Amid growing concerns and reports of illness in some women with breast implants, Fredric M. Barr, MD, FACS is listening to his patients and changing his practice.
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“My advice to anyone is if there is any issue at all with your breasts, go see your physician, and if you don’t get the information that you are thinking should be appropriate, then go find somebody else. You need to be listened to and heard and evaluated,” says Barr.
One month after Amy’s breast explant surgery, “My thyroid is functioning properly for the first time in years. My hormones are coming back into balance. My posture is better, my neck and spine don’t hurt all the time, my complexion is clearer and I have more energy,” she says.
The decision to get implants lies solely with the patient, and it is up to them to choose whether or not to have them removed. While the scientific community may still be uncertain about the long-term effects of silicone implants, clearly, many women genuinely believe their implants are negatively impacting their bodies. These women deserve to have their concerns recognized.
Dr. Barr suggests that these women consider removing their implants and any surrounding scar tissue to potentially alleviate the adverse reactions they are experiencing. After implant removal, patients have two options: they can either choose to not pursue any further treatment or undergo mastopexy, a procedure that reshapes breast tissue to enhance the cosmetic appearance of the breasts.
Many women facing the complex and controversial issue of Breast Implant Illness have felt lost and uncertain. While medical research is still ongoing, some women have found relief by removing their breast implants. Dr. Barr offers a comprehensive procedure, tackling both the implants and surrounding scar tissue, for patients who understand the potential side effects and desire removal. If you're considering implant removal, consult a trusted plastic surgeon who truly listens and educates you on your options. With Dr. Barr's informative and compassionate approach, you can feel at ease making this life-changing decision.
En bloc, a French term meaning "all together," is a procedure commonly used to remove tumors with a margin of healthy tissue when there is a suspicion of malignancy or cancer. However, en bloc breast implant removal is not recommended for the removal of breast implants in cases where there is no malignancy present.
En bloc has gained buzz on social media platforms, causing some confusion among patients who incorrectly believe that it can be used as a solution for symptoms related to Breast Implant Illness (BII). However, en bloc breast implant removal is specifically designed as a treatment for anaplastic large cell lymphoma (BIA-ALCL), and not for addressing BII symptoms.
In contrast to an en bloc breast implant removal, a total capsulectomy performed by Dr. Barr removes the scar tissue surrounding the implant and the implant itself, making every effort to remove the capsule in one intact piece. This thorough breast implant removal surgery focuses solely on removing the scar capsule and implant without unnecessary tissue removal. For women experiencing symptoms caused by their breast implants, a total capsulectomy can potentially provide the solution they seek. Rest assured, Dr. Barr ensures the complete removal of the capsule for optimal results.
The terminology about breast implants and scar tissue can create confusion, but the three most important terms to know are:
If you’re experiencing symptoms of BII, please take heart that you’re not alone. Many other women who have had a similar experience are ready to support you in groups like the Breast Explant Solution Group on Facebook, founded by Dr. Barr. They know how it feels and can share their experiences to help you decide what’s best for your situation. You’ll interact with many women dealing with the same side effects who can confirm that what you’re going through is real.
Embarking on the healing journey as an explant patient is a new chapter in your life. This journey elicits various emotional, physical, and spiritual changes. Emotionally, you may face a range of issues as you realize that the reasons for your breast implantation no longer align with who you are today. To provide support and understanding, we highly recommend seeking the guidance of a counselor or therapist. Our patient counselors are also here for you.
Physically, the first six weeks of healing may present challenges such as limited movement and exercise. Throughout the initial six months, you will notice significant changes in scarring and breast shape. Various treatment options — including lasers, injections, topical remedies, lymphatic drainage massage, and scar massage — can help minimize scarring. Additionally, irregularities or deformities can often be improved with future procedures like mastopexy, scar revision, and fat transfer. Regularly communicating and attending follow-up appointments with Dr. Barr will play a crucial role in your healing process.
For those who chose explantation to alleviate symptoms of Breast Implant Illness (BII), this experience can be liberating as your health improves, although this is not always the case. However, for those solely focused on the physical appearance of their breasts, this journey can be incredibly challenging. Remember, everyone's journey and outcome are unique, and it is unfair to compare yourself to others, as healing varies greatly based on individual genetics and circumstances.
Dr. Barr and his dedicated staff are fully committed to supporting you through this complex decision, which, like life itself, will have its ups and downs. Rest assured that our entire team is here to stand by you throughout your recovery.
Many women report increased energy, less pain and inflammation, and a restored sense of well-being after explantation surgery. Although you will face some challenges after having breast implants removed as you navigate physical and emotional healing, for most patients like BII warrior Alison Liddic, the benefits of breast implant removal are worth undergoing the healing process.
Join Dr. Barr as he uncovers the untold narratives behind women's implants in this groundbreaking reality-based show. Delve into the life-changing factors that propelled them towards surgery, and witness the empowering journey of their implant removal process. Prepare to be moved and inspired.
Watch the compelling trailer below.
The Food and Drug Administration (FDA) has been regulating the use of silicone breast implants since 1976. The FDA lifted their previous 14-year ban on silicone gel-filled implants approving the newly-created and more cohesive gel implants in 2006.
FDA Statement Regarding Breast Implants
Remember: Every woman’s experience with breast implants is unique to them, and the best way to gain knowledge and ask personal questions would be to schedule a consultation with Dr. Barr.
