Celebs and their plastic surgery

Articles about Breast Implants Michigan

FDA Approves New Natrelle 410 “Gummy Bear” Breast Implant

Thursday, February 21st, 2013

This is a very big deal in the field of plastic surgery.  Today the FDA approved the Natrelle (Allergan) Style 410 “Gummy Bear” silicone breast implant.  This is a true “form-stable” implant, with silicone that literally feels like a gummy bear, hence the name.  Plastic surgeons have been predicting the FDA approval of these devices for over ten years, so it’s a long-awaited announcement.  From the FDA webpage:

The U.S. Food and Drug Administration today approved the Natrelle 410 Highly
Cohesive Anatomically Shaped Silicone-Gel Filled Breast Implant to increase
breast size (augmentation) in women at least 22 years old and to rebuild breast
tissue (reconstruction) in women of any age. Natrelle 410 implants are
manufactured by Allergan, Inc.

The FDA based its approval on seven years of data from 941 women. Most
complications and outcomes reflect those found in previous breast implant
studies including tightening of the area around the implant (capsular
contracture), re-operation, implant removal, an uneven appearance (asymmetry),
and infection.  In addition, investigators observed fissures (cracks) in the gel
of some Natrelle 410 implants.  This is a characteristic called gel fracture and
is unique to this implant.

“It’s important to remember that breast implants are not lifetime devices.
Women should fully understand the risks associated with breast implants before
considering augmentation or reconstruction surgery, and they should recognize
that long-term monitoring is essential,” said Jeffrey Shuren, M.D., director of
the FDA’s Center for Devices and Radiological Health.

“The data we reviewed showed a reasonable assurance of safety and
effectiveness,” said Shuren. “We will be looking at the results from
post-approval studies that will focus on their long-term safety and

The silicone gel in the Natrelle 410 implant contains more cross-linking
compared to the silicone gel used in Allergan’s previously approved Natrelle
implant. This increased cross-linking results in a silicone gel that’s firmer.
Cross-linking refers to the bonds that link one silicone chain to another. The
clinical significance of this type of silicone gel is not known.

These implants are completely different from the silicone gel implants otherwise on the market.  They are much firmer and hold their shape, unlike the current silicone implants in use.  Time will tell just how popular these implants will get.  Some things to consider with the Natrelle Style 410 silicone gel implant:

1. The textured surface and teardrop shape mean that these implants are made to stay in place.  Unlike the smooth-walled silicone implants currently used by most plastic surgeons, these implants are not made to move.  For some, the fact that these implants stay in their position might be construed as looking and feeling less natural.

2. They are FIRM.

3. The incision necessary to insert these implants is much longer than a traditional incision, since these implants can not be squeezed into a smaller opening.

4. The plastic surgeon who inserts these implants must be very accurate in the creation of the breast pocket.  You DO NOT want some careless doctor ripping open a breast pocket and trying to stuff one of these in you.   Make sure to see a reputable plastic surgeon who’s a member of the American Society of Plastic Surgeons and/or the American Society for Aesthetic Plastic Surgery.

5. The gummy bear implants can’t be inserted through the belly button or the armpit.  They are too stiff.

6. These implants can be useful in reconstruction, revision breast surgery, and in people with really thin tissues and a risk of bottoming out.

To read the FDA announcement about the Natrelle Style 410 “Gummy Bear” Implant approval, click HERE.


Breast Implants 101 – Everything You Wanted To Know About Them!

Saturday, December 8th, 2012

This a recent segment I did with Fox News. We discuss the current types of breast implants, including silicone, saline, and the new, FDA approved ‘gummy bear’ breast implants. I also compare two vastly different sizes, and discuss who has what!


Thank The FDA For Your Breast Implants

Thursday, March 1st, 2012

Last month 30,000 French women were urged by their government to have their PIP breast implants removed. The French Ministry of Health fears that the implants’ industrial-strength silicone filler, originally made for mattresses, could leak and cause serious health problems.

So what should American women with breast implants do?

Thank the Food and Drug Administration.

Breast implants are big business. According to the American Society of Plastic Surgeons, last year nearly 300,000 women underwent breast augmentation in the United States. I currently perform over 150 breast implant surgeries per year, by far my most popular procedure.

So what went wrong in France that hasn’t gone wrong here?

The implants under scrutiny were manufactured by the now-defunct Poly Implant Prosthese (PIP), at one time the world’s third largest supplier of breast implants. The company, which went bankrupt and liquidated in 2010, fitted approximately 300,000 women around the world with these devices.

The advice given to women regarding their PIP implants has varied from country to country. France and Venezuela have urged their affected citizens to have the implants removed as soon as possible, while Britain has stated there is no evidence to recommend routine removal in all patients. Women with PIP implants around the world are furious that their government’s health ministries have allowed these unsafe implants to be used in so many people.

Here in the U.S., two companies manufacture the bulk of breast implants, Allergan and Mentor. The saline and silicone implants from both companies have stood up to the rigorous testing standards of the FDA.

Interestingly, PIP submitted their saline breast implants for FDA approval, but was rejected in March 2000. Specific reasons behind the FDA denial are unclear, but a study published in Plastic and Reconstructive Surgery by Stevens, et al., may provide a big clue. They discovered PIP saline implants had 3.5 times the rupture rate of Mentor saline implants. When an unacceptably high rupture rate is combined with contaminated silicone many complications can occur, including infection, inflammation, scar tissue, and possibly even cancer.

