Adam J. Rubinstein, MD, FACS
Adam J. Rubinstein, MD, FACS
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Tag: breast augmentation

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Dr. Rubinstein Addresses Issues with Patient’s “Botched Beauty”

One patient turned to plastic surgery to get a better body, but said she got ‘disfigured’ instead. One South Florida doctor sees it so often that he tries to fix ‘botched beauty’ one patient at a time. Problems with plastic surgery is an issue NBC’s investigator Dan Krauth has been covering for months. He’s here tonight with what can be learned from botched surgeries…Dan- Jackie we’ve heard of so many cases of botched surgeries, but one doctor has carved out a niche for himself, trying to help patients who’ve had a bad experience. He says there’s one thing everyone should do before considering plastic surgery. Higgar loves being a mother to her two young children, but didn’t love the toll she says breast feeding took on her body. “I didn’t feel feminine, I didn’t feel sexy enough. So I decided after the second kid, you know, I’m gonna go and fix it.” She wanted breast implants. When she woke up from surgery, she didn’t like what she saw. “This is really wrong. The stitches were wrong. The implants were wrong.” This is the after picture, the parts we can actually show you. “I was traumatized by that. I didn’t want to do it again. I didn’t want to open my body again.” She waited for nearly two years before she decided to go to another doctor, Dr. Adam Rubinstein to have them fixed. “You know it is sort of like fitting a ten pound bag into a five pound space.” He removed her implants and replaced them with ones that better fit her body and fixed her scars, along with the jagged points sticking out from her chest. “I can’t do a lot, but I can help one patient at a time.” Patients who’ve had botched procedures visit his office every week looking for help. And, the doctor said there’s one thing that is the same in many of the botched surgeries. They’re usually performed by doctors who aren’t board certified. In Florida any doctor can perform plastic surgery, but not every doctor is trained and certified in this area. “I’ve seen a patient who’s been to a gynecologist, many patient’s who’ve been to a gynecologist, for a liposuction.” Higgar says she didn’t know her doctor wasn’t certified by the American Board of Plastic Surgery. She said he was a family practitioner. “I trusted him cause I thought he knew better, cause he’s a doctor.” She now knows better and feels better, not just on the outside, but on the inside as well. Would you do it again? “I would do it again, but now I know how to do it.” The doctor is now starting a new program to help patients who don’t have health insurance or the money to correct their procedures. He’s also working on a database to help patients research surgeons before deciding to get surgery in the first place. For more information, click on the investigative tab, and nbc6.com. Live in the news room I’m Dan Krauth, NBC 6 news. If you have an area of concern you would like to see addressed, call Dr. Rubinstein for your complimentary consultation, 305-340-2191.
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5 Things You Never Knew About Breast Implants

Breast implants are one of the most popular elective cosmetic procedures available. Every year, hundreds of thousands of women in the U.S. augment their breasts. Despite the popularity, there are some fun facts you may not know about: 1. Tax Breaks for Breast Implants While elective plastic surgery, including breast implants, cannot be deducted as a medical expense on your taxes, implants can be deducted if the procedure falls under one of two narrowly defined categories: • Reconstruction after a mastectomy • Business expense That second category may have caught you by surprise, but it’s true! In 1994 a U.S. tax court judge ruled in favor for an adult entertainer who argued the enhancement was a business expense akin to a stage prop. 2. Microchips Aren’t Just For Identifying Fido It’s pretty common knowledge that microchipping your pets can save you a lot of future heartache and trouble. The same concept applies to some breast implants. When outfitted with microchips, some breast implants can tell you the lot number and serial number with the wave of a small handheld device. This tech-savvy solution allows for higher patient safety levels. Chipped implants can be easily identified in the rare event of a recall. 3. Oil Implants Were Tested Back in the early 1990s, the quest was on to find a more transparent breast implant filler option than saline and silicone. Developers sought to innovate for the benefit of mammogram screening. Highly purified soybean oil was tested as implant filler. However, it never made it passed clinical trials. Although the oil was clearer in mammogram screenings, British women reported numerous incidents of swelling and inflammation. MRIs ultimately showed the implants absorbed water, and creator LipoMatrix™ voluntarily recalled the product in 1999, after The British Department of Health recommended discontinuing use of the implants. 4. Your Implants Can Glow In The Dark While they won’t glow on their own, if you shine a flashlight beneath or next to your breasts particular saline and silicone implants will cast a faint glow, revealing the veins beneath the skin. The effect is similar to when you shine the light against your hand. 5. Candy Inspired Nickname Saline and silicone implants have been offered for decades with beautiful and natural results. In 2012, a new FDA approved option entered the market, form-stable silicone gel. The gel earned its nickname from the behavior it mimics when it’s cut in half. Like candy Gummy Bears, the nature of the gel is to maintain its shape and form even when cut, pulled or pushed. Though neither edible nor colorful, the breakthrough implant is an advance for women needing implant revisions where the pocket is already stretched.
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An Oil Change for Breast Implants?

Many people believe that breast implants must be removed and replaced every ten years. This misconception has nearly become common knowledge and is simply not true. It is based upon one study that showed that breast implants grow weaker over time. As time passes they have an increased risk for rupture. Specifically, there is a cumulative 1% risk each year that breast implants will fail (break). That means that three years after breast augmentation there is a 3% chance of them breaking, and after ten years a 10% chance of them breaking. While the study implies that it might be a good idea to replace ten year old breast implants it does not suggest that doing so is a medical necessity. If you have breast implants that look good and feel good leave them alone. It doesn’t matter if they are brand new, ten years old or even 30 years old. Every patient is different and should be treated individually. You don’t need to treat your breast implants like your car – you don’t need to get ten year oil changes!

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