Call for FREE Consultation with Dr Barr – (561) 833-4122
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Disclaimer
Please understand Dr. Barr will do his very best to achieve a pleasing result – HOWEVER, due to the unknown effects of tissue damage caused by the implant and its removal, cosmetic results are unpredictable and cannot be guaranteed.
1. Scleroderma Like esophageal disease in children breast-fed by mothers with silicone breast implants. https://pubmed.ncbi.nlm.nih.gov...
2. Immune functional impairment in patients with clinical abnormalities and silicone breast implants. https://pubmed.ncbi.nlm.nih.gov...
3. Suppressed natural killer cell activity in patients with silicone breast implants: reversal upon explantation. https://pubmed.ncbi.nlm.nih.gov...
4. Silicone-induced modulation of natural killer cell activity. https://pubmed.ncbi.nlm.nih.gov...
5. An association of silicone-gel breast implant rupture and fibromyalgia. https://pubmed.ncbi.nlm.nih.gov...
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9. Silicone breast implant rupture presenting as bilateral leg nodules. https://pubmed.ncbi.nlm.nih.gov...
10. Intrapulmonary and cutaneous siliconomas after silent silicone breast implant failure. https://pubmed.ncbi.nlm.nih.gov...
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12. Neck lymphadenitis due to silicone granuloma. https://pubmed.ncbi.nlm.nih.gov...
13. Silicone Toxicology. https://pubmed.ncbi.nlm.nih.gov...
14. Locoregional silicone spread after high cohesive gel silicone implant rupture. https://pubmed.ncbi.nlm.nih.gov...
15. Silicon granulomas and dermatomyositis like changes associated with chronic eyelid edema. https://pubmed.ncbi.nlm.nih.gov...
16. Demonstration of silicon in the sites of connective-tissue disease in patients with silicone gel breast implant. https://pubmed.ncbi.nlm.nih.gov...
17. Systemic sclerosis after augmentation with silicone breast implants. https://pubmed.ncbi.nlm.nih.gov...
18. Human adjuvant disease following augmentation mammoplasty. https://pubmed.ncbi.nlm.nih.gov...
19. Increase urinary NO3(-) + NO2- and neopterin excretion in children breast fed by mothers with silicone breast implants: evidence for macrophage activation. https://pubmed.ncbi.nlm.nih.gov...
20. Esophageal dysmotility in children breast-fed by mother with silicone breast implants. Long term followup and response to treatment. https://pubmed.ncbi.nlm.nih.gov...
21. Silicone gel breast implant rupture, extracapsular silicone, and health status. https://pubmed.ncbi.nlm.nih.gov...
23. Microscopic Polyangiitis following silicone exposure from breast implants. https://pubmed.ncbi.nlm.nih.gov...
24. Left unilateral breast autoinflation https://pubmed.ncbi.nlm.nih.gov...
25. The semi-permeability of silicone: a saline-filled breast implant with Aspergillus flavus (fungus). https://pubmed.ncbi.nlm.nih.gov...
26. Paecilomyces variotii contamination in the lumen of a saline filled breast implant. https://pubmed.ncbi.nlm.nih.gov...
27. Microbial growth inside saline filled breast implants. https://pubmed.ncbi.nlm.nih.gov...
28. Detection of subclinical infection in significant breast implant capsules https://pubmed.ncbi.nlm.nih.gov...
29. Infections in breast implants. https://pubmed.ncbi.nlm.nih.gov...
30. Vertical Transmission of Babesiosis Microti, US https://www.ncbi.nlm.nih.gov/pmc/art...
31. Current management of human granulocytic anaplasmosis, human monocytic ehrlichiosis and Ehrlichia ewingii ehrlichiosis https://www.ncbi.nlm.nih.gov/pmc/art...
32. Importance of histological analysis of seroma fluid to check for ALCL. https://pubmed.ncbi.nlm.nih.gov...
33. Promotion of variant human mammary epithelial cell outgrowth by ionizing radiation: an agent-based model supported by in vitro studies. https://pubmed.ncbi.nlm.nih.gov...
34. Implant infection after augmentation mammaplasty: a review of the literature and report of a multidrug-resistant Candida albicans infection. https://pubmed.ncbi.nlm.nih.gov21717259
35. Stimulation of T lymphocytes by silica after use of silicone mammary implants. https://pubmed.ncbi.nlm.nih.gov...
36. Severe Asia Syndrome associated with lymph node, thoracic and pulmonary penetration by silicone https://m.lup.sagepub.com/content/24...
37. Rupture and intrapleural migration of Cohesive Silicone Gel Implant https://asaps.confex.com/asaps/2011...
38. Lipogranulomatosis and hypersplenism induced by ruptured silicone breast implants https://m.bloodjournal.org/content/1...
39. The spectrum of ASIA: ‘Autoimmune (Auto-inflammatory) Syndrome induced by Adjuvants’ https://m.lup.sagepub.com/content/21...
40. Intrapulmonary and cutaneous siliconomas after silent silicone breast implant failure https://pubmed.ncbi.nlm.nih.gov...
41. Silicone breast implant rupture presenting as bilateral leg nodules https://pubmed.ncbi.nlm.nih.gov...
42. Microbial Growth Inside Saline Implants: https://pubmed.ncbi.nlm.nih.gov...
43. Endocrine activity of persistent organic pollutants accumulated in human silicone implants–Dosing in vitro assays by partitioning from silicone. https://www.ncbi.nlm.nih.gov/m/pubm...
