April 19th, 2014 Dr. Mele
As Breast Augmentation becomes more and more common, the need for Breast Augmentation Revision also increases. Breast Implants are not “life-time devices,” and the reasons for Breast Implant Revision Surgery vary.
Why Have Breast Implant Revision Surgery?
There are many reasons for Breast Revision Surgery, and it is much more common after Breast Reconstruction Surgery than after Cosmetic Breast Enhancement. A mastectomy damages the circulation of the breast, making it harder for the chest to protect itself and the Breast Implant. Breast Reconstruction Revision is usually more urgent and more extensive than elective Breast Augmentation Revision. Problems like infection, Capsular Contracture and breast implant exposure are much more likely in the reconstructive setting.
Why is Breast Augmentation Revision Performed
Breast Augmentation Revision is sometimes performed for urgent problems like infection, but this is not common. One of the most common reasons for Breast Augmentation Revision is to change size, and in the majority of cases it is to increase the Breast Implant Volume. Breast Implant Deflation, Capsular Contracture and Malposition are also common reasons for Breast Revision Surgery. More information about these complications and their treatment can be found in today’s video presentation, and by clicking on the highlighted links in this blog posting.
KRON4 Body Beautiful Television Breast Implant Revision Presentation
On the last episode of KRON4′s Body Beautiful, I discussed how to improve the results of Breast Augmentation. The show is broadcast live and gives San Francisco Bay Area viewers the opportunity to call in and ask questions. The (415) number used during the video was for the live show. If you have Breast Implant Revision Questions, call my Walnut Creek Plastic Surgery office directly at (925) 943-6353.
Breast Augmentation Revision Surgery Video
Breast Revision Surgery Frequently Asked Questions
This television program reviews many of the frequently asked Breast Augmentation Revision questions. Some of the questions answered include:
- Why do Breast Implants need to be Revised?
- Can the same scar be used for Breast Augmentation Revision?
- How Frequent is Breast Implant Size Change?
- How Frequently do Breast Implants Deflate?
- What is Capsular Contracture?
- What is a Capsulotomy?
- What is a Capsulectomy?
- Can Saline Breast Implants be replaced with Silicone Gel Breast Implants?
- How is Capsular Contracture Treated?
- How is Breast Implant Deflation Treated?
- How is Breast Implant Malposition Treated?
- What is my Breast Implant Warranty?
- Can Breast Implants Be Reduced in size?
- When Can a Breast Lift Help?
- Before and After Pictures
- Capsular Contracture Release – Before and After
- Breast Implant Deflation – Breast Implant Replacement
- Breast Implant Malposition
- Overly Large Breast Implants and Breast Implant Sagging
Breast Implant Revision Consultation
If you are considering Breast Augmentation, or have Breast Implants and are considering Breast Augmentation Revision, I can help. Breast Augmentation is one of my specialties. I have been a primary investigator for all three FDA approved US Breast Implant manufacturers: Allergan, Mentor and Sientra. All FDA approved implants are available through my office. Schedule a private consultation appointment today at (925) 943-6353 or via our contact form, and we can review your options and select the Breast Implant and method that is most likely to get you a great result.
April 12th, 2014 Dr. Mele
Ears may not be the first body part you think of when you hear, “Plastic Surgery,” but for many near San Francisco, Cosmetic Ear Surgery (Otoplasty) is a welcome relief. The most common reason for Cosmetic Ear Surgery or Otoplasty is the correction of prominent ears. Also called ear pinning, a common otoplasty procedure involves reducing the appearance of prominent ears.
What Makes an Ear Prominent?
There are three main causes of Prominent Ears. The most common is incomplete folding of the outer ear. One of the last folds to form, during the development of the ear, is the fold halfway between the ear’s opening and the outer edge of the ear (the helix). This fold bends the ear back towards the side of the head, and when it is absent or incomplete, the ear sticks out. This can be corrected by surgically forming the appropriate fold.
The second most common cause of Prominent Ears is large conchas. The concha is the central bell of the ear that catches sound. A disproportionately large concha can be reduced in size during an outpatient otoplasty. A large concha is often associated with the third most common cause of prominent ears, rotation of the concha forward. Rotating the ear posteriorly (backward) at the time of reduction completes the formation of a more cosmetically pleasing ear.
