Category: Patient Safety

BIA-ALCL Update 2019

February 25, 2019 Joseph A. Mele, MD

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What we know about Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) is evolving. As more cases are identified, we learn more. Right now, there are too few cases to know many of the specifics; however, today II will go over the data currently available

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Silicone Breast Implant Warranty Comparisons

January 28, 2019 Joseph A. Mele, MD

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Every few years, the US FDA approved breast implant manufactures update their Breast Implant Warranties. They have long covered breast implant deflation; however, the latest round of updates include longer coverage for breast implant replacement and enhanced coverage for specific situations that may occur after Breast Augmentation with Silicone Gel Filled Breast Implants. Expanded coverage now includes Capsular Contracture, late seroma formation, double capsule formation and BIA-ALCL. Below I compare warranties offered by the three US breast implant makes: Allergan, Sientra and Mentor, in the three major areas of coverage: Capsular Contracture, Rupture and Seroma Formation. It is important to state that these are the current offerings, and that they may change without notification. You should check with the manufacturer directly for the latest information. Additionally, newer coverage is limited to newer implants, so you need to know the manufacturer, type of implant and the date of your surgery in order to determine which warranty applies to your implants.

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Questions For Your Cosmetic Surgeon – Cost

March 30, 2018 Joseph A. Mele, MD

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When you buy a television, where you buy it matters little. All brand name TVs are made the same way at the same factory. If you are buying the same model number, you are getting the same product. Some outlets sell the same product for less, and who doesn’t like a bargain, right? However, if you are having plastic surgery, the same rules do not apply.

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Questions For Your Cosmetic Surgeon – Recovery

March 08, 2018 Joseph A. Mele, MD

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After learning about your plastic surgeon’s training and experience, and how the procedure is performed, you need to know what to expect during the recovery period. Plastic surgery is elective; recovery time is not. You will need to budget some recovery time to get the most out of your surgery. Doing too much, too soon after surgery leads to more problems and increases your change of needing additional revision surgery.

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Questions For Your Cosmetic Surgeon – Procedure Details

February 19, 2018 Joseph A. Mele, MD

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If you have been reading the Questions For Your Cosmetic Surgeon post sequentially, now you know the questions to ask about your Plastic Surgeon about their training and experience. The next topic is about the Cosmetic Plastic Surgery procedure itself. This post explores question three of the five questions you should always ask before having Elective Cosmetic Surgery – How will my procedure be performed?

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Questions For Your Cosmetic Surgeon – Experience

February 04, 2018 Joseph A. Mele, MD

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How often do you perform the procedure? This question gets to your surgeon’s experience. Excellent training is a must and was reviewed in the previous post. What happens after training is equally important. You want a Cosmetic Surgeon who knows what they are doing; who has good judgement, and who actively practices the procedure they are doing for you. Someone who has the skills and good judgement, specific to your needs.

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BIA-ALCL January 2018 Breast Implant Associated Lymphoma Update

January 13, 2018 Joseph A. Mele, MD

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Through the years, I have posted several updates on the rare but very treatable Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) on the San Francisco Plastic Surgery Blog. As of January 4, 2018, a pivotal new study was released. The study utilizes 27 years of data from the Netherlands’ Nationwide Network and Registry of Histo- and Cytopathology (PALGA). The key question which the authors tried to answer is, “What are the relative and absolute risks of breast anaplastic large-cell lymphoma (ALCL) in women with breast implants?”

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Fire and Plastic Surgery

October 22, 2017 Joseph A. Mele, MD

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The recent Napa Sonoma fires make me think about my experience taking care of burn patients. Burn care was one of the most challenging aspects of my Plastic Surgery Training. I’ve treated burns at every stage, from new injuries to old scars. For most of us, burns are unsightly, but for the patient they are […]

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