Posted by Cosmetic Surgery Review on August 26, 2010
Many women who get a mastectomy don’t realize that they are eligible to get a breast reconstruction procedure at no cost. These women are simply not told that they are good candidates for breast reconstruction after mastectomy, and that insurance will pay for the procedure. Doctors are now required to inform patients about their options under a new law, A10094B/S6993-B/Information and Access to Breast Reconstruction Surgery.
Many insurers in New York do cover breast reconstruction procedures after a mastectomy, but less educated, poor and minority women are often unaware that they can get this procedure without paying any out of pocket expenses. According to Evan Garfein, MD, a plastic and reconstructive surgeon at Montefiore Medical Center, “a disproportionate number of women who are at a socioeconomic disadvantage do not get breast reconstruction surgery after a mastectomy for one of several reasons. Either they are unaware of it as an option, they do not know it is covered by Medicaid and Medicare insurance programs, they do not know where to gain access to the procedures, or it is never mentioned to them by their doctors.”
Dr. Garfein authored a bill that was signed into law to change this trend. He hopes that the new law will ensure that hospitals inform patients that they are eligible to have breast reconstruction procedures with insurance coverage. This may help dozens of women who are being treated for breast cancer have some hope of improving their appearance after mastectomy surgery.
Dr. Garfein notes, “breast reconstruction has been repeatedly shown to improve the quality of life and overall well-being of women who have been treated for breast cancer. This new law will ensure that breast cancer patients from all socioeconomic groups are informed about their options regarding breast reconstruction and about where to get the procedure.”
(Source: Medical News Today)
Posted in breast enhancement, Cosmetic Surgery Trends | Tagged: breast cancer procedure, breast reconstruction, mastectomy | Leave a Comment »
Posted by Cosmetic Surgery Review on April 30, 2010
As more effective fat grafting and fat transfer procedures are developed and researched, plastic surgeons are setting their sights on body fat repurposing procedures as an alternative to implants.
A small study conducted by researchers of Johns Hopkins University School of Medicine shows that cosmetic breast reconstruction in slim, athletic cancer patients without enough fat elsewhere in the body, is effective with a certain fat transfer technique.
Plastic and reconstructive surgeons at the Johns Hopkins University School of Medicine reported results of their procedure in the online version of the Microsurgery journal after reviewing results on cadavers and 12 breast cancer patients over the course of a year.
Ariel N. Rad, M.D., Ph.D., one of the assistant professors of cosmetic surgery and plastic reconstructive surgery at the Johns Hopkins University School of Medicine, explains “when implants aren’t used, the most common technique for reconstructing breasts after a mastectomy is to make breast tissue from a flap of fat and skin from the abdominal region…thin, athletic women don’t have enough tissue there. But even they often have some excess fatty tissue in the space between the hip and waist. For them, using those love handles is a new option.” (Source: Medical News Today)
The fat grafting procedure is relatively simple process, and involves removing several milliliters of fat from an existing fatty pocket, sterilizing it, and separating the fluid to extract stem cells and pure fatty tissue. The pure fluid is then re-injected into the body in the desired areas, and it typically only takes a few days for the body’s tissues to adapt.
Surgeons who have tested this procedure have been able to achieve good cosmetic results. If the patient is a good candidate for the procedure, the overall effect can improve the contour and shape of the waist and hip area.
Posted in breast enhancement, Fat Grafting | Tagged: breast enhancement, breast reconstruction, fat grafting | Leave a Comment »
Posted by Cosmetic Surgery Review on April 27, 2010
Women interested in undergoing a breast reconstruction procedure after a mastectomy, or after botched implants, now have more options for achieve a natural, sculpted look.
A new surgical technique listed in the print issue of the Microsurgery journal indicates that doctors can extract body fat from the lower waist, or “love handles”, and re-inject it into the breast tissue. This procedure would eliminate the need to insert silicone or saline implants, and to perform extensive tissue manipulation procedures when reconstructing the breast.
According to study co-author Dr. Ariel N. Rad, an assistant professor of cosmetic surgery and plastic and reconstructive surgery at the John Hopkins University School of Medicine in Baltimore, “When implants aren’t used, the most common technique for reconstructing breasts after a mastectomy is to make breast tissue from a flap of fat and skin from the abdominal region…thin, athletic women don’t have enough tissue there. But even they often have some excess fatty tissue in that space between the hip and waist. For them, using those love handles is a new option.” (Source: BusinessWeek.com)
The procedure is relatively simple, and serves as an alternative for extracting fat from the buttocks or other parts of the body, that often become deformed after such a procedure and also require post-procedure treatment. Women that undergo this procedure may also benefit from achieve a more sculpted waistline and balanced appearance around the hips and waist.
