Women now have more options for cosmetic and reconstructive breast procedures. And West County Plastic Surgeons is helping deliver those new choices. 

The Washington University Physicians group, which provides a full range of cosmetic and reconstructive face and body procedures, is offering the two latest FDA-approved breast implants: Allergan’s 410 and Sientra’s Silimed. The practice also has unveiled new 3-D imaging software from Vectra XT that provides a more life-like simulation for previewing the outcome of breast, facial and body cosmetic surgery.

West County's board-certified plastic surgeons, Drs. Terry Myckatyn and Marissa Tenenbaum, are combining the two new tools to improve surgical outcomes. The new 410 and Silimed implants are a teardrop shape with cohesive, form-stable silicone gel, which helps hold shape and prevents most rippling. “For many years, the only FDA-approved options were a silicone implant and a saline implant,” Myckatyn notes. “While these are still silicone implants, they have a thicker, firmer consistency, taking care of patients' No. 1 complaint of rippling.” Tenenbaum adds that the new implants have much lower rates of another common issue, scar tissue development called capsular contracture. The implants also give the illusion of more breast tissue for a more natural transition from the upper chest into the breast, Myckatyn adds. “Implants looked round before, but now we can shape them to look more natural.” The doctors, who also are board-certified reconstructive surgeons, note that the devices can be used not only for cosmetic purposes, but for breast reconstructive surgery, following breast cancer, for instance.

While Allergan's 410 implant was FDA-approved in recent weeks, West County has been offering Sientra’s Silimed since it was approved last fall. The Silimed implant has been well-received by the facility’s patients, Myckatyn says, and he expects the same positive reaction to the 410 implant. As far as cost, he notes both the new implants are more expensive than previously offered implants, and their prices vary among practices.

Advancements in technology for implants and imaging are making for an interesting time in the cosmetic and reconstructive surgery fields, Myckatyn notes. The new 3-D imaging software from Vectra XT helps surgeons and patients plan cosmetic or reconstructive procedures. Using the 3-D image of a model with the patient’s physical dimensions, the outcome of a procedure—from breast augmentation to a nose job, chin implant, cheek lift or liposuction—can be visualized. “Previously, patients would have to see their potential results on a similar-bodied person. This is the best new tool for how it will look for them,” Myckatyn says. Tenenbaum adds that the software also helps the patient make an educated decision about whether to have a procedure. “It puts the surgeon and the patient on the same page. It provides the surgeon with a sense of what the patient’s goals are, and it also gives the patient realistic expectations.” The imaging is the most life-like for potential breast augmentation and rhinoplasty outcomes, Myckatyn says. “It’s not a guarantee of results, but it helps realize the possible outcome. A picture is worth 1,000 words."


ON THE COVER: West County Plastic Surgeons, a full-service cosmetic and reconstructive surgery practice, is offering two new FDA-approved breast implants, as well as the latest in 3-D imaging technology. Pictured on the cover: Drs. Terry Myckatyn and Marissa Tenenbaum. For more information, call 996-8800 or visit westcountyplasticsurgeons.wustl.edu.

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