Back in 2009 I wrote a post titled "Pro tennis player Simona Halep's cups no longer runneth over." (yes I was making bad puns then too) which highlighted WTA tennis player, Simona Halep, a promising Romanian junior tennis champion who's progress was being hampered by her very large breasts. Later that year she underwent a breast reduction surgery from a DD to a C cup bra size and has made steady progress with her career and is currently ranked #65 on the world tour. Today, Ms. Halep reached the final of a WTA event in Morocco and will play for her 1st WTA tour level title tomorrow.

 BRAVO! As shown below, it's easy to see how Ms. Halep's mobility should have been greatly improved by her surgery. It's hard to argue with results.


                                                  POST OPERATIVE in  April 2011

When the USFDA lifted a nearly 2 decade moratorium on the use of silicone gel breast implants for cosmetic surgery indications in 2006, there were two puzzling things added to the product labeling.

1. The use of silicone gel implants should be limited to women >22 years olds.
2. That women should undergo routine MRI screening of their implants for rupture every 2-3 years.

The first instruction re. an age restriction on women 18-22 is patently absurd and is a nod to the "unique" political history of silicone breast implants in the USA. One more thing we thank lawyers for!

The second suggestion re. MRI was always puzzling, particularly as the rupture rate is so low for modern implants through the first decade where the FDA would otherwise be having patients undergo 5 screening MRI's (at year 3,5,7, & 9). This intuitively is throwing money down the drain as the yield is low and violates what most people consider appropriate in a screening test.

New data and review of the literature from the University of Michagan suggest that while MRI is fairly accurate in detecting implant-related problems, it is 14 times more likely to detect them in women with implant-related symptoms than in women without symptoms.It has been concluded that because most women in the studies had symptoms, the true accuracy of MRI for detecting implant-related problems in asymptomatic women is probably much,much lower and calls into question the whole idea about routine screening for rupture. Beyond the issue of accuracy, the authors comment that screening tests are generally performed to detect diseases with serious consequences-whereas the health risks associated with ruptured silicone implants, if any, are still unknown. To date, there is no single systemic disease or illness clearly attributable silicone gel implants despite them being the most studied medical device in the history of medicine.

Hopefully this will lead to the updating of the current FDA labeling for these devices that causes some confusion for patients and adds significant extra expense for no benefit.


The ‘Mommy Makeover:’ A Solution to the Post-Baby Blues?

Pregnancy, childbirth, and breastfeeding are experiences that many women look forward to and enjoy. Although they take pleasure in their new roles as mothers, there are some unpleasant changes to the body that aren’t as delightful. Throughout pregnancy and breastfeeding, the breasts and abdomen stretch, causing the skin to lose elasticity. In addition, there may also be specific areas of stubborn fat deposits that are resistant to exercise and diet.

Women who have exhausted natural means of weight loss often turn to cosmetic plastic surgery to achieve their desired goals. Typically, patients choose to undergo a combination of procedures in order to regain their pre-pregnancy shape; this is often termed a “Mommy Makeover.” Dr. Leonard M. Hochstein performs this surgery at his practice in Miami. The most frequently combined procedures include breast lift surgery (with augmentation), liposuction, and tummy tuck surgery in Miami. Some patients may also opt to undergo vaginal rejuvenation. These procedures can help restore the breasts to a more youthful shape and position, while tightening and contouring the midsection.

It is common for patients to comment that they have been able to reclaim their body with the Mommy Makeover surgery and are pleased with the results. If you are ready to learn more regarding these procedures, feel free to contact Miami liposuction surgeon Dr. Hochstein. Your questions/concerns can be addressed during an initial consultation.