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West Palm Beach Plastic Surgeon

Breast Procedures

At Palm Beach Plastic & Cosmetic Surgery in West Palm Beach, Florida, we listen with empathy to patients’ concerns and make recommendations for breast procedures based on each individual’s unique needs and desires.

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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.

Read full story Here

Breast Implant Illness | Palm Beach Gardens, FL 33418
Implant Explantation (Total Capsulectomy) | West Palm Beach Plastic Surgeon

Implant Explantation
(Total Capsulectomy)

Call for FREE Consultation with Dr Barr – (561) 833-4122

Find A Doctor That Will Listen

“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.

Smaller… But Safer — The Choice Is Yours

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.

 

The Decision to Have Breast Implant
Removal Surgery

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.

Understanding the En Bloc Social Media Buzz Around Breast Implant Removal

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.

Total Capsulectomy Breast Implant
Removal Surgery

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.

Total Capsulectomy Dissection

The terminology about breast implants and scar tissue can create confusion, but the three most important terms to know are:

  • Implant – This refers to the breast implant itself, which can be saline or silicone.
  • Capsulectomy: This procedure removes the capsule around the implant. This type of breast implant removal is usually done when the capsule feels hard or when permanently removing breast implants.
  • Total Capsulectomy: In this breast implant removal procedure, the plastic surgeon removes both the capsule and implant in one piece, with the implant contained within the capsule.

Find Support for BII and Answers to Your Breast Implant Removal Questions

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.

The Healing Journey After Having Breast Implants Removed

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.

Life After Breast Implant Removal

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.

Introducing "Under My Implants" - An Exclusive Well World TV Original Series

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

Read the latest statement from The American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons have been working collaboratively to keep plastic surgeons informed of the latest information on breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).

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

*Join the discussion:
Follow us on Facebook for upcoming events and discussions on Total Capsulectomy Link

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.

Available Medical Studies About
Breast Implant Illness

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...
6. Antibody to silicone and native macromolecules in women with silicone breast implants. https://pubmed.ncbi.nlm.nih.gov...
7. Cellular immune reactivities in women with silicone breast implants: a preliminary investigation. https://pubmed.ncbi.nlm.nih.gov...
8. Breast implant-associated anaplastic large cell lymphoma: a systematic review. https://pubmed.ncbi.nlm.nih.gov...
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...
11. Silicon granuloma mimicking lung cancer. https://pubmed.ncbi.nlm.nih.gov...
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

Disclaimers:

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

Are you Considering Breast Implant Removal to Address BII Symptoms?

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.

Ready to Consider Breast Implant Removal as a Solution to BII?

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.

BII eCourse

Breast Implant Illness

Dear Colleagues:

This will be the first installment of a quarterly update from The Aesthetic Society’s BIA-ALCL Task Force.

We plan on covering a topic of interest regarding the current etiology and treatment of BIA-ALCL.

We will also provide the most recent US and worldwide incidence statistics.

Our first update focuses on the presentation of BIA-ALCL not as a late seroma, but as delayed capsular contracture. As our understanding of the presentation of this entity has developed, the most common presenting finding was shown to be a late seroma, particularly in a patient with a textured surface implant an average of 8-10 years following implantation. 8-24% of cases also presented with a palpable mass and 4-12% with lymphadenopathy. In less than 5% of cases the presentation included skin rash, fever and capsular contracture.(1)

Recently, Dr. Melinda Haws and I encountered patients in whom the presenting finding was a late capsular contracture without any evidence of a seroma.

A brief description of each case can be found below:

Case 1 (Bruce W. Van Natta, MD )

A 44-year-old patient presented 11 years following bilateral breast augmentation with Allergan style 410 devices. Developed a left capsular contracture within a year of presentation which had progressed to grade 4. No evidence of swelling. Office ultrasound was negative for rupture or fluid. Surgical plan was for removal and replace to smooth gel implants with total capsulectomy on the contracted left side.

