March 30th, 2015
Millions of women around the world have undergone breast augmentation surgery with saline and silicone implants. The currently available implants in the USA are safe and FDA approved. A very rare form of cancer, anaplastic large cell lymphoma (ALCL), is a type of non-Hodgkin’s lymphoma, and has been found infrequently in women with breast implants. In France earlier this month, the Minister of Social Affairs, Health, and Women’s Rights issued a news release requiring a warning label on all silicone breast implants, stating they carry a risk of this rare cancer. The reported number of ALCL cases in France is 18 out of a total of over 400,000 women with implants. The recommendations including routine surveillance with clinical examinations and mammograms, but did not advise removal of the implants.
In the United States, ALCL of the breast is exceedingly rare, and is only diagnosed in 3 in 100 million women per year. Worldwide, fewer than 140 cases of ALCL have been reported, out of an estimated 10 million women with breast implants. It has not yet been determined if the risk is higher in textured or smooth walled silicone implants. Most often, this malignancy is associated with late onset persistent peri-implant seroma, a fluid collection which can form around the implant. Prognosis is generally good and treatment involves removal of the capsule and fluid surrounding the implant, as well as of the affected implant.
If you’re considering breast augmentation, it is imperative that you engage in a comprehensive discussion with your plastic surgeon before your surgery, and understand all the options, risks and complications of the surgery.
Dr. Olivia Hutchinson is a board certified plastic surgeon in NYC, with advanced specialized training in aesthetic surgery of the face, breast, and body. Her office on Manhattan’s Upper East Side is equipped with an Operating Room fully certified by AAAASF for the safety, comfort, and privacy of her patients. To schedule a consultation with Dr. Hutchinson, please contact us or call us at (212) 452-1400.
To find out more about ALCL and breast implants, this latest article titled “Anaplastic Large Cell Lymphoma Occurring In Women With Breast Implants” in the Journal of Plastic and Reconstructive Surgery offers additional information.
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March 2nd, 2015
Breast augmentation has been available for women for decades, and today we have even more breast implant options to consider than ever. Both saline and silicone gel may be used as filling material, and implants which were traditionally round also come anatomically or tear drop shaped to match the natural shape of the breast. Other advances include the development of different types of gel with increasing shape retention, as well as the addition of many size and projection combinations, thus giving surgeons the ability to create a wide range of new and improved breast looks for their patients. The entry of Sientra as the third implant maker in the U.S. after Allergan and Mentor added even greater number of breast implant choices. Recently, even more options were made available by the FDA clearance of the Natrelle® Inspira™ silicone breast implants. The Inspira™ breast implant line distinguishes itself by a higher fill ratio, which allows for additional shaping options in breast augmentation as well as breast reconstruction and breast implant revision surgery. This latest addition to the implant market brings the number of round gel filled implant types to several hundred.
Plastic surgeons nowadays have a much broader spectrum of possibilities when choosing breast implants for women who are considering breast augmentation. Every patient has their own individual characteristics in terms of breast shape and size, skin quality, and breast symmetry, as well as their desired outcome from surgery. It is all the more complex of a choice and requires open communication and discussion between the patient and her plastic surgeon to determine which of the many options will produce the best results for her.
Dr. Olivia Hutchinson is a board certified female plastic surgeon in New York City whose practice is dedicated to aesthetic plastic surgery of the face, breast, and body. Her office on Manhattan’s Upper East Side is equipped with a fully accredited AAAASF Operating Room for the safety, comfort and privacy of her patients. To schedule a consultation with Dr. Hutchinson, please contact us or call us at (212) 452-1400.
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January 12th, 2015
As with any other surgery, there are numerous factors which can potentially impact the ultimate result of cosmetic plastic surgery. Ensuring the best outcome involves adequate preparation, avoidance of risk and appropriate management after surgery.
A recent scientific journal article addresses the immune system’s response to surgery, and corroborates the fact that it is an intrinsic component of patients’ recovery from surgery. Cosmetic surgery is performed on an elective basis, and patients have the benefit of being able to prepare themselves for the process in order to have the best results. This includes maintaining a healthy life style with proper diet and regular exercise, avoiding stress and illness, and getting plenty of sleep. In addition, discontinuation of potentially detrimental elements such as smoking or nicotine intake also contribute to ensuring smooth recovery and optimizing results.
So do your body good and make sure your immune system is in top condition before your surgery, it will help with your recovery afterwards. And a smooth recovery means less pain, fewer complications, and better results. Since aesthetic plastic surgery is meant to help you look your best, optimizing all aspects of your health prior to surgery will ensure the best outcome.
