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	<title>Dr. Nein</title>
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	<link>http://drnein.com/blog</link>
	<description>Dr. Nein - Certified Plastic Surgeon</description>
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		<title>30 Things Every Woman Should Have and Should Know by the Time She Turns 30</title>
		<link>http://drnein.com/blog/2012/04/30-things-every-woman-should-have-and-should-know-by-the-time-shes-30/</link>
		<comments>http://drnein.com/blog/2012/04/30-things-every-woman-should-have-and-should-know-by-the-time-shes-30/#comments</comments>
		<pubDate>Thu, 26 Apr 2012 15:33:35 +0000</pubDate>
		<dc:creator>drnein</dc:creator>
				<category><![CDATA[Cosmetic Surgery]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[anti-aging]]></category>
		<category><![CDATA[breast]]></category>

		<guid isPermaLink="false">http://drnein.com/blog/?p=295</guid>
		<description><![CDATA[#14. A skin care regimen, an exercise routine, and a plan for dealing with those few other facets of life that don&#8217;t get better after 30. This is # 14 from the list which was originally created in 1997 (see below). Some things haven&#8217;t changed. If you want to remain looking young, take care of your skin. Protect your skin from ultraviolet radiation [sun and tanning beds ] Exercise, remain fit, take care of your body, eat right. Even so, after doing these things, there are some things that diet and exercise won&#8217;t fix: loose skin, sagging breasts, abdominal wall stretch after pregnancy. That is where plastic surgery can help. Make smaller fixes while you&#8217;re still young and enjoy the benefits. You&#8217;re only as old as you think you are. Breast lifts, breast augmentation, liposuction, tummy tucks, Botox, Juvederm, Radiesse, Sculptra &#8211; all readily tolerated procedures to help you look [...]]]></description>
			<content:encoded><![CDATA[<p>#14. A skin care regimen, an exercise routine, and a plan for dealing with those few other facets of life that don&#8217;t get better after 30.</p>
<p> This is # 14 from the list which was originally created in 1997 (see below). Some things haven&#8217;t changed. If you want to remain looking young, take care of your skin. Protect your skin from ultraviolet radiation [sun and tanning beds <img src='http://drnein.com/blog/wp-includes/images/smilies/icon_sad.gif' alt=':-(' class='wp-smiley' />  ] Exercise, remain fit, take care of your body, eat right. Even so, after doing these things, there are some things that diet and exercise won&#8217;t fix: loose skin, sagging breasts, abdominal wall stretch after pregnancy. That is where plastic surgery can help. Make smaller fixes while you&#8217;re still young and enjoy the benefits. You&#8217;re only as old as you think you are. Breast lifts, breast augmentation, liposuction, tummy tucks, Botox, Juvederm, Radiesse, Sculptra &#8211; all readily tolerated procedures to help you look your very best and feel better about yourself. Please call us to learn more about these procedures to improve your appearance.</p>
<p>&#8220;30 Things Every Woman Should Have and Should Know by the Time She&#8217;s 30&#8243;<br />
This 1997 Glamour article was written by contributor Pamela Redmond Satran. She wrote the list, updating it in 2005.</p>
<p>Read More http://www.glamour.com/magazine/2007/02/things-women-should-have-and-know-by-30#ixzz1t6onTDZJ</p>
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		<title>Five Ways to Prevent and Heal Scars Following Plastic Surgery</title>
		<link>http://drnein.com/blog/2012/04/five-ways-to-prevent-and-heal-scars-following-plastic-surgery/</link>
		<comments>http://drnein.com/blog/2012/04/five-ways-to-prevent-and-heal-scars-following-plastic-surgery/#comments</comments>
		<pubDate>Tue, 24 Apr 2012 14:50:09 +0000</pubDate>
		<dc:creator>drnein</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://drnein.com/blog/?p=293</guid>
		<description><![CDATA[Discover five ways to prevent and heal scars following a plastic surgery procedure. Scars can be a big issue for some patients who find their scar is not healing well after surgery. Poor healing scars can be due to genetics or improper wound care. According to plastic surgeons with ThePlasticSugeryChannel.com, patients can see a visible difference in their scars’ appearance by following a few simple tips. Follow this link and get the full story: http://www.theplasticsurgerychannel.com/five-ways-to-prevent-and-heal-scars-following-plastic-surgery/]]></description>
			<content:encoded><![CDATA[<p>Discover five ways to prevent and heal scars following a plastic surgery procedure. Scars can be a big issue for some patients who find their scar is not healing well after surgery. Poor healing scars can be due to genetics or improper wound care. According to plastic surgeons with ThePlasticSugeryChannel.com, patients can see a visible difference in their scars’ appearance by following a few simple tips.</p>