Other Cosmetic Ear Surgeries
There are other reasons for Cosmetic Ear Surgery, and correction of both congenital and acquired ear deformities is common. Other correctable deformities include:
- Prominent Ear Correction
- Torn Earlobe Repair
- Cup Ear Correction
- Bat Ear Correction
- Lop Ear Correction
- Stahl’s Ear (Spock Ear) Deformity
- Cauliflower Ear Reshaping
- Traumatic Ear Deformities
- Correction of Scapelling (Gauged Earlobes)
- Other Deformities due to Ear Piercings
KRON4 Body Beautiful Television Otoplasty Presentation
Last month, I had the opportunity to discuss some of the ways to improve the appearance of the ears with cosmetic surgery on KRON4′s Body Beautiful. The show is broadcast live and gives San Francisco Bay Area viewers the opportunity to call in and ask questions. The (415) number used during the video was for the live show. If you have Otoplasty Questions call my Walnut Creek Plastic Surgery office directly at (925) 943-6353.
Otoplasty and Other Cosmetic Ear Surgeries
Otoplasty (Cosmetic Ear Surgery) Frequently Asked Questions
The Otoplasty Video above includes discussion of many of the most common Cosmetic Ear Surgeries. Some of the Frequently Asked Cosmetic Ear Surgery Questions answered include:
- What is Otoplasty?
- What is the Best Age for Otoplasty?
- Who Needs Prominent Ear Correction?
- Can Otoplasty be Performed at age Five?
- What are the Reasons for Prominent Ears?
- How is the Prominent Ear Corrected?
- Where is the Incision?
- What is the Recovery Time for Otoplasty?
- Before and After Pictures for Prominent Ear Correction
- Before and After Pictures for Cauliflower Ear Correction
- What is a Cauliflower Ear?
- Before and After Pictures for Piercing Correction
- Before and After Pictures for Torn Earlobe
- How Long Before the Ear Lobe can be Re-pierced After Repair?
If you have Otoplasty Questions, don’t miss the Otoplasty page on DrMele.com. For more personalized information, give my San Francisco Bay Area Plastic Surgery office a call at (925) 943-6353 and schedule a private consultation. The Otoplasty procedure that is best for you can only be determined after an in-person consultation. Your questions will be answered in detail, so that you can make a truly informed decision whether Otoplasty is the right procedure for you.
April 5th, 2014 Dr. Mele
Blepharoplasty (Cosmetic Eyelid Surgery) is the third most common Cosmetic Plastic Surgery. Only Breast Augmentation and Liposuction are performed more frequently.
Why is Blepharoplasty so Popular?
Blepharoplasty is popular with both men and women because not only does it reverse one of the most obvious signs of aging, it also makes us look more alert and interested. As we age, the eyelids tend to loosen and sag. Excess upper eyelid skin can block peripheral vision and cause a heavy sensation as it comes to rest on the eyelashes. Excess lower eyelid skin and fat can give lower eyelid bags, even festooning. This can shadow beneath the eyelids and compound any darkness already present due to pigmentation or vascular coloration. Both excess upper eyelid skin and lower eyelid bags make us look tired, even when we are well rested.
KRON4 Body Beautiful Television Presentation
Last month I had the opportunity to discuss how to improve the appearance and function of the eyelids on KRON4′s Body Beautiful. The show is broadcast live and gives San Francisco Bay Area viewers the opportunity to call in and ask questions. The (415) number used during the video was for the live show. If you have Blepharoplasty Questions call my Walnut Creek Plastic Surgery office directly at (925) 943-6353.
Blepharoplasty and Asian Eyelid Video
Eyelid Surgery Frequently Asked Questions
This Eyelid Surgery Video covers many of the frequently asked questions about blepharoplasty including the narration of multiple Blepharoplasty Before and After pictures:
- What does Blepharoplasty mean?
- How is Eyelid Surgery performed?
- What is done during Upper Eyelid Surgery?
