There has recently been an update on the safety of breast implants reported in the media, which has included the proposed cancellation or suspension of certain textured breast implants and tissue expanders. The reports concern the incidence of a rare form of lymphoma, Breast Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL), which has occurred in less than 1,000 cases of the estimated 35 million women with implants worldwide.
As a specialist plastic surgeon, Dr Chris Allen is aware of this issue. The risks of BIA-ALCL form an important part of his consultation with every prospective breast augmentation patient.
Is BIA-ALCL Breast Cancer?
It is important to note that BIA-ALCL is not a breast cancer. Breast cancer is a separate disease which impacts around 1 in every 8 women regardless of whether they have implants or not. BIA-ALCL is a rare type of lymphoma which develops adjacent to breast implants and does not involve the breast tissue.
What Causes BIA-ALCL?
Most of the scientific evidence suggests that ALCL is related to bacterial growth on the surface of a textured breast implant, in women with associated additional genetic risk factors.
BIA-ALCL is generally observed in women 7-10 years after their surgery and often presents as a swelling or a lump. Of the 96 cases reported in Australia, the Therapeutic Goods Administration (TGA) has advised that the vast majority of cases were cured by removal of the implant and the capsule surrounding the implant.
There have been no cases of BIA-ALCL in any woman who has only ever had smooth breast implants. It has occurred in women with smooth implants who have previously had textured implants.
Am I at Risk of BIA-ALCL?
BIA-ALCL is a rare condition. The most accurate data at present suggests that the risk of this rare type of lymphoma varies from 1:2,800 to 1:86,000 depending on the type of textured surface. The risk of being diagnosed with any non-Hodgkin lymphoma by age 85 is 1 in 39.
What Should I Do If I Have Any Concerns?
If you are concerned about your breast implants, particularly swelling or hardening, please seek medical advice promptly from your GP, or if you had your surgery with Dr Allen please call us on 9382 4811.
The first step is generally to have an ultrasound prior to your consultation with Dr Allen, to investigate the cause of any issue, which in most cases will not be related to BIA-ALCL.
For women who already have textured implants, experts and the TGA have stressed that as ALCL is a rare disease there is no need to remove them unless other medical issues warrant it. However, we understand that, after considering all the information and evidence, you may choose to have your breast implants removed and Dr Allen will support your decision and guide you through the process.
Mentor Smooth Round gel implants are not affected by the TGA review. However, the Mentor microtextured implants have been proposed for suspension by the TGA. Mentor implants are backed by a 10 year guarantee and have a demonstrated safety record and have been shown in the ALCL research to have amongst the lowest rates of implant-related complications at less than 1 in 80,000 risk.
In the past Mr Allen has also used Allergan and Inamed Implants, which are included in the TGA review.
If you are concerned, please contact us and we can confirm your implant type and provide you with further recommendation.
Does Dr Allen Remove Breast Implants?
Yes, in cases of medical complications, or at the request of patients, Dr Allen can remove implants and the capsule, if required. A breast lift may also be advised. For more information regarding breast implant removal please don’t hesitate to contact us.
Is BIA-ALCL the same as Breast Implant Illness?
Breast implant illness (BII) is a term which is not well defined and tends to be a ‘capture-all’ phrase used by patients with a variety of symptoms that may be experienced by a woman after having breast implants inserted. There are many millions of women with breast implants and in a group of that size we would expect to see a broad array of unusual problems which are completely unrelated to breast implants.
Recent media has featured reports of unexplained or vague illnesses and symptoms (including auto-immune diseases, allergies, migraine, chronic fatigue, joint pain and depression) which women with breast implants have attributed to those implants. The Sydney Morning Herald revealed that some doctors are taking advantage of patients who believe they have BII and are offering to remove their implants, at great expense, with no guarantee it will resolve their symptoms.
There are, however, scientifically validated and well-documented issues associated with breast implants, including capsular contracture, migration, implant rupture which can make patients feel unwell or cause pain. Removal of the implants will generally make those patients feel healthier.
There is no doubt that some patients just don’t co-exist comfortably with their implants. This might be due to physical symptoms associated with scar tissue or from the additional weight and for others they may have hard to define symptoms.
If you are experiencing any health issues, you should seek medical advice from your GP or call us on 9382 4811 before making any decision to have your implants removed.
