Types of Breast Implants: Textured vs. Smooth

types of breast augmentationIf you’re considering breast augmentation and you’ve begun to research your options, you’ve probably discovered something important: when it comes to choosing the right breast implant for you, there are so many different factors to consider. Differences between cohesive gel silicone and saline breast implants are fairly commonly known, and after that you likely start looking into volume, projection and implant shape. But did you know that there are different textures for different types of breast implants as well?

The outer shell of a breast implant—whether it’s cohesive gel silicone or saline—can be perfectly smooth or rough and textured, kind of like velcro. Texturization was introduced for a couple of different reasons. When we use a teardrop shaped breast implant, for example, then we need that texturization to help keep the implant in place. Whereas the movement of a round breast implant likely won’t cause any abnormalities, if a teardrop or anatomical shaped implant moves around beneath the breast tissue, that particular shape won’t be able to stay in the right position. We don’t want our patients to have oddly-shaped, unnatural-looking breasts, so we use a textured implant with that velco-like shell to prevent it from moving around too much while still giving a natural look and feel.

The other reason texturization was invented was to help reduce the risk of capsular contracture. Capsular contracture is a complication that very rarely occurs in breast augmentation. The body forms scar tissue around the breast implants, which causes it to feel hard. It’s not the breast tissue, and it’s not the implant, but rather it’s the scar tissue that your body forms around the implant that creates this feeling. Plastic surgeons everywhere take every precaution to prevent this complication from happening with our patients, because we know it doesn’t let your breasts look and feel as natural as they should. What we discovered through significant research is that textured implants can help reduce the risk of capsular contracture.

But there’s a catch. Texturization can reduce this risk, but only when the implant is placed above the muscle. When we place the implant behind the muscle, studies show that no matter what texture you use, the rate of capsular contracture will be about the same. In that case, you always go with the implant with the lowest overall complication rate, and that’s a smooth implant.

Whether to place the implant above the muscle or behind the muscle is based entirely on what’s right for you, your goals, and your body type. Modern breast implants have been invented and designed for exactly these types of reasons. There is no standard best choice of implant that will work for everyone, but there is a best type of breast implant that can be perfectly customized to you.


Haiti: From Earthquake to Surgical Relief Mission

Haiti Child PatientIt’s an anniversary we won’t soon forget, and another milestone for a nation. January 12th of this year marked the 5th anniversary of the devastating earthquake that struck Haiti in 2010. It’s hard to believe that it’s been five years since that disastrous event, which took the lives of far too many and left hundreds of thousands of others with incomprehensible injury and untold sadness. Broken limbs, wounds, lacerations, and infections demanded immediate and highly skilled attention—demand that could not be met by a country reeling from this level of devastation. The earthquake was a disaster where the injured needed plastic and reconstructive surgery at a level never seen before.

It’s even harder to believe that it’s been almost five years since a team from The Plastic Surgery Clinic arrived in Port-au-Prince for a week long mission. Our team set out to continue the debridement, skin grafting and reconstructive procedures performed by the previous volunteer surgeons. The line of patients who needed attention was never-ending, their suffering incomprehensible, and their strength in the face of hopelessness unbelievable. The experiences from that week in mid-February have stayed with each volunteer every single day since their return. It’s not just that you can’t forget such an impactful experience. It’s that you owe it to those who lost their lives to remember, to move forward, and to continue the hard work wherever there is suffering.

That’s why we’re so glad to continue working with Artists for Peace and Justice. This incredible organization supports long-term, sustainable development in direct partnership with the Haitian people. They believe in empowering local communities, fostering economic growth, and the power of education to change a nation. They provide education, scholarships, healthcare, and other fundamental resources to a country where more than 50% of the population still lives in extreme poverty.

Haiti has come a long way since the earthquake five years ago, but there is still so much work to be done. You can contribute by donating to APJ, an organization that follows a 100% policy. Every single publicly-donated penny donated goes directly to programs in Haiti. The need for long term commitment is essential in order to create true change, and APJ is wholly committed to the ongoing project of empowering a new generation of Haitian leaders who will continue to help Haiti rebuild to become stronger than ever before.

To find out more on the 2010 Haiti Relief Mission, read Dr. Lista’s personal journal from the trip:

1.) We’re Going
2.) Our Journey Begins
3.) From Texas to Haiti
4.) Entering a New World
5.) Utter Chaos
6.) The People


New You for the New Year: Freeze Your Fat Away

CoolSculpting New Year's ResolutionFor many people, the arrival of the new year means time for reflection and time to set new goals. Last year, 62% of the general population made New Year’s resolutions according to the Journal of Clinical Psychology. When you look at how many people were able to achieve their goals, the results are a little dismal. Only 8% of those who made resolutions managed to keep them. So what are some of the options that are available to help give you a boost and set you up for success?

The resolution that tops the chart every year is always (you guessed it) weight loss. I would divide this group into two categories: those who have seen minor weight gain slowly accumulate over the years and now find themselves at a slight distance from their healthy goal weight, and those who are more significantly overweight and find that they’re endangering their health and well-being.

