Hey, well, I'm here today with Dr. Alex Phoon and he's from the Park Clinic
He's a specialist plastic surgeon and we're just going to have a bit of a chat with him today about what he does here at the clinic
But also we're gonna talk about the Motiva Implants. There were a few questions
So thank you so much for joining us today. My pleasure. It's it's great to be here
Yeah, so my area of expertise is all aspects of plastic and cosmetic surgery
But I guess today we're going to be talking mostly about breast augmentation surgery or implant surgery that involves an implant
So you want to know about the motiva implant? - I do
First of all, like why do you choose to use the Motiva because I know it's like the next-generation implant. What is it
That's so great about these implants. Well, they're really good implants
We're really spoilt for choice when it comes to implants these days because we've got a lot of different manufacturers that make fantastic implants
Right and motiva is the the latest of a long line of a fantastic implants that we've got to use
But it does have a couple of I guess some subtle advantages over some of the other the other implants out there
But I would sometimes use - so I think it all comes down to customizing the implant for the patient
So some patients I will use an anatomical implant
I believe that the motive of brand do have an anatomical implant coming out, but the
Implant that I will usually use from motiva will be the around ergonomic type implant
so tell us a bit about
Why you think women should do their homework on?
Number one the clinic or surgeon that they're going to use to have their implants done, but number two
The implants that are actually going in their body because most of us don't even think about what type of implants were having if we want
we want Implants. We just want implants. Mmm. So so important right? So so I guess you'll always
You can find a whole lot of people who will do a breast augmentation for you
But really what you want to make sure is the patient is - you as a patient you're going to be looked after
You can have somebody fully qualified
So I think the bare minimum is that you need to make sure you've got somebody from the Royal Australian College of Surgeons
Who is a qualified plastic surgeon?
and then once you've got that as a baseline at least
You know that you're going to get looked after and have a proper operation with a good implant in a proper Hospital, right?
So with that being the starting point
The focus really then is on how to make sure you get a the right look that you're after
all right, so then it comes down to for me always trying to look at things such as
the body shape of the patient so that might be
your
Your shoulders your waist and your hips and how wide your chest might be?
And in the breast shape that you're starting from and also what you're trying to achieve
So there are - there is not an indefinite amount of implants that you can choose
It really is dictated upon by your pre-existing breast shape and your body shape
Yep, because what I've found likely now in our groups is and you'll say oh my god. I love your boobs
What did you have and they'll come and see and they'll say look I want
375cc
Higher-profile and and it's actually not the right body type. I
Think I probably spend the first 10 minutes of every
Conversation sort of going through that just to just to try to really refocus it back on them as a patient
Yeah
because it's not like going out and getting a
Hairstyle and say look I'm gonna have my friend had this or whatever so it really comes down to once again
you as an individual and
Personalizing the treatment so you get the perfect implant for your shape and size and also the look that you're going for
Yeah, so to me, how do you like - Why do you choose to recommend the motiva implant to a patient?
Why would you choose to recommend the motiva to a particular patient?
Yeah, ok, so that there are a whole lot of reasons while I use the motiva. I'm using them more and more. I'm really
Happy that there is more and more data coming out from them such as the complication rates, they are
At least as good if not better than a lot of the other brands out there
but one of the things that the patients often make the decisions themselves, so if I've got
For example two round implants and I put them side-by-side
I let the patient sort of have a feel of them often
They'll say straightaway that they'll feel that the motiva one feels nice a little bit softer
I
also find they tend to ripple a little bit less and there certainly have been some studies that have come out of the UK that
support that as well and
If you're after something, that's just having such as like a gentle sort of a boost in your breast shape
And we don't need to go too big. You can actually have something
With a motiva round implant that can give you that beautiful shape
They can I've got one here. If you if you want to have a look here when you hold them vertically
They tend to drop down into a little bit more of an anatomical shape as well
And so that means that even though these ergonomic implants are actually technically around
So it doesn't mean it doesn't matter if they spin or not. They also have the benefit of not looking to round
in the classic sense of a high profile round implant
so it's I almost in my head sort of position them somewhere in between an
anatomical and a round having some of the best features of both.
