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Device Identification Cards – Beverly Hills Breast Implants

By Stuart A. Linder, M.D. | March 9, 2010

N_logoBoth Allergan Pharmaceuticals (Natrelle) and Mentor Pharmaceuticals (Johnson and Johnson) have saline and silicone implants that come with device identification cards within the implants.  There are stickers located in the internal product packaging.  The stickers should be placed on the cards that should then be given to the patients post-surgically.  All patients should maintain these cards that have vital information about their breast augmentation surgery.  The style of the implants will be included as well as the catalogue, lot numbers and serial numbers.  For future reference, when patients undergo a future surgery, the surgeon or different surgeon will have the ability to determine what the patient has in her body which will make this reoperation simpler and more straightforward.  The serial and lot numbers can be identified on the cards as well as the style numbers.  The style numbers will dictate the specific type of implant, saline vs. silicone, as well as high versus moderate profile.  For example, a Mentor reference 350-3380 is a 380 high profile saline implant.  Patients should maintain their cards and the operative surgeon should maintain stickers both in a catalogue and implant prosthetic device folder of all patients undergoing prosthetic devices.  As well, stickers should be placed in the surgeon’s own personal chart as well as the surgical facility chart.  The device information will also be placed in the nursing notes within the surgical facility charting.

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Teenage Tranformation Beverly Hills Plastic Surgery

By Stuart A. Linder, M.D. | March 4, 2010

The patient below presented to my office at the age of 18.  She had lost well over half her entire body weight, over 140 pounds.  She was left with massive amounts of hanging skin from her breasts and abdominal area.  She had such a remarkable weight loss that she will be featured on CBS Early Show in New York in the upcoming month of March 2010.  The surgery was filmed as a documentary and below you will see her “before” photos.  She has severe grade 3 ptosis, massive amounts of abdominal wall skin laxity and a massive pannus.  She also has had massive weight loss.  Although she is quite young, only 18 years old, she is an excellent candidate for plastic surgery in reconstruction of her breasts and abdomen.  The perfect surgery for this patient is a formal mastopexy (a breast lift), without implants, and a massive tummy tuck (referred to as a panniculectomy).  The muscles were not plicated as she is only 18 years old and she may have children in the future.

Teenage Tranformation The patient underwent a formal breast lift and abdominoplasty or panniculectomy procedure approximately two months ago.  Her postoperative photos, as you can see, show excellent elevation of the skin.  Her nipple areolar complexes were made smaller to approximately 5 cm (they were 12 cm preoperatively).  She also has an excellent abdominoplasty result showing the entire roll of skin is gone.  This will reduce her weight of tissue causing her back pain.  As well, the rashes and dermatitis are now permanently resolved.  The patient could not be happier.  She and her mother are absolutely delighted with the results.  We are excited to have this patient featured next month on national television.

Topics: Plastic Surgery, Tummy Tuck, breast lift | No Comments »

Breast Revision and Mini Abdominoplasty

By Stuart A. Linder, M.D. | March 1, 2010

COMBINATION PROCEDURE,  BREAST REVISION AND MINI ABDOMINOPLASTY IN BEVERLY HILLS
The patient below presented to Dr. Linder from Beaumont, Texas.  She was unhappy with the hardening and scar tissue as well as the appearance of her breasts.  She had painful breast deformity with significant scar tissue and encapsulation of the pockets.  The nipples were also significantly low on her breasts that she really had somewhat of a double-bubble breast deformity, the left side greater than the right, with some skin over-drape, nipple positioning low and the implants superiorly retropositioned.  On the abdominal area she disliked the lower abdominal poochiness and the adiposity lipodystrophy of the lower abdominal iliac crest rolls.  She also had some indentation from a previous cesarian scar along the lower abdominal wall.  This patient is an excellent candidate and example of a breast revision surgery with bilateral open periprosthetic capsulectomy, removal and replacement with high profile cohesive silicone gel implants and a formal mastopexy, and in this specific case, a vertical mastopexy, repositioning of the nipple areolar complex superiorly with a lollipop-like scar. 

 
Breast Revision and Tummy Tuck pre-op and post-op photos
Pre-Op and Post-Op Photos

The mini-abdominoplasty was perfect in this situation in that she did not have enough skin laxity to perform a full tummy tuck; however, I could bring the skin down, tighten the rectus sheath, plicate the rectus muscle and lipo sculpture the hips to give her a cleaner, smoother appearance and narrow the hips as well.  Notice, in her postoperative photo she has softer breasts, the nipple areolar complex is now central within the breast itself rather than inferiorly positioned as well as the cleavage is enhanced and she has more natural upper pole fullness. 