- What is done during Lower Blepharoplasty?
- Can the excess skin be removed from my Upper Eyelids?
- Can the bags be removed from under my eyes?
- Can all the fat be removed from around my eyes?
- Before and After Pictures showing the removal of excess upper eyelid skin.
- Before and After pictures showing the removal of excess lower eyelid fullness.
- Before and After pictures showing the removal of excess lower eyelid skin.
- Before and After pictures showing Asian Eyelid Surgery.
- What is the recovery time after Eyelid Surgery?
- What is the difference between Eyelid Surgery and a Chemical Peel of the Eyelid skin?
- How can a distinct fold be made on the Asian Eyelid?
- What is the difference between an Asian Eyelid and a Caucasian Eyelid?
- What is the difference between Female Blepharoplasty and Male Blepharoplasty?
Schedule a Private Blepharoplasty Consultation
If you are considering Cosmetic Eyelid Surgery, whether to improve function or appearance, the best way to get your questions answered is with a private consultation. The specifics of what can be done, and what to expect will be explained, and you can get your questions answered fully. Give us a call at (925) 943-6353 to get started today. You can also contact us via the contact form in the left margin.
Dr. Joseph Mele is a Board Certified Plastic Surgeon who has been in private practice in the San Francisco Bay Area, East Bay city of Walnut Creek since 1997.
March 29th, 2014 Dr. Mele
The debate over which Breast Implant is the best continues. Textured or Smooth, Round or Shaped, Silicone or Saline, which implant makes the best breast? Having choices is good; however, if you are a woman considering Breast Augmentation, the choices can be confusing. The best implant for you depends on what you need. On the San Francisco Plastic Surgery Blog I can provide information, but I cannot provide guidance without knowing the details of your specific situation. That being said, let’s weigh the pro’s and the con’s.
Textured Breast Implants vs. Smooth Breast Implants
For decades, Board Certified Plastic Surgeons have debated the advantages and disadvantages of smooth vs. textured Breast Implants. More often, Smooth Breast Implants feel softer, move better and age better than their textured sisters. Advocates of Textured Breast Implants have proposed that the rough texture helps keep the Breast Implants in place and decreases the risk of Capsular Contracture.
This week, an Australian paper recently selected for inclusion in the American journal Plastic and Reconstructive Surgery provides more ammunition for Smooth Breast Implant proponents. According to the Canberra Times Article, “Australian researchers have discovered that newer implants with a textured surface are about 70 times more likely to harbour(sic) bacteria than the alternative smooth implants.”
The article goes on to claim that this can lead to higher rate of Capsular Contracture. Unfortunately, this claim is in opposition to just about every other paper trying to discern the causes of Capsular Contracture. In another article from the Plastic and Reconstructive Surgery journal appearing last November, Smooth Breast Implants not Textured Breast Implants were associated with higher rates of Capsular Contracture.
When Do I Use Textured Breast Implants?
The only absolute indication I have for using Textured Breast Implants is for Shaped Breast Implants. Shaped Breast Implants by definition are not round. For women who develop very little breast tissue during adolescence, and for women who have had a mastectomy for Breast Cancer, a Shaped Breast Implant can often give a better result than a Round Breast Implant. The most important detail for a good result with a Shaped Breast Implant is proper positioning. In order to keep the big end of the shaped implant in the lower half of the breast, the surface of the implant is textured. Texturing allows the scar to attach to the surface of the implant like Velcro, thus preventing the implant from rotating. As you can image, a rotated breast implant would not give the best breast shape.
For patients who have had problems with Capsular Contracture, changing to a Textured Breast Implant may help reduce the risk of recurrence. Moving the Breast Implant behind the muscle, reducing the size of the Breast Implant and using the inframammary incision for the procedure can also provide benefits.
So Why Don’t I Always Use Textured Breast Implants?