At the time of surgery during a complete capsulectomy, three large nodules were encountered on the anterior surface on the left and were sent to pathology for analysis and to rule out BIA-ALCL (see photo
below).

No appreciable fluid was encountered on either side. A complete capsulectomy was performed on the non-contracted side as well. Histopathology revealed ALCL, CD 30+, ALK -. An initial PET scan was positive in the area of the pectoralis muscles on each side believed to be compatible with post-surgical change. A subsequent PET scan performed 3 months later was negative. The patient remains asymptomatic at 5 months.

Case 2 (Melinda J. Haws, MD)

A 34-year-old underwent primary augmentation with Biocell devices 9 ½ years ago. She
developed an initial left capsular contracture 7 ½ years post augmentation. She declined capsulectomy and implant exchange at that time. Subsequent to receiving a recall letter she returned with no change in the grade 3 contracture. Office ultrasound showed no fluid or evidence of rupture bilaterally.

2 months later the patient returned with minimal swelling and a small amount of fluid on the left side, found on repeat ultrasound. Planned surgery was total capsulectomies, site change to subpectoral with new round smooth implants. A thick, yellow orange fluid—approximately 40cc’s was encountered at surgery and sent along with the capsules to pathology. Flow cytometry of the fluid was negative. Pathology revealed 2.8 x2.3 x 0.8cm mass with “extension through the fibrous capsule into the surrounding adipose tissue.”

Also noted, were “large dysplastic cells strongly and uniformly CD30 positive” and ALK negative. PET/CT skull base to thighs showed symmetric hyperactivity in the tonsils and mild hypermetabolic activity adjacent to the medial aspect of the left implant read as: “could be post-surgical.” A PET scan was felt to be nonspecific and non-concerning by oncology. Follow up PET scan was scheduled for 3 months later.

The Takeaway: While about 80% of new BIA-ALCL patients may present with the classic late seroma, the lack of a seroma does not rule out the disease.

Ideally, PET scans should be obtained preoperatively on patients presenting with a late developing capsular contracture and the patient should be informed of the possibility of the ALCL diagnosis.

Additionally, if surface nodules are encountered unexpectedly at the time of capsulectomy, every endeavor should be made to surgically obtain clear margins. This may include taking additional breast and adipose tissue around the anterior capsule and nodules.

Current Incidence of BIA-ALCL as of February 2020 (Source: PROFILE American Society of Plastic Surgeons –
https://www.thepsf.org/research/registries/profile)

United States Cases: 307 Worldwide Cases: 885

US Deaths: 13 Worldwide Deaths: 25

Thank you,

Bradley Calobrace, MD
Chair, The Aesthetic Society BIA-ALCL Task Force

Bruce W. Van Natta, MD
Vice-Chair, The Aesthetic Society BIA-ALCL Task Force

1) Clemens MW, Jacobsen ED, Horwitz SM. 2019 NCCN Consensus Guidelines on the Diagnosis and Treatment of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) Aesthetic Surgery Journal 2019; 39(S1): S1-13.

Breaking News:

Dr. Barr announced today, Thursday June 27th 2019 – “Due to ongoing FDA and Clinical Investigation along with heightened patient concerns and reports regarding breast implants, I have chosen NOT to perform Breast Implants.”

Known Illness Association with Breast Implants in Palm Beach, FL

Although the association between breast implants and hormonal, thyroid, or other autoimmune type illnesses has yet to be definitively and scientifically established by the medical community, we are listening to our patients and reported symptoms and documented illness.

Potential risks of breast implants are typically those that are commonly associated with undergoing any surgery, such as scarring, pain and infection. According to the FDA, the major risks of breast implants are capsular contracture and a form of cancer called anaplastic large cell lymphoma (BIA-ALCL). Regardless of the lack of research women reporting sicknesses need to be listened to and provided solutions.

