Our newest team-member, Hannah, wrote some notes after a discussion about breast implant types, different manufacturers and abbreviations regarding the different breast implants.
Here are her excellent notes:
Today Karla hosted a meeting where she encouraged us to ask any questions so we could have an open discussion. We ended up spending the majority of the time talking about the different types of implants and their abbreviations.
Here are the Breast Implant notes that I took:
In 2006 Mentor and Allergan both came out with a gel implant. This implant was commonly referred to as the “gummy bear” implant. Before these implants got approved, only patients who were participating in a study could get gel implants, and only saline implants were readily available. These same gel implants are still widely used today. Even if this implant is cut open, the gel will stay together, which is why they are referred to as cohesive silicone gel implants. Textured teardrop shaped implants were released that were highly cohesive and offered by both Natrelle and Mentor. Allergan called their version of the highly cohesive anatomically shaped implants “Style 410.” Highly Cohesive Silicone Gel Matrix holds its shape whether you are standing or sitting. Many patients referred to the highly cohesive implants as “gummy bear implants” as well. These will hold shape while standing, but because they are anatomically shaped, they will have less fullness at the top and the implant pocket must be very tight to minimize risk of rotation. Specifically the Allergan Style 410 have been linked to late forming seroma.
Allergan Inspira Responsive
Low Profile- SRL
Low Plus Profile-SRLP
Moderate Profile- SRM
Full Profile- SRF
Extra Full Profile- SRX
Allergan Inspira Cohesive
Low Profile- SCL
Low Plus Profile- SCLP
Moderate Profile- SCM
Full Profile- SCF
Extra Full Profile- SCX
Mentor Breast Implants
Moderate Classic- MC
Moderate Plus Profile- M+ or MPP
High Profile- HP
Ultra High Profile- UHP
Silicone Gel Implant History
Silicone gel implants were available way back in 1960s, and they are pretty much the same gel as the ones that were approved in November 2006.
They’d been used for decades and were taken off the market because of lack of safety profile studies. When the studies showed that the silicone gel implants were safe, they were brought back on the market in Nov 2006.
Takeaway from Breast Implant Types Meeting
The biggest takeaway from this meeting is that there is so much information about these implants online. The patients often have a hard time keeping the information straight, so the guidance from a very experienced plastic surgeon is invaluable. This is why the consultation is such an important aspect of the surgical process for patients. Many times, patients think that they can get the same look as their friend, but their body affects the final outcome just as much as the implants do.
Thank you Karla for this very educational lunch meeting!
This is a really good question, so I am going to share my response to this question with the rest of the office.
Are there any specific limitations for patients who want multiple surgeries performed at once including Breast Augmentation? I know one is if the patient has ever had gastric bypass, due to the fact that the minimal amount of nutrients consumed adds a certain caveat to healing.
The main limitations to having multiple surgeries at once are:
Patient’s health – can they withstand the stress of having multiple surgeries at once?
Length/Duration of surgery when multiple surgeries are combined – I generally try not to do surgeries under general anesthesia that last more than 6 hours – having said that, I have done some surgeries that are about 7 hours or more, but it is not my preference to do such long surgeries because the longer the surgery duration, the more potential perioperative complications such as infection, wound healing issues, etc. can happen.
Surgeries requiring different types of anesthesia– I usually do not combine surgeries that usually are done with different types of anesthesia, ie, general vs. local or local with IV sedation. There are some physiologic differences for these different types of anesthesia; and some surgeries are better done under one vs. another.
Gastric bypass status – you mentioned this issue. And indeed this is one of the factors that I take into consideration. Reason: Gastric bypass patients are immunocompromised and they have a surgically altered gut system that purposefully creates malnutrition for them. Therefore, they generally do not heal as well. The malnutrition is not because they eat very little; whatever they eat, the nutrients generally don’t get absorbed, because they get a big portion of their gut cut out and the portion of the gut that gets cut out is the main area for nutrient absorption. And that’s how they lose weight; it’s not because of the amount they eat; its’ the decrease in absorption surface area. Because of that, most of them are not as healthy as someone who’s never had such a surgery. And gastric bypass truly should be reserved for treating medical conditions that are resistant and nonresponsive to non-operative treatments.
I hope that answers your question. If anyone has any questions about above, please let me know. J
We had a new employee start with us recently and this question was asked which I thought was good and we can share with the rest of the world interested in Breast Augmentation:
What are the six measurement taken during breast consultation? And what impact do they have on choosing implant size and placement?
Breast Consultation Measurements which I record:
The six measurements taken when people come in for augmentation consultation consist of the following:
Sternal notch to nipple distance (2)
Sternal notch to inframammary fold (2)
Base width of the breasts (2).
These measurements help me decide which implants are best for the patients, both in size as well as style. I generally let the patients choose the volume of the implants, and I use the measurements to ensure that we pick the proper style or profile for them, so that the implants are not too big or too small for the patient.
For Breast Augmentations, Dr. Tammy Wu uses the Keller Funnel. This is a special device that allows for a “no-touch” technique which protects the breast implant from possible problems such as infection and possibly capsular contraction. And it also allows potentially for a smaller incision on the skin.
Dr. Tammy Wu has known about the Keller Funnel for many years, but it was at the Plastic Surgery Meeting (The Meeting in Los Angeles) in 2016 where she was able to talk to the representatives of the company and set up several subsequent breast surgeries with representative support from the Keller Funnel Company. She has been using the Keller Funnel since and she is extremely happy with this product, as are her Modesto breast augmentation patients.
Dr. Tammy Wu has been operating every single work day since she came back from her Sacramento meditation retreat.
Dr. Tammy Wu founded Surgical Artistry in Modesto along with her surgeon-husband, Dr. Calvin Lee in 2006. She focuses her work on Breast Augmentations and Tummy Tucks. Her husband specializes in Acupuncture and Cosmetic Injections (Botox, Kybella, Fillers, Veins). The Keller Funnel is one example of how they strive for the best results for their patients every single day.
More information regarding the Keller Funnel for Breast Implants