat in the style of a Maxim article. It might keep a few guys out of trouble. 
Best Regards,
John Di Saia MD
Originally posted 2012-02-29 07:30:16.
Dr D’s Top Ten Celebrity Boob Jobs Comedy – Tori Spelling and Tara Reid
Posted by admin in Dr D Comedy on April 8, 2013
Tori Spelling / Tara Reid Top Ten Celebrity Boob Jobs Bit Mp3
This is part II of a series of Dr D comedy bits. Here we poke a little fun at Tori Spelling and Tara Reid.
Best Regards,
John Di Saia MD
Originally posted 2010-05-14 07:30:41.
Reader Question: Breast Implants Under Local?
Posted by admin in Dr D's Truth on March 26, 2013
Reader Question:
A surgeon I’m thinking about seeing said on his site that breast implants were able to be done under local + intravenous anesthetic (like twilight). Can this really be done? I always thought it was too invasive for just twilight, especially if it is under the muscle. Is there an advantage to using twilight? After looking it up there are lots of differing opinions out there but I think that this may just be a way for the surgeon to cut costs. What is the cosmetic surgery truth here, Dr. D?
I am not a fan of local or twilight sleep for breast implant surgery except in rare cases (simple redos and such.) The reasons are patient comfort and practicality. I place most of my breast implants under the pectoral muscles and these muscles need to be relaxed for this to work out. That relaxation is suboptimal under less than a general anesthetic.
An interesting aside to the argument of sedation versus general anesthesia is the fact that under less than a general patients often need more medication to maintain them in a narrow range of alertness. This translates to more drugs for twilight sleep which is contrary to the reason many of these patients wanted less than a general anesthetic in the first place.
Best Regards,
John Di Saia MD
Related:
Originally posted 2010-12-09 07:30:25.
Reader Question: Cougar Plastic Surgery in the OC?
Posted by admin in Dr D's Truth on March 18, 2013
You seem an approachable plastic surgeon. Do you see any of these cougars looking for too much plastic surgery to hunt down their cubs? Lip collagen? Too big breast implants? How can you do it when they look so deformed?
Cougars do not usually come to the office with a declaration of their evening activities. Once in a while an older gal will want to look much younger. Very rarely she will be open about what she intends to do with her new look however.
It is kinda like going to the body shop to get something fixed and being asked about where or how you plan to drive the car afterward. It is really none of my business.
In Orange County it is not like there is a pack of easily identified cougars roaming the offices of plastic surgeons. The question of what I might do with a woman who wanted more than I thought was a good idea of anything is the same.
If what she wants has relatively few bad effects I just do it. If she seems bent on a course that will make her look awful in the long run I decline. Usually I split the difference.
I don’t do Trout Pouts and I’d like the breast implants I place to not have problems if they can be avoided. We do what we can to make it happen that way.
Best Regards,
John Di Saia MD
Originally posted 2011-08-03 07:30:14.
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.
Good Tummy Tuck Results with Breast Lift/Implants
Posted by admin in "Good Plastic Surgery in the OC", Dr D's Patients on February 25, 2013
Good Tummy Tuck Results Orange County California
Years ago I did some work for a great looking 40 year old mom who worked out incessantly and had a great athletic body. Despite the working out though, her tummy had some changes from her pregnancy years before and her breasts were a bit small and droopy for her tastes. After a few years and two operations (Breast lift/implants and a tummy tuck,) she sent me this bikini image with a thank-you note.
Plastic surgery can work out well when done properly in the right patient. These are good tummy tuck results, but in reality all plastic surgery results vary. Only few patients get this kind of “knock it out of the park” result. They tend to be the people who are already in great shape. There is no overemphasizing doing your part.
Diet and exercise make you a better candidate for surgery anyway.
Best Regards,
John Di Saia MD
Originally posted 2011-06-24 07:30:43.
Low Maintenance Breast Implants – Are They Doable?
Posted by admin in Dr D's Truth on February 7, 2013
Low Maintenance Breast Implant
Surgery – Is this achievable?
Reader Question:
I am looking into getting breast implants but want to keep redo surgeries to a minimum. Some of my friends have had 2-3 boob jobs in ten years, so I am not going to their doctor. I saw a few of your patients online saying that the implants you put in they kept for ten years. I want to get a worry-free boob job?