<p>Follow this link and get the full story: http://www.theplasticsurgerychannel.com/five-ways-to-prevent-and-heal-scars-following-plastic-surgery/</p>
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		<title>Sunscreen!, Sunscreen!, Sunscreen!</title>
		<link>http://drnein.com/blog/2012/04/sunscreen-sunscreen-sunscreen/</link>
		<comments>http://drnein.com/blog/2012/04/sunscreen-sunscreen-sunscreen/#comments</comments>
		<pubDate>Thu, 12 Apr 2012 18:58:09 +0000</pubDate>
		<dc:creator>drnein</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://drnein.com/blog/?p=291</guid>
		<description><![CDATA[Rochester, Minn. — Incidence of melanoma appears to be increasing among young adults, especially females, according to a Mayo Clinic study. HealthDay News reports that Kurtis B. Reed, M.D., and colleagues used data from the Rochester Epidemiology Project to identify patients ages 18 to 39 years who had a first diagnosis of melanoma from 1970 through 2009 in Olmsted County, Minn. Investigators collected demographic and clinical data to generate estimates of melanoma incidence and overall and disease-specific survival. Researchers found an eightfold increase in melanoma incidence among young adult females and a fourfold increase among young adult males during that time span. At the same time, investigators noted an improvement in overall and disease-specific survival over time: Each one-year increase in calendar year of diagnosis correlated with a decreased risk of overall and melanoma-specific death. “This study demonstrates an increase in the incidence of melanoma among young adults in Olmsted [...]]]></description>
			<content:encoded><![CDATA[<p>Rochester, Minn. — Incidence of melanoma appears to be increasing among young adults, especially females, according to a Mayo Clinic study.</p>
<p>HealthDay News reports that Kurtis B. Reed, M.D., and colleagues used data from the Rochester Epidemiology Project to identify patients ages 18 to 39 years who had a first diagnosis of melanoma from 1970 through 2009 in Olmsted County, Minn. Investigators collected demographic and clinical data to generate estimates of melanoma incidence and overall and disease-specific survival.</p>
<p>Researchers found an eightfold increase in melanoma incidence among young adult females and a fourfold increase among young adult males during that time span. At the same time, investigators noted an improvement in overall and disease-specific survival over time: Each one-year increase in calendar year of diagnosis correlated with a decreased risk of overall and melanoma-specific death.</p>
<p>“This study demonstrates an increase in the incidence of melanoma among young adults in Olmsted County, Minn., with young women being at higher risk than young men,” the authors wrote. “While the incidence is increasing, the mortality from this disease seems to be decreasing.”</p>
<p>The authors advised “continued close monitoring of this high-risk population.”</p>
<p>The study appears in the April issue of Mayo Clinic Proceedings.</p>
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		<title>Liposuction and Tummy Tuck Improve Quality of Life</title>
		<link>http://drnein.com/blog/2012/04/liposuction-and-tummy-tuck-improve-quality-of-life/</link>
		<comments>http://drnein.com/blog/2012/04/liposuction-and-tummy-tuck-improve-quality-of-life/#comments</comments>
		<pubDate>Tue, 03 Apr 2012 21:23:52 +0000</pubDate>
		<dc:creator>drnein</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://drnein.com/blog/?p=289</guid>
		<description><![CDATA[Patients undergoing cosmetic liposuction and/or abdominoplasty (&#8220;tummy tuck&#8221;) procedures report significant improvements in self-esteem and quality of life, according to a study in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). Outcomes are especially good with liposuction plus &#8220;tummy tuck,&#8221; Study is first of its kind to assess patient-reported outcomes of procedures to reduce abdominal fat. The complete report is available at: http://www.plasticsurgery.org/News-and-Resources/Liposuction-and-Tummy-Tuck-Improve-Quality-of-Life.html]]></description>
			<content:encoded><![CDATA[<p>Patients undergoing cosmetic liposuction and/or abdominoplasty (&#8220;tummy tuck&#8221;) procedures report significant improvements in self-esteem and quality of life, according to a study in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).</p>
<p>Outcomes are especially good with liposuction plus &#8220;tummy tuck,&#8221;<br />
Study is first of its kind to assess patient-reported outcomes of procedures to reduce abdominal fat.</p>