Today I want to talk about the most common of the two by far, the first group who wants to lose some weight but not a significant amount. What’s great about being in this group is that, by adjusting your lifestyle to focus on eating reasonable portions of healthy food and staying as active as possible, slowly but surely you’ll almost definitely drop those extra pounds. You don’t need to follow a fad diet, you don’t need any gimmicky exercise equipment, you just need an attention to creating a good balance. If you feel like you need some additional guidance, there are tons of great free apps out there that can help you in this department.

The place where many people seem to need the most help is with that last little bit of fat that just won’t go away—when they hit the dreaded plateau. You get so close to your goal weight but still you have these little pockets of stubborn fat that don’t respond to diet or exercise. We’re talking about love handles, paunches, spare tires, bra rolls, and any other unwanted bulges. When you’ve worked hard and done everything right, these persistent fat cells that interfere with your new look can be so discouraging. They’re frustrating, and they can make you feel like giving up on the healthy changes you’ve made.

Here’s the good news: we can get rid of that fat, and we can do it without surgery and without downtime. CoolSculpting is our favourite new non-surgical body contouring treatment. It’s an amazing technology that targets and freezes fat cells and allows your body to naturally eliminate them in the weeks and months that follow. The procedure itself is safe, cool, and effective. The device applies controlled cooling to the desired area of fat reduction while you lie back and relax. Many patients are so comfortable they enjoy reading, checking email, or even taking a nap. And as GQ magazine recently reported, men are really loving what this treatment can do for them too.

Some patients start to see results as little as three weeks after treatment, though the most dramatic results tend to be apparent after about two months. If you maintain your healthy lifestyle, your newly sculpted results are essentially permanent. Wouldn’t it be great to achieve your New Year’s resolution and never have to worry about it again?


Dr. Lista on Eliminating Fat in Elevate Magazine

Elevate MagazineDr. Lista appears in the latest issue of Elevate magazine for a special feature all about weight loss and eliminating stubborn, unwanted fat. He offers his expert advice in regards to the latest revolutionary non-invasive procedures that can be used to get rid of fat cells.

As Dr. Lista explains, patients who are looking for reliable results with no surgery, no downtime, one of the best options available is CoolSculpting. Not only is it a highly effective non-invasive body contouring treatment, but it’s also an affordable option. For those looking to lose that last inch or two of fat from problem areas, including love handles, muffin top, inner and outer thighs, or the “bra roll” area, CoolSculpting literally freezes away the fat. Over the following weeks and months, your body naturally processes the dead cells and a more contoured figure is slowly revealed. Explaining the technology, Dr. Lista says, “fat freezes at a higher temperature than water, so if you apply something really cold to someone’s fat bulge, the fat cells are going to freeze but the skin won’t.” This means that you can safely eliminate those stubborn pockets of fat that don’t respond to diet or exercise without damaging any of the surrounding tissues. Treatment is safe, effective, and easy: many patients are comfortable enough to relax and enjoy reading, checking e-mail, or even taking a quick nap during a typical one hour session.

Most people see an undeniable reduction of fat after a single treatment, and additional sessions may further enhance results. You may start to see results as little as three weeks after treatment, though the most dramatic results tend to be apparent after about two months.

Click here to read the complete article.


Get Youthful Skin Again with Dermal Fillers

facial fillersWe see it in the tabloids all the time. A star has appeared out and about somewhere with a puffy looking face and that mouth shape we’ve come to know as “duck lips” and it all comes down to a little too much of a good thing: injectable fillers. This appearance has become so ubiquitous it’s easy to understand why some people assume that facial fillers are always obvious, always overdone, and always unnatural looking, but the truth is you really only notice cosmetic procedures when they’re poorly executed. When used well, dermal fillers can have an amazing rejuvenating effect on the face that’s so subtle you look like you’re well-rested—not like you’ve had an appointment at our clinic.

Hyaluronic acid (HA) injectable fillers have long been a popular choice for those who want a more refreshed and rejuvenated appearance. As we age, we begin to lose volume in the face, which can lead to fine lines and wrinkles, but can also change the contours of our cheeks, lips, chin, and more. What’s great about HA is that it’s derived from a sugar that naturally occurs in the body and helps maintain volume and elasticity in the skin. The injected gel acts like a sort of cushion in the tissues to help plump up volume and improve elasticity. HA also draws water to itself from the body, bringing hydration closer to the surface of the skin to help add to that fresh, supple look (that’s why it’s also a pretty popular ingredient in a lot of moisturizing skin care). Since it’s naturally occurring, the body is able to process it easily and the effects subside after about one year.

One particular area of concern for a lot of people as they age are the lines around the mouth, known as the nasolabial folds. Sometimes called laugh lines or smile lines, this particular area can be the site of deep lines that remain even when you’re not smiling or laughing. While skincare can help reduce the look of fine wrinkles, it just doesn’t stand a chance against these deeper creases. Luckily we have some special formulations of HA dermal fillers that are perfect for smoothing out these areas. They’re designed to cause minimal swelling after injection and are available with the addition of the mild local anaesthetic, lidocaine, which makes for a more comfortable injection experience for our patients. Makes you look great and is designed to improve your comfort and care? If you’ve read our blog or watched our videos, you know those goals are super important to us.

For more information about the brands we use for facial fillers, give us a call or visit http://www.allergan.ca/products/facial_aesthetics.htm to learn more. You can also read more out about our RN injector specialist Jenny.