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    Dr. Sam Jejurikar Answers Patients’ Top 10 Tummy Tuck Questions

    Tag Archives: Dallas Plastic Surgeon

    tummy tuck surgery 

    It’s part and parcel of mommy makeovers and is more in demand than ever, thanks to the pressures of social media and the washboard abs streaming on our TVs, but tummy tuck surgery, also known as abdominoplasty, is nothing new. The procedure — which is elective and aimed at improving the shape and appearance of the abdomen — was first performed in France in 1890. In 1899, Baltimore surgeon Dr. Kelly performed the first tummy tuck in the U.S. Since then, advances in medicine have transformed this surgery into a safe, streamlined procedure that, according to Dallas-based cosmetic surgeon Dr. Sam Jejurikar, has given the term “cutting edge” a whole new meaning. 

    What should I expect from tummy tuck surgery?

    According to the Mayo Clinic, people with excess fat and/or skin in the navel area, or those with a weakness in the lower abdominal wall, are common candidates for abdominoplasty. The surgery removes excess skin and fat from the abdomen. Using permanent sutures, the connective tissues in the abdomen are tightened as well. 

    Tummy tuck procedures generally take two to three hours and are performed in a hospital or outpatient surgical facility setting under general anesthesia. During the procedure, the plastic surgeon makes a horizontal, oval, or elliptical incision, depending on the amount of tissue to be removed, just above the pubic line. When the incision heals, the resulting scar runs along the natural skin crease of the bikini line. In addition to removing excess skin and fat and tightening the connective tissues, the surgeon pulls the belly button through a small incision, anchors it into its normal position with sutures, and then judiciously repositions the surrounding skin to achieve a firmer, more toned aesthetic.

    What are the benefits of tummy tuck surgery?

    The main reasons for undergoing a tummy tuck procedure are enhancing body image and boosting self-esteem. Feeling good about how we look has a definite correlation with our mental health.

    While body image concerns are relatively common and are not considered mental health issues per se, according to the U.K.’s Mental Health Foundation, such worries can signal risk factors for potential mental health problems. It reports: “Research has found that higher body dissatisfaction is associated with a poorer quality of life, psychological distress, and the risk of unhealthy eating behaviors and eating disorders.”

    In addition to improving self-esteem, tummy tucks also afford patients a host of other valuable health benefits.

    A tummy tuck can strengthen your abdominal muscles. Having a stronger core can improve flexibility, help alleviate lower back pain, improve posture, and ward off hernias.

    A tummy tuck may reduce the risk for certain medical conditions, including sleep apnea, diabetes, heart disease, and gallbladder disease.

    A tummy tuck can increase bodily function control and decrease urinary stress incontinence occurrences. Many factors lead to the loss of bowel or bladder control. Aging, multiple pregnancies, and significant weight loss can be all factors. These issues can be exacerbated by the presence of excess fat and skin in the abdomen. Removing extra skin and fat and tightening connective tissue in the abdomen can improve control over bodily functions and lessen involuntary urinary leaks.

    How long after a tummy tuck can I sleep on my stomach?

    The accepted rule of thumb is to avoid sleeping on your stomach for six weeks after undergoing tummy tuck surgery. This hiatus from stomach sleeping ensures the skin and muscles have adequate time to heal. However, each patient is different, and some may need to stay off their tummies longer than six weeks. It is highly recommended you discuss a postsurgical sleeping protocol with your doctor prior to the procedure. 

    What’s the best way to recuperate from a tummy tuck procedure?


    Recuperating from a tummy tuck takes time and proper care of the body. To facilitate a speedy recovery, I recommend the following: 

    Eat right and keep hydrated. High-protein foods benefit healing by boosting energy and promoting muscle growth. Conversely, foods with high sugar and sodium content can have a negative impact on the healing process and should be avoided. While patients who’ve undergone abdominoplasty experience swelling, drinking adequate amounts of water (eight glasses per day is recommended) reduces retention by flushing fluids from your system.

    Don’t overdo it. People are eager to dive back into their everyday routines after surgery, but this can be a mistake. Instead, ease gradually into daily activities, and if your body is giving you the warning to stop doing something, listen to it. In general, tummy tuck patients should refrain from pulling, pushing, bending, and lifting heavy objects for a minimum of six weeks after surgery.

    Look into lymphatic drainage massage. As the name implies, lymphatic drainage massage stimulates the body’s lymphatic system. This enhances its efficiency, speeding the removal of toxins, boosting immune response, and aiding in the overall healing process.