The abdominal area shows nice contouring of the lower abdominal.  The pooch is pretty much resolved and gone and the hips are much smoother.  The patient is extraordinarily pleased.  In fact, the following testimonial from the patient indicates her thoughts from her surgery.

“I live in Texas and found Dr. Linder on the internet. I called his office and spoke with Adriana the office manager. She was amazing and answered all my questions. I then scheduled a phone consult with Dr. Linder. I immediately felt comfortable and at ease with Dr. Linder and scheduled and appt. to meet with him. Always looking for an excuse to visit California, I flew out to meet with him. Afterwards, I was confident that his expertise and wisdom concerning breast revision surgery would give me great results. I scheduled my surgery and was amazed with the results. I experienced very little pain or discomfort and had excellent care by Dr. Linder post op. I am very pleased, this is my 3rd breast surgery and in the words of my husband, he says my breast look “magnificent”. We are both very happy. Thanks to Dr. Linder and his surgical staff for a wonderful experience.”

Topics: Body Sculpting, Breast Revision, Home, Tummy Tuck | No Comments »

Best of Beverly Hills 2010 Plastic Surgeon Award

By Stuart A. Linder, M.D. | February 25, 2010

Dr. Linder is pleased and humbled to once again receive a 2010 Award from the USCA (United States Commerce Association) for 2010.  “For the second consecutive year, I am pleased to announce that Plastic Surgeon, Stuart Linder, M.D., has been selected for the 2010 Best of Beverly Hills Award in the Plastic and Reconstructive Surgeon category by the United States Commerce Association (USCA).” 

best of beverly hills 2010

 According to the USCA, nationwide, only 1.4% or one in 70 of the previous 2009 Award recipients qualify to win the 2010 Award.  The USCA Award recognizes local businesses throughout the country that they believe have achieved exceptional marketing success in their Local Community and Business category.  These are companies that enhance positive image of small businesses through services to their customers and the community.  They also submitted a Press Release which is posted on the USCA website.

Once again, I am thrilled to have received this distinguished Award for the second year in a row from the United States Commerce Association.

Topics: Media | No Comments »

High Profile Breast Implants Beverly Hills

By Stuart A. Linder, M.D. | February 22, 2010

HIGH PROFILE IMPLANT EXPERIENCE

BEVERLY HILLS STYLE

The below example shows a patient who has undergone breast augmentation with high profile silicone gel implants from Allergen Pharmaceuticals.  Notice how the high profiles or tapered implants, reducing the lateral flattening and matronly appearance of the breast which allows on her postoperative photo to keep and maintain a sleek physique. 

Breast Augmentation Pre-op & Post Pictures
Breast Augmentation Pre-op & Post Pictures

This is a World Class body builder who desires to obviously look as thin as possible in the upper third of her body; however, desires upper pole fullness.  Implants were placed in the subpectoral dual plane technique using the periareolar approach with high profile cohesive silicone gel implants.  The high profile implants have more AP projection, less lateral width and therefore allow for a more full appearance with less lateral fullness.

Topics: Breast Augmentation, Breast Implants, Home | No Comments »

AMERICAN WAY MAGAZINE

By Stuart A. Linder, M.D. | February 16, 2010

 FEBRUARY 15, 2010 ISSUE
VACATIONING FOR A NEW YOU

american inside article page

A fascinating article was written by Ethan Rouen, entitled “Vacationing for a New You” in the February 15, 2010 issue of “American Way,” an American Airlines magazine.  This interesting article indicates, Travelers to Beverly Hills for Plastic and Cosmetic Surgery.  Both Dr. Linder and Dr. Robert Kotler, facial plastic surgeon, are the focus of this article which indicates that patients fly worldwide to have specialists operate on their faces and bodies.  In fact, Beverly Hills has been considered by many to be one of the meccas in the world for cosmetic surgery.  The magazine specifically details Dr. Linder’s website as well as the international link indicating that patients have flown in from over 40 states and 23 countries to have plastic surgery with Dr. Stuart A. Linder.  Dr. Robert Kotler has similar statistics and has patients who have had rhinoplasty surgery with him from all over the world.  This is an honor to be mentioned and have an article written about our practices in Beverly Hills with the American Airlines magazine, American Way.

