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Dr. Gerzenshtein

Jacob Gerzenshtein, MD, FACS,
A Board Certified Plastic Surgeon

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Breast Implant Associated Anaplastic Large Cell Lymphoma

Introduction to Breast Implant-Associated Anaplastic Large Cell Lymphoma

Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) is a rare and potentially serious complication that can arise in patients who have undergone breast augmentation with implants. This article aims to provide a comprehensive overview of BIA-ALCL, including its diagnosis, treatment options, and potential risk factors.

Understanding BIA-ALCL

BIA-ALCL is a rare form of non-Hodgkin lymphoma that develops in the tissue surrounding breast implants. While it is not a common occurrence, its potential impact on patients’ health makes it a critical topic for those considering breast augmentation or who have already undergone the procedure.

Diagnosis of BIA-ALCL

The diagnosis of BIA-ALCL typically begins with a patient reporting symptoms such as pain, swelling, or changes in breast shape or size. In some cases, a mass may be detected during a physical examination or imaging studies. Once suspicion of BIA-ALCL is raised, further tests may be conducted, including fine needle aspiration, core needle biopsy, or excisional biopsy. These tests aim to obtain a sample of the affected tissue for analysis, ultimately confirming the diagnosis.

Treatment Options for BIA-ALCL

Treatment options for BIA-ALCL can vary depending on the severity and extent of the disease. In most cases, surgical intervention is the primary treatment, involving the removal of the breast implant and surrounding scar tissue (capsulectomy). Additional treatments, such as chemotherapy or radiation therapy, may be necessary in more advanced cases or when the disease has spread beyond the capsule.

Risk Factors and Prevention

The exact cause of BIA-ALCL remains unknown, but several potential risk factors have been identified. These include the type of implant used (textured implants have been associated with a higher risk), duration of implant placement, and a history of prior implant-related complications. While it is not possible to eliminate the risk of BIA-ALCL entirely, patients can reduce their risk by discussing implant options with their surgeon, understanding the potential complications, and remaining vigilant for any changes in their breasts after surgery.

Monitoring and Follow-Up Care for BIA-ALCL

Regular follow-up care and monitoring are essential for patients who have undergone breast augmentation to ensure their health and well-being. These appointments allow the surgeon to assess the patient’s progress and detect any potential complications, including BIA-ALCL, early on.

Patients should maintain a schedule of regular check-ups with their surgeon or primary care provider, which may include physical examinations, imaging studies (such as mammograms, ultrasounds, or MRIs), and discussion of any new or concerning symptoms. It’s crucial for patients to report any changes in their breasts, such as pain, swelling, or alterations in shape or size, as these could be early signs of BIA-ALCL.

The Importance of Patient Education and Awareness

Patient education and awareness are vital components in the prevention, early detection, and management of BIA-ALCL. It is essential for patients considering breast augmentation to have a thorough understanding of the potential risks and complications associated with the procedure, including the rare possibility of developing BIA-ALCL.

Surgeons should provide patients with information about the different types of implants available, their respective risks, and the importance of regular follow-up care. Patients should also be encouraged to research and ask questions to ensure they make informed decisions about their breast augmentation journey.

Advancements in Research and Treatment

While BIA-ALCL is a rare condition, ongoing research is crucial in improving our understanding of the disease, its causes, and the most effective methods of prevention and treatment. Researchers are continually investigating the factors contributing to the development of BIA-ALCL, including the role of bacterial contamination, immune response, and genetic predisposition.

As our understanding of BIA-ALCL advances, new diagnostic tools, treatment options, and preventative measures may emerge, ultimately improving patient outcomes and reducing the risk of this rare but serious complication.

Key Takeaways

Breast Implant-Associated Anaplastic Large Cell Lymphoma is a rare complication that can develop in patients with breast implants. By staying informed about the diagnosis, treatment options, potential risk factors, and the importance of regular follow-up care, patients can make empowered decisions regarding their breast augmentation and maintain their health in the long term. Ongoing research and advancements in our understanding of BIA-ALCL will continue to shape the future of breast implant safety and patient care.

Support and Resources for Patients with BIA-ALCL

Dealing with a diagnosis of Breast Implant-Associated Anaplastic Large Cell Lymphoma can be challenging and overwhelming for patients and their families. Accessing support and resources is essential for coping with the emotional and physical aspects of the disease.

