Breast Enlargement (Augmentation Mammoplasty)
Silicone Breast Implants
Dr. Sherman offers the choice of silicone breast
implants. Since November of 1993, the FDA has allowed the
use of silicone breast implants and has limited the use of
the implants to several types of patients. They are usually
not permitted in the use of primary breast augmentations,
except in certain situations.
Requirements for the use of Silicone Implants:
Dr. Sherman is approved in the adjunct study protocol of the
FDA. Inclusion in the study is permitted, but the patient
must be willing to return to the office for the follow-up
documentation of the silicone implants at 1, 3, and 5 years
after surgery.
Patients undergoing breast
reconstruction for cancer are allowed to be included in
the study. Patients that have a severe deformity, either post-traumatic
or congenital, are also allowed to use the silicone implants.
Congenital conditions include pectus excavatum, and severe
asymmetry of the breasts.
Patients who have had previous breast
implants and are in the need for revisional surgery are
also included. These patients may have had their implant for
either cosmetic improvement or breast reconstruction. Patients
who undergo the placement of silicone implants with simultaneous
breast mastopexy (uplift) are
also allowed to be included in the silicone implant group.
Patients who may not have the silicone implant:
The FDA lists several criteria that are immediately excluded
from the use of the silicone implant. Any patient who has
one of the following conditions is immediately excluded:
- Infection
- Any patient who is nursing or is pregnant
- Patients with scleroderma or lupus
- Diabetic patients who have unwarranted surgical risks
and/or
- Patients with psychological problems.
Cost Differential: The cost of the silicone
implant is signigficantly more than the saline implant, and
is passed on to the patient. No cost additions are made to
the patient for the documentation and filing with the FDA.
To set up a private consultation with
Dr. Sherman, contact us today. Call us at (212) 535-2300 or
e-mail us. |
