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Rates of silicone breast implant placement are on the rise

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Recently published statistics from the American Society of Plastic Surgeons says the number of women undergoing “augmentation mammaplasty” rose 39 percent between 2000 and 2010, when more than 296,000 American women underwent the procedure. Not only does the number of women seeking the procedure seem to have increased, but also it seems as though many more patients are seeking bigger implants. A big reason for this is the increasing acceptance of the safety of silicone gel implants; with these implants, large cup sizes are achievable while still maintaining a natural looking result.

Obviously, there’s an upper limit to what appears natural and what the breast ligaments can support. Still, in most patients, a 2 or 3-cup size increase, if desired, if possible.

To learn more about breast augmentation or silicone breast implants, don’t hesitate to contact Dr. Jejurikar’s offices in Dallas or Plano at 214-827-2814.

In most cases, when I perform breast augmentation, I place the breast implant, whether it is a saline breast implant or a silicone breast implant, behind the chest wall muscle.  There are many reasons for this.  The first is that the chest wall muscle (pectoralis major), actually serves as camouflage for the breast implant.  Some of the visible rippling that can be seen, particularly with saline breast implants, tends to be obscured to some degree with coverage by the pectoralis major muscle.  The second reason to put the implant behind the muscle is that it interferes with screening mammography much less.  There is good data from the radiology medical literature that demonstrates that placement of breast implants in front of the chest wall muscle can obscure a substantial amount of the breast field on mammogram.  The third reason is that traditional data with silicone and saline implants shows that the rate of capsular contracture, or pathologic scar tissue formation, is much higher when the implants are put in front the chest wall muscle as compared to behind it.

There are a few anatomic conditions in which aesthetic outcomes are improved when the implant is placed in front of the chest wall muscle.  Careful examination and discussion with my patients are important in these situations to determine what will be best.

If you have any other questions regarding this or breast augmentation in Dallas and Plano, please do not hesitate to contact my office at 214-827-2814.

One of the most commonly sought out procedures in Dallas and Plano is the Brazilian butt lift.  This procedure involves performing extensive liposuction elsewhere on the body and using the removed fat to augment and lift the patient’s buttocks.  It is a well-tolerated procedure that generally takes about 3-4 hours.  Areas that undergo liposuction traditionally involve the inner and outer thighs, abdomen, love handles, and lower back.

One of most important thing a patient needs to know before the procedure is the expected recovery time.  Patients are asked to refrain from lying on their back, so as to avoid pressure on their buttock, for 2 months after the procedure.  Patients are also asked to avoid directly sitting on their buttock for 2 weeks after the procedure.  After 2 weeks, patients are asked to place a rolled towel or a pillow under the back portion of the thighs, specifically where the hamstrings lie.  With this, the pressure on the buttock is off-loaded, and this is thought to help fat heal quicker after the operation.

If you would like to learn more about one of the most popular procedures in Dallas, please do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

How much swelling and bruising you have after Dallas laser resurfacing depends entirely on how much time you have to recover from the procedure. Laser resurfacing in Dallas and Plano must always be individualized to the needs of the patient.  If you have a few weeks, I can be very aggressive with the procedure. This will lead to dramatic improvement in facial wrinkles and pigmentation; redness may last 3-6 months after the procedure. If you only have 3 or 4 days, there are still excellent laser treatments I can perform, with much less redness thereafter. Ultimately, the specific laser treatment must be tailored to the amount of time you have to recover after the procedure.

So, what are the different options for laser resurfacing in Dallas?  One of the ways we classify different laser resurfacing procedures is by whether or not they are fractional or full field resurfacing.  Full field laser resurfacing includes some traditional types of laser treatments, including carbon dioxide and erbium lasers.  With these types of procedures, all of the skin on the face is treated. Although the results can be beautiful, if the treatment is done at a deep depth, it will take longer to heal.  A full field laser can be done at a more superficial depth to speed up the recovery.  Fractional lasers treat some of the skins but leaves tiny islands of skin cells untreated.  Two of the most commonly used fractional lasers used in my practice is Fraxel re:pair and Fraxel re:store.  While all the differences between these lasers are too much for this blog entry, the re:store is non-ablative, which means it is not destructive, and the re:pair is ablative, which means that it destroys columns of skin. Re:pair usually is performed in the operating room and re:store is usually performed with the patient awake in a treatment room.

