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Dr. Egrari Blog

Breast Implants- a time and a place

Breast augmentation is one of the most common procedures that I do as a plastic surgeon. It is a beautiful operation. It is quick, effective and relatively safe. It brings proportion to the body and sensuality to ones life. So many women who undergo this operation state that they wish they had done it sooner. They love it. Husbands love it too. But then what…

Unfortunately, we all age. Breasts age and they lose their shape. Hormonal changes set in, and often times breast get larger. Heaviness sets in with poor posture and a general matronly look. The excitement of reinvigorating the silhouette of a female body is no longer so exciting. In these situations, often, I hear, “can you just take them out”. And, that is exactly what I do.

One of the most common procedures that I do for women above the age of 50 who have a history of breast implants is the removal of the device, clean up of the years of scarring and an adequate lift with or without a reduction component. This has become a relatively common operation. I really enjoy doing it and women who seek it LOVE IT. It has become one of the most gratifying operations that I do. The relentless commitment to upkeep of a prosthetic device is forever gone. When women get implants I always tell them that the number one issue and risk of this operation is commitment to a prosthetic device. This operation once and for all gets rid of that commitment. The breasts are smaller and a feeling of “lightness” sets in. So many women feel that they are thinner and they can dress better. The matronly look is gone. Exercise becomes a joy, and a renewed desire sets in to get in shape and to lose some weight.
Here is an example of a lovely 65 year old lady with old ruptured implants who underwent removal and a standard breast lift

Our practice, Egrari Plastic Surgery Center, has been one of the busiest breast augmentation centers in the country. On a given year we do over 200 implants, and our numbers are reaching the 4000 mark. So in no form am I downplaying the effectiveness of implants. It is our “bread and butter”. I am simply stating that like every thing in life there is a time and a place. Older women with large implants who have lost the shape of their breast, and who are sustaining the ravages of large breasts should have their implants removed and breasts lifted. It is an effective and simple proposition.

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We are open! COVID Resources Virtual Consultation

We are open!

It is with great pleasure that we announce the opening of our practice May 19,2020. Our clinic, operating facility, skin care and noninvasive center (ENIC) will resume their full activity. This is in line with Governor Jay Inslee lifting elective surgery ban effective midnight May 18, 2020.

WE ARE HERE FOR YOU VIRTUALLY

Despite the challenging times we are faced with, we are still here for you and available during normal business hours for all inquiries via telephone and email. We are also offering on-line consultations for new patient inquiries.

Our virtual web consultations can be done right in the comfort of your own home, all you need is a secure internet connection and a computer, tablet or smartphone.

We welcome you, we are here for you. If you would like to have a VIRTUAL CONSULTATION or have any questions at all, please give us a call at (425) 827-7878 or contact us via the website to set up your virtual consultation today.

Practice policy update for Coronavirus (Covid-19):

Updated May 5, 2020

As previously stated, we are pleased to announce the opening of our practice May 19,2020. Our clinic, operating facility, skin care and noninvasive center (ENIC) will resume their full activity.

We know that so much of this has caused inconvenience for you. We want nothing more than to see our patients and resume what we do best. But we also know that we had to be patient and make sure that the timing is right.

We know clearly well that our work ahead is an important one. For over two decades we have considered safety as our most important prerogative. And, there has never been a more important time to put that to use.

As we stage the comeback of our States businesses and our own practice, we clearly understand that we must do everything in our power to ensure the safety of our patient, and our staff.

We also ask for your patience in the rescheduling process. Without any exception our patients have been kind, gracious and understanding. We sincerely appreciate your indulgence in this very difficult time.

Here is some of what we are doing to ensure that you are protected and that we maintain this facility as a Non-Covid Care (NCC) Zone:

Patient Flow and Clinical office Space

  • We are coming up with spacing and logistic protocols. This might include texting patients who are waiting in their car.
  • We are assigning everyone to hourly wipe downs of high use areas with approved sanitizing wipes.
  • We are asking for no one to wait in the waiting area.
  • We are coming up with protocols for room wipe downs after each patient visit.
  • We are creating a questionnaire and temperature control that will make the patient Covid-19 Clear.
  • We will ask staff to change out of their clothing into scrubs. Jackets for front office are being ordered.
  • Every staff will always wear masks while in the office.
  • Every staff will wear gloves.
  • Every staff needs to sanitize or wash hands after every interaction.
  • Use of virtual pre ops and nursing visits and questions.

Operating Room Experience

  • Similar precautions and questionnaires will be provided to establish Covid-19 Clear Status.
  • All staff will always wear masks. All staff will always wear gloves.
  • Hand washing with any patient interaction.
  • Specific wipe down of our OR, recovery and pre op areas.
  • Minimize accompanying care takers to only one. Those care takers will be treated just like the patients.

Anesthesia Experience

  • Every anesthesia staff will wear goggles protective equipment during intubation.
  • Our anesthesiologists have been fully trained and are implementing all precautions for prevention of Covid-19 spread.
  • All circuits will be changed between each patient.
  • Full wipe down of surfaces and floors.
  • A time out protocol that would confirm the Covid-19 Clear status of every patient.

As you can see, we are taking this very seriously. We fully understand that this will cause some inconvenience in the short term but realize that it is for the best.

Although Covid-19 is a serious issue, we strongly believe that it will pass and hopefully make our infrastructure and our ability to deal with pandemics in this Country even better than it currently is. We are monitoring this situation on a real-time basis and will not sit back until we know that we have done everything possible to avoid unnecessary exposure.

We know well that when you see us in action, you will realize that you have put your trust in the right practice.

Here are some links that might be useful:

State of Washington Department of Health

Centers for Disease Control and Prevention (CDC)

World Health Organization (WHO)

White House Opening Up America Again

CMS Reopening Guidelines Phase One

Please do not hesitate to contact us. We are always here to answer your questions

Call us at (425) 827-7878

Email us at [email protected]

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