Tim Sayed, MD, FACS, Author at La Jolla, San Diego | Tim Sayed, MD, FACS
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How Liposuction Kickstarts Your 2020 Diet & Exercise Resolutions

As the ball dropped on Dec. 31, millions of people around the world resolved to get fit and trim by the end of 2020. However, only a select few will see real results come 2021. The vast majority of people, no matter what kind of resolution they made (financial, educational, or physical), will give up within the first few months of the year.

Even if you do stay committed to regular exercise and a healthy diet, often, that won’t be enough to see the results you want. Fat is stubborn and incredibly hard to target on your own, especially in trouble areas like the thighs, back, abdomen, and love handles. So, what can you do to make your dream body a reality this year? We can help. With cutting-edge technology in the hands of Dr. Sayed, an expert board-certified surgeon, 2020 could be the year you look your best yet.

One of the most powerful tools we have to support your fitness, diet, and exercise goals is liposuction. This hugely popular procedure is the second most commonly completed cosmetic surgery (behind breast augmentation) in the world and for good reason. Dr. Sayed can precisely target pockets of unwanted fat and get rid of them in a single visit to our office. Don’t get stuck waiting on results to show up – make them a reality this year.

Why Resolutions Don’t Stick

What makes resolutions so hard to keep up with? The answer, according to Psychology Today, lies in behavioral science and our genetic code. A process called homeostasis governs humans. In short, when we expend energy, we need to rest to regain it. This process regulates everything from hunger to emotional investment, and most certainly, sticking to our goals.

Resolutions – which often don’t offer any instant gratification and usually involve changing habits – are especially exhausting. It makes perfect sense, then, that after even a few weeks of maintaining your new lifestyle, you’ll reach a point where you either fully commit, quit, or adjust your goals.

How can we help you prepare for that moment? Our entire team is here to help. We take on a personalized, holistic approach with each patient and love to become part of our clients’ support networks. For those who want trimmer bodies, body-sculpting procedures like liposuction can be an excellent way for us to help kickstart your fitness journey. You’ll see an immediate reduction in fat volume, and begin to look and feel your very best.

Liposuction is a commitment to the life you want to live. Once you’ve booked and completed your procedure, it will be all that much easier to motivate yourself to get and keep a body you love, rather than working toward slimming down in a body that lowers your confidence and may not even feel like you.

Liposuction’s Groundbreaking Technology: A Perfect Add-On to Diet and Exercise

Lipo has become the cornerstone of almost every common body contouring procedure, like Brazilian butt liftinghi-def abdominal liposculpture, and cosmetic and reconstructive fat grafting. Though it’s not a weight-loss surgery, liposuction can help you get rid of those last pockets of fat that don’t want to go away.

During the procedure, Dr. Sayed removes fat first by placing a cocktail of fluid medication into the fatty layer of the body. Alongside saline solution, these medications prep the tissue for safe and easy removal, lowering bleeding risk and providing anesthetic to reduce postop discomfort. Some patients may also require the use of devices like ultrasound (we like the Vaser brand) or lasers, which use targeted energy to help break up your fat cells and tighten the skin for a smoother result.

Liposuction is incredibly versatile, enabling Dr. Sayed to perform it in combination with cosmetic surgery in other areas of the body, including the facebreast, and alongside faceliftstummy tucksbreast lifts, and breast augmentationbreast reductionsBrachioplasties (arm lifts)thigh lifts, and other procedures.

Want to Learn More? Schedule a Consultation

It’s hard enough trying to commit to your resolution alone. This year, let us help you make your goals reality. Our expert team is here to provide the tools and support you’ll need to make 2020 your year.

If you think now’s the time to get the body you’ve been dreaming of, liposuction could be the perfect option.

To schedule a consultation at our San Diego or Newport Beach, CA, offices, give us a call at 858-24-SAYED, or contact us online today.

How to Get Your Prettiest Pout for Valentine’s Day

This Valentine’s Day, skip the flowers and chocolates and get your special someone something they’ll adore: your perfectly pouting, plump lips. There may not be any other day of the year where a perfect kiss could mean more.

