Washington Man Accused of Administering Illegal Breast Injections

Police in the small city of Quincy, Washington are hoping to hear from anyone who may be a victim of illegal breast injections. Mario Palafox Valle, a 32-year-old resident of Quincy, has been accused of illegally giving a woman injections to augment the size of her breasts and buttocks. The man was found hiding in a closet during a search of his home, and is being held while an investigation moves forward.

Earlier this month, the Washington health department had ordered Valle to stop performing augmentation injections because he has no health care credentials. According to Oregon Live, the woman who received the injections had to undergo corrective surgery. Police believe that there may be additional victims, and are asking for the public’s help in the investigation.

These types of stories seem to be in the news more and more often lately. People posing as medical practitioners often scam their clients of thousands of dollars, while performing risky procedures that are often life-threatening, or even fatal. Sadly, it is not unusual for patients of people who practice medicine without a license to die unnecessarily.

Why do people do it? In part, it may be because cosmetic surgeries are elective. Many people don’t take them as seriously as medically necessary procedures like open-heart surgery. But any medical procedure is extremely serious and should only be performed by properly trained and licensed professionals.

The other part of the problem, of course, is simple economics. It’s easy for criminals to provide cosmetic surgery on the cheap. After all, without training, proper medical equipment, sanitary procedures, and aftercare, these types of services certainly do cost less than what you might find in a properly accredited facility. Of course, there is the flip side of the equation infections, disfigurement, and potentially fatal complications. It boils down to which one you value more: money or your life.

How can you avoid falling prey to someone pretending to hold a medical license? Most of the time, it boils down to being a good sceptic. Ask about their qualifications, and check with the accrediting body. Ask to see pictures or other evidence of their successful work. Above all, keep an eye on the bottom line, and walk away if the price seems too good to be true.

Breast Implants May Rev Up Your Sex Life, According to a New Study

According to a new study, women who undergo breast implant surgery derive more pleasure in the bedroom.

The study was conducted through RealSelf.com  an online community for learning and sharing information about cosmetic surgery. The poll was piloted over a two-week period and women were asked to rate their sexual experiences since undergoing breast augmentation surgery.

Women experience more sexual satisfaction after breast augmentation

breast augmentation

According the poll, 61 percent of women said they were having more sex and 70 percent confessed that their sex life was more enjoyable post-surgery. The results also showed that these women were overall more easily aroused and capable of reaching orgasm.

According to Dallas area plastic surgeon, Dr. Andrew P. Trussler, these results are not surprising. In my personal observation, women definitely feel more confident after the procedure, and you can easily see how that improved confidence will lead to improvements in other areas of their lives.

Most women think breast augmentation was â??worth itâ?

Breast implant surgery remains one of the most popular procedures in the U.S.A  Nearly one million women have undergone breast enlargement surgery in the past three years. And according to the poll, breast enhancement is the right choice for many women.

On a 1-10 point scale, 28 percent of the female participants admitted that their sex lives had improved by more four points and 7.5 in 10 said the procedure was ‘worth it’.

Are you interested in learning more about breast augmentation surgery? Contact the offices of Dr. Craig Jonov.

Source: Daily Mail

Choosing Your Breast Implants: Implant Size

Choosing breast implant size in SeattleAlthough choosing a breast implant size is only one of many considerations for Seattle breast augmentation patients, it is often the single decision that can cause the most anxiety.

The most common reason this decision is so difficult for patients is because they do not understand how the volumetric measures of breast implants translate to a bra cup size.

The first thing that is important for patients choosing a breast implant size to understand is that bra cup sizes vary wildly from retailer to retailer and are not an exact measurement of breast size. Breast implant sizes are measured by exact volume in cubic centimeters (cc’s), so while a cup size might give you a ballpark range of the overall breast size you are trying to achieve, they will not help you choose an exact breast implant size.

