Exceptional, long-lasting breast augmentation can be achieved when a surgeon is willing to invest the time and training to develop an advanced breast augmentation practice. By adhering to sound principles, the surgeon will be able to better educate the patient, provide more predictable aesthetic results, and achieve much lower revision rates. As a principle investigator, Dr. Glicksman is also one of only a handful of surgeons in the US who has extensive experience with shaped highly cohesive gel implants as well as round silicone gel breast implants.
With the guidance of some extremely gifted and talented surgeons in the United States and Sweden, Dr. Glicksman’s breast implant procedures have advanced to produce more predictable, beautiful, and long lasting outcomes. Breast implants and techniques have evolved over the last 30 years, and yet, the most recent FDA Premarket Approval (PMA) data showed that almost a quarter of women who undergo a breast augmentation in the United States will require revision surgery within the first three years.
One of my major objectives as a breast augmentation surgeon is to dramatically reduce the number of women who will develop a breast implant complication or undergo an unnecessary size change. Dr. Glicksman has achieved this goal.
A consultation for breast augmentation or a revision augmentation is the lengthiest for any procedure in Dr. Glicksman’s practice. It takes time to educate patients before surgery, and help them to choose an appropriate breast implant that will produce an optimal outcome. Often patients have had consultations with other plastic surgeons or have had friends undergo surgery, yet still do not understand the most important fundamental principles. Breast augmentation involves the following key steps:
- Pre-operative education: Patients are provided with an overview of the history of both saline and silicone implants. Considerable time is spent discussing the advances made over the last several decades, including the evolution in silicone gel technology and implant shells. Dr. Glicksman has been using shaped highly cohesive gel implants since 2005 and has experience using these implants for breast augmentations, revision augmentations, and breast reconstruction. Most importantly, patients are informed that the choices made pre-operatively will affect the quality and longevity of their results. The addition of the Vectra 3-D imaging and simulation during your consultation further enhances your patient education experience by helping you visualize what you may look like after surgery.
- Pre-operative measurements: Key measurements will help determine which implant is best suited for your individual anatomy. Implant size, style, and fill will be selected based on your measurements and skin elasticity, not solely upon your desired change in cup size. Using biodimentional tissue planning principles, Dr. Glicksman will begin the implant selection process. In addition, the placement of the implant, either behind the breast gland or partially behind the muscle, (dual-plane) will be discussed, as well as the benefits or tradeoffs associated with each location. Vectra 3-D imagingcan provide a patient with more confidence in their decisions and a better understanding of the importance of careful pre-operative measurements. Patients are educated about their need to reconcile their desires within the limitations of their individual anatomy to achieve long-lasting results.
- Meticulous surgery: The surgical experience is extremely important. Breast augmentation surgery takes approximately one hour and should be almost completely bloodless. Anesthesia, provided by a board certified anesthesiologist, includes the use of short acting muscle relaxants which help minimize trauma to muscle and the chest wall. My fully accredited surgery center is staffed by a team of RN’s. Patients remain in the recovery room until awake and stable. Most will leave the center sore, but comfortable, without the need for narcotics or pain pumps. Patients usually return to everyday activities within 24 to 48 hours, and can resume moderate exercise at two weeks.
- Follow-up care for the life of your implant: All of Dr. Glicksman’s breast implant patients will be scheduled for routine follow-up exams for as long as they have breast implants. Radiological studies may be ordered over the years to add to clinical observations and to evaluate the integrity of the implant as the years go by. Eventually, all breast implants will have to be replaced, due to age related breast changes, pregnancies, breast feeding, weight gains or loses, and eventually menopause. Dr. Glicksman follows all of her patients through these life changing events, and eventually helps to guide them when they need to undergo a revision. This long-term follow-up requires the combined efforts of the physician, the office staff, and the patient’s commitment to good breast health.