So why don’t I always use textured breast implants? Textured Breast Implants tend to feel firmer than Smooth Breast Implants. It’s not that the Breast Implants are harder, it’s that the scar is firmly attached and effectively gives the implant a thicker shell. Textured Saline Breast Implants leak more often than Smooth Saline Breast Implants. The difference in leakage has not been demonstrated for Silicone Breast Implants. Both Textured and Smooth Breast Implants can ripple. Textured Breast Implants have higher rates of rippling, probably because of the capsular adherence. If a Textured Breast Implant wrinkles, it will wrinkle its capsule, and this is more likely to become a wrinkle visible on the breast’s surface. When a Smooth Breast Implant wrinkles, it can pull away from its capsule.
Why See A Board Certified Plastic Surgeon for Breast Augmentation?
For every breast, The Best Breast Implant will vary. A Board Certified Plastic Surgeon can help you make the best possible choice.
With options come trade offs, and with all the options currently available in Breast Implants, an experienced and well trained, Board Certified, Plastic Surgeon can help guide you to the best results. The size of the breasts before surgery, the thickness of your skin, the final goal size and the shape of your breasts all influence which Breast Implant is best for you. A Board Certified Plastic Surgeon can go over the options with you, so you can feel confident that you are getting the best possible results.
If you would like to schedule a personalized Breast Implant Consultation, call (925) 943-6353 now, or complete the contact form in the margin and we will get back to you. Our San Francisco Bay Are Plastic Surgery Office in the East Bay City of Walnut Creek, CA is open weekdays, 9AM to 5PM, and is accepting new patients.
March 22nd, 2014 Dr. Mele
The Mommy Makeover has improved since the San Francisco Plastic Surgery Blog began in 2009.
This marks the 300th post on the San Francisco Plastic Surgery Blog. The first entries were posted in June of 2009, and included Mommy Makeovers with videos about Breast Augmentation and Tummy Tucks. Some things never go out of style, but they rarely stay the same.
Some Things Change – Breast Implants
Breast Augmentation advances as New Breast Implant Technology becomes available.
Breast Augmentation has changed. Five years ago, I was using silicone gel and saline breast implants fairly equally. Now that we have “Gummy Bear Breast Implants,” I use silicone gel breast implants about 70% of the time. With the advent of highly cohesive silicone gel breast implants, today’s silicone gel is less likely to migrate, and allows for the creation of shaped breast implants. Both are finally FDA approved for cosmetic and reconstructive breast surgery.
Some Things Stay the Same – Tummy Tuck or Liposuction
Liposuction removes disproportionate fat and allows the skin to recoil with minimal scars.
Five years ago, the decision between Tummy Tuck and Liposuction was essentially the same as it is today. Disproportionate fat, with tight skin, responds well to Liposuction alone. If loose skin and muscle laxity are present, a Tummy Tuck is needed. Despite what you may read elsewhere, there is no safe, effective and reliable way to shrink skin without removing it surgically. Today, an incision is still necessary to get a flat belly when there is too much skin, or the muscle has been stretched out. On the other hand, we can make the scar less noticeable now. Scar Treatment has improved since the San Francisco Plastic Surgery Blog was started, less than five years ago.
Better Scars Make Better Results
Tummy Tucks tighten the abdominal muscles, remove excess fat and tighten even the loosest abdominal skin.
A couple years ago, I had the opportunity to research a novel means of scar reduction. As a primary researcher, I saw first-hand how Neodyne’s Embrace Scar Therapy worked. Last year, Embrace became available, and this year Neodyne received its sixth patent for its novel approach to improved scar healing.
New and Improved Mommy Makeovers
If you are considering a Mommy Makeover, Breast Augmentation or Tummy Tuck, there has never been a better time. With improvements in Breast Implants and Scar Healing, the results are better than ever. To learn more, call (925) 943-6353 today, and schedule a personalized consultation. We can discuss your options, and detail the best method to reach your goals. And during you appointment, be certain to ask about the latest Breast Implant technology and improved Scar Treatments.
March 15th, 2014 Dr. Mele
The American Society of Plastic Surgeons’ 2013 Plastic Surgery Stats are in.
Every year, the American Society of Plastic Surgery releases the Cosmetic Surgery and Reconstructive Surgery statistics. The tallying is complete, and the numbers for 2013 have just been released.