<p>The complete report is available at: http://www.plasticsurgery.org/News-and-Resources/Liposuction-and-Tummy-Tuck-Improve-Quality-of-Life.html</p>
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		<title>Perils of Budget Cosmetic Surgery</title>
		<link>http://drnein.com/blog/2012/03/perils-of-budget-cosmetic-surgery/</link>
		<comments>http://drnein.com/blog/2012/03/perils-of-budget-cosmetic-surgery/#comments</comments>
		<pubDate>Tue, 06 Mar 2012 21:07:04 +0000</pubDate>
		<dc:creator>drnein</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://drnein.com/blog/?p=287</guid>
		<description><![CDATA[]]></description>
			<content:encoded><![CDATA[<p><iframe src="http://www.businessinsider.com/embed?id=4f4fe3d869bedd201c000061&amp;width=600&amp;height=430" width="600" height="430" border="0" frameborder="0"></iframe></p>
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		<title>What to ask when picking a plastic or cosmetic surgeon</title>
		<link>http://drnein.com/blog/2012/03/what-to-ask-when-picking-a-plastic-or-cosmetic-surgeon/</link>
		<comments>http://drnein.com/blog/2012/03/what-to-ask-when-picking-a-plastic-or-cosmetic-surgeon/#comments</comments>
		<pubDate>Tue, 06 Mar 2012 17:48:25 +0000</pubDate>
		<dc:creator>drnein</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://drnein.com/blog/?p=285</guid>
		<description><![CDATA[There is an excellent article and video from USA Today concerning appropriate selection and training of the plastic surgeon you may be seeking to perform your surgery. http://www.usatoday.com/money/perfi/basics/story/2011-09-13/cosmetic-surgery-tips/50395452/1]]></description>
			<content:encoded><![CDATA[<p>There is an excellent article and video from USA Today concerning appropriate selection and training of the plastic surgeon you may be seeking to perform your surgery. http://www.usatoday.com/money/perfi/basics/story/2011-09-13/cosmetic-surgery-tips/50395452/1</p>
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		<title>Plastic Surgery Society Commends USA Today’s Excellent Reporting On Patient Safety Risks and Cosmetic Surgery</title>
		<link>http://drnein.com/blog/2012/03/plastic-surgery-society-commends-usa-today%e2%80%99s-excellent-reporting-on-patient-safety-risks-and-cosmetic-surgery/</link>
		<comments>http://drnein.com/blog/2012/03/plastic-surgery-society-commends-usa-today%e2%80%99s-excellent-reporting-on-patient-safety-risks-and-cosmetic-surgery/#comments</comments>
		<pubDate>Tue, 06 Mar 2012 17:45:20 +0000</pubDate>
		<dc:creator>drnein</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://drnein.com/blog/?p=282</guid>
		<description><![CDATA[New York, NY (September 15, 2011) – The American Society for Aesthetic Plastic Surgery (ASAPS) applauds USA Today for reporting the importance of appropriate training, board certification and facility accreditation in plastic surgery. Patient safety is at risk as the growing trend of marketing trumping science proliferates in the plastic surgery field. In the two-part series published on September 14thand 15th in USA Today, reporter Jayne O’Donnell writes about the dangers that stem from the “commoditization of cosmetic surgery.” The growing demand for cosmetic procedures, as well as the attraction of self-pay elective surgery in an era of managed care, has encouraged physicians from various specialty-training backgrounds to assume the mantle of “cosmetic surgeon.” The article also focuses attention on board certification. O’Donnell notes, “residencies — the years-long stints working in hospitals under the guidance of more senior physicians — are required for board certification and are the principal distinction [...]]]></description>
			<content:encoded><![CDATA[<p>New York, NY  (September 15, 2011) – The American Society for Aesthetic Plastic Surgery (ASAPS) applauds USA Today for reporting the importance of appropriate training, board certification and facility accreditation in plastic surgery.  Patient safety is at risk as the growing trend of marketing trumping science proliferates in the plastic surgery field.  </p>
<p>In the two-part series published on September 14thand 15th in USA Today, reporter Jayne O’Donnell writes about the dangers that stem from the “commoditization of cosmetic surgery.”  The growing demand for cosmetic procedures, as well as the attraction of self-pay elective surgery in an era of managed care, has encouraged physicians from various specialty-training backgrounds to assume the mantle of “cosmetic surgeon.”  </p>
