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Textured implant update

The TGA are reviewing textured implants. Not all textured implants are the same; there are different types of textured surfaces (macro, micro and nano) and each carry different safety profiles.   No decision has been made to suspend or cancel the implants Dr Sharp uses.   When a textured implant is required to achieve a specific result that a patient desires, in consultation with the patient, either Mentor Siltex (microtextured) and Motiva (nanotextured) implants are used.   The latest research shows that the Mentor microtextured implants carry a 1 in 86,029 chance of developing BIA-ALCL. If you have textured implants or are considering them, we understand recent news might raise some questions and concerns for you and your loved ones. Nothing is more important to us than the health and safety of the women Dr Sharp operates on.   Current literature and real world evidence shows that the risk of developing BIA-ALCL differs between different textured implants and has been shown to be rare with the implants we use. Motiva are relatively new to the market in Australia and are nano textured, meaning their surface has been created to specifically avoid the causes of BIA-ALCL. Mentor breast implants are supported by long term clinical data, including three 10 year prospective clinical trials.   If I have textured implants, do I need to have them removed? If you have no symptoms, you do not need to have your implants removed. What are the symptoms of BIA-ALCL? The common presentation is fluid swelling around the breast implant and in the space between the implant and breast implant capsule – called a ‘late...

IS MODERN BREAST AUGMENTATION SURGERY SAFER THAN EVER BEFORE?

Is breast augmentation surgery considered to be a safe procedure? Specifically, are modern breast implants safer than the implants used in the past and is there anything I can do to make sure my surgery is as safe as possible? - patient Dr Sharp: It’s great to hear you are thinking about these factors before your augmentation surgery, as they are important pre operative considerations. I only offer procedures that I believe are safe and ethical; if it’s a procedure that I’d caution my family against having, I will not offer it to my patients. Breast augmentation surgery is a safe surgical procedure, if you use a qualified plastic surgeon, opt for high quality implants and promptly seek medical advice if you have any concerns regarding your breasts in the future. With new-generation implant options and surgical techniques, breast augmentation today is safer than ever and can help women achieve the natural look they want while also improving their breast shape and volume. While there are many different factors that contribute to ideal results and a safe outcome, there are four key benefits of modern breast augmentation surgery. Modern implants Decades of research suggest that breast augmentation surgery is safe when performed by a qualified plastic surgeon using quality implants and best practice surgical techniques. The implants I use are filled with cohesive gel silicone, which means that even if a traumatic injury was to result in a rupture, the silicone maintains its shape and usually stays within the implant capsule. These implants also feature nano or micro texturing, which balances our desire to minimise the risk of implant migration...

How many breast augmentations are performed around the world annually?

Breast augmentation surgery is one of the most common procedures requested in our Brisbane and Ipswich clinics. Figures released by the International Society of Aesthetic Plastic Surgeons in November 2018 show that 1,677,320 breast augmentations were performed internationally in 2017. Number of breast augmentations performed annually - Annual Global Aesthetic Survey, ISAPS 2017 Breast augmentation continues to be the most popular plastic and cosmetic surgery procedure around the world, and in Australia. In our clinics, it is closely followed by abdominoplasty, facelift, breast reduction or breast lift and blepharoplasty surgery. call to book a consultation with Dr Sharp   learn more...

Breast implant safety update

France’s ANSM (their equivalent of Australia’s TGA) recently decided to prohibit the use of 13 macro-textured and polyurethane coated implants from six manufacturers. In Australia, the TGA has asked textured implant suppliers to provide detailed information and samples of their implants for analysis before considering whether to suspend or ban the products. Our clinics do not use ‘macro’ textured implants; the two implant brands that we currently use are not included in France’s ban list; we chose our implant brands based on their very high quality standards. The TGA announcement has caused understandable concern among women who have had breast augmentation surgery, with many wondering if their implants are safe, or require removal and replacement. The brand we predominantly use had its certification mark (CE) renewed by the European Union only two months ago, and carries the lowest rate of complications - such as BIA-ALCL and capsular contracture - partly due to the quality of its ‘micro’ coating. Among other factors, breast implant related lymphoma (BIA-ALCL) has been linked to ‘macro’ textured breast implants. Due to their quality, the ‘micro’ textured implants we use are some of the more expensive on the market in Australia, but we believe the additional investment is worth the cost, offering unparalleled safety - and peace of mind. What does this mean? Now more than ever, it’s important to: Know the brand and type of implants your surgeon uses Dr Sharp use Mentor and Motiva implants. Being able to identify the type of implant your surgeon uses is an important part of your pre-surgery education and informed consent. We believe patients deserve to know the brand of the implant...