Dr. Olivia Hutchinson is a board certified aesthetic plastic surgeon in New York City who specializes in cosmetic surgery of the face, breast, and body using minimally invasive techniques. Her office on Manhattan’s Upper East Side offers a fully AAAASF certified Operating Room for the safety, privacy and comfort of her patients. To schedule a consultation with Dr. Hutchinson, please contact us or call us at (212) 452-1400.
1. Gaudillière, Brice et al. Clinical Recovery from Surgery Correlates With Single-Cell Immune Signatures. Sci Transl Med 24 September 2014: Vol. 6, Issue 255, p. 255ra131 Sci. Transl. Med. DOI: 10.1126/scitranslmed.3009701
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November 3rd, 2014
Men are increasingly seeking to improve their appearance and maintain a youthful look as they age, and statistics from the American Society of Plastic Surgeons confirm this trend. In keeping with taking care of themselves with proper diet, regular exercise and a healthy lifestyle, many men are also complementing their daily routine with skin care and additional procedures. Plastic surgery for men has traditionally consisted of procedures for the face and neck such as blepharoplasty for droopy eyelids or lower lid bags, facelift and necklift for improving facial and neck laxity, jowling and excess skin and fat under the chin, and rhinoplasty for reshaping the nose. Men have also been candidates for body contouring procedures with liposuction to eliminate love handles and correct gynecomastia.
As men continue to lead active lifestyles into middle age and far beyond, they are increasingly seeking to match their outward appearance with their inner younger selves. Some men are looking to compete with younger colleagues when searching for new position in the workforce, others are retiring and still very much concerned with their looks. In addition to the plastic surgery procedures that offer significant results, there are many newer treatments that incur little or no down time, have minimal complications and yet produce some visible improvements. These procedures target signs of aging such as fine lines and wrinkles, skin hyperpigmentation and blotchiness, and loose, sagging skin. Botox and fillers such as Juvederm have long been favorite treatments, as well as skin resurfacing procedures including laser treatments and chemical peels. More options have now entered the field of cosmetic surgery, with ultrasound, radiofrequency and fractionated laser treatments. Men and women who are considering plastic surgery for facial or body rejuvenation should consult with a plastic surgeon to discuss which therapy, alone or in combination with surgery, is best suited to satisfy their demands for a better, younger appearance.
Dr. Olivia Hutchinson is a board certified female plastic surgeon in NYC and specializes in aesthetic plastic surgery of the face, breast and body. She practices in her office off Park Avenue in Manhattan’s Upper East Side, which offers a fully AAAASF certified Operating Room for the safety, privacy and convenience of her patients. To schedule a consultation with Dr. Hutchinson, please contact us or call our office at (212) 452-1400.
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October 20th, 2014
So many choices, so much to consider. Breast augmentation offers women the possibility to increase their bust size, improve their appearance, and feel better about themselves. Potential benefits account for the popularity of the procedure in New York City, and explain why so many women are very happy with their results.
As with any surgical procedure, patients should be cognizant of both pros and cons of breast implants. If you’re interested in breast implants, factors that you should consider and risks and complications need to be discussed with your aesthetic plastic surgeon. Options to evaluate include:
- Size, volume and degree of projection
- Silicone gel or saline fill
- Highly cohesive (“gummy bear”) or traditional silicone gel
- Round or anatomical (“tear drop”) shape
- Subglandular (under the breast) or submuscular (under the pectoralis muscle) position
- Incision placement
Among the possible risks due to either surgery alone or the implants themselves, including scarring, infection, capsular contraction and implant rupture, a more serious although extremely rare problem called ALCL may be observed in patients who have undergone breast augmentation. ALCL – Anaplastic Large Cell Lymphoma – has lately been investigated in conjunction with patients with breast implants. There are only 71 cases reported worldwide, which translates to a risk of 1 in 3 million patients. A recent study from Europe examines the relationship of this extremely rare lymphoma with breast implants, and notes its association with breast implant capsule and fluid surrounding silicone implants. (1) Unlike other forms of lymphoma, removing the capsule may be curative, suggesting an immune reaction to the implants as a possible source of the abnormality.
Being fully informed about breast augmentation is essential to ensure patients are happy with their decision to undergo cosmetic breast surgery. Make sure to discuss all options for breast implants with you plastic surgeon.
Dr. Olivia Hutchinson is a board certified female plastic surgeon in New York City. She specializes in aesthetic surgery of the face, breast and body. Her office on Manhattan’s Upper East Side boasts a fully AAAASF certified Operating Room for the safety, comfort and privacy of her patients. To schedule a consultation with Dr. Hutchinson please contact us or call us at (212) 452-1400.
1. Ye, Xuan, et al. Anaplastic large cell lymphoma (ALCL) and breast implants: Breaking down the evidence. Mutation Research 23 August 2014 http://www.sciencedirect.com/science/article/pii/S138357421400043X.