<p>The article also focuses attention on board certification. O’Donnell notes,  “residencies — the years-long stints working in hospitals under the guidance of more senior physicians — are required for board certification and are the principal distinction separating plastic and cosmetic surgeons, who typically instead do year-long fellowships or private training.” All plastic surgeons with board certification from the American Board of Plastic Surgery are trained in “cosmetic surgery”, but all ‘cosmetic surgeons’ are not trained in plastic surgery. </p>
<p>“This article just reinforces that patients must do their homework when choosing an aesthetic plastic surgeon,” says Jeffery M. Kenkel, MD, president of ASAPS. “There is tremendous confusion about plastic surgery. Television shows trivialize the experience, and advertisements often intentionally mislead. It&#8217;s important for people to realize that when the surgeon is properly trained and the facility is accredited, patients are much more likely to be satisfied with the outcome.”</p>
<p>There is no such thing as ‘risk-free&#8217; surgery but there are steps patients can take to help ensure their safety and satisfaction when undergoing cosmetic surgery.  The Aesthetic Society offers the following list of questions as a guideline of what to ask during a consultation with a plastic surgeon:</p>
<p>    Check Board-Certification: A doctor&#8217;s board-certification is the best indicator of his or her training in a particular medical or surgical specialty. Look for certification by the American Board of Plastic Surgery (ABPS), the only Board recognized by the American Board of Medical Specialties (ABMS) to certify doctors in the specialty of plastic surgery.</p>
<p>    Check ASAPS Membership: ASAPS membership ensures that a doctor not only is ABPS-certified (or, in Canada, certified in plastic surgery by the Royal College of Physicians and Surgeons of Canada.) but also has significant experience in cosmetic surgery. ASAPS membership is by invitation only.</p>
<p>    Check Facility Accreditation: Cosmetic surgery can safely be performed in a hospital, a surgicenter or an office-based surgical facility. Current published data show that accredited office-based facilities have a safety record comparable to that of hospital ambulatory surgery settings. However, the majority of office-based surgical facilities are not accredited. Another advantage of selecting an ASAPS member is that all ASAPS surgeons operate in accredited, state-licensed or Medicare-certified facilities.</p>
<p>    CheckHospitalPrivileges: Before granting operating privileges, hospital review committees evaluate a surgeon&#8217;s training and competency for specific procedures. Wherever the surgery will be performed, be sure that the surgeon has operating privileges in an accredited hospital for the same procedure being considered.</p>
<p>    Check Reliable Sources: Asking a patient&#8217;s primary care doctor for recommendations is a good place to start, and friends may offer suggestions, but the surgeon&#8217;s board-certification should always be verified independently by contacting the American Board of Plastic Surgery(www.abplsurg.org). Free referral information to board-certified plastic surgeons with significant experience in cosmetic surgery can be found on www.surgery.org . ASAPS&#8217; web site also offers extensive information about cosmetic surgical procedures.</p>
<p>    Check Thoroughness: The consultation is an important opportunity for questions to be asked and answered. It should include a candid discussion of risks as well as benefits of the surgery. A thorough consultation also involves a review of medical history including any existing medical conditions. All these factors help the surgeon to custom-tailor the operation to best meet the needs of each patient.</p>
<p>    Check Rapport: Even the most experienced surgeon is not the “right” surgeon for every patient. Any successful relationship depends on good communication. Patient satisfaction is enhanced when surgeon and patient candidly discuss goals, agree on realistic expectations, and plan the course of the surgical journey together.</p>
<p>    Check Experience: Experienced aesthetic plastic surgeons generally perform a wide range of cosmetic surgeries on a regular basis. Patients should ask about the surgeon&#8217;s experience with the particular procedure being considered. If considering a “new” technique or technology, patients should inquire whether results substantiating safety and effectiveness have been published in a peer-reviewed journal.</p>
<p>    Check Follow-up Care: Good surgical care does not end with the surgery. Patients should inquire about follow-up visits and about the doctor&#8217;s policies should surgical revisions be necessary.</p>
<p>    Check Cost: National averages for surgeons&#8217; fees can be found on www.surgery.org . Fees may vary considerably depending on geographic region, surgeon experience and individual patient factors. Not all patients can be treated with the same technique, and the complexity and length of surgery affect cost. Patients should note that cosmetic surgery usually is not covered by insurance. </p>
