Real Questions, Real Answers From Dr.Benchetrit -Tummy Tuck Recovery

ABDOWhat is tummy tuck recovery generally like? If I get it done, what can I expect post-op care, checkups, pain? How long does complete recovery from a tummy tuck take?

Tummy tuck recovery – not as bad as you think

Although the recovery can vary greatly from patient to patient, these are the guidelines that I give at the time of the consultation:

  • walking in a stooped position for 3 or 4 days
  • standing normally and able to go for short walks after day 4
  • return to work (desk job) after two weeks
  • light exercise (not using the abs) after four weeks
  • full activities (gradually) after six weeks

The most common comment I get from my patients after a tummy-tuck is “it wasn’t as bad as I thought it would be”. Many patients have had a previous c-section and most will tell me that the post tummy-tuck discomfort is less and that the recovery is easier. I routinely inject the sheath surrounding the abdominal muscles with a long-lasting anesthetic at the time of the surgery and this helps a great deal in minimising post-op pain and the need for narcotics.

Welsh surgeons sew man’s severed hand back on

By Robin Turner, WalesOnline
Jarred Evans and Dr Richard Karoo

Surgeons have re-attached the severed hand of a father of two, who said: “Now I’ll be able to pick my children up again.”

Jarred Evans underwent a 13-hour operation after his hand became caught in a machine at his factory workplace, severing it mid palm and leaving only his thumb in place.

The 21 year old from Tonypandy was taken to his local emergency department but was immediately transferred to the Welsh Centre for Burns and Plastic Surgery at Swansea’s Morriston Hospital for the surgery.

Two weeks later, he’s on the road to recovery, with movement and feeling now starting to return to the right hand.

Richard Karoo, a consultant plastic surgeon at Morriston, said: “Injuries like Jarred’s are actually extremely rare. A plastic surgery unit may treat such a trauma case every few years, but they are so uncommon that many doctors or nurses will never see such an injury in their career.

“What makes Jarred’s case even more complex is the level at which the limb was severed. Jarred lost his hand mid palm, significantly damaging multiple veins and arteries to all his fingers.

“This meant that once the hand was re-attached with metal pins through the bones, blood wouldn’t be able to flow back and forth to keep it alive.

“To repair this we used vein grafts from his legs and arms to replace the ones he had lost. Using a microscope and sutures as fine as hair we were able to successfully reconnect a blood supply to all fingers and palm.

“Reconstruction of the nerves and rejoining of the divided tendons was also undertaken at the same time to help get the feeling and movement back into his hand.”

Jarred said of the operation: “As I waited in the anaesthetic room for the operation to start, I admit I was really frightened. I just didn’t know if my hand could be saved.

“When I woke up, I was amazed that it had been reattached. It is unbelievable what the staff are able to do here.

“Having my hand back means everything to me. I just can’t thank the doctors and nurses enough.

“I have two small children, so I’ll still be able be able to pick them up and do activities with them.

“I know I have a long road ahead of me, with a lot of rehabilitation over the next year or so, but it absolutely brilliant what the team have been able to do already.”

Dr Karoo added: “An injury like this is devastating for a patient and we never know when starting such a case if the reattachment of the limb will survive.

“However, I feel the positive impact of a successful operation like this, especially for someone as young as Jarred, is truly immeasurable.

“Over the long term, our expert team of hand therapists will be essential in Jarred’s rehabilitation. It is with their help that we hope the full potential of everyone’s efforts will be reached.”

“It is fantastic that we have the facilities and expertise here at the Welsh Centre for Burns and Plastic Surgery for these kinds of procedures.

“Being a regional specialist centre we undertake a multitude of trauma, reconstructive, cancer and burns operations for patients across the whole of South Wales.”

The Welsh Centre for Burns and Plastic Surgery provides a network of care for a population of 2.3 million across West, Central and South Wales.

The Welsh Centre moved to Swansea from St. Lawrence Hospital, Chepstow, in 1994, and since that time has become well established within Morriston Hospital.

The burns service has developed since the transfer and has always been at the forefront in the use of developing technologies for the benefit of burn patients such Integra (artificial skin).

The service treats around 750 patients a year, of which half need inpatient treatment. Approximately half are children.

The centre was widely praised for the help it gave burned steelworkers following the 2001 explosion at the former Corus steel works in Port Talbot which killed three people and left more than a dozen with serious injuries.

