S A Board Certified Plastic Surgeon, this adjunct weekend I had the opportunity of participating following reference to the MENTOR Education Advisory Council in Santa Barbara, CA. And even if the location was phenomenal, the meeting was even bigger. The first subject of aeration was the current status of breast strengthening in the United States. And even though most of my fellow panelists felt that surgical volume was recovering, several commented that many physicians were yet slow to more readily arrangement behind a silicone gel-based practice.
As you may know, my practice is on the subject of exclusively focused in the report to gel implants for the easy gloss that I environment they have the same opinion a more natural see an environment for my patients. And even if this was the consensus vis–vis the room, some felt that many surgeons were not as familiar following hint to these advantages and were still predominantly using saline implants. Looking at the European marketplace, for example, the entire few saline breast augmentations are performed and there was never a moratorium placed upon the gels. As such, our European counterparts commonly ask why we are even using saline in the first place. Another breast-similar subject discussed was that of complications and how best to avoid them. One of the most common issues united to the use of breast implants is the risk for capsular contracture. And although the prevalence has decreased on top of the years, it remains as the maybe excuse for revisionary surgery. To this, we discussed ways in which we are not and no-one else addressing contracture as soon as.
IT develops but moreover ingenious ways to prevent it Google+ from even up in the first place. One technique that I have adopted is the use of the Keller Funnel. This creative device allows me to significantly subside the amount of handling and potential trauma to the implant during surgery. Once the implant is opened, it is bathed in a triple antibiotic hermetically sealed (as is considered to be the stated of care). From there, I am the unaccompanied person to handle the implant and transfer it into the lumen of the funnel. The funnel tip is after that placed at the creation of the incision, gentle pressure is placed upon the funnel, and the implant is furthermore easily displaced into the pocket. Placement of the implant subsequently takes as tiny as 3-4 seconds. By reducing the number of hands that involve the implant, we are theoretically reducing the risk of contamination of the implant and hence capsular contracture. In totaling, because deeply little force is required to actually alternate the implant through the funnel and into the pocket, there is moreover potentially less risk for fracturing of the cohesive gel. Because of these advantages, many of the physicians I spoke following (including myself) are proponents of this tallying and advanced technique.