Regardless of the amount of time you have to heal, there are great treatments available to you.  Benefits of all of these laser treatments include elimination irregular pigmentation, treatment of fine or deep wrinkles, and a healthier glow to the skin.

If you would like to learn more, please do not hesitate to contact Dr. Jejurikar at 214-827-2814.

It is common for patients to negotiate an appropriate level of activity after undergoing tummy tuck, breast augmentation, liposuction, or any other combination of surgeries that make up a Dallas mommy makeover.  The thought is, if they can convince me that they need less time to recover than other patients, somehow the surgery will be lessened in magnitude, or that they will be able to recover more quickly after the procedure.

Childbirth takes a dramatic toll on the female body.  To reverse those changes with a mommy makeover, significant surgery is involved.  With a Dallas tummy tuck (abdominoplasty), in addition to removing skin, extensive sculpting of the waist and upper abdomen is performed with liposuction, and the muscles of the abdominal wall are significantly tightened.  Undue straining for a period of time after surgery can disrupt the sutures, and lead to a less then desirable postoperative result.  In addition, straining after surgery can cause problems with wound disruption and bleeding, not to mention prolonged swelling in the abdomen, breasts, and lower extremities.

I usually recommend that my patients take 1-2 weeks off of work after surgery.  Some patients will take less time and others more, depending on the level of physical exertion required at their work place.  I also strongly advise my patients to refrain from any vigorous exercise for 6-8 weeks after surgery.  Although it is important to walk almost immediately after surgery to prevent blood clots and respiratory problems, too much activity can lead to infection, bleeding, and wound healing problems.

Ultimately, to get the best result after mommy makeover, a patient has to allow herself the appropriate amount of time to recover.  Should you have any questions, please do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

Rhinoplasty, or nose reshaping surgery, can be performed for many reasons, but most commonly is done to improve appearance, improve breathing, or after an accident or trauma.  Although specific medical insurance policies vary, many medical insurance plans will cover some of the costs of nasal surgery if it can be documented that it is being done for functional reasons (i.e. to improve breathing). Any aspect of the procedure done to improve appearance, however, including reshaping of the tip, removal of a hump, narrowing of the nose, etc., generally is not covered by these same insurance policies.

To learn more about rhinoplasty, including its risks and recovery, don’t hesitate to contact Dr. Jejurikar’s office at the Dallas Plastic Surgery Institute or at Legacy Medical Village in Plano at 214-827-2814.

It is not uncommon to have patients come in seeking liposuction for major weight loss.  It is important to clarify with these patients, and to the general public, that liposuction is not a great option for weight loss.  Liposuction gives much better and more predictable results for patients close to their ideal body weight who are looking to sculpt their body. 

 

If a considerable amount of weight loss is required, other surgical options are better.  Specifically, bariatric procedures, including LAP-BAND, gastric bypass, gastric switch, etc.  These procedures allow for much greater and predictable amounts of weight loss, which then can be followed by body contouring surgery to help sculpt the body. 

 

If you have any questions about body sculpting or body contouring surgery, please contact Dr. Jejurikar at the Dallas Plastic Surgery Institute at 214-827-2814. 

Women with large, droopy breasts causing pain, discomfort or social embarrassment usually are great candidates for breast reduction (reduction mammaplasty). Patients oftentimes complain that they have difficulty finding appropriate-fitting bras and have difficulty exercising due to their large breast size. Although breast reduction is generally recommended for women with fully developed breasts, surgery may be performed on teenagers if their breasts are causing serious pain and physical discomfort.