RETURNING TO EXERCISE AFTER BREAST AUGMENTATION SURGERY

“I would love to have a breast augmentation, but I’m worried about the impact it will have on my daily exercise routine, and the muscle tone loss or weight gain I will experience during the downtime. How soon after surgery can I return to working out, and are there any restrictions?” - patient Dr Sharp: It’s great to hear you are thinking about these factors before your augmentation surgery, as they are important pre operative considerations. After breast augmentation surgery you will spend about one week not doing much - you will be able to do basic tasks like showering, getting a drink or chilling on the couch, but not much more than that! During the following week, you’ll return to tasks like making your bed, going for light walks, cooking a meal or driving a car. The most challenging restriction for many of my breast augmentation patients is the requirement to not lift anything over 2kg for at least 6 weeks after surgery. And that doesn’t mean returning to bench pressing 10kg or lifting a toddler at 6 weeks and 1 day post op! Even at the 6-8 week post operative mark, it’s important to ease back into your exercise routine and tasks like shopping, cleaning and lifting small children. Listen to your body and if you experience pain, discomfort or swelling, cease the activity for another 2 weeks and ease back into it. Upper body workouts or things like rock climbing or ergo work will need to wait much longer than 6 weeks, but in the interim there’s other activities you can do to retain your fitness. We...

In the media: Dr David Sharp plastic surgery

Dr Sharp was featured in the QT this month, discussing the tips, trends and pitfalls of plastic surgery in 2019. He said more Australians are undergoing plastic surgery as taboos fall and surgical advancements evolve. Below are some excerpts from the interview with QT Editor Shannon Newley:   Why I chose a career in plastic surgery… The reason I chose plastic surgery as a sub-specialty is because I love performing the full spectrum of procedures it offers. They are all rewarding because they effect positive change in patients’ lives in different ways. For example, blepharoplasty surgery provides an instant reward because the recovery is so quick and it’s a small operation that makes a big change, whereas post pregnancy abdominoplasty and breast lift surgery is rewarding – even though the recovery is longer – because it restores core strength and improves back pain, pelvic floor issues and skin irritations after a woman has given so much of her body over to having a baby. Future trends in plastic and cosmetic surgery We will see more interest in minimal downtime surgery such as lip lifts, mini-facelifts and procedures that combine fat grafting. For skin condition and improvement, there is a growing interest in medical grade lasers, micro-needling and PRP therapy to help stimulate the skin’s own natural responses. It’s a more holistic approach than we’ve seen in the past, and I think it’s going to achieve more natural, sustainable results for patients. Current trends in plastic and cosmetic surgery The interest in having cosmetic surgery is definitely still on the rise. This is because the taboos that previously existed around...

Question of the week: what’s the best time of year to have a breast augmentation?

If I want to be healed in time for next summer, what’s the best time of year to have a breast augmentation? How long will the recovery take and how soon can I swim? - patient Dr Sharp: Breast augmentation in Brisbane is a four-seasons procedure, in that it’s one of those popular operations that I perform every week, every month, of the year. Especially in Queensland, where our weather in warm or mild all year round - women tend to enjoy their results across the year instead of the very cool climates where they are more likely to be concealed by jackets and bulky knits for 6 months of the year. That said, having breasts that are fully healed by the time summer holidays roll around is a common request. For the first 6 weeks after a breast augmentation, your incisions can’t be submerged in bath, spa, pool or sea water - so if you are planning summer holidays, that’s something to consider. Likewise if you are planning a holiday to Europe during their summer, it’s wise to have the surgery at least 6 weeks beforehand, so you can swim and participate in normal activities. We also recommend that patients don’t lift anything heavier than 2kg for the first 6 weeks, so that’s something to think about in terms of returning to the gym, lifting older children, returning to a job that is labour intensive or going on holidays and lifting heavy bags. I encourage my patients to look at the next 6 months and work out where that 6 week ‘gap’ can be - and work backwards from...

Considering surgery in 2019? Here are four things to think about…

Great surgical results are the coming together of good preparation, great surgical skills, optimal post operative recovery, good health/nutrition and mental wellbeing. New rules that came into play in recent years ensured that patients and their surgeons can’t rush into cosmetic procedures - which is a good thing! Planning ahead, taking the time to get informed and ensuring that you have considered your recovery process, financial costs and surgical goals, helps set you up for the best possible outcome, and an enjoyable experience along the way. Here are some questions that our practice director, Liz, recommends patients ask themselves if they are considering surgery in 2019: What do I want to achieve? Ask yourself to articulate what you don’t like - and importantly - what you do like about your appearance. Think about the specific changes you’d like to see. Is there a certain look you definitely don’t want to achieve? And how do you expect having surgery will make you feel; both during and after the process? Consider whether you’ll be okay with the possibility that your results might be immediately visible (as is the case of breast augmentation) or could take a full year to reveal themselves, as rhinoplasty results can. Talk to a trusted person about your concerns or desires - and feel free to bring them along to the consultation with your surgeon; it might make you feel more comfortable, and can also help you remember what was discussed during your appointment! What is my ideal time frame for surgery? If you have your heart set on a specific time of year for your surgery, ideally, book your first consultation 4 - 6 months...

