Breast Blog

Am I Too Old for Breast Implants?

Posted by on Oct 31, 2019 in breast-implants | 0 comments

Absolutely not. There’s nothing wrong with wanting to look as good on the outside as you feel on the inside, no matter how old you are. If cosmetic breast surgery would make you feel better about how you look – in clothes or out – there’s no reason to rule it out.

To date, my oldest patient was 72. She had small breasts and had been thinking about getting breast implants for a very long time. She had a new boyfriend, and the time was right for her.

She’s not alone. According to the American Society for Aesthetic Plastic Surgery, more than 50 percent of breast augmentation patients are over age 35.

In my experience, older patients are highly motivated; they’re ready to make a change. They tell me that they’re fit and they feel good – younger than their age. Their kids are older and they have more time to take care of themselves.

What women want to know when they come in for a free consultation is if breast augmentation surgery can accomplish their goal. We answer that question by looking at before-and-after photographs of actual patients who started out similar to them in height, weight, frame size and breast volume. Read: Can You Make Me a Full C Cup?

No matter what you’re age, you’re never too old to look at before and after photos!

No matter how old you are, your general health will be evaluated to make sure that you can tolerate surgery, that you will heal well, and that surgery won’t make your condition worse. If it’s appropriate, your doctors will be contacted for medical clearance.

Depending on your age and family history, you may be asked to get a mammogram before surgery. The American Cancer Society recommends mammography screenings for women 40 and over and for any woman whose mother or sister has a history of breast cancer.

After surgery, at their post-op visits, older women have told me: “The process was so much smoother than I expected.” “Your staff and the hospital were terrific.” It was much easier than childbirth!” And “I can’t believe I waited so long.”

In her thank you note, a recent patient wrote: “Imagine: I never shopped for a bra in my life, never knew what it was like to have breasts, so to speak, and I was 43! I remember feeling unsure about my decision to have a breast augmentation, doubting whether I should invest so much in my physical appearance. But it has proven to be incredible; the breast augmentation surgery shifted my whole sense of myself as a woman as I gained unexpected confidence, pride and sensuality.”

Another patient wrote this: “Why didn’t I do this sooner? Finally, at age 58 I feel like a woman. I used to think my very flat chest was just me. But I found a whole new me – a new and improved version of the old me. I should wear a T-shirt that says: I waited 58 years for these and thanks to Dr. Eisenberg I have them!

Can I Get a Mammogram If I Have Breast Implants?

More than one-third of a million women in the United States have breast augmentation surgery each year, which means that radiologists are likely to have experience evaluating breasts with implants. When you register for your mammogram, the staff will likely ask you if you have breast implants. If they don’t, you can let them know. To maximize the amount of breast tissue that can be seen, the technician will gently displace (push up) the implants and will take extra views of each breast. Watch: “Can a Mammogram Break a Breast Implant?”

World Record Holding Plastic Surgeon Remains Top Cosmetic Breast Surgeon in Philadelphia

Posted by on Sep 26, 2019 in breast-augmentation | 0 comments

The Towers, Suite 102

2375 Woodward Street

Philadelphia, PA 19115

United States

1-888-SHAPE-12

https://www.lookingnatural.com

 

Philadelphia, PA – Dr. Ted Eisenberg, a plastic surgeon at Philadelphia’s LookingNatural.com, is the first and only surgeon in the city to dedicate his practice entirely to cosmetic breast surgery. After performing more than 6,600 breast augmentation surgery procedures in his lifetime, Dr. Eisenberg has become recognized as a leading authority in his industry.

Despite his practice’s record-breaking procedures, Dr. Eisenberg attributes his success to his caring and knowledgeable staff. He promises that women will leave his office with accurate and honest information, happy that they took time to get their questions answered.

As a result, the practice has benefited from years of word-of-mouth advertising.

Silicone gel implants are recommended by the FDA and the manufacturers for women 22 and older. Saline implants are available to women ages 18 and up. Although the majority of Dr. Eisenberg’s patients fall in the latter range, young women who have not developed often tell him that they feel self-conscious when they are on the beach and that they can’t find clothing or swimsuits that fit. They don’t want to wait several years for surgery.

Dr. Ted Eisenberg stresses that saline implants provide a natural feel and appearance, despite the perception that silicone offers a more natural look. Another important benefit of saline implants is that they are inserted prior to being filled, which means the incision made in the crease beneath the breast is smaller in comparison to the one required for silicone implants. 

There is a limit to how large an implant can fit behind the chest muscle, and it’s dependent on the width of each breast. A saline implant acts as a tissue expander, which means a woman can sometimes get a slightly larger size than she could with a silicone gel implant.

Dr. Ted Eisenberg and his team at LookingNatural pride themselves on the care they give their patients. Those interested in silicone or saline implants are encouraged to make an appointment with Dr. Eisenberg at his Philadelphia office to get more information about breast augmentation surgery and their options.