The fat is removed using an innovative liposuction procedure, and involves only a few incisions around the lower waist area. The fat is extracted and purified, and then reinjected into the breast area so that it can adapt to the existing tissues. Some women may need to wear compression garments to speed up the healing process, and results are noticeable within a few days after the procedure.
Posted in breast enhancement, Liposuction | Tagged: breast implant alternative, breast reconstruction, fat transfer | Leave a Comment »
Posted by Cosmetic Surgery Review on March 5, 2010
For the thousands of women considering breast augmentation with silicone or saline implants, going under the knife can be an intimidating process and presents a significant number of risks and complications. Surgeons in the United States are now experimenting with a new fat transfer technique that allows the physician to remove unwanted body fat from the hips, thighs and stomach and transfer it directly into the breasts with a simple procedure.
Many women who have had children or simply want to improve their silhouette may be good candidates for this type of procedure because it presents very few risks and results are immediate. The physician performs a simple laser liposuction procedure to remove body fat from the thighs, buttocks or stomach, and the fat is then harvested before it is reinjected into the breasts.
This procedure is now called ‘natural breast enhancement’ because it helps to increase the breasts by up to one cup size or more, and the breasts look and feel completely natural because there are no artificial implants involved. Natural breast enhancement procedures are currently available at select cosmetic and plastic surgery centers around the country, and costs approximately $10,000.
According to Dr. Sydney Coleman of Tribeca Plastic Surgery, plastic surgeons have been transplanting fat to the breast since 1995. However, only some physicians have the skills and experience to perform this procedure effectively. With the right technique, the breast can be sculpted and shaped, and there are very few incisions involved with the procedure.
Fat grafting to the breasts can be used to disguise breast implants that do not look natural, and also to create a set of plumper, more natural-looking breasts for individuals that want to enhance their appearance. At Dr. Coleman’s clinic, the procedure costs between $20,000 to $30,000 and recovery time is approximately one week.
Posted in Breast Augmentation, breast enhancement | Tagged: Breast Augmentation, breast implant, Breast Implants, natural breast enhancement | Leave a Comment »
Posted by Cosmetic Surgery Review on January 30, 2010
Earlier this month, Stem Cell Assurance, Incorporated announced that Arthur Handal, MD, F.A.C.S., has performed the first ever regenerative cell breast augmentation procedure through the Stem Cell Assurance physician network. The procedure was successfully performed at the Handal Plastic Surgery clinic in Boca Raton, Florida.
The goal of the procedure was to increase the patient’s breast size by one cup. Fat was extracted from the patient’s hips and thighs through a conventional tumescent liposuction procedure, and transplanted into the breast tissues for assimilation.
Shortly after the procedure, Dr. Handal stated that, “Today is a defining moment in breast augmentation surgery. The offering of this pioneering procedure through a collaborative national physician network is an important milestone that marks major improvement on current technology and the way in which it is delivered to the patient.”
Dr. Handal was able to create a natural-looking set of breasts using certain techniques that would insure the breast tissues would adapt to the introduction of the fat and regenerative cells. Since the procedure does not involve introducing a foreign implant, there was no risk that the body would reject it. According to a press release from the Stem Cell Assurance, Inc. network, the fat volume retention rate is approximately 80% or more compared to the 30-50% survival rate of fat retention in other fat grafting procedures.
Stem Cell Assurance, Inc. is the first U.S.-based company to offer adult stem cells for physician use. The company offers several services including adult stem cell research, stem cell collection, cryogenic storage and cosmetic therapies.
Dr. Handal is a board-certified plastic surgeon and is dedicated to the field of aesthetic plastic surgery. The patient that underwent the procedure has been monitored closely with scheduled follow up visits with Dr. Handal, and more information about the outcomes of the procedure will be posted on the Stem Cell Assurance website.
Posted in breast enhancement, Breast Implants, Cosmetic Surgery News, Uncategorized | Tagged: Breast Augmentation, Breast Implants, stem cell, stem cell implants | 4 Comments »
Posted by Cosmetic Surgery Review on January 12, 2010
MakeMeHeal.com, a site dedicated to the latest celebrity plastic surgery news and gossip, has announced its list of “Best Celebrity Breast Augmentations of 2009”. The list is comprised of both rumors and confirmed reports of surgeries that took place this past year, and includes celebrities as young as 22 years old.