And that way they kind of sit nice at the bottom
Yeah
They're not they're not too round
But yet they feel nice and soft. They can it doesn't matter if they have a turn because technically they are a round anyway
and they have a lovely feel to them lovely feel and shape to them with a lower incidence of
Rippling because they're 100% filled. So they're a good implant. They're becoming quite popular. And you mentioned before
ladies that are having the implants replaced and having and having motiva, they're mentioning to you that theyre
Actually feeling softer
Absolutely
so that they're the one of the first things they'll notice if they have a problem with their existing implant or they want to have
An implant size or shape change. I'll often use a motiva implant because then it doesn't matter if it turns
But they'll often the first thing that I'll mention is they feel nice and soft a bit more natural
than the implant they've previously used. Yeah. I've seen some pictures you know of ladies lying
on the beach and they have implants and they just stay upright
but the motiva ones the pictures i've seen they sit kind of natural like you wouldn't even know
Yeah they have a little bit of a bit more of a gentle sort of a drop to them
Which means that they're less bolt on and
And I respect whatever look people are after there are some people want to have a super full look. Yeah, that's what they want
That's fine. But the reality is most people really don't want to have a
Super very heavy heavy breast with their augmentation. Yeah they want to be their own, they're born with them
That's right they
want that sort of question where people are sort of always
Wondering whether they're just born lucky or whether they might have been given an implant. Yes
alright, so for patients wanting a teardrop shape result, which is kind of what you've
Explained now the motiva ergonomix implants can achieve it because they've got that
Like the way they sort of .... the way they sort of hangs
Hangs probably the wrong word
But the way that the gel sort of settles within the shell of the implant is a bit more
natural than some of the other implants.
And what complications do the Motiva ergonomix implants avoid in comparison to some?
Traditional, teardrop, or anatomical? like I know that this has been the first new implant in what? Over 10, 20, 30 years?
How long? Well it's been a while
the there are two
Implant brands that are still very safe and very very good implants still, right
And then I guess the motiva brand has come onto the market with some subtle differences within them
one of the the differences is the surface of the implant and
and now isn't probably the moment for me to go into the specifics of the science of it
but it it's sort of
it has a
surfacing to it that sort of feels a little bit softer and and technically it sort of behaves almost like a smooth implant and
The reason why
That is is helpful
over some of the more aggressively textured implants is because of the
Risk of a ALCL which is a lymph node type of cancer
that's been in the news a whole lot over the last couple of years and
you know some patients will really want to try to minimize their risk of that happening as low as they possibly can and
I guess no one's saying that you can never have ALCL with with a motiva implant
That's that's not a possibility because you can never say never or always
But there has been some strong science indicating that both with biofilm which is the low-grade infection
as well as the type of texture of the implant is
implicated in possibly the development of this super rare type of lymphoid cancer, so
with that in mind
This has a bit of a theoretical risk. It's meant to be less than some of those other two devices. That's reassuring and i guess if you've got the opportunity you're gonna go the least risk option ...
Yeah, I mean, but you know you still there
like I said
I'm not only using these implants I will use some of those other ones because sometimes you do need the for example a an
Anatomical implant that has a boost in the lower pole. You will actually want the implant to
Work as a dynamic device to sort of stretch out the parts of the breast that need stretching, and so for those sort of
Operations using an anatomical implant such as a mentoryeah fantastic implant. They're really good, too
Oh that's great, and
Just with patients in general
What type of patients are best suited for a breast lift augmentation?
Well, that's the it's like an age-old question
Yeah, you know, can you get away with just an augmentation or a lift and really it it really depends?
One of the things we always look at is the position of the nipple. So if the position of the nipple is sitting really low
You need a pretty big implant to sort of keep that nipple position up to give you the the lift at the same time
So if the nipple position is good, you often can have just an implant alone, right?
