Breast Decisions: Saline or Silicone Breast Implants- Dr. Paul Wigoda Interview

Though breast implants have been around since the 1960s, there are only two types of liquid implants: silicone  breast implants and saline breast implants. If you are considering breast augmentation, you will need to make a decision about which one to use. To help you with your decision, South Florida plastic surgeon Dr. Paul Wigoda provides a comparison between the two.

Saline is simply salt water while silicone is a type of gel. From a safety standpoint, there is no difference between these two types of implants. There was a scare in the 1990s about silicone implants that caused a number of lawsuits, but studies have consistently shown that silicone implants don’t cause illness.
What are breast implants made of?
The shell of the implants is made from the same material and there is only a one percent chance per year that the implant will break. Most manufacturers warranty their implants for a lifetime. If the implant breaks, they will provide you with a new pair. If it breaks within 10 years, they will chip in some money towards the surgery needed to replace the broken implant.
What if a breast implant breaks?
An implant that breaks generally doesn’t cause any medical problems. If a saline implant tears, the water will simply leak out. Your body will absorb the water and you’ll likely notice a reduction in breast volume after a few days or weeks. If a silicone implant tears, however, the gel usually remains inside. You probably won’t know that the implant has broken unless you have an MRI. The FDA currently recommends an MRI after 3 years and then every 2 years. However, these recommendations may soon be changing. Most plastic surgeons think MRIs can be performed less often.
Silicone  breast implants versus Saline breast implants
There are some differences between the  breast implants, though. Silicone implants tend to feel more natural while saline breast implants can sometimes feel hard once they have been inserted. Saline breast implants also have more of a problem with rippling than silicone breast. This is when the shell of the implant wrinkles and this wrinkling can sometimes be seen if there isn’t a lot of fat and skin covering the implant.
However, the scar may be slightly smaller with saline implants because they come empty and are filled when they are inserted into the breast. This also provides the doctor with more flexibility during surgery. For example, if the surgeon notices the breasts are uneven, he or she can make adjustments to the implants to even things out. Lastly, silicone implants average about $1,000 more per pair than saline implants.
It is important to discuss all of these issues with your plastic surgeon during your breast augmentation consultation so you have all of the information you need to make the best choice for you. Dr. Paul Wigoda is available for plastic surgery consultations to help you make the best choice.

Dr. Wigoda’s Patient Testimonial – Meeting by ‘Accident’ in ER Room

Darren is a long-time patient and friend of Dr. Wigoda. The two first met when Darren was admitted to Broward General’s trauma unit after being involved in a car accident. Dr. Wigoda performed plastic surgery to repair the eye and facial damage Darren suffered, which allowed Darren to return to his job as a commercial pilot. Years later, Dr. Wigoda came to the rescue again to help Darren with gynecomastia, which is abnormal mammary gland development in men. After undergoing cosmetic surgery to fix the problem, Darren is now free from the pain and embarrassment of gynecomastia and looks forward to returning to his active lifestyle.

 

Dear Doctor Wigoda,

I would first like to thank you for all that you have done. In October 2009, we met as strangers in the ER of Broward General’s trauma unit where I was rushed in as a trauma patient from a hospital that couldn’t handle my case. I was adamant about receiving the best surgeon at the hospital and was told that you would be coming on call in a few hours. The entire staff at Broward General held you in such high regard, and now I know why.

I arrived with a fractured cheek, a lacerated eyelid that had been torn from my face, a nose that was broken and mangled, and severe road rash covering my arms and face. I was ejected from my vehicle and dragged down I-595 approximately 30 yards. I was a complete mess.

I am a commercial pilot and my eyes are everything. You not only repaired my face and lacerations, but restored all normal function as well. Despite my numerous questions and the early hour you were called in, you had a huge smile on your face and turned my personal tragedy into a triumph of surgical professionalism.

In the days and months that followed, I regained the face that I recognized from before the accident, and I am still soaring through the sky thanks to you. My scarring is minimal, despite what the first initial hospital had predicted. I am so blessed and grateful that you were my surgeon. In the years that have followed, you have taken care of many of the people I care the most about in my life.

