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Breast Implants
Saline Breast Implants or Silicone Breast Implants,
Breast Lift,
Breast
Reduction
and Breast Reconstruction are Several of Our Specialties Performed in
our Manhattan Office by Board Certified Plastic Surgeon, Douglas M. Senderoff,
MD, FACS.
Breast implants (breast
augmentation) can improve the shape and
size of your breasts, restore fullness following pregnancy, or simply
give you the "look" you've always wanted. There's never been a better
time than now for you to consider breast augmentation with saline filled
or silicone filled breast implants.
Board Certified Plastic Surgeon, Douglas M. Senderoff, MD, FACS,
uses FDA approved saline filled breast implants. He also offers silicone breast
implants to patients who are eligible to participate in our FDA
monitored study. Please contact our Manhattan or Westchester, New York offices to
discuss this option.
Douglas M.
Senderoff, MD, FACS,
will discuss which type of breast implants would be right for you during
your initial free consultation.
The following information will help you better understand the breast
implants operation.
There
are several options that you may choose for breast implants surgery.
These options include the site of the placement of the breast implants:
either above or below the muscle and the choice of the incision through
which the implant is placed. Breast enlargement can be accomplished
through either a transaxillary (armpit) incision, inframammary (below
the breast) incision or a periareolar (through the areola) incision.
Board Certified Plastic Surgeon, Douglas M. Senderoff, MD, FACS, will discuss all these
breast implants options with you.
Your
breast implant surgery will be performed in our fully accredited
outpatient surgical facility in Manhattan, New York on Park Avenue South. You will most likely be back on your feet
within a couple of days and back to full activities within a few weeks.
BREAST IMPLANT CHOICES
For breast augmentation surgery, the breast implant used is generally a sac or
shell comprised of silicone, a rubber-like substance. Breast implants come
in a variety of shapes, most commonly either round or contoured. The
surface of the implant can vary as well, being either smooth or
textured. Breast implants come in a variety of sizes as
well. All of these breast implants choices will be discussed with you by
Board Certified Plastic Surgeon, Douglas M. Senderoff, MD, FACS during
your initial complimentary consultation.
There are two basic types of breast implants and these include the
following:
Saline-filled breast implants: the choice of the breast implant
being used for nearly all breast augmentation surgeries. These are
breast implants which are inserted and filled, typically through a valve, with
a saline or salt-water solution (similar to the fluid which comprises
most of the human body). The location of the valve can vary, typically
on either the front or the back of the implant. There are also
saline-filled adjustable breast implants which are relatively new to the
market and allow the surgeon, through an additional small connector
tube, to adjust the size of the breast following surgery through a
simple injection. Saline fluid can either be added or drained to
increase or decrease the size of the breast, possibly for up to several
months following surgery. .
Silicone gel-filled breast implants: These breast implant are filled with
silicone gel, a soft-solid substance.
Breast Enlargement
Augmentation Mammoplasty
Indications: The modern era of breast enlargement started in
1961, when the first silicone breast implant was used to improve the appearance
of the breast. Since that time, the basic breast implant has undergone many
modifications and improvements. The breast implant that is most used for
breast enlargement procedures now is the saline (inflatable) implant.
Many of the Board Certified Plastic Surgeon, Douglas M. Senderoff, MD,
FACS' breast implants' patients who desire breast enlargement are in
their early twenties and thirties. Many of his patients are women who
have lost breast volume due to pregnancy, and wish to return to their
pre-pregnancy breast size. It is therefore not uncommon to perform
breast enlargement surgery on women throughout their forties.
Board Certified Plastic Surgeon, Douglas M. Senderoff, MD, FACS, will discuss the goal of your proposed breast enlargement
and/or breast implants surgery, and go over the entire procedure with you. The following
information will help you understand the operation.
Operation: The breast-implants operation is performed in our fully accredited
office surgery center in Manhattan, New York, or in the hospital as an out-patient. The breast
enlargement operation itself lasts for 1 to 1 1/2 hours. You will stay
in our recovery area until you feel comfortable to return home. Suture
removal is usually one week after surgery.
Revision of Breast Enlargement: Because of the plastic surgeon's years
of experience, he often corrects problems that have been associated with
breast enlargement and breast implants surgery in the past.
