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Archives for September 2012

IDEAL Breast Implants Have Lower Rates of Wrinkling, Capsular Contracture

With the approval of a third manufacturer of breast implants last year, it seems the FDA is open to expanding the number of options women have when they are considering breast augmentation. In addition to the current manufacturers, we may soon be seeing the IDEAL breast implants as an additional option. Philadelphia breast surgeon Dr. David A. Bottger has been watching the development of the IDEAL breast implant for years and is happy to see that the manufacturers are conducting studies in support of FDA approval. The most recent study reports the 2-year results from an ongoing 10-year trial of the new breast implants.

IDEAL is a saline breast implant that includes a double-lumen (shell). There is a baffle system that connects the two shells and helps prevent the rippling that can plague saline breast implants, and hopefully reduces the rate of capsular contracture and rupture.

At 2 years, the complication rates were as follows:

  • Capsular contracture: 3.8% for primary breast augmentation and 8.2% for revision augmentations
  • Severe to moderate wrinkling: 3.8% and 12.0%, respectively
  • Deflations: 4.8% and 3.3% respectively

Patient satisfaction was high, with 94.3% for primary and 92.3% for revision.

With high satisfaction and low complication rates, it seems that IDEAL breast implants are likely to get approval in upcoming years.

For information about the latest options in breast implants, please contact Dr. David A. Bottger, a board-certified plastic surgeon in Philadelphia.

Women Who Wear Breast Implant Sizers for Two Weeks Pick Larger Breast Implants

Choosing the right size breast implant is a very personal, but also a very complicated decision. Board-certified plastic surgeons like Philadelphia breast surgeon Dr. David A. Bottger can use their clinical experience, professional insight, and training to make qualified recommendations, but in the end it is a decision women have to make for themselves. However, it’s hard for them to make the decision without the proper context.

According to research by a British plastic surgeon, women make better decisions about their breast implant size if they’re given the opportunity to “test drive” their new breasts by wearing breast implant sizers for two weeks before surgery, and they tend to pick breast implants that are 33% larger.

Many women thinking of breast enlargement begin by thinking about bra size, which is a very poor judge of breast size. Not only is it a notoriously inaccurate measurement (with cup sizes varying widely between manufacturers), it also comes with pre-loaded social judgments. Studies have shown that one reason why up to 80% of women wear the wrong bra size is that they just don’t think of themselves as a “D” cup, or an “A” cup, labels that come with one or another social stigma in their minds.

The same holds true with women considering breast augmentation. Many of them think of themselves as modest women who are not trying to be like other women who want attention or are vain, so they don’t want to move up to the D cup range, selecting instead a modest C cup. However, when they see the results, they may be disappointed and want to move to a larger breast implant size. According to studies, a desire to change their breast implant size or style is responsible for 20-30% of all revision breast augmentation surgeries, so it’s important for women to consider carefully and make the right decision before surgery.

When you are planning for your breast augmentation surgery, it’s important to consult thoroughly with a board-certified plastic surgeon like Philadelphia breast implant surgeon Dr. David A. Bottger. If you are considering breast augmentation, please contact Dr. David A. Bottger in Philadelphia today for a consultation.