    What’s the difference between a tummy tuck and liposuction?

    As mentioned above, a tummy tuck is a surgical procedure performed under general anesthesia in a hospital or outpatient surgical setting. Liposuction is a much less invasive procedure that does not require a surgical incision and can be performed under a local anesthetic (although general is preferred). Abdominoplasty is strictly abdominal surgery, while liposuction can be performed on any area of the body where stubborn fatty deposits that resist traditional weight loss protocols occur, including the neck, thighs, back, and arms.

    During liposuction, no skin is removed, nor is fat surgically excised. Instead, a saline, water, and anesthesia solution is injected into the target area. A cannula is then inserted, and the fat is sucked out. Those considering either procedure should consult with a reputable cosmetic surgeon before proceeding to better understand which one best meets their needs.

    How soon is it safe to get a tummy tuck after pregnancy?

    Due to significant changes in the body, one of the most prevalent times women choose to get a tummy tuck is after pregnancy. It’s only natural to want to get back to your pre-baby body as soon as you can. However, some guidelines must be adhered to in order to safeguard a woman’s health and achieve the maximum benefits from the procedure. 

    Six months after giving birth is the earliest patients should schedule a tummy tuck. Moms who’ve undergone a C-section may have to wait longer (up to a year) and should discuss any potential surgery with their doctor. There are other factors that may make postponing a tummy tuck a good idea as well:

    Are you still breastfeeding? Breastfeeding influences hormonal changes in the body that can impact the healing process and influence weight fluctuations. It’s recommended to wait until three months after you finish breastfeeding before getting a tummy tuck.

    Has your weight stabilized? Weight gain during pregnancy is normal. Getting back or close to pre-baby weight can take time, and many moms experience postpartum weight fluctuations. While a tummy tuck will improve physical appearance, it’s not strictly intended to be a weight loss procedure. Tummy tucks are most effective when patients are at or near their ideal weight. 

    Do you plan to get pregnant again? The logic of this is pretty simple: Every pregnancy can result in additional stretching of tissues and added fat to the midsection, all of which can undo the good your tummy tuck has done. If you think there might be more kids in your future, putting off tummy tuck surgery is best until after welcoming your last blessed event.

    Can men get a tummy tuck?

    The simple answer to this question is, yes. Men can and do get tummy tucks — and are doing so in increasing numbers. That said, when it comes to tummy tucks, not all men are created equal. Some men make better candidates for this surgery than others. Dr. Jejurikar advises men interested in the procedure to discuss their expectations with a certified cosmetic surgeon to ensure their desired outcome is realistic.

    Can a tummy tuck be combined with other surgery?

    Yes. One of the most popular cosmetic procedures currently performed is what’s known as the “mommy makeover,” which can combine a tummy tuck with breast enhancement and/or liposuction. The upside of combined surgeries is that they require only one recovery period. However, that recovery period will likely be longer than that of a single procedure. Your overall health is the biggest factor in determining whether multiple procedures are viable and must be determined by a doctor on a case-by-case basis.

    Who should not get a tummy tuck?

    Tummy tucks work wonders for some — but they’re not for everyone. The Mayo Clinic cautions that prior to embarking on the procedure, potential patients should thoroughly discuss any of the following conditions or concerns they have with their surgeon:

    You plan to lose a significant amount of weight. A major weight loss can result in excess skin on the abdomen. It’s better to wait until weight goals are met before undertaking tummy tuck surgery.

    You have a severe chronic condition, such as heart disease or diabetes. While abdominoplasty may lessen these conditions, if you already have them, they can put you at greater risk during surgery, especially when a general anesthetic is involved. 

    You have a body mass index greater than 30. Again, while tummy tucks do result in weight loss, it is not considered weight loss surgery. Patients who fare best are at or close to their ideal body weight.

    You smoke. In general, smoking increases surgical risks. It’s not a hard-and-fast rule, but nonsmokers generally enjoy better surgical outcomes.

    You’ve had previous abdominal surgery that resulted in significant scar tissue. Excessive scar tissue can be a side effect of any abdominal surgical procedure. Some patients are more prone to it than others. If prior surgery indicates that’s the case, further procedures might not be in your best interest.

    How do I find a good tummy tuck surgeon in Dallas or elsewhere?

     The qualities that make a good tummy tuck surgeon in Dallas are the same no matter where the procedure is being performed. A good tummy tuck surgeon combines thorough medical knowledge with technical artistry. A good tummy tuck surgeon truly cares about their patients, listens to their concerns, and helps them arrive at realistic goals and expectations. A good tummy tuck surgeon always makes the health of their patients their highest priority — even if that sometimes means saying no to a procedure.