Whether it has been a breast augmentation, face lift, eye lid rejuvenation, or a nose job, you have surpassed everyone’s expectations and made a huge difference in their lives. Now, two years after meeting you, I have come to you again. This time for elective plastic surgery. I had a large mass in my chest (gynecomastia) and it was distorting my physique, very uncomfortable and awkward. After changing my diet, extensive exercise, and trying everything possible, I knew you could fix me up.

I came in to see you, and like you had done two years ago in the hospital, you greeted me with a big smile. You were full of options and understanding. You navigated around my demanding work schedule, and administered the best treatment available. I left my surgery with immediate satisfaction! I was in minimal pain, and up and about in record time. I am now looking forward to returning to the gym, beach and getting back to being myself again.

You are more than a physician, I think of you as my friend. You are honest, kind, professional, and the example of what a physician should be. Thank you for always being there, and doing everything with so much class. You are the best in the business!

Sincerely,

Darren

Dr. Wigoda’s Opinion: Suzanne Somers’ Stem Cell Face Lift

Suzanne Somers brings stem cells to the big screen with her recent appearance on the Dr. Oz show where she unveiled her recent stem cell breast surgery and discussed the stem cell face lift.

Suzanne traveled to Japan to take part in an experimental procedure to preserve her breasts after a mastectomy. The doctors removed fat, blood and stem cells via a small needle from Ms. Somers’ navel and put it through a centrifuge to separate the blood from the other needed “by-products.”  The surgeons then injected the stem cells along with the fat to create a new symmetrical breast for Suzanne.  In her own words, “It is me!” This method is a natural form of reconstruction without the use of implants or foreign materials that the body may reject.

In Breaking Through, Suzanne’s talk show, she recently discussed the opportunity for stem cell facelifts, stating that she recently banked her own stem cells for future use. “As we age, we age in the lower 3rd first and we are able to inject your own stem cells to rejuvenate your own skin. This is the future and so much better than ‘that look.’”

A joint task force of the two leading plastic surgery associations, the American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS) both hold their stance that there is great potential for stem cells in aesthetic surgery but at this point in time, more research and actual data are required before they should be used in every day procedures. They are quoted as saying “…the scientific evidence and other data are very limited in terms of assessing the safety or efficacy of stem cell therapies in aesthetic medicine.”

The task force is led by J. Peter Rubin, MD, plastic surgeon and noted expert on fat-derived stem cells who stated:

“There are encouraging data from laboratory and clinical studies to suggest that the use of adult stem cells is a very promising field,” said Dr. Rubin, “but as our comprehensive review of the current scientific literature shows, the data available today do not substantiate the marketing claims being made to patients seeking aesthetic surgery and aesthetic medical treatments.”

Injecting fat into the face is nothing new.” says Dr. Paul Wigoda, “If the procedure is done correctly, about 50% of the fat will usually survive.”  As we age, portions of the face deflate partially due to fat loss, therefore, facial fat injections will assist with rejuvenation. It is important to note that should the individual gain weight, the fat will expand.

Stem cell research has been going on for a few years in hopes of being able to treat a variety of diseases and that will occur but not until 5-10 years from now.  According to Dr. Wigoda,

  • “There is absolutely no proof at this time that injecting stem cells anywhere is of any use for cosmetic enhancement. In my opinion, this is a gimmick as “stem cells” is the latest buzz word, similar to what “laser” was a few years ago.
  • You could add the word “laser” to any procedure, and people would think it was a magical procedure. To market this as the latest and best thing out there is deceptive in my opinion.
  • It seems to me that surgeons are constantly looking for gimmicks to differentiate themselves from their competitors.
  • Patients should always be wary of anything that is labeled as the “new best thing out there. The hype often precedes the research which, unfortunately in many cases, shows that the treatment did not have nearly the benefit that was claimed.”

Dr. Wigoda’s Notes: Liposuction Vs. Tummy Tuck (Abdominoplasty) – What’s the Difference?

As the Florida economy warms up, so is the demand for beach body plastic surgery procedures such as lipo and tummy tucks.  Fort Lauderdale plastic surgeon, Dr. Paul Wigoda, warns patients to do their homework first, learning the risks and potential results. Last year, the American Society for Aesthetic Plastic Surgery reported almost 9.5 million cosmetic procedures; with Liposuction being the second most popular choice for women.