  1. Medical Team: Patients should maintain open communication with their medical team, including their surgeon, oncologist, and primary care provider. These healthcare professionals can provide valuable guidance on managing the condition, addressing concerns, and answering questions.
  2. Support Groups: Connecting with others who have experienced BIA-ALCL can provide emotional support, encouragement, and practical advice. Many online forums, social media groups, and local support groups offer a space for patients to share their experiences and learn from others who have faced similar challenges.
  3. Educational Resources: Accessing reputable educational resources can help patients better understand BIA-ALCL, its treatment options, and the latest research developments. Organizations such as the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery offer valuable information and updates on BIA-ALCL and other breast implant-related issues.
  4. Mental Health Support: Coping with a BIA-ALCL diagnosis can take an emotional toll on patients and their families. Seeking support from mental health professionals, such as therapists or counselors, can help address feelings of anxiety, depression, or fear related to the condition.

Breast Implant Safety and Regulation

As the medical community continues to learn more about BIA-ALCL and its relationship with breast implants, it is crucial for regulatory agencies and manufacturers to prioritize patient safety. This includes continuous monitoring of breast implant safety, updating guidelines and recommendations, and conducting further research to enhance our understanding of BIA-ALCL.

Patients should also be proactive in advocating for their health and safety. This includes researching breast implant options, asking questions about potential risks, and staying informed about the latest advancements in breast implant safety and BIA-ALCL research.

In Conclusion

Breast Implant-Associated Anaplastic Large Cell Lymphoma is a rare but serious complication that can develop in patients with breast implants. Through increased awareness, regular follow-up care, and a commitment to ongoing research, the medical community can work together to minimize the risk of BIA-ALCL and provide the best possible care for those affected by this condition. Patients should remain proactive in their breast health, stay informed about BIA-ALCL developments, and seek support and resources to navigate the challenges posed by this rare disease.

  1. PubMed: Breast implant-associated anaplastic large cell lymphoma: a review (2017) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5555281/
  2. American Society of Plastic Surgeons: Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) – By the Numbers https://www.plasticsurgery.org/for-medical-professionals/health-policy/bia-alcl-physician-resources/by-the-numbers
  3. American Society for Aesthetic Plastic Surgery: Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) FAQ https://www.surgery.org/sites/default/files/BIA-ALCL-FAQs_0.pdf
  4. U.S. Food and Drug Administration: Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) https://www.fda.gov/medical-devices/breast-implants/breast-implant-associated-anaplastic-large-cell-lymphoma-bia-alcl
  5. Cancer.Net: Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) https://www.cancer.net/cancer-types/breast-implant-associated-anaplastic-large-cell-lymphoma-bia-alcl
  6. National Cancer Institute: Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) https://www.cancer.gov/types/lymphoma/hp/breast-implant-associated-anaplastic-large-cell-lymphoma-pdq

Do you NEED a surgeon board certified by the ABFPRS?

Do you NEED a surgeon board certified by the ABFPRS, or the ABCS, or the XYZS?

Board certification is highly important, as the ACGME only recognizes the ABPS as a valid specialty board. This recognition is crucial as the ACGME is the regulatory body overseeing resident education across all medical specialties, including internal medicine and general surgery.

The Importance of ACGME Recognition of Board Certification

The ACGME doesn’t recognize individuals trained in a program certified by a board not recognized by it. This means that any board not recognized by ACGME is not bound by its rules and regulations.

Unregulated Boards and False Advertising

Regrettably, this creates an opportunity for the formation of boards such as the American Board of Facial Upper Outer Eyelid Lash Surgeons that may not necessitate a medical degree. To the general public, it may seem as though anyone trained in a program recognized by such a board has special training in the upper outer part of the eyelid. Surgeons who claim to be specialists in a particular area may lead people to believe that they underwent plastic surgery training followed by specialty training, which is a blatant lie.

The Value of ACGME Plastic Surgery Training

In truth, ACGME plastic surgery training takes six to eight years and encompasses all aspects of plastic surgery. Surgeons who lack this training typically receive only one year of so-called “plastic” surgery training and may consider themselves experts in the field. It’s crucial to note that the postoperative lawsuit end is the only area where the cosmetic surgery industry is regulated, leaving many individuals unaware of the nuances in the industry.

Why Board Certifications Not Recognized by ACGME are Preposterous

While there are a few cosmetic surgeons who are not plastic surgeons and are quite good, there are also ASPS surgeons who are not up to par. Therefore, to claim that one needs a surgeon with board certification not recognized by the ACGME is a preposterous flagrant lie. Instead, patients require an honest physician who provides safe procedures and achieves good results, as well as having strong endorsements from their patients.