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March 3rd, 2014
Despite the extreme cold spell we’re experiencing, spring will soon be upon us. With the warmer weather come fewer layers and lighter wardrobe. Women and men are both apt to once again pay attention to some areas of their body that they would like to look better. Target areas for women include the belly, flanks, thighs, hips, “saddle bags”, buttocks and arms; men most often wish to improve their abdomen, “love handles”, and chest area for male breast reduction (gynecomastia correction). Liposuction is still considered the gold standard for fat removal and body contouring, but newer treatment options are garnering much media attention. If you’re not sure what to believe, here are a few helpful points:
- Non invasive fat reduction procedures offer various technologies – high frequency ultrasound, freezing (cryotherapy), and radiofrequency to name the most common types
- Most non invasive procedures require multiple treatment sessions spaced several weeks or months apart – and only produce minimal results (e.g. 1 or 2 inch smaller waist circumference)
- The greatest benefit of non invasive procedures is that they require no down time for recovery – some are painless but others can produce various amounts of pain and may not be as well tolerated
- Like liposuction, non surgical body contouring options produce best results and are best suited for patients who already enjoy a healthy lifestyle including regular exercise and nutritious diet – they should not be relied on as a means of weight loss
Fat may be harvested by a method similar to liposuction and injected into other areas of the body to improve appearance. For instance, fat grafts obtained from the abdomen or thighs can be used to add volume to cheekbones, plump up lips, or correct laugh lines in the face. When performed correctly and in appropriately selected patients, liposuction can produce a significant improvement in body shape with minimal down time and quick recovery.
Dr. Olivia Hutchinson is a board certified female plastic surgeon in NYC with a private practice dedicated to aesthetic plastic surgery of the face, breast and body. Her office in Manhattan is equipped with a fully certified AAAASF Operating Room for the safety, privacy and comfort of her patients. To schedule a consultation with Dr. Hutchinson, please contact us or call us at (212) 452-1400.
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February 26th, 2014
Today the American Society of Plastic Surgeons (ASPS) released top line data from the latest 2013 Plastic Surgery Statistics Report (1). The report compiles statistics for cosmetic and reconstructive plastic surgery for the past year performed by plastic surgeons in the US. The number of cosmetic surgery procedures topped 15 million, up 3% from the previous year, and representing the 4th year in a row of growth.
The top 5 cosmetic surgery procedures were:
- Breast augmentation – silicone gel filled implants were used in 3/4 of women; new form stable, anatomical tear drop shaped implants are now available for aesthetic breast augmentation
- Rhinoplasty – also referred to as nasalplasty or nose reshaping
- Blepharoplasty – eyelid lift surgery for both upper and lower lids
- Liposuction – the most popular body contouring procedure
- Facelift – along with eyelid and neck lift surgeries was up 6%
The top 5 cosmetic minimally invasive procedures were:
- Botulinum toxin injections – brand names Botox® and Dysport®
- Soft tissue fillers – hyaluronic acid (HA) fillers such as Juvederm®
- Chemical peels – for skin resurfacing
- Laser hair removal
As with any aesthetic procedure, choose a board certified surgeon who has specialty training and extensive experience in performing your plastic surgery treatment.
Dr. Olivia Hutchinson is a female board certified plastic surgeon in NYC whose practice is dedicated to aesthetic plastic surgery of the face, breast and body. Our office on Manhattan’s Upper East Side offers a fully certified AAAASF Operating Room for the safety, comfort and convenience of our patients. To schedule a consultation with Dr. Hutchinson, please contact us or call us at (212) 452-1400.
1. ASPS Press Release: “Plastic Surgery Procedures Continue Steady Growth in U.S.” February 26, 2014.
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February 25th, 2014
For those of us with teenagers, it comes as no surprise that they are self-conscious about their looks and image, particularly in this age of prevalent social media interactions and selfies. A new study from the Journal of the American Academy of Dermatology (1) corroborates this finding when evaluating what motivates teenagers to use sunscreen.
Researchers compared the reaction of adolescents to educational videos describing the health risks of UV light exposure, such as skin cancer, and to its effects on beauty and appearance, such as wrinkles and aging. High school students were much better at applying sunscreen after being educated about the cosmetic impact of sun exposure, as opposed to its potential for causing disease. Behavior modification was significantly impacted by messages that highlighted consequences to appearance rather than health.
Sun exposure and UV radiation are known to increase the likelihood of developing skin cancer, including melanoma, squamous cell and basal cell cancers. The use of tanning beds has been associated with a large increase in the number of young adults diagnosed with skin cancer. Emphasizing the additional aesthetic impact of premature aging and skin wrinkling may have the added benefit of discouraging teens from seeking short term improvement in their appearance with UV induced tans. Long term benefits include delaying the onset of aging changes in the skin and the need for plastic surgery interventions.
