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Tag: plastic surgeon

10 Greatest Myths about Breast Implants

1. Implants will result in breasts that will look and feel fake
2. You have to be a trained and certified Plastic Surgeon in order to perform cosmetic breast implant surgery
3. All approved breast implants are of similar quality and safety
4. With implants a patient can choose to be whatever bra cup size they desire
5. All breast implantation is essentially the same so I should search for the best price
6. Breast implants can cause autoimmune disease and may increase risk of breast cancer
7. Local or ‘awake’ anesthesia is less risky than general anesthesia
8. Breast feeding is dangerous or not recommended if you have breast implants
9. Recovery following breast implant augmentation will be long and painful
10. Sagging breasts can always be corrected by breast implants

According to recent statistics from both The American Society of Plastic Surgery (ASPS) as well as The American Society of Aesthetic Plastic Surgery (ASAPS), the leading and most respected organizations in aesthetic surgery and medicine, breast augmentation is the most popular aesthetic surgery procedure.  This has remained constant for years despite the growth and rise in popularity of other facial and body cosmetic surgeries.  The reasons for this are debated but likely involve the profound physical and emotional benefits that improved breast contour and body image may have on a woman’s self-image, confidence, and quality of life.

Every year in the US nearly 300,000 women undergo breast augmentation with saline or silicone gel implants.  Along with the increasing popularity and interest in this procedure, there are many common assumptions and opinions about cosmetic breast implant surgery that are often NOT based on science or proven data but on misconceptions and unproven public opinion.  If you are one of the many women interested or considering cosmetic breast implant surgery, here are some of the proven facts based on clinical studies that may help clarify common myths about breast augmentation surgery.

10 Common Myths about Breast Implants

1. Implants will result in breasts that will look and feel fake

Board certified plastic surgeons have extensive training in all areas of breast augmentation, including selecting appropriate patients and the right type, style and dimension implant based on each patient’s unique anatomy and goals to result in a balanced and natural breast contour. Determining implant position, either below or above the chest wall muscle, incision placement and many other important considerations are essential to obtaining a harmonious and natural outcome.  Unfortunately, some physicians who are performing breast implant surgery, are not certified or trained in plastic surgery and their outcomes may often result in unnatural appearing and uncomfortable feeling augmented breasts with higher risks and complications.  On the other hand when done properly by a trained plastic surgeon, implanted breasts should be natural appearing and the implants undetectable to the casual observer.

2. You have to be a trained and certified Plastic Surgeon in order to perform cosmetic breast implant surgery

Many people and prospective patients are surprised to learn that any physician with a medical license may legally perform breast augmentation even without any credentialed plastic surgeon training. When considering cosmetic surgery patients should know that ‘cosmetic’ surgeons are NOT the same as ‘plastic’ surgeons.  In order to become board certified by the American Board of Plastic Surgery (ABPS), a physician must complete years (5-7) of rigorous and monitored training and then pass both written and oral examinations.  The designation ‘cosmetic surgeon’ is not recognized or board certified specialty by the ABPS and is not the same as board certified Plastic Surgeon.  Breast augmentation may seem to be a relatively simple operation but achieving safe and natural, long-lasting results requires many decisions and extensive training and experience.

3. All approved breast implants are of similar quality and safety

The FDA has approved two types of breast implants in the U.S.; saline filled and silicone gel filled. Both have a silicone outer shell and vary in size, shape, thickness and design.  Even though FDA approved and available, breast implants are made by different manufacturers and will vary in quality and pricing.  Prospective patients should be very careful of advertising or ‘deals’ for lower cost procedures as they may involve less reputable implants promoted by non-plastic surgeons in less credentialed facilities.

4. With implants, a patient can choose to be whatever bra cup size they desire

There are hundreds of different types and sizes and qualities of breast implants available on the market but the exact cup size that may result from implant surgery is not entirely predictable. This is not only because of the wide variation in what constitutes a certain bra ‘size’ by each manufacturing but also due to variations in each women’s breast shape, available skin and tissue, chest wall size and anatomic variations.  In order to obtain natural and safe results an experienced surgeon will choose implant dimensions that are consistent and respect each patient’s unique, anatomic characteristics.