Dr. Sayed can help you achieve beautiful results that fit perfectly into your lifestyle just in time for Feb. 14. For natural-looking lip enhancement that gradually fades over time, we recommend fillers. For results that last a lifetime, we can discuss fat transfer or lip implants.

Fuller lips have become all the rage from Hollywood to NYC, and for good reason: They look amazing. Celebs like Kylie Jenner, Jenifer Hudson, and Lady Gaga (to name a few) have all admitted to getting – and loving – fillers. Whether you’ve seen your lips gradually become thinner as your body’s collagen production slows down, have always had thin lips, or want to try out luscious, full lips, lip enhancement can help.

Fuller lips provide a youthful appearance that’ll boost your confidence and have you looking fabulous. If you’re ready to get that perfect pout this year and add some spice to your love life this Valentine’s Day, lip augmentation might be the perfect fit. Dr. Sayed has a range of cutting-edge techniques available to fit every lifestyle.

Fillers

Lip enhancement via fillers is a perfect way to try out fuller lips and surprise your loved one without needing to commit to surgery or permanent results. If you want that extra “wow factor” plump lips provide, fillers are a great first step.

We offer a range of different filler brands, which all work based on the same science, but have slightly different structural makeups. Depending on your desired result and treatment area, Dr. Sayed will help you figure out which one is best for you during your initial consultation.

We use the following products for lip augmentation:

  • Juvéderm® Ultra XC®
  • Juvéderm® Ultra Plus XC®
  • Belotero®
  • Restylane® Silk®
  • Volbella®

All of our fillers are highly effective, safe, and FDA-approved to restore any lip volume you’ve lost over the years. Dr. Sayed carefully injects the filler into your lips using a small cannula to create plumpness.

The thought of injecting the lips can seem painful to some, but many lip fillers have mild anesthetics (like lidocaine) to significantly reduce discomfort. For sensitive patients, we can apply additional topical numbing cream. Following your procedure, you may feel some slight swelling or discomfort, but it will pass within a day or two. Applying an ice pack to the area can help too.

After just a few minutes in the office, your results will be immediately visible, and you’ll be good to return to your normal activities – no downtime necessary. Over the next several months to a year, your body will naturally absorb the filler returning your lips to their previous volume.

If you love your fuller lips and want to maintain the new volume, we can plan for touch-up visits to prolong results indefinitely, or discuss more permanent treatment options.

Lip Implants

If you’re ready to commit to lifelong results, lip implants can create a gorgeous lasting enhancement. If you’ve previously gotten fillers and decide to take the next step toward implants, we’ll need to wait for your body to absorb the filler completely before we schedule your procedure.

Dr. Sayed can then place FDA-approved SurgiSil™ implants, made of solid, soft, unshaped silicone, via a small incision in each corner of your mouth. This technique requires a delicate touch and skilled hand but leaves no visible scarring. Dr. Sayed can also combine implants with fillers to create further sculpting and customization.

Fat Transfer

For those patients looking to create permanent enhancement but avoid implants, we recommend a fat transfer. Dr. Sayed will first use liposuction to remove a small amount of fat cells from another area of the body. He then purifies these cells to prepare them for transfer and ensure you get newer, healthy cells with a higher likelihood of survival. Then, after a careful injection into the lips, you’ll see lasting results. Dr. Sayed can also use this method to rejuvenate other areas of the face.

Ready for the Perfect Pout? Schedule a Consultation

Full, luscious lips are having a serious moment. Modern techniques and technology are more advanced than ever and can create superb results you’ll love. Whether you’re looking for a one-time special Valentine’s Day surprise or lifelong results, Dr. Sayed can help.

He is a board-certified plastic surgeon with extensive experience in cosmetic procedures on the head, neck, and face. To schedule a consultation at our San Diego or Newport Beach, CA, offices, please call us at 1-858-24SAYED or contact us online.

Can Breast Augmentation Help Female Runners?

