Recently, I received this note from a patient. Not only am I humbled by her kind words, but I am also thankful for her commitment and time it took to travel from Oklahoma to Beverly Hills, and allow me to perform her breast surgery.
Hi Wonderful Staff,
Dr. Linder and his staff were fantastic! I flew from Oklahoma to see him for a breast reconstruction/augmenation. After I did extensive research, I called and set my appointment. His team was very accommodating and knowledgable about everything that an out of state patient would need. Dr. Linder’s group have treated me like family, with open arms (literally), from the first telephone call until the day I left California. I am very happy with how my new breasts have turned out! Recovery was a breeze. I hardly had any discomfort or pain. My swelling seemed to go down in a few days. Dr. Linder is a great surgeon and has a professional bedside manor. I will recommend him to anyone who is serious about having the best looking set of breasts you will ever see! You get what you pay for and his work is worth every penny!
ALLERGAN ACADEMY®, Awards this Certificate of completion to: Stuart Linder, MD for completing Allergan’s NATRELLE 410 Certification Program on 2-22-2013. The mission of ALLERGAN ACADEMY is to educate through a unique forum that reinforces product knowledge, encourages practice innovation and allows for the exchange of new ideas.
Yesterday Allergan, Inc. (NYSE: AGN) announced that the company has received approval from the U.S. Food and Drug Administration(FDA) to market the Natrelle® 410 Highly Cohesive Anatomically Shaped Silicone-Filled Breast Implants for use in breast reconstruction, augmentation and revision surgery. Below is the information released by Allergan, Inc.
IRVINE, Calif.–(BUSINESS WIRE)– Allergan, Inc. (NYSE: AGN) today announced that the company has received approval from the U.S. Food and Drug Administration(FDA) to market the Natrelle® 410 Highly Cohesive Anatomically Shaped Silicone-Filled Breast Implants for use in breast reconstruction, augmentation and revision surgery.
“The FDA approval of Natrelle® 410 shaped gel implants provides an important new alternative to traditional round implants for women considering breast augmentation, reconstruction or revision surgery,” said David E.I. Pyott, Allergan’s Chairman of the Board, President and Chief Executive Officer. “The Natrelle® 410 is the most selected shaped gel implant in markets where the product is already available, such as Europe and Canada. We are pleased that the FDA has recognized the benefits and safety of the Natrelle® 410, and has now made the product available as an additional option for women in the United States.”
The Natrelle® 410 shaped gel implant is designed to mimic the slope of the breast and is filled with a highly cohesive silicone gel, which is intended to enable the implant to hold its shape over time while remaining soft to the touch.
The FDA approval of the Natrelle® 410 shaped gel implants was based on an extensive review of various studies and data, including pre-clinical device testing and clinical data from Allergan’s 10-year prospective, multi-center pivotal study, involving nearly 1,000 women who have undergone breast reconstruction, augmentation or revision surgery. Read More
Patients present to my practice weekly for body sculpting and total body makeovers, including breast implants, breast lifts and tummy tucks. These mothers have often had multiple pregnancies and have had significant weight fluctuations associated with the pregnancy.
This patient is a very typical example of a women who has gained over 70 pounds with her second pregnancy, had two cesarian sections and now presents with involutional upper pole atrophy which means complete loss of fullness of her breasts, as seen in Photo #1. She also has significant amounts of skin laxity to the lower abdominal area, which would do well with a full extensive abdominoplasty tummy tuck and tightening of the rectus sheath muscles. The patient underwent saline augmentation in the dual plane technique using high profile style 68 Natrelle implants. She then underwent a complete formal mastopexy using the Wise-pattern breast lift and a full abdominoplasty dissecting up to the ribcage or the subcostal region. The muscles were plicated and the epigastric hernia was repaired. Liposuction of the iliac crest rolls or hips was performed in order to reduce muffin-top. Her results are three months postop showing excellent projection with small saline implants and formal breast lift well-healed scars and a full abdominoplasty showing smoothing of the lower abdominal area, flattening of the rectus muscle in the midline and softening of the hips with a nice contour.
Patients that present status post pregnancy and large weight loss do extraordinarily well with their total body contouring procedures which can be done under one surgical general anesthetic. These procedures normally take anywhere between two and a half to three hours when performed concurrently.
A very interesting story today in USA Today indicates that the United States of America remains the plastic surgery capital of the world when it comes to the number of plastic surgeons and the number of plastic surgical procedures performed annually. The numbers include the most common procedures, including tummy tucks, liposuction, breast implants, and breast lifts. The United States has been shown to be at the highest number of surgeries performed in 2011, 6.3 million surgeries and 8.3 million non-surgical procedures such as Botox. The data was analyzed from the International Society of Aesthetic Plastic Surgeons (ISAPS). However, rates by population are higher in South Korea, Greece and Italy where more than 10 procedures were performed per 1000 people in 2011. Just over 3.1 million procedures were performed in the United States of America in 2011.
Other interesting information includes that breast augmentation was the top surgical procedure in the United States in 2011, second to lipoplasty which is the top plastic surgery procedure worldwide. Interestingly, rhinoplasty or nose jobs do not rank in the top 3 in the United States. China, Japan and Brazil perform more rhinoplasties than are performed in the United States of America. The most plastic surgeons in the world can be found in the United States of America with 5,950 closely followed by Brazil with 5,024 and 2000 in China. Lesser numbers can be found in the United Kingdom with just under 440 and in Canada at 425.
Patients often present to my office weekly in Beverly Hills, desiring abdominoplasty or tummy tuck procedure after having given birth to one or multiple children, as well as to significant weight fluctuation or weight loss after gastric bypass surgery. Determination must be made during the examination as to the extent of dissection required for the abdominoplasty.
A mini abdominoplasty is simply through a similar C-section-like scar which is extended towards the iliac crest roll or hips bilaterally, dissected up to the umbilicus. However, an incision is not made circumferentially around the belly button. These patients can have plication of the midline rectus sheath from the umbilicus down to the suprapubic region; however, the skin above the umbilicus up to the ribcage is usually not affected. Patients who do well with mini tummy tucks have skin laxity below the umbilicus or belly button and reasonably good skin tone without excessive skin above the belly button. On the other hand, the majority of patients require full abdominoplasties. These patients have skin laxity both above and below the belly button and require complete dissection above the umbilicus with a circumferential incision around the umbilicus, maintaining it to the umbilical stock to the fascia and dissected up to the subxiphoid process that is a structure below the mid-sternal region and up and sometimes above the subcostal margins below a ribcage. These patients are able to have skin pulled down from above the belly button, smoothing it out and removing the entire dermoglandular resection, both from the belly button down to the suprapubic region. The amount of skin to be removed will dictate the type of abdominoplasty to be performed, the extensive complete abdominoplasty versus a mini tummy tuck. Both however should have drainage tubes placed, 7 or 10 mm JP drains and plication with Ethibond interrupted sutures is used in my practice to tighten the lower rectus sheath and a mini tuck in the upper and lower rectus sheath and a full abdominoplasty.