The Importance of a Board Certified Surgeon’s Ethical Character

People often ignore the ethical character of the surgeon, but it is an essential consideration. Even if someone is not board certified by the American Board of Plastic Surgery, they may still possess skills and experience. However, one must ask how many patients the surgeon would have had to perform a given procedure on before they acquired enough experience to consistently produce good and reproducible results. Would you want a physician of such limited moral fiber to perform your surgery?

Conclusion

In summary, people should focus on finding a surgeon who is honest, safe, and has a track record of getting good results. They should not base their decision solely on board certifications not recognized by the ACGME. It is essential to consider the ethical character of the surgeon, as well as their level of training and experience. Ultimately, patients should prioritize their safety and well-being when choosing a surgeon.

Check out our list of associations here: https://www.fineryou.com/dr-g/associations/

What are the risks involved in rhinoplasty (nose reshaping)?

Understanding the Risks of Rhinoplasty

Any surgical procedure carries with it three types of problems. The first is related to anesthesia; general, and less commonly local. The second category is common to all surgical procedures. This is the risk of bleeding, infection, loss of soft tissue, loss of skin, numbness, etc. The third is specific to the particular surgery being performed. In the case of rhinoplasty, this would be asymmetry, changes in appearance over time, etc.

What is Rhinoplasty?

Rhinoplasty is a surgical procedure that involves reshaping the nose. It is typically done to improve the appearance of the nose, but it can also be performed to correct breathing problems or other medical issues.

What are the Potential Complications?

While rhinoplasty is generally safe, there are potential risks and complications that you should be aware of before undergoing the procedure. Some of the most common complications include:

  • Infection
  • Bleeding
  • Swelling
  • Bruising
  • Numbness
  • Scarring
  • Poor wound healing
  • Breathing difficulties

How to Minimize the Risks of Rhinoplasty

While there is no way to completely eliminate the risks of rhinoplasty, there are steps you can take to minimize them. Some of the most important steps include:

  • Choosing a qualified and experienced surgeon
  • Following all pre-operative and post-operative instructions provided by your surgeon
  • Avoiding smoking and other habits that can increase the risk of complications
  • Informing your surgeon of any medications or supplements you are taking
  • Being honest about your medical history and any previous surgeries

It’s also important to have realistic expectations about the results of rhinoplasty. While the procedure can improve the appearance of the nose, it won’t necessarily make it “perfect.” Your surgeon can help you understand what to expect and whether rhinoplasty is the right choice for you.

Conclusion

Rhinoplasty can be a safe and effective way to improve your appearance and correct medical issues. However, it’s important to understand the risks and complications involved before undergoing the procedure. By choosing a qualified surgeon and taking steps to minimize the risks, you can help ensure a successful outcome.

Check out our before and after gallery on rhinoplasty: https://www.fineryou.com/before-after-galleries/rhinoplasty/

Is the nose runnier after rhinoplasty?

Will Rhinoplasty Make Your Nose Runnier?

A minority of patients experience increased nasal discharge after rhinoplasty. This typically persists for half or a year, but may last longer.

What Causes a Runny Nose After Rhinoplasty?

Rhinoplasty is a surgical procedure that aims to reshape the nose. During the operation, the surgeon may make changes to the nasal bones, cartilage, and tissue. This can lead to swelling and inflammation, which can cause an increase in mucus production. Additionally, the surgery may disrupt the normal flow of air through the nose, which can also result in a runny nose.

How Long Does a Runny Nose Last After Rhinoplasty?

The duration of a runny nose after rhinoplasty can vary from patient to patient. In most cases, the symptoms will improve within a week or two after the surgery. However, it’s not uncommon for patients to experience some degree of nasal congestion and discharge for several weeks or even months after the procedure.

Tips for Managing a Runny Nose After Rhinoplasty

If you’re experiencing a runny nose after surgery, there are several steps you can take to manage your symptoms. First, be sure to follow your surgeon’s post-operative instructions carefully. This may include using saline nasal sprays, taking over-the-counter decongestants, and avoiding activities that could increase your risk of nasal trauma.

