BREAST ENHANCEMENT EDUCATIONAL BOOKLET - Soderstrom Skin Institute
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YO UR CO M PL E T E GU IDE TO
BREAST ENHANCEMENT
EDUCATI O N AL
B O O K L ET
1
MODEL DEPICTED
SODERSTROM
SKIN INSTITUTE &
MEET OUR
SKIN DIMENSIONS BOARD CERTIFIED
LOCATIONS
PLASTIC SURGEONS
ILLINOIS
PEORIA JAMES M. JEFFRIES III, MD, FACS
309.674.7546 & TODD M. GERLACH, MD
Spa 309.691.9381
4909 North Glen Park Place
PERU
815.224.7400
Spa 815.224.6409
2200 Marquette Road
MORTON
309.263.7546
Spa 309.291.0404
410 Maxine Drive
GALESBURG
309.344.5777
60 S. Soangetaha Road
NORMAL JAMES M. JEFFRIES III, MD, FACS
309.268.9980 Dr. Jeffries is Board Certified from the American
2100 Jacobssen Drive Board of Plastic Surgery and has over 25 years
of experience. He graduated from Lycoming
MOLINE
College in Pennsylvania with a bachelor’s degree
309.277.0772
in biology and received his medical degree from
1302 7th Street New Jersey Medical School.
IOWA Upon completion of medical school, Dr. Jeffries
CLINTON was enlisted as a commissioned officer for the
563.242.3571 U.S. Penitentiary in Leavenworth, Kansas. He
then completed his internship in general surgery
2027 S. 21st Street
at New Jersey Medical School and University
DAVENPORT Hospital where he also completed both his
563.344.7546 general surgery and plastic surgery residencies.
Spa 563.355.0600
1800 E. 54th Street Dr. Jeffries worked in private practice providing
reconstructive and cosmetic surgery services
MUSCATINE before joining Soderstrom Skin Institute in 2012.
563.263.2113 He is a diplomate of the American Board of Plastic
2300A Park Avenue Surgery, a member of the American Society of
Plastic Surgeons, and a fellow of the American
College of Surgeons. Dr. Jeffries is a member of
the Peoria Medical Society and has served as its
President.
2
TODD M. GERLACH, MD
Dr. Gerlach is Board Certified from
the American Board of Plastic Surgery JENI MOLLY
and has over 20 years of experience.
He attended college at the University
of California at Riverside, graduating
with a bachelor’s degree in biochemistry. LET US HELP FIND THE FIT
Dr. Gerlach then moved to Chicago
to pursue his dream of becoming a
physician at the Chicago Medical School.
THAT'S RIGHT FOR YOU!
HIGHLY TRAINED NURSES,
He completed his general surgery MOLLY AND JENI, WILL
residency at Mount Sinai Hospital,
followed by plastic surgery training at GUIDE YOU THROUGH THE
the Cleveland Clinic Foundation. Dr. DECISION-MAKING
Gerlach also completed fellowships in PROCESS AT YOUR
microsurgical replantation CONSULTATION.
and hand surgery at U.C. Davis
Medical Center.
After his formal education, he started and served patients in the greater Los
a private practice providing plastic and Angeles region. He is a diplomate of the
reconstructive surgery for patients in American Board of Plastic Surgery and
the suburbs of Chicago. In 2005, he a member of the American Society of
relocated back to Southern California Plastic Surgeons.
3
WHAT GIVES A BREAST ITS SHAPE?
The breast consists of milk ducts and glands,
surrounded by fatty tissue that provides its
shape and feel. Beneath the breast is the
chest muscle (pectoralis major muscle).
Implants are used to make the breast larger
or to restore/replace breast tissue. Factors
such as pregnancy (when milk glands are
temporarily enlarged), rapid weight loss, and
the effects of gravity as you age combine to
MODEL DEPICTED stretch the skin, which may cause the breast
to droop or sag. However, it is important
to note that implants are used to make the
WHEN CHOOSING A SURGEON breast larger. The implants alone may not
adequately lift the breast, or correct the
FOR BREAST AUGMENTATION, effects of pregnancy, weight loss, or skin
YOU SHOULD FIND OUT THE stretching. Additional procedures may be
recommended at the time of the breast
ANSWERS TO THE FOLLOWING augmentation, such as mastopexy, to help
achieve improved breast lift.