44. Residual silicone detection using mri following previous breast implant removal: Case reports https://link.springer.com/article/10...
45. Complications related to retained breast implant capsules https://pubmed.ncbi.nlm.nih.gov...
46. TILT – Toxicity Syndrome Introduced by Metals and Chemicals including Breast Implants https://drclaudiamiller.com/category...
47. Silicone breast implants and autoimmunity: causation, association, or myth? https://pubmed.ncbi.nlm.nih.gov...
48. Adjuvant Breast Disease: An Evaluation of 100 Symptomatic Women with Breast Implants Or Silicone Injections and a picture of silicone in breast milk ducts from a ruptured silicone breast implant. https://www.jstage.jst.go.jp/articl...
49. Anti-collagen auto-antibodies are found in women with silicone breast implants. https://pubmed.ncbi.nlm.nih.gov...
50. Silicone Review: https://alt.support.breast-implant.narkive.com/...
51. Silicone breast implant associated musculoskeletal manifestations https://pubmed.ncbi.nlm.nih.gov...
52. Silicone breast prosthesis and rheumatoid arthritis: a new systemic disease: siliconosis. A case report and critical review of the literature. https://pubmed.ncbi.nlm.nih.gov...
53. Breast implant associated anaplastic large cell lymphoma: a case report and reconstructive option. https://pubmed.ncbi.nlm.nih.gov...
54. Radiological trap and oncological precautions in a patient who has undergone a permanent withdrawal of PIP breast implants. https://pubmed.ncbi.nlm.nih.gov...
55. Late massive breast implant seroma in postpartum. https://pubmed.ncbi.nlm.nih.gov...
56. Late seroma during pregnancy, a rare complication in prosthetic breast augmentation a case report: https://pubmed.ncbi.nlm.nih.gov...
57. Talc deposition in skin and tissues surrounding silicone gel-containing prosthetic devices. https://pubmed.ncbi.nlm.nih.gov...
58. Silicone breast implants, autoimmunity and the gut. https://www.ncbi.nlm.nih.gov/pmc/art...
59. Silicone breast implant-induced lymphadenopathy: 18 Cases https://www.sciencedirect.com/scienc...
60. Is explantation of silicone breast implants useful in patients with complaints?https://link.springer.com/article/10...
61. Seroma in Prosthetic Breast Reconstructionhttps://pubmed.ncbi.nlm.nih.gov...
62. Severe manifestation of autoimmune syndrome induced by adjuvants (Shoenfeld’s Syndrome) https://pubmed.ncbi.nlm.nih.gov...
63. Hypercalcemia as a consequence of modern cosmetic treatment with liquid silicone https://www.ncbi.nlm.nih.gov/pmc/art...
64. Endocrine activity of persistent organic pollutants accumulated in human silicone implants: https://www.ncbi.nlm.nih.gov/m/pubm...
65. The Dark Side of Breast Implants by Frank Vasey: https://www.nyjsm.com/Medicine/Rheumatology/Silicone_Syndrome_Frank_Vasey_ MD.cfm
66.The Breast Implant Working Groups Breast Implant Black Box Warning and Patient Checklist
67. Talking Points
68. Breast Implant Illness: A Way Forward
69. FDA proposes “black-box warning” for breast implants – its strongest form of caution
Breast Explant + Lift Before and After Photos
Breast Explant Before and After Photos
As a result of the Total Capsulectomy procedure, you may experience negative cosmetic consequences, including, but not limited to the following: scaring, contour irregularities, asymmetry, volume loss and indentations. Furthermore, there are no guarantees that BII symptoms will resolve after the Total Capsulectomy procedure.
For additional treatments and procedures not listed, please complete our online form to request more information or call (561) 833-4122
Discover the truth about Breast Implant Illness and find the support you need on your journey. Don't let societal critics discourage you from exploring breast implant removal surgery in the form of a total capsulectomy. BII symptoms are real, and they only worsen over time.
Fortunately, there is a solution. Many women have found relief by undergoing explantation. Despite the challenges, this procedure has helped countless women reduce and even eliminate symptoms like brain fog, fatigue, joint pain, and more.
You are not alone in your struggle.
If you are ready to discuss your individual experience with BII and the possibility of having implants removed, contact our patient counselor at (561) 833-4122 or complete our online form to schedule a complimentary consultation.
Dr. Barr and the staff at Palm Beach Plastic & Cosmetic Surgery are here to empower you with the information and support you deserve. From our initial meeting and throughout implant removal surgery and your recovery period, you’ll receive compassionate care and personalized attention.
If you are suffering from what you believe could be Breast Implant Illness, or if you would like to remove your breast implants as a precautionary measure, call us today at (561) 833-4122 to schedule a free consultation with patient counselor Carla Pisani. Regardless of any definitive scientific conclusions that may be reached in the future, women report adverse effects on their bodies from their breast implants. Their concerns deserve to be acknowledged. Renowned Palm Beach Plastic Surgeon Dr. Fredric Barr is an advocate for his female patients. He often performs a Total Capsulectomy to remove implants and surrounding scar tissue, in the hope of freeing these women from their debilitating symptoms. Cindy, one of Dr. Barr’s patients, experienced amazing results in a short period of time after having her implants removed. Through education and support, Dr. Barr endeavors to empower women to make an informed decision. The choice to undergo any type of surgery always comes with risks and benefits. That is why it is essential for surgeons to listen fully to their patients and help guide them in making these most personal choices. As Dr. Barr notes, “Once patients have the basic knowledge of their options, it is completely their choice as to how they want to proceed.” Dr. Barr’s philosophy of treatment focuses on overcoming illness and fear and living the solution. “Whether medical studies prove it or not, some women are experiencing illness,” Dr. Barr explains. “It is my job to listen to patients and provide them with safe and informed solutions to the issues they are experiencing.” Symptomatic or not, Dr. Barr believes in informing and encouraging women to choose what they feel would be best for their own personal health.