Reconstructive Plastic Surgery
Reconstructive Plastic Surgery is up 2% overall compared to last year. As usual, the most frequently performed Reconstructive Plastic Surgery is tumor removal, including skin cancer. In fact, the numbers are up 5% from last year. So how many were performed? Here is a list of the top five reconstructive procedures:
- Tumor Removal Including Skin Cancer – 4,426,634 (up 5% since 2012)
- Laceration Repair (other than facial) – 253,660 (down 13%)
- Maxillofacial Surgery – 198,531 (down 5%)
- Scar Revision – 177,317 (up 4%)
- Hand Surgery – 131,282 (up 6%)
Cosmetic Plastic Surgery
Cosmetic Plastic Surgery was also up in 2013 with an overall increase of 1%. Despite the popularity of the Brazilian Butt Lift (BBL), the 10,000 Brazilian Butt Lifts performed still ranks 20th. The top six cosmetic plastic surgery procedures remain the same as last year. The procedures are clickable if you are looking for more information:
Minimally Invasive Cosmetic Procedures
Minimally Invasive Procedures are also on the rise with a 3% increase over last year. Here are the top five minimally invasive cosmetic procedures:
- Botulinum Toxin (Botox & Dysport) – 6,321,160 (up 3%)
- Soft Tissue Fillers (Restylane, Perlane, Juvederm, Radiesse, Sculptra) – 2,242,621 (up 13%)
- Chemical Peel (TCA, Phenol) – 1,163,333 (up 3%)
- Laser Hair Removal – 1,077,158 (down 4%)
- Microdermabrasion – 970,343 (down <1%)
San Francisco Bay Area Plastic Surgery
The Bay Area’s Plastic Surgery numbers reflect the national trends. Our warm Winter weather has kickstarted the body-hugging Spring fashions well ahead of our frozen relatives back East. If you are considering a little body reshaping for Spring, it is not too late to get started. Facial procedures in particular, like eyelid and face lifts, are more frequently done during the Winter months, when we have fewer outdoor activities and the sun is lower in the sky.
If you would like to schedule a Plastic Surgery Consultation, call my San Francisco East Bay Area Office in Walnut Creek, CA today (925) 943-6353. The Internet is a great place to get an idea of what is possible, but an in-person consultation is the best way to learn what will work best for you.
March 8th, 2014 Dr. Mele
Plastic surgery of the ear includes the correction of prominent ears (Otoplasty), lop ears and injured ears including torn earlobes and other piercing related problems.
Normal Ear Anatomy
The Normal Ear
The Normal Ear shape is very complicated. The complex folds in the adult ear are the result of the fusion and folding of six separate swellings comprised of skin and cartilage. The last step in development is the formation of the anti-helical fold, which folds the edge of the ear backward, closer to the head. If this folding stops prematurely, the ears are left sticking out.
Congenital Ear Deformities
The correction of Prominent Ears is the congenital ear deformity most often corrected with plastic surgery. The most common cause is incomplete folding, but an enlarged “bell” (concha) can also contribute, especially if it is rotated forward. Other congenital deformities include Lop Ear, when the top of the ear is folded over or cupped, and Spock Ear, which looks like the famous Star Trek character’s ear.
Otoplasty literally means ear changing. The most common Otoplasty is the correction of prominent ears. During the procedure, and incision is made behind the ear, the supporting cartilage is reshaped, and the incision is carefully closed, hidden by the now tucked in ear.
Otoplasty Before and After Pictures
Otoplasty is used to reduce the appearance of prominent ears, especially when they stick out.
Other Cosmetic Ear Surgeries
Another common ear surgery is to repair a torn or stretched out ear lobe. An ear piercing can become elongated over time, and if too big, the piercing can allow the back of the earring to fall through. Sometimes, the piercing is purposefully stretched out to allow a gauge to be worn (Ear Scapelling). Without the gauge, the earlobe can look like a soft piece of pasta. Other times, the earring is traumatically pulled through the lobe, cutting the earlobe in half.
Earlobe Repair was performed to close a large hole caused by Ear Scapelling. The gauge was removed, the opening closed and later repierced. Thanks to RR for posting her photos and nice review on Yelp.