Try to put the idea of C cup and D cup out of your mind while you consider your options. Also, remember that your natural breast tissues will also contribute to the overall size of your breasts after implants have been placed provided your implants are not part of a breast reconstruction procedure.

Breast Implant Sizes

A great place to start your journey to understanding breast implant sizes is with the range of implant sizes or, rather, volumes available in the U.S. There is slight variation in size availability for saline and silicone breast implants, however in general, breast implant volumes range from about 120cc to 850cc.

Saline implants can be overfilled to achieve a slightly larger size, however most patients do not want breast implants that large. In fact, some states even dictate that plastic surgeons may not supply patients with breast implants larger than a certain size (usually 1000cc to 1200cc).

In choosing a breast implant size, it also helps to remember that your skin must stretch to accommodate the implants you choose, so if you have poor skin elasticity or are prone to stretch marks, your cosmetic results may be best if you choose implants that will not put undue stress on your skin.

Breast Implant Profiles

In addition to different volumes, breast implants also come in four different profiles: low, moderate, moderate plus and high profile. The implant profile affects the projection of your breast implants, and although they are not directly related to the implant size, they can affect how large or natural your breasts appear.

The greater the profile of your breast implant, the greater the height of your breast side wall. Many patients who desire more upper pole fullness, or cleavage, and are less concerned that their implants look natural choose high profile implants, as do patients with very narrow breasts.

Tools to Help You Choose a Breast Implant Size

There are many tools Dr. Jonov can provide you with to help you visualize how different breast implant sizes would look after surgery. Although none of them offer an exact representation, they can still give you a general idea of the look and proportions implants would create.

Implant sizer bras are helpful to some patients as they struggle to imagine how they would look with larger breasts. Sizer bras have pockets in them designed to hold replica breast implants of different sizes, allowing you to contrast and compare the effect different breast implant volumes has on your contours. Try on sizer bras with a swimsuit, t-shirt and other tops to see a general approximation of the effect breast implants would have.

A measuring tape can also be a great help. Having your surgeon take measurements of your chest wall dimensions will help you get a better understanding of your existing body proportions and how they would change with different breast implants. Your surgeon will provide you with appropriate context and a brief anatomy lesson during this stage of the decision-making process.

Finally, arguably the best resources available to patients choosing a breast implant size are breast augmentation before and after photos. Looking at before and after photos of other patients who share a similar build, existing breast size and desired breast size can provide some of the most useful direction to women considering implants. Review as many before and after photos as possible as you make your decision.

Input From Your Surgeon

Dr. Jonov will certainly help guide you throughout the process of choosing your ideal breast implants. However, keep in mind that decisions about your implants, including their size, must ultimately rest with you.

Be sure to choose a surgeon who makes you feel comfortable asking questions and gathering all of the information you need to make an informed choice. While Dr. Jonov has spent many years helping women in the Seattle metro choose their breast implants and can offer you invaluable input, you must feel confident in your decision to ensure your expectations for breast augmentation are met.

Choosing Between Saline and Silicone Breast Implants

Choosing between silicone gel or saline breast implants is often one of the most confusing and difficult decisions Seattle breast augmentation patients must make. Each implant material has its pros and cons, so there is no clear way to say which type of implant is best, and each patient must decide based largely on their personal goals and preferences.

Look and Feel

Both silicone and saline implants can give you a natural look, particularly if the implants are placed under the chest muscles, however silicone breast implants have a reputation for providing a more natural feel. This makes sense, given that silicone implants today are made of a cohesive gel material that more closely mimics the weight and suppleness of natural breast tissue than liquid saline solution. Patients who are very thin or have little natural breast tissue to cover their implants are often good candidates for silicone gel implants because the implants are softer and less prone to rippling, allowing for a more natural look and feel. Patients with pronounced asymmetry in the size of their natural breasts may also be good candidates for saline implants, as the volume of saline solution in each implant can be adjusted to even out the breasts.


