Monthly Archives: December 2010

Study Evaluates Alloderm for Prevention of Breast Reconstruction Complications

breast-resconstruction-jenkintownA recent study published in Plastic and Reconstructive Surgery examines the use of accellular cadaveric dermis (ACD) as an alternative to the total sub-muscular approach in breast reconstruction. During the breast reconstruction study, an Alloderm ACD – a bioengineered tissue substitute – created a “retaining envelope” for the breast implant, which was hypothesized to reduce the risk of capsular contracture.

Capsular contracture is a possible complication with some breast implant patients, occurring when scar tissue tightens around the implant. The cause of capsular contracture is unknown, but inflammatory reaction is thought to be a related problem. Doctors predicted that ACD could work by decreasing the typical inflammatory response that occurs around the breast implant.

Houston breast reconstruction surgeon Dr. Bob Basu, along with colleagues Dr. Mimi Leong and Dr. John Hicks, assessed the results of twenty breast cancer patients (average age 47) who underwent two-stage breast reconstruction.

During the two-stage breast reconstruction procedures, the ACD was attached in the breast crease as well as the pectoral muscle. The surgeons then created a space for the tissue expander, the lower part of which was covered by the ACD. After a few months, they removed the tissue expander and replaced it with a breast implant.

Between the procedure stages, Dr. Basu and his colleagues performed biopsies of the integrated ACD, along with histopathologic analysis. They found that, compared to the control group, the samples from the ACD showed significantly reduced levels of granulation tissue formation, among other positive differences.

The doctors concluded that ACD may impede capsule formation, thus possibly inhibiting capsular contracture. Although the findings of this study make a promising case for the continued use of bioengineered tissue in breast reconstruction, Dr. Basu stresses that it is only a snapshot of a process that takes place over several years, and further investigation is necessary to determine the effectiveness of ACD in eliminating capsular contracture.

Injectable Rhinoplasty Gains Traction as Surgery Alternative

Jenkintown-radiesse-rhinoplastyFor many patients interested in cosmetic surgery who may be apprehensive to go under the knife, non-surgical procedures open many doors. Though injectables, microdermabrasion and laser technologies are recognized as fantastic non-surgical options for restoring youth to the skin, injectables can have another use—reshaping the nose.

Though a traditional rhinoplasty procedure requires incisions and a couple weeks recovery time, injectable rhinoplasty procedures are gaining traction, not only as an alternative to more invasive procedures, but also because they can be done quickly with almost no downtime and little bruising or irritation. While an injectable rhinoplasty cannot shave down unwanted bumps or reduce a bulbous tip, it can be used to build up the bridge of the nose, often making the nose appear more streamlined.

Although injection rhinoplasty is available to patients of all ethnic groups, StyleList has noted an increase in injection rhinoplasty among Asian patients. Though some may worry that this procedure is being used to “Westernize” the uniqueness of ethnic faces, cosmetic surgeons who perform the procedure want to celebrate the patient’s features.

“… I’m not trying to give these guys Barbie noses. I want to lift the bridge, but not change the ethnicity,” Los Angeles plastic surgeon Dr. Alexander Rivkin says. “Lifting the bridge brings the nose more into symmetry with the rest of the face. It also takes focus away from the tip, making it look less rounded and ball-like. Also, having a bridge means glasses don’t rest on the cheeks, but on the nose—a surprisingly common concern.”

In addition to often fixing issues with wearing eyeglasses, in some cases, injecting the bridge of a patient’s nose can widen the nasal passage for easier breathing.

The injection rhinoplasty is a relatively quick procedure, lasting around 15 minutes. Often using Radiesse, the surgeon will inject a filler into the bridge of the nose to create the desired result. The temporary effects of Radiesse can be visible for up to a year, while more permanent options, like ArteFill, may also be used at a higher cost.

To learn more about improving your profile through a variety of rhinoplasty procedures, contact Dr. Genter in his Jenkintown, PA practice.

Plastic Surgery Grows in Popularity Around Aussie Holiday

jenkintown-botox-restylane-rhinoplastyAs the Christmas holiday approaches, the Australian Society of Plastic Surgeons has seen a spike in cosmetic surgery procedures, according to a story in the Herald Sun.

Since the holiday season is often an artificial deadline for some people, says Peter Callahan, the president of the Australian Society of Plastic Surgeons, people are increasingly checking cosmetic surgeries off their to-do lists.

The most popular treatments this time of year for Aussies are breast augmentation, various fillers, like Restylane, available in the US, and anti-wrinkle treatments, like Botox.

According to cosmetic surgeon Anoop Rastogi, the boom in procedures lasts from September to February, during which time Rastogi says he performs twice the amount of breast augmentations for the rest of the year combined.

Another in-demand procedure is rhinoplasty, often selected by students preparing to attend university.

Despite the popularity of many cosmetic procedures around the holidays, Rastogi warns against giving the gift of a new face or body. Rastogi says the patient should be electing to go under the knife because they want to, not because a loved one encouraged them to.

As with cosmetic surgeries performed year-round, Rostagi stresses the importance of finding a qualified surgeon and having realistic expectations about the outcome.

To keep a New Year’s resolution to get more beautified, contact Dr. Genter in his Jenkintown, PA practice, and ask about procedures offered throughout the year.