“People need to educate themselves on the difference between cosmetic procedures such as tummy tucks versus liposuction,” said Dr. Wigoda, plastic surgeon and Chief of Plastic Surgery at Broward General Hospital.

Liposuction and tummy tucks are procedures performed to contour the body. While they both involve removing excess fat, they accomplish different things.

Liposuction

Liposuction, also known as lipoplasty, is a surgical procedure that involves making small incisions where the fat is to be removed using thin, hollow tubes called cannulas to suction the fat out. Typically, the area is anesthetized using a combination of lidocaine and epinephrine. The person may elect for local or general anesthesia. There are different types of liposuction including ultrasonic, laser assisted, power assisted, and traditional suction assisted. Which one is used often depends on the surgeon’s preference and experience.

Liposuction surgery may be considered to treat areas of excess fat in the stomach, buttocks, hips, love handles, saddlebags, thighs, calves, ankles, breasts (including male breast enlargement), back, arms and neck. Liposuction is equally effective in both men and women.

Good candidates for liposuction

  • If you have areas of fat deposits that are out of proportion with the rest of your body and do not go away with diet and exercise –sometimes referred to as “diet resistant fat”
  • Areas with minimal amounts of excess skin (Liposuction removes fat not skin) and good skin elasticity

Tummy Tucks

Abdominoplasty will enhance your body contour by making your abdomen firmer and flatter. You may find that you feel more comfortable in your clothing and are more confident about your appearance

Good candidates for Tummy Tucks

If you have

  • If you have excess or sagging abdominal skin
  • A protruding abdomen that protrudes out of proportion to the rest of your body
  • Abdominal muscles that have been separated and weakened
  • Excess fatty tissue that is concentrated in your abdomen

In this procedure, a long incision is made in the lower abdomen, just above the pubic area. The abdominal muscles are tightened, excess fat is removed, and excess skin is trimmed away. Tummy tucks, also called abdominoplasty, are great for men and women who have loose sagging abdominal skin, weak abdominal muscles, and excess fact that has settled under the skin around the stomach.

While you can achieve dramatic changes in your appearance, including a change in your dress or pants size, you won’t necessarily lose a significant amount of weight using these methods. If you are looking to lose weight, then it is best to follow a healthy diet routine of diet and exercise.

Tummy tucks and liposuction can be regarded as complementary procedures that, combined with other healthy lifestyle choices, can help you look and feel your best.

In brief:

Tummy Tuck vs Liposuction

• Though both tummy tuck and liposuction are surgical procedures to get rid of excess fat, tummy tucks also address problems with loose skin and muscles.

• Liposuction may be less painful and has a shorter recovery time but will not be the ideal procedure if the primary problem is loose skin and/or loose muscles.

• Liposuction is, in some cases, better for younger patients as the results tend to be better when the skin is firm and elastic while tummy tuck can be suitable for patients of all ages

• Tummy tuck is preferred when there is loose skin or muscles, while for persons who have concentrated areas of excess fat, liposuction is more appropriate.

Finding Dr. Right

Finding Dr. Right is just as important as avoiding Dr. Wrong says Fort Lauderdale plastic surgeon  Dr. Paul Wigoda. When researching a plastic surgeon or cosmetic surgeon, there are several key factors that should be taken into account in your decision-making process. You need to choose a surgeon that is right for you, your personal needs and expectations. You want to ensure that you have an unparalleled outcome both aesthetically and personally, as your doctor becomes your “beauty partner,” enhancing your appearance physically and emotionally.

One of the first places to begin is with family and friends: who can they recommend? What were their outcomes? Take a moment to speak with your current medical professionals. Who can they suggest and why?

Eight Tips to Finding Dr. Right for Plastic Surgery

1. Know the lingo
Doctors can now become weekend “certified” in many different types of procedures and have created their own terms which are NOT recognized by the American Board of Medical Specialties. Many doctors understand that cosmetic surgery is big business, big dollars and want market share. “Cosmetic Surgeon” and “Anti-Aging Specialist” are two terms that have been coined by the industry, yet are unrecognized by the ABMS. You might even notice your  OB-GYN is now doing Botox.

