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Dr. Linder's Blog


Monthly Archives: September 2016

Approval Of Allergen’s New Natrelle Inspira Extra Cohesive Breast Implant

Allergan Announces FDA Approval

Allergan Pharmaceuticals continues to make great stride in increased enhancement of their already excellent technology with silicone and saline breast implants.  Currently, on September 23, 2016, the FDA has now once again approved their newest silicone gel implant, the Inspira Natrelle Extra Cohesive Silicone Gel Implant.  This implant has increased gel cohesiveness with a round implant with an extra high gel fill ratio.

This is especially useful in my practice as a specialist in breast reconstruction revision surgery.  Patients present with thin tissue after multiple reconstruction revision and having this extra cohesive silicone gel smooth implant will greatly reduce the need for ADM graft material and reduce visibility in revision patients.  The cohesive breast implants offer women both reconstruction augmentation or revision surgery options with a combined high gel-fill ratio for customized results.  This new implant allows patients to get the same high gel-fill ratio and fullness offered by Natrelle Inspira lines of implants with their most highly cohesive foam silicone gel.  The FDA has now approved this with both smooth and bio-filled textured surfaces in the round shape implants.  The smooth version of Natrelle Inspira round gel filled breast implants was approved by the FDA back in February 2015.

This silicone gel implant is considered one of the finest implants ever created.  We are very much looking forward to using the new Inspira SRX and SRF Extra Cohesive Gel Implants by Allergan Pharmaceuticals.

6 Months After Breast Augmentation

Six months after performing a primary breast augmentation surgery for a 50 year old female Latina, it was great to hear her express how happy she is with her surgery. She had come into my office looking to increase her size, shape and cleavage.

To achieve her expectation I selected 320 cc high profile saline breast implants and filled the right breast to 350 cc and 360 cc to the left breast. The incision for the augmentation was performed under the areola and the implants where placed behind the muscle, to reduce the risk of scar tissue capsular contracture and palpability of the implant.

The post op photo to the left is six months out and she has a excellent look and balance.

I had the privilege to see the patient at eight months post op and as you can see by the photo below she is doing very well.

8 Months Post Op

8 Months Post Op

For more information regarding breast augmentation or to set up a consultation call us a 310-275-4513 or fill out our online contact form.


Body Makeover After Weight Loss

body contouring

I evaluated a female who was looking to have a body makeover. During the consultation, she stated she wanted to have her abdomen enhanced, her hips shaped, and a breast augmentation. She explained that after having weight loss, her goal was to get her shape back to where it was in her younger days.

After setting her expectations, we decided to perform an abdominoplasty or tummy tuck along with liposuction of the hips area and a breast augmentation.  For the breast augmentation, I placed 425 cc high-profile silicone breast implants and positioned them in a subglandular position. Subglandular means the implant is placed in a pocket behind the breast gland, entirely on top of the pectoralis major muscle.

As you can see, after only eight weeks post op, the abdomen, hips, and  breasts look fantastic, and she is very pleased with her recovery.

To schedule a consultation with Dr. Linder or for more information on body contouring, call us at 310-275-4513 or contact us by email.

High Profile Saline Primary Augmentation

The patient to the left is a 24-year-old female requesting a breast augmentation. As you can see by the preop photo, both breasts were already nicely balanced.  The patient was looking to increase her size and fullness overall. After she had explained her expectation, we selected 325 cc high profile saline breast implants for her primary augmentation.
The postop photo is six weeks out, and she is happy with the size and AP projection.
For more information regarding breast augmentation surgery or a consultation with Dr. Linder, give us a call at (310) 275-4513 or feel free to contact us via email.




Tissue Capsule Around Breast Implants


Any type of breast implant that is placed in the body reacts by forming a protective lining around the implant. This protective lining is referred to as the capsule. Often this capsule is also know as tissue capsule or scar capsule, although it is not exactly the same as scar tissue. The capsule if formed by your own living tissue and happens regardless of whether the implant is silicone, saline, smooth or textured.

In some women, the capsule has a tendency to shrink or squeeze the implant which is referred to as capsular contracture. The tighter the capsule becomes the firmer the breast feels and may become distorted in shape.

The pre-op photo shows that the patients left breast is having a distorted shape due to capsular contracture. As you can see the breast is shrinking and becoming firmer than the the right side. During the surgery I removed the tissue capsule around the 2 year old implant and was able to position the implant to match the right breast.

For more information regarding capsular contracture or to schedule a consultation with Dr. Linder call 310-275-4513 or contact us via email.