Tuesday, January 28, 2014

Breast Implant Revision - The Difference Between Silicone and Normal Saline Breast Implants

Breast Implant Revision - The Difference Between Silicone and Normal Saline Breast Implants

Breast augmentation revision surgery san francisco
Dr. Miguel Delgado
Breast Revision Specialist

No "perfect" breast implant exits.  All breast implants have their advantages and disadvantages. There are essentially two breast implants used today: saline-filled breast implants and silicone-filled breast implants. Both breast implants have an outer pliable envelope, or shell, which is made of silicone. The contents of the shell are either saline (saltwater) or silicone gel. For saline breast implants, the silicone shell is filled with saline at the time of surgery. Saline breast implants have been used for decades: they are safe and effective.  The silicone breast implants come pre-filled.  Both come in similar sizes and shapes.

The advantages of saline breast implants are:

  • If a leak does occur, the saline (saltwater) is safely absorbed
  • Saline breast implants are filled after insertion, therefore, more adjustments can be made for volume discrepancies
  • In general, slightly smaller incisions can be used
  • Saline breast implants are less expensive

The disadvantages of saline breast implants:

  • Slightly firmer than silicone breast implants when fully inflated
  • Mild rippling or scalloping (of the bottom edge of the implant)
  • In general, not ideal for over the muscle in small breasts, thin women, due to more potential obvious rippling
Silicone breast implants have been approved for general usage since November of 2006. The restriction is that a woman must be at least 22 years of age. In addition, it is suggested by the FDA (Federal Drug Administration), though not required, that an MRI (Magnetic Resonance Imaging) be done at the three year mark after augmentation and every two years thereafter, to rule out potential silent leakage.

Silicone breast implants have evolved into a safer product as a result of two major improvements. Today’s silicone breast implants have a much thicker outer shell and they contain a much more cohesive gel than earlier versions. The latter means that the silicone contents are more solid or viscous, as opposed to the more liquid versions of their predecessors. For example, if a modern silicone breast implant is cut with a pair of scissors and squeezed, the silicone material will go out and then retract back inward into the silicone shell.

The advantages of silicone breast implants are:

  • A softer, more natural feel (the greatest advantage)
  • No wrinkles or “scalloping” of the edges; therefore, they can easily be used on top of the muscle.

The disadvantages of silicone breast implants are:

  • A leak or rupture may occur unknowingly
  • Silicone implants are prefilled and, therefore, the size cannot be adjusted
  • An MRI may be required in the future
  • They are more expensive than saline implants
Both breast implants are time tested and are great.  Each women has to weigh the benefit of each.

Dr Miguel Delgado is a breast revision specialist.  He has performed hundreds of these surgeries and has a dedicated breast implant revision website.  Also view the many before and after photos of Dr. Delgado's patients and the breast revision videos.
Dr. Miguel Delgado has offices located in San Francisco Bay Area and Marin County-Novato.  Also serving Sonoma and Napa County since 1988.
Call today 415898-4161 or email for a consultation.

Monday, January 27, 2014

PIP Breast Implant Scare

PIP Breast Implant Scar

San Francisco, California

There have been a lot of reports in the news lately about a French manufacturer of defective breast implants used for breast augmentation surgery. It was discovered that Poly Implant Prothese (PIP) a now defunct company had been using industrial grade silicone instead of the more expensive medical grade for their silicone implants.

In 1996, PIP was selling their saline implants in the United States including the San Francisco Bay Area, but saline and silicone implants were distributed to many countries worldwide. All silicone implants were banned in the United States from 1992-2006 due to health concerns but reintroduced after extensive testing proved them to be safe. Only two breast implant companies are approved by the FDA, Mentor and Allergan.
PIP became the third largest breast implant company in the world before being shut down in 2010 when the discovery was made. A Dutch company rebranded the implants with the name Rofil M-implants, and is also at risk as the contents are the same. In 2000 the FDA sent an inspector to the PIP manufacturing company and found many substandard practices thereby banning all PIP implants for the United States.
The American Society for Aesthetic Plastic Surgery (ASAPS) recommends women have the implants removed due to the high rupture rate and also due to the fact that the adverse effects of the impurities used in industrial grade silicone are unknown. The International Society of Aesthetic Plastic Surgery (ISAPS) supports this recommendation. Different countries have different recommendations. Several countries recommending removal besides the United States are; France, Germany, Venezuela and the Czech Republic. Some countries are setting up registries and hotlines but not recommending removal at this time.

Dr. Delgado is a breast implant revision expert.  He has performed hundreds of breast implant revision surgeries. If you are having issues you your breast implants call Today 415-898-4161 or email.   Visit Dr. Delgado breast implant revision specialized website for many before and after photos or visit his main website for other cosmetic surgery procedures.  Serving the San Francisco Bay Area, Marin County, Sonoma County and Napa Valley since 1988.

Thursday, November 1, 2012

Breast Implant Revision Surgery-When Should I Replace My Implants

Breast Implant Revision Surgery-When Should I Replace My Implants?

San Francisco | Marin | Sonoma, California

When should I replace my implants? This is one  the most common questions that Dr. Delgado is asked  and a very important one.
The bottom line is that if you are having no problems with your breast then do not change them. The following are some of the many reasons to have them replaced.