    First and foremost, those considering cosmetic surgery should seek out a doctor who, like me, is board-certified in plastic surgery by the American Society of Plastic Surgeons (ASPS). Only board-certified plastic surgeons have the education, training, and certification to perform cosmetic surgeries on the face, breasts, and body. Always verify your surgeon’s credentials and make sure they have experience in the procedure you’re interested in.

    In the current health care climate of diminishing reimbursements, more and more physicians are performing cosmetic surgery treatments and procedures.  Unfortunately, many of these physicians are not plastic surgeons and have not undergone the same rigorous training as board-certified plastic surgeons.  All patients should take certain steps prior to scheduling a consultation to ensure that their physician has the highest qualifications to perform cosmetic surgery.
    • Ask if the doctor is a member of the American Society of Plastic Surgeons (ASPS).  Membership in the ASPS ensures that the doctor is certified by the American Board of Plastic Surgery and meets requirements for ongoing continuing medical education.
    • Confirm that the doctor is certified by the American Board of Plastic Surgery.  Merely hearing that a doctor is board certified does not indicate which board has certified that doctor.  There is only one board, the American Board of Plastic Surgery, that is recognized by the American Board of Medical Specialties to certify surgeons in the field of plastic surgery.
    • Find out more about the surgeon’s specific hospital privileges.  Although some procedures are commonly performed in an office or ambulatory surgical center, it is important to learn whether the surgeon has the same privileges in an accredited hospital.  Hospital credentialing committees carefully evaluate a surgeon’s training and competency for specific procedures.  If a surgeon performs a procedure in an office or surgical center, but does not have privileges to perform the same procedure in a hospital, it may be because he was deemed unqualified to perform that procedure.

    Taking these steps before scheduling a consultation with a cosmetic surgeon will ensure that you find a plastic surgeon with the highest qualifications.

    Many patients have asked if they can continue smoking up until their cosmetic surgery. The procedures most often in question are breast lifts (with or without implants), breast reductions, tummy tucks, and facelifts. Simply put, smoking and these surgeries can be recipes for disaster. Tobacco, nicotine, and carbon monoxide—key components of cigarettes—are proven to impede wound healing, making the stakes incredibly high for patients who smoke. Let’s delve into the risks and evidence, emphasizing why quitting smoking before surgery is not just advisable but crucial.

    How Smoking Impairs Wound Healing

    Smoking significantly affects the body’s ability to heal wounds. Nicotine constricts blood vessels, reducing blood flow to tissues. Carbon monoxide decreases oxygen levels in the blood, while tobacco’s toxic chemicals damage collagen and elastin, which are essential for skin strength and elasticity. Together, these factors severely impair the body’s capacity to recover after surgery.

    In surgeries that involve lifting and tightening large amounts of skin, such as tummy tucks or facelifts, reduced blood flow can result in serious complications:

    • Skin necrosis: A condition where the skin literally dies due to insufficient blood supply.
    • Delayed wound healing: Prolonged recovery time increases the risk of infection and other complications.
    • Dehiscence: This occurs when a wound reopens after being surgically closed, exposing underlying tissues.
    • Infection: Poor oxygenation compromises the immune response, making smokers more susceptible to post-operative infections.

    High-Risk Procedures for Smokers

    Some cosmetic procedures pose greater risks for smokers due to the extensive skin manipulation involved. Here are examples of surgeries where smoking can have disastrous effects:

    1. Facelifts (Rhytidectomy)

    Facelifts involve tightening the skin and underlying tissues of the face to achieve a more youthful appearance. The skin’s blood supply is already reduced during this procedure due to the surgical lifting of the tissues. Smoking compounds this reduction, greatly increasing the risk of skin necrosis, especially around the incisions near the ears. Smokers are more likely to experience prolonged bruising, hematomas, and suboptimal scarring after facelifts.

    2. Tummy Tucks (Abdominoplasty)

    Tummy tucks involve removing excess skin and tightening abdominal muscles. This procedure disrupts a significant amount of blood supply to the abdominal skin, leaving it reliant on a network of smaller vessels to heal. Smokers face an elevated risk of wound dehiscence, infection, and skin necrosis. In extreme cases, large portions of the abdominal skin can turn black and die, requiring additional surgeries to address.