5. All breast implantation is essentially the same so I should search for the best price

As mentioned above, there are many different types of breast implants supplied by various manufacturers and pricing as well as quality may vary. The total cost for the procedure is also influenced by the location or facility involved for the procedure and the surgeon’s fees.  Non-plastic surgeons or cosmetic surgeons will typically charge less than board certified plastic surgeons and patients should be wary of advertising low rates and ‘discounting’ or ‘deals.’  Warren Buffet’s advice:  “Remember, the price is what you pay and value is what you get.”

6. Breast implants can cause autoimmune disease and may increase risk of breast cancer

Multiple long-term scientific studies including hundreds of thousands of women with implants have clearly proven that there is no association or cause and effect between breast implants and autoimmune disease or risk of breast cancer. There are anecdotal reports and online testimonials which have received medical attention of patients who claim to have developed health problems and diseases as a result of their implants but these claims have never been proven in any validated scientific studies or recognized by the FDA.  It is important to note that all silicone gel and saline implants are cleared by the FDA.  Recently, a rare type of lymphoma called anaplastic large cell lymphoma (ALCL) has been associated with some implants but the overall risk is extremely low (less than 1 in 30,000) and is usually curable by implant and capsule removal.

7. Local or ‘awake’ anesthesia is less risky than general anesthesia

While it was true that in the past general anesthesia carried higher risks than local or ‘awake’ anesthesia, numerous studies confirm that is no longer true for appropriately selected patients with modern anesthesia technique. With the advancement of short-acting anesthetic agents, precise monitoring and training in the specialty of anesthesia, predictable outcomes and speedy recovery are the norm and excellent safety has been confirmed in many clinical studies.  In addition, particularly in submuscular breast augmentation surgery, a light general anesthesia provides greater patient comfort and allows better control of the surgery in most patients.  Be careful of practices promoting local or ‘awake’ anesthesia in their own office setting for breast surgery – the motivation is often pricing and not patient safety.

8. Breast feeding is dangerous or not recommended if you have breast implants

Younger women considering breast implant augmentation may be concerned about unproven statements or potential risks for babies with breast feeding after augmentation. Many peer reviewed studies have confirmed consistently that there is no medical risks for babies who are born to or breast fed by women with saline or silicone implants.  It is also relevant to remember that experienced plastic surgeons will usually recommend an incision that allows dissection avoiding the breast gland as the implant should never touch the breast itself but be placed under it or underneath the chest wall muscle.

9. Recovery following breast implant augmentation will be long and painful

Although there are testimonials, statements and opinions online and in social media regarding length of recovery time and discomfort, properly performed breast augmentation by an experienced plastic surgeon has typically a short and uneventful recovery. With the use of precise and gentle techniques, long acting 2-3 day nerve blocks (Exparel) and appropriate implant selection and post op care, patients are relatively comfortable and returning to normal activities in less time.  When it comes to comfort and safety, it really does matter who is doing your surgery and where it is performed.

10. Sagging breasts can always be corrected by breast implants

Following pregnancies, breast feeding and aging, it is common for the breast tissue and skin to sag or loosen resulting in drooping along with a loss of fullness in the upper breast tissue. While it is true that breast augmentation implants can improve minor amounts of laxity or sagging, a breast lift (mastopexy) is often the best and most effective methods of restoring youthful breast contour.  Combining breast augmentation with a breast lift (augmentation mastopexy) can correct both volume loss as well as breast descent.  For all of the above reasons and due to the technical challenges of augmentation mastopexy, it is especially important to seek out an experienced board certified plastic surgeon in order to review all options and obtain safe and natural results.

Breast Augmentation surgery can provide significant physical and emotional benefits for appropriate women as well as improve quality of life.  Proven improvements in biomaterials and techniques can offer more natural and long lasting results with excellent safety outcomes.  Separating proven facts from fiction is especially essential for patient education prior to surgery along with meeting or exceeding patient expectations.  As with any elective or aesthetic surgical procedure, a physician-patient relationship based on trust, transparency and clear communication remains the most important part of safe and satisfying outcomes.

Spring is Here!

Spring is here and it looks like it will be an early one!