PIP silicone breast implants were never really used in the United States. If you had your breast augmentation in the U.S., it’s highly unlikely that you have these defective devices.

However, if you had your surgery overseas, then it’s a good idea to obtain your breast implant information from your surgeon. If your implants were manufactured by PIP, it may be a wise decision to switch them out for Mentor or Allergan implants.

If you’re thinking about undergoing a breast augmentation, don’t be afraid of silicone. Silicone breast implants are quite possibly the most studied medical device in the history of the world, and the FDA has deemed them safe for use.

Make sure you consult with a surgeon certified by the American Board of Plastic Surgery and a member of the American Society of Plastic Surgeons. Discuss the pros and cons of saline versus silicone. Recent surveys have found that, while silicone breast implants account for 60% of sales, a significant number of patients are still undergoing augmentation with saline. Silicone implants look and feel more natural than saline, but a broken silicone implant is harder to detect than a broken saline implant.

Studies show that over 90% of women with breast implants are satisfied with their outcomes. Still, I turn down one out of every five women who consult for breast augmentation, usually because I believe it’s not right for them.

Breast implants aren’t for everyone.

But the implants used in the United States are safe.


Saline or Silicone Gel? The Results May Surprise You…

Wednesday, April 29th, 2009

A recent survey published in the Aesthetic Surgery Journal shows what the current preferences are for breast augmentation surgery. According to a survey of 1746 board-certified plastic surgeons and members of the ASAPS:

- Sixty percent of surgeons are still using saline implants, and the vast majority of them are using them 75-100% of the time.
- The majority of surgeons (64%) preferred an incision near the breast crease, while 25% preferred an incision around the bottom half of the areola.
- The average implant size reported by 81% of surgeons was 300 to 400 cc (which is approximately a small to a full “C” cup bra).
- Smooth implants, rather than implants with a textured surface, were most often preferred by 92% of respondents because it was the surgeon’s preference, less wrinkling, or overall better results for the patient.
- Ninety-six percent of surgeons used round, rather than anatomically-shaped, implants.
- The most common position for implant placement was under the muscle (62% of surgeons).

With the exception of the majority use of saline implants, these statistics reflect what I see in my practice. I estimate that I use saline implants only 25% of the time, since most patients seem to prefer gel. I utilize three incisions (underneath the breast, around the areola, and the armpit), with the most common being underneath the breast. My average size implant is probably 350-375cc, and I usually use smooth round implants placed under the muscle. I find that these choices usually minimize any complications and revisions.
To view a breast augmentation I performed on Fox News, click here.

Statistics source

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.


Breast Augmentation News Story on Fox 2 Detroit

Thursday, September 20th, 2007

I was recently featured on a the local Fox affiliate here in Detroit in a segment about the rising popularity of silicone gel implants. They follow one of my patients through her breast augmentation surgery with Memory Gel implants. Check it out here if you have a minute and are interested.

Thanks to Lila Lazarus and Sean Lee of Fox 2 Detroit for the nice story!

Thanks for reading.
Michigan-based Plastic Surgeon

Anthony Youn, M.D.


Michigan Plastic Surgeon / Michigan Plastic Surgery

Sunday, December 3rd, 2006

Who am I? It came to my attention recently that in the past year that this blog has been around, I’ve never really explained who I am and where I come from.
Here is my educational background:

Greenville Senior High School: 1986-1990 (valedictorian)
Kalamazoo College: 1990-1994 (magna cum laude- B.A.)
Michigan State University College of Human Medicine: 1994-1998 (M.D.)
Michigan State University Grand Rapids General Surgery Residency: 1998-2001
Michigan State University Grand Rapids Plastic Surgery Residency: 2001-2003
Aesthetic Surgery Fellowship w/Dr. Richard Ellenbogen: 2003-2004

I was offered a spot in Dr. Ellenbogen’s practice, a prominent one in Beverly Hills, California, but turned it down. My wife and I moved back home to Michigan, where we settled in Rochester Hills, a suburb of Detroit. I opened my practice, The Hills Plastic Surgery and Laser Centre, in August of 2004. I am thankful for the great success that we’ve had.

My practice currently consists of mainly cosmetic plastic surgery. I do participate with the major insurance companies as a resource for reconstructive patients in need.

I’ve been featured in Dr. 90210. My comments on celebrity plastic surgery have been published in many national magazines, including In Touch Weekly, Life and Style, US Weekly, JANE, The National Enquirer, and OK! Magazine, among others.

Some of the surgeries I specialize in include facial fat grafting, the Volumetric Facelift, Breast Augmentation, Tummy tucks, and VASER Liposelection, to name a few. I’m also an active writer for major plastic surgery journals and am on the Editorial Advisory Board for the prominent magazine, Plastic Surgery Products.

It feels like I’ve gone to school forever. The field of cosmetic plastic surgery is my passion, however, and I am dedicated to practicing my craft with the utmost in integrity and skill.

So that is who I am in a nutshell. In general, I prefer to keep the intimate details of my family life private and off the blog. Over the next several months I will post information on some of the plastic surgeons around the country whom I respect and consider either my mentors or my respected contemporaries.

Now back to the celebrities!

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.