    3. Breast Lifts and Reductions

    Both breast lifts and reductions involve reshaping and lifting breast tissue while removing excess skin. Smoking dramatically increases the chances of nipple necrosis, where the nipple and surrounding areola lose blood supply and die. This catastrophic outcome often requires further reconstruction surgeries and can leave devastating scars.

    4. Laser Skin Treatments

    Even minimally invasive treatments like laser resurfacing can be affected by smoking. Smoking impairs the skin’s ability to regenerate and heal after laser treatments, leading to prolonged redness, irritation, and subpar results.

    Evidence Supporting the Risks

    Multiple studies have documented the dangers of smoking in surgical patients:

    Procedures Considered Safer for Smokers

    Certain cosmetic procedures are considered somewhat safer for smokers, as they involve less extensive skin manipulation. These include:

    • Rhinoplasty: The reshaping of the nose typically doesn’t require significant skin lifting.
    • Liposuction: While it removes fat, it does not heavily impact the skin’s blood supply.
    • Breast Augmentation: Implant placement involves less disruption to the skin’s vascularity.

    Even so, smokers undergoing these surgeries are still at a higher risk of complications compared to non-smokers. Surgeons often provide strong warnings and disclaimers to ensure patients understand the risks.

    Why Quitting Smoking is Critical

    Because cosmetic surgery is elective, the goal is to minimize all potential risks. Quitting smoking even two to four weeks before surgery can significantly improve outcomes. Here’s how:

    • Improved oxygenation: Increased oxygen levels enhance wound healing and immune function.
    • Better blood flow: Nicotine-free blood vessels are more effective at delivering nutrients and removing waste from tissues.
    • Reduced inflammation: Smoking cessation lowers systemic inflammation, which supports overall recovery.

    Surgeons may also recommend quitting all nicotine products, including vaping and nicotine replacement therapies, as these can have similar effects on blood flow.

    Conclusion: Choose Health Over Habit

    The risks of smoking before cosmetic surgery are too significant to ignore. From facelifts to tummy tucks, the combination of smoking and extensive skin manipulation can lead to devastating complications, including skin necrosis, delayed healing, and infection. For those considering elective procedures, quitting smoking is not merely a recommendation but a vital step to ensure a safer surgery and optimal results.

    If you’re planning cosmetic surgery and currently smoke, talk to your surgeon about strategies to quit. Your health, safety, and aesthetic outcomes depend on it.

    Many of my patients ask how I choose the optimal size for a breast implant. Some women are very concerned about choosing too large of an implant, as they know this can make their breasts look unnatural. Other women worry that they won’t choose a large enough implant to see a discernible difference. To address these concerns, I use a variety of tools and techniques to help my patients select the best breast implant size:

    Photos

    Having patients bring photos of breasts they like and breasts they dislike helps me determine their goals. Visual references are invaluable in understanding each patient’s aesthetic preferences. Some women desire subtle enhancement, while others want a much more dramatic enlargement. By reviewing these photos together, I can better tailor my recommendations to their vision.

    Measurements

    Accurate measurements of the chest wall diameter, breast width, and breast height are crucial. These factors ensure the implant fits the patient’s anatomy. The breast skin envelope has natural limits; selecting an implant that is too large can cause it to sit too high, too low, or too far to the sides, resulting in an unnatural appearance. Taking precise measurements allows us to avoid these pitfalls and achieve balanced, proportionate results.

    Trial Sizing

    In-office trial sizing is a less valuable tool, having being largely replaced by 3D imaging. Although not an exact science, trying on different implants in a bra provides patients with a rough idea of how their new breasts might look in clothing. This exercise often sparks important conversations about their goals and helps patients feel more confident about their choices.

    Conversation

    Every implant has unique characteristics, including shape and profile, which significantly impact the final result. For example, a high-profile implant creates a different appearance compared to a moderate-profile implant, even if they are the same volume. Through open and thorough conversations during the preoperative consultation, I ensure that patients understand these differences and how they align with their desired outcomes.

    3D Imaging with Crisalix

    One of the most exciting advancements in breast augmentation planning is the use of 3D imaging technology like Crisalix. This powerful tool allows patients to visualize their potential results in real time. By uploading images of their body, Crisalix creates a virtual simulation of how different implant sizes and shapes would look on them. This technology takes much of the guesswork out of the decision-making process and provides patients with a clearer idea of their future appearance, helping them feel more confident in their choice. To schedule a 3D breast augmentation consultation using 3D imaging, begin the process by clicking here.

