Reader Question~ Breast Implants
June 1st, 2010
From Rebecca:
Dr. Bashioum,
I have been to other plastic surgery offices for breast augmentation consultations. They have all told me that silicone was the only choice for me. Do you have any insight on why these other physicians are only pointing me to silicone?
There is a strong belief among many plastic surgeons that silicone gel filled breast implants are the best choice for their patients, because they believe that silicone gel breast implants both look and feel better. I cannot agree with these statements. The visual appearance of a patient’s breast is independent of what implant is filled with. Our Before/After photographs have shown the results of saline (salt water) filled implants. It is a choice that I leave up to my patients. In fact, Melissa discusses this topic in her patient blog. Click here to read about her decision.
Mirror, Mirror. Unrealistic Expectations?
May 24th, 2010
There is an old saying among general surgeons, “If you don’t operate, you will not have complications.”
The same can be said of cosmetic surgical results. On occasion, the results of surgery do not go according to plan. All surgeons have surgical results that are less than optimal. Occasionally some surgery may benefit from a secondary surgery to improve the result.
The causes of less than optimum results are complex. Complications such as unwanted bleeding or infection may occur, compromising recovery and healing. Sometimes patients do not follow after care instructions as carefully as they could, which can lead to problems. Pre-existing medical conditions may also interfere with healing and scarring. The surgical design may just not work out for a particular patient. Generally, the final outcome is a combination due to some or all of these factors.
Revision surgery is often difficult. Changes in anatomy are normal following surgery, so that must be taken into account when planning revised surgery. Feelings of disappointment and possible misgivings by the patient are not to be over-looked. Expectations of perfection may present undue anxiety during recovery, as a result of unrealistic goals. It is necessary to understand the limitations of the procedure. Even the most talented surgeon is unlikely to transform prospective patients into their Hollywood idols. Communication between patient and physician is key to maintaining healthy expectations of having surgery.
Surgical results are rarely perfect. The decision to perform revisional surgery is generally based on the likelihood of improvement, weighed against the risk of making things worse.
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