When to Seek Medical Attention

While a runny nose after surgery is usually a normal part of the healing process, there are some situations where you should seek medical attention. These include:

  • If your symptoms are severe or worsening over time
  • If you’re experiencing fever or chills
  • If you notice signs of infection, such as redness, swelling, or discharge from the incision site

Conclusion

While a runny nose after rhinoplasty is a common side effect of the surgery, most patients will recover without any long-term complications. By following your surgeon’s instructions and taking steps to manage your symptoms, you can minimize your discomfort and get back to your normal routine as quickly as possible.

Is rhinoplasty very painful?

 

Rhinoplasty Pain: What to Expect During Recovery

Rhinoplasty, commonly known as a nose job, is a surgical procedure that aims to reshape the nose for both aesthetic and functional purposes. Many patients considering rhinoplasty wonder about the level of pain they can expect during recovery. While pain is subjective and can vary depending on the individual, there are typical levels of discomfort associated with this procedure.

Level of Pain During Recovery After a rhinoplasty procedure, patients can expect to experience some level of discomfort and pain. This discomfort can range from mild to severe and can last for several days or even weeks. During the first few days after the procedure, patients may experience moderate to severe pain, which can be managed with prescription pain medication provided by the surgeon.

Factors That Affect Pain Level Several factors can influence the level of pain experienced during the recovery period after rhinoplasty. The extent of the surgical procedure is a significant factor, as a more extensive procedure can result in more pain and discomfort. Additionally, pain can be influenced by the individual’s pain tolerance level, which can vary from person to person. The patient’s overall health, age, and the type of anesthesia used during the procedure can also impact the level of discomfort experienced.

Managing Pain After Rhinoplasty While pain is an expected part of recovery after rhinoplasty, there are several steps patients can take to manage discomfort and promote healing. Following the surgeon’s post-operative instructions, taking prescription pain medication as directed, and avoiding physical activity and strenuous exercise can help minimize pain and promote healing.

Other strategies to manage pain and discomfort after rhinoplasty include using cold compresses to reduce swelling, sleeping with the head elevated, and avoiding blowing the nose. It is essential to follow all post-operative instructions carefully to ensure a safe and comfortable recovery.

Conclusion In conclusion, rhinoplasty is a surgical procedure that can result in some level of pain and discomfort during the recovery period. Congestion, inability to breathe through swollen air passages, the taste of blood are all problems that most rhinoplasty patients are bothered by more than pain. Pain is normal with any surgery, and is no worse with rhinoplasty. The level of pain can vary depending on several factors, including the extent of the procedure and the individual’s pain tolerance level. However, by following the surgeon’s post-operative instructions and taking steps to manage pain, patients can experience a safe and comfortable recovery.

When are stitches removed after rhinoplasty surgery?

When Are Stitches Removed After Rhinoplasty Surgery?

Internal stitches used in both open and closed rhinoplasty, are absorbable and do not need removal. External sutures are used only in cases of open rhinoplasty. In such case, stitches are removed after rhinoplasty surgery. They are removed between day five and seven.

Rhinoplasty, or nose surgery, is a common cosmetic procedure that can alter the appearance and function of the nose. Stitches are typically used to close incisions after surgery, but when are they removed? In this article, we’ll discuss when stitches are typically removed after rhinoplasty surgery and what to expect during the recovery process.

The Timing of Stitch Removal

Stitches are usually removed within 5 to 10 days after rhinoplasty surgery. The timing of stitch removal can vary depending on the extent of the surgery and the surgeon’s preferences. Some surgeons use dissolvable stitches that do not require removal, while others prefer to use non-dissolvable stitches that need to be removed manually.

It’s important to follow your surgeon’s instructions regarding stitch removal. If you try to remove the stitches yourself or if you remove them too early, you may cause injury or disrupt the healing process.

What to Expect During Recovery From Stitches Removed After Rhinoplasty Surgery

During the recovery process, you may experience some discomfort or swelling around the incision site. Your surgeon may prescribe pain medication or recommend over-the-counter pain relievers to manage any discomfort.

It’s important to keep the incision site clean and dry during the recovery process to prevent infection. Your surgeon will provide you with specific instructions on how to care for the incision site and when you can resume your normal activities.

In some cases, your surgeon may place splints or packing inside the nose to help support the new structure and prevent bleeding. These will typically be removed during a follow-up appointment.

Conclusion

Stitches are typically removed within 5 to 10 days after rhinoplasty surgery. It’s important to follow your surgeon’s instructions regarding stitch removal and care for the incision site during the recovery process. With proper care, you can minimize discomfort and promote optimal healing. If you have any questions or concerns about your recovery, be sure to contact your surgeon for guidance.

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