Category: Patient Safety

Breast Cancer Awareness Means Men Too

October 07, 2019 Joseph A. Mele, MD

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October is Breast Cancer Awareness Month. Women and men alike need to take a few minutes to take care of ourselves. We have all heard the sound bites. One in eight women get breast cancer, and only 20% have a family history of breast cancer.

Breast Cancer in Men is rare. One in 1000 men will develop breast cancer, and less than 1% of all breast cancer cases develop in men. This may be because men have fewer breast cells and lower estrogen levels. On the other hand, early detection in men, while somewhat easier, is even more important than for women. Smaller breasts mean the cancer invade locally more quickly, especially when treatment is delayed by assuming men don’t get breast cancer.

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Vaping, Plastic Surgery and Life

September 16, 2019 Joseph A. Mele, MD

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Since this article was published a week ago, hundreds more vaping related injuries have been reported. Where is the FDA action? Cities and states have responded with restrictions designed to protect minors, and more recently adults, from this elective and sometimes deadly habit, but this is the FDA’s primary role. In the name of public safety and disease prevention, the FDA requested that Allergan stop selling textured breast implants linked to fewer and more treatable injuries which occurred over decades. There have been a greater number of more serious injuries from vaping in the last 6 weeks, where is the recall order?

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Allergan Updates Recalled BioCell Textured Implant Warranty

August 12, 2019 Joseph A. Mele, MD

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Last month Allergan® recalled every textured implant they sold in the US. Read my previous post for details about the BioCell® Textured Breast Implants Recall.

This month Allergan® has updated their warranty for the affected BioCell® Textured Breast Implants. The following information comes directly from Allergan®, and is correct at the time of publication. As with any warranty, be sure to check with Allergan® directly if you have questions about their products.

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Plastic Surgery Recovery and RICE Therapy

May 20, 2019 Joseph A. Mele, MD

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Every procedure has specific post-operative instructions, and your plastic surgeon will provide you with post-operative instructions paired to the specific methods that they employ during your surgery. Additionally, it goes without saying, but I’m going to say it anyway. If you choose an experienced board certified plastic surgeon because you trust them and you like the results they achieve, the best course of action is to do things their way. On the other hand, all surgery is a form of injury, and the common acronym for treating injuries is RICE. RICE stands for: Rest, Ice, Compression and Elevation. All four can help ease discomfort and speed your recovery, when used appropriately. Here are the details…

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BIA-ALCL Special Announcement – May 3, 2019

May 03, 2019 Joseph A. Mele, MD

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Yesterday, the U.S. FDA spelled out the reasons why textured breast implants will remain on the market in the U.S.. Excerpts from the announcement are included below, but first what do we currently know about BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma), and what are these decisions being based upon?

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BIA-ALCL Special Announcement – April 4, 2019

April 04, 2019 Joseph A. Mele, MD

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Special Announcement Regarding Textured Breast Implants From The ISAPS From the ISAPS: We have been informed today that the French health regulatory authorities (ANSM) have announced the following regulations regarding breast implants, and have summarized the most important information for you. You can read the full text of their announcement here. As a precautionary step, […]

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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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