 

Disfigured orphan from China set for life-changing surgery

by MONIKA DIAZ

ImageRICHARDSON — Pam Newell made an impulsive decision this year, but it was motivated by love.

The 55-year-old manager at Hewlett Packard re-arranged her entire life and opened her heart and home to a baby she met only six weeks ago.

“I don’t know what got into to me, but [it happened] instantaneously,” Newell said at her home in Richardson. “I’m really happy I made the decision. It feels like he has been here forever.”

She is taking care of Logan, an orphan from China. The seven-month-old was abandoned at birth; shunned by his family because of the defect on his face.

It’s the defect Newell doesn’t see.

“All I see is the smile on his face,” she said. “His happy eyes, or the giggling, or the sounds he makes. I want him to have a really safe, long, healthy life.”

Newell is giving the baby boy a home.

Others will give him a new face.

The orphanage contacted Dallas plastic surgeon Dr. Craig Hobar from the LEAP Foundation, an organization of medical volunteers that donates surgical care to children and adults born with deformities across the world.

LEAP, Medical City Children’s Hospital, and others have teamed for Logan’s surgeries.

“I’m a small piece of the puzzle, but it’s a great puzzle to be a part of,” Dr. Hobar said.

Logan will require multiple surgeries — three planned for this year — to correct his cleft palate. Hobar said the condition is rare and severe; Logan can only drink milk through a feeding tube.

“It’s a form of a rare craniofacial cleft. He’s got no facial bones on the right side. He lost his eye on the right side,” Dr. Hobar explained.

Logan also has a rare condition known as amniotic band syndrome. ABS is caused by strands of the amniotic sac (tears or ruptures in the membrane) that constrict the fetus’ limbs or other parts. In Logan’s case, a strand wrapped around his face.

“It just sliced his face from his eye to his mouth,” Dr. Hobar said. “So those two are rare conditions, together.”

But the surgeon’s past work aboard and in North Texas gives him confidence.

In 2011, he brought another boy with a facial deformity from China to North Texas. Two years later, only a small scar remains on the boy’s face.

Dr. Hobar said Logan’s case — while challenging — inspires him to do his best.

“It takes me to my highest levels of skills and creativity, so I’m very excited about it,” he said.

Also fueling his excitement is Logan’s future.

“I think a lot of people are going to fall in love with him,” Dr. Hobar said. “I bet he’s never going back to that orphanage.”

That is a sweet certainty Pam Newell already holds in her mind and heart.

“I will move heaven and earth to keep him from going back,” she said. “I will do my absolute best to find a home for him.”

Newell and her late husband Paul adopted their daughters, Rozy and Amanda, when they were teenagers. Newell said her family, her church, and her friends are behind her if she decides to adopt Logan.

Whether it’s with her or with another family, Newell is determined to find Logan a permanent home in the U.S.

“I want to give him the perfect life, and I know no life is perfect,” she said. “But I want him to have the best life he can have.”

Donations can be made to the LEAP Foundation in his name. All medical expenses are covered, but other supplies are needed for the boy’s care and other children with similar birth defects.

Facial fillers – It’s buyer beware!

By ,QMI Agency

filler to lipsPhotos of trout pout, pillow face and chipmunk cheeks – facial fillers gone wrong – dot the pages of celebrity and style magazines these days. But look around and you’ll also see these facial mishaps on non-celebs, ordinary people like you and me.

Easy access to facial fillers, a dizzying range of products, and the heady promise of eternal youth with no surgical downtime sound like heaven. But the message, say experts, is buyer beware!

A recent press release from the British Association of Aesthetic Plastic Surgeons noted that two out of three surgeons are seeing botched filler procedures, some of them untreatable due to permanent damage.

And doctor bloggers are sounding the alarm: Worried about practice drift in which injectibles are administered by, well, who knows who, Illinois plastic surgeon Dr. Peter Johnson warns that injectibles are now offered at hairdressing salons and spas, that online discount coupons give the impression injectibles are no-brainers, and that “weekend courses to teach ‘injectionists’ abound.”

Injectibles are more complicated than they sound, agrees Dr. Vince Bertucci, a Toronto cosmetic dermatologist and board member of the Canadian Dermatology Association. In Canada 30 varieties of them are approved for use, and while the law states that injection must be under the supervision of a physician or nurse, he says that is not always the case. “There are people out there practicing medicine who are not physicians.”