Whether in parks, on pavement, trails, or treadmill, you love running, maybe competitively, burning calories like crazy. Your high basal metabolism burns still more calories sitting at a desk than the non-runner next to you. As a result, you may also burn body fat with streamlined efficiency, however, you may have noticed that your breasts are looking smaller since they’re made primarily of epithelial tissues and fat.

Some women are fine with a sleek athletic body, but you, along with many female runners, may feel a bit self-conscious about breasts that seem disproportionately small. Maybe you long for some curves to fill out your clothing in the right places. 

A breast augmentation may boost your confidence, and Dr. Tim Sayed can help you make the right decision, resulting in a new bustline that enhances your athletic build.

The following considerations allow you to explore the basic breast augmentation options for female runners.

The Right Size of Implant for Your Running Lifestyle

Have you feared that breast augmentation will make running awkward or painful? Selecting the right size of implants is vitally important in addressing this issue. You don’t have to sacrifice a flattering figure for your passion for running. 

When implants crowd the natural swing of the arms during a run or other cardio workout, the implant is too large and can cause back pain and awkwardness in running mechanics. Dr. Sayed will find the optimal cup size for your chest proportions to ensure a comfortable stride.

Implant Placement Above or Below the Chest Muscles?

While often implants are placed below the chest muscles (submuscular placement), Dr. Sayed may prefer a subglandular placement above the muscles for runners. This preserves both chest muscle strength and tone for athletic women. Subglandular placement carries an additional benefit of a shorter recovery after the surgery. However, certain under-the-muscle approaches may be preferable for individual body types and lifestyles.

Are Silicone or Saline Implants Better for Running?

The vast majority of women who get breast augmentation choose silicone implants, especially with the newer improvements in consistency and construction. Dr. Sayed agrees and finds that silicone implants provide a more natural display in harmony with the movements of most runners.

Allow Time for Your Procedure

If you need intensive training for an upcoming race, you’ll want to plan your surgery for after the event. For the first two weeks after your breast augmentation, you’ll be limited to short walks of low-intensity. Typically, you’ll need four to six weeks before beginning to re-establish your normal training or fitness regimen.

Dr. Sayed will let you know what you can expect during each phase of your recovery to enable you to maximize this intimate and personal investment in yourself. He is an experienced double board-certified plastic surgeon, proud to call his methodology, “aesthetics done right.”  

Contact us with your questions about your breast augmentation at 858-247-2933 for our Newport Beach and San Diego offices.

How to Evaluate an En Bloc Breast Implant Removal Surgeon

When a breast implant is placed into the breast, the body creates a capsule of scar tissue around it. Much of the time, this capsule will remain soft and malleable. If your implant ruptures, the capsule can hold the leakage in place, keeping it from escaping into the body.  This capsule is a good thing and helps protect your body and your implants. Capsules form anytime a foreign object is placed into the body; it is a natural form of protection your body uses to stay safe. 

Sometimes, the capsule will contract or harden, a condition known as capsular contracture. When this occurs, the breast may feel harder or the implant may become distorted. Capsular contracture can be uncomfortable. To treat it, we perform a procedure called en bloc breast implant removal. The implant and its surrounding capsule are removed together, with the capsule remaining intact. After the implant and capsule are removed, we can replace your breast implant with a new one. En bloc removal offers benefits when an implant has leaked or ruptured too, as it can help contain the leakage and protect the body.

Does Your Surgeon Have the Qualifications?

En bloc removal is a complex procedure, one that many surgeons don’t have the skill set to perform well. En bloc means as a whole, and in this specialized type of implant removal, the implant and capsule are removed in one unit. 

We like to think of the capsule surrounding your implant as a balloon. It is made of scar tissue, but it is delicate and easy to open. This scar-tissue balloon must be carefully separated from your breast tissues and removed through the inframammary incision created for the procedure. This precise dissection is a skill that must be honed through practice and training. If the capsule is opened, the biofilm, implant leakage, or bacteria can seep into the breast, potentially causing complications. 

Removal is often only the first step. If you’re hoping to remove and replace your implants, you’ll need a surgeon skilled in breast augmentation. If you’re not planning to replace your breast implants, you’ll need a surgeon that can carefully reconstruct your breast shape so it doesn’t look saggy or deflated. 

