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Nipples & Plastic Surgery – What is normal, what can be changed?

I love giving interviews for magazines!  Why?  Because there is so much MISinformation and BAD information out there about Plastic Surgery, cosmetic procedures and the latest trends in beauty.  I want to help EDUCATE the public about what is real, what is not, and when you should/shouldn’t have surgery. My […]

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“Goldilocks” 8th generation breast implants: Not too ripply, not too firm, just right.

The last few years have seen some major advances in the types and styles of breast implants available to women in the U.S.  While other devices are commonly available in other countries like Canada (where I trained) and Europe, the FDA has strict regulations that generally take longer for devices […]

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

  UPDATED 1/5/18:  Here is the most recently updated facts about ALCL and breast implants: Latest Information on ALCL:  The Food and Drug Administration (FDA) has recently updated the public information on its website about breast implant associated anaplastic large cell lymphoma (BIA-ALCL). We have known about this disease for […]

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