Dr. Kasden

Recent comments

• Posted to Breast Implants and Cancer: The 0.000003% Risk of ALCL on 5 Feb 2011

  Dr. Scott E. Kasden
  The FDA this week announced that breast implants may be associated with a rare form of (non-Hodgkin’s) lymphoma. This specific lymphoma is called anaplastic large-cell lymphoma (ALCL).
  
  The important points to know:
  
  Total cases: 34
  Silicone gel filled: 27
  Saline filled: 7
  Possibly another two dozen cases worldwide (no info on that yet).
  No word yet on location of implants (under vs. over the muscle).
  Millions of breast implants placed !
  
  
  FDA feels link needs to be confirmed, but women with implants may have a very small but increased risk of ALCL.
  
  FDA feels that implants are safe and effective when used as labeled (this may change over time).
  
  What you need to know:
  
  Symptoms of this rare cancer include enlarging, deforming of implanted breast, possibly pain. This may be similar in presentation to a capsular contracture.
  
  The cancer usually develops years after implantation.
  The cancer develops in or around the capsule, giving weight to a causality or link.
  The tumor is usually associated with a new fluid collection.
  Cures have been reported with implant removal and capsulectomy alone!
  
  What you need to do if you have implants:
  
  Don’t panic.
  There is NO recommendation to remove the implants at this time if they are not causing problems
  Contact your plastic surgeon.
  No need to have the implants removed.
  You should be aware that some sort of registry may be started in the near future to help track you and your health.
  If you note symptoms, notify your plastic surgeon immediately, and again don’t panic.
  
  More to follow as news breaks

• Posted to Weight gain in upper body after tummy tuck on 7 Feb 2010

  Perhaps you should be evaluated for hormonal, metabolic, or other medical problem. If they are all negative, diet and exercise.

• Posted to Pain 2 Years After Rhinoplasty on 14 Dec 2009

  I would advise that you get an examination of the internal as well as the external structures. Only an examination can answer your questions.

• Posted to Burst Blood Vessel After Rhinoplasty on 11 Dec 2009

  Yes. Lasers (vasuclar) can work, and other treatments may also work. This should be easy and inexpensive.

• Posted to Lump/knot Above Incision After Tummy Tuck on 10 Dec 2009

  You did the right thing by going to the doctor. This sounds like it may be a hematoma indeed. One thing to know is that hematomas "liquify" after about 10 days to two weeks, so he may be able draw the fluid off.