Look for these qualifications when choosing a surgeon for your procedure:

  • Specializes in breast surgery
  • Performs en bloc removal often
  • Board-certified plastic surgeon
  • Known for their precision and attention to detail

Dr. Sayed meets these qualifications and more. If you’re in the San Diego area, come in for a consultation to discuss your breast implant removal in more detail.

Do I Need En Bloc Breast Implant Removal?

En bloc implant removal isn’t always needed, but it can be beneficial to many patients, especially those experiencing complications with their breast implants. Removing the whole capsule keeps fluids, leaks, and biofilm contained, reducing the risk of future complications when new implants are placed. 

En bloc removal is recommended if:

  • You have capsular contracture
  • Your implant has a leak or rupture
  • You want to change your implant type or size
  • Your breast implants were placed many years ago
  • You want to remove and not replace your breast implants
  • You have implant rippling or distortion
  • You’re experiencing health complications that require breast implant removal

If you’re considering en bloc breast implant removal in San Diego, come in for a consultation with Dr. Tim Sayed. Contact our office at 1-858-24SAYED to schedule your consultation or learn more.

5 Reconstruction Options After Removing Breast Implants

Choosing to remove your implants is a major decision. Worries over the appearance of your breasts after explant surgery shouldn’t have to be one of your concerns. Of course, we understand this is a significant factor for almost all of our patients considering removing their breast implants. If you’re unhappy with your breasts for any reason, you deserve options, and we can provide them.

Dr. Sayed is a board-certified plastic surgeon with extensive experience and a deep understanding of every aspect of the breast reconstruction process. He has worked with women of all ages and body types and provides his expert opinion to help you achieve attractive, beautiful breasts after removing your implants.

Below we have listed some of the most popular and successful reconstruction options after implant removal. If you want to schedule a consultation or have any questions you’d like answered, please get in touch with our San Diego or Newport Beach, CA, offices by calling 858-247-2933 today.

Lipoaugmentation

Lipoaugmentation, which also goes by the names of fat transfer or a fat graft, is a somewhat recent innovation in breast reconstruction surgery. It provides stunning, natural-looking and feeling fullness post explant.

By removing fat tissue from other parts of your body — often “problem areas” such as love handles, thighs, abdominal area, or butt — via liposuction, Dr. Sayed provides holistic results to slim your figure. He purifies the extracted fat cells and carefully injects them into your breasts to provide volume, shaping, and an overall harmonious body contour. Though lipoaugmentation generally does not have the same capability to increase your breast volume as implants do, the results are often comparable.

A recent clinical study found that both patients and doctors to prefer the results of lipoaugmentation after explant surgery to implants themselves. If you are hoping for a natural-looking, transformative reconstruction, fat transfer could be right for you. For patients hoping for more comprehensive lift and sculpting, Dr. Sayed can combine this procedure with a breast lift.

A Breast Lift

After your implant removal, your breasts will be considerably smaller. The loss of volume can result in excess tissue causing your breasts to look saggy or deflated — especially if you have low skin elasticity. The change in size also can lead to your nipples and areolas looking unproportional in comparison to your new, smaller breasts.

For patients who undergo a drastic downsize, these symptoms can become quite pronounced. Luckily, a breast lift can efficiently address all of these issues and restore a youthful-looking, firmer, shapely breast contour with aesthetically pleasing nipple sizing and placement. Breast lifts do tend to result in additional scarring, but the majority of patients feel it’s worth it to get breasts they love. Plus, over time, when properly cared for, scarring tends to flatten and fade.

Swap Your Implants

If you are only hoping for a change in size or love the results of your implants but choose to remove them due to rare conditions such as capsular contracture, implant replacement can provide a gorgeous final result with minimal downtime.

Dr. Sayed can remove your existing implants using the same incision site as your initial enhancement (causing no extra scarring). He then inserts new implants of your desired size, shape, and placement to provide the results you want. Since your body has already developed an implant “pocket” and stretched to accommodate your initial implants, the recovery time tends to be considerably less extensive than your initial augmentation.

