What You Need to Know Before Getting Implants.

Dr. Pedy Ganchi, a board certified plastic surgeon with more than 9 years of experience in performing breast implants. Dr. Pedy answered our questions on what you need to know concerning the breast implant surgery.

What Are the Five Things People Should Know About Breast Implants?

Breast augmentation remains one of the most popular plastic surgery procedures over  the past several years. It carries a very high satisfaction rating. Implants are not lifetime devices and further surgery may be needed in the future for various reasons including rupture or deflation, droop, size change, capsular contracture (scarring),etc. Both saline and silicone implants are highly tested and safe and cause no illnesses. Women can safely become pregnant and even nurse after undergoing breast augmentation.

What is the Most Surprising Questions You Get From Patients Concerning the Breast Implant?

The most common questions are.  "Will I need to replace them every ten years?" The most surprising comments are when they tell me their fiancé or husband doesn’t know they have implants! 

What is more popular, saline or silicone, and why?

In the US, silicone has now surpassed saline in popularity …..close to 70% vs 30%. In the world, silicone has always been more popular. 

What is the most important thing patients can do when picking a doctor?

Select a Board Certified Plastic Surgeon with experience in all forms of aesthetic breast surgery. Review the doctors before and after photos to get an idea of their style.Ensure good communication  of size and goals with the doctor. Patient recommendations are very  valuable

Is there ever a time when insurance can pay for breast augmentation?

Breast augmentation can be covered by insurers in cases of reconstruction alone. It is very difficult to authorize coverage even in cases of significant size disparity.

There are breast augmentation horror stories out there, is it really that high of a risk to get the surgery? 

Breast augmentation carries small risks much like any surgery, such as infection 1-3%, Hematoma(bleeding) 1-3%, poor scarring, nipple sensitivity loss/change. There are also issues specific to the implants:  rippling, droop, capsular contracture (excess scarring). These risks can be minimized with precautions and experience with a competent surgeon and good patient selection, with realistic expectations.

Horror stories usually stem from inexperienced and unqualified practitioners with poor judgment /unqualified anesthesia providers and uncertified operating rooms and possibly poor post-operative  patient compliance.