January 2008
Tel. (407) 352-1818
 


In This Issue:

 


     Breast Augmentation Highlights
    1. Saline or Silicone (22 y.o. and older) Breast implants can be used without the previous restrictions.
    2. A Submuscular placement of the implant is preferred for saline implants, silicone can be placed both subglandular and submuscular.
    3. Underarm/Under breast fold/Periareolar incisions can be used for the saline breast implant. Underarm incision cannot be used for the silicone breast implant.
    4. Winter/Early Spring is the preferred time for surgery allowing adequate time for healing before the beach/pool months.

     Now FDA Approved for Breast Augmentation!!

    The Mentor MemoryGel™ implants you've been reading and hearing about have been successfully used and trusted for 20 years by millions women all over the world. Why? Because MemoryGel™ breast implants feel more like natural breast tissue - without compromising reliability or safety. After almost two decades of research and testing with surgeons and patients, MemoryGel™ breast implants are now available at the Florida Plastic Surgery Institute.

     Why this picture matters to you:

    We have cut a MemoryGel™ breast implant in half to plainly show how the material holds together uniformly (no leaking) while still retaining the natural give of breast tissue. It does this because of a cohesive, gelatin-like substance that acts as a solid rather than a liquid.

     Saline or Silicone... How do I choose?

    The US Food and Drug Administration (FDA) announced on November 17, 2006 the approval and availability of silicone gel breast implants, ending a 14 year ban on the use of silicone breast implants for cosmetic surgery. Now all women 22 years and older seeking cosmetic breast augmentation will be able to select silicone breast implants. The availability of silicone gel implants will create new options for women considering breast surgery for the first time and for those who have had previous surgery but are seeking new replacements or revisions.

    Each year, surgical techniques and breast implants themselves are continuously being refined, increasing the safety and reliability of the procedure. With the continued scientific research and development of proven methods, further advancements of breast implant options will be made in stride with the continuing medical education of qualified cosmetic plastic surgeons specializing in breast surgery. As time moves on, the goal will be to have more optimal results reported by patients that in turn will reduce the need for re-operation.

    Breast implants can serve one or more of a number of purposes; breast cancer victims can use breast implants for reconstructive purposes after mastectomy, or women with asymmetrical breasts may use a single breast implant to balance the difference in size.

    Following pregnancy, many women opt for breast implant surgery to correct reductions in breast size, resulting from fluctuating hormones. And of course many breast implant candidates are simply interested in creating a more flattering contour.

    It is worth explaining the differences between a silicone gel-filled and a saline-filled breast implant, which is an alternative to the silicone gel implant. The outer shell of both silicone and saline implants is made of a solid silicone material. Solid silicone is widely used in implantable medical devices. In contrast, silicone gel implants are filled with silicone gel, which is a semi-solid. Saline-filled implants are filled with the same kind of salt water that is used in I.V. fluids. 

    Silicone Implants

    Silicone implants have a silicone rubber shell that is filled with a fixed amount of silicone gel. Silicone implants come in smooth or textured shell surface and vary in shape, profile, volume, shell thickness, and number of shell lumens. Most silicone gel-filled implants are not adjustable which is one disadvantage compared to saline implants.

    In 1999, a landmark report, undertaken by the Institute of Medicine (IOM) concluded that silicone implants do not cause major health problems such lupus or rheumatoid arthritis. And while no one can ignore the fact that silicone – and saline – breast implants may cause localized problems for some patients, numerous scientific studies over the years have shown that silicone gel-filled implants are both safe and effective for breast augmentation and reconstruction. In fact, silicone gel breast implants are widely used in 60 countries around the world including Europe, and now are available for use in the U.S. market.

    In the past decade, a number of independent studies have examined whether silicone gel-filled breast implants are associated with connective tissue disease or cancer. The studies, including a report by the Institute of Medicine, have concluded there is no convincing evidence that breast implants are associated with either of these diseases. However, these issues will be studied further in the post-approval studies conducted by Mentor Corporation and Allergan (manufacturers of FDA-approved silicone gel breast implants).

    It is hoped that any woman considering breast augmentation surgery will read about the procedure and arrive at the decision that is best for her both in the short and long term. The Florida Plastic Surgery Institute offers both Saline and Silicone Breast implants and can assist in your choice of a breast implant that best meets your needs. The information used in this article was obtained from the web sites of both the ASPS and the ASAPS.






     
     
     

    Financing Options for Your New Look in 2008

    We are pleased to offer financing through:

    CareCredit
    www.carecredit.com
    1-866-893-7864

    Acquired Loan Solutions  www.acquiredloans.net
    1-877-275-7526

    These leading companies offer financing for our cosmetic procedures. You can be pre-approved for any procedure prior to your consultation by simply logging onto their website, or calling the toll free numbers listed above.
    Care Credit options: 0% interest for 3 months, 16.9% interest for 48 months.