Breast reduction involves making incisions to remove breast tissue and to perform a breast lift. The incisions vary for each patient, but commonly involve an incision around the areola (pigmented skin around the nipple) and a vertical incision below this. In some cases, an incision in the crease below the breast is also needed.

In exchange for these scars, which tend to fade considerably over 1-2 years, patients can achieve smaller, perkier breasts with relief of their back, neck and shoulder pain. Patients usually report an easier time shopping for bras after surgery and a greater ability to exercise.

To learn more about breast reduction surgery, including its risks and recovery, don’t hesitate to contact Dr. Jejurikar’s office at the Dallas Plastic Surgery Institute or at Legacy Medical Village in Plano at 214-827-2814.

Capsular contracture can be a relatively common complication after placement of silicone breast implants or saline breast implants. Scar tissue normally forms around breast implants in all circumstances. In some cases, over time, it can tighten and compress the implant, making it feel firm and painful, causing what is called a capsular contracture. Capsular contracture is more common following infection, hematoma, or seroma, and the chance of it happening may increase over time. It occurs more commonly in revision breast augmentation than in primary breast augmentation.

Capsular contracture is also a risk factor for implant rupture, and is the most common reason for re-operation after breast implant placement. Symptoms of capsular contracture can range from just mild firmness and discomfort, to severe pain, distorted appearance of the breast, and the ability to feel the implant. It is classified into 4 levels, depending on its severity:

Baker Grade I: The breast is soft, and looks natural.

Baker Grade II: The breast is a little bit more firm, but looks normal.

Baker Grade III: The breast is firm and looks abnormal.

Baker Grade IV: The breast is hard, painful, and looks abnormal.

The data for both silicone and saline breast implants says that about 1 in 6 women will develop a severe capsular contracture, either grade III or IV, through 7 years after breast implant placement. For women receiving revision breast augmentation, this risk increased to about 1 in 5. When pain and firmness or abnormal appearance is particularly severe, additional surgery may be required. This usually requires removal of the breast implant capsule and replacement of the breast implant.

Should you be developing firmness, hardness, or distorted appearance after your breast implant placement, you may have a capsular contracture. To learn more about this condition, please contact Dr. Jejurikar at 214-827-2814, at the Dallas Plastic Surgery Institute.

Yesterday, the Food and Drug Administration (FDA) issued a warning that silicone and saline breast implants may be associated with a rare form of cancer. The cancer, known as anaplastic large cell lymphoma (ALCL), has been found in 34 women with breast implants. ALCL has been found in the capsule surrounding the implant, but not the breast tissue itself. The FDA concluded that there may be a link between breast implants and ALCL after examining scientific literature that described ALCL in 34 women with breast implants, as well as data from national and international regulatory agencies, scientific experts, and breast implant manufacturers.  In most cases. ALCL was found years after breast implant surgery.

It is estimated that 5-10 million women worldwide have breast implants. With only 34 cases of ALCL described, it’s impossible to say at this time that breast implants cause ALCL. Even though the risks of getting ALCL with breast implants, if real, are exceedingly small, given that the usual incidence is around 1 in 500,000, it’s important to investigate this matter more thoroughly. To that end, the FDA and the American Society of Plastic Surgeons (ASPS) are establishing a registry of ALCL patients who have breast implants. FDA scientists hope the registry yields enough information to better understand what the risks for developing ALCL are for women with breast implants.

Ultimately, what’s a patient to do? If the risk of getting ALCL from breast implants is real, it is exceedingly small.  Says Caroline Hove, spokesperson for Allergan in an article from the Wall Street Journal, “”A woman is more likely to be struck by lightning than get this condition.” That being said, ALCL has the potential to be fatal; the informed patient should be aware of this very small but possibly significant risk associated with breast implants.

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Our Location Dallas Plastic Surgery Institute

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

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