Posts Tagged ‘plastic surgery’

FDA Implant Update

Thursday, June 23rd, 2011


This message forwarded from the American Society of Plastic Surgeons (ASPS):

The Food and Drug Administration (FDA) yesterday issued an updated white paper on the safety of silicone gel-filled breast implants. ASPS agrees with the FDA statement that “silicone gel-filled breast implants have a reasonable assurance of safety and effectiveness when used as labeled,” and it accepts the Agency’s position that women who receive silicone gel-filled breast implants for reconstructive or cosmetic purposes will need to monitor the devices over their lifetime. Both the FDA and ASPS agree that breast implants are not lifetime devices.  ASPS believes that the FDA white paper is informative and will be a fruitful resource for plastic surgeons – as well as for patients considering reconstructive or cosmetic breast augmentation.  ASPS shares the FDA’s view in the white paper that more than 90 percent of patients are satisfied with their outcomes from breast implantation and report an improved quality of life.  ASPS has collaborated – and will continue to collaborate – with the FDA to ensure that science forms the basis for all decision-making on breast implants, as well as all other medical devices. The Society supports post-market breast implant surveillance and ongoing data collection related to the safety and efficacy of breast implants. ASPS will continue to reiterate that patient safety is its No. 1 priority.  The FDA has provided the following links to related documents:  FDA – Breast Implants <> Update on the Safety of Silicone Gel-Filled Breast Implants (2011) – Executive Summary <> The FDA also has made available a Consumer Update <> that contains current and background information on breast implants, as well as other links to additional documents and FAQs.  ASPS has posted additional resources for members and consumers on its website at <–_IuuysfDU-wadXAootfVXhB5Gcj876yDHw==> .  The Society is determined to work collaboratively with the FDA to ensure that plastic surgery patients, consumers and ASPS members are provided the information they need to make informed decisions.



Tuesday, May 3rd, 2011


Removal of unwanted body fat by liposuction is a well established procedure benefitting thousands of patients. Naturally, the thought then arose, “ Why not remove fat from unwanted areas ( hips and thighs) and replace it into wanted areas ( breast)? “

Over the past 10 years the techniques of fat transplantation have gradually been refined. The limiting factor is that that fat cells are very fragile. Removal often destroys many of the fat cells, and re-implantation yields partial, unpredictable survival. When fat cells die, they can produce small specs of calcification in the tissue.

In most areas of the body lack of survival of fat cells with microcalcification is no big deal. But in the breast, it can cause mammographic changes which look like breast cancer. If that happens, a surgical biopsy is needed.

A recent study from China, published in the April issue of Plastic and Reconstructive Surgery, reports suspicious breast calcification in 16.7 % of patients with fat graft breast augmentation. Other early reports have not shown as many calcifications, but it is too early in the experience to know the true incidence.

There is great enthusiasm for fat grafting for augmentation. It would be the perfect solution – avoiding the hassels of silicone breast implants. But as with any new procedure, it is wise to wait until sufficient experience exists to accurately assess the downside.


What is Plastic Surgery?

Monday, February 28th, 2011


Let’s start with the basics. Plastic surgery has nothing to do with the structural products we use every day – bottles, cups, spoons… Plastic surgery actually existed before those common petroleum-based products were manufactured.

“Plastic” Surgery actually originated from the Greek word “plastikos”, meaning to shape or to mold. In the case of surgery, it mean operations which molded human tissue into particular anatomic shapes. In practical sense, it meant rebuilding parts such as noses, ears, faces, fingers.


Why Another Blog?

Wednesday, December 29th, 2010

Welcome to the ongoing blog of plastic surgery information from Dr. Fritz Barton.

Why would you be interested in this blog? Over the past 25 years there has been an explosion of interest in cosmetic surgery and skin care. The public is inundated with information and opinions. But how do you find reliable information?

I will share my 35 year background in academic plastic surgery with you. The information will be very honest, and often somewhat controversial. But I will try to accurately share with you the answers to questions asked by my patients every day – without you having to have a formal consultation.

Stay tuned….