For more information about BII you can read a statement from the Australasian Society of Aesthetic Plastic Surgeons and Australian Society of Plastic Surgeons here.
Do you find that your breasts hold you back? If you’re experiencing pain and discomfort or feel like you can’t enjoy an active lifestyle due to the size of your breasts, it may be time to consider a breast reduction.
A surgical procedure completed by a qualified medical professional, breast reduction surgery offers drastic improvements for a patient’s health, comfort and quality of life. Learn more about how a breast reduction could transform your lifestyle, health, self-esteem and wellbeing.
Large breasts can cause significant pain and discomfort for many women. Leading to long term chronic neck, back and nerve pain and resulting in bad posture, the weight of heavy breasts can take a serious toll on the body.
If you’re experiencing chronic aches, pains, numbness or bad posture that requires pain medication for management, it may be time to consider a breast reduction. Helping to reduce the size and weight of your breasts, a breast reduction can eliminate the pain and discomfort associated with overly large breasts.
Chronic Rash or Skin Irritation
As overly large breasts often hang over the front of the body, many women find that they experience chronic rashes or skin irritation. As skin underneath is constantly covered by the breasts, the combination of body warmth and sweat can cause rashes and skin irritation. Irritation can be itchy and uncomfortable and may even sometimes be susceptible to infection.
Restricted Movement and Activity
Many women with overly large breasts find some physical activities or exercises simply impossible. As certain movements are painful, awkward or uncomfortable, women sometimes have to opt out of participating in activities that they would otherwise be able to join in on. Regular motions like bending over, moving from side to side or running can quickly become painful and challenging.
With a breast reduction, you’re able to confidently engage in a wide range of physical activities and exercises without feeling held back by the size of your breasts. Your mobility will become much easier and more comfortable.
Large breasts can be a cause of poor self-esteem; particularly when they’re out of proportion to the rest of your body. You may notice people staring at you and your breasts and even making comments about their size. Overly large breasts can be a source of embarrassment or discomfort, especially for teenagers who may feel uncomfortable or out of place.
Breast Reduction Surgery in Perth
Interested in reducing the size of your breasts? Dr Chris Allen and his team of professionals provide specialised breast reduction surgery in Perth. With experience working with a number of patients, Dr Chris Allen helps you achieve the breast size and shape you want. Minimising pain, freeing movement and increasing your self-confidence, a breast reduction can drastically improve your overall health and quality of life.
When it comes to medical professionals, you need to be confident in the skills and experience of every practitioner you choose. Whether it’s a nutritionist to help you transform your diet or a plastic surgeon to help you achieve the appearance you’ve always wanted, putting your health and wellbeing in someone else’s hands should be a serious decision.
During most plastic surgery procedures, you’re put under anaesthesia. You rely completely on the knowledge and actions of the medical team to ensure that you’re kept safe. On top of that, the final result of your surgery relies on it. With so much riding on the actions of your surgeon, you need to ensure that you choose a professional with high quality training and qualifications. Here’s what to look out for.
Medical Training and Qualifications
Throughout your research phase, finding an experienced and reputable plastic surgeon should be a top priority. Specialist plastic surgeons are recognised by AHPRA and FRACS as fully qualified with training. This recognition allows them to adopt ‘plastic’, ‘cosmetic’ and ‘reconstructive’ – protected medical titles – into their official title. Their training should also be fully accredited by the Australian Medical Council (AMC). In addition to AHPRA, FRACS and AMC recognition, you should also aim to find a surgeon recognised with ISAPS, ASAPS or ASPS.
Specialist plastic surgeons are accredited with the AMC following extensive medical education and training. In order to receive an accreditation, specialist plastic surgeons generally undergo a minimum of 12 years medical and surgical education incorporating at least five years of specialist postgraduate training.
Provided by the Royal Australasian College of Surgeons (RACS) and administered by the Australian Society of Plastic Surgeons Inc (ASPS), surgeons complete five years of postgraduate training. Upon successful completion, qualified specialist plastic surgeons become “Fellows” of the Royal Australasian College of Surgeons and adopt FRACS into their title.
If you’re considering plastic surgery, do your research and ensure that you choose a specialist plastic surgeon with the required skills, training and qualifications. You should only ever select a surgeon who meets the strict requirements set out by the AMC, FRACS, AHPRA and ISAPS/ASAPS/ASPS.