    Intraoperative Sizing

    Even with careful preoperative planning, intraoperative sizing plays a vital role. During surgery, I often use trial implants and sit the patient up to evaluate the breasts from multiple angles. This step is especially important for patients with breast asymmetry, as it allows me to make real-time adjustments to achieve the best possible symmetry and aesthetic result.

    Combining Tools for the Best Outcome

    Each of these tools serves a unique purpose, and together, they provide a comprehensive approach to selecting the optimal breast implant size. My goal is always to create results that are both beautiful and in harmony with the patient’s body. By combining measurements, imaging, trial sizing, and conversation, I can help patients achieve the look they’ve always wanted with confidence.

     

     

    Almost all patients have several questions about the meaning of breast implant profiles.  Patients have seen pictures on the Internet of patients with breast augmentation results they liked and wanted the same style implants as in the pictures.  These patients had a limited understanding as to what breast implant profile refers, prompting this blog entry.

    The naming for implant profiles predominantly refers to smooth, round implants, which are the most common type of implants used for cosmetic breast augmentation.  The profile of the implant has nothing to do with the fill of an implant, with the vast majority of implants placed these days being cohesive silicone gel implants, otherwise known as “gummy bear” implants. The two major breast implant manufactures have different names for their implants.  Allergan refers to its implants as low, low plus, moderate, full and high profile.  Sientra has similar names, but also has a moderate profile plus implant, which is between its moderate and high profile implants. Motiva sticks with the same principles, but gets fancier with its names, referring to the implant profiles in the United States as mini, demi and full. In Europe, they offer an additional profile, Corse, which is the equivalent of an extra high profile implant.

    The profile of an implant equates to the projection of that implant.  For a given volume, the higher the profile, the fatter and narrower an implant is.  As a result, higher profile implants tend to provide more fullness and a rounder appearance to the upper portions of the breast.  Higher profile implants tend to be really useful in women with relatively narrow breasts who want significant enlargement of the breasts; in these women, if a low or moderate profile implant were selected, to achieve the desired volume may entail the implant riding into the underarm region.  In contrast, a patient with a wider build or wider breasts may find that high profile implants may fail to adequately fill their entire breast; they often times benefit from implants with lesser projection.  Higher profile implants also tend to be useful in women who desire a small breast lift without the incisions associated with a formal lift.

    In recent years, there has been a notable shift in the preferences of patients seeking breast augmentation, with increasing interest in low-profile and low-profile-plus breast implants. These implants are characterized by a wider base diameter and less projection compared to high-profile implants. This design creates a more natural, subtle enhancement that aligns with the growing trend toward understated aesthetics. Many patients are prioritizing proportionate results that complement their natural body contours rather than opting for the more pronounced, rounder look traditionally associated with higher-profile implants.

    The appeal of low-profile implants is also influenced by their suitability for specific body types. Women with broader chest walls often find that low-profile implants provide a harmonious fit that enhances their shape without looking artificial or out of proportion. Additionally, these implants are often favored by patients who wish to restore volume after pregnancy or weight loss while maintaining a soft, natural slope to the breast. As societal beauty standards continue to evolve, the demand for implants that achieve balanced, subtle results is expected to grow, making low-profile and low-profile-plus implants a significant choice in modern breast augmentation procedures.

     

    Treatments with injectable fillers, such as Juvederm, Restylane, Radiesse, and Sculptra, not to mention others, can restore a youthful appearance to the lips, nasolabial folds, marionette lines, midface, jowls and lower eyelids, with minimal to no downtime.  Many patients avoid these treatments, though, because they have heard horror stories from friends or colleagues about the pain associated with these treatments.  Suffice it to say, this needn’t be the case – there are steps your plastic surgeon can take to make these treatments more comfortable.

    Recently, BioForm Medical, Inc., makers of Radiesse, received approval from the Food and Drug Administration to mix the filler with lidocaine, an injectable local anesthetic, prior to injection into the skin.  This approval was based on a large study of patients, in which 100% of patients reported feeling less pain when Radiesse was pre-mixed with lidocaine.  Many plastic surgeons, including me, have begun to pre-mix lidocaine with all fillers, including Juvederm, Restylane, and Evolence, not to mention Radiesse, prior to injecting into patients.  The results of treatment are still great, but patients are significantly more comfortable during treatment.

    Others things your plastic surgeon can do to make your treatment with injectable fillers more comfortable include:
    •    Using topical anesthetic gel for at least 30 minutes prior to commencing any injections.
    •    Augmenting treatment with topical anesthetic gel with injections of local anesthetic into nerves above and below the lips.
    •    Using small gauge needles and slow injection techniques

    Combining all of these treatments can ensure that you’ll not only look great after your treatment with injectable fillers, but you’ll feel pretty great during the treatment too!