Saline breast implants are composed of an outer silicone shell and a filling of liquid saline solution. Because the saline solution can be added after the implant shells have been placed in the chest wall, the incisions needed to place saline implants are slightly smaller. There are also more options as to where incisions can be placed with saline implants. Unlike silicone implants, which can be inserted only through incisions in each breast fold (inframammary incisions) or along each armpit (transaxillary incisions), saline implants can also be inserted through incisions around the border of each areola (periareolar incisions) and even through the belly button (TUBA incision). Thus, saline implants result in smaller scars (about half an inch smaller) than silicone implants and offer more options for patients in terms of where their breast augmentation scars are located.


In 2006, the FDA ended a 14-year moratorium on silicone breast implants that was instituted because lawmakers felt there was insufficient evidence to rule that the implants were safe. After years of rigorous testing, the FDA allowed silicone implants to re-enter the market because no scientific data had been produced to link silicone implants to systemic diseases they were previously assumed to cause. From a scientific standpoint, the safety of silicone implants and saline implants is identical. The only difference between the two from a legal standpoint is that patients must be 22 to have silicone implants, whereas they can be as young as 18 to have saline implants. Patients who choose either option can rest assured that all FDA approved breast implants are safe and will not directly affect your health and wellness in any way, positively or negatively.

Breast Implant Cost

Breast implant manufacturers charge about $1,000 more for silicone breast implants than saline breast implants, so breast augmentation with silicone implants is slightly more expensive initially. Also, consider that patients with silicone implants should have an MRI three years after surgery and every two years thereafter, as there is no other way to detect breast cancer or implant ruptures with silicone implants. Saline implants, on the other hand, do not require an MRI to detect cancer and will visibly deflate if they are ruptured. Due to the cost of periodic MRIs, the cost of maintaining silicone implants can be slightly higher in the long run.

The Bottom Line

It is easy to get overwhelmed evaluating the pros and cons of saline and silicone breast implants, but before you do, remember that you have a guiding light in this process: your cosmetic surgeon. Dr. Jonov has decades of experience and has helped hundreds of Seattle breast enhancement patients choose the best breast implants to meet their unique needs. Trust Dr. Jonov to help you make this important decision, and feel free to ask questions, talk to other breast augmentation patients and look at plenty of breast augmentation before and after photos before you decide on silicone or saline breast implants.

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Are Silicone or Saline Breast Implants More Popular?

Breast implantsWhile a recent informal user poll at www.implantinfo.com found that women interested in breast augmentation say they are more likely to get silicone breast implants, plastic surgery statistics show that last year women were equally divided between silicone and saline implants.

The poll, which received 481 responses from women who said they were planning to have breast augmentation surgery, found that 58 percent said they would choose silicone breast implants; 24 percent would choose saline breast implants; and 17 percent were undecided.

Statistics from the American Society of Plastic Surgeons (ASPS) showed that in 2009, 50 percent of women in the U.S. who underwent breast augmentation received silicone implants and 50 percent saline.

However, comparing data from ASPS since the FDA approved silicone gel breast implants in November 2006 shows that silicone has been gaining on saline each year. In 2007, 65 percent of breast implants were saline; in 2008, 53 percent were saline; and last year silicone use matched saline use.

Implant Differences

  • Saline breast implants are filled with saline, usually at the time of surgery.
  • Silicone breast implants are pre-filled with silicone gel a thick, sticky fluid that mimics the feel of human fat.

One advantage of saline implants that the surgeon can fill the implant during surgery, which allows for a smaller incision. The size of saline implants can also be changed over time without additional surgery. Saline implants feature small valves in which a doctor can insert a needle and either add or subtract the liquid to change the implant’s size.

Silicone implants have the advantage of looking and feeling more natural. Saline implants have sometimes been criticized for feeling hard, although improved surgical techniques have lessened these complaints.

Both types of breast implants are approved by the FDA, so they have been thoroughly researched and tested and reviewed by an independent panel of physicians for safety. Saline breast implants are available to women 18 and older for breast augmentation, and silicone implants are available to women 22 and older (both are available to women of any age for breast reconstruction).

