Category Archives: Breast Implants



An Update on Implant Position in Breast Augmentation

Published: January 22, 2017

This is an update to a blog post that I made last year on whether patients undergoing breast augmentation should place the implants above or below the pectoralis major muscle. In conjunction with the study that I mentioned in that prior blog, we now have another, recently published study from one of my dear colleagues and associates in the...

View More



Anaplastic Large Cell Lymphoma (ALCL) Image

I Gotta Give It To a Colleague

Published: June 27, 2016

As we learn more and more about a very unusual condition called Breast Implant Associated-Anaplastic Large Cell Lymphoma, I think a colleague and fellow member of the Plastic Surgery Channel really summed up our current understanding of this condition. I suggest you watch the video they produced that features Bruce Vannata,...

View More



Anvil thumbnail

What’s Better? On Top of the Muscle or Underneath?

Published: December 4, 2015

On Top or Below the Muscle? Too Much Compression if Above? A recent research study published in the Aesthetic Surgery Journal concludes that patients who undergo breast augmentation by placing the implant directly underneath the breast gland (and on top of the muscle) may experience more loss of breast gland/tissue over time. They hypothesized...

View More



What’s the Difference Between Implant Warranties?

Published: October 12, 2015

All of the implant manufacturers offer great warranties. They compete with each other so vigorously that you'll likely find the company with "the best" warranty will have their warranty matched word for word very soon after it becomes known. You simply can't chase the warranty rabbit. The most important part of this to understand is that no...

View More



Which Implants Should I Choose?

Published: August 6, 2015

I'm often asked what breast implant is the "best". Here's my usual answer. Silicone implants are better for thin patients without much of their own breast tissue. For heavier chested women, the difference is minimal. These advantages are because silicone implants are softer and show less rippling; with the newer (5th generation silicone gel...

View More



Can I get Silicone Breast Implants Before I Turn 22 Years Old??

Published: June 30, 2015

Recent clarification from our largest cosmetic plastic surgery society legal counsel has verified what we have known all along: patients under 22 years of age can have silicone breast implants used for primary breast augmentation. When the FDA granted the use of silicone implants for primary breast augmentation (removing qualifications that the...

View More



Reflecting in the mirror

“Flexing Moves My Implant”

Published: June 30, 2014

On occasion I have a patient who tells me that their implant moves around and looks funny when they flex their chest muscle. They forget that the implant is under the muscle and is naturally pressed by the pectoralis major muscle when it is flexed. The muscle temporarily compresses the implant a little bit, causing the implant to move around and...

View More



What should I know about the gummy bear/shaped implants?

Published: May 6, 2014

It’s difficult to turn on the TV, drive down the road, or listen to the radio without some media personality or slick marketer doctor touting the “latest and greatest” thing available to plastic surgery patients. One of the frequent questions that my patients are confused by is the hype around the gummy bear shaped silicone breast implants....

View More



Zero Can Be a Great Number

Published: February 21, 2014

There are three manufacturers that provide shaped implants (not round) that contain a more cohesive silicone gel material in comparison to standard round silicone implants. When considering a surgeon for insertion of these implants, prospective patients should consider many factors. One of these important factors is the Dr.’s rotation rate for...

View More