2018 Highlights: before and after plastic surgery with Dr David Sharp

It’s been a big year of operating for us - and we love nothing more than to look back through our patients’ surgical journeys and see the improvements they’ve experienced! From facelift and blepharoplasty through to breast augmentation, abdominoplasty and wrinkle injections - here’s a small selection of results from the thousands of procedures that Dr Sharp performed during the past 12 months. We love being part of every patient’s surgical journey, and witnessing the positive life changes that self improvement can bring; which often reach far beyond the physical transformations seen here. Thank you to all of our patients, for entrusting your care to us - and making us part of your 2018. A special thank you to those patients who generously permitted us to share their results, to help educate others about procedures they might be considering. Keep an eye out for more on our Facebook and Instagram pages! Considering surgery in 2019? The best results are planned ahead! Contact us to take the first step... learn more...

What is the short scar breast augmentation technique?

As breast augmentation techniques evolve, the visible signs of surgery have become less prominent. One of the techniques that Dr Sharp employs during almost every breast augmentation procedure he performs at our Brisbane and Ipswich hospitals, is the short scar augmentation. This technique provides a reduced incision length and less scaring for our patients. In order to insert the implant, an inframammary incision is made under the breast. In the past, surgeons had to dissect the implant pocket and squeeze an implant through this incision, so they had to make the cut wide enough to accommodate the implant. However, Dr Sharp is able to make a smaller incision due to his use of a special sleeve to enable narrower insertion of the implant. A tool known as the ‘Keller Funnel’ (which you can watch Dr Sharp use here), allows the smaller incision to be made; the implant is passed into the chest via the funnel and in most cases, the scars are completely concealed in the fold (see images below, taken from underneath with the patient lying down). above left: six month old breast augmentation scar   |   above right: six month old breast augmentation scar  In addition to aesthetic benefits of a shorter scar, the funnel also has safety benefits; it enables the silicone gel implant to be placed into the breast without the need for touching, and with more control by the surgeon. While Dr Sharp does everything possible to minimise every scar created by his surgery, there are certain circumstances where a short scar incision isn’t possible. This includes some removal and replacement or revision procedures. All surgery leaves scars. Sometimes...

Question of the week: are routine MRI scans necessary after breast augmentation?

How can I tell if my implant has ruptured? I had breast implants last year and was wondering if I need to get routine breast ultrasounds or MRI scans? I don’t have a family history of breast cancer. - patient Dr Sharp: Routine MRI or ultrasounds are not recommended unless you: have a history of breast cancer have noticed changes in your breasts such as the onset of pain, distortion or discharge suspect your implant/s may be ruptured have experienced trauma to your chest and there are concerns that your implant/s may have been damaged   So if you don’t have a history of breast cancer (and aren’t of an age - or family history - to need routine screening yet), regular scans to check on the condition of your implants is not recommended in Australia. The specific silicone gel filled implants I use are of an extremely high quality; they are covered by a lifetime warranty for rupture. This means the manufacturers back the implant quality, and they will replace them for free if they are to rupture at any point in the future. Surgeons can also take certain steps to reduce the risk of breast implant rupture at the time of implant placement, including using a Keller funnel to place the implant with minimal impact on the implant itself. I use a funnel for this and other safety reasons when inserting implants. In the case of silicone implants, if the implant shell develops a small opening, due to its cohesive nature, the silicone gel will most likely remain inside the implant’s outer shell. If a tear develops in the outer shell, the silicone gel...

Question of the week: using liposuctioned fat for grafting

I want to have fat liposuctioned out of my thighs and stomach, and put into my breasts and face to fill out my sagging skin. Is it possible to do this instead of having a breast augmentation and facelift? - patient Dr Sharp: Patients also often ask if liposuctioned fat can be injected into other parts of the body, or ‘fat grafted’. The best way to explain my approach to liposuction and fat grafting is that liposuction is all about volume of fat, where as fat grafting is all about quality of fat! I often take small amounts of fat from the stomach or thighs and place these in the face to fill out areas that have experienced volume loss. Likewise, for slim women who lack fat across their chest to soften the appearance of their breast implants, I often graft small amounts of fat around the periphery of implants, to create a more natural look and reduce the visibility of implant rippling. Unfortunately it’s not an easy case of liposuctioning large amounts of stomach fat and using it to build breasts that are two cup sizes bigger. This is because liposuction technology aims to remove the maximum amount of fat with the least amount of physical damage to surrounding tissues. And the best way to do that is to break down the fat as much as possible before extracting it. This damages the fat cells and inhibits their ability to regrow when transplanted into another area; so it’s not considered to be ‘good quality’ harvested fat. One of the biggest downfalls of fat grafting is the fact that some...
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