Swanson Center Blog

Breast Implants: Why Smooth is the Better Choice

Eric Swanson, MD - Monday, May 22, 2017

Some women may choose silicone gel implants while others choose saline implants (which are filled with salt water). The advantage of silicone gel implants is a more natural consistency, more like breast tissue. Saline implants feel more like a water balloon. At least that is how the implants feel when you hold them in your hands. Of course, once a breast implant is in your body, there is a layer of breast tissue and usually muscle (when the implant is inserted under the muscle) covering the implant, reducing any difference in how they feel. There is a difference in breast implant prices. Silicone gel is more expensive.

 

Then there is the shape of the breast implant to consider. Should it be round or shaped like a teardrop? Shaped implants are often called anatomical or form-stable. They tend to be a little firmer than round implants to help keep a teardrop shape. Shaped implants are textured, meaning they have a rough surface. They are designed this way so that the implant sticks to the tissues and resists movement. If a shaped implant moves, it may rotate, producing an unnatural breast shape. Rotation is not an issue for round implants. It does not matter is a round implant rotates, the breast will still look the same. Round implants are usually smooth because there is no need for them to adhere to the tissues.

 

We used to think that a textured surface helped prevent a complication called a capsular contracture. The body always forms a layer of scar tissue around a breast implant. Sometimes this layer contracts down on the implant and makes it feel hard, which we don't want. Texturing was thought to prevent this problem. However, it is not clear that texturing really works to prevent capsular contracture, especially when the implant is placed under the muscle.

 

Now there is something new to consider. Over the last decade, a number of women have developed a serious health concern, called anaplastic large cell lymphoma associated with breast implants, or BIA-ALCL.

 

Although this tumor is treatable and the prognosis is typically excellent, deaths have occurred - a total of 9 to date. We don't really know why, but this serious problem has been linked to textured implants. Fortunately, there is no evidence that a textured, shaped implant is superior to a smooth, round implant. So there is no need for texturing. I have not used textured implants since the 1990s. I prefer implants not to be too firm. Ideally they should move a little and jiggle like natural breasts.

 

Today it is difficult to justify using textured implants, given what we know about the extra problems associated with them, which include late seromas (fluid collections occurring >1 year after surgery) and BIA-ALCL.

 

Breast implant prices in Kansa City are comparable to those found in the Midwestern region of the United States. Of course, breast implant prices should not be your deciding factor. More important considerations include the type of implant you choose and your surgeon. To reduce the risk of complications, women are best advised to choose smooth, round implants. Breast implant prices are also less for these implants. Surveys show that patient satisfaction after breast augmentation is unsurpassed among cosmetic surgery procedures.

 

 

What is a "Facelift"?

Eric Swanson, MD - Monday, April 17, 2017

 

As you consider a facelift in Kansas City, and the prices associated with it, start first by truly understanding the procedure. A facelift remains one of the most effective and popular procedures used by cosmetic surgeons to provide true facial rejuvenation, especially when combined with other procedures such as forehead lifts, eyelid rejuvenation, fat injection and laser skin resurfacing. When a facelift is properly performed, it can do wonders, and there is no substitution, regardless of other advertised procedure’s claims. The facelift is a technically difficult procedure to perform, and results can vary greatly from surgeon to surgeon. It is critical that the surgeon be skilled and experienced. The facelift is the hallmark of a cosmetic surgeon’s anti-aging capabilities. It is a complex procedure that, like rhinoplasty, can never be fully mastered. There is little margin for error, and the surgeon must bring his or her A-game to the table.

 

A properly performed facelift in Kansas City, will not result in a totally different look, nor will it make someone in their 50s look like someone in their 20s, a fact which patients usually find comforting. Instead, a facelift reverses many of the effects of time and gravity on the face, such as sagging skin, jowls, and deep wrinkles. Patients feel that after surgery they look similar to old photographs of themselves. Family and friends may not even realize that any procedure was done, but comment that they just look really good.

 

In addition to the proper technique for elevating facial tissues, the “deep-plane” facelift, we now recognize that other signs of aging benefit from treatment, including changes in the skin surface, such as brown spots and wrinkles, and loss of facial volume. These changes of aging have largely been overlooked by plastic surgeons in the past but fortunately we now have the technology to effectively treat these changes with the use of laser skin resurfacing and fat injection.

 

Click here to read more about our facelift procedures in Kansas City, and the prices associated with it. Or, contact us today at (913) 663-1030.


 

A New Book From Dr. Eric Swanson

Eric Swanson, MD - Wednesday, March 08, 2017

 

Dr. Swanson, a plastic surgeon in Kansas City, is proud to announce the publication of his new book, “Evidence-Based Cosmetic Breast Surgery,” published by Springer and available at amazon.com. The book is due by the end of April, 2017, in time for the meeting of the American Society for Aesthetic Plastic Surgery. Dr. Swanson will be giving a 2-hour instructional course titled “All Seasons Vertical Augmentation Mastopexy,” on May 1, 2017, at the meeting in San Diego. This course was sold out at the American Society of Plastic Surgeons meeting in Los Angeles in 2016.

 

Although the book is written primarily for plastic surgeons, the writing style avoids jargon. It will be useful to the layperson with a keen interest in this topic.

 

For more information contact Dr. Swanson at 913-663-1030.

Why Lifting the Breasts Doesn't Work Without an Implant

Eric Swanson, MD - Thursday, December 22, 2016

You'd think that the plastic surgeon could take the breast tissue that has fallen, stuff it into the top of the breast, tighten the bottom part, and voila, the sagging breast is now a youthful attractive one.

Problem is, it doesn't work. Women are not surprised when I tell them that it just isn't possible to get the breast tissue to stay in its lifted position. Breast tissue just doesn't hold its shape well, which is why the problem happened in the first place.

Instead, we need to remove extra breast tissue from the bottom and add to the top using a breast implant. This is called the "minus plus" principle, which was coined in the 1980s by Dr. Daniel and co-authors.

The good news is that a breast implant works very well to fill out the upper breast pole. I tell patients, the worst thing about breast implants is that they are not just like natural breast tissue. The best thing about breast implants is they are not just like natural breast tissue.

When they see me in the office, women often lift their breasts in the cups of their hands and say, "this is what I want." These women will not be satisfied with a breast lift alone. They need a lift and implants too. This combination is called augmentation/mastopexy.

Some women want the sagging corrected and are OK with not filling out the upper poles. Of course, a bra can provide this effect. But women who desire upper pole fullness naked, in a bikini, and without a bra should consider implants, even small implants.

Some women do not want implants because they just don't like the thought of having a foreign material in their bodies. And that's ok. However, saline implants just contain water. If they leak, it's just water, not silicone gel. Women who do not like the thought of having implants might consider saline implants.

It's important for women to know that a breast lift makes the breast smaller. So if they want to stay the same size, they should consider implants. A skin-only breast lift (the surgeon just tightens the skin envelope without removing breast tissue) is unlikely to provide long-term correction.

Women need to know what to expect, so they don't undergo a procedure that is unlikely to deliver the results they want. This goes for any type of cosmetic surgery.

 


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