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Revolutionary Breast Augmentation Procedure 'PEBAM,' Offered by Sayeg Plastic Surgery Center, Drastically Reduces Scaring
TROY, Mich., Sept. 7, 2005 (PRIMEZONE) -- Michigan based plastic surgeon Dr. Ayoub Sayeg, announced his new cutting-edge procedure which will redefine the future of breast implant surgery. The procedure known as PEBAM is patent pending and is an acronym, which stands for Percutaneous, Endoscopic, Bilateral, Augmentation, Mammaplasty.
In a move that revolutionizes breast implant surgery, Dr. Sayeg has merged endoscopy and minimally invasive surgery to redefine the entire procedure, leaving the patient with virtually minimal scars. The procedure involves making a mini-incision and creating and molding a pocket, into which he inserts a deflated saline breast implant. The desired amount of saline is inflated into the implant through tiny tubes.
After the filling is complete and the tubes removed, Dr. Sayeg closes the incision, which is done with an absorbable suture. Following closure of the incision, drains are not needed, and healing progresses quickly. The resultant scar is normally less than one centimeter in length, which heals very well, and with the additional therapy of a silicone-based covering, is virtually unnoticeable.
Of particular note with this surgery are (1) the incisions are one-third of an inch, not the usual three centimeters (more than one inch); (2) the smaller the incision, the quicker the healing and the less the tension; (3) placement of the incision under the breast or in the axilla instead of through the belly button allows a smaller scar in less visible positions on the body; and (4) placement of the saline implant under the muscle, allowing the most optimal cosmetic effect.
"With PEBAM, making a tiny incision 1 centimeter in length and placing the implant under the breast muscle, a patient can now receive breast implants with minimal scarring," said Dr. Ayoub Sayeg, Director of the Sayeg Plastic Surgery Center in Troy, Michigan.
A well respected plastic surgeon in Michigan since 2002, Dr. Sayeg received his medical degree from the University of Toronto and completed his general surgery residency at Washington Hospital Center, Washington, D. C. and plastic surgery residency at Wayne State University in Detroit. As part of his training at Wayne State University, Dr. Sayeg completed cosmetics training at the prestigious Manhattan Eye, Ear, and Throat Hospital. From 2000-2001, he participated in a fellowship in aesthetic, breast, and reconstructive surgery at the Charlotte Plastic Surgery Center in North Carolina with some of the most prominent endoscopic and breast surgeons.
The Sayeg Plastic Surgery Center offers a wide range of plastic surgery procedures and cosmetic treatments, including Dr. Sayeg's new PEBAM procedure.
For more information contact Warren David at 248-348-7555 or 313-999-6000. Email: warrend@davidcomgroup.com
The Sayeg Plastic Surgery Center logo is available at: http://www.primezone.com/newsroom/prs/?pkgid=1851
The PEBAM logo is available at: http://www.primezone.com/newsroom/prs/?pkgid=1852
CONTACT: David Communications, L.L.C.
Warren David
(313) 999-6000
Ask the Doctor, Health and Leisure Magazine Article
A growing epidemic in the United States is morbid obesity.
Be it genetic predisposition, poor eating habits, a sedentary lifestyle or post partum weight gain, the US and the world is realizing the medical costs associated with this epidemic. Already, the statistics are staggering. Forty percent of the population is obese and increasing every year.
For the longest time morbid obesity was treated non-surgically. Weight reduction was usually tied to exercise and calorie controlled diets. Medically, physicians were able to help by correcting imbalances in hormone status such as thyroid, estrogen, and cortisol. Anti-obesity drugs such as phentarmine have also played a role, but their long term side effects are still questionable and cost is a factor. But as obesity skyrocketed, so has diabetes.
About 15 years ago, a surgical option was developed for the very morbidly obese and was reserved for those in life and death situations. Although complications were relatively high, it was the beginning stages to developing the protocols for surgical weight loss procedures that we are accustomed to today.
Weight loss surgeries today consist of either lap bands or gastric bypass. These procedures have proven very successful in extreme weight loss for the morbidly obese and has been maintained over a longer period of time than most non-surgical entities. In fact, according to the Agency for Healthcare Research and Quality, bariatric surgeries have increased nine-fold between 1998 and 2004 from 13,386 to 121,055. Complication rates have also decreased due to laparascopic techniques.
While significant weight loss may look successful on the outside, it leaves another side that is largely not talked about – excess and sagging skin.
When consulting for bariatric surgery, the potential for body reconstruction should always be addressed. A lot of physicians and patients assume that once the weight loss is done, the patient will go back to their perceived new looks without any corrective surgery. As a plastic surgeon who performs post-bariatric cosmetic surgeries, almost 95% of patients require some reconstructive work approximately one to two years after their surgery.
A lot of patients don’t realize that with morbid By Ayoub Sayeg, M.D. reshaping to fit your new Plastic surgery body options after extreme weight loss You While significant weight loss may look successful on the outside, it leaves another side that is largely not talked about – excess and sagging skin. A obesity the skin, fascia and underlying tissue support system is strained and damaged to the point that it loses its recoil abilities. Very few people will have their skin go back to normal.
Think about pregnancy and how the abdominal skin does not return 100 percent to its pre-pregnancy state. Now, use this same analogy and put it to skin on the entire body for a much longer period of time. You can realize the extent of the damage to the skin and underlying tissue.
Our skin, breasts, and underlying tissues are soft, pliable and somewhat durable. But our bodies were never made strong enough to handle excessive weight over a long period of time.
So where do we start?