Contact Name: Ted Eisenberg

[email protected]

 

Breast Augmentation Surgery in the Hospital: It’s a Smooth Operation

Posted by on Jul 19, 2019 in breast asymmetry | 0 comments

While some doctors choose to perform breast augmentation and breast lift surgery in an outpatient surgicenter, I’ve chosen to do all of my surgeries in the operating room at Nazareth Hospital in Northeast Philadelphia. Here are a few of my favorite things about working in the operating room there.

When I joined the Nazareth Hospital staff 20 years ago, I felt like I had found my surgical home. It’s a little bit like the bar in Cheers, the ’80s sitcom, “where everybody knows your name.”

Through the years, I’ve gotten to know scores of people who work in the OR – anesthesiologists, nurses, technicians, etc. It feels like a family; some people have worked together for as long as 30 years. We celebrate birthdays, marriages, and retirements. I’ve seen that the concern for each other translates into concern for each patient.

Sterling Gray and his watercolor, “The Color of Love.”

I’ve worked with people from Korea, India, Italy, the Philippines, Russia and Peru and learned about their cultures – along with several words in their languages. (You might not be surprised to know that one of the words I learned is “breasts”!) One of my co-workers is an accomplished painter; his paintings are hanging in my office and in my home.

I appreciate the hospital’s high standards. The administration reviews each surgeon’s credentials and training and requires board certification as a prerequisite for joining the staff. Nurses and staff participate in weekly in-service trainings and must earn continuing medical education credits to maintain their licensure.

I work with talented, competent and sensitive colleagues, and we enjoy exchanging ideas, discussing the latest medical research, and sharing suggestions to improve the patient experience. Every nurse and assistant in the OR is cross-trained and experienced with cosmetic breast surgery, so they can fill in and support each other.

The hospital offers great support – like a good bra! Patients get a blood test for pregnancy as part of their pre-surgical testing, but if the test needs to be repeated the morning of surgery, we can get it done and have the results back in minutes.

Dr. Eisenberg in the OR at Nazareth Hospital.

If a patient tells me she smoked weed before she came in for surgery, the anesthesiologist is on hand to decide whether or not it’s safe to have breast implant surgery. There is ample staff, and they will sleep over in bad weather if necessary. The hospital never closes; in the event of a power failure, they have generators. The hospital is located just a mile from my office, which makes it convenient for me and for my patients.

Although complications are rare, surgicenters must have a plan in place to transfer patients to a hospital in the event of unanticipated medical complications. It’s comforting for me to know that the hospital’s emergency room is just an elevator ride away. I think of it like homeowner’s insurance. You hope there’s no emergency, like a fire or a flood, but if there is, you’re glad you have protection.

Breast augmentation and breast lift surgery, with or without implants, do not require an overnight stay; patients go from the short-procedure unit to the OR to the recovery room to the post-op lounge – all on the same floor. My patients confirm my feelings about Nazareth Hospital. We conduct a survey post-op in which the patients get a chance to evaluate the hospital staff. They consistently rate them 10 out of 10. Likewise, a number of patients have been nurses who are employed at other hospitals; they routinely comment that their experience exceeded their expectations. Read More: “Can You Make Me a Full C Cup?”

One woman wrote, “I’ve had surgery at other hospitals and have never quite received the care, thoughtfulness and cooperation as I did from the members of your staff. Several people were there to help me, and someone was constantly at my side asking if I needed or wanted anything. They strived to keep me as comfortable and happy as they could. I’m sure their job sometimes goes unrecognized by others, but I couldn’t let this experience go by without giving recognition where it is due. Thank you again for all your support.”

 

Correcting Breast Asymmetry: They’re Sisters, Not Twins

Posted by on Jun 17, 2019 in breast asymmetry | 0 comments

I got a private Facebook message from a young teen who was concerned that one of her breasts was bigger than the other. “It is normal for my breasts to be a little different in size?” she asked. She was wondering what she should do.

The short answer? I told her not to worry, to give it time. It’s not uncommon for breasts to develop unevenly during puberty, but by the time they stop growing they usually are more even. I also told her that there’s no such thing as perfectly identical breasts; most women have breasts that are slightly different sizes. It’s called asymmetry.

The long answer: In puberty, breast development can start first on one side or on both sides at the same time. It takes about 3-5 years for the glandular tissue to fully develop and for breasts to reach their full adult size. On average, most women are finished growing by age 18, although some might continue to grow into their early 20s.

That’s about the time the majority of women come into my office to find out about cosmetic breast surgery. They are still under the impression that breasts are supposed to be identical. Actress Jennifer Lawrence made headlines a few years ago when she announced on Jimmy Kimmel Live that her breasts were uneven.