As an experienced and specialised plastic surgeon in Perth, Dr. Chris Allen is a fully qualified and specialist surgeon completing a variety of plastic surgery procedures. Offering informative consultations and expert advice on a range of procedures, Dr. Chris Allen can help you achieve your desired aesthetic.
Resulting in a permanent change to your appearance, rhinoplasty is a major cosmetic procedure that involves serious thought and research. From finding the right surgeon to choosing your desired outcome, each decision should only be made after extensive consideration.
As experienced plastic surgery professionals, Dr. Chris Allen and his team specialise in providing consultative advice and completing rhinoplasty procedures. Here’s how the experts recommend preparing for your rhinoplasty.
Finding the Right Surgeon
Once you begin thinking about rhinoplasty, it’s time to find a good surgeon. While many surgeons offer a variety of procedures and surgeries, not all surgeons are alike. Varying in experience, qualifications and training, finding the right surgeon could mean the difference between a poor result and a natural appearance in line with your expectations.
When it comes to searching for a surgeon, look for specialist plastic surgeons recognised by the Australian Society of Plastic Surgeons (ASPS) or a similar professional body. You’ll also need to find a surgeon accredited by the Australian Health Practitioner Regulation Agency (AHPRA) and who is recognised as a Fellow with the Royal Australasian College of Surgeons (FRACS).
If you’re thinking of getting a nose job in Perth, Dr. Chris Allen is an experienced specialist surgeon who is fully qualified, recognised and accredited. Specialising in helping you achieve your desired aesthetic, Dr. Chris Allen and his team work with patients across the Perth area.
Going to an Initial Consultation
After you’ve chosen a surgeon, it’s time to schedule an appointment for an initial consultation. During your consultation, you’ll be able to discuss your expectations and desired results while also learning more about procedure options and your surgeon’s expertise. At no point should you feel pressured to commit to undergoing rhinoplasty by your surgeon or their team.
Meeting your surgeon should be a positive experience that leaves you feeling confident, cared for and prepared. Your surgeon will work with you to discuss your specific needs and refine your aesthetic goals to ensure that the final results are realistic, achievable and right for you.
Questions to Ask
Are you fully qualified, trained and recognised by the AMC, AHPRA, FRACS and ISAPS/ASAPS/ASPS?
Are my expectations realistic?
Will my results look natural and balanced?
Am I a good candidate?
How long until I see final results?
What if I’m not happy?
Will there be scarring?
What are the complications?
Lifestyle and Dietary Changes
Leading up to your surgery, you should endeavour to eat a healthy and nutritious meal with adequate protein. A well-balanced multivitamin will also assist in wound healing and the recovery process. You’ll also need to avoid certain medications before your surgery, including aspirin.
Find Out More About Rhinoplasty in Perth
Thinking of a nose job in Perth? Chat with Dr. Chris Allen and his team for more on rhinoplasty. Book a consultation to learn more about the procedure and results. Contact us on (08) 9382 4811.
The decision to undergo breast augmentation surgery is entirely personal and up to each individual. As every person’s motivation is unique, no two surgeries are ever the same. Dr. Chris Allen – Perth’s experienced plastic surgeon – and his team provide high quality breast augmentation procedures for patients throughout WA. Emphasising natural and realistic results while taking your desired appearance into consideration, we craft results that look balanced and suited to your frame. From your initial consultation through to your final visit, Dr. Chris Allen conducts all consultations to ensure a high level of care for every patient.
Immediately after your breast augmentation surgery, a dressing will be applied to aid in more comfortable and quick recovery and a surgical elastic bra is fitted to support the new breasts.
Eight Hours After Your Breast Augmentation
Eight hours after your breast augmentation surgery, you may begin to feel mild pain and discomfort. During this time, you’ll be provided with pain medication to manage and minimise your pain.
The Next Day
The day after your breast augmentation, you’ll normally be discharged and able to return to the comfort of your own home. We strongly recommend resting and following the postoperative care and pain management techniques given to you by your surgeon. Expect to take it easy and relax at home. Remember to eat healthy meals and stay hydrated to support your recovery.
After a Week
A week after your breast augmentation surgery, you will be reviewed by your surgeon to check on the progress of your recovery and the appearance of your breasts. The dressings will be changed. No sutures are required to be removed, as they are buried and dissolve. Mr Allen aand his nurse will provide additional information on further recovery. Expect to make an appointment for your next postoperative visit.