In the face, one usually sees the tell tale signs of aging: redundant skin in the face, neck and eyes; fatty deposits in the neck and eyes; early jowling; thinner skin; exaggerated facial lines (nasal labial folds). These are usually taken care of with brow lifts, eyelifts, face and neck lifts and fillers such as fat, Restylane or Radiesse.
Also common after weight loss is hair loss. This can be taken care of medically or sometimes surgically with micro or macro hair graft transplantation.
The chest and breast area usually does not fair well after extreme weight loss. The breast support system is made of skin, connective tissue and ligaments. Unfortunately, these specific tissues don’t hold up well to excess weight over long periods of time. As the weight loss is complete, the breasts tend to lose a lot of their volume, shape and support. They decrease in size and become ptotic (droopy).
Treatment options may include a breast lift, augmentation or oftentimes both. Thanks to newer techniques in minimally invasive surgery (PEBAM, SPAIR) scarring is left to a minimum while the saline or silicone implants can increase the breast’s volume.
The arms also suffer from redundant skin. The skin in the inner aspect of the arm is the thinnest compared to the outer arm. Some of the redundant skin involves the axilla and upper back area. The excessive skin is usually excised and the upper arm reconstructed to give a more natural look. This is known as a brachioplasty.
Liposuction is also used as an adjuvent in certain areas. The scar heals up somewhat well and is located on the inside of the arm extending into the axilla. If the upper back has redundant skin, an upper body lift is considered to get a more cosmetic appearance.
The areas most people complain about is the abdomen and thighs. In the abdominal area, the skin may be loose and overhanging their beltline, there could be some fatty deposits that are not desirable, and the muscles may be weak and need to be tightened. Also, hernias resulting from the gastric bypass may be present. The best way to take care of the abdominal area is either liposuction, abdominoplasty, or both.
In the thighs, the skin becomes redundant and sags both in the inner and outer areas. The buttocks can also lose their volume and sag. An inner and outer thigh lift is usually done in conjunction with a buttock lift. This can involve liposuction to contour the thighs. The abdominoplasty, inner and outer thigh lift, and buttock lifts are collectively known as a lower body lift. The scars are acceptable and usually hidden in creases or the underwear line.
Liposuction alone is not enough to give the body the contouring that is most pleasing. It is an adjunct only. Surgical scars usually take a year to heal and in about 10 percent of patients, revisions may be necessary. Like all surgeries, the risk of complications is greater in the post bariatric population. A thorough medical clearance is adviseable, and peri-operative antibiotics and DVT prophylaxis is given.
The big question is how much of this surgery should be performed at a single setting? There is no right answer. However, scientific studies show that the longer in surgery you are, the more at risk you are to suffer afterwards (pneumnia, DVT, Pulmonary emboli, atelactasis, etc.).
The general rule of thumb is usually six hours. My philosophy is to stage the surgeries over a three month period, doing no more then 6-8 hours at a time. Remember, it’s not how fast you get to the finish line. It is getting there in the safest fashion.
In the end, realistic expectations and safe and effective reconstruction by a board certified plastic surgeon can help you get over the stigma and the resultant excess skin left. Leaving behind, a new you!
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Ask the Doctor, Health and Leisure Magazine Article
Q: My teenager has begun to ask me about plastic surgery. Is this too young of an age?
A: Plastic surgery is much more prevalent in the adult population. Over the last 10 years, teenagers are slowly increasing their numbers in outpatient plastic surgery procedures. The reasons for this are multi-fold.
First, plastic surgery is much more acceptable not only in the adult population but also in the teenage years. It seems all of the young Hollywood stars have had some kind of plastic surgery, making patients feel it is safe, trendy and more importantly, acceptable. Second, complications are very low and recovery time much shorter and less painful. Third, plastic surgery is much more affordable than it used to be.
Teenagers in this day and age are under tremendous pressures to succeed. Those teenage years sometimes define the rest of their lives. Any edge – within reason – can help a teenager compete better, feel more confident, become more physically active and attractiveness can be an asset.
The two most common teenage surgeries are rhinoplasty and breast reductions. The nose stops growing at about the age of 16. Sometimes prominent, deviated or cosmetically unacceptable noses can be fixed at an age where the resultant outcome gives a teenager tremendous self esteem and confidence. So in this one case, a rhinoplasty is acceptable and many teenagers are eager to have the surgery.
Another example is large breasts in teenage girls. Once puberty hits, a young lady may become more self-conscious of her body as it transforms into a woman. With large breasts, they may feel more neck, back or shoulder pain. They may be athletic and now they tire more or are unable to participate in some physical activities. Then a breast reduction done in a minimally invasive way may be the answer. But patients are cautioned that the breast size will increase with weight gain or pregnancy and any surgeries may require revisions in the future.
Obesity has become a major epidemic in the teenage population. In fact a lot of parents try to use plastic surgery as a means of weight loss. This is not the answer.
Obesity brings about many problems for patients. A disproportionate body – whether it is larger breasts in males or females, redundant skin or increased fat in the body may make the patient’s self-esteem suffer. Also, being overweight may decrease physical activity levels which are needed for both weight loss and overall better health.
Unfortunately, plastic surgery is not the answer in these types of patients because the main problem (overweight) has not been treated and you are trying to fix the end results of obesity. In some cases, these patients might do better with bariatric surgeries and once the weight is controlled be eligible for reconstructive surgery.
Teenagers today are not given as much credit as they deserve. When it comes to plastic surgery education, patience and common sense, as well as listening to the complaints they have, are the best ways to deal with teenagers.
Many times, simply waiting until he or she is of legal age to consent to surgery allows the teenager time to mature, grow wiser and be more comfortable with all their decisions. However, some plastic surgery procedures are safely done in the teenage population, and balance should always be the goal.
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