Breast Reduction

Some women want to return to their natural breasts due to discomfort or increased neck and back pain caused by their breast enhancement. In that case, a breast reduction after implant removal can provide instant relief. Performed similarly to a breast lift, often using the same incision patterns, a breast reduction varies in how much tissue Dr. Sayed removed from your breasts.

DIEP Flap Breast Reconstruction

Using tissue taken from targeted areas of your body, DIEP Flap breast reconstruction restores symmetry and provides natural-looking results. This procedure is ideal for women hoping to achieve smaller breasts after explant surgery. Generally, this technique requires a short recovery period and minimizes any discomfort or risk of complications.

Schedule a Consultation

Whether you’ve been on the fence about removing your implants for a while, or are just beginning to consider this as an option, you don’t need to worry about what your breasts will look like after explant surgery. Dr. Sayed, a skilled, board-certified plastic surgeon, can help you craft a breast contour you love.

If you’d like to schedule a consultation, please give our San Diego, CA, office a call at 858-247-2933 or contact us online.

Breaking Down SoCal Breast Lift Costs: What Will You Pay?

The cost of a breast lift in SoCal isn’t black and white. Rates can vary from practice to practice, and even two patients seeing the same surgeon can end up with very different price tags. Why? Several factors come into play when determining the cost of this transformative procedure: a practice’s location, the type of anesthesia necessary for your procedure, the surgical venue you choose, your surgeon’s rate, and pre/post-op expenses tend to be the most significant deciding components of how much you’ll pay.

During your no-obligation consultation, Dr. Sayed, a board-certified plastic surgeon, will cover all the information you need to know about your breast lift, including estimated costs. We strongly encourage you to ask any questions you have about pricing, insurance, and financing before you make your decision.

Below, we’ll break down the different costs of a breast lift in Southern California. If you have any further questions or would like to schedule a consultation at our San Diego or Newport Beach, CA, offices, give us a call at 858-247-2933 today.

Extent of Your Breast Lift

Perhaps the most significant factor in determining breast lift costs is the extent of your procedure. Patients with severely drooping breasts may require a breast lift in combination with breast augmentation. If this is the case, the overall price will increase, though combining the procedures is a far more cost-effective option compared to performing them separately. If you choose to undergo your lift as part of a mommy makeover, cost assessments can also vary.

If you receive a breast lift alone, the procedure time can vary depending on your desired results. Minor breast lifts can take half the time of a full breast lift, such as an inverted-T mastopexy, requires. Therefore, minor lifts (like a crescent breast lift) tend to cost between $6,500 to $7,500, while major ones (such as an anchor lift) could range between $9,000 to $12,000.

Your Surgeon’s Expertise

Working with a highly skilled, experienced, and trained surgeon sometimes affects the cost of your procedure. Board-certified surgeons, like Dr. Sayed, invest in continuing education, the latest cutting-edge techniques, and providing their patients the highest levels of care. We work with all our patients to ensure procedures are affordable while not cutting any corners to ensure your safety and ideal results.

Just as with nearly everything else in life, when it comes to cosmetic surgery, you get what you pay for. Though the fees for working with an expert surgeon may be relatively higher, the extra cost provides you with the best quality treatments, techniques, and personalized care from an experienced doctor.

Anesthesia and the Surgical Venue

The type of sedation and anesthesia necessary for each patient varies widely. If your procedure requires general anesthesia, the total price will include the cost of an anesthesiologist or a certified anesthetist nurse. Further, depending on where we decide to complete your procedure can affect costs. During your consultation, we will discuss all the options.

Practice Location

Depending on where your surgeon works, prices shift based on local economies, demand, and average incomes. Less expensive rates might be available in some cities, which is why destination surgery has become so popular among cost-conscious patients. Traveling out of town for your procedure can sometimes end up saving you a good chunk of change. In general, urban centers and more metropolitan areas tend to be slightly more expensive, due to practices bearing higher real estate costs and overhead. 