Anesthesia: Patients have a choice of either a general anesthesia
or intravenous sedation anesthesia. As in all of our operations, the
anesthesiologist is a board-certified, and highly skilled, experienced
anesthesiologist. If the breast implant is placed below the muscle, the
operation is usually performed under general anesthesia.
Convalescence: After you breast implants surgery, it takes
approximately one week to ten days to fell comfortable. You should
refrain from athletics for three weeks after surgery.
Insurance Information: Breast enlargement and/or breast
implants are rarely covered by
any insurance program. However, if there is a congenital maldevelopment
of one or both breasts, this may be covered, and would depend on which
carrier that you might have. Some insurance companies will cover the
removal of ruptured silicone implants. If you do have a ruptured breast
implant, our office will contact your insurance carrier to help you
determine if you are covered.
Breast Reconstruction
and Breast Implant Frequently
Asked Questions & Answers
What is the importance of Federal Legislation in 1998 for women's
health?
All insurance companies have to cover breast reconstruction after
mastectomy. They also have to cover procedures on the opposite breast to
obtain symmetry, including reduction, augmentation and mastopexy.
Recently, situations have risen where coverage for opposite-breast
surgery after lumpectomy may be denied by insurance companies.
Is immediate or delayed breast reconstruction surgery best for me?
Most women are candidates for some type of immediate breast
reconstruction. Since reconstruction is an additional major surgery,
women should be carefully evaluated to understand all the risks and
benefits. Multiple studies have shown tremendous psychological benefits
to women who have immediate breast reconstruction.
What surgical options are available for breast reconstruction?
Women who desire to use their own tissue generally prefer the tram flap
(abdomen) or a lat. dorsi flap (back) as a secondary choice. Using
tissue expanders to stretch the skin for implant use is a simple option;
however, implants do get firmer and harder with time. Board Certified
Plastic Surgeon, Douglas M. Senderoff, MD, FAS,
will discuss all your options with you.
What is a tram flap?
A Transverse Rectus Abdominus Myocutaneous (TRAM) flap involves using
skin and fat from the lower abdomen to rebuild the breast. The muscle is
used to carry blood supply to skin and fatty tissue so volume can be
replaced to match what is removed. The abdominal closure tightens the
abdominal wall similar to a tummy tuck.
Are silicone breast implants safe?
Yes, silicone breast implants are safe and Douglas Senderoff, MD, FACS, who is a Board
Certified Plastic Surgeon, is a clinical investigator involved with the
Inamed trials - he is one of a select few plastic surgeons in Manhattan,
New York
who can offer you the option of silicon breast implants or saline breast
implants. Saline breast implants are extremely safe with very low infection or
leakage rates. Soft tissue coverage over the breast implant is very important,
so the implant is placed behind the chest muscle.
Does immediate breast reconstruction delay additional treatment for
breast cancer?
No. The vast majority of patients who have immediate breast
reconstruction can start chemotherapy within a month of the surgery.
This time frame is not significantly different to women who only have a
mastectomy. There is tremendous amount of plastic surgery literature
that documents their benefits as well as the feeling of "wholeness" and
improved psychological benefits.
If you
have any questions about breast implants (silicone breast implants or
saline breast implants), breast augmentation, breast lift, or any other
plastic surgery procedures please feel free to contact Board Certified
Plastic Surgeon, Douglas M. Senderoff, MD, FACS at his Manhattan, or Westchester, New York office.
Board Certified Plastic Surgeon,
Douglas M. Senderoff, MD, FACS surgical specialties include:
Abdominoplasty
(Tummy
Tuck),
Breast Augmentation, Breast Implants (Silicone
Breast Implants
and Saline
Breast Implants),
Breast Lift,
Breast Reconstruction,
Breast Reduction,
Breast Revision,
Buttock Implants, (Butt) Implants,
Eyelid Surgery,
Endoscopic Brow Lift,
Face Lift,
Liposuction,
Pectoral Implants (
Pec Implants),
Rhinoplasty. The surgeon's nonsurgical specialties
include:
Botox®,
Brazilian Bronze,
Chemical Peels,
Hair Restoration,
Laser Hair Removal,
Lip Augmentation,
Microdermabrasion,
and
Radiance™.
If you have any questions about any of plastic or cosmetic surgery procedures
please feel free to contact Board Certified Plastic Surgeon, Douglas M. Senderoff,
MD, FACS at his Manhattan or Westchester, New York office.
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