The breast implants sold in Canada today are among the most studied medical devices in history. In fact, breast implants have undergone more clinical study than most heart valve replacements! Implants are made from a silicone shell, and may be filled with either a silicone gel or saline (a salt water solution, similar in composition to your bodies salt content). Silicone may raise fears, but in practical terms, silicone is one of the safest, most inert substances for medical devices. That is why it is used in most joint replacements and pacemakers as well as hundreds of other medical devices. Furthermore, silicone is used as a lubricant in most syringes, such that you do get a little bit of silicone injected every time you get an injection (a flu shot, for example). Diabetics, who inject themselves with insulin several times per day may inject a significant amount of silicone every [Read more...]

Beauty and Biology, they really are linked. See why you have a fundamental need to look good, because it increases the chances of passing on your genes to the next generation! Beauty is all about biology after all!

Breast implant infections are rare complications of surgery. Usually, this means that the implant has to be removed for several months before it can be re-inserted. However, there is a special technique that can sometimes be used to benefit patients with this problem.

Please note that I have NEVER used PIP brand implants on my patients, ever!

Question: I have old breast implants in place but I have bilateral capsules. I am going to get my breasts re-done, and I am not sure whether I should have a new pocket done or just use the existing breast implant pocket. What is your advice? Answer: Breast Implant Re-Do: Which Pocket After Fixing Capsular Contracture? The standard textbook advice for capsular contracture is capsulectomy followed by site change and device exchange(1, 2). That means taking out the old implant, as well as the surrounding scar, closing the pocket, followed by making an entirely new pocket opposite to the original (under the muscle if the original was over the muscle) and using a new implant. There are as many option I have tried using medications (such as ACCOLATE®- aka Zafirlukast) on a few patients to alter the tightness of early capsules (3, 4), but the results have been disappointing. Surgery [Read more...]

QUESTION: I want to have either 500cc or 600 cc silicone implants-but I can’t figure out what size that is. Can you tell me what cup size I should expect? Can I start picking out pretty bras now? ANSWER: Exactly how big is a cup, as in a breast cup size? Wow, that sounds pretty big. Look elsewhere on this website for my comments on getting the right size for your body. For the average height and weight female in the USA, a cup is about 200cc. Speaking in general terms, a 500cc implant will increase your bust size by 2 ½ cups, and a 600cc implant will increase you by 3 full cups. This is ONLY true for an average height/average weight female In international law, there sits, in a deep, dark, secure safe in Paris, the exact standard Killogram Measure, from which all other standard kilogram weights are [Read more...]

QUESTION: I HAD BREAST AUGMENTATION SURGERY WITH 600 CC BREAST IMPLANTS ( ELSEWHERE) ABOUT A YEAR AGO. I AM 5’3” TALL AND WEIGH 106 LBS. UNFORTUNATELY, I ENDED UP WITH SYMMASTIA, SEVERE MUSCLE DISTORTION AND BOTTOMING OUT OF THE IMPLANTS. – ANY ADVICE? ANSWER: REALLY DISTORTED BREASTS WITH OVERSIZED BREAST IMPLANTS- ARE THE RESULTS OBTAINED PREDICTABLE? First of all, sorry to those women who got what they asked for, instead of what would work best for their body shape and size. Remember, breast augmentation is NOT an easy operation. You have to be FITTED for a breast implant that will work properly for your actual breast/chest size and shape. You CAN’T have any size you want, you can ONLY HAVE A SIZE THAT FITS YOU (sorry for shouting there). There is a range of devices that will properly fit a given breast/chest. That range is typically narrow. Breast implants come [Read more...]

Breast Lift with Breast Augmentation (Mastopexy-Augmentation) Many women will experience significant changes in their breasts following lactation and pregnancy. The skin of the breast will actually increase over time due to the gradual distension of the breast tissue (parenchyma) that develops vital milk for your baby. When lactation ends, the breast tissue, previously engorged, reverts to its dormant state, usually resulting in a rather dramatic decrease in volume. Some women have experienced as much as a two or three cup decrease in the volume of their breasts. So, what happens to the skin during this process? The skin is programmed in a very special way, so that when ever certain stretch is applied to it over a long enough period of time, it actually makes more of itself. You have no doubt seen this yourself in your own body- no matter how big you get, you never seem to run [Read more...]

The short answer is YES, fat grafting does work for breast enhancement. There are limitations however, and it is much easier to get volume using implants (there is really no contest here- implants win every time). Stem Cells and Breast Cancer I use the BEAULI BodyJet method of breast augmentation, which does NOT involve any post processing of fatty tissues, apart from rinsing away any red blood cells. We don’t add any special serums, extracts, enzymes, or chemicals to the fat we remove. We simply purify the fat by removing any oils (from the broken fat cells) and red blood cells, but otherwise the fat is not processed. The fat grafts that we harvest from your body are actually tiny clumps of cells, containing both mature adipocytes (fat cells) as well as stem cells. By not processing and concentrating the fat cells, we are eliminating some of the risks that [Read more...]

Question: What happens if I choose a bigger implant than my surgeon recommends? -LB Answer: Dear LB: Choosing an implant that is larger than your natural tissues can accommodate results in stretched out tissues, rippling, and un-natural results. For any given woman, there are only a few optimal sizes available that will give good, long lasting, problem free results. Choosing breast implants outside the optimal range gives poor results in the long term. Although the initial results may be good, the problem is what happens months or years later. Oversized implants cause late complications; in other words, problems arise later on. Despite promoting Opti-Sizing for many years, many doctors still persist in offering patients whatever size they choose, even if it is not in the patients long term interest. In contrast, Opti-Sized patients have good, long lasting results. The benefits show up in studies of long term followups, when patients [Read more...]