At the top of the list is Ashley Greene, the 22-year old rising star of Twilight. Jenny McCarthy also made the top of the list this year, and Make Me Heal believes that Jenny’s saline implants were replaced with “more natural-looking” silicone implants some time in 2009.
Supermodel Bar Rafaeli, a Sports Illisturated star who underwent breast augmentation this past year, is number three on the list, followed by 47-year old Ann Coulter who appeared on the front cover of Playboy in 2009. Miss California Carrie Prejean, another 22-year old who had breast implants this year is followed by Lady Gaga who hasn’t been shy about showing off her breast enhancement procedure.
Other celebrities that made the top of the list for 2009 include: Anna Faris, Ashley Dupre, Jayde Nicole, and Sophie Monk.
Breast augmentation continues to be one of the most sought-after procedures among women in the United States, and more patients are turning to both silicone and saline implants to achieve their ideal figure. Doctors are now using several innovative techniques including liposuction to transfer fat directly into the breasts, and creating an “internal bra” that helps to lift and firm up the breasts without any type of implants. Some women can also benefit from skin tightening treatments that help to firm and tone up the breast area, while others are better suited for breast lift procedures that involve minimal incisions.
More information about the latest breast augmentation techniques and procedures can be found here.
(Photo courtesy of MakeMeHeal.com)
Posted in breast enhancement, Breast Implants, Celebrity Plastic Surgery | Tagged: Breast Augmentation, breast enhancement, Breast Implants, celebrity breast implants, Celebrity Plastic Surgery | 1 Comment »
Posted by Cosmetic Surgery Review on January 11, 2010
If you’ve been thinking about getting silicone or saline breast implants, you may be a good candidate for a procedure that promises to increase your bust size by up to two sizes without implants. Dr. Thomas Young, a plastic surgeon, has been working on developing an innovative breast enhancement procedure that involves transferring fat from the hips, thighs or abdomen directly to the breasts.
Dr. Young calls it a “natural breast enhancement” procedure because the fat is removed using water-assisted liposuction and then transferred into the breast tissue using about 100 syringes. He states that, “It’s permanent, it’s safe, it’s your own tissue. You’re not getting something foreign put in that’s gonna cause a scar that’s going to need to be replaced.” (Source: WOAI.com)
Dr. Young reports that women are still able to breastfeed after the fat transfer, and that the doctor needs to use a special technique to ensure that the fat cells survive throughout the procedure.
Many aesthetic surgeons around the country have already been using fat injections to increase breast size, but few have used the patient’s own fat for the process. However, the American Society for Aesthetic Plastic Surgery reports that this process can be potentially dangerous. According to TheBreastSite.com, the ASAPS states, “Fat cells that are removed from one body site and injected into another frequently do not survive. Fat injected into the breast may be absorbed by the body, may become liquid and drain from the injection site or may calcify, becoming a scarred mass within the tissues. Massive calcification of injected fat can mask or mimic the presence of breast cancer. Seven to 14 ounces of fat injected into the breast, the amount required for an average enlargement, could make accurate detection of cancer by mammography extremely difficult.”
Further research is needed to determine if a simple liposuction procedure can help to increase bust size permanently and successfully, but patients may soon have several options beyond implants for breast augmentation.
Posted in breast enhancement | Tagged: Breast Augmentation, breast enhancement, Breast Implants, Liposuction | 1 Comment »
Posted by Cosmetic Surgery Review on December 23, 2009
Women who are interested in achieving shapelier and larger breasts may not need to resort to breast implants.
A new product called the “Cup & Up” promises to improve the shape of the breasts without affecting their size. The product has been deemed an “internal bra” by some plastic and cosmetic surgeons because it works by harnessing the existing breast tissue and pushing the breasts upward to create a more attractive silhouette and shape.
The surgeon inserts a set of small silicone cups underneath each breast to improve their shape and size, and then fits a small thin strap to each cup between the ribs, breast and shoulder. The surgeon can then tighten the strap to gently lift the breasts up from a sagging position.
According to the manufacturers of the “Cup & Up” device, results of this minimally invasive procedure can last for several years and will cost less than the typical breast lift. The UK’s Daily Mail reports that the “Internatl Bra” can be fitted in just 40 minutes and the breasts still look very natural.