Recent Reviews – What Our Patients Are Saying About Having a Mini Facelift
In addition to removing the implant, Dr. Barr can also perform a total capsulectomy (removal of the capsule). The capsule is the scar tissue that develops around the implant.
Women choose to reverse their breast augmentation procedures for several reasons:
BII and BIA-ALCL are potentially debilitating conditions. In most cases, healthcare providers recommend a total capsulectomy to mitigate the risks and side-effects associated with BII and BIA-ALCL.
Breast implant illness is a cluster of symptoms that some women experience after undergoing breast reconstruction or augmentation surgery with breast implants. Any implant can result in BII, including implants containing saline and silicone.
BII affects individuals in different ways, but some symptoms generally include but not limited to
There appears to be a link between BII symptoms and those of autoimmune and connective tissue disorders such as scleroderma, lupus, and rheumatoid arthritis. To date, the medical community has not scientifically established this association, and the U.S. Food and Drug Administration (FDA) does not recognize BII as an official medical diagnosis.
However, the administration is increasingly paying attention to BII and looking for ways to help women make informed decisions.
Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a type of non-Hodgkin Lymphoma that develops inside the scar tissue and fluid surrounding the implant. BIA-ALCL is a rare form of cancer, but it is not the same as breast cancer.
In 80% of cases, BIA-ALCL presents as a late seroma 8 to 10 years after breast augmentation. A seroma is the collection of fluid around the breast implant. Other symptoms of BIA-ALCL may include palpable mass, lymphadenopathy, skin rash, or fever.
However, the lack of a seroma does not rule out the condition. BIA-ALCL can also present as a late-developing capsular contraction with evidence of swelling, rupture, or fluid collection around the implant.
In most cases of BIA-ALCL, textured implants or textured expanders are involved. The higher risk associated with textured implants may result in tissue irritation, which, in turn, leads to malignancy.
According to the ASPS and FDA, the incidence rate of BIA-ALCL is very low, and the condition has a high cure rate. Conventional treatment of BIA-ALCL involves an implant removal with a total capsulectomy.
Undergoing breast implant removal surgery has risks and benefits. If you are experiencing BII symptoms or want to prevent BIA-ALCL, it is critical to gather information and make a calculated decision.
Contact Dr. Fredric Barr at Palm Beach Plastic & Cosmetic Surgery to schedule a call with a patient counselor and gain insights into the condition of your breast implants. The patient counselor will also listen to your concerns and schedule a call or an appointment with Dr. Barr, who will provide you with safe, informed solutions to resolve any issues you may be experiencing related to your implants.
If you want to choose the best course of action for your health, a consultation with a patient counselor at Palm Beach Plastic & Cosmetic Surgery is the first step.
Disclaimer
Please understand Dr. Barr will do his very best to achieve a pleasing result – HOWEVER, due to the unknown effects of tissue damage caused by the implant and its removal, cosmetic results are unpredictable and cannot be guaranteed.
If you plan to cover your breast explant procedure using private insurance, prepare with these helpful resources — many of which have been collected and contributed by women in our community that have faced or are facing a similar situation. It is empowering to learn from others who have secured the coverage necessary to follow through with their choice to remove their breast implants in pursuit of a healthier future. Review the information at the links below that apply to you:
If you have additional questions regarding private insurance or related communications involving coverage, claims, or appeals for your breast implant removal procedure, our supportive staff is happy to help you.
It is not clear why some women with textured breast implants get BIA-ACLC. One theory is that the rough surface of textured implants causes chronic inflammation and, ultimately, lymphoma. The larger surface of textured implants may also be more susceptible to the accumulation of bacteria, or biofilm, which can cause inflammation.
Genetic factors, such as mutations in the JAK1 and STAT3 genes, can also increase an individual’s risk of developing BIA-ALCL.
In most cases, BIA-ALCL presents as a delayed seroma 8 – 10 years after the implant procedure. A delayed seroma is the collection of a non-resolving fluid around the breast implants. Other possible symptoms of BIA-ALCL include continuous swelling, disease of the lymph nodes, skin rash, and fever.
In some cases, the presenting finding is late capsular contracture, which is the immune system’s response to foreign materials in the body.
According to the National Comprehensive Cancer Network (NCCN) guidelines, a doctor who suspects BIA-ALCL should order imaging to determine if there is fluid collecting around the implant. The collection of the fluid using fine-needle aspiration is necessary if the imaging results show a mass near the implant or fluid collection around the implant.
This sample should undergo testing for CD30, a specific protein marker indicating lymphoma. If the fluid tests positive for CD30, it should also be tested for anaplastic lymphoma kinase (ALK). Depending on these test results, an evaluation of the mass by tissue biopsy may also be necessary.