Whatever the cause, the earlobe can be repaired. The sides of the piercing are meticulously aligned with small stitches, and the area is usually healed in a week. Often, six weeks are allowed to pass before a new, smaller piercing is made.
Earlobe Repair is used to restore a torn or elongated ear piercing.
Another acquired ear deformity is the Cauliflower Ear. A Cauliflower Ear is most commonly associated with boxers, any blunt trauma to the pinna, the outer ear, can cause bleeding under the skin. If left undrained, the blood becomes hard and organized. Multiple episodes can cause multiple lumps under the skin, causing a topography that looks a bit like cauliflower.
The world’s smallest Cauliflower Ear. This bump was caused by a piercing, but even blunt trauma can cause a Cauliflower Ear if not treated promptly.
If you are considering Cosmetic Ear Surgery give us a call at (925) 943-6353. I can review the problem, and explain the options. Each ear is different, so an in-office consultation is the best way to find out what can be done in your specific case. My Plastic Surgery Office is located in the San Francisco East Bay Area city of Walnut Creek, California.
March 1st, 2014 Dr. Mele
This is not another news flash about Teenaged Plastic Surgery. I came across a great article from the University of Colorado Cancer Center, and it reaffirms the old adage, “Know your audience.” The title of the article is Effect of Appearance-Based Education Compared with Health-Based Education on Sunscreen use and Knowledge: A Randomized Controlled Trial. Their audience is medical professionals who we will read an article even with a title like that.
Beauty Motivates Teens
The title should be, Beauty Motivates Teens more than Health Risks. I see it every day in my own Bay Area Plastic Surgery practice. Even adults are more likely to give up unhealthy behaviors like smoking to have a tummy tuck, breast reduction or facelift, than they are to prevent cancers. If you have a teenager, and are trying to discourage unhealthy teen behaviors, read on.
Sunscreen Use Study Details
The study published in the Journal of the American Academy of Dermatology is all about education changing high risk behaviors. It evaluates the effectiveness of two videos designed to educate teens on the dangers of UV radiation and the benefits of using sunscreen.
The investigators noticed in their clinical practice that when discussing sunscreen use with teens, “when we talk about the skin cancer risk, it doesn’t faze them. But when you talk about premature wrinkling and aging, they listen a little more closely.”
Two Videos are Better then One
University of Colorado investigators made two educational videos about the use of sunscreen. One was focused on appearance-based education*. The other was health-based. While both videos included important information on UV exposure, the appearance-based video stressed premature aging, while the health-based video emphasized skin cancer risk.
The Results: The Carrot Beats the Stick
Fifty high school students were randomly chosen to view either the appearance-based or the health-based video. Here are the results:
- Knowledge scores significantly improved in both study groups. So both groups of students heard and retained the facts.
- The health-based group had a non-statistically significant increase in sunscreen use (0.9 ± 1.9 d/wk, P = .096). Despite the facts being heard and retained, the video stressing cancer prevention caused no change in high risk behavior.
- The appearance-based group demonstrated a statistically significant increase in sunscreen use (2.8 ± 2.2, P < .001). The video stressing prevention of wrinkles resulted in an increase of sunscreen use among the teens viewing it.
Education vs. Motivation
Both videos educated. Testing showed the difference in knowledge scores between the study groups was not significant. So both groups retained the same amount of factual information. However, only the appearance-based video motivated a change in behavior. The appearance-based group applied sunscreen at significantly greater frequencies compared with the health-based group (2.2 ± 1.4 vs 0.2 ± 0.6, P < .001).
The Moral of the Story
The study, simple in design, is deep in insight. I see men and women every day with sun damage, much of which is preventable. Most of us get the majority of our sun exposure at an early age, and early sunscreen use is key. Further study may reveal if the motivation comes from the desire to look good, or if it stems from the immediacy of getting older, vs the latency of developing skin cancer.
Even so, it provides a window into how to get the message out and change bad behavior . All the facts can be presented, but if you don’t know your audience they may not listen. Furthermore, if when they have to listen, and even when the information sinks in, the end result of changing behavior still may not occur if the audience isn’t personally motived to act.