Cost of Materials

If you choose to combine your lift with breast augmentation, as we’ve mentioned, prices usually increase. Prices vary depending on the type of materials required. In general, saline implants are cheaper than silicone (usually around $1,000 less). However, just because the price is lower does not mean a particular implant type can provide your ideal results. Dr. Sayed will listen to what you want your finished breasts to look like, and provide his guidance to help you choose what’s right for you. Any additional cost will be worth it in the long run.

Schedule a Consultation

Though insurance doesn’t usually pay for breast lift surgery, since it’s an elective cosmetic procedure, Dr. Sayed offers a range of financing options to help you achieve the breasts of your dreams. He is a board-certified plastic surgeon with particular expertise in breast anatomy.

If you think a breast lift might be right for you and want to schedule a consultation, please call our San Diego, CA, office at 858-247-2933 or contact us online.

Capsular Contraction Corrections: Which Choice Is Best for You?

Regardless of the skill of your plastic surgeon or how perfectly your implant surgery goes, there is a small chance that complications may arise during or after the procedure. Everybody is unique, and each person’s breast tissue heals and accustoms to foreign objects differently.

From the same surgery, some patients may only see subtle scarring that fades over time while others can develop thick scar tissue. Complications are very rare thanks to the modern advances in surgical techniques, and surgeons’ have developed increased abilities to predict which patients have a higher likelihood of experiencing any complications.

However, a small percentage (under 10 percent worldwide) of women may begin to develop capsular contraction. A natural bodily response to the implant procedure, contracture can progress through four stages if left untreated (though the later stages are incredibly rare). At each “grade” of contracture, you have options to reverse any discomfort and get great-looking results. Dr. Sayed offers several treatments to fit your unique circumstances.

Read on to learn more about which is right for you. If you have any further questions, please don’t hesitate to give our San Diego, CA, office a call today at 1-858-247-2933.

Non-invasive Options for Treating Early Stages of Contracture

Initially, after surgery, several options can treat any early complications and improve implant appearance. Two of the most effective are self-massage and ultrasound therapy. 

Self-Massage

Massaging your breasts as they heal can prevent capsular contracture, as it encourages breast tissue to remain pliable.  However, it is essential to get permission and guidance from Dr. Sayed before massaging your implants. This ensures you conduct self-massage properly so you will not disturb the tissue of your breasts as they heal from surgery, possibly damaging the tissue inadvertently and making capsular contracture more likely.

Ultrasound Therapy

Ultrasound Therapy has been one of the most popular and successful advances in treating early stages of capsular contraction. It is entirely non-invasive, pain-free, and does not increase the risk of capsular contracture in the future.

During the procedure, a special device utilizes precise ultrasound waves to encourage healthy collagen grown. This therapy increases elasticity around the implant and within the breasts, to make them feel more soft and pliable.

Generally, the therapy is completed over two or three weeks in combination with antibiotics to target capsular contracture’s root cause. Studies have shown ultrasound therapy to be effective in treating and reversing grade two and grade three cases of capsular contracture.

Treating Advanced Capsular Contracture

For patients who develop more advanced cases of capsular contracture (grade three or four), surgical interventions may be required. Here are the most effective options available:

Capsulectomy

A capsulectomy is complete or partial removal of the affected implant as well as the surrounding capsule. Dr. Sayed will replace the implant during capsulectomy to avoid any chance of contamination and infection.

In some cases, changing the implant pocket location may decrease contracture. For instance, if your implant was previously beneath the chest muscle, the new implant may be placed above the muscle to lower the chance of recurrence.

Capsulotomy

During a capsulotomy, Dr. Sayed will score or otherwise partially release the capsule, allowing the implant to better settle. In most cases, Dr. Sayed will make an incision into the capsule and perhaps remove some of it. Some patients require an implant replacement during capsulotomy, in which case Dr. Sayed will remove and replace your existing implant.

Implant and Capsule Removal Without Replacement of the Implant

While most clients wish to save their augmentation in the case of capsular contracture, some opt to remove their implants and capsule entirely without replacement. This procedure is known as en bloc breast implant removal and is one of the safest and most proven ways to reverse grade four capsular contracture.

