Breast Surgery

Breast Revision Surgery (and What We Do to Prevent It)

Complications from breast augmentation surgery are rare, but we do see them at the Plastic Surgery Group of New Jersey. The overwhelming majority of our breast augmentation patients enjoy their implants for many years, but occasionally we see patients from other practices that have developed a complication and require additional or revision surgery to fix it.

Revision surgery can involve replacing the original pair of implants with a new pair, or simply removing them altogether. Because it is a costly and time-consuming experience, our plastic surgeons do everything we can when planning and placing implants to prevent the need for future revision surgery. Here are a few steps that can be taken to avoid breast augmentation complications requiring revision surgery.

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Are Breast Implants Toxic?

Do you dream of augmenting your small bust via breast augmentation — but question the safety of breast implants? This month’s blog post is written specifically for you, as the team at the Plastic Surgery Group of New Jersey tackles concerns surrounding the safety of breast implant devices.

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What Breast Surgery Patients Should Know – But Don’t

Breast surgery realitiesAt the Plastic Surgery Group of New Jersey, our team believes in total transparency. We want our patients to feel as educated and informed as possible when making decisions about their care. Though the majority of our patients have done a lot of research on their desired breast procedure before coming to us, there are things that they don’t know and that we reveal during the consultation process. Here are some examples:

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Dr. Allen Rosen Published in Aesthetic Surgery Journal

Upload: March 29, 2016

We are extremely proud to announce that our very own Dr. Rosen was published in the March 2016 Volume of the Aesthetic Surgery Journal!

The Aesthetic Surgery Journal is a leading peer-reviewed international journal publishing high-quality research in aesthetic surgery.
Dr. Rosen’s publication titled, ‘Periareolar Closure With Barbed Sutures,” discusses the evolution of a technique he uses while performing augmentation, mastopexy, and breast reduction surgeries.

Congratulations Dr. Rosen!

Skin Sparing in Mastectomy and Reconstruction

Skin Sparing MastectomySkin-sparing mastectomy was developed to minimize the deformity that results following removal of breast tissue for treatment of breast cancer. Two generations ago, skin muscle, nipple and all the surrounding lymph nodes were removed at the sign of breast cancer and this resulted in a cure. Over the years through intensive studies, it became obvious that the breast tissue is not usually associated with the breast skin so removal of the cancer could be safely performed scooping it out like taking a walnut out of its shell, leaving the skin muscle and lymph nodes intact if they were not involved.

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Dr. Allen Rosen Discusses Choosing Breast Size after Reconstruction

Breast reconstruction size optionsIt is desirable for a plastic surgeon to discuss breast cup sizing at the time of initial consultation in preparation for mastectomy and breast reconstruction. Although skin quality is a factor in many aspects of the postoperative course, except in patients with irradiated skin, most patients do not have limitations on cup size during the reconstructive process.

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How Plastic Surgery Helps Cure Breast Cancer

Written by Barry S. Citron, M.D., F.A.C.S.
Plastic surgery and breast cancer

Thirty years ago, before I became a plastic surgeon, I cared for many sick patients on the wards of Jackson Memorial, Los Angeles County and the Veterans Administration Hospitals. One of the saddest cases, seen unfortunately with disturbing frequency, was that of young women with advanced breast cancer, fearful of losing their breasts, who chose not to address a lump. Could awareness and availability of plastic surgery breast reconstruction have allayed those fears, preventing advanced disease? I believe the answer to be a resounding yes. In these cases, the knowledge that plastic surgery is available helps a patient accept and treat their disease.

Breast cancer treatment and reconstruction has progressed exponentially over the past 30 years. The cancer operations are less invasive and many nipple sparing mastectomies are performed. Previously reconstructing a breast mound to restore a sense of balance to the post mastectomy patient was an acceptable outcome. Today, as plastic surgeons, we are proud of our ability to re-create beautiful breasts. We use modern shaped implants, fat transfer and the patient’s own tissue routinely to accomplish these goals. Frequently the cosmetic result after cancer surgery and reconstruction results in a better shaped breast, then the patient had before her diagnosis of breast cancer. The knowledge that surgical treatment will not cause devastating deformity and may result in a positive change gives breast cancer patients the strength to accept their diagnosis and continue to live their lives. In this way I believe that plastic surgery, for many patients, helps to treat and cure breast cancer.

 

Study: Quality of Life Improves after Breast Augmentation

Breast Augmentation Can Make You HappierWomen with breast implants are socially and sexually more satisfied, and experience a higher quality of life, according to researchers.

This bold claim was part of a study published in an issue of Plastic and Reconstructive Surgery, the medical journal of the American Society of Plastic Surgeons.

The research team used the BREAST-Q survey, which looked at changes in six areas affecting a woman’s quality of life:

  1. Satisfaction with breasts
  2. Satisfaction with overall surgical outcome
  3. Psychosocial well-being
  4. Sexual well-being
  5. Physical well-being
  6. Satisfaction with care

More than 600 women were surveyed before their breast augmentation surgery, again at six weeks after surgery and yet again at six months afterward. Most of the women had silicone implants placed underneath the muscle.

The results found significant improvement in most areas assessed by the BREAST-Q survey. The women’s satisfaction with their breasts rose from 25 percent prior to surgery to nearly 80 after (using a 100-point scale). This improvement is significant, and comparable to patients who undergo major orthopedic surgery such as total hip replacement.

A Dip in Physical Function Right after Surgery

The BREAST-Q scores did show that physical functioning was lower at six weeks after surgery compared to before surgery. However, this information is not startling. The authors of the study suggested that this could account for how long it took some women to completely recover from surgery. The study did not have enough follow-up data to show whether the women’s physical function eventually returned to their pre-operative level.

Older Women Report Lower Levels of Satisfaction

Older patients showed lower scores for satisfaction with their breasts and overall procedure:

  • Average score of overall satisfaction for women under 30: 90
  • Women in their 30s: 86
  • Women in their 40s: 82
  • Women ages 50 and older: 77

What We’ve Seen in Our Practice

Here is some of the feedback that we’ve received from our breast augmentation patients:

“My results have exceeded even my highest expectations.”

“I am so thrilled with the results and I feel like I was reborn at the age of 50!!! Not only that I look much better — the change in my look contributes to my self-esteem and I feel now much more as a “real woman”!!!!”

“My breast augmentation and tummy tuck are beyond my expectations.”

Want Bigger, Fuller Breasts? Call the Plastic Surgery Group

If you’re considering breast augmentation to help you feel happier and more confident in your body, we would love to hear from you! Please call the Plastic Surgery Group at (973) 233-1933 or send us an email to schedule a breast implants consultation.