In terms of cosmetic breast augmentation, one of the country's most well-known figures, Bradley Calobrace, MD, a plastic surgeon in Louisville, Kentucky, shared the latest developments in the field and everything you should know if you are considering surgery.  

“I’m definitely the most famous in the world for breast repair surgery and breast augmentation for various reasons, so that I wrote a textbook on this topic this year. I also produced it for QMP (Quality Medical Publishing) A five-part video series on breast augmentation. I am currently writing a textbook on breast repair surgery for QMP publication."

“One of the most important things that have happened in the United States, especially in the past two years, is that textured implants are rare but may be associated with breast implant-associated lymphoma (BIA-ALCL) and stopped using them. I am A lot of work has been done here because I am the chairman of the BIA-ALCL committee of our aesthetic society. Smooth implants are not associated with lymphoma, so they can be used safely. The reason we use textured implants is because they are in the breast It creates stability and reduces the incidence of capsular contracture. For smooth implants, we must deal with these issues in a different way."

"Yes. Fortunately, in the past five or six years, I have begun to use more "inner bras", which are made of mesh-or the more widely known scaffolding-placed as a hammock to strengthen breast implants And fix its position, especially when using smooth implants. The mesh is placed inside the breast to provide support-it creates a stable platform for the body's own internal bra, making the breast look lively- And it disappears and disappears slowly but surely within one to two years, but the strength remains. Everyone wants a raised breast that looks like they are not wearing a bra. The grid has become a better way for patients to perform breast surgery We will continue to do a lot of research on this! They also use some of these meshes in breast reconstruction and abdominal hernia repair in cancer patients."

"There are two different types: one is made of P4HB (poly-4-hydroxybutyrate) and it comes from a company called Galatea. It is a synthetic mesh designed to provide strength and act as a scaffold , And then absorbed over time. The other is called DuraSorb. It is newer, from a company called SIA, made of PDO (polydioxane), similar to the stitches we have been using Thread. However, it is made like a screen door instead of a barbed suture. P4HB will last about 18 to 24 months before dissolving, and DuraSorb will disappear after a year. I have never seen these used The product has any serious complications."

"Yes, it is suitable for breasts of any size because we are using it for another surgery, such as breast augmentation or breast augmentation. When someone has a complication (capsular contracture or misalignment) of a breast implant, we will use it It is used to reinforce smooth implants. Usually patients who need internal implants are those who get larger implants because of the need for greater stability, and those who do not have good soft tissue quality. I also often Using these on weight-loss patients or women who have been pregnant for many times, their breasts have undergone a lot of changes, and their breasts are very thin and stretched. If you cannot support yourself, this type of skin cannot support the implant. In addition, When the patient’s chest wall is very inclined, the implant may slip into the armpit or bottom. The mesh can effectively prevent this and produce more beautiful breasts."

"That's very different. The thread lift uses barb sutures to lift the breasts to avoid breast lift surgery. It does not support the breasts. Those sutures are not so supportive and often cannot be lifted sufficiently. The device pulls up from the top like a rope, instead of an inner bra, it supports it from the bottom and is more powerful."

"One of the other most effective methods is to use fat grafting. It is becoming the mainstay of cosmetic breast surgery. Even though I am implanting implants, the addition of fat grafting is one of the things that make the results perfect. It allows you to repair everything. These small contour issues and asymmetries. One of the most important things today is that the patient no longer wants breast implants. I will take out the implants, use their own breast tissue for breast enhancement, and then add Fat grafting. This is very common in my practice. Breast implants are still great, but when we don’t need them, it’s great to have an alternative to using the patient’s own tissue. This does not apply to A cups and I want to be a C-cup person, but it is suitable for many other patients."

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