
Wednesday, June 18th, 2014
This is a surprise, since it’s pretty uncommon for A-list actors and actresses to have fairly obvious plastic surgery. Nicole Kidman recently resurfaced in Australia with a noticeably larger chest. She appears to have gone from a large A to a full C. I suspect that the surgery may been quite recent, as she looks like she may still be a bit swollen. For more of my comments and actual photos, click HERE to go to RadarOnline.com.
Saturday, November 30th, 2013
This is an interesting segment from local CBS News about a website called MyFreeImplants.com. They interview a patient of mine who used this website to have her breast implants paid for. No, the site isn’t a hoax, although the idea behind it is pretty… out there.
Tuesday, May 21st, 2013
Did you watch the Billboard Music Awards the other night? I enjoyed the show, and even noticed some plastic surgery on the screen. Some are, I believe, pretty obvious, like Wayne Newton’s face. Others, like Kelly Rowland, just look fantastic. This photo was taken Sunday night at the show. Some of you may have known that she underwent a very tasteful breast augmentation a few years ago (check out this post from 2008 for before-and-after photos). Today it looks like her breast implants have always been a part of her. I believe she’s an example of great celeb plastic surgery.
Photo credit: prphotos.com
Friday, April 12th, 2013
I’ve liked actress Hayden Panettiere ever since she debuted as the indestructible cheerleader on “Heroes.” The star of “Nashville” has been photographed wearing a bikini with a suspiciously larger chest. Some photos even appear to show wrinkling that is consistent with saline breast implants. You can see a photo of it, along with my comments on Radar Online.com HERE.
So what can Hayden do to reduce her possible implant wrinkling? Implant wrinkling is typically improved by switching to a silicone implant, injecting fat into the breast tissue, or placing a sheet of Alloderm (acellular dermal matrix – radiated cadaver skin) over the implant. Or she could gain weight, which would thicken the fat on her breasts.
Wrinkles or not, Hayden looks great.
Photo credit: prphotos.com
Monday, March 4th, 2013
There have been several websites that have claimed that American Idol judge Nicki Minaj has had plastic surgery. In this interview with Extra, she refutes these rumors, claiming that changes in her face are due to makeup, not plastic surgery. Missing in this interview is a question of whether she’s had work done to her body, though. Breast augmentation or Buttock enhancement maybe?
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
effectiveness.”
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.
Wednesday, February 13th, 2013
Alexa Ray Joel has recently taken to her Facebook page to refute rumors she’s had a breast augmentation. From her Facebook:
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!
Wednesday, December 5th, 2012
I was recently interviewed by Radar Online about the legendary actress Sophia Loren. Has she had plastic surgery? Although she officially denies it, I think it’s very unlikely someone can look as good as she does at the age of 78 without the help of a plastic surgeon. I suspect that she’s had quite a bit of work done, including at least one facelift, upper and lower eyelid surgery, fat injections to her cheeks, filler injections to her lips, and a breast augmentation.
It’s just my opinion, since I am not her doctor and am not privy to her medical history. That being said, my grandma looked nothing like her when she was 78!
For more of my analysis, check out Radar Online HERE.
photo credit: prphotos.com
Tuesday, November 13th, 2012
Sofia Vergara recently discussed her boobs and plastic surgery during an interview with Health Magazine. From The Celebrity Cafe.com:
My publicist [at the time the star moved to America] told me, ‘I think you should just reduce your boobs because nobody’s going to take you serious here,’” Sofia Vergara said in Health magazine.
In a land where 34 DD cups are typically silicone, those who are blessed with the extra curves are lumped in with the rest of the plastic surgery crowd.
Sofia’s mother was not in agreement with the publicist about the reduction surgery. In fact, she went as far as saying that “God is going to punish you! You can’t cut your boobs!”
In the end, Vergara says she’s happy with the decision she made to not go through with the surgery. She admitted that the large boobs have even become a huge part of her character on Modern Family.
I LOVE Modern Family. I think it’s the best show on TV. Cam and Phil Dunphy are freakin’ hilarious.
Photo credit: prphotos.com
One of my favorite Phil Dunphy quotes:
Phil: Luke, I am your father. That’s what I said to you when you were coming out of your mom’s lady parts.
Thursday, November 1st, 2012
Monday, October 29th, 2012
I’ll be joining my friend Deena Centofanti at Fox 2 Detroit’s The Nine Monday morning, October 29th in the 10 am hour. We’ll be discussing Breast Implants 101: Everything you need to know about breast augmentation. We’ll discuss many issues, including saline and silicone implants, recovery time, and gummy bear implants. Hope you get a chance to watch!
Wednesday, September 19th, 2012
A new study on an investigational breast implant shows that it could have some considerable benefits compared to the currently utilized breast implants. According to a study published in the Aesthetic Surgery Journal, the Ideal Implant (a double-lumen, saline-filled breast implant) has a high rate of patient and surgeon satisfaction, low rate of wrinkling, and a surprisingly low rate of capsular contracture when compared to the single lumen saline implants used today. Here are the results:
Two-year follow-up visits were completed by 472 of the 502 women (94.0%) enrolled at 35 private practices, 378 of whom had undergone primary breast augmentation and 94 of whom had received replacement augmentation. Patient-reported satisfaction with the outcome was 94.3% for primary augmentations and 92.3% for replacement augmentations; surgeon-reported satisfaction was also high (96.5% and 93.4%, respectively). The incidence of moderate-to-severe wrinkling was 3.8% (primary) and 12.0% (replacement). Baker Grade III and IV capsular contracture rates were 3.8% (primary) and 8.2% (replacement). These two-year rates are lower than those reported for current single-lumen saline implants at one year. Deflations, none of which were caused by a shell fold flaw, occurred in 4.8% of primary augmentations and 3.3% of replacement augmentations.
