Case of the Week #9
Silicone Gel-filled implants
APPROVED by FDA
This 27 year old patient from Brawley, California wanted to have her
breast size increased after having 3 children and nursing all of them.
She found double board certified plastic surgeon, Dr. Tom Pousti and
came in for her surgery. She LOVED her new breasts and her new body
after her breast augmentation surgery with saline implants.

The patient went from a “AA” cup size to a “C” cup size with her
first surgery using saline implants.
After a few years, she noticed that she had lost weight and due to
the fact that she has very little body fat (or breast tissue), she
started feeling “rippling” in the implants. She came in to discuss her
concerns with Dr. Pousti and he suggested that her saline breast
implants be removed and replaced with larger silicone gel implants. At
the time of the surgery, silicone gel implants were part of an FDA (Food
and Drug Administration) study.
The FDA's reasons for studying the new high strength gel silicone
breast implants was purely for reasons of safety. Plastic surgeons like
silicone gel implants, not only because they are safe, but because
silicone breast enhancements feel and look completely natural. Dr.
Pousti has been involved with two studies for Mentor Silicone Implants
and Inamed Silicone Implants for the past 10 years and therefore has
experience with using these silicone gel implants on many patients.
These studies were in place to give the FDA the additional data they
require before they would approve silicone breast implants for general
use.
At this time, you do not need
to meet the above criteria.
After rigorous scientific review, on November 17, 2006, the U.S. Food
and Drug Administration (FDA) approved the marketing of
silicone gel-filled breast implants made by two companies for breast
reconstruction in women of all ages and breast augmentation in women
ages 22 and older. The products are made by Allergan Corp. (Formerly
Inamed Corp.) and Mentor Corporation. Mentor Corp.'s silicone gel
implants are called the MemoryGel Breast implants.
In the past decade, many independent studies have been performed to
examine whether silicone gel-filled breast implants are associated with
connective tissue disease or any cancers. These studies have concluded
that there is no convincing evidence that breast implants are associated
with either of these diseases.
Now that the products have been determined to be safe, the FDA will
continue to monitor them by requiring each company to follow about
40,000 women for 10 years after receiving the breast implants. This is
normal practice for the FDA so that they will be able to answer
important questions that could only be answered once the product is in
broader use. The post-approval studies will be closely monitored by the
FDA.
After her surgery using silicone gel-filled implants, she went from a
"C" cup to a “D” cup and is very pleased. The recovery period for breast
augmentation surgery is generally one week of bed rest and no driving
for 1-2 weeks but with revisionary breast surgery, there is minimal
recovery time and minimal pain associated with the surgery.

The Patient’s Testimonial:
I became interested in a breast augmentation after nursing my three
children. This surgery is my second with Dr. Pousti. My first procedure
was with saline implants and my second was with the silicone gel
implants. I knew by seeing Dr. Pousti's work that he had a way with
giving a natural look to a breast augmentation. Dr. Pousti, is a
complete gentleman and very knowledgeable about cosmetic procedures. Due
to having only a small amount of body fat, my saline implants were
rippling and I wanted to go up in implant size. So Dr. Pousti
recommended the silicone gel implants which I love, love, love. I no
longer have rippling and they feel and look more natural. I now have the
Cadillac implants as Dr. Pousti would say, and he knew what would work
best for my body. His staff is excellent in every way and the surgery
center was amazing!! As for the recovery, the second procedure was a
piece of cake and no pain involved. I am more confident in my own skin
now than ever before, Thank You Dr. Pousti and staff.....