Consumers need to make educated decisions – especially today when Botox isn’t the only game in town. Botox, that old favorite, blocks the release of nerve impulses to relax crow’s feet, brow lines and forehead wrinkles; hyaluronic-acid based fillers such as Restylane, fill in wrinkles or acne scars and plump up lips; and stimulatory fillers give your body’s natural collagen a boost to help sculpt your face.

But while these fillers are either absorbed by your body as they break down or simply wear off, other fillers made of microscopic beads mixed in a collagen base are permanent. The only way to remove these is “to cut them out,” says Dr. Bertucci.

He adds that in skilled hands, the risks of fillers is low. “But consumers should know if the person injecting is equipped to manage complications. Because even the best of the best have complications.” Impending necrosis and infections due to hypersensitivity may be rare, but they happen. Fillers injected improperly or unevenly can result in small lumps under the skin.

Fillers “help create shape and restore contours. They subtly restore facial features that time has taken away,” says Dr. Bertucci. But do your homework, he advises: Research, check credentials, and seek out skilled professionals. “Give Picasso a paintbrush and paint, and he creates a work of art,” he says. The same tools in someone else’s hands, maybe not so good.

Or as Australian cosmetic physician and blogger Dr. Naomi McCullum puts it: “Any patient who can afford a truckload of filler is at risk of getting a puffed out, freaky face.”

Smooth, fill and plump

  • Botox is still the number one injectible with annual North American sales of over $1.6 billion.
  • Filler injectibles are the second most common non-surgical cosmetic procedure in North America.
  • In 2011, 1.9 million soft tissue filler treatments were done, and 5.7 million procedures with Botox.

More men turning to plastic surgery

By ,QMI Agency

First posted: Monday, March 18, 2013 02:00 AM EDT

Toronto-based cosmetic surgeon Dr. Peter Bray says in his own practice, the number of male cosmetic surgery patients has doubled in the last five years. “There’s less of a stigma, and the fact that celebrities admit to surgery has a motivating, reassuring impact on the average guy.”

Celebs like George Clooney (eyelid lift) and Gene Simmons (facelift) are just a few examples of men who’ve gone under the knife.

Men’s most common procedures? Male breast reduction, love handles’ liposuction, pectoral or calf implants and nose jobs.

Penis implants? Rare, says Dr. Bray: “The usual circumstance for that would be loss of function due to medical issues such as diabetes or certain surgical procedures.”

And whatever men do, they do it for reasons different from those of women. “There is a competitive pressure in the marketplace for men, real or imagined,” notes Dr. Bray. “There are fewer long term jobs and men are having to compete for contracts or positions. Men tell me, ‘I want to look like I am on my toes.’”

“Men do not want to look overdone,” notes Dr. Jamil Asaria, a Toronto plastic surgeon, who says that men make up about 35% of his practice. He describes their surgery as “conservative rejuvenation.” “In a man who is 50, we don’t erase every line and fold because that would not look attractive.”

With a specialty in rhinoplasty, Dr. Asaria does approximately 150 nose jobs a year, half of them on men. “The key is to maintain a masculine nose but one that reflects a person’s background,” he explains. “Men want a change, but don’t want to hear, ‘Your nose looks great, you had it done!’”

Lucas Foster agrees, and adds that cashing out a $12,000 GIC for plastic surgery was worth it. It all started with his man-boobs, says the 48-year-old Toronto professional dancer.

“I wear tight-fitting tops and women were telling me I had bigger boobs than them! It’s not a flattering thing for a guy to hear.”

Foster, not his real name, also had his love handles liposuctioned at the same time as his breast reduction: “Now I have my V-shaped body back again.”

Men want to look like a younger version of themselves, says Dr. Bray who advises men to seek out a cosmetic surgeon who has experience working on men. “There are differences between men and women in the aesthetic end points and in the surgical techniques because our bodies are put together differently.”

“I wanted someone who had worked on a lot of men,” says Lucas Foster. “And I told my surgeon to hold back. All I wanted was to look fresher, well rested.”

10 Things Your Dermatologist or Plastic Surgeon Can Do to Make You Look Younger, Faster

Doctors have a surprising array of tools and techniques to beat back the signs of time. These ten in-office fixes will have you looking younger—in a flash.

