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Potential Risks Associated With Breast Augmentation Surgery, Buyer BEWARE!!

Are you searching for a surgeon to perform your breast augmentation?  Are you concerned about cost and the differences in cost from surgeon to surgeon?  Women everyday are searching for the right plastic surgeon to perform a breast augmentation for them.  There are many factors that go into the final decision as far as which surgeon they choose.  A main concern for many women is the cost of the procedure.  While a very inexpensive breast augmentation may sound alluring, there are certain potential risks that correlate with the price differences of the procedure.

A board certified plastic surgeon by the American Board of Plastic Surgery, may charge more than a non-board certified physician performing the same procedure.  So what is the difference between a board certified plastic surgeon and a non-board certified physician?  A board certification by the American Board of Plastic Surgery and a membership with the American Society of Plastic Surgeons ensures that your surgeon is fully qualified to perform your surgery.  It guarantees the patient that their surgeon has completed high standards of training, ethics, practice and research in the field of plastic surgery.  As advocates for the patient, the ASPS ensures safe, ethical practice and competence of the surgeon.  When choosing a physician that is not board certified nor a member of the ASPS, there is no safeguards as to the competence of the surgeon nor the training or outcome of the surgical procedure.

Ensuring the surgeon is operating out of an accredited ambulatory surgery center is another factor that can affect the price of a breast augmentation.  So what does an accreditation mean to you, the patient?  An accreditation is a voluntary process through which a surgery center is able to measure the quality of patient care, services, and performance against nationally-recognized standards.  This accreditation guarantees that the surgery center is committed to high-quality health care and has proved it through the accreditation process.  A board certified plastic surgeon and members of the ASPS are required to only operate out of fully-accredited ambulatory surgery centers.

When receiving a price quote for a breast augmentation surgery, it is often broken down by surgeons fees, operating room expenses, anesthesiologist fees and cost of implants.  When choosing the type of anesthesia delivery for an operation, a physician has the option of using an anesthesiologist, nurse anesthetist, or in some extreme cases no general anesthesia at all.  All of these option affect the price of your breast augmentation surgery.  As with a board certified plastic surgeon, an anesthesiologist ensures the patient that the doctor has completed the rigorous training, research, ethics, and procedures required to be fully capable and competent in anesthesia.  A nurse anesthetist is required to go through specific training in order to be certified, however, a nurse anesthetist does not have the medical training and background that an anesthesiologist does.

Once you have decided to go forward with surgery, the type of breast implant you choose, silicone or saline, can affect the pricing, as silicone implants are more expensive.  Also, it is imperative that you make sure your surgeon is not using expired implants.  All implants have a ‘shelf life’ guaranteeing the quality of the medical device and warranty of the product.  This information can easily be obtained by contacting the breast implant company being used by the physician, generally either Allergan or Mentor.  It should be known by the prospective patient that non-FDA approved implants are not recommended for usage by the ASPS. The company will need a serial number for the breast implant, which all breast implants have and can be obtained through the physician.  Once the breast implants have been implanted into the body, it is required for the surgeon to give the patient an ‘implant card’ detailing the information about the breast implants used with the serial number, type, style etc for the patients records.  If you do not have this, make sure to ask your implanting physician for this information.  If the implant is expired, there is no warranty if the product is defective and there is no guarantee for the quality of the medical device.

Finally, understanding the amount of time your surgeon spends on your breast augmentation as well as the amount of time in the recovery room, can not only affect the final outcome but also the amount you pay for your procedure.  When a surgeon claims to do a 30-45 minute breast augmentation, the patient should consider the quality of work being performed and the attention to detail that may be lacking.  In general, a breast augmentation takes 1-2 hours to perform, without recovery time.  Once the surgery is completed, a patient usually spends at least an hour, if not more, in recovery.  During the recovery period, the patient is being constantly monitored by a registered nurse, and must be discharged by both the anesthesiologist and surgeon, ensuring that it is safe for the patient to be released.  If the surgeon that you are considering is not living up to these general standards, it may be a red flag to reconsider and/or ask a lot more questions.

Having said all of this, these are only questions and considerations that a knowledgeable prospective patient should ponder and ask their surgeon to ensure a safe, positive operation with the outcome you desire.

Indications for Breast Revision Surgery

Breast augmentation surgery is the most popular cosmetic procedure performed today. For many women, undergoing this sort of operation can propose a number of concerns. As with any sort of surgical procedure, a breast augmentation has some amount of risk. A significant amount of risk and potential complication involved presents as poor outcome and the need for a revision surgery. Statistically, according to the FDA, the national average for a person requiring a revision breast surgery is 20% over the first 3 years and 3% over 7 years. Breast revision surgery is the correction of a complication that can occur after the initial breast augmentation. Complications that can arise are: capsular contracture (hardening of the breast), deflation or leakage, asymmetry, symmastia, bottoming out, double bubble formation, rippling of the breast implant, improper positioning, and unhappiness with the size or outcome of the original breast augmentation.

Breast revision surgery, also known as revision mammaplasty, can be far more complex and difficult compared to the initial procedure. There are a number of surgical techniques utilized by a highly trained and skilled plastic and reconstructive surgeon to correct the possible complications. Some techniques utilized are capsulectomy (removal of the capsule) and capsulotomy (release of the capsule), capsulorrhapy (implant pocket modification), changing the placement of the implant from subglandular to subpectoral or vice versa, implant exchange, breast lift, and use of tissue matrix graft for extremely complicated cases.

There is no way to completely rule out the need for a revision breast surgery, no matter the surgeon. However, making sure your surgeon is a board certified plastic surgeon and highly skilled and trained will definitely decrease the risk of complications. Also, diligent and persistent follow through of post operative care by the patient, and listening to your surgeon’s recommendations can significantly decrease the likelihood of revision breast surgery.

Dr. Daniel Golshani is a double board certified plastic and reconstructive surgeon with over 13 years of ongoing experience and expertise in the field of breast augmentation, breast revision and breast reconstruction. Dr. Golshani is constantly sought after for his skill in breast revision and reconstructive surgery. He is a perfectionist in nature and has a keen eye for artistry and exceptional skills in plastic surgery. Dr. Golshani was trained by world renowned experts and is constantly perfecting his skills with new techniques and advancements in the field of plastic and reconstructive surgery.