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In a breast cancer patient’s words – Nipple-sparing mastectomy and immediate implant reconstruction experience

Breast reconstruction CAN and SHOULD be the silver lining of a breast cancer diagnosis. Although I am a Plastic Surgeon and a Reconstructive Microsurgeon, and I generally prefer to use the body’s own tissue for reconstruction of the breast (DIEP flap or TUG flap), in many cases extra fatty tissue […]

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What’s the difference between saline and silicone breast implants?

Breast implant shells and dimensions All breast implants have a shell made out of an inert polymer called silicone, which is an inert (non-reactive) substance.  Breast implant shell surfaces can be smooth or textured.  Smooth walled implants roll around subtly in their breast pocket, mimicking movement of a natural breast, […]

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What Is Capsular Contracture and How Can It Be Prevented?

The most common complication after breast augmentation is indeed capsular contracture. However, this incidence is quite rare—I have only seen it in a small handful of my patients. Most patients do very well without any major problems! That said, as a proponent of “informed consent,” I aim to educate patients […]

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3 Common Breast Augmentation Concerns that Shouldn’t Have You So Concerned

Three of the most common concerns I hear during a breast augmentation consultation include: “I don’t want to look fake.” “I don’t want my results to be obvious.” “I hear surgery is very painful. I’m worried about not being able to exercise afterwards the same way I do now.” In […]

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7th generation breast implants: softer, safer, less ripply!

In the last few months, two new implants have become available, to our patients’ benefit!  In the United States, we previously had the 5th generation of silicone gel breast implants, available from the mid-1990s onward.  Learn about the history of augmenting breasts with all sorts of foreign material to the […]

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ALCL and breast implants? The rare incidence of Anaplastic Large Cell Lymphoma

Recently, the media caught on to a story (that is not really new) about an extremely rare condition associated with breast implants known as breast implant-associated (BIA)-ALCL. If you have a breast augmentation or implant-based breast cancer reconstruction, DON’T PANIC! Some quick facts about BIA-ALCL: BIA-ALCL is not a breast […]

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Dr. Karen M. Horton, M.D. - Plastic Surgery, Physicians & Surgeons - Medical-M.D., San Francisco, CA