While the majority of BIA-ALCL cases present as a late seroma, a lack of a seroma does not rule out the disease. We encountered several patients in whom the presenting finding was a late capsular contracture. However, in these cases, there was no evidence of a seroma.
Doctors should inform patients who present with late-onset capsular contracture of the possibility of a BIA-ALCL diagnosis and get PET scans preoperatively.
BIA-ALCL is not only a rare condition, but it is also a newly defined condition. The first case report of BIA-ALCL appeared in a medical journal in 1997. As a result, very few plastic surgeons have experience in the treatment of BIA-ALCL. However, the NCCN provides guidelines on the diagnosis and treatment of BIA-ALCL that doctors can follow.
If a patient’s pathology results indicate BIA-ALCL, the NCCN recommends that the patient undergo surgery to remove both implants as well as the surrounding scar tissue capsules, even if BIA-ALCL only affected one implant. Surgery should also include the removal of any suspicious lymph nodes or tumors.
With timely BIA-ALCL treatment, prognoses are generally good. According to research, 93% of the patients recover fully from this illness after following treatment for three years.
Breast implant illness (BII) is a term that refers to the symptoms that some women may experience after undergoing cosmetic augmentation or reconstruction surgery with breast implants. These symptoms can take as little as a few days or as long as several years to develop.
Any breast implants, including textured surface, smooth surface, saline-filled, gel-filled breast implants, and silicone breast implants, can result in breast implant illness or other health concerns.
BII affects individuals’ health in different ways. Common symptoms include:
BII is not an official medical diagnosis, and these symptoms don’t fit into the diagnosis of any other disease.
There appears to be an association between breast implant illness symptoms and the connective tissue or autoimmune diseases such as scleroderma, rheumatoid arthritis, and lupus. Some studies suggest that silicone breast implants for breast augmentation and restoration may increase an individual’s risk of developing autoimmune symptoms and autoimmune disorders. However, at this time, the evidence is not strong enough to show a direct relationship between silicone implants and autoimmune disease.
Currently, there are no diagnostic tests or criteria for breast implant illness. However, health authorities such as the U.S. Food and Drug Administration (FDA) are in the process of characterizing BII as a health condition, and health research on BII complications of silicone gel-filled breast implants and other types is on-going.
There are several approaches to treating breast implant illnesses. In many women, getting breast surgery to remove the implantation breast as well as the surrounding capsules will alleviate the implant symptoms and improve the patient’s health. In this treatment, the patient undergoes a bloc capsulectomy, which is the removal of the implant and the capsule in one piece.
Disclaimer
Please understand Dr. Barr will do his very best to achieve a pleasing result – HOWEVER, due to the unknown effects of tissue damage caused by the implant and its removal, cosmetic results are unpredictable and cannot be guaranteed.
Hi, my name is Terri Diaz, here is my BII story. I got my breast implants in 2006. Even though I started to experience symptoms right away, I did not associate them with my implants. I just attributed them to becoming older and the pressures of having just started a business. As most busy women do, I just disregarded the symptoms.
But four years after getting my implants, my symptoms became so severe, I could no longer ignore them. I became extremely ill. I developed food allergies. I could not digest food. I experienced debilitating pain and fatigue. I developed migraines daily. I suffered from dizzy spells. You name it, I had it. I had over 32 symptoms, and 10 diagnosed auto-immune illnesses. I felt as if my whole body was falling apart!
Still, the doctors I consulted with or myself never considered it could be my breast implants that were causing these problems...
Hi, I’m Lacole and I would like to share life on the sidelines with you. I first got saline breast implants in 1998 at the age of 24 to attain B-cup sized breasts. In 2007, when I was 33 years old, I decided to get my second set of saline implants to achieve a size C. A year later, in 2008, due to a rupture in my left breast implant, I received my third set of saline implants, even though my doctor at the time attempted to convince me to get silicone for a more aesthetically pleasing effect.
After my third implant surgery, I immediately became sick. I was hospitalized with heart issues of unknown origin. No one on my medical team – which included a neurologist, an endocrinologist, a cardiologist, a rheumatologist, and an orthopedic surgeon – just to name a few – could explain why my heart was functioning abnormally. At times, I was in critical condition and thought I would die. My medical team diagnosed me with the auto-immune diseases Myasthenia Gravis, Sjogren’s, Myositis, and possible Myopathy...
Yesterday was one month since I removed my breast implants. It has been quite a month. On one hand, I have struggled with recovery and the changes in what I look like. I feel like everyone is staring at me. In reality, breasts are not what makes you beautiful or defines you.
What defines me? Who I am. A wife, a mother, a daughter, a sister, a friend. Vanity won for a very long time. I ignored the symptoms of Breast Implant Illness. I allowed my body to be poisoned by foreign objects that were sitting on top of my lungs and heart.
It took strength and it took courage, more than I knew I had in me. But, I did it, and I am on the lighter side. I woke up from surgery (after the sickness from anesthesia which is normal for me) feeling better than I have felt in years. My skin changed, the white in my eyes became lighter, and all my joint pain was gone! Each day, more and more symptoms have disappeared. I feel more alive than I have I so many years!
My name is Yvette Melby and I am a Breast Implant Illness survivor.