ByLiana Marraro Schaffner

Additional Reporting byBrooke Le Poer Trench

If doctors wore black capes instead of white coats, you might mistake them for magicians. The experts wave infrared wands and prescribe seemingly supernatural ingredients, radically reversing signs of aging. But they also have subtler, more nuanced tricks up their sleeves. In a matter of hours, and sometimes minutes, doctors can perform quick, comfortable procedures that leave you looking brighter, tauter, and years younger. Believe it or not, they can even refine the shape of your nose (with absolutely no skin off it). Sun spots, spider veins, droopy jowls, dullness—now you see them, now you don’t.

THEY CAN OFFER SERIOUS FIRMING

ImageThe most effective fix for droopy skin, radio-frequency waves, requires a bit of fortitude: It burns like the devil. Treatments such as Thermage work by delivering sound waves deep into the skin, causing microscopic fissures that stimulate collagen production, which in turn firms up loose and sagging areas (face, jowls, neck, knees, and so on). The results are impressive— most patients see significantly tauter skin within six months—but the procedure can be hard to take. “Some of my patients find radio frequency too painful, even with heaps of medication,” says dermatologist Howard Sobel. For those of us whose pain thresholds land somewhere between moderate and mouse-door level, there’s an easier alternative. Sobel recommends the nonablative eTwo laser, which directs a much milder combination of radio frequency and infrared-light pulses into the skin. “The results are comparable to Thermage but not as painful,” says Sobel, who recommends three sessions spaced one month apart.

 

THEY CAN TURN SMALL LINES INTO NO LINES

A new hyaluronic acid filler, recently approved by the FDA, can diminish the tiniest and most superficial of lines. And that’s big news. “Belotero Balance spreads out evenly instead of clumping up like other fillers, so you don’t have to inject it deep into the tissue,” says Fredric Brandt, a dermatologist with offices in New York City and Miami. The small particles and malleable texture make it possible to smooth shallow lines instantly while maintaining a bump-free surface. “It’s perfect for filling in fine lines around the lips and even crow’s-feet,” says Brandt. And because the needle only penetrates the skin’s top layers, there’s far less bruising involved.

THEY CAN GIVE YOU A TEN-MINUTE NOSE JOB

One common sign of aging is as plain as the nose on your face. Actually, it is the nose on your face. “The nose flattens and widens as we age,” says dermatologist Jody Comstock. “One of the quickest and easiest ways to look younger is to reshape it with a filler.” A hyaluronic acid filler (Perlane, Juvéderm, Restylane) injected right into the dorsum (the bony line straight down the center) slims the nose and even corrects bumps and imperfections. Doctors can also add a tiny dose of Botox under the tip for a more youthful profile. “Your nose becomes more hooked as you age, which drags down the entire face,” says Brandt. “Botox lifts it up and takes off years in about ten minutes.”

THEY CAN SAVE YOUR NECK

Neck muscles can start to enlarge and protrude as we age, resulting in the appearance of thick, tight cords. And as if that weren’t hard enough to swallow, “the muscles in the neck and the superficial muscles of the face are connected to one another,” says Brandt. “That means your neck actually pulls your face downward.” It’s a depressing thought with a surprisingly easy fix (that doesn’t involve buying stock in a turtleneck emporium). “I relax the neck muscles with Botox,” says Brandt. “It softens the wrinkles, gets rid of the cords, and lifts the face. Basically, it’s a nonsurgical face-lift.” Botox breaks down every three to four months, so repeat visits are necessary.

THEY CAN PAINLESSLY CLEAR SPIDER VEINS

Sclerotherapy—the procedure that can eliminate spider veins and the leaky blood vessels that cause them—was once the literal equivalent of rubbing salt in a wound. “Before, we had to use a saline solution that stings and is extremely painful,” says dermatologist Amy Forman Taub. But the latest alternative procedures, which involve injecting veins to inflame them, close them, and allow the body to absorb them, have made real advances in the past few years. “Newer detergent-like drugs such as Asclera and Sotradecol are just as effective as saline but don’t cause as much discomfort,” Taub says. (Doctors use a tiny needle “the width of a strand of hair,” says dermatologist Arielle Kauvar.) “It’s a very quick, very effective procedure that covers a lot of territory,” says Taub. There’s no downtime, but that doesn’t mean there are no side effects: There is often bruising, some redness, and a bit of swelling in the veins, which compression stockings can help minimize. Sometimes patients see brown staining from inflamed veins that can last for several months.