But the lower the gland and the nipple starts to see it
An implant alone is actually going to make the breast look worse because the implant is going to sit there and the breasts going
To be sitting all the way off the front of it. And so that that doesn't look good at all
so so yeah, and the reason why I guess you're bringing it up that up is because
If all you can do is a breast augmentation
Then it's like that situation where, no, only having a hammer, everything looking like a nail
So like if you really want to customize it for the patient if they don't want a fuller breast
and they specifically want substance then a size range that makes them feel comfortable. You need to do any lift at the same time
So the medical terminology for that is called an augmentation mastopexy. Okay, so you do them both at once?
yeah, so well, there are two different ways of doing them. You can do them in one stage
and that's usually my preference and
Or you can have them done in two stages, which is the other way of doing it as well. Okay? Yeah and
You've actually asked that one. So what's the recovery like after a -
Breast lift? Augment? like actually say you do them both together, what's the recovery like for this. You know, they're pretty similar
So I think that the thing that really determines your recovery rate
the main thing is whether it's underneath the muscle or not, right, so
Most people who are having augmentations or or lifts with an implant augmentation mastopexy
Will often have the implant partially underneath the muscle. Okay. That's the medical term for that is that you had
your dual plane operation
and that the reason for that is because the if you really particularly slim if the
Implants tucked underneath the top part of the muscle and that sort of dual plane sort of approach
It means that you're getting less rippling or lesser visibility in the top part of your breast. So by extension
If you've got an implant underneath the muscle
It tends to mean that it can feel a bit uncomfortable and tight for the first couple of weeks
And but usually you're back to your normal activity around about six weeks time
The people who recover best and fastest tend to be people who have breastfed
previously - who have some deflation because there's some memory in the breast
of being bigger so often
It's just a matter of sort of putting and choosing the right implant just to sort of reinfect things out to where they should be
okay, so
in theory someone who's having an
implant under the muscle will probably take a little bit
Little bit longer just because just because there's that sort of swelling of the muscle we have to take into account as well
Well, there you go - i didn't know that - glad you came in yeah exactly so I know we talked before about
The fact that motiva can give a really natural result
Yeah, but can patients achieve a full upper poll result with the motiva breast implants
Yeah, there you can of course you can so that that comes down to the projection of the implants
So there's a lot of confusion with respect to the projection of the implant and the height of the implant
they're kind of different things so that that the height of the implant usually refers to
Anatomical implants where they're sort of medium height
Short or tall height. The projection of the implant really is I guess how much it comes off the front of the chest, right?
So in the motiva range there are four categories
I tend to avoid the the highest category which is like the ultra high profile one because that's definitely something which is
For the patient who really wants a super full look, but there are some guidelines
I like to stay within and I do think when you when you extend and we were talking about this before right? Well when you extend? We were talking about this before ..
How big is too big?
Yeah
Is there an upper limit of implant size and and that's going to be different for every single patient based upon their body shape
But I do think that if you do go too big with an implant bigger implants, do equal bigger problems
So as long as you keep within that general framework of your own physique
And you don't go too heavy or too big with an implant
It just means that you're not going to be having
Complications down the track where the implant might be stretching out the breast as well
So you do tend to get that if you go for a really big implant, so whatever type you use, you know
Whether it be mentor, allergan, whatever like that happens with any implants
You just have to be I think sensible with your your breast augmentation choice. Yeah
And I think that also comes down to the surgeon that you're seeing. They're gonna actually give you
the truth, the nuts and bolts, bear in mind that if you're going to go bigger there could be more complications ....
That is my job, right
So my job is to try and help the patient look good. Not just now but
In ten years from now in 15 years from now and also to make sure that I've got some wiggle room
So the one good reason why I choose not to use a really big implant
it's because you know
The implant that you may have had in your 20s after you may have had a couple of kids
Maybe the breast is a bit deflated
I think I've got some space to use a slightly bigger implant to give you a gentle reinflation of the boobs
but if you go straight away to the biggest implant you can possibly have
There's no room for you to move. So it says your breast ages with time and the weight of it start stretching down
You're definitely in the lift zone where you're having additional scars and all the rest of it
So I think be sensible with your breast augmentation choice. Listen to the advice of your surgeon
Make sure it's a plastic surgeon who does the range of operations?
And in that way you'd stand its best chance of having the safest and best possible result
Yes, sure, I was gonna ask you about the
The nanos sofa thing. So can you tell us a little bit about how?
Actually, did you already told us about how I did?
Tell you about that one
All right, lovely. Yeah coming around today today
So ladies if you're looking to having a breast implant surgery, and dr
poon does do the motivo breast implants which we absolutely love a plastic surgery hub and
So you can go there just look him up online or you can look up the pipe clinic
Otherwise, you can drop us an email to info at plastic surgery hub. Kaamdar you or check him out on our website. Thank you
So much. Thank you. Thank you. See you
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