2. Advertising does not buy credentials
In most cases, a good doctor does not need to have major advertise campaigns on billboards or radio stations– it is word of mouth that drives their business. That is not to say a doctor should not let his potential patients know about his awesome track record through testimonials and sharing his expertise with the media as a means to educate the public. Paid print media does not make a doctor qualified.

3.  Get different opinions
Meet with several doctors to discuss your plan and your options. It can be overwhelming but knowledge is power.

4. Stay away from the online forums
Often times the patient reviews are not actual or authentic. Many times doctors write the testimonials under assumed screen names. Be wary. Legitimate testimonials can typically be found on Google reviews, YouTube, Yelp, etc.

5. Be realistic about the recovery
Some doctors will downplay the recovery time. Know what to expect in real terms. You may be able to go back to work in just a few days, but will you want to? Today’s recovery time in many cases can be much easier and quicker when in the right care, but keep in mind surgery is surgery so have realistic expectations.

6. Review online and offline images
Keep in mind that some doctors have a fine-tuned finesse with Photoshop. If all of the after pictures look more like Joan Rivers, then run. Look at the details, carefully and with a critical eye. Does the surgeon over-operate or under-operate. Be careful and don’t just assume that the photos have not been retouched. None of Dr. Paul Wigoda’s pictures are enhanced or use Photoshop.

7. Your weight
When thinking about a facelift for example, many doctors will not want to perform the procedure on an obese person as there is only so much that can be lifted or tightened. These results will impact the surgeon’s reputation and if it does not look perfect, it is not a positive reflection on their skills. In addition, they are also concerned about the heart health and wouldn’t want to lose a patient on the table. Take care of your weight before you begin seeking surgical opinions.

8. Scheduling
Make your appointment and get started with your journey towards plastic surgery or cosmetic surgery or non-surgical cosmetic services such as Botox or fillers.

Dr. Paul Wigoda is Chief of Plastic Surgery at Broward General Hospital and has a private practice offering plastic and reconstructive surgery in Fort Lauderdale, Florida.

Note: Parts of this article originated in Departures Magazine January 2012 issue.

Medesthetics Magazine Says Dr. Wigoda is Social Media Savvy

Most businesses today are well aware of the benefits of social media in terms of brand building, enhancing your Internet presence, increasing web traffic, creating a community, becoming known as an expert  and capturing leads, all of which will result in an increase in your bottom line. Dr. Paul Wigoda, is no stranger to the world of social media says MedEsthetics, terming him as “social media savvy.”

In September of 2011, Fort Lauderdale, Florida plastic surgeon, Dr Wigoda launched a Facebook sweepstakes campaign to help increase his “likes.” The campaign ran for a period of two weeks, enticing his audience to join his online community to be entered to win a $250 gift card for use toward a future nonsurgical procedure; 10 runners-up received Victoria’s Secret gift cards ranging from $10 to $50.

For more information or to schedule a FREE consult, please click here and fill out our online form. We look forward to hearing from you soon.

Florida Plastic Surgeon Dr. Wigoda Speaks on Teens, Plastic Surgery and Bullying

Plastic surgery to avoid bullying? Are South Florida teens ready to go under the knife? Should we be thinking of Botox, Boobs and Nose Jobs to avoid bullying? Media outlets such as Good Morning America and The Today Show are reporting a growing number of teens requesting plastic surgery as a reprieve from bullying.

According to CDC data, one in five high school students are bullied on school grounds every year. Even future pop superstar Lady Gaga was teased about her appearance as a child: the singer recounted being taunted and thrown in a trash can on The View on Monday.

High school senior Erica Morgo tried to break her own nose after constant teasing. After the incident, her mother, Dana Manzella, decided to allow her then 15-year-old daughter to undergo cosmetic surgery.

Teasing is torture to teens. So when 13-year-old Aubrey Woodward told The Today Show she wants plastic surgery to get her ears pinned back, she said it was because, “it makes me feel really bad” when she gets teased about them.

Erica and Aubrey are among a small but growing number of teenagers who say being teased or bullied prompted them to consider or even undergo cosmetic surgery.

Ear pin-backs are one of the most common plastic surgeries for teens, along with nose jobs such as Erica’s and breast reductions. Recent data from the American Society for Aesthetic Plastic Surgery indicates that 203,308 teens went under the knife in 2009.