THEY CAN GET RID OF A BRUISE

When your face makes contact with an open kitchen-cabinet door, there are two things that will help ease the imminent black-and-blue (and purple and yellow) mark. The first is cursing like a sailor. The second is dialing your dermatologist. “It takes about 48 hours for a bruise to develop fully,” says Brandt. “At that point, a patient can come in, and we’ll treat it with a simple V-Beam vascular laser. The procedure takes only 20 seconds, and the bruise will fade by the end of the day.” Who the hell knew?

 THEY CAN GIVE YOU PRETTIER EARLOBES

Next to perkier breasts and a better butt, we yearn for smooth, round, plump…earlobes. Yes, you heard that correctly. “Skin sags as we age, and the earlobes are no exception,” says Brandt. “And because so many women wear heavy earrings, the lobes are often the first thing to droop.” To plump them up, Brandt recommends a hyaluronic acid filler. “A tiny shot in each lobe gives your ears an immediate lift that can last from six months to a year,” he says.

THEY CAN FIX UP A SCREWUP

We all know injectable fillers virtually erase wrinkles. But what happens when the thing you want to erase is the injectable filler itself? “I see patients with fillers that were put in the wrong place all the time,” says Comstock. “A botched job can make the face appear off balance.” If you use a high volume of long-lasting filler, like calcium hydroxylapatite (Radiesse), you’re out of luck—it lasts for a year and can’t be removed easily. But with hyaluronic acid fillers (Perlane, Juvéderm, and Restylane), there’s a simple exit strategy. Dermatologists can inject an enzyme that can dissolve hyaluronic acid within 24 hours. “Your body will actually metabolize it, so there’s no trace of it in your system,” says Comstock. When it’s time to give fillers a second chance, show the dermatologist a picture of yourself in your 20s. “It’s critical to know where a person’s soft tissue was originally in order to replicate it correctly,” says Comstock.

THEY CAN OFFER BRIGHTENING WITH CANCER-FIGHTING BENEFITS

If you ever needed an excuse to justify paying for smoother, brighter skin, this is it. Photodynamic rejuvenation, a treatment that doctors use to eliminate sun damage on the face, legs, and arms, combines pigment-busting Intense Pulsed Light with a topical drug (amniolevulinic acid) that destroys abnormal and precancerous cells. “Patients with moderately to severely sun-damaged skin look transformed after two or three sessions,” says Taub. Equally exciting: New research shows that the nonablative fractional laser—a treatment that can lighten clusters of pigment on the face and chest—could have major health benefits as well. “It shows real potential as a remedy for precancerous cells,” says Robert Anolik, a clinical assistant professor of dermatology at both NYU School of Medicine and the Weill Cornell Medical Center of Cornell University. Anolik recently participated in a study published in the Journal of the AmericanAcademy of Dermatology on fractional lasers as a therapeutic option. “Patients who received three or four treatments displayed an 86.6 percent reduction in precancerous cells at six months,” says Anolik. “We also found tremendous improvement in their skin tone and fine lines.”

THEY CAN EVEN OUT SKIN TONE IN MINUTES

Trichloroacetic acid (TCA) peels—one of the most effective methods of removing sun damage and ­hyperpigmentation—leave behind scabs that take about two weeks to heal. But patients can skip over that rough patch with a new TCA peel released by Glytone this year. “It has 25 percent trichloroacetic acid and a delivery system that bypasses the very outer layer of skin,” says Jeannette Graf, an assistant clinical professor of dermatology at Mount Sinai School of Medicine in New York City. “It removes damage without injuring the top of the epidermis, so there’s zero scabbing.” And while patients do experience dryness and mild flaking for a week, the long-lasting and immediate results are well worth it. “Most of the time, one treatment is all it takes to achieve a significantly brighter and more even complexion,” says Graf.

Once Banned, Silicone Breast Implants Make a Comeback

By ANDREA PETERSEN
implant
Silicone breast implants have made a big comeback in cosmetic procedures, a little more than six years after the U.S. Food and Drug Administration lifted its ban on most use of the devices.

In 2012, 72% of the 330,631 breast-augmentation procedures in the U.S. used silicone implants, while 28% used saline, or sterile salt water. In 2006, the year the ban was lifted, only 19% of procedures used silicone, according to new statistics released Tuesday by the American Society for Aesthetic Plastic Surgery, a group of more than 2,600 plastic surgeons.

