Portland Breast Implants doctors

Sirish Maddali, MD Sirish Maddali, MD
Portland Plastic Surgeon
244 Western Ave, Sout Portland
46 answers
Verne Weisberg, MD Verne Weisberg, MD
Portland Plastic Surgeon
195 Fore River Parkway Suite 140, Portland
2 answers
Richard C. Flaherty, MD Richard C. Flaherty, MD
Portland Plastic Surgeon
244 Western Avenue, South Portland

Recent Answers

FDA Says Possible Link Between Implants and ALCL Cancer - What's Your View?

This news story broke last night (January 27, 2011) and I wanted to get your thoughts. http://healthland.time.com/2011/01/26/fda-breast-implants-may-be-linked-to-a-rare-cancer

A: Breast Implant Safety

As noted in the other posts, this finding is extremely rare, and only relates to a specific type of textured implant. The process is different between manufacturers, and seems limited to just one style from McGhan (now Allergan). There is no issue with smooth walled implants.

Verne Weisberg, MD
Portland Plastic Surgeon
Does Silicone Ripple Less Than Overfilled Saline?

I went for my first consult last week and I was unfortunately told that I am not a good candidate for saline due to being thin and having only a small amount of breast tissue. I am 5'2", 104 lbs, 32 A with a 28 inch ribcage, 36 years old, some deflation of upper-pole from BF 2 kids but not really any sag. He said saline implants might look good for 1 or 2 years but then I would likely have rippling. He suggested 325-375 HP silicone to get me to a full C. Does this all sound accurate to you?

A: Silicone Implants better than Saline?

In terms of rippling, all implants ripple to a greater or lesser extent. The thinner you are, the more likely it is you will see rippling, epecially out at the sides of the breasts where the coverage is the thinnest. While I feel that Silicone Gel implants are the best current option in thin women, I would be careful about using Hi Profile. These tend to put a lot of pressure on the breast tissue, as well as on the chest wall, and this can lead to long-term atrophy (thinning) or even rib cage indentations. The breasts will have a tendency to get very round and have increased separation between them. You always have to remember that you only have so much tissue to cover an implant, and trying to press the envelope can result in long term disappointment. Don't be wed to a specific cup size. You can't put truck tires on a Prius! Go for the size that is best achieved with your body.

Verne Weisberg, MD
Portland Plastic Surgeon
Bottoming out or Capsular Contracture After Revision?

105lbs 5"5'. First BA in April of 07' I had elected to go with 350cc saline through the belly button, the results were beautiful for about 8 months when I noticed hardening of the right breast.It was obvious that I had a capsulor contractor. After the second surgery in April 09 We replaced both implants with cohesive gel silicon 500cc with capsulectomy done on the right breast. Then in December 09' had to revise the left breast that had bottomed out. Now 4 months later im not sure if it is bottoming out again or another capsuler contractor or both!

A: Do I have bottoming out or capsular contracture?

This is a difficult problem. As most of the responses have stated, you should definitely decrease the size of the implants at the next (hopefully last) operation. The left inframammary fold should be raised and any capsular contracture that you can feel should be fixed (especially on the right). Good luck.

Sirish Maddali, MD
Portland Plastic Surgeon
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