Breast Implant Illness Symptoms and Concerns
If you have breast implants and you are experiencing any of the following unexplained symptoms or illnesses:

  • Brain Fog
  • Unexplained fatigue
  • Thyroid problem
  • Rheumatoid arthritis
  • Autoimmune Illness
  • Hair loss
  • Skin allergies
  • Muscle weakness or joint pain

We recommend a Complimentary consultation with Dr. Barr. Call today, (561) 833-4122.

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 complimentary consultation with Dr. Barr.

Help Us Help You, Fill Out The Form On This Page

Watch This Video: Terri Diaz and Jennifer Robb are working for you! They tell their story here and their trip to Washington, D.C. to push for changes regarding breast implants. Dr. Barr discusses what he is seeing and what he wants women to know.

Like Amy, many women are reporting autoimmune disorders, hormonal imbalances and gastrointestinal problems which they attribute to their breast implants.

View Amy’s Story here: Breast Implant Explantation | Fox News Amy & Dr Barr

According to the U.S. Food and Drug Administration (FDA), “Breast Implant Illness” (BII) is the term patients may use to describe their symptoms. Reported symptoms may include, but are not limited to, fatigue, low energy, brain fog, memory loss, headaches, joint and muscle pain, hair loss, repeated infections, swollen lymph nodes and glands, rashes, gastrointestinal upset, weight loss, insomnia, anxiety and depression.

Some women who are not sick are electing to remove their breast implants for precautionary measures. Other women are electing to remove their implants when it is suspected their implants be making them sick.

FDA Statement Regarding Breast Implants

Read the latest statement from The American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons have been working collaboratively to keep plastic surgeons informed of the latest information on breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).

The Choice Is Yours — Whether To Remove Breast Implants

Regardless of future definitive scientific information, it is abundantly clear women state their bodies are being adversely affected by their implants and deserve to have their concerns acknowledged. For our patients, renowned West Palm Beach plastic surgeon Dr. Fredric Barr has advocated that they explore the option to remove their implants and surrounding scar tissue (Total Capsulectomy) in hopes of freeing these women from the adverse reactions their bodies are suffering.

Dr. Barr endeavors to empower women through education and support so they can make an informed decision. The decision to undergo any surgery always comes with risks and benefits, and it is essential surgeons listen carefully to their patients to help guide them in making these most personal choices: “Once patients have the basic knowledge of what their options are, how they wish to proceed is completely their choice.”

Dr. Barr’s philosophy of treatment focuses on overcoming illness and fear, and living in the solution: “Whether medical studies prove it or not, some women are experiencing illness. “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 educating and encouraging women to choose what they feel would be best for their own personal health.

If you are suffering from what you believe to be Breast Implant Illness, or wish to remove them as a precautionary measure, call us today at (561) 833-4122 for a free consultation with Dr. Barr. You can feel confident and at ease, knowing you will be met by a compassionate and caring team who will always put your health concerns first.

Available Medical Studies About Breast Implant Illness

1. Sclerodermalike 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...
6. Antibody to silicone and native macromolecules in women with silicone breast implants. https://pubmed.ncbi.nlm.nih.gov...
7. Cellular immune reactivities in women with silicone breast implants: a preliminary investigation. https://pubmed.ncbi.nlm.nih.gov...
8. Breast implant-associated anaplastic large cell lymphoma: a systematic review. https://pubmed.ncbi.nlm.nih.gov...
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...
11. Silicon granuloma mimicking lung cancer. https://pubmed.ncbi.nlm.nih.gov...
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. Espophageal 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 autoantibodies 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 Reconstruction https://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

Disclaimers:

As a result of the Total Capsulectomy procedure there may be negative cosmetic consequences such as but no limited to the following: scaring, contour irregularities, asymmetry, volume loss and indentations.
There are no guarantees that BII symptoms will be resolved after Total Capsulectomy procedure.

Before and After Photos*

Breast Lift | West Palm Beach Plastic Surgeon | Tel 561-833-4122

Breast Lift

Breast Lift Before and After Photos*

Breast Reduction | Plastic & Cosmetic Surgery | West Palm Beach, FL

Breast Reduction

Breast Reduction Surgery Diminishes Breast Pain, Skin Irritation, Neck Pain, and Other Discomfort Caused by Very Large Breasts

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.