I first got breast implants in May 2005. By the beginning of 2006, my symptoms were debilitating and incapacitating. I had chronic neck, shoulder and back pain. Other symptoms were joint and muscle pain, flu-like symptoms lasting only 24 hours at a time (weirdest feeling ever), brain fog, Raynaud’s disease, allergies (I had never been allergic to anything before), chronic fatigue, chronic migraines, numbness in my feet, very cold hands and feet, heart palpitations, severe chest pain going towards my back, metal taste, hair loss, body aches, and more. As a woman who focuses on eating healthy and exercising regularly, my friends and family said I was the sickest, healthiest person they knew.
In June 2016, I had surgery to replace my saline implants with silicone gel implants. Shortly after, I began to experience hardening of my right breast with severe pain behind my implant. At 8 weeks post-op, I had a Grade II/III capsular contracture and an array of other physical symptoms.
I went to several doctors, had many diagnostic tests, and failed various types of physical therapy. My doctors just kept referring me to other specialists...
More stories are currently being uploaded…
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Disclaimer
Please understand Dr. Barr will do his very best to achieve a pleasing result – HOWEVER, due to the unknown effects of tissue damage caused by the implant and its removal, cosmetic results are unpredictable and cannot be guaranteed.
Has the aging process, pregnancy or breastfeeding made your breasts change in an undesirable way? Would you like to achieve lifted breasts for a more aesthetically-pleasing appearance? Whether you have naturally smaller breasts or larger breasts, breast lift surgery can help you achieve a more youthful breast contour. Determining the right surgical procedure for you depends on factors such as the amount of breast tissue and how much extra skin and surrounding tissue needs to be removed, any previous surgeries you may have had, and your medical history.
Schedule a consultation with our patient counselor to discuss your individual needs and goals by calling (561) 833-4122 or completing our online form. We will listen with compassion and prioritize your safety before, during, and after your surgical procedure.
Breast Lift Before and After Photos*
Breast reduction surgery at Palm Beach Plastic & Cosmetic Surgery therefore serves to alleviate the common issues of breast pain, skin irritation, neck pain, and other problems caused by excessively large breasts. The procedure reduces the size and reshapes the breasts, providing relief from physical discomfort. Whereas large breasts can often lead to chronic back, neck, and shoulder pain, breast reduction surgery can significantly diminish these issues. By reducing the weight and size of the breasts, the surgery improves posture and balance — which in turn reduces strain on the neck and upper body.
Moreover, breast reduction surgery helps dispel skin irritation and rashes that may develop in the folds beneath the breasts. Plastic surgeons remove excess skin and reshape the breasts, reducing friction and moisture build-up, and minimizing the occurrence of these issues.
In addition to pain relief and reduced skin irritation, breast reduction surgery can also improve the overall appearance of the breasts. It helps achieve a more proportionate and balanced body contour, enhancing self-confidence and body image. With smaller and lighter breasts, individuals often experience increased comfort while engaging in physical activities and exercise, allowing for improved athletic ability.
Consult with Dr. Barr, a Board-certified plastic surgeon at Palm Beach Plastic & Cosmetic Surgery, to discuss your circumstances, expectations, and potential risks associated with breast reduction surgery. He can provide a personalized assessment and guide you through the process for optimal results.
Breast reduction surgery offers a safe and highly effective solution to the physical and emotional concerns associated with having overly large, heavy breasts. Not only can the size of the nipple and areola be adjusted during the surgery, but the overall shape and size of your breasts can be dramatically transformed. This procedure aims to bring your breasts into a more proportionally-balanced relationship with the rest of your body.
Dr. Barr performs breast reduction surgery at an accredited elective surgery outpatient facility, so you can rest assured that you will not be surrounded by ill patients.
Breast reduction surgery usually lasts between 2 and 4 hours, depending on how much breast tissue needs to be removed. Dr. Barr performs it under IV anesthesia, rather than general anesthesia. We administer pain medication and supply a supportive bra to enhance comfort during your recovery. Many patients find it pleasantly surprising that apart from slight soreness and swelling, they begin to feel quite well within just a few days, as long as they follow the surgeon's instructions.
For optimal results, we recommend that you achieve significant weight loss, if desired, before undergoing breast reduction surgery. If you're planning to lose weight, discuss the matter with Dr. Barr. Weight loss, whether before or after surgery, can have an impact on the outcome and shape of the breasts.
After breast reduction surgery, patients need to wear a surgical bra to provide support to the breast tissue. Wearing this surgical bra is necessary for several weeks following the procedure. During this time, it is normal for patients to experience some common side effects such as tenderness and discomfort, swelling, bruising, and changes in nipple and skin sensitivity. Most patients can return to work within two weeks; however, avoid lifting heavy objects and strenuous exercise for at least six weeks to ensure proper healing and minimize the risk of complications.
Breast reduction surgery in the West Palm Beach and Palm Beach Gardens area typically ranges from $3,500 to $5,000. However, the final cost may vary based on the amount and type of tissue removed, as well as other factors. You may be surprised to learn that unlike most cosmetic procedures, your health insurance company may cover the expenses if the surgery is determined to be medically necessary.
Generally, breastfeeding is unaffected by breast reduction surgery. During breast reduction surgery, Dr. Barr carefully preserves the nipple and areola while removing excess breast tissue and reshaping the breasts. This preservation allows for the potential retention of milk ducts and nerve supply.