Five to Six Weeks Later
After five to six weeks, you’re likely to be feeling almost completely recovered. You can generally recommence all activities – including exercise – as normal and shouldn’t be feeling any limiting pain or discomfort. Expect to return for another postoperative visit to discuss your progress and any concerns. You’ll also schedule your last postoperative visit for a couple of months later.
Three to Four Months After
Three to four months after your breast augmentation, your breasts will have settled into the new position and shape. Your scars will have dramatically faded and – as Dr. Chris Allen’s incision scars are in the inframammary fold – may be unnoticeable. Expect to visit your surgeon for your final postoperative visit to discuss your recovery and to take some postoperative photos.
Select an Experienced Plastic Surgeon
Cosmetic surgery is never as simple as generic procedures with standard instructions; each patient deserves and requires a personalised approach. Dr. Chris Allen and his team understand that breast augmentation procedures involve precision, expertise and an in-depth understanding of your body’s frame, your desired outcome and realistic results. There will be a number of follow-up appointments with our patients to ensure a smooth and comfortable recovery with minimal discomfort and complications.
Many patients associate surgery with postoperative pain and discomfort. Especially when it comes to delicate areas, including the upper or lower eyelid, patients often express a heightened sense of uncertainty.
Dr. Chris Allen – Perth’s reputable plastic surgeon – and his team of experienced staff specialise in conducting cosmetic surgery procedures with precision using leading industry practices. Utilising advanced equipment and proven techniques, we remove excess skin and fat, to restore balance and rejuvenation to your eyes and face. Our techniques, practices and recommendations help to minimise postoperative discomfort following your upper or lower eyelid surgery.
If you’re considering eyelid surgery – also known as blepharoplasty – learn more about how to reduce pain and swelling following your procedure.
Understanding Your Recovery
Similar to almost all cosmetic surgery procedures, recovery generally involves some swelling and minor discomfort that can be managed with light pain medication. As most patients experience moderate swelling following a blepharoplasty, results are not immediately evident. Swelling generally clears by itself within one or two weeks.
When considering your recovery time, process and comfort, it’s important to note the differences between lower and upper eyelid surgery. Lower eyelid surgery is generally more invasive, resulting in a slightly longer healing time.
Who Undergoes Eyelid Surgery?
Eyelid surgery involves removing excess skin and fat from the eye area. Resulting in a more balanced, natural and youthful appearance, blepharoplasty aids in improving both vision and self-confidence. Ideal candidates for eyelid surgery include:
Individuals with naturally occurring excess or loose skin around the eye
Individuals with puffiness on the upper or lower eyelids
Individuals with bags and dark circles under their eyes
Why Does Eyelid Surgery Cause Swelling?
Eyelid surgery, generally performed under general anaesthesia, involves the placement of incisions along the creases of the upper or lower eyelids. In response to these incisions, the body draws fluid to the area and initiates swelling. This aids in a smooth and quick recovery by protecting the affected area from damage. As your recovery progresses, fluids lessen and swelling minimises.
For patients preferring to avoid a general anaesthesia, some eyelid surgery can be safely performed under a local anaesthesia or a combination of local anaesthesia and sedation.
Minimise Pain and Swelling After Blepharoplasty
Following your eyelid surgery, proper postoperative care is essential in minimising pain and swelling. By allowing your body to rest and heal, you promote a faster recovery with minimal pain. Here’s how we recommend caring for your eyelids and entire body during recovery:
Avoid strenuous activity and exercise
Follow postoperative instructions from your surgical team
Utilise pain medication to manage swelling and allow you to rest
Eat healthy food and stay hydrated
Keep your head elevated to reduce blood flow to the area around the eyes and minimise swelling
Choose a Reputable Plastic Surgeon for Best Results
If you’re considering upper or lower eyelid surgery, choose a plastic surgeon with a good reputation. An experienced and knowledgeable surgeon works with precision and expertise throughout your surgery to minimise pain, swelling and discomfort during your recovery.
Guided by over 30 years of experience in cosmetic surgery procedures, Dr. Chris Allen specialises in both upper or lower eyelid blepharoplasty for patients throughout Perth and WA. For personalised advice on eyelid surgery, contact us on (08) 9382 4811 to book an initial consultation.