Dr. Olivia Hutchinson is a board certified plastic surgeon in NYC with a practice dedicated to aesthetic plastic surgery of the face, breast and body. Her office on the Upper East Side of Manhattan is located off Park Avenue and offers a fully certified AAAASF Operating Room for the safety, privacy and comfort of her patients. To schedule a consultation with Dr. Hutchinson, please contact us or call us at (212) 452-1400.
1. Tuong, W and Armstrong AW. Effect of appearance-based education compared with health-based education on sunscreen use and knowledge: A randomized controlled trial. J Am Acad Dermatol. 2014 Feb 5. pii: S0190-9622(13)01337-6. doi: 10.1016/j.jaad.2013.12.007.
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February 24th, 2014
New York City is replete with plastic surgeons – bona fide board certified plastic surgeons, facial plastic surgeons who are otolaryngologists with fellowship training in facial plastic surgery, “cosmetic” surgeons who may belong to any medical specialty and may not be surgeons at all. If you’re not part of the inner circle of doctors and medical careers, you may not know how to differentiate between all of them. Is it better to get Botox at the spa if it’s cheaper? What about fillers? And how about other treatments and procedures – lip enhancements, liposuction, eyelid lift, breast implants to name a few – does it matter? And if so, when does it actually make a difference, and when should you seek out a truly qualified professional?
Having a medical license in New York State allows physicians to practice medicine and surgery in any field, not just the one in which they trained. Cutting costs by delegating certain tasks to physician extenders, of various qualifications, or worse yet to individuals without medical expertise may not prove to be such a bargain after all. The value of specialty training in plastic surgery and experience in aesthetic plastic surgery cannot be discounted. Conversely, the financial and psychological costs of treating complications that might have otherwise been avoided could prove exorbitant. Bargain hunting is best left outside the realm of plastic surgery.
Dr. Olivia Hutchinson is a board certified plastic surgeon in NYC with a practice dedicated to aesthetic surgery of the face, breast and body. Her office on Manhattan’s Upper East Side is equipped with a fully certified AAAASF Operating Room for the safety, comfort and benefit of her patients. To schedule a consultation with Dr. Hutchinson, please contact us or call us at (212) 452-1400.
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February 12th, 2014
Breast implants are composed of an outer silicone shell and are filled with either saline or silicone gel. When used for breast augmentation or reconstruction, they are surgically inserted into a patient, and cause a normal foreign body response to the implant. A fibrous capsule develops around the implant, sealing it off from the body’s tissues. In some patients, an abnormal reaction called capsular contracture may develop. The cause of this complication has not yet been completely elucidated, but involves an inflammatory reaction to the implant. Treatment options are limited, and the condition may worsen, causing pain and progressive deformity of the breast overlying the implant and potentially requiring removal of the implant.
A new technique that seeks to limit the inflammatory response to breast implants is currently being investigated and was recently published in the journal Advanced Functional Materials. Researchers from the University of Bayreuth in Germany used silk coating on the implants and found that it acted as a bioshield, reducing the thickness of the capsule as well as post-operative inflammation. Although still experimental, these findings could potentially lead to beneficial applications in patients by diminishing the occurrence of certain complications in breast augmentation, such as capsular fibrosis and contracture.
Spider Silk Coatings as a Bioshield to Reduce Periprosthetic Fibrous Capsule Formation
If you’re considering breast augmentation, you should discuss risks and potential complications of breast implant surgery with your surgeon. These will vary depending on several factors including:
- type of implants: saline or silicone gel fill
- location of implants: submuscular (under the pectoralis muscle) or subglandular (under the breast)
- implant size
- implant shell characteristics: smooth or textured
Alternatives to consider in breast augmentation include round and anatomically (tear drop) shaped implants, different sizes and projections of available breast implants, and saline, silicone gel and highly cohesive gel “gummy bear” implants. For best results, choose a plastic surgeon who is board certified by the American Board of Plastic Surgery (ASPS), specializes in aesthetic breast surgery and has significant experience in performing the surgery.
Dr. Olivia Hutchinson is a board certified female plastic surgeon in NYC with a plastic surgery practice dedicated to aesthetic surgery of the face, breast and body. Her office on Manhattan’s Upper East Side offers a fully certified AAAASF Operating Room for the safety, privacy and comfort of her patients. To schedule a consultation with Dr. Hutchinson, please contact us or call us at (212) 452-1400.
Zeplin, P. H., Maksimovikj, N. C., Jordan, M. C., Nickel, J., Lang, G., Leimer, A. H., Römer, L. and Scheibel, T. (2014), Spider Silk Coatings as a Bioshield to Reduce Periprosthetic Fibrous Capsule Formation. Adv. Funct. Mater.. doi: 10.1002/adfm.201302813
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