However, every individual's anatomy and breastfeeding experience may vary. Some women may experience a decrease in milk production or have difficulty with latching due to changes in breast tissue and nipple sensation after surgery. These potential challenges can be influenced by factors such as the extent of the breast reduction, surgical technique, and individual variations in breastfeeding ability.
Women considering breast reduction surgery who plan to breastfeed should discuss their goals with their plastic surgeon during the consultation process. A thorough evaluation of the patient's breast anatomy and a discussion of potential impacts on breastfeeding can help set realistic expectations and inform decision-making.
In some cases, women who find it challenging to breastfeed after breast reduction surgery may choose to supplement with formula or explore alternative feeding methods. Consulting a lactation specialist or Board-certified plastic surgeon can provide additional guidance and support for women navigating breastfeeding after breast reduction surgery.
Imagine the freedom that comes with smaller, lighter breasts, less pain, and renewed self-confidence. By removing excess breast tissue and reducing breast size, you'll feel and look amazing in any clothes you choose, participate in sports and other activities you've been missing out on, and alleviate all the symptoms caused by overly large breasts.
Breast Reduction Before and After Photos*
Prior to surgery, Dr. Barr may advise you to undergo certain pre-operative preparations, such as avoiding smoking and certain medications that can increase the risk of complications.
The surgical procedure itself involves making incisions on the breasts, removing excess breast tissue and skin, and reshaping the remaining breast tissue. The specific technique Dr. Barr uses may vary depending on your individual needs and preferences.
After the surgery, you may experience swelling, bruising, and discomfort. Dr. Barr will provide pain medication and instructions for post-surgical care. Follow all post-operative instructions, including wearing a supportive bra, minimizing physical activity, and attending follow-up appointments to monitor the healing process.
During the recovery phase, it is common for patients to gradually return to their normal activities over several weeks. However, individual recovery experiences can vary, and some patients may require more time than others to fully heal.
For more specific and accurate information about what to expect before, during, and after a breast reduction from Palm Beach Plastic & Cosmetic Surgery, call (561) 833-4122 or complete our online form to schedule a consultation with Dr. Barr, where he will answer your questions and address all your concerns.
The cost to remove excess breast tissue and excess skin depends on the surgical correction needed to produce the desired result. In severe cases, the cost will be higher due to the complexity of the surgery. During your consultation with our patient counselor and our plastic surgeon, we will discuss costs based on your unique circumstances, including the amount of excess fatty tissue and excess skin to be removed.
While many insurance companies do not cover gynecomastia surgery because it is often considered a cosmetic procedure, there are instances where insurance may cover a portion of the costs if deemed medically necessary. Check with your provider for information about your policy.
This outpatient surgery generally takes about two hours under general anesthesia.
This procedure offers permanent results. However, gaining weight, accumulating excess fat, and aging can affect the longevity of results.
For men seeking a breast reduction, we invite you to schedule a consultation with our patient counselor at (561) 833-4122 or by completing our online form. With care and compassion, we will listen to your concerns and goals, and our surgeon will advise the best course of action based on your unique needs. At Palm Beach Plastic & Cosmetic Surgery, you can expect five-star service with the assurance that safety and honesty are at the core of our practice.
At Palm Beach Plastic & Cosmetic Surgery, we perform a variety of breast procedures that aim not only to improve physical appearance, but also to address physical discomfort, health issues, and to safely enhance body proportions.
We understand that body image profoundly impacts a person's self-perception, self-esteem, and self-confidence. Furthermore, our top priority is the health and overall well-being of our patients. As you explore your options, we are prepared to guide you through your journey.
We perform the following breast procedures in our office:
Contact our patient counselor today, and we will help you make informed decisions towards your health and aesthetic goals.
In the realm of breast implant health, medical experts are actively discussing Breast Implant Illness (BII). The FDA's investigation has revealed a significant correlation between textured implants and a concerning disorder called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). This correlation leaves no doubt about the potential health implications.
While the medical community seeks to understand breast implant-related illnesses and the FDA conducts ongoing investigations, an increasing number of women worldwide report experiencing perplexing inflammatory symptoms they attribute to their implants.
The exact prevalence of breast implant illness remains uncertain. However, with over 400,000 women choosing breast implants annually in the United States alone and many sharing their personal stories, this is an issue that demands serious attention.
Consequently, Dr. Barr decided to stop performing breast augmentations in 2019.
A total capsulectomy involves the complete removal of the capsule that forms around breast implants and the implants.
Dr. Barr begins the procedure with an incision in the breast area, through which he carefully removes the entire capsule surrounding the implant. This meticulous approach ensures the full excision of all traces of the capsule, including any scar tissue or calcifications, and the implant itself.
We often recommend total capsulectomy for various reasons, including cases of breast implant illness (BII) or when a patient wishes to have their breast implants removed completely. Dr. Barr's expertise and attention to detail allow him to perform this procedure with precision, ensuring the best possible outcome for his patients.
If you are considering a total capsulectomy or have concerns related to breast implants, schedule a consultation with Dr. Fredric M. Barr at Palm Beach Plastic & Cosmetic Surgery. During the consultation, he will evaluate your specific situation, discuss your goals and options, and provide personalized recommendations to address your needs effectively.
A breast lift, also known as mastopexy, is a surgical procedure to lift and reshape the breasts to correct sagging or drooping caused by various factors, including pregnancy, weight fluctuations, and aging.