Thanks for the compliment.
There are several things you can do to reduce your risk for the need/desire for re-operation after breast implant surgery:
(1) Have surgery by a good qualified surgeon. In my book, that means a good ABPS board-certified plastic surgeon.
(2) Request guidance from your surgeon regarding the volume to which you can go safely. The leading cause of poor outcomes with implants that I see is the placement of implants too large for a woman’s available soft tissue coverage. Good surgeons know this although many fear “losing the case” if they share their concerns.
(3) Choose saline-filled implants and have them placed beneath your pectoral muscles. Silicone gel is another option but I feel the breast hardening rate (capsular contracture} is higher with them. Capsular contracture is also higher in some other cases that you may want to review before surgery.
(4) If you have any degree of breast sag, talk about breast lift surgery as an option before you have your operation.
Best Regards,
John Di Saia MD
Originally posted 2011-04-22 07:30:34.
Tuberous Breasts After Unsuccessful Boob Job & How To Avoid It
Posted by admin in Dr D's Truth on December 25, 2012
Surfing online I found this image of a woman with breast implants under a thread entitled “Worst Boob Jobs:”
She is of course not my patient, but looking at her it made me think how misconceptions can lead people into trouble. When women shop for a “boob job” they frequently do not realize that all boob jobs are not entirely accomplished by simply placing breast implants. And not all surgeons know the difference.
When you have tuberous breasts, frequently the simple placement of breast implants is not adequate. The woman in the image above appears to have had exactly that and she looks pretty badly.
Tuberous breasts are a bit of work to correct and can at times need more than one operation to get right. Doing less than the right operation in the first place of course increases that possibility.
Here’s a woman with tuberous breasts whom I operated a few years ago. She got a good result with one operation but that operation was not just a simple boob job.
She had saline implants and a modified breast lift.
Screen your surgeons ladies……
Best Regards,
John Di Saia MD
Originally posted 2012-01-17 07:30:51.
Dr D’s “America Doesn’t Know Natural Boobs” Comedy
Posted by admin in Dr D Comedy on November 21, 2012
“America Doesn’t Know Natural Boobs” Bit Mp3
Here’s a follow-up mini-rant to my Aly Michalka doesn’t have breast implants post.
Best Regards,
John Di Saia MD
Originally posted 2010-06-18 07:30:26.
Misti Gold – A Story of a “Better” Breast Implant
Posted by admin in Dr D's Truth on October 29, 2012
Misti Gold breast implants were an alternative to conventional silicone gel breast implants placed in the early 90′s. They were filled with polyvinylpyrrolidone-hydrogel instead of silicone gel or saline and were advertised as the “newer better” breast implant. Shortly after their introduction however problems started occurring more frequently than with their predecessors. They were found to form more severe contracture and had an annoying tendency to swell after placement progressively. The study I quoted below cited about a 60% removal rate in about 4 years.
MISTI Gold breast implants (Bioplasty, St. Paul, Minn.) filled with polyvinylpyrrolidone-hydrogel were developed as a promising alternative to silicone-filled implants. Some studies have reported on the positive effects of the implant, such as improved radiolucency and biocompatibility of the gel; however, there are also reports that such implants increased in volume and were subject to capsular contracture in the human body, resulting in demands for their removal. The purpose of this retrospective study was to analyze the long-term results of a series of patients with MISTI Gold breast implants. Between 1991 and 1993, the authors inserted 83 MISTI Gold implants in 61 patients with an average age of 46 years (range, 16 to 69). The authors were able to follow up 48 patients with 71 MISTI Gold implants. The average follow-up was 68 months (range, 10 to 108 months). The retrospective study found that 59 percent of all MISTI Gold implants were removed after an average period of 4.14 years. The main reason for implant removal was an increase in volume of 38 percent, followed by capsular contracture in 14 percent of all 71 MISTI Gold implants.
Source: ncbi.nlm.nih.gov/pubmed/12409763
To make a long story short, the FDA forced the Bioplasty company to recall these implants in 1991 and in 1992 the company stopped making breast implants entirely.
In breast implant surgery it can be hazardous to rush into the use of any “newer better implant” until it is actually proven to be better that is.
Best Regards,
John Di Saia MD
Originally posted 2011-03-02 07:30:07.
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