Tag Archive | Silicone

Dr.Fisher Will Never Let You Down!

Many women fail to do their homework and throw themselves hopelessly after the Hollywood glitz and sparkle. It is the unique understanding of how the body works with the experience wedded in the hands of an artist, which provides Dr.Fisher with such acumen and wise distance when assessing his would-like-to-be competition.

A recent study showed that almost 15% of plastic surgeons in the United States are misleading their patients about saline implants. In some geographic locations, this number can be much larger.

Saline implants are little more than round bags of salt water. As any skilled environmentalist would tell you, such a round bag can last for centuries in the harshest weather conditions without significantly decomposing or malfunctioning. In the safe environment of the human body? “Well, it will last you a lifetime,” as Dr.Fisher says.

Compared to cohesive silicone gel implants, saline implants are somewhat more prominent and sturdy. That is why the popular sex symbols you often seen on magazine covers and the T.V. screens have opted for saline, not silicone. In the latter, the filler material is silicone gel, which is adapted to mimic the consistency of natural breast tissue, and retain its natural shape.

Silicone gel implants cost $1000-$1,500 more than their saline counterparts. This may be the reason for their lasting popularity. However, you should not think of your wallet but your welfare when you come and see Dr.Fisher in Cerritos Towne Center.

“I am very comfortable with all varieties of silicone as well as saline. I mostly use saline implants though, because there is a higher demand for them,” states Dr.Fisher. “I make a tiny incission, not more than an inch-and-a-half, which is completely imperceptible when healed… True, some of the proponents of the saline implants,” says Dr.Fisher, “argue that the silicone gel implant is too complicated. Too complicated? They mean the operation… Nothing is too complicated if you know what you are doing!” responds Dr.Fisher with a smile. “There have also been those who voiced objections based on their bad memories of the flawed liquid-silicone implants popular in the ‘80s… These have long since been made illegal in this country. Of course, you can go to Mexico or Venezuela or wherever these hopeless souls go, trying to save. You never know what you are getting there…”

There are many more types of implants. Do not listen to your girlfriend, because your body may not well accommodate to – or may even reject – the type she has. Modern implants, both saline and gel, are safe, but only a board certified plastic surgeon with experience and unsurpassed artistic acumen, such as Dr.Fisher, can determine which type is best-suited for a you, based on a number of factors.

Therefore, come to us with an open mind and never hesitate to ask; for Dr.Fisher will never experiment with your health. Your safety comes first. He may even postpone your operation or even ask you for a secondary medical exam. Do not be surprised.

Dr.Fisher will never let you down. Your Happiness is His Goal!


Cohesive Breast Implants

In the 1980s, Replicon implants were the most popular. Replicon is an anatomically shaped, polyurethane coated, silicone gel-filled implant. Many surgeons felt that the initial results were very beautiful, but short-lived, because the polyurethane, which was bonded to the surface of the shell helped to maintain the anatomic shape of the implant, eventually deteriorated, and once it was absorbed off of the shell, the remaining thin and pliable shell could not hold the silicone gel in place, and so its shape was lost. Further, gravity forced the gel to the bottom of the shell, collapsing the upper breast, and expanding the lower breast. Folds developed in the collapsed upper pole. The shell was very thin, and with time, the shell weakened along those folds, and eventually could break, allowing the relatively liquid-like contents of the implant to leak outside of the shell. In addition to the effects of gravity, the forces of the breast acted upon the implant, deforming its initial anatomical shape. The implant accommodated to the shape of the breast, rather than the breast taking on the shape of the implant.

Dr.Fisher was directly involved in a long and tedious process – far beyond the scope of this article, or this site, to describe in detail – which involved experimentation with diverse silicone gel fillers. Silicone can be made in virtually any firmness, from a liquid lubricant to almost a rock-hard solid. The aim was achieved in making the filler more stable and avoiding collapse of the shell. Further, the modern cohesive shell can be formed into a particular shape and maintain it.

In the past, shape was of only moderate importance, because the forces of the body and of gravity would shape the implant. However, the modern cohesive filler allows for various ratios of width, height, and projection.

The FDA moratorium on silicone gel filled breast implants in 1992 also contributed to increase in competitiveness and invention in this area. The type of implants that were available before the ban are available today as part of an “adjunct study,” which is open to patients with congenital deformities or having a revision for particular reasons.

What distinguishes the modern cohesive implants is that the silicone gel is firmer, essentially a soft solid. If a cohesive implant is cut in half, there is no gross movement of gel, and the implant maintains its shape. The way these are made is that the company uses more “crosslinker” in the making of the implant. The ingredients are the same, but with more crosslinker added, it makes the gel firmer.

Cohesive breast implants implies form stability, or form retention. That means that in any position, the implant maintains its shape. That is an important distinction, because it means that the shell should not fold, and that it will maintain a particular shape. All breast implants are “cohesive” to a different extent. More cohesive are not necessarily better. The bottom line here is the desirability of shape and firmness, which must be in proportion to the body’s natural qualities.