“While not very common, plastic surgery on teenagers can be appropriate in certain circumstances,” says Dr. Wigoda, Chief of Plastic Surgery at Broward General. “Each case has to be evaluated carefully to make certain the surgery is being done for the right reasons. For example, if a teen has very large breasts for which she not only gets teased but which make it difficult for her to exercise or participate in physical activities, or if they are causing pain, a breast reduction may be appropriate. A teen who feels very self conscious about a large nose or prominent ears, can be helped significantly with surgery with regards to their self esteem and their degree of confidence in themselves.”
When considering plastic surgery, whether for a teen or adult, it is important to thoroughly research the doctor, surgery center and risk associated with a procedure. The decision to have an elective cosmetic procedure is a serious one and should not be taken lightly. Dr. Wigoda firmly believes in building a rapport and carefully evaluating each potential patient to ensure they are a good candidate for whatever surgery they are pursuing.

Fort Lauderdale Plastic Surgeon Dr. Wigoda Saves Dog Bite Victim

Chief of Plastic Surgery Paul Wigoda, M.D. treated Davie teenager Nicole Periu when she was rushed into Broward General Medical Center with deep wounds covering her back and legs and one ankle nearly severed.

Walking along a wall, Periu was pulled off by a large dog grabbing her by the ankle.

“I was screaming, ‘Help, I’m going to die’,” she said.

“This is one of the worst cases I’ve ever seen,” said Dr. Wigoda, an award-winning plastic surgeon located in East Broward County.

According to the Centers for Disease Control and Prevention, nearly 368,000 dog bite victims are sent to hospital emergency rooms every year. The odds are three to one that the victim will be a child.

“A dog may not mean to hurt a child or their owner, they may just bite as a reaction, and the next thing you know, you’re talking about a permanent deformity,” said Wigoda, who was recently named Chief of Plastic Surgery at Broward General Medical Center.

Tips to Remember if Attacked by a Dog
Local10 News put together a list of tips to help avoid dog bites and what to do if a dog attacks in honor of Dog Bite Prevention Week, which runs May 16-23.

  • If a dog attacks, curl in a ball, protecting your head and face with your arms. “Fighting back will only increase the aggression,” said veterinarian Dr. Lisa Radosta. Dr. Wigoda agrees: “When a dog latches on to you, your instinct is to pull away, but that will only increase the risk of tearing, and that becomes very difficult to treat.”
  • If you are the victim of a dog bite, clean the wound and seek medical attention. “If the wound gets infected, you’re going to have a worse injury, worse scarring and worse pain,” said Wigoda.

To keep up with the latest plastic surgery news from Dr. Wigoda, follow us on Twitter or Like us on Facebook!

Dr. Wigoda Named Chief of Plastic Surgery at Broward General Hospital

Board-certified plastic surgeon Paul Wigoda, M.D. to oversee plastic surgery operations at top Broward Hospital, according to U.S. News & World Report Best Hospitals Metro Ranking.

Fort Lauderdale, FL – May 6, 2011 – South Florida award-winning plastic surgeon Dr. Wigoda has had quite the eventful year so far – from hosting two health chats for the South Florida Sun-Sentinel, to receiving an award for “Exemplary Wound and Ostomy Patient Care”, to his most recent distinction: being named Chief of Plastic Surgery at Broward General Hospital’s Adult and Pediatric Care Trauma Center.

The Trauma Center provides multidisciplinary care of the highest quality in Broward County, led by surgeons specialized in trauma and critical care. Along with the recent expansion of its Trauma Resuscitation Unit, the center boasts state of the art technology including a dedicated 64-slice CT scanner, portable x-ray and ultrasound with access to PACS, portable ventilators, central monitoring and a rooftop helipad with elevator to deliver patients directly into the trauma resuscitation rooms.

In addition to an in-house trauma surgeon and surgical intensivist available 24 hours a day, other specialty services are readily available, to include: Anesthesia, Emergency Medicine, Neurosurgery, Orthopedics, Oral Maxillofacial Surgery, Cardiothoracic Surgery, Interventional Radiology, Pediatric Surgery, Plastic Surgery, Urology, ENT, Ophthalmology, Pulmonary Medicine, Infectious Diseases, Nephrology.