QUESTIONS:
How many breast
augmentation implantation
procedures do they perform
per year? FATTY TISSUE
How many years have PECTORALIS
they performed breast MUSCLES
augmentation procedures?
What types of implants does MILK DUCTS
the surgeon primarily use AND GLANDS
(saline, silicone)?
Are they board certified, and, if RIBS
so, with which board?
Did they complete a residency
in plastic surgery from a
recognized and accredited
program? WHAT ARE YOUR COSMETIC GOALS?
Your decision whether or not to get breast
What is the most common implants should be based on realistic
complication they encounter expectations of the outcome. There is no
with breast augmentation? guarantee that your results will match those
of other women. Your results will depend on
many individual factors, such as your overall
health (including age), chest structure,
breast/nipple shape and position, breast
asymmetry, skin texture, healing capabilities
(which may be slowed by radiation and
chemotherapy treatment, smoking, alcohol,
and various medications), tendency to bleed,
prior breast surgery, surgical team’s skill and
4
MODEL DEPICTED
INTERESTED IN PATIENT FINANCING?
Check out financing options
available for elective surgery
at soderstromskininstitute.com
under the “For Patients” section.
experience, type of surgical procedure, referred to as breast augmentation. Or
and type and size of implant. you may need to have a previous breast
augmentation corrected or improved,
TYPES OF IMPLANTS which is called revision-augmentation.
There are 2 FDA-approved options — We are here to assist you in making
saline and silicone filled implants. These an informed decision about breast
options allow your surgeon to utilize augmentation or revision-augmentation
the best type of implant to achieve your surgery, and to help answer some of
desired effect. the questions you may have about the
procedure and about breast implants in
SALINE general.
The saline implant comes from the
manufacturer as an empty silicone shell. Who is eligible for Silicone-Filled Breast
At the time of surgery, saline (salt water) Implants?
is placed into the implant through a Breast Implants have been approved
self-sealing valve. The FDA requires by the FDA for the following uses
that a woman be at least 18 years old to (procedures):
receive a saline filled breast implant.
• B
reast augmentation for patients at
SILICONE least 22 years old. Breast augmentation
includes primary breast augmentation
A silicone gel-filled breast implant is to increase the breast size, as well
an implant shell of silicone elastomer as revision surgery to correct or
(rubber) filled with silicone gel used to improve the result of a primary breast
increase the size of your breasts. This is augmentation surgery.
PHOTO COURTESY OF SIENTRA® 5
•B
reast reconstruction. Breast
reconstruction includes primary COMMON INCISION SITES
reconstruction to replace breast tissue
that has been removed due to cancer
or trauma or that has failed to develop
properly due to a severe breast TRANSAXILLARY
abnormality. Breast reconstruction
also includes revision surgery to PERIAREOLAR
correct or improve the result of a
primary breast reconstruction surgery.
MULTIPLE PROFILES. INFRAMAMMARY
HUNDREDS OF OPTIONS.
Based on your body structure and
aesthetic goals, we will help you
INCISION SITES
choose the right profile and size (cc)
for a customized result...from a subtle There are 3 common incision sites:
change to a dramatic difference! around the nipple (periareolar), within
the breast fold (inframammary), or under
What does Gummy mean? Gummy the arm (axillary or transaxillary).
describes the consistency of the silicone
gel. This gummy like gel sticks together THE FUN PART! YOUR CONSULATION
and has the tendency to hold its shape. AND TRYING ON SIZERS
We offer multiple types of gummy gels. Forget Cup Size! Since bra
Each implant has a different level of manufacturers differ, and women’s
cohesivity or what surgeons may refer body shapes are all unique, using cup
to as gumminess. sizes as the way to choose the size of an
implant can be confusing and not always
predictable. During the consultation,
PLACEMENT OF IMPLANT your surgeon and team will listen to your
The breast implant can be placed either goals, complete measurements and find
partially under the pectoralis major the best fit for you. Finding the ideal cup
muscle (submuscular) or on top of the size happens along the way!
muscle and under the breast glands
(subglandular). You should discuss CONTRAINDICATIONS
with your surgeon the advantages A contraindication is a condition or
and disadvantages of each implant circumstance that, if present, means a
placement. procedure should not be done. Breast
implant surgery should not be
performed in:
• Patients with active infection anywhere
PLACEMENT OF IMPLANT in their body, because the implant will
make the infection much harder to
SUBGLANDULAR SUBMUSCULAR treat should the infection move into
the breast.
