Archive for November, 2014:

Ideal Breast Implant

GettyImages_87884438It came as great news yesterday that the FDA approved Valeant Pharmaceuticals, Ideal Breast Implant for use in the U.S.

Back at our Virgin Islands Workshop in 2010, a friend and plastic surgery colleague, Dr. Robert Hamas, introduced plastic surgeons at our meeting to a prototype for an implant he had developed. The new implant, which he called the Ideal Implant®, combined the best of silicone gel and saline implants.

Dr. Hamas felt that many women liked the natural result of the silicone gel implants, but preferred the safety of a saline implant should the implant leak or rupture. Regular MRI scans are typically the only way women can detect a leak or rupture with silicone gel implants. With saline implants, deflation is much more obvious.

Bob also demonstrated that the Allergan, Natrelle 410 or “gummy bear” implant when ruptured and left to stand, does leak, despite the claims that it is stable and holds together. This gained much attention from the plastic surgeons at the meeting, where there was much excitement about the Ideal Implant® being developed and, hopefully, becoming FDA approved.

Many years of research, testing, input from women and from plastic surgeons led to the design of the Ideal Implant®. Clinical trials have been underway since 2009 with enrollment ending in 2010. Follow up clinical studies conclude in 2020.

On the outside, the Ideal Implant resembles a standard saline implant, with lower edges so that it contours better to the chest wall. On the inside, there are a series of additional implant shells that are nested together to reduce bouncing ,wrinkling and collapse in the upper part of the implant. The Ideal Implant is hybrid implant that combines the best of the saline and silicone gel implants.

We are very excited to be one of the first plastic surgery offices in Michigan to be able to offer the Ideal Implant when it becomes available in the first quarter of 2015.

If you are interested in learning more about the Ideal Implant, please contact Dr. Ringler at 616.328.8800.



Archive for November, 2014:

Ideal Breast Implant

shutterstock_100121513For those who have a little extra fat to spare, which includes just about all of us, the option of having liposuction and using some of the excess fat for facial fat grafting or augmentation can make perfect sense for the right candidate.

Fat grafting is basically a fat transfer procedure that removes fat from one area, often the abdomen, through liposuction. The fat is then processed, and reinjected to the face as a natural filler for wrinkles and volumizer to the face thereby creating a more youthful appearance.

There are some other benefits of fat grafting over other injectables or facial fillers.Since the fat is from your own body, there are no issues with rejection. The fat augmentation is also long-lasting – just think how hard it was to lose that fat from your abdomen to begin with! The procedure is done at the same time as liposuction so you have the benefit of losing fat in one area while augmenting another. The injection site for both procedures is very small and recovery time is limited.

Those who are not good candidates would be those who do not have enough excess fat to be transferred. During processing, some of the fat is lost, so it is necessary take more fat than is necessary for fat transfer. Liposuction is basically for those with isolated areas of fat, but it is not a weight loss procedure. The fat is removed with a very small cannula, and once removed, is gone permanently. Weight gain can affect results.

Recovery and complications from fat grafting, with a board certified plastic surgeon, are fairly minimal. There can be some swelling, asymmetry, and loss of some of the initial volume. Liposuction procedures with SAFELipo, SmartLipo and BodyJet have done much to reduce recovery time from liposuction in general, and it also possible to have a little extra fat removed with liposuction than is required for fat-grafting. Using newer techniques for fat removal, most patients  fully recover from liposuction in about 1 week or less with very minor swelling or bruising.

If you would like to find out if fat-grafting following liposuction is right for you, please contact Dr. Ringler for a personal consultation.


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1151 E Paris Ave SE #200 · Grand Rapids, Michigan 49546 · (616) 328-8800