“Before I started to work in Dr. Eisenberg’s office, I had seen very few breasts,” said Pat Smith, my accounting coordinator. “I didn’t have any sisters. We didn’t get undressed in front of each other in gym class; we didn’t talk about our breasts or look at each other’s. This might be the case for most women. I never knew that girls had concerns – that one breast might be smaller than the other, or that one might point down and the other up.”

Time after time, when a woman comes in for a consultation and looks at dozens of before and after photos, she is relieved to find out that she isn’t the only one with breasts of different sizes.

Few women have identical breasts: Breasts are sisters, not twins. The difference might be slight or more obvious. Chances are one of their feet is slightly larger than the other one, too. That’s because the two sides of the body are not perfectly matched mirror images. They are asymmetrical. Watch our video on breast asymmetry here.

Nipple position, chest diameter, the amount of breast tissue, and the location of the breast on the chest wall all contribute to the appearance of the breasts. When one breast hangs a little lower than the other, it might give the illusion of being bigger. It might also look bigger when there is a longer distance from the nipple to the inframammary fold (the crease beneath the breast). With all these variables, it is no surprise that no one has identical twins.

While some women are bothered by a size difference that’s as small as a few tablespoons, others don’t notice or don’t care. Some women address their concern by adding padding – or a “chicken cutlet” – to one cup of their bra; others opt to for cosmetic breast surgery.

If there’s a difference in the volume of the breasts, I can make them closer in size by enlarging them with breast implants of different sizes, augmenting the smaller breast, or reducing the bigger breast. I have operated on women whose breasts varied by as much as two-cup sizes, and I was able to make a significant improvement. While I cannot transform sisters into twins, I can make them look like sisters from the same family.

The First Chicken Cutlet: In Victorian England in the mid-1800s, girls were considered adults at the age of 15. If they had not developed enough to fit into the women’s clothing they were supposed to wear, they were given bosom pads to fill out the bodices of their dresses.

Do Breast Implants Need to Be Replaced Every 10 Years?

Posted by on May 24, 2019 in breast-implants | 0 comments

Several times a week in consultation, I answer questions like these:

“I need to replace my breast implants after 10 years, right?” Wrong.

“You did my breast implants 14 years ago and I’m still happy with their appearance, but a friend just had her 10-year-old implants redone because her doctor said she had to. Is that true?” False.

Breast implants don’t have an expiration date. They only need to be replaced if they deflate (saline) or rupture (silicone), and they’re not fragile.

It’s no surprise that women believe that implants have a shelf life, but what causes the confusion? Breast implants come with a free lifetime product replacement policy. Manufacturers also offer a 10-year warranty to defray some costs of implant replacement surgery. When women hear this, some assume they have to replace their implants after 10 years.

Vintage refrigerator ad: The new 1967 Admiral Duplex comes in 4 sizes and has the 5 features women want most!

Don’t be misled by the warranty. Your refrigerator comes with a warranty, too, but you don’t automatically replace it when its warranty expires. You’ll probably keep it until it breaks down, unless you are redoing your kitchen and want a bigger or smaller model.

Women sometimes opt to replace their implants for bigger or smaller ones after childbirth, weight gain or a change of heart. I recently removed saline implants from a woman who wanted to go bigger after 23 years, and her implants looked the same as the day I put them in.

About 1-3 percent of the 300,000-plus women in the United States who have a breast augmentation each year eventually have surgery to replace implants that have ruptured or deflated.

The most common reason that an implant breaks is because it develops a fold in one spot. Over time, that fold might move back and forth, weaken, and then break, in the same way that a paper clip might break after it has been bent multiple times. I’ve found that if an implant doesn’t deflate from fold failure in the first 6-7 years, the likelihood of this happening seems to decrease, not increase, over time.

Implant replacement requires time off from work, exposes women to the risks of surgery and anesthesia, and may require some out-of-pocket expense. As far as replacing implants every 10 years, my philosophy is: “If it ain’t broke, don’t fix it.”

What happens when a saline implant breaks:

When the implant shell tears, the saline solution leaks out quickly, usually within a few hours, sometimes in a couple of days. The implant deflates like a balloon, and the breast generally returns to its original size. Your body absorbs the saline and then you urinate it out. The saline cannot harm you: It’s the same concentration as the salt water that makes up about 60 percent of the human body.

What happens when a silicone gel implant ruptures:

When the implant shell tears, the cohesive silicone gel inside sticks together and is unlikely to leak. You might not notice a change in breast volume or have symptoms, which is why it’s called a “silent rupture.” There could be no problem, or the ruptured implant could irritate the surrounding healthy tissue and cause pain, hardness or capsular contraction. Either way, the implant needs to be replaced. To check silicone gel implants for rupture, the FDA currently recommends an MRI three years after surgery and every two years thereafter.