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		<title>PIP Breast Implants</title>
		<link>http://drnein.com/blog/2012/01/pip-breast-implants/</link>
		<comments>http://drnein.com/blog/2012/01/pip-breast-implants/#comments</comments>
		<pubDate>Tue, 03 Jan 2012 16:37:34 +0000</pubDate>
		<dc:creator>drnein</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://drnein.com/blog/?p=280</guid>
		<description><![CDATA[There has been some discussion in the press recently concerning the safety of PIP breast implants. In particular, PIP breast implants and those manufactured by ROFIL Medr do not meet medical safety standards. The following is an excerpt from a statement released by the American Society of Plastic Surgeons. &#8220;During a recent French governmental inspection of breast implants manufactured by PIP and ROFIL Medro since 2001, health authorities have discovered that most are filled with industrial grade silicone that does not meet the same stringent quality requirements as medical grade silicone. The rupture rate of these implants appears to be five times higher as compared to other implants. This means that they do not meet legal requirements or industry standards. Due to the high risk of rupture and subsequent release and distribution of silicone gel, PIP breast implants have been prohibited in Europe since April 2010 where more than 1,000 [...]]]></description>
			<content:encoded><![CDATA[<p>There has been some discussion in the press recently concerning the safety of PIP breast implants. In particular, PIP breast implants and those manufactured by ROFIL Medr do not meet medical safety standards. </p>
<p>The following is an excerpt from a statement released by the American Society of Plastic Surgeons. &#8220;During a recent French governmental inspection of breast implants manufactured by PIP and ROFIL Medro since 2001, health authorities have discovered that most are filled with industrial grade silicone that does not meet the same stringent quality requirements as medical grade silicone. The rupture rate of these implants appears to be five times higher as compared to other implants. This means that they do not meet legal requirements or industry standards. Due to the high risk of rupture and subsequent release and distribution of silicone gel, PIP breast implants have been prohibited in Europe since April 2010 where more than 1,000 cases of ruptured PIP breast implants have been reported already. The total number of patients with PIP breast implants is estimated at 30,000.&#8221;</p>
<p>It is important for all of our patients to know that we have NEVER USED PIP or ROFIL Medro implants in any of our patients at any time. Further, for women who have breast implants but are not patients of ours, please be aware that although PIP did sell breast implants in the U.S., the implants that are of concern were never sold or implanted in the U.S.</p>
<p>We only use breast implants manufactured by Mentor or Allergan (formerly McGhan). These are the two largest and best breast implant manufactures in the world. Both of them are American companies and make extremely good, safe breast implants. These implants are manufactured in the U.S. under strict FDA quality control. You may rest assured that if you received breast implants through our practice or if you have either of these implants from elsewhere, that you have breast implants of the highest quality.</p>
<p>Any product that we use in our practice is of the highest quality, from reliable sources (industry leading manufacturers) manufactured in the U.S. We never use any product that has not been fully scrutinized and approved by the FDA.</p>
<p>If you have any questions concerning this issue or breast augmentation in general please do not hesitate to call us at 615-327-0201 or e-mail at info@drnein.com</p>
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		<title>Choosing Breast Implant Size</title>
		<link>http://drnein.com/blog/2011/10/choosing-breast-implant-size/</link>
		<comments>http://drnein.com/blog/2011/10/choosing-breast-implant-size/#comments</comments>
		<pubDate>Thu, 27 Oct 2011 17:15:41 +0000</pubDate>
		<dc:creator>drnein</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://drnein.com/blog/?p=276</guid>