Equally active on the social media sphere as in the OR, Dr. Wigoda makes it a priority to frequently reach out to current and potential patients via his South Florida Plastic Surgery and Beauty Blog, Twitter feed, an active Facebook fan page and YouTube Channel.

“Quite simply, I’m honored,” said the doctor, whose practice is based in Fort Lauderdale. “It’s an incredible opportunity to be able to work in such a state-of-the-art facility among the best doctors in the nation. Being named Chief of Plastic Surgery is a longtime dream of any plastic surgeon, and it’s both professionally and personally gratifying to be able to help so many people performing my life passion.”

About Dr. Wigoda
Dr. Paul Wigoda is an award-winning Fort Lauderdale plastic surgeon, owner of The Aesthetics Institute and Chief of Plastic Surgery for Broward General Hospital. He is a board certified plastic surgeon and is a member of the American Society of Plastic Surgeons, the Florida Medical Association, and the Broward County Medical Association. Dr. Wigoda specializes in Fort Lauderdale breast augmentation, breast reduction, breast lift, liposuction, rhinoplasty, tummy tuck, facelift, brow lift, eyelid surgery, Juvederm, Radiesse, Restylane, Botox, laser hair removal, and spider vein treatments.

Dr. Wigoda’s Ft Lauderdale Location:
1404 E Broward Blvd.
Fort Lauderdale, Florida 33301
(954) 463-7088

About Broward Health
Broward Health, providing service for more than 50 years, is a nationally recognized system offering world class health care services to our neighbors in South Florida. One of the 10 largest public health systems in the nation, Broward Health includes Broward General Medical Center, North Broward Medical Center, Imperial Point Medical Center, Coral Springs Medical Center, Chris Evert Children’s Hospital, Broward Health Weston and more than 30 facilities of the Community Health Services and Broward Health Physician Group. For more information, visit www.browardhealth.org.

Dr. Wigoda’s Men and Plastic Surgery Online Chat Session with Sun-Sentinel.com

Board-certified Dr. Wigoda to host live health chat for the Sun-Sentineland award-winning plastic surgeon Paul Wigoda, M.D. answers consumer questions for men considering plastic surgery.

Fort Lauderdale, FL – April 27, 2011 – Do “real men” have plastic surgery? Statistics say more than ever! South Florida plastic surgeon Dr. Wigoda will be hosting a South Florida Sun-Sentinel online health chat, answering questions from men who are thinking about going under the knife.

As recently reported by the board-certified plastic surgeon on his South Florida plastic surgery blog, statistics by the American Society of Plastic Surgeons indicate that more men than ever before are having work done.

Following the success of his first live health chat for the Sun-Sentinel in February, Dr. Wigoda has been asked to discuss this latest trend. The hour-long chat will begin at noon EST (11 a.m. CT/ 9 a.m. PT) on Friday, April 29 and discuss why more men are choosing to go under the knife and what types of procedures they are having.

No stranger to digital media, Dr. Wigoda frequently reaches out to current and potential patients via his South Florida Plastic Surgery and Beauty Blog, Twitter feed, an active Facebook fan page and YouTube Channel.

“I thoroughly enjoyed hosting the health chat the first time around, and I look forward to Friday’s discussion,” said the doctor, whose practice is based in Fort Lauderdale. “It’s very exciting to be presented with the opportunity to help so many people at once via a medium with the Sun-Sentinel’s reach.”

A full transcript of the chat will be available on the Health page of the Sun-Sentinel’s website soon after the chat’s completion.

About Dr. Wigoda
Dr. Paul Wigoda is a Fort Lauderdale plastic surgeon and owner of The Aesthetics Institute. He is a board certified plastic surgeon and is a member of the American Society of Plastic Surgeons, the Florida Medical Association, and the Broward County Medical Association. Dr. Wigoda specializes in Fort Lauderdale breast augmentation, breast reduction, breast lift, liposuction, rhinoplasty, tummy tuck, facelift, brow lift, eyelid surgery, Juvederm, Radiesse, Restylane, Botox, laser hair removal, and spider vein treatments.

Dr. Wigoda’s Ft Lauderdale Location:
1404 E Broward Blvd.
Fort Lauderdale, Florida 33301
(954) 463-7088