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Beverly Hills Liposuction & Liposculpture

By Stuart A. Linder, M.D. | February 11, 2010

The below case is an excellent example how the age of a patient, although important, is not the only determinate in an excellent result from liposculpture.  Most importantly is skin integrity, tone of the skin and the ability for the skin to retract after the procedure. 

liposuction linder patient before and after

This patient is a 60-year-old healthy female who desired to have liposuction of her midriff area, abdominal area, hips, flanks, as well as her inner and outer thighs.  She is an excellent candidate.  She underwent tumescent liposuction procedure under general anesthesia with approximately 2.2 liters of aspirate fat removed with a 3 mm triple lumen Mercedes cannula.  She has worn an abdominal binder and girdle for six weeks for compression therapy and now has an excellent result.  Please note her testimonial below.  Also, review her before and after photographs showing good skin retraction after surgery, even at the age of 60.

Dear Dr. Linder,

You Made a difference.

I sincerely would like to thank you for taking care of my liposuction needs. I am on top of the world with happiness and a renewed self-confidence.

Sincerely,

J. M.

Los Angeles, California

Topics: Liposuction | No Comments »

BEST OF L.A. WINNER

By Stuart A. Linder, M.D. | February 8, 2010

BEST OF L.A. TV KCAL 9, KTLA

linder Media_TV_BestinSCA

Dr. Linder is humbled, thrilled and thankful to all the viewers who voted him for Best of L.A. TV after being nominated for Best Plastic Surgeon, Beverly Hills/Southern California.  The Best of L.A. TV winners were introduced on January 31, 2010 on KCAL 9, displaying many categories, including dentistry, salons, spas, healthcare, etc. 

Once again, I am humbled by this and thankful to all the viewers and those patients of mine who were kind enough to vote for me for this honorable award.

Topics: Home, Media | No Comments »

ARE SURGICAL IMPLANTS THE NEXT TERRORIST THREAT?

By Stuart A. Linder, M.D. | February 4, 2010

ABC NEWS, NATIONAL NEWS
ARE SURGICAL IMPLANTS THE NEXT TERRORIST THREAT? 

ABC7

On February 3, 2010, Dr. Linder was interviewed by ABC News per Robert Holguin regarding surgical implants, the possible next terrorist threat.  Articles from British newspapers have shown the possibility of terrorists planning attacks from Britain with bombs inside their bodies to foil new airport scanners. 

An operation by M15 has uncovered evidence that there may be a new terrorist attack by placement of surgical bombs inside women’s bodies.  Explosives such as PETN could be placed in a plastic sack or implant and placed in the body and closed in the usual fashion.  This could be ignited by a hypodermic syringe, according to Britain reports, by injecting TATP through the skin into the explosive sacks.  Reports have shown that tests on real planes have shown that even a small amount of explosive material could create a small tear in a fuselage, leading to catastrophic failure.  If an implant was loaded with explosives, it could be detonated with a hypodermic syringe by injection of another chemical through the skin into the sack.  According to Australian security experts, the best way to detect these new kinds of implanted explosives is with a very old fashioned, but highly effective detection method, the nose of a highly trained bomb-sniffing dog.

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COMBINATION PROCEDURES in BEVERLY HILLS

By Stuart A. Linder, M.D. | February 2, 2010

Patients arrive to my Beverly Hills office consultation for combination procedures every week.  Combination procedures, including augmentation, breast lifts, tummy tucks, and lipo-contouring of the body can be performed simultaneously as long as the patient is healthy and the operating room time is kept within, in my opinion, five hours of surgery under general anesthesia. 

Pre- Op and Post-Op Photos

Pre- Op and Post-Op Photos

The next example is a patient who underwent augmentation mammoplasty and lipo-contouring of her inner and outer thighs and hips.  The patient presented with having had three children, loss of upper pole fullness of her breasts and desired to have her breasts filled in again.  Saline implants were then placed in the dual plane technique, under the muscle through a periareolar approach with high profile saline implants.  We were able to regain her beautiful fullness, keep her narrow on the side and give her excellent cleavage.  She had a gynoid appearance, the lower third of her body disproportionately larger than the upper and middle third upper body.  Her liposuctioning was accomplished using a Klein needle infiltrator to infiltrate tumescent fluid per the tumescent technique and approximately 1 liter of fat was removed of pure aspirate.  A small 3 mm triple lumen Mercedes tip cannula under direct one atmospheric vacuum suction pressure under general anesthesia.  The localized deep fat deposits were removed from the anteromedial and the posterolateral thighs as well as the infragluteal folds.  You can see a nice reshaping of the lower third of her body more to match the upper middle third.  However, her natural curve was maintained.  Suctioning was only performed in the localized deep fat deposit areas for two reasons:  1) to prevent contour deformity and surface irregularity of the skin; and 2) to allow her to maintain her natural contour shape.  Postoperatively, her gynoid appearance is significantly reduced with more proportionality of the upper mid and lower third of her body.

Topics: Body Sculpting, Breast Augmentation, breast lift | No Comments »


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