    Understanding the Risks Associated with Breast Implants

    Breast implants are a popular option for enhancing breast size and shape, but like any medical procedure, they come with risks. These risks can range from mild to severe, depending on individual circumstances, implant type, and surgical technique. Here, we break down the potential complications and discuss differences among textured and smooth implants as well as saline, silicone, and Motiva implants.

    Mild Risks

    1. Pain and Discomfort:
      • Some patients may experience mild pain or tightness in the chest following surgery. This usually subsides within a few weeks as the body adjusts. (Occurs in approximately 20-30% of patients)
    2. Swelling and Bruising:
      • Swelling and bruising around the surgical site are common and typically resolve over time. (Occurs in up to 50% of patients post-surgery)
    3. Changes in Sensation:
      • Temporary changes in nipple or breast sensation, such as numbness or heightened sensitivity, can occur. (Reported in 10-15% of patients)

    Moderate Risks

    1. Capsular Contracture:
      • This occurs when scar tissue around the implant tightens, causing the breast to feel firm or appear distorted. It may require revision surgery. (Affects approximately 10-15% of patients)
    2. Rupture or Leakage:
      • Saline implants may deflate if ruptured, while silicone implants may require imaging to detect silent ruptures. (Rupture rates range from 1-5% over 10 years)
    3. Infection:
      • Infections around the implant site can occur, potentially requiring antibiotics or implant removal. (Occurs in 1-2% of cases)
    4. Seroma Formation:
      • Fluid accumulation around the implant may lead to swelling and discomfort. This may require drainage. (Reported in 2-5% of patients)

    Severe Risks

    1. Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL):
      • A rare but serious cancer of the immune system linked to textured implants. (Estimated at 1 in 2,200 to 1 in 86,000 for textured implants)
    2. Breast Implant Illness (BII):
      • A collection of systemic symptoms, such as fatigue, brain fog, and joint pain, reported by some patients. While not officially recognized as a medical condition, it has gained attention in recent years. (Prevalence unclear, but widely discussed in patient communities)
    3. Severe Implant Rupture Complications:
    • In rare cases, implant rupture can lead to significant pain and the need for immediate surgical intervention. (Rupture rates are low, with significant complications being exceedingly rare)

    Textured vs. Smooth Implants

    • Textured Implants:
      • Pros: Reduced risk of capsular contracture and better adherence to tissue, which helps them stay in place.
      • Cons: Higher association with BIA-ALCL and slightly rougher feel.
      • Risk of BIA-ALCL: Approximately 1 in 2,200 to 1 in 86,000, depending on the manufacturer and type.
    • Smooth Implants:
      • Pros: More natural feel and lower risk of BIA-ALCL.
      • Cons: Higher likelihood of shifting position over time and potentially increased capsular contracture risk.

    Saline vs. Silicone vs. Motiva Implants

    • Saline Implants:
      • Pros: Filled with sterile saltwater, easily detectable leaks, and lower surgical costs.
      • Cons: Firmer feel and higher likelihood of rippling. (Rippling reported in up to 10-15% of cases)
    • Silicone Implants:
      • Pros: More natural feel and appearance. Silicone gel maintains shape better in case of rupture.
      • Cons: Requires regular monitoring (e.g., MRI) to detect silent ruptures and higher initial cost. (Silent rupture rates estimated at 1-2% per year)
    • Motiva Implants:
      • Pros: Advanced technology with a natural feel, lower capsular contracture risk, and innovative safety features like microchip tracking.
      • Cons: Limited availability and higher cost compared to traditional silicone and saline implants. (Capsular contracture rates as low as 1-2%)

    Conclusion

    Understanding the risks associated with breast implants and the differences among implant types is crucial for making an informed decision. Patients should discuss their goals, medical history, and concerns with their surgeon to determine the best option for their needs. While risks exist, choosing an experienced surgeon and following post-operative care instructions can significantly improve outcomes and minimize complications.

    The Differences Between Silicone and Saline Implants: Understanding Your Options

    When considering breast augmentation, choosing the right type of implant is one of the most important decisions you’ll make. While saline and silicone implants have both been widely used for decades, advances in silicone implant technology have made them the more popular choice among patients and surgeons today. In this blog, we’ll explore the differences between saline and silicone implants, discuss the decline in popularity of saline implants, and highlight the innovations in silicone implants, including gummy bear implants and the latest Motiva implants.