Once Dr. Sayed has completed this procedure, you will be able to undergo a new augmentation process with a healthier pocket. This is a specialized surgery, and not every surgeon can offer excellent results. Dr. Sayed has particular expertise in breast anatomy and surgery and will work to give you the best possible outcome.

Schedule a Consultation

If you have any concerns about capsular contracture or would like to discuss the particulars of your situation, please call our San Diego, CA, office at 1-858-247-2933, or schedule a consultation online.

Dr. Sayed is a board-certified plastic surgeon and has a high success record in the correction and improvement of capsular contracture.

Breast Implant Removal: San Diego Women’s Top 5 Reasons

Last year, nearly 24,000 women—most between the ages of 30 and 54—decided to remove their breast implants. In San Diego, as in the rest of the US, tastes and lifestyles are changing. Women are fitter than ever, and large breast implants can interfere with some types of exercise or may begin to look unproportional after weight loss.

Each woman chooses to undergo explant surgery for her own unique reasons. Whether you are inspired by celebrities like Victoria Beckham and Sharon Osbourne (both who have been open about their implant removal) or are among the small number of patients who experience breast implant complications—Dr. Sayed can help.

Read on to learn more about the top 5 reasons women are choosing to change their breast contour. If you have any further questions, please give us a call at 1-858-247-2933 today.

1. “My Implants No Longer Fit My Lifestyle”

Many of our patients who choose to remove their breast implants do so to better fit their lifestyles. Over the years, your body, routine, and activities change.

At the gym or on the track, large implants can cause discomfort during cardiovascular workouts or upper body toning. Often, women who have had their implants for several years may be due for a replacement surgery anyway and choose to remove them.

In some cases, older women feel their implants have “done their job” and no longer wish to have them as they enter a different phase of life. Whatever the case may be, we are here to help you feel at home and in love with your body.

2. Ease Neck and Back Pain

Large fake breasts may also cause shoulder, neck, and back troubles (just as in women with naturally large breasts who can face persistent pain). The larger your implants, the more your center of gravity is affected. In some cases, this can lead to an undue force exerted on your spine. After menopause, these symptoms can become even more pronounced as your weight fluctuates due to hormonal changes.

3. Avoid Future Corrections, Deflation or Rupture

Implants are not designed to last a lifetime. The longer you have them, the likelihood of needing additional surgeries to replace or remove implants increases. Some San Diego women choose to remove their implants rather than take on additional surgeries (and their associated costs and recovery times) down the line.

A small number of patients (10 to 20 percent) may experience rupture or deflation and choose to remove their implants. Though rare, another concern some women face is capsular contracture

Though industry changes and modern techniques have considerably lowered the risk, some patients will still develop this condition, even as long as several years after the surgery. Capsular contracture is characterized by stiffening of scar tissue, which can lead to pain or in extreme cases, hard, misshapen breasts.

Implant removal is a solution to any of these complications and a guaranteed means of avoiding them in the future.

4. Ensure Mammogram Accuracy

Some patients choose explant surgery due to the small but very real chance of implants complicating the accuracy of future mammograms. Especially for women with implants placed on top of the chest muscle, technicians can face slightly more difficulty in ensuring a simple mammography process. Some patients may need additional films.

For some of our patients, this slight chance of experiencing mammogram complications is a health risk they don’t want to take. This can be especially true for patients with a family history of breast cancer.

5. “It’s Time to Do Something For Me”

Finally, women may just decide they want a change of breast shape or size. Over time, as our bodies change, so do our opinions and preferences.  Patients may want to “do something for themselves,” and may feel encouraged by the wave of body positivity we’ve seen as a country over the last few years. Some say returning to their natural breast size increases their confidence and comfort in their skin.

Schedule a Consultation
What’s most important is to do what makes you content and comfortable. If you think implant removal may be right for you or want to schedule a consultation with Dr. Sayed, please call our San Diego, CA, office at 1-858-247-2933, or contact us here.