What to Expect from Your Breast Reduction

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.

Will I Experience Pain with Breast Reduction Surgery?

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.

Is It Necessary to Lose Weight Before Undergoing Breast Reduction?

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.

The Recovery Period Following a Breast Reduction Procedure

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.

How Much Does Breast Reduction Cost?

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.

Breastfeeding is Usually Unaffected by Breast Reduction

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.

Envisioning Your Life After Breast Reduction

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.

What To Expect Before, During, and After Your Breast Reduction Procedure in West Palm Beach

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.

Schedule a Consultation Today for Breast Reduction at Palm Beach Plastic & Cosmetic Surgery

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.

Male Breast Reduction (Gynecomastia) | West Palm Beach Plastic Surgeon

Male Breast Reduction (Gynecomastia)

Gynecomastia is characterized by:

  • Excess localized fat
  • Excess glandular tissue development
  • Sometimes excess breast skin
  • Presence unilaterally (one breast) or bilaterally (both breasts)

About half of all men today have excess localized fat and/or excess glandular tissue in one or both breasts. Gynecomastia accounts for more than 65 percent of all male breast disorders, according to the American Society of Plastic Surgeons(ASPS). Surgery with or without liposuction may be used to treat enlarged male breasts.

While often not a serious medical problem, enlarged breasts in men can be painful. It can also cause embarrassment — especially among young boys who may be teased as a result of their breasts. The condition is especially common in teen boys. Up to 65 percent of 14-year-old boys have enlarged breasts, according to the American Academy of Family Physicians. This is largely due to the fluctuations in sex hormones that occur during puberty. The excess breast tissue disappears without treatment in two years in 75 percent of these boys, and within three years in 90 percent of them.

Enlargement typically occurs on both sides of the chest, but if it is one-sided, firm and hard, see a doctor immediately to rule out male breast cancer.

Explore Palm Beach Plastic & Cosmetic Surgery’s Breast Procedures in West Palm Beach, FL

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.

Types of Breast Procedures We Offer at Palm Beach Plastic & Cosmetic Surgery

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.

Breast Procedures & Breast Implant Illness (BII)

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. 

Implant Explantation (Total Capsulectomy) — Removal of the Implants and the Capsule

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.

Breast Lift (Mastopexy) — Reshaping the Breasts

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.

Breast Reduction (Mammoplasty) — For a More Balanced, Comfortable, and Proportionate Appearance

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: 

  • Relief from physical discomfort caused by large breasts improved posture
  • Enhanced body proportions 
  • Increased self-confidence

Male Breast Reduction (Gynecomastia) — Treating Enlargement of Breast Tissue in Men

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.

We Can Help You Understand What to Expect with Your Breast Procedure

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.

Do You Have Questions About the Right Breast Procedure for You? Schedule a Call with our Patient Counselor 

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.

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Serving All Of The Palm Beaches & Treasure Coast, Including West Palm Beach, Palm Beach, and Surrounding Areas

At Palm Beach Plastic & Cosmetic Surgery, we view Plastic Surgery procedures in a direct and honest manner using the principles of either addition, subtraction or a combination of both.

For additional treatments and procedures not listed, please complete the form to the right to request more information or call (561) 833-4122.

Learning Center

We provide a growing multimedia content library to help you to understand and visualize the different procedures we offer. Review the educational information applicable to your situation to help you make informed decisions, ask the right questions, and take the right steps both before and after your procedures.
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Our Faqs

Q

If I am seeking to undergo a combination of procedures, will they be done together or consecutively? What is the timeline for multiple procedures?

A

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.


Q

Will it be obvious that I “got work done” after my procedure?

A

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.


Q

What does Breast Explant Surgery entail, and will my breasts be “back to normal” after the surgery?

A

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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