There is significant scientific evidence that a broken silicone implant does not cause major medical issues, however, we recommend patients to replace their implants as soon as possible if their breast implants are broken, especially in cases of the older liquid silicone implant. We find that when we explore these breasts, the liquid silicone are free floating everywhere in the pocket and that the vast majority of the time there is significant color change to the liquid silicone. Whether this indicates some form of unfavorable chemical reaction or infection; it is not clear. But we are concerned that some of this liquid silicone can be absorbed to the surrounding tissue and can cause localized issues long term.
The new cohesive gel (gummy bear implant) does not leak like the liquid silicone implant, however, we still strongly recommend that they be replaced as soon as a broken implant has been detected.
Revision plastic surgery, whether rhinoplasty or upper blepharoplasty, are some of the most difficult procedures that Plastic surgeons encounter. If the patient is lucky and the original surgeon is a well trained plastic surgeon, the revision is moderately less complicated and more predictable. However, if the original surgeon has limited experience or the surgery was not performed in the standard manner, the revision surgery can be quite treacherous.
The patient has to be aware that the first surgery is the one that is the most likely to heal with the best outcome. With subsequent revisions, their expectation for contour improvement should be tempered. Fortunately, this does not mean that this will prevent patient from getting improvement in revision surgery.
In general, we want our patients to be as comfortable as possible. The upper blepharoplasty, however, is a procedure which is best done with the under conscious IV sedation.
This is required because during the upper blepharoplasty, we need the patient to open and close his/her eyes so that we can check for contour and symmetry of their eyelids. The patient should understand that perfect symmetry can never be achieved because the vast majority of the human population has a certain degree of asymmetry. Therefore, symmetry cannot be guaranteed, but should always be strived for.
Non-surgical rhinoplasty involves an injection of different types of fillers to augment, correct contour irregularities, or increase tip projection.
One of our most popular filler to use for this procedure is Radiesse Plus. This filler typically lasts around 8 months and cannot be dissolved. Swelling and bruising may occur for the next couple of days and is completely normal.