Spring is also a time of renewal, and all of us at evolv Plastic Surgery and Medical Aesthetics are particularly excited this year about new options for our patients in aesthetics. the evolv staff and I have been busy over the winter months researching and learning about some new and particularly exciting technologies, services and products that have exceptional potential for transforming the quality of aesthetic care for our patients and we are quite excited about these unique opportunities.  So here is what all the excitement is about:

Can aging in the skin actually be prevented and even reversed?

I never used to think so because, despite many claims to the contrary, science never supported that claim but new research from the prestigious Stanford University Medical Center has changed my mind on this subject.

evolv is proud to be the first aesthetic practice in the area to offer broadband light (BBL) by Sciton which has been proven by clinical studies at Stanford to stop and even reverse the aging process in skin cells at the genetic level.  In the Stanford research following patients treated with BBL over more than 10 years, they proved that genes associated with youth that were previously inactive in older patient’s skin before treatment were actually restored to an active state by the BBL treatments!  This is extremely significant as this is the first credible report that I am aware of that actually proves that aging cells can be returned to their previously younger state physiologically by any therapeutic intervention.  The process is called photo-modulation and is a direct result of the proprietary BBL wavelength and energy stimulating photo receptors on the cell surface. The BBL treatments to reverse cellular and restore youthful function is called evolv Forever Young and are suggested 3 or preferably 4 times per year, take only 15 to 20 minutes, are typically not uncomfortable and have no post treatment down time.

We will be discussing the evolv Forever Young Program at our upcoming evolv BBL Halo Event on April 6 so please call 419-720-2008 to reserve your seat if interested. Visit our Facebook Event for more information.

  Laser skin resurfacing with less downtime?

Despite the considerable benefits of laser treatments for rejuvenating and resurfacing aging skin, the appeal of laser therapy has been previously limited by considerable downtime and prolonged healing.  Scientists at the Sciton Corporation have developed a revolutionary technology that provides significant skin resurfacing benefits with considerably less downtime. That technology is the Halo Laser and evolv is excited to introduce this exciting treatment option for our patients.

We will be discussing the Sciton Halo program at evolv in our open house educational event this Tues evening, April 6, so please call and place your RSVP to learn more about this exciting technology and its many potential benefits.

Effective topical skin care for cellulite and facial redness/rosacea?

We have been consistently impressed by the innovative and industry-leading bioengineering from ZO Skin Health in new therapies for skin rejuvenation, treatment and anti-aging.  ZO has just released 2 innovative products that I believe will revolutionize treatment options and results for patients frustrated by persistent facial redness or rosacea (Rozatrol) as well as the appearance of skin dimpling and body cellulite (Oraser Cellulite Control).  Clinical studies have proven that these products have reduced the appearance of cellulite in the majority of patients using Oraser Cellulite Control in the trials and that facial redness and rosacea were consistently and significantly improved with the Rozatrol skin care program! If you are interested in more information about these unique and exciting skin care options from ZO Skin Health, please call to discuss with myself or the evolv professional staff.

This truly is an exciting time in aesthetics. With the introduction of these disruptive and innovative technologies, services and products, all of us at evolv are looking forward to the many potential benefits that can be offered by incorporating these proven options into personalized and comprehensive aesthetic programs that can reduce the signs of aging and effectively improve the quality of life for our patients at any age.

Happy Spring to everyone!






Frank Barone MD FACS

Summer Beach Body Series – Breast Augmentation

As summertime approaches, there is a lot of interest in improving body contour and the ‘summer beach body program.’ Breast augmentation for appropriate patients may be a considered option in enhancing overall body shape and balance.

What is the Goal?

The goal of aesthetic body procedures is to improve the balance and naturalness of the silhouette, perhaps reducing areas of premature aging, whether it’s sagging skin, sun spots, or excess fat accumulation. Patients have the option to naturally enhance their breast contour which has been shown to improve patients’ confidence and self-esteem when performed properly.

There has never been a better time to consider the various body contouring options at evolv with our new technology and scientific breakthroughs! At evolv Medical Aesthetics, we now can reduce fat non-surgically and tighten the skin with an in-office procedure and no associated downtime, by utilizing the Vanquish ME and Exilis Ultra technology from BTL Aesthetics.

Skin care is also important when trying to reduce the signs of aging especially in the summertime, as it can create firming and evenness to skin tone, as well as reduce the signs of aging and reduce the risk of skin cancer.

What is Breast Augmentation?

