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Brooks Cooper
Brooks Cooper

Eleventh, Breast Man, Augmentation Surgery!



Results: A total of 136 breast cancers were observed among the breast implant patients. External analyses, using general population rates from the Surveillance, Epidemiology and End Results (SEER) program, resulted in 152.2 cases expected and a standardized incidence ratio (SIR) of 0.9 (95% CI 0.8-1.1). A comparable SIR was found for the other plastic surgery patients (SIR =1.0, 95% CI 0.7-1.2). Internal analyses, directly comparing the implant patients with the other plastic surgery patients, showed a RR of 0.8 (95% CI 0.6-1.1). In neither the external nor internal analyses was there any systematic variation in risk by age or calendar year of initial implant. Risk also did not vary by years of follow-up or by type of implant. Risk was not affected by exclusion of patients who received their implants following surgery for benign breast disease. Although breast tumors tended to be detected at a somewhat later stage among the breast implant than the comparison patients, the difference was not statistically significant, nor was there any significant difference in breast cancer mortality between the two groups.




Eleventh, breast man, augmentation surgery!



If you notice any changes to your breasts or implants, talk to your doctor. Ongoing follow-up visits and appropriate screening tests can detect and address possible complications related to breast augmentation surgery.


Also, your breasts will continue to age after augmentation. Weight gain or weight loss might change the way your breasts look, too. If you become dissatisfied with the appearance of your breasts, you might need more surgery to correct these issues.


At surgery, the left subpectoral silicone implant was removed without difficulty with wide excision of the thinned skin measuring 10 cm 4 cm. There was evidence of peri-implant fluid and samples were sent for both cytology and microbiology. In addition, tissue samples were obtained for pathology from multiple sites including the left pectoralis muscle, left chest wall and lateral infra-areolar left breast tissue. Also, additional tissue samples were sent from a separate incision for the swelling at the site of palpable concern just superior to the implant near the left axillary line. Once hemostasis was ensured and the remaining tissue appeared healthy, the pocket that previous held the implant and skin incision were closed and a sterile compressive dressing was applied.


Aetna plans exclude coverage of cosmetic surgery and procedures that are not medically necessary, but generally provide coverage when the surgery or procedure is needed to improve the functioning of a body part or otherwise medically necessary even if the surgery or procedure also improves or changes the appearance of a portion of the body. Additionally, many Aetna plans specify that certain surgeries are not considered to be cosmetic (e.g., surgery to correct the result of injury, post-mastectomy breast reconstruction, breast augmentation to treat gender dysphoria, surgery needed to treat certain congenital defects such as cleft lip or cleft palate). Please check benefit plan descriptions for details.


After the chest heals from reconstruction surgery and the position of the breast mound on the chest wall has had time to stabilize, a surgeon can reconstruct the nipple and areola. Usually, the new nipple is created by cutting and moving small pieces of skin from the reconstructed breast to the nipple site and shaping them into a new nipple. A few months after nipple reconstruction, the surgeon can re-create the areola. This is usually done using tattoo ink. However, in some cases, skin grafts may be taken from the groin or abdomen and attached to the breast to create an areola at the time of the nipple reconstruction (1).


All women who undergo mastectomy for breast cancer experience varying degrees of breast numbness and loss of sensation (feeling) because nerves that provide sensation to the breast are cut when breast tissue is removed during surgery. However, a woman may regain some sensation as the severed nerves grow and regenerate, and breast surgeons continue to make technical advances that can spare or repair damage to nerves.


Some health plans sponsored by religious organizations and some government health plans may be exempt from WHCRA. Also, WHCRA does not apply to Medicare and Medicaid. However, Medicare may cover breast reconstruction surgery as well as external breast prostheses (including a post-surgical bra) after a medically necessary mastectomy.


A woman considering breast reconstruction may want to discuss costs and health insurance coverage with her doctor and insurance company before choosing to have the surgery. Some insurance companies require a second opinion before they will agree to pay for a surgery.


De La Cruz L, Blankenship SA, Chatterjee A, et al. Outcomes after oncoplastic breast-conserving surgery in breast cancer patients: A systematic literature review. Annals of Surgical Oncology 2016; 23(10):3247-3258.