    Silicone vs. Saline Implants: What’s the Difference?

    Breast implants are classified based on their filling material: silicone gel or sterile saline (saltwater). Here’s how they differ:

    Silicone Implants

    • Composition: Filled with cohesive silicone gel that mimics the feel of natural breast tissue.
    • Look and Feel: Silicone implants are often preferred for their more natural appearance and softer texture.
    • Durability: Modern silicone implants are highly durable and designed to hold their shape even if the outer shell is compromised.
    • Detection of Ruptures: Silicone implant ruptures are considered “silent,” as the gel typically remains within the implant shell or surrounding tissue. Routine imaging (e.g., MRI or ultrasound) is recommended to detect issues.

    Saline Implants

    • Composition: Filled with sterile saltwater after being inserted into the breast pocket.
    • Look and Feel: Saline implants tend to feel firmer and may create a less natural look, especially in patients with thinner breast tissue.
    • Detection of Ruptures: If a saline implant ruptures, the saltwater is harmlessly absorbed by the body, and the deflation is immediately noticeable.
    • Customization: Saline implants allow for adjustments in size during surgery since they’re filled after placement.

    Why Has Saline Lost Popularity?

    Although saline implants were once the go-to choice for breast augmentation, their popularity has significantly declined for several reasons:

    1. Less Natural Appearance and Feel: Saline implants are more prone to visible rippling and tend to feel firmer, which can detract from a natural look, particularly in patients with less natural breast tissue.
    2. Advances in Silicone Technology: Modern silicone implants, particularly gummy bear implants, provide superior aesthetics and a more lifelike feel, making them the preferred option for most patients and surgeons.
    3. Higher Capsular Contracture Rates: Capsular contracture, a condition where scar tissue tightens around the implant, is more common with saline implants. Studies estimate capsular contracture rates for saline implants at approximately 10–15% within the first few years after surgery.

    The Evolution of Silicone Implants: Gummy Bear and Motiva Implants

    The latest advancements in silicone implant technology have revolutionized breast augmentation, offering options that are safer, more durable, and more natural-looking than ever before.

    Gummy Bear Implants (Including Allergan Soft Touch)

    • What Are They? Gummy bear implants are made with a highly cohesive silicone gel that maintains its shape, even if the implant shell is compromised. Allergan Soft Touch implants are a popular option within this category.
    • Capsular Contracture Rates: Allergan Soft Touch implants have shown capsular contracture rates of approximately 5–8%, significantly lower than saline implants.
    • Benefits: These implants provide a natural teardrop shape, softer feel, and reduced risk of complications such as rippling or leakage.

    Motiva Implants

    • What Are They? Motiva implants represent the next generation of silicone implants, offering state-of-the-art technology for enhanced safety, aesthetics, and patient satisfaction.
    • Capsular Contracture Rates: Motiva implants boast some of the lowest capsular contracture rates in the industry, with studies reporting rates of 1–2% in primary augmentations.
    • Key Features:
      • ProgressiveGel: Provides a soft yet stable feel for a natural look and texture.
      • SilkSurface™ NanoTexture: Reduces the risk of complications like capsular contracture while maintaining implant integrity.
      • Ergonomix™ Shape: These implants adjust naturally to body movement, mimicking the look and feel of natural breast tissue.
      • Smart Technology: Some Motiva implants include an integrated microchip for non-invasive identification and tracking, providing peace of mind for both patients and surgeons.

    Which Implant Is Right for You?

    Choosing between saline and silicone implants—or even selecting among the various types of silicone implants—depends on your unique anatomy, aesthetic goals, and lifestyle. During your consultation, your surgeon will evaluate factors such as:

    • Your natural breast tissue and body type.
    • Desired breast size and shape.
    • Long-term maintenance and imaging preferences.
    • Concerns about implant texture, durability, and safety.

    Final Thoughts

    The advancements in silicone implants, such as gummy bear and Motiva implants, have made them the leading choice for patients seeking natural-looking, long-lasting results. While saline implants are still an option, their diminished popularity reflects the growing demand for the superior aesthetics and feel that modern silicone implants provide.

    If you’re considering breast augmentation, consult with Dallas’ best plastic surgeon, Dr. Jejurikar, to explore your options and find the implant that best suits your needs. With extensive experience and access to the latest innovations in breast surgery, Dr. Jejurikar can help you achieve your ideal results.

    Schedule your consultation today to take the first step toward the look you’ve always wanted!

