Saline or Silicone Gel? The Results May Surprise You...

A recent survey published in the Aesthetic Surgery Journal shows what the current preferences are for breast augmentation surgery. According to a survey of 1746 board-certified plastic surgeons and members of the ASAPS:

- Sixty percent of surgeons are still using saline implants, and the vast majority of them are using them 75-100% of the time.

- The majority of surgeons (64%) preferred an incision near the breast crease, while 25% preferred an incision around the bottom half of the areola.
- The average implant size reported by 81% of surgeons was 300 to 400 cc (which is approximately a small to a full "C" cup bra).
- Smooth implants, rather than implants with a textured surface, were most often preferred by 92% of respondents because it was the surgeon's preference, less wrinkling, or overall better results for the patient.
- Ninety-six percent of surgeons used round, rather than anatomically-shaped, implants.
- The most common position for implant placement was under the muscle (62% of surgeons).

With the exception of the majority use of saline implants, these statistics reflect what I see in my practice. I estimate that I use saline implants only 25% of the time, since most patients seem to prefer gel. I utilize three incisions (underneath the breast, around the areola, and the armpit), with the most common being underneath the breast. My average size implant is probably 350-375cc, and I usually use smooth round implants placed under the muscle. I find that these choices usually minimize any complications and revisions.

To view a breast augmentation I performed on Fox News, click here.

Statistics source

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

National Breast Cancer Awareness Month

October is National Breast Cancer Awareness Month. Each year over 175,000 women (and 2000 men!) are diagnosed with breast cancer. Approximately 1 in 9 women will be diagnosed with breast cancer in their lifetime. Aside from skin cancer, it is the most common cancer in women. So how does this affect you if you have breast implants?

It's estimated that over 5 million women have breast implants today. If you have breast implants, how do you screen yourself for breast cancer, and how is this different from someone without implants?

The major rule is that you should follow the American Cancer Society guidelines for the early detection of breast cancer. Here they are:

Women ages 20-39: Monthly breast self-exam, clinical exam by your physician every three years.

Women ages 40 and up: Monthly breast self-exam, clinical exam by your physician every year, mammogram yearly.

Women at high risk (close family history of breast cancer, etc.) should discuss with their physician whether a yearly MRI may be indicated.

- When the FDA lifted the ban on silicone gel breast implants in November 2006, they recommended that anyone who undergoes silicone gel breast augmentation undergo an MRI three years after surgery, and every other year thereafter.

If you have breast implants, here are some other things to consider:

1. Breast implants can limit the amount of breast tissue that can be seen on a mammogram. If you have implants, then make sure your mammogram center takes extra pictures (called the Ecklund technique) to allow the radiologist to see as much of your breast tissue as possible.

2. Some physicians believe breast implants can actually facilitate (or improve) the ability to detect a breast mass on examination.

3. Studies show that breast implants do not increase your risk of breast cancer, delay your diagnosis of breast cancer, or worsen your prognosis once breast cancer is diagnosed.

4. If you are unsure how to perform a breast self-exam on implanted breasts, be sure to ask your plastic surgeon.

For more information on breast cancer and screening, visit http://www.cancer.org/.

Thanks for reading!

Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Breast Augmentation News Story on Fox 2 Detroit

I was recently featured on a the local Fox affiliate here in Detroit in a segment about the rising popularity of silicone gel implants. They follow one of my patients through her breast augmentation surgery with Memory Gel implants. Check it out here if you have a minute and are interested.

Thanks to Lila Lazarus and Sean Lee of Fox 2 Detroit for the nice story!

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Gel Implants Are Back

The FDA has just lifted the 14 year ban on silicone gel breast implants. The moratorium was placed on these implants after numerous women came forward with what were believed to be arthritis and other diseases from gel implants. Subsequent large scale studies have not proven any connection between silicone gel implants and these "connective tissue diseases."
What's the difference between gel implants and saline implants? A lot. Prior to today, the U.S. was the only major industrialized country to ban the use of these implants. Gel implants feel and look much more realistic than saline implants. There is no comparison between the two cosmetically.

MEDIA: If you would like to speak with me about the subject of silicone gel breast implants, feel free to email me at miplasticsurgeon@yahoo.com or call my office at 248-650-1900 and have me paged if it is after hours.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Kimberly Stewart

In Touch Magazine is reporting that Kimberly Stewart appears to have had her breast implants removed. I seem to remember her having them removed some time before??

Beyonce Knowles

Has Beyonce had a breast augmentation? This photo shows what might be evidence of a breast augmentation through the armpit. Breast implants can be placed most commonly through the armpit, underneath the breast, and around the areola. The implants are often placed through the armpit in people with darker skin, as this area is known to be resistant to keloid formation. Unfortunately, some people can develop a band of scar tissue which extends between the armpit scar and the breast implant pocket. It can even create a pulling sensation, and resemble a band such as may be seen here.

Photo credit: perezhilton.com

To view a video of a breast augmentation I performed for Fox News, click here.

Breast implant saves a life

This has nothing to do with celebrities, but I thought it was a great story to tell. A 24 year old Isreali woman was recently struck with shrapnel during the Hizbullah/Israeli conflict. Pieces of the shrapnel were found imbedded in her silicone breast implants, just inches from her heart. A hospital spokesman announced that the implants "saved" her "from death."
Who says plastic surgery can't save a life?

Story credit: plasticsurgery101.blogspot.com