Cyrus F. Loghmanee M.D. co-founded East Coast Advanced Plastic Surgery (ECAPS) with his longtime friend and colleague Dr. Dean Cerio M.D. in 2011. They have since grown to a team of four Plastic Surgeons at ECAPS with a common goal and passion for delivering attentive care to each individual patient. Dr. Loghmanee completed a fellowship in microsurgery for breast reconstruction and trained with the pioneer of DIEP flap reconstruction at the Medical University in Charleston, SC. He is board certified by both the American Board of Surgery and the American Board of Plastic Surgery (finished in the top %1 of the country)


Dr. Dean Cerio is a co-founder, along with Dr. Cyrus Loghmanee, of East Coast Advanced Plastic Surgery (ECAPS), in the New York and New Jersey area. Dr. Cerio specializes in aesthetic and reconstructive surgery of the entire body, with special expertise in breast cancer reconstruction. At ECAPS, Dr. Cerio provides all of his cosmetic patients and breast cancer survivors with a sense of wholeness and a new outlook on life.


Dr. Bedri is a board certified plastic surgeon who specializes in the most advanced techniques of breast reconstruction and aesthetic surgery. He prides himself on a gentle, honest, and respectful approach with each patient. Dr. Bedri graduated from medical school at top-ranked Johns Hopkins University School of Medicine. He completed his surgical training in Plastic and Reconstructive Surgery at Johns Hopkins Hospital,... where he was selected as the Administrative Chief responsible for the Plastic Surgery academic curriculum. Dr. Bedri was then accepted into a prestigious fellowship in Breast Reconstruction and Aesthetic Surgery at Mercy Medical Center in Baltimore, Maryland. There he gained additional expertise in state-of-the-art techniques of microsurgical breast reconstruction and cosmetic procedures, including breast augmentation and reconstruction, liposuction and fat-grafting, and body contouring.


Angela is our senior Physician Assistant here at ECAPS. She completed her undergraduate education at Rutgers University and went on to obtain her Masters of Science in Physician Assistant Studies at Seton Hall University. She is board certified by NCCPA, with a background in general and surgical oncology, and now years of experience in Plastic Surgery with a passion for breast reconstruction and microsurgery.


There are thousands of patients every year that choose to have breast augmentation surgery to restore their figure or improve areas that have always been deficient. Once patients have made the decision to have breast surgery, they must then decide which cosmetic surgeon is right for them. The plastic surgeon that performs your breast augmentation is one of the most important factors to ensure that your surgery is performed elegantly, your recovery time is minimized, and your results exceed your expectations. Dr. Malhotra is an authority in his field with 11 years of training and over 5,000 surgeries performed. He will individualize your procedure to meet all of your aesthetic goals.


Aside from choosing the right plastic surgeon for breast augmentation, all patients will need to choose a size for their implant. During your consultation with Dr. Malhotra, you can discuss the specific goals that you have for breast augmentation to help him best assist you in choosing the right size. He will also take into consideration the overall shape of your body and what sizes would proportionately fit. After discussing your goals and analyzing your body structure, Dr. Malhotra will have you go through a special sizing process that has been developed by Dr. Malhotra.When patients come to the office for a consultation, they may bring pictures of patients whose body type mirrors theirs. Often patients have a post procedure cup size in mind, however, a more accurate sizing process is used in the office. The best way to communicate with your surgeon is to review pictures with your plastic surgeon to view which things you do and do not like. Dr. Malhotra specializes in breast augmentation. He has done advanced training solely in breast augmentation surgery.


Success in breast augmentation surgery depends on choosing the right surgeon, selecting the right implant type, sizing an implant that fits your goals, and using quick recovery techniques. You can view numerous breast augmentation results performed by Dr. Malhotra by reviewing his before and after breast augmentation photos.


At Ann Arbor Plastic Surgery, we offer hair restoration and facial, breast, and body enhancement procedures including rhinoplasty, facelift, breast augmentation, liposuction, tummy tuck, and labiaplasty surgeries. We also offer BOTOX Cosmetic injections by experienced providers. We conveniently serve patients in Michigan, Ann Arbor.


And in the U.S, at least 4,000 gender affirmation surgeries have been undertaken since the year 2000. Undoubtedly, a significant portion of those would have been MTF (male to female) transgender breast augmentations.


Believe or not, the process involved with transgender and female breast augmentation is essentially one in the same. As mentioned, the transgender patient has already grown breasts through the use of hormone replacement therapy. Therefore, both the transgender and the female patient simply wish to enhance the size of their breasts, usually with the objective of improving their self-esteem and developing a more feminine upper profile.


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