    Acquired Loans options: varies depending on personal credit. Works with numerous lenders to get you approved.
    Please call our office, or visit the websites listed, for more details.



    * * *



    January Complimentary Consultation Special:

    Now that you have trusted us with your plastic surgery needs, tell your friends!

    Bring a friend who's considering a cosmetic procedure with you to any of your appointments, and if they schedule a consultation it will be complimentary!




























      
     

     

     

     

    Botox Cosmetic®
    Wrinkle Reduction for 2008


    BOTOX® Cosmetic is a simple, non-surgical, physician-administered treatment. It is the only treatment of its type approved by the Food and Drug Administration (FDA). While BOTOX® Cosmetic can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age, it is also useful for more than just treating wrinkles. BOTOX® Cosmetic can also help relieve symptoms of migraine headaches. Continued use of BOTOX® Cosmetic with regular schedule treatments 4 to 6 months apart will help keep early wrinkles in check!

    NIA 24™: Complexion Perfection

    Prevent, repair and fight the signs of damage deep in the skin with visible results.

    With NIA 24™, you can reduce premature aging, wrinkles, sunspots, rosacea-like redness, and more. This first-ever system is designed with the power of a medical procedure in three stages — pre-damage action, pro-active repair, and an antidote to existing problems.

    NIA 24™ treats the skin in 2 important ways:

    Inside:

    This patented MicroNutrient Delivery system brings a continuous-release form of Niacin to skin to protect it from future damage.

    Outside:

    The skin's barrier is restored and signs of damage are dramatically reversed.

    Clinical proof that NIA 24™ works.

    The Pro-Niacin™ molecule breakthrough is the result of 25 years of research into cellular DNA damage in the formation of cancer. So beneficial, it's been chosen by the National Cancer Institute for development as a potential skin cancer prevention agent.

    In clinical studies, patients saw dramatic differences in just 90 days:
    • 90% reduction in hyper-pigmentation
    • 82% improved skin texture
    • 81% increased skin smoothness
    • 80% improved skin tone
    • 68% reduction in fine lines & wrinkles
    • 53% improved firmness
    See the NIA 24™ difference for yourself.

    Improvements in chin and jaw firmness, reduction in hyperpigmentation.



    Day 0                      Day 80

    Improvements in hyperpigmentation and wrinkles
     on chest and neck.*



    Day 0                      Day 80

    * Regimen included 2 months use of Pro-Niacin™ alone, followed by Pro-Niacin™ and 4% hydroquinone treatment for
    additional four months.



    New Year,
    New You
    Special

    20% Off Botox Cosmetic® valid only you
    and your friend when treated together at the same appointment.





    (Please mention advertisement when scheduling treatment.)

    Expires
    January 31, 2008



    Primera Surgery Center

    The Florida Plastic Surgery Institute has partnered with Primera Surgery Center to operate on our out-patient procedures. Primera Surgery Center is AAAASF Certified ( www.aaaasf.org), with a MD Board Certified Anesthesiologist. The Anesthesiologists are all partners within the JLR Anesthesia Group, which is the same group that provides anesthesia to the Florida Hospital Healthcare System. We hope you will enjoy the new surgical facility as much as we do!

    1035 Primera Blvd.
    Lake Mary, Florida 32746








     

    Meet the Florida Plastic Surgery Institute Staff:

    Mariccelli Pizarro - Bilingual Certified Medical Assistant: Born in Puerto Rico, graduated high school in Coamo, Puerto Rico in 1986. Moved to Cleveland, Ohio in 1987 and attended Sawyer Business College where Mariccelli became a certified Medical Assistant. Moved to Orlando in 2004. Mariccelli has over twelve years experience in the medical field, and has been working with Dr. Prevel for two years. Hobbies include dancing, cooking, decorating, and loves watching baseball.

    Denise Blain - Patient Coordinator: A native Floridian, raised in West Palm Beach, moved to Orlando ten years ago to attend the University of Central Florida. Now an alumni of the University of Central Florida, Denise has four years experience within the medical/ cosmetic field, and loves every minute of it! Hobbies include spending time with friends and family, working out, painting, and watching football.

    Joann Angel - Front Office Coordinator: Born/raised in Brooklyn, New York, Joann now considers herself a native to Florida for over 24 years. Graduate of Gateway High in Kissimmee, Florida. Joann has over ten years experience within the medical/dental field. Hobbies include reading, dancing, photography, and spending time with her eight year old daughter.