		<description><![CDATA[I&#8217;m thinking of going with the 339 on silicone implants but tossing the idea of a 371 i&#8217;m 5&#8217;9, 140lbs&#8230;I want to look natural and not big boobs I&#8217;m currently a 34a. Is there that much of a difference between the two? There is a relatively small difference between the sizes of these two implants. It is actually 32cc which is about 1 oz out of your measuring cup in the kitchen. Consider that amount distributed over the entire volume of your breast and I doubt you’d perceive any real difference. Ideally, implant size is chosen according to breast dimensions, skin conditions, patient build etc. But in this case the implant dimensions between these two are also quite similar. You’ll do very well with either of these implants but my personal observation over the past 16 years of doing this procedure is that nearly all women at six months after [...]]]></description>
			<content:encoded><![CDATA[<p>I&#8217;m thinking of going with the 339 on silicone implants but tossing the idea of a 371 i&#8217;m 5&#8217;9, 140lbs&#8230;I want to look natural and not big boobs I&#8217;m currently a 34a. Is there that much of a difference between the two?</p>
<p>There is a relatively small difference between the sizes of these two implants. It is actually 32cc which is about 1 oz out of your measuring cup in the kitchen. Consider that amount distributed over the entire volume of your breast and I doubt you’d perceive any real difference. Ideally, implant size is chosen according to breast dimensions, skin conditions, patient build etc. But in this case the implant dimensions between these two are also quite similar. You’ll do very well with either of these implants but my personal observation over the past 16 years of doing this procedure is that nearly all women at six months after breast augmentation wish they had chosen a slightly larger implant than what they actually did choose.</p>
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		<title>When to treat Capsular Contracture?</title>
		<link>http://drnein.com/blog/2011/10/when-to-treat-capsular-contracture/</link>
		<comments>http://drnein.com/blog/2011/10/when-to-treat-capsular-contracture/#comments</comments>
		<pubDate>Fri, 21 Oct 2011 15:12:08 +0000</pubDate>
		<dc:creator>drnein</dc:creator>
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		<guid isPermaLink="false">http://drnein.com/blog/?p=274</guid>
		<description><![CDATA[Hello, I had my first breast augmentation on July 7th this year with smooth silicone implants under the muscle. My left breast started contracting in week 7 and now at my 3 month post-op my surgeon recommending replacing the implant and using Strattice this time. I am only wondering if my breast is now inflamed and contracting, would it be better to wait a few more months for the inflammation to go down before doing the surgery, so that the current inflammation doesn&#8217;t affect the outcome? Fortunately with modern surgical techniques for breast augmentation, the likelihood of capsular contracture has diminished significantly. The current risk is less than 10% for implants placed submuscularly. Statistically about 80% of women who get capsular contracture will develop it in the first two years and in my personal experience the vast majority of those will develop contracture in the first 2 to 6 months. [...]]]></description>
			<content:encoded><![CDATA[<p>Hello, I had my first breast augmentation on July 7th this year with smooth silicone implants under the muscle. My left breast started contracting in week 7 and now at my 3 month post-op my surgeon recommending replacing the implant and using Strattice this time. I am only wondering if my breast is now inflamed and contracting, would it be better to wait a few more months for the inflammation to go down before doing the surgery, so that the current inflammation doesn&#8217;t affect the outcome?</p>
<p>Fortunately with modern surgical techniques for breast augmentation, the likelihood of capsular contracture has diminished significantly. The current risk is less than 10% for implants placed submuscularly. Statistically about 80% of women who get capsular contracture will develop it in the first two years and in my personal experience the vast majority of those will develop contracture in the first 2 to 6 months. There is no exact science as to when is the optimal time to perform a capsulectomy but I would probably wait until the process has stopped for about a month. In other words once the contracture is no longer getting worse or changing, then wait 4 to 6 weeks before having the capsulectomy performed. I personally wouldn’t use Strattice for the first episode of capsular contracture. I’ve only had one capsulectomy redevelop contracture; so the odds of getting a resolution to the capsular contracture without the use of ADM (acellular dermal matrix) are quite good.  I would avoid the extra expense for something that probably is not necessary and that doesn’t guarantee that contracture won’t recur. If someone has had multiple recurrent contractures then ADM would be a very reasonable option.</p>
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