Dr. Nichter receives Patients’ Choice Award 2012

Patients Choice Award NichterDr. Nichter has been awarded the Patients’ Choice Award for 2012 in recognition of his consistently positive throughout 2012. From patientschoice.org, which issued the award:

While doctors generally receive positive reviews from their patients, only a select few receive uniformly rave reviews worthy of a Patients’ Choice acknowledgement. In fact, of the nation’s 830,000 active doctors, only 5% were accorded this honor by their patients in 2012.

Dr. Nichter Receives the RealSelf 100 Award

RealSelf 100 AwardDr. Larry Nichter receives honor for his dedication to education on RealSelf, the world’s largest consumer source for cosmetic surgery information.

Newport Beach – Dr. Larry Nichter has been named one of 100 doctors to be included in the RealSelf 100, out of more than 5,000 Board-Certified plastic surgeons, dermatologists and licensed cosmetic dentists. The award from RealSelf, the world’s largest consumer source for cosmetic surgery information is granted to Dr. Nichter for his commitment to ensuring millions of consumers make informed decisions about cosmetic procedures.

Dr. Nichter is a plastic surgeon at the Pacific Center for Plastic Surgery in Orange County, California. He is one of few surgeons to be named in all three peer review publications: Top Doctors, Super Doctors, and Best Doctors. He is also Chairman of the Department of Plastic Surgery at Hoag Hospital, Newport Beach, and is the president and founder of the Plasticos Foundation.

Through participation on RealSelf, Dr. Nichter is helping prospective patients make confident decisions about cosmetic procedures they are researching. He has consistently earned top reviews from patients on RealSelf.com.

In addition, Dr. Nichter offers his professional expertise to the RealSelf community, having answered more than 1,600 questions for free since joining RealSelf last year.

New FDA Approved Silicone Natrelle 410 Breast Implants

The U.S. Food and Drug Administration has approved a new “gummy bear” silicone breast implant. The implants, whose official title is Natrelle 410 Highly Cohesive Anatomically Shaped Silicone-Gel Filled Breast Implants, are made by Allergan.

Image: FDA

The implants underwent seven years of research involving 941 women. The FDA’s conclusion from all this data is that the new silicone breast implants are safe and effective. The implants are now available for increasing breast size in women at least 22 years old, and for rebuilding breast tissue (reconstruction) in women of any age.

The approval comes with the condition that Allergan must continue post-approval research for five more years to ensure the safety and efficacy of the Natrelle 410 silicone breast implants. This does not mean that the safety of these implants is particularly in question, but rather reflects the high standards that medical devices of all kinds must meet to be approved in the United States.

The introduction of the Natrelle 410 silicone breast implant to the market is the most significant new approval since Sientra’s highly cohesive silicone gel implants last year. In the pipeline and hopefully soon to be FDA approved and released will be the innovative double-lumen saline Ideal Implant® with the feel of silicone but the safety of a saline implant. This alternative to traditional silicone breast implants is and will be available at the Pacific Center for Plastic Surgery.

Despite three decades of safety testing and monitoring of silicone breast implants, there is still a public perception that silicone breast implants are more toxic or dangerous than saline implants. The truth is that there has no known toxicity from silicone gel breast implants. In fact, silicone is one of the most common materials used in medical devices and implants. Read this article on the safety of silicone gel breast implants by Dr. Nichter for more information.

Dr. Larry Nichter is proud to offer the new Natrelle 410 silicone gel breast implant at the Pacific Center for Plastic Surgery. As board certified plastic surgeons with the highest qualifications, Dr. Nichter offers his patients the most advanced breast implants with confidence in their safety and performance.

Additional source: US FDA

Compression Garments are Important after Liposuction

Dr. Larry Nichter

A compression garment is required and beneficial after liposuction because:

  1. It restricts the amount of edema that forms and hastens its resolution by mechanical pressure.
  2. It decreases the amount of bruising.
  3. It assists the loose skin in retracting or shrinking.

It is common to have weight gain due to edema, serum that collects in the area, and the tumescent fluid that was injected. This will resolve over time. The more you wear the garment initially, the quicker this fluid resolves.

Edema: a condition characterized by an excess of watery fluid collecting in the cavities or tissues of the body.

The length of time that the garment should be worn varies depending on the amount of fat removed, the elastic nature of your skin, how much loose skin remains, and other factors. Your surgeon would give you the best advice, however this is the general routine for my patients.

The first garment should be fitted for you in the office prior to surgery and applied in the operating room. Often it will become loose as the edema is mobilized, and then it will need to be replaced. Spanx is a reasonable compression  garment if it gives enough support and is the right size. I have my patents bring them in so I can confirm that it fits well.

Most important advice is to listen to your surgeon, as he or she knows how much fat was removed, the elasticity that remains in your skin, and amount of skin redundancy.

I recommend that my patients wear their garments for a minimum of three weeks full time then for twelve hours at a time (day or night). If there is not a lot of redundant skin, this continues to a maximum of six weeks.

To be effective, the garment needs to fit snugly—but not too tight as that can make it difficult to sleep or cause pressure problems (inspect your skin when it is exposed if you are uncomfortable). As the edema resolves it is common for patients to switch to a smaller garment that fits. A Spanx-type garment would work fine, rather than ordering one or paying more at your doctor’s office.

—Dr. Larry Nichter, MD, FACS