    The world of dermal fillers has evolved significantly over the past two decades. Once a leading option for non-surgical facial rejuvenation, collagen fillers have largely been replaced by hyaluronic acid (HA) fillers as the go-to choice for patients and providers alike. But why have collagen fillers fallen out of favor, and what makes HA fillers the superior option today? Let’s explore the key differences, benefits, and limitations that have shaped this shift in aesthetic medicine.

    What Are Collagen Fillers?

    Collagen fillers were among the first widely used dermal fillers, offering a way to restore volume and smooth wrinkles. Derived from bovine (cow) or human sources, collagen fillers work by supplementing the skin’s natural collagen levels, which decrease with age.

    Popular collagen-based fillers in the past included Evolence, Zyderm and Cosmoderm. These products provided temporary results, typically lasting around 2-4 months, before requiring re-treatment.

    What Are Hyaluronic Acid Fillers?

    Hyaluronic acid fillers, introduced in the early 2000s, have become the gold standard in non-surgical facial rejuvenation. Hyaluronic acid is a naturally occurring substance in the skin that helps retain moisture, provide hydration, and add volume. HA fillers like Juvederm, Restylane, and Belotero offer immediate, customizable results that can last from 6 months to 2 years, depending on the product and treatment area.

    Why Collagen Fillers Lost Popularity

    Collagen fillers were groundbreaking in their time, but several limitations led to their decline:

    1. Shorter Duration:
      • Collagen fillers typically last only 2-4 months, requiring frequent re-treatments.
      • HA fillers offer significantly longer-lasting results, reducing patient downtime and expense over time.
    2. Allergy Testing Requirement:
      • Bovine-derived collagen fillers required allergy testing weeks before treatment, adding inconvenience for patients.
      • HA fillers are biocompatible, meaning they rarely cause allergic reactions and do not require pre-treatment testing.
    3. Less Versatility:
      • Collagen fillers were primarily used for fine lines and wrinkles.
      • HA fillers are much more versatile, effectively addressing wrinkles, folds, volume loss, and even contouring areas like the cheeks, jawline, and lips.
    4. Advancements in Technology:
      • HA fillers incorporate advanced technology, such as cross-linking, to improve their durability and effectiveness.
      • Collagen fillers lacked these advancements, making them less competitive as newer options emerged.
    5. Safety and Reversibility:
      • HA fillers can be dissolved with an enzyme called hyaluronidase, offering a safety net if patients are unhappy with results or experience complications.
      • Collagen fillers do not have this reversibility feature, making corrections more difficult.

    Why Hyaluronic Acid Fillers Dominate Today

    Hyaluronic acid fillers have set the standard for non-surgical facial rejuvenation thanks to their many advantages:

    1. Natural-Looking Results:
      HA fillers integrate seamlessly into the skin, providing a soft, natural appearance.
    2. Hydration Benefits:
      Unlike collagen fillers, HA fillers attract and retain water, enhancing skin hydration and improving texture.
    3. Customizable Treatments:
      HA fillers come in a variety of consistencies, allowing providers to customize treatments for different areas of the face, from delicate lines around the mouth to deeper folds and volume restoration.
    4. Improved Patient Experience:
      With no allergy testing required, minimal downtime, and long-lasting results, HA fillers offer a more convenient and patient-friendly experience.
    5. Ongoing Innovation:
      Manufacturers continue to improve HA fillers, introducing products with more natural integration, longer-lasting effects, and targeted uses (e.g., Juvederm Volux for jawline contouring).

    Are There Any Benefits to Collagen Fillers?

    While collagen fillers have become less popular, they still have a place in aesthetic medicine. For patients who are specifically looking for subtle, temporary enhancements, collagen fillers may be an option. Additionally, advancements in bioengineered collagen products, such as Sculptra (a poly-L-lactic acid injectable that stimulates collagen production), have renewed some interest in collagen-stimulating treatments rather than collagen as a filler material.

    The Bottom Line

    The rise of hyaluronic acid fillers over collagen fillers is a testament to the progress and innovation in aesthetic medicine. While collagen fillers paved the way for modern injectables, HA fillers offer superior longevity, versatility, safety, and results, making them the clear choice for patients and providers today.

    If you’re considering injectable treatments to rejuvenate your appearance, schedule a consultation with a board-certified plastic surgeon or experienced injector. They can guide you through your options and recommend the best product to help you achieve your aesthetic goals.

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    9101 N. Central Expwy.
    Suite 600, Dallas, TX 75231
    Tel: 214.827.2814
    Dallas | Dr. Jejurikar

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