Breast Implants Archives | La Jolla, San Diego | Tim Sayed, MD, FACS
×

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.

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.

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.

Breast Implant Removal: Why Thousands of Women are Doing It

Since it was first introduced, breast augmentation has become one of the most popular and best-known plastic surgeries available. For countless patients, the procedure has provided the opportunity to enjoy renewed self-confidence and comfort in their appearance. In recent years, however, the number of women seeking implant removal has increased dramatically.  While the reasons may be personal, they can often be sorted into three distinct categories:

Changing Ideals

As with every generation, the features that are considered beautiful change over time. Today’s trends of creating more natural enhancements to a woman’s body is a complete 180 from the old mantra “bigger is better”. As a result, some women are seeking breast implant removal as a means of updating their appearance to match this newer emphasis on natural curves. Unnaturally large breasts can also impede a woman’s ability to participate in certain physical activities like jogging and weight training. For women committed to getting fit and staying that way, breast implant removal can eliminate discomfort when running and alleviate undue pressure on the spine and back caused by disproportionately large breasts. 

Ongoing Maintenance

Like any other medical device, breast implants are not meant to last forever. Rupture is a constant risk with implants and deflation usually occur about 10 years following placement, requiring that patients either replace surviving implants in order to retain their shape. In order to replace worn implants, patients must undergo surgery – meaning time off from work and several weeks of recovery. While some patients may not mind undergoing routine replacement, others may find the upkeep to become physically taxing and choose to have their implants removed instead of replaced. 

Secondary Illness

While neither implant types have been directly correlated to increased risk of cancer, recent years have also seen the rise of secondary health issues related to breast implants. For patients experiencing breast implant illness, symptoms like headaches, chronic fatigue, fever, and joint pain can be especially debilitating and provide enough reason for women to seek explant. Furthermore, the FDA has identified over 450 cases of Breast Implant-Associated Anaplastic Large Cell Lymphoma – a rare form of cancer that can develop in the scar tissue around the implant. In the face of these very real medical concerns, many patients have chosen to implant removal as a means of protecting their overall health.

Get the Scoop from Dr. Sayed

When it comes to the impacts of surgery, having a thorough understanding of all available options and risks can make a tremendous difference in the long-term results. At Dr. Sayed’s offices in Newport Beach and La Jolla San Diego, our experienced plastic surgeon is committed to patient education. Starting with your first consultation, Dr. Sayed focuses on the facts of each procedure, ensuring you know both the pros and cons and can make an informed decision about your treatments. To learn more about breast implant placement, risk, and removal, we encourage you to schedule your consultation today.