• Patients with existing cancer or pre-
cancer of their breast who have not
received adequate treatment for
those conditions, because radiation
and chemotherapy treatments may
increase the risk of some complications
seen with breast implants. Also, breast
implants may interfere with radiation or
chemotherapy treatments.
6
MEET YOUR SURGICAL TEAM
The Peoria Ambulatory Surgery
Center staff works closely
with our Plastic Surgeons and
their team. The surgery center JEANINE VALERIE KATIE KATHY
staff are specially trained and
certified for outpatient surgical
care. Special attention is given
to patient safety from the pre-
operative to post-operative
stage of your procedure.
CHRISTY ZAIDA SAMMIE KATEY
• Women who are currently pregnant in our fully accredited surgery center at
or nursing, because surgery may Soderstrom Skin Institute in Peoria, Illinois.
interfere with the safety of the
pregnancy/nursing. Since breast Benefits To The Patient Include:
augmentation is an elective surgery, it • Free parking with easy first floor access
should be postponed until you are no
longer pregnant or nursing. • Cost savings
• Safe, private setting for comfort and
security
OPERATION & POST PROCEDURE • Physician anesthesiologist available
• Consultation, surgery and follow-up at
THE OPERATION the same location
The operation is performed in our • Specialized nursing staff and entire
fully accredited day surgical facility cosmetic surgery team
under general anesthesia with a
skilled anesthesiologist in attendance. • Accredited by the Accreditation
The actual surgical time will vary Association for Ambulatory Health
depending on the amount of surgery Care, Inc.
necessary for each patient. In general,
the operation requires 2 hours or less POST PROCEDURE BANDAGES
of surgical time. Steri strips will be placed over the
incisions. You may shower after 48 hours
PEORIA AMBULATORY being careful not to saturate the steri
SURGERY CENTER strips. These may come off after a few
These procedures will be performed days, but typically stay in place until your
follow up appointment. A small amount
of drainage is normal in
the first 24 – 48 hours after
surgery.
A sports-type bra will be
placed on you for comfort
following surgery. This should
be worn for comfort only, it
will not help to shape your
breasts. Do not wear any other
type of bra (i.e. underwire) for
approximately 12 weeks or
more following surgery.
7
BREAST ENHANCEMENT RESULTS
BEFORE AFTER
ACTUAL PATIENT OF TODD M. GERLACH, MD
WORKING STITCH REMOVAL
REMOTELY FROM The sutures which are buried beneath
the skin will all absorb on their own and
YOUR HOME do not require removal. It is important
DURING THIS TIME that you do not travel out of state for
CAN BE APPROVED two weeks after surgery, so that we can
BY THE SURGEON be sure you are healing as expected
ON A CASE BY CASE following the breast surgery.
BASIS.
CHANGES IN EMOTION & PAIN
Most patients do have some pain and
discomfort immediately following
surgery. We will be here to support you
in this journey. You must remember
that before you see the improvement
you are expecting, you will go through a
standard postoperative period in which
you will look quite swollen and bruised.
This will be followed by another period
of time when you may look strange to
yourself (this varies considerably with
each individual). It can take up to 12
weeks before the implants are settled
where they are supposed to be. In some
patients there is a temporary period of
slight emotional depression immediately
following the surgery while you are
anxiously awaiting your final results. This
is quite normal and should not alarm you.
Fortunately, this period usually passes
8
MODEL DEPICTED
rather quickly. Always check with your surgeon and clinical team where they
surgeon before resuming vigorous can be reached at any time. The only
exercise, including aerobics. bad question is the question not asked!
GOING BACK TO WORK POSSIBLE COMPLICATIONS*
You will need to take a week off of work Complications can occur from any type
to rest and recover from the procedure. of surgery. Those that occur in cosmetic
Working remotely from your home during breast surgery are most often minor in
this time can be approved by the surgeon nature. These may include, but are not
on a case by case basis. During that time, limited to the following:
we advise no heavy lifting over 10 pounds.