I’ve had the privilege of examining the Ideal Implant and talking with its developer, and so far I’m impressed. The implant feels more natural than traditional saline implants, but without the controversy of silicone implants. Unfortunately, it’s not FDA approved yet. When it does achieve FDA approval, however, I will announce it on this site!
For more information on the Ideal Implant, click HERE to visit their website.
Monday, July 23rd, 2012
Did Twilight star Kristen Stewart undergo a breast augmentation last month? Photos are circulating in magazines and the internet that she has new breast implants. You can read my analysis and see the B&A photos in Star Magazine and Hollywood Life.com HERE. The photo posted here was taken at the beginning of June, 2012. Therefore, if she did undergo a breast augmentation, it occurred very recently. She was quite flat-chested last month.
Women have been using padded bras ever since the beginning of the 19th Century. It’s possible that the subtle enhancement in Kristen’s bust size is due to a couple of strategically placed socks. Or it could be that she had breast enhancement surgery. Either way, the surgery unfortunately hasn’t removed the constipated look she often seems to have on her face.
Photo credit: prphotos.com
Thursday, June 21st, 2012
Reality star Bethenny Frankel has a new talk show in limited syndication this summer. She recently spoke quite a bit about her breasts and the reason why she underwent a breast augmentation. She mentions several statistics, including a RealSelf.com survey that found that 70% of women with breast implants felt their sex lives improved post-procedure.
Overall her discussion is a breath of fresh air amidst all the Hollywood stars who claim to be against plastic surgery, while sporting breast implants of their own. Kudos to Bethenny!
Wednesday, May 2nd, 2012
Hollywood Life.com has posted photos of Taylor Swift’s recent chest transformation. She appears to have gone from an A to a full C. So does Taylor have new breast implants or has she stuffed her bra? I suspect implants here. We’ll know the next time we see her in a bikini or low-cut top!
For more on Taylor Swift’s breasts at Hollywood Life.com, click HERE.
Wednesday, March 28th, 2012
Real Self.com is one of the foremost plastic surgery sites on the internet. Here is their new guide to selecting breast implants. It’s a great place to start if you’re thinking about getting your breasts enhanced. Click the picture to make it larger.
If you’re considering a breast augmentation, make sure to choose a plastic surgeon certified by the American Board of Plastic Surgery and a member of the American Society of Plastic Surgeons.
Saturday, March 10th, 2012
The FDA has approved the silicone breast implant from the manufacturer Sientra. From the FDA website:
FDA approves new silicone gel-filled breast
implant
Approval conditioned on post-approval safety studies
Today, the U.S. Food and Drug Administration approved a silicone gel-filled
breast implant manufactured by Sientra Inc. to increase breast size
(augmentation) in women at least 22 years old and to rebuild breast tissue
(reconstruction) in women of any age.
As a condition of approval, Sientra is required to conduct post-approval
studies that will assess long-term safety and effectiveness outcomes as well as
the risks of rare disease outcomes.
Silicone gel-filled breast implants are medical devices implanted under the
breast tissue or under the chest muscle for breast augmentation or
reconstruction. These implants have a silicone outer shell that is filled with
silicone gel. They come in different sizes and have either smooth or textured
shells.
With today’s approval, there are now three FDA-approved silicone gel-filled
breast implants in the U.S. manufactured by Allergan, Mentor and Sientra.
“Data on these and other approved silicone gel-filled breast implants
continue to demonstrate a reasonable assurance of safety and effectiveness,”
said William Maisel, M.D., M.P.H., deputy director for science in the FDA’s
Center for Devices and Radiological Health.
“It’s important to remember that breast implants are not lifetime devices.
Women should fully understand risks associated with breast implants before
considering augmentation or reconstruction surgery, and recognize that long-term
monitoring is essential.” said Maisel.
The FDA based its Sientra approval on three years of clinical data from 1,788
participants. Complications and outcomes reflected those found in previous
studies of other breast implants and included tightening of the area around the
implant (capsular contracture), re-operation, implant removal, an uneven
appearance (asymmetry), and infection.
In June 2011, the FDA released a report that included preliminary safety data
from post-approval studies from earlier breast implant approvals. The experience
collecting and analyzing data from these studies informed the design and
structure of post-approval studies for Sientra breast implants.
In addition to other post-approval conditions, Sientra will:
“The design of these post-approval studies will require Sientra to collect
valuable safety information with adequate enrollment and follow-up,” said
Maisel. “The FDA is committed to working with breast implant manufacturers to
collect useful post-market data on long-term safety and effectiveness.”
My comment: This is a big deal in the plastic surgery field. Mentor and Allergan (aka McGhan) have been the only real players in the breast implant market for 20 years. Although Sientra’s implants are now approved for use, their products remain unknown to the vast majority of plastic surgeons. Study results have not been publicly released (to my knowledge), and therefore how Sientra’s implants stack up to Mentor and Allergan’s is still in question.
Breast augmentation is the number one cosmetic plastic surgery in the country, with over 300,000 women undergoing the surgery each year according to the American Society of Plastic Surgeons. If Sientra’s implants test as well as the other two companies AND have a lower price, then we may see more and more women being able to afford breast augmentation. I’ll report on the new Sientra silicone breast implant as information is released.
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.
Thursday, February 16th, 2012
RealSelf.com is a plastic surgery site that’s great at creating dialogue between real plastic surgeons and the public. This is the site that allows patients to vote on whether certain procedures are “worth it.” For example, Breast augmentation has a 91% worth it rating, whereas the Lifestyle Lift has a 52% worth it rating.
RealSelf.com also has a popular blog which posts fascinating stories and graphics, like the one below. Can breast implants improve your sex life? Of course! Read more about it HERE.