Offers and News

Dr. Brown at the São Paulo Breast Symposium

Dr. Brown attended the São Paulo Breast Symposium in Brazil, where he gave talks on “Managing complications in breast implant surgery”, “Fat grafting to the breast”, “Shaping the breast with combined implants and lifting”, and participated on an international panel on the current status of ALCL.

Dr. Mitchell Brown with Dr. Ruth Graf from Brazil

 


Faculty dinner with Chairman Dr. Sampaio Goes of Brazil, Dr. Roy DeVita of Italy, Dr. Yoav Barnea of Israel, Dr. Ruth Graf of Brazil, Dr. Horacio Mayer of Argentina

Update from Dr. Brown on Breast Implant Safety and ALCL – August 2019

On July 24, 2019, Allergan announced that they were issuing a voluntary recall on their BIOCELL textured breast implants and tissue expanders. This announcement by Allergan has added to the concern and worry being experienced by many women with breast implants.

In Canada, Health Canada had taken action in advance of this decision by Allergan when they announced the suspension of Allergan’s license for its BIOCELL breast implants on May 28, 2019.

The primary reason for this suspension and recall has been a recognized association between a rare type of lymphoma and textured surface medical devices. We initially wrote about Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) in our blog post of December 12, 2018.

See blog post: Update on Breast Implant Safety and ALCL – Dec 2018

It is important to know that to date, due to the low risk of developing BIA-ALCL, there has been no recommendation from regulatory agencies including Health Canada and the FDA to remove or replace textured breast implants or tissue expanders in women who are asymptomatic and have a normal examination.

I would like to provide some background and share some information regarding these recent events. In Canada, most breast implants and tissue expanders have been made and distributed by two companies (Allergan and Mentor). Both companies make implants and expanders that have one of two surfaces: smooth and textured.

Why might you have a textured surface breast implant?

There are several advantages to a textured surface implant. When using a shaped (teardrop, anatomic) implant or expander, the texturing assists in holding the implant in position so that it does not rotate. In fact, all shaped implants are textured. In the past, texturing has also been felt to decrease the incidence of some of the more common complications associated with breast implants including hardening (capsular contracture) and implants shifting out of position (malposition).

The actual cause of BIA-ALCL remains unclear but one of the most accepted theories is that bacteria may find their way into the crevices or spaces within the textured surface and stimulate an inflammatory response that in a small number of patients may eventually lead to lymphoma.

What do we suggest for our patients?

Late in 2018, our office began a process of trying to contact all of our patients with textured surface breast implants to notify them of this new information, explain what patients should look out for and to suggest that they contact our office to come for a follow-up visit that would include a discussion of patient options. This approach has been helpful in allowing us to speak to and assess many of our previous patients dating back to 2002.

If you are a patient of Dr. Brown and you have not received an email from us, it may be because you have smooth surfaced implants or it may be that we were unable to find updated contact information for you.

We encourage all of our patients to contact the office so that we can confirm for you the type of implant that you have. If you have a textured surface implant we would like to assist you in arranging a follow-up visit or if not possible for you to attend in person, then it will give us an opportunity to provide you with necessary information and to answer your questions. Additionally, all women with breast implants, regardless of the type, benefit from ongoing follow-up of their medical devices and we hope that you will continue to come for complimentary annual or biannual assessments at our office.

Please contact us with any questions or to arrange an appointment.

Dr. Mitchell Brown

Links

Allergan Voluntarily Recalls BIOCELL® Textured Breast Implants and Tissue Expanders
https://www.allergan.com/news/news/thomson-reuters/allergan-voluntarily-recalls-biocell-textured-brea

Health Canada suspends Allergan’s licences for its Biocell breast implants after safety review concludes an increased risk of cancer
https://www.healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2019/70045a-eng.php

Celebrate Mother’s Day and Father’s with Our Latest Beauty Offers

Skin care and injectables special offers for May and June 2019 (Botox, Juvederm, Redensity)

Visia Complexion Analysis

See what’s really going on with your skin
Schedule a complimentary Visia Complexion Skin Analysis (regular price $150) with our new senior medical aesthetician and receive 15% off suggested skin care products + 15% off individual aesthetic treatments.

Refer-a-Friend Bonus

15% off for you and a friend
Refer a new client to enjoy an aesthetic service (minimum aesthetic treatment value of $200) and receive 15% off your next visit and the person you refer will receive 15% off their first visit.

Botox, Brotox, and Dermal Fillers

  • Purchase 30 units or more of Botox Cosmetic and save $50
  • New dermal filler patients: save $100 on any full syringe of Juvederm with the Brilliant Distinctions program
  • Rejuvenate under your eye with a full syringe of Teosyal Redensity II and save $100
  • Refer a new client to enjoy an injectable treatment and you will receive 10% off your next visit and the person you refer will receive 10% off their first visit

[Offer ended]

Dr. Brown Talks About Cellulite and Cellfina

In this video, Dr. Mitchell Brown discusses cellulite: how it is formed, whether lifestyle changes can help, and surgical treatment options, including Cellfina.

Cellfina is an FDA and Health Canada-approved treatment for cellulite that has been shown to produce results that last for at least two years. Book a consultation with Dr. Brown to determine if you are a candidate for Cellfina.