Reasons to replace your implants:

1.  There is a significant asthetic issue.  Your breast are no longer attractive to you for many reasons such as after having your children.

2.  Your breasts either one or both have become firm or contracted with possibly pain or disfigured

3.  Your breast implants have a leak or a deflation.

If these issues are not present,there maybe no reason to have them changed.  This could be after 10 or 20 years.  If you have silicone implants you may want to check on the integrety of the silicone implant shell with a MRI.  If you have normal saline breast implants it will be very obvious because it will become flat like a tire.

Breasr Implant Revision Surgery-San Francisco
Breast Implants with Ptosis
Breasr Implant Revision Surgery-San Francisco
Replacement of implants and a lift

The case above is a women who had breast implants placed many years ago.  She has since had children.  She had a surgery by another office who performed a breast lift but not successful.  She cam to our office and we perform a short scar breast lift with new implants.

Breast Implant Revision Surgery Video

MiguelDelgado, MD is a top board certified cosmetic and plastic surgeon with offices in San Francisco and Marin County.  His practice specializes in breast implant revision surgery and has a dedicated website with critical information and many before and after photos.   Serving the San Francisco Bay Area, Marin County, Sonoma County and Napa Valley since 1988.   Call Today or email for a in office consultation or a virtual consultation. 

Tuesday, September 18, 2012

Breast Implant Revision Surgery-San Francisco|Marin|Sonoma

Breast Implant Revision Surgery - San Francisco Bay Area | Marin | Sonoma County

Breast augmentation surgery is the most popular cosmetic surgery for women in the United States.  Patient satisfaction is extremely high and the lifestyle change is an exciting-body-image transformation women enjoy for a lifetime.

 A crucial point, however, is the fact breast implants are a foreign body made of silicone, whether filled with silicone gel or saline (water). Implants do not last forever and issues will most certainly arise. Common occurrences include:

 1.    Breast capsular contracture: constriction of scar tissue around the implant resulting in firmness.

2.    Rupture or deflation of the breast implant.

3.    Malposition of the breast implant causing breast asymmetry.

4.    Post-pregnancy changes which can cause aesthetic issues.

5.    Other complications such as double bubble deformity, symmastia, etc.

 These are some of the long-term issues that might arise after breast augmentation surgery.  All of these scenarios require surgical correction- requiring additional financial outlay, as well as time off from work and exercise.

 Dr. Miguel Delgado has developed a new dedicated breast implant revision website  which is 100% dedicated to the art of breast implant revision surgery.  The website describes most of the common complications, with detailed description and  many before and after photographs  

The most compelling aspect of the website is the video segment.  There are multiple segments which follow five women over a six month period.  Three of the women undergo primary breast augmentation and two women had undergone multiple prior breast revision surgeries.  The videos are of real patients of Dr. Delgado who tell their stories.

This website and video section contain important information for all women who are contemplating breast augmentation surgery or breast revision surgery. Call today at 415-898-4161 or email.

                               Breast Implant Revision San Francisco 1 of 6 Parts

Dr.  Delgado is a San Francisco plastic surgery specialist with offices in S.F. and Marin County, California. He is certified by the Am. Board ofPlastic Surgery. He specializes in facelift surgery, all breast surgery, and body contouring  such as liposuction, tummy tuck, and mommy makeover.  He a special interest in breast implant revision surgery. Serving San Francisco Bay Area, Marin, Sonoma and Napa County since 1988.

Tuesday, July 17, 2012

Breast Augmentation San Francisco Bay Area-Journey of 3 Women

Breast implant revision Augmentation Surgery-Critical information for women who desire breast augmentation or breast enhancement  surgery.  This five part video takes you through the lives of three women who undergo  breast augmentation surgery.The video includes the consultation, pre-operative meeting, the surgery and all post-op visits over a six months period. These are real patients and their individual stories are unique.  Each patient shares with you their  breast augmentation experience in this documentary that takes place in the San Francisco Bay Area and filmed in Marin County at the Marin Cosmetic Surgery Center.  call 415-898-4161.  This is the final video of the 5 part video of two of Dr. Miguel Delgado's patients.  Visit the American Society of Plastic Surgery for a breast surgeon in your area. 

Monday, January 23, 2012

The Problem With PIP Breast Implants

PIP Breast implants:  The Problem Today

San Francisco, California - PIP breast implant is a silicone implant that was produced in France. In the past few weeks news has surfaced that explains that the silicone breast implants were filled with industrial grade silicone and not medical grade. It has been determined that the rupture rates of these implants are higher and that the impurities within the silicone is unknown.
It has raise much concern for women who have these breast implants.  Mostly all were placed outside of the United States. Countries are conflicted with what is the best solution.

The American Society of Plastic Surgery is recommending removal. Dr. Delgado has written a article in PR Web which explains the past history and current state.

Miguel Delgado, MD is a Board Certified Plastic and Reconstructive Surgeon, specializing in cosmetic surgery.  Over a 25 years, he has focused particular attention on the treatment of breast augmentation and breast implant revision surgery. He has a dedicated breast implant revision website with critical information for women considering breast enhancement.  The site has many before and after photos and videos.  Call today 415-898-4161 for a consultation or email.