Breast augmentation is the enhancement of the female breast contour, shape and balance by using either breast implants and/or fat grafting from the patient. Breast implantation surgery has advanced significantly over the years, with more choices of implants that have a greater longevity and naturalness in function. After a professional assessment by your board-certified plastic surgeon, breast augmentation is a very popular procedure and can be done safely as an outpatient procedure, resulting in a natural balance to the body and improved patient confidence.

Breast Implant Choices & Decisions

Breast implants are now available with a unique cohesive or form stable gel that maintains its shape and has greater longevity than ever before. Cohesive gel has the consistency of Jell-O, which makes it last longer and achieve more natural results than traditional gel breast implants or saline implants.

Most importantly, the implant that is chosen should be proportional in dimension to the patient’s body in order to achieve natural results. Implant options are available and may be anatomical teardrop shaped, or a round contour. Each implant has significantly potential advantages depending on the patient’s overall aesthetic goals. When performed properly, the breast implant is placed underneath the breast gland or underneath the pectoralis muscle below the breast and does not actually contact or enter the breast gland.

Does a Breast Augmentation improve self-esteem?

Studies have proven that a patient’s confidence can be improved with an appropriate breast augmentation procedure for those patients who have less breast development or who have lost breast tissue after pregnancy or weight loss. It’s also important to understand that appropriate breast implant surgery can enhance the female silhouette without having any indication that there has been any surgical intervention when done by an experienced, board-certified plastic surgeon.

The location of the incision for breast augmentation is variable, but in our experience, the most appropriate and safe location is in the fold underneath the breast, which allows for the best visualization and safety, as well as precision in placing the implant. These options all can be discussed with your plastic surgeon depending on your body type and current shape of your breasts as well as your goals.

Importance of Certification for Breast Augmentation Procedures

It’s most important for every patient to understand that breast implant augmentation is a surgical procedure requiring training, skill and experience. Every patient should do their homework, and carefully choose a board-certified plastic surgeon with experience in breast surgery and aesthetics. ASAPS is a professional organization of board-certified plastic surgeons that have special experience with cosmetic procedures, appropriate credentialing, and proven results.

Patients should always be careful and cautious when choosing a provider for aesthetic procedures as well as where they get their information, as this is directly related to reducing the risk of complications and obtaining favorable results. When done properly by a board-certified plastic surgeon, patients can expect a naturally appearing soft breast that is balanced with their body’s shape. The goal of breast augmentation as with any appropriate aesthetic procedure is a natural and safe result that will improve self-confidence as well as quality of life for each patient.

Request your private consultation with Dr. Frank Barone for breast augmentation today!

The Importance of Certification for Surgical and Non-Surgical Procedures

When choosing a surgeon for both surgical and non-surgical procedures, make sure to do your homework. Is the surgeon board certified? More importantly, are the doctor’s board certification specifically in the specialty related to the procedure which you are considering?  Are they knowledgeable in the treatment you desire? Here, board-certified plastic surgeon Dr. Frank Barone will discuss the important of certification for both surgical and non-surgical procedures.

Plastic Surgery Board Certification Importance

The single most important factor in a cosmetic outcome or procedure is the physician that is selected. Any medical doctor can perform an aesthetic procedure, cosmetic or otherwise, in their own office, so it is important for patients to use great care in selecting a physician who is credentialed in the procedure that he or she is performing. Non-surgical procedures are done by many physicians, as well as other professional healthcare providers, and consequently, results can vary since there’s no certification on many of the providers performing these procedures.

Board-Certification Training

In order to obtain consistent and safe results, it’s important to look for a physician that is board certified in the specialty of the procedure that he or she is performing. This ensures that that physician has undergone training by an accredited board and has completed certain criteria to complete that training. This is important not just for surgical procedures, but also in non-surgical procedures such as injectables, laser procedures, micro-needling, and a variety of other aesthetic treatments. The high demand for these procedures, combined with the lack of experienced professionals who are certified and trained in those areas, has led to a number of complications and unfavorable results. It’s very important for patients to do their homework and be sure that their provider is adequately trained and credentialed in the procedure they’re performing.

If you are located in the Toledo area and have any questions, or would like to schedule a consultation with board-certified plastic surgeon Dr. Barone, contact us today at (419) 464-9422.