Surgeons and patients say silicone implants look and feel more like natural breasts. But the FDA banned their use in cosmetic procedures in 1992 after complaints that the devices ruptured—and among concerns that they could lead to health problems, including connective-tissue diseases like rheumatoid arthritis. Those links were never confirmed and when the FDA lifted the ban, it said silicone implants are “safe and effective.” During the ban, silicone implants continued to be allowed for use in breast reconstruction.

Still, in a 2011 report, the FDA noted that about 20% of patients who receive silicone implants for breast augmentation will need them removed within 10 years, and as many as 50% of women who receive them for breast reconstruction will require removal after 10 years. Potential complications of the devices include infection, scarring and a hardening of the area around the implant called capsular contracture.

In recent years, there have been advances in silicone-implant technology. Last month, the FDA approved a new “form-stable” implant from drug and device maker Allergan Inc. AGN -0.41% that surgeons say has more of a natural teardrop shape—especially useful in reconstruction surgery after a single-side mastectomy when a doctor wants to match the shape of a patient’s remaining natural breast.

The implants are also firmer. “If you cut one of these in half and you squeeze it, the silicone will protrude from the open end, but if you release the pressure, it goes right back in,” says Robert X. Murphy, Jr., president-elect of the American Society of Plastic Surgeons, which has more than 7,000 member surgeons. “The old silicone would just drip out and leak all over the place.” Dr. Murphy, who has no financial links to any of the implant companies, said that, if there is a rupture, the new devices are easier to remove and “took away the concerns to a large degree that there would be free silicone in the body.”

A similar device from implant maker Sientra Inc., which some surgeons dub “gummy-bear” implants, was approved in March 2012.

Louise Moore, a 52-year-old administrative assistant from Gardena, Calif., says she was sold on the silicone implant after her surgeon had her hold one in one hand and a saline implant in the other. The saline implant, she says, was “more mushy. I didn’t feel like it was going to hold me firm like I wanted.” Ms. Moore, who had her augmentation surgery in September 2012 after losing 80 pounds, said she was reassured, after talking with her doctor, that the implants were safe.

Breast augmentation was the most frequent cosmetic surgical procedure in 2012, according to the aesthetic plastic surgery society’s new statistics. The average physician fee for the procedure in the U.S. was about $3,500 for saline implants and $3,900 for silicone ones. That doesn’t include anesthesia and other related costs.

The statistics, which also covered many other types of surgery and other less-invasive procedures, were based on a survey of 772 actively practicing plastic surgeons, dermatologists and otolaryngologists. Overall, the group said that the total number of cosmetic surgical procedures grew 3.1% in 2012. Most cosmetic procedures aren’t covered by health insurance.

The typical breast-augmentation patient is in her “mid-to-late 30s who has had one or more children,” says Leo R. McCafferty, a plastic surgeon in private practice in Pittsburgh and the president of the American Society for Aesthetic Plastic Surgery. “They are interested in having their breasts back to the way they were,” he says. Just 1.1% of all procedures were done on women 18 and younger in 2012, according to the new statistics. Regardless of their age, Dr. McCafferty says he likes to see his patients yearly for follow-ups, for life, to check for any changes. If there is concern of a rupture, an ultrasound or MRI will be done. (A tear can usually be seen on a scan.)

Scot Glasberg, a plastic surgeon in private practice in New York, says a major reason women get a second surgery is that they request it. “Often women get implants and then they want to be larger,” he says.

Saline implants are more prone to rippling and other texture changes that can sometimes be seen through the skin, surgeons say. But they are more appropriate for some patients. They can be made larger. Also, some patients are simply more comfortable having saline implants, partly because of the earlier health concerns with silicone. When a saline implant ruptures, it deflates and the saline is absorbed by the body.

Gregory Evans, president of the American Society of Plastic Surgeons and chief of the Aesthetic & Plastic Surgery Institute at the University of California, Irvine, says he is more likely to use saline implants in very young women, who may change their minds. Saline implants require a much smaller incision, meaning less scarring. (The shell of the implant is inserted and only then is it filled with saline.) Removing it is also easier. “At age 24 they may decide they don’t want to have implants,” he says.

Write to Andrea Petersen at andrea.petersen@wsj.com

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