Orbix Medical is the company behind the device and the first woman to receive her internal bra is still enjoying results after a year. Orbix Medical is currently recruiting volunteers for a trial and will be performing another procedure during the last week of December 2009.
According to plastic surgeon Eyal Gur who has been working with Orbix Medical to fine tune the internal bra procedure, “There are a lot of younger women whose breasts started to sag even before they have had children and breast fed. Those who are sagging after having kids want to look like they were when they were teenagers. This operation will give them back youthful breasts…the internal bra would be really beneficial to women who have had partial or full mastectomies.” (Source: Daily Mail)
Posted in Breast Augmentation, breast enhancement, Breast Implants | Tagged: Breast Augmentation, breast enhancement, Breast Implants, internal bra | 2 Comments »
Posted by Cosmetic Surgery Review on December 15, 2009
Many women are opting for silicone gel implants after reviewing the drawbacks and risks associated with saline. Silicone gel implants offer several advantages over saline implants, and may be most suitable for women who want to achieve natural looking results and have implants that feel like real breast tissue.
Plastic surgeon Allan Parungao says that women who already have saline breast implants can undergo a simple breast implant replacement procedure to make the switch to silicone.
Silicone gel breast implants were approved by the FDA in November 2006 and run a lower risk of implant ruptures and leaking. Dr. Parungao points out that, “Until the FDA approved the new silicone gel implants, women having breast augmentation surgery had only one choice: saline implants…but some women – especially those with very large implants – can experience telltale “rippling” around the edges of the implant.” This is why many women are good candidates for the breast implant replacement procedure, and in many cases, the procedure takes 45 minutes or less.
Dr. Parungao uses a special technique where the breast implant replacement is performed under local anesthesia and the patient experiences little or no discomfort. There is virtually no downtime, so the patient can return to work the next day. (Source: PRWeb.com)
For some women, the cost of silicone gel implants may be covered under the manufacturer’s warranty of the saline implants. If the saline implants have ruptured, the patient may be able to upgrade to silicone gel implants without having to pay several hundred dollars for the procedure.
The FDA has approved silicone gel breast implants for cosmetic surgery in women age 22 and older, and these implants are widely regarded as the most natural-looking option for breast augmentation. More information about silicone implants can be found here.
Posted in Breast Augmentation, breast enhancement, Breast Implants | Tagged: Breast Augmentation, breast enhancement, Breast Implants, saline implants, silicone implants | Leave a Comment »
Posted by Cosmetic Surgery Review on November 11, 2009
The UT Southwestern Medical Center has introduced a relatively new and rare microsurgery procedure for breast reconstruction patients. The center has developed the Deep Inferior Epigastric Perforator (DIEP) flap procedure for women seeking breast reconstruction after a mastectomy.
According to Dr. Michael Saint-Cyr, this procedure preserves muscles so that recovery is quicker and there is less postoperative pain. In this procedure, the surgeons can reconstruct the breast with skin and fat that is taken from the abdomen. This gives the patient a tummy tuck while getting their breast reconstruction, and the entire process is completed by reattaching blood vessels under a microscope.
According to Dr. Michel Saint-Cyr, assistant professor of plastic surgery, this microsurgery can be done immediately after a mastectomy so that patients can have their breast tissue removed in just one step. Dr. Saint-Cyr points out that the reconstructed breast is firmer, has a more youthful appearance, and looks very similar to the original breasts because of this procedure. Since a significant amount of fat is removed from the abdomen, the patient undergoes a basic tummy tuck which can help to further improve their appearance and enhance their silhouette.
Dr. Saint-Cyr also points out that “Due to the complexity of the microsurgery, only about 40 surgeons nationwide routinely perform these types of procedures so travel may be required for some women to find a surgeon with the needed experience.” This type of surgery may be most appropriate for women who have been diagnosed with breast cancer and must have either one or both breasts removed.
This procedure, along with other similar microsurgery procedures, will be discussed at the “What’s New in Breast Reconstruction: Optimizing Results Using a Multidisciplinary Approach” seminar hosted at UT Southwestern in early December. The event will be open to the public and will include discussions about breast conservation therapy, nipple-sparing mastectomy techniques and options in breast reconstruction.
Posted in Breast Augmentation, breast enhancement | Tagged: Breast Augmentation, breast cancer, breast enhancement, breast enlargement, breast reconstruction | Leave a Comment »