Implant Replacement Techniques

Implant replacement techniques vary from simple to complex based on the reason for the implant replacement. The most basic breast implant replacements are for ruptured saline implants. Breast implant replacement performed early after diagnosis of a ruptured saline implant is similar to replacing batteries in the battery compartment of a remote control or other battery operated device. A small incision is made at the prior scar and the ruptured implant replaced with a new implant. If a few weeks have passed since the rupture, then the pocket has to be extended before insertion of the replacement implant. Implant replacement for a ruptured silicone implant is more complicated as the ruptured silicone material has to be completely removed in addition to the old implant before implant replacement. An incision is again made over the prior scar to perform the implant replacement. Implant replacement for hardening of the implant or capsular contracture is more complicated still as the hardened capsule has to be removed prior to implant replacement. If implant rippling is the indication for implant replacement, a sheet of artificial dermis or sterile irradiated dermis can be placed inside the implant pocket to thicken the tissue covering the implant. The ripples are thereby better covered by the newly thickened soft tissue covering. Incisions used for breast implant replacement or exchange vary based on the original breast augmentation scar. Obviously for those who had the breast implants placed through the belly button or umbilicus, a new incision on the breast is necessary for implant replacement. For women who had breast augmentation through an axillary or underarm incision, a new incision on the breast is also necessary for implant replacement. Lastly, for women with already existing scars on the breasts from prior breast augmentation through incisions around the areola or under the breasts, the same incisions can be used for implant replacement.

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House Calls

A house call, or Physician house call, is an act of customer service where the doctors goes to the consumers home, rather than the consumer visiting the suppliers place of business. House calls are most often associated with doctor house calls. There are still doctors making house calls. The physician-led multidisciplinary team provides comprehensive, patient-centered care for any condition, from the simple problems to the very complex, in the patient’s own environment. Thanks to modern technology and our sophisticated, multi-faceted delivery system, we can do more tests and procedures in our patient’s home or place of business than other primary care physicians do in their office. House call doctors are equipped to perform most procedures normally performed in a medical office. House call doctors utilize electronic medical records and will coordinate home health and hospice services, mobile imaging services, durable medical equipment services, laboratory services, and specialist referral services. House call doctors acts as the primary care physician or as augmentation to or as an interim physician to the patients’ present medial team. Doctor’s House calls provide post hospital stabilization service to physicians, insurance plans, and hospitals to mitigate hospital re-admissions.