• A
hematoma is a collection of blood
Following up with your physician and under the skin which usually occurs
care team because we care about you, right after surgery. In about 2% of all
we ask that you are seen periodically breast augmentation operations, this
for the 6 months post procedure to must be removed in the immediate
track your progress. The typical plan is postoperative period. This may
as follows but could vary by case: require an additional operation.
• I nfection may occur in 1 – 2% of
• 1 Week Post Procedure breast augmentations. If this involves
• 2 Weeks Post Procedure only the incision, antibiotics may
• 1 Month Post Procedure clear it up. If, on the other hand,
the infection is deeper around the
• 2 Months Post Procedure implant, the implant will require
• 6 Months Post Procedure removal. Symptoms include: fever,
vomiting, diarrhea, dizziness, fainting,
We welcome all questions that may sunburn-like rash, deep seated pain.
come up along the way. You will be Replacement of the implant may
given contact information to your occur at a later date in approximately
BREAST ENHANCEMENT RESULTS
BEFORE AFTER
ACTUAL PATIENT OF SODERSTROM SKIN INSTITUTE & JAMES M. JEFFRIES, MD, FACS
9
BREAST ENHANCEMENT RESULTS
BEFORE AFTER
ACTUAL PATIENT OF SODERSTROM SKIN INSTITUTE & JAMES M. JEFFRIES, MD, FACS
4 – 6 months post infection. Surgery result in additional scarring, or loss
may be necessary to determine if it is of breast tissue. Factors associated
safe to replace the implant. with this include: smoking, infection,
• C
hanges in nipple and breast sensation steroid use, chemotherapy/radiation,
can either increase or decrease or excess hot/cold therapy.
following surgery, it may even result in • C
apsular Contracture may occur. A
no feeling. These changes are usually capsule of fibrous tissue forms around
temporary, but can be permanent. the implants as part of the body’s
These may also affect breast feeding natural response to a foreign material.
or sexual response. While in the majority of women this
does not significantly alter the feel
of the breasts, in approximately 5%
of women the hardness may cause
NICOTINE USE POST-SURGERY WILL sufficient discomfort or deformity of
INTERFERE WITH YOUR RECOVERY the breasts and may require additional
surgery to correct.
AFTER SURGERY. • N
icotine use post-surgery will interfere
with your recovery after surgery.
Adequate blood flow is necessary
• R
upture/Valve defect can occur. If in a for your incisions to heal and can be
saline implant, the solution will absorb problematic. Poor scar formation,
into your system with no adverse exposed implant, pneumonia are
effects. You will notice a change in the among some of the most common
size and shape of your implant over complications – refrain from using
a period of a few days. If in a silicone nicotine post surgery!
implant, you may need to have an MRI
to determine a true rupture. Your implants are not a lifetime device.
• D
elayed wound healing or necrosis Revision surgery, consisting of removal
is the death of cells or tissues. This and/or replacement of your implants
may delay or prevent wound healing, may be required at any time. Revision
10runs between 25% and 30% for all breast
WANT TO SEE MORE? enhancement surgical procedures. You
will be given a brochure outlining the
CHECK OUT BEFORE & AFTERS AT warranty information after your surgery.
SODERSTROMSKININSTITUTE.COM *Based on the results of the Allergan Core Clinical
Study for the first 10 years after implant surgery.
There were 455 Primary Augmentation patients
and 147 Revision-Augmentation patients enrolled.
surgery may also be indicated to
achieve long term satisfaction with
cosmetic results. Revision surgery is SODERSTROM VIP CLUB
not included in the original cost of the Many of our patients decide to join our
initial surgery and will be at additional VIP Club so they can have the most
cost, including surgeon’s fees, to the savings not only on the procedure
patient. It should be noted that the but also on other cosmetic services
national rate for revisional surgery or and products post procedure. Visit
other additional enhancement surgery SoderstromVIP.com for details.
BREAST ENHANCEMENT RESULTS
BEFORE AFTER
ACTUAL PATIENT OF TODD M. GERLACH, MD
We hope you have enjoyed reading
our booklet outlining breast
augmentation as much as we
have enjoyed putting it together.
Because we are proud of our
work, we would love for you
to view our online gallery
of Before and Afters at
SoderstromSkinInstitute.com.
11888.970.7546 (SKIN)
SODERSTROMSKININSTITUTE.COM
ILLINOIS Peoria • Morton • Galesburg • Peru • Normal • Moline
IOWA Clinton • Davenport • Muscatine
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