Appearance-based education can be applied to sunscreen use, smoking cessation or discouraging drug use. While health benefits and appearance benefits are present with each, an emphasis on the latter may provide more motivation.
February 22nd, 2014 Dr. Mele
You may have read about the 2012 PIP Silicone Breast Implant Recall on the San Francisco Plastic Surgery Blog. Well, another French Breast Implant Manufacturer made the news last week.
Bad Breast Implants
CEREPLAS Breast Implant Production and Distribution Suspended
The French Angence Nationale de Sécurité de Médicament (ANSM), in charge of securing public safety with regards to medical devices in France, issued an informational note last week. On February 14th, 2014, they suspended CEREPLAS from marketing, exporting, distributing and using CEREFORM Breast Implants and corresponding sizers until the company is in compliance. Here is a copy of the the translated letter from the CEREPLAS web site:
CEREPLAS Suspension Letter – 14 Feb 2014
Tightening Regulation After PIP Scandal
Regulators are tightening control after the PIP fiasco. PIP implant’s manufacturer was found to have been playing a shell game with regulators. Unlike the FDA which can show up unannounced to inspect a manufacturing plant, European regulators were required to give 10 days notice. After notification, PIP makers would hide substandard silicone and replace it with the medical grade silicone they were supposed to use. The PIP manufactured implants were substandard and leaked at a rate as high as 10% per year.
CEREPLAS Implants Are Not Being Recalled
Unlike PIP Breast Implants, which you should have removed, the ANSM edict calls only for the cessation of sales of CEREFORM Breast Implants until compliance is met. The product concerns may stem more from the sterility of the manufacturing process, rather that the components CEREPLAS used in making the Breast Implants. The ANSM stresses that it “has no evidence to suspect the existence of a sanitary risk concerning these devices used previously.”
United States FDA Approved Breast Implants
Neither PIP nor CEREPLAS Silicone Breast Implants have ever been available in the United States. There are currently only three FDA approved Breast Implant manufacturers in the US: Allergan, Sientra and Mentor. They manufacture their Breast Implants in Costa Rica, Brazil and the US respectively, but all plants are subject to the same FDA reviews and inspections, regardless of where in the world they are located.
I am a Board Certified Plastic Surgeon and a primary investigator for all three manufacturers for their on-going 10-year post-approval studies. The main reason I became an investigator is to help demonstrate that the Breast Implants I use are of the highest possible quality. It is the only way to be certain that the findings in the premarket studies hold up when Breast Implants are used under “real world” conditions and over longer periods of time.
Breast Implant Information
You can find more information about Breast Implants here on the San Francisco Plastic Surgery Blog or by visiting any of my other web sites listed above under “Useful Links,” but there is no substitute for a consultation with a qualified Plastic Surgeon. If you have Breast Implants and are considering Breast Implant Revision, or if you are researching Breast Augmentation for yourself or someone you know, give my Walnut Creek Plastic Surgery office a call at (925) 943-6353, and schedule a consultation geared to your needs. There are many options for Breast Augmentation, and a brief appointment can help focus your research to that which will get you the best results in the easiest and most predictable way.
February 15th, 2014 Dr. Mele
Dr. Mele has again received the Patients’ Choice Award for Most Compassionate Doctor.
I am humbled to receive the 2013 Most Compassionate Doctor Award from you, my patients.
How this Plastic Surgery Award is Selected
Every year, hundreds of thousands of patients provide feedback about their doctors online. You write about your experience and rate your doctors on several components of care, including: bedside manner, doctor-patient face time, and degree of follow-up. Only a select few receive praise about the compassion that accompanied their care.
Vitals Compassionate Doctor Award is part of the Vitals Awards & Recognition Program, where patients rate and review their doctors.
Thank you for placing me among the most highly regarded physicians.
Compassion is Key
My goal is to provide the best Cosmetic Plastic Surgery to the San Francisco Bay Area. While great training and Board Certification helps, listening may be the most important part of great results. I thank you for your trust, and I will strive to continue to provide the best plastic surgery results possible.