Sanctuary Plastic Surgery

4800 North Federal Hwy

Suite C100

Boca Raton, FL 33431

Creating Elegant Breast Enhancements Through Personalized, Board Certified Care.

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What are the risks of going too big when getting breast implants?

Question: 
What are the risks of going too big when getting breast implants?

Answer: 
The risk of going too big with breast implants include an unnatural look, unnatural shape, symmastia in which the implants are touching in the middle, bottoming out, and stretching of the tissues.

I have symmastia. My surgeon has said that he will switch to smaller implants and that this will solve the problem. Does this sound right?

Question: 
I have symmastia. My surgeon has said that he will switch to smaller implants and that this will solve the problem. Does this sound right?

Answer: 
Symmastia may not be fixed with just a smaller implant because the pocket is still open.  We like to use Strattice or acellular dermal matrix to help control the pockets when we’re fixing symmastia.

I would love to have larger breasts but I really dislike that look of the breast implants where the breasts look like two round balls on the chest.

Question: 
I would love to have larger breasts but I really dislike that look of the breast implants where the breasts look like two round balls on the chest. Is the shape more natural if you use fat instead of implants?

Answer: 
Fat might provide a more natural look but there also techniques with implants that can do this as well. It depends on the patient.  The sub-muscular placement doesn’t give the appearance of two round balls. Also, choosing the right size for the patient’s body is important for obtaining a natural breast result.

What is Strattice? What are the instances when it’s used in breast surgery?

Question: 
What is Strattice? What are the instances when it’s used in breast surgery?

Answer: 
Strattice is porcine acellular dermis. This is skin from a pig that’s been treated to have no cells in it.  We use it quite frequently for revision breast surgery and in primary mastopexy augmentation when the tissues are very thin.  In our practice, it has phenomenal results in treating capsular contracture.

I have symmastia. What causes this? Is it something the surgeon did wrong?

Question: 
I have symmastia. What causes this? Is it something the surgeon did wrong?

Answer: 
Symmastia is when the breast implants communicate in the central portion.  This can be due to over dissection of the tissues.  It is corrected with Strattice and correcting the pockets so they are not so close together.

How is breast reduction performed? Does the surgery lift the breasts at all?

Question: 
How is breast reduction performed? Does the surgery lift the breasts at all?

Answer: 
A breast reduction is really a breast reduction with a lift combined.  We excise skin and reshape the breast to lift the breast at the same time as the reduction.

What sort of results could I expect from a breast lift alone without implants?

Question: 
I’m really unhappy with my breasts since having my kids. They’ve lost their fullness and are very saggy. What sort of results could I expect from a breast lift alone without implants?

Answer: 
Patients who are unhappy with their breasts after children who have sagginess can often benefit from a breast lift.  Patients need to come in for a consultation so we can evaluate what the breasts looks like.  A breast lift will lift the breast to a higher position and get rid of some of the sagginess but it won’t provide a tremendous amount of added fullness.  For more fullness, implants are best in combination with the breast lift.

Can you explain what is a closed capsulotomy? And is this the right approach for someone with capsular contracture?

Question: 
My girlfriend has capsular contracture and her surgeon recommended something called closed capsulotomy. Can you explain what this is and whether or not it’s the right approach?

Answer: 
A closed capsulotomy is when you squeeze a breast to help pop a capsule contracture.  This is not considered the best procedure to use at present.  We treat most patients with capsular contracture with a surgical approach of complete capsulectomy, implant exchange, and usually Strattice placement.  However, with the new ultrasound system from Aspen Laboratories, we can sometimes treat this non-surgically.  Patients need to come in for a consult and we need to examine the patient.

Are results of natural breast augmentation using your own fat permanent?

Question: 
Are results of natural breast augmentation using your own fat permanent?

Answer: 
The result of natural breast augmentation with fat is a permanent procedure.  As patients lose or gain weight, there may be some change in the shape and size of the breast.

Is there a major difference between silicone and saline implants?

Question: 
Is it true that most breast augmentation surgeries today involve the new silicone implants? What are some reasons to go with saline instead?

Answer: 
Most of the breast augmentation procedures done in our office are with silicone.  The silicone implants feel more like a natural breast with less rippling.  Some women like to go with saline implants because they still have some unreasonable fear of silicone implants.  At this point, the silicone implants are considered very safe.  Other reasons for using saline implants are for women under age 22 because the FDA has mandated that you have to be 22 and over to get silicone implants.

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