In cases that require a total capsulectomy, Dr. Barr removes the breast implants and the surrounding scar tissue (capsules) completely. Patients who have experienced complications or symptoms related to breast implants, such as those associated with Breast Implant Illness (BII) can benefit from this thorough removal.
By combining his expertise in breast lift and total capsulectomy procedures, Dr. Barr provides patients with comprehensive care and optimal results. To determine the most suitable treatment plan for you, schedule a consultation with our patient counselor to discuss your individual circumstances, concerns, and goals.
Palm Beach Plastic & Cosmetic Surgery offers breast reduction procedures to help patients achieve their desired breast size and shape. Breast reduction, also known as reduction mammoplasty, is a surgical procedure that involves removing excess breast tissue and reshaping the breasts to achieve a more proportionate and balanced appearance.
During the breast reduction procedure, Dr. Barr makes incisions to access the breast tissue and remove the excess volume. The specific technique used may vary depending on the patient's individual needs and goals. Dr. Barr takes great care to strategically place incisions to minimize visible scarring.
After removing the excess tissue, he reshapes the remaining breast tissue and repositions the nipples and areolas to a more aesthetically pleasing position before closing the incisions with sutures.
Breast reduction surgery offers numerous benefits, including:
Gynecomastia is a condition characterized by the enlargement of male breast tissue and can be caused by hormonal imbalances, genetics, obesity, or certain medications.
During the male breast reduction procedure, Dr. Barr makes small incisions around the areola or in the underarm area. Through these incisions, he removes excess glandular tissue and fat to reduce the size and improve the contour of the breasts. In some cases, he may also use liposuction to remove additional fatty tissue.
Dr. Barr considers each patient's specific needs and goals to create a customized treatment plan to achieve a more masculine, proportionate, and natural-looking chest.
At Palm Beach Plastic & Cosmetic Surgery, we understand that undergoing a breast procedure is a significant decision. We are here to provide you with the information and support you need to make an informed choice and feel confident throughout your journey.
Before your breast procedure, our team will conduct a thorough consultation to understand your goals and expectations. We will discuss the available options, such as implant explantation, breast lift, breast reduction, or male breast reduction, tailored to your specific needs.
For patients concerned about breast implant illness (BII), we offer total capsulectomy, which involves removing both the implant and the surrounding capsule. This procedure has shown positive health outcomes for women experiencing related symptoms.
During your breast procedure, our skilled and experienced West Palm Beach plastic surgeons will perform the surgery with precision and utmost care. Our team prioritizes patient safety and strives to achieve natural-looking results that align with your aesthetic goals. We utilize advanced techniques and state-of-the-art equipment to deliver exceptional outcomes.
After your breast procedure, we offer comprehensive post-operative care to ensure a smooth recovery. Our team will guide you through the healing process and provide detailed instructions on post-operative care, including any necessary follow-up appointments. We will address questions or concerns you may have during your recovery, promoting comfort, and maximizing your satisfaction with the results.
Are you ready to take the next step? Our knowledgeable and compassionate patient counselor is here to guide you through the process.
Whether you have questions about our breast procedures or would like to discuss your concerns and desires, our patient counselor will provide personalized attention and support, listen to your needs, and help you make an informed decision. Call us at (561) 833-4122 or complete our online form to schedule a consultation.
The answer depends on multiple factors, including the specific combination of procedures, your recovery rates, your age and health status, and your behaviors or habits. More invasive surgeries typically require recovery time ranging between 6 and 12 weeks to 6 months, and surgeries to the same area of your body will also generally require recovery time between procedures.
However, if you are in good health and the combination of procedures in question will be performed on different parts of your body and are not especially invasive, a combination of procedures could potentially be approved together on a case-by-case basis. It is imperative that the combination of procedures does not compromise your healing, and your attention to prescribed pre-operation and recovery habits also plays a significant role. Schedule a consultation for an assessment and guidance regarding the procedures you are considering.
While aging affects us all, there are steps we can take to put forth a more vibrant appearance. We seek to perform subtle adjustments to address imperfections and the wear of time while retaining your natural look. While you should notice an improvement, the glaring changes or distortions in appearance you are concerned about and may have seen from other surgeons’ work do not meet the standard of quality plastic and cosmetic surgery we perform in our office.
Dr. Frederic M. Barr is a board-certified Plastic & Cosmetic Surgeon with over 30 years of experience performing Plastic Surgery in South Florida. We enhance and refine your appearance according to your goals. Review our Gallery of Before & After Photos to see some examples of our work.
For patients with Breast Implant Illness (BII), which can include allergy, auto-immune, and thyroid hormone issues, this has been an emerging topic with significant press coverage in recent years. Although numerous medical professionals have demonstrated varying responses to these women’s concerns, we believe in addressing these women’s experiences and symptoms. In response to this phenomenon, we have also chosen not to perform new breast implant surgeries. We perform Total Capsulectomy on patients with breast implants, which involves the removal of both the saline or silicone implant and the capsule around it.
Removal of the implants and surrounding scar tissue has been shown to improve women’s health concerning these symptoms. While some women choose no further procedure following Breast Explant Surgery, some patients elect to have a Mastopexy procedure that involves reshaping the breast tissue for a pleasant cosmetic breast appearance. We welcome your specific questions regarding these procedures and their anticipated effects for your situation. See our Breast Implant Explantation (Total Capsulectomy) page for more detailed information, including before-and-after photo examples.
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