Dr. Sayed Weighs in on the Allergan Textured Breast Implant Recall

You’ve probably heard that the FDA asked Allergan, the manufacturer of textured breast implants made with Biocell(R) technology, to voluntarily recall these implants from the US market. 

After reviewing 573 new cases of ALCL compiled from worldwide data by Medical Device Reports (MDRs), the FDA found that 83% of these patients had Allergan textured implants in place at the time of diagnosis. Of the 33 of these cases that ended in patient death, 92% had Allergan textured implants. 

I was concerned on hearing this news because I know there are women without symptoms of the rare ALCL cancer who will be worried about the risk of developing the disease and will want to have their textured Allergan (Biocell technology) implants removed.

If you have any concerns related to your breast implants or further questions, do not hesitate to call 1-858-247-2933.

Who Should Be Concerned?

Historically, plastic surgeons recommended the textured breast implant for a few potential reasons. These include shaped (teardrop) implants, often used in reconstruction for cancer 

but sometimes in cosmetic enhancement too. Additionally, some surgeons feel that texturing helps “hold up” the implant in its pocket with less risk of the implant “bottoming out” (dropping.) However, there is some data that textured implants may be at a higher risk of leakage.

Not many women who underwent augmentation in the United States chose the textured breast implant upfront because they are not as widely adopted in the US, whereas textured implants are more commonly used in Latin America and Europe. In recent years there has been an upswing in the use of textured shaped implants for breast cancer reconstruction patients undergoing mastectomy, but not all of these patients have Allergan implants (many surgeons prefer devices by Mentor or Sientra).

All the FDA-approved implant companies in the U.S. that sell silicone implants (Mentor, Allergan, and Sientra) have offered textured implants among the options, but only Allergan’s devices used a process called “Biocell” texturing, which has been demonstrated to increase the risk of ALCL when compared to other companies’ texturing or when compared to smooth (non-textured) implants. 

This Biocell material prompted the FDA to advise Allergan to voluntarily remove its textured devices from the US market, after they had already been removed from the European market a few months earlier. Allergan is offering replacement devices with smooth implants for patients wishing to exchange their textured implants under a coverage policy.

Do I Need to Consider Implant Removal?

Yes. Patients who have textured Allergan implants in place should consider removal, although the recall does not specifically recommend removal in patients with no symptoms of ALCL (fluid around the implant, redness in the breast, and other symptoms). 

However, I would advise my own family member, if she had a textured Allergan implant, to get it removed. Overwhelmingly the majority of women with textured Allergan implants will never develop ALCL, but patients who DO develop ALCL are usually ones who have Allergan textured devices, so in an abundance of caution it would make sense to exchange the implant, especially if Allergan is offering a free replacement device (this does not mean they will cover all costs of a replacement surgery, like anesthesia, facility or certain surgeon fees). 

If you don’t remember which device you received, contact your plastic surgeon who may still have records. For those who received implants many years ago and are unable to get access to their records, I recommend contacting Allergan directly to see if your data is in their implant registry.

Key Takeaways from the Allergan Textured Breast Implant Recall

It is very important to understand that this recall strictly means Allergan will no longer sell its textured Biocell devices. It does not require you to remove or replace yours, but as a plastic surgeon, I’d strongly recommend you consider it. 

It is also important to distinguish that ALCL is not the same thing as “Breast Implant Illness,” a nonspecific set of constitutional and other symptoms which may be seen in a small minority of women with smooth or textured, saline or silicone implants. 

The recall of Allergan textured implants does not necessarily suggest that Mentor or Sientra textured implants (which use a totally different method to create texture), or any smooth implants from any of the companies, are at imminent risk for recall. 

Breast implant illness patients need to make a personal decision regarding removal of their devices and capsules and confer with an experienced plastic surgeon who performs en bloc capsulectomy routinely, in order to learn more about what we understand and don’t understand about Biocell and to discuss options for their personal circumstances.

If you have any further questions, please don’t hesitate to call our Newport Beach or La Jolla, CA (858-247-2933) offices or contact us here to schedule a consultation today.