Plastic Surgeons Stress Importance of Doctor-Patient Relationship

Heidi Montag after plastic surgeryABC News reports that reality TV star Heidi Montag, who had ten plastic surgery procedures in one dayâ??including a breast augmentation that gave her a G cup is looking to get a breast reduction.

Those who have buyer’s remorse after plastic surgery are likely troubled by deeper issues, says Ann Kearney-Cooke, a psychologist in private practice who specializes in weight and body image issues. “[The surgery] changes the look, but if you have a problem that you haven’t resolved, you’ll have a temporary positive feeling, but then something else is the problem,” notes Kearney-Cooke.

“I think [plastic surgery remorse] is actually increasing, and I think in part it’s increasing because of the drop in reimbursement by insurance companies, which is driving doctors in other specialties into the plastic surgery market,” said Dr. Julius Few, a plastic surgeon in Chicago.

Dr. Timothy Miller, chief of plastic surgery at the David Geffen School of Medicine at UCLA, feels differently: “Maybe I’ve seen it a few times in my practice, but it’s very rare.”

While there’s no consensus among plastic surgeons as to whether there’s been an increase in the number of people who experience remorse after cosmetic procedures, they agree that it can potentially be avoided if patients and doctors recognize and address the problem.

Dr. Few has a therapist employed in his practice. “We know in plastic surgery that if somebody has undue stress, the risk of complication is higher,” he says.

“Most plastic surgeons will tell patients to work out their problemsâ??go talk to a psychiatrist or confide in somebody else,” says Dr. Miller.

Communication between the patient and doctor is also key. “It’s really important that both the patient and the physician understand what the motivation is behind the surgery,” said Dr. Malcolm Roth, a plastic surgeon in Brooklyn, N.Y.

Botox Decreases Pain in Breast Reconstruction Patients

Woman holding chestBotox can reduce post-operative pain in women who get silicone implant breast reconstruction after a mastectomy, according to Dr. Allen Gabriel, who presented his study at the recent International Society of Aesthetic Plastic Surgery Congress.

Dr. Gabriel, a plastic surgeon in Vancouver, Washington, did a 30-patient clinical trial for this off-label use of Botox that demonstrated that botulinum toxin A addresses the sources of severe pain associated with the procedure.

Silicone breast implantation usually involves the positioning of a temporary expander implant between layers of the chest muscle, which is filled with water to create a pocket where a permanent implant will reside. According to Dr. Gabriel, the muscle often contracts and spasms in response to the expansion, causing the patient pain.

Dr. Gabriel, along with his collaborator Dr. G. Patrick Maxwell, theorized that Botox injections could offer relief by temporarily paralyzing the muscle so that fewer spasms occur, resulting in less pain.

“The use of [botulinum] is changing the reputation of expanders as a painful part of breast reconstruction,” Dr. Gabriel said. “Before we started using [botulinum], patients leaned toward autologous reconstruction because of anxiety about expander pain. Now, patients are more inclined to choose expanders.”

The clinical trial assigned 30 breast cancer patients who were all getting a mastectomy with silicone implant breast reconstructionâ??into two groups: one group received Botox injections in the chest muscle and the other received injections of saline solution as a placebo.

The women who received the Botox injections were more comfortable after surgery than those who received placebo, Dr. Gabriel said. He measured patient responses three times during and after the procedure. He also noted that during days 7 to 45 of the recovery period, those that received Botox injections used significantly fewer doses of narcotics and muscle relaxants.

Plastic Surgeons “Ramp Up” Fat Transfer Breast Augmentation

Marketing efforts for breast augmentation done with fat-grafting are being “ramped up” says the New York Times. Experienced plastic surgeons weigh in to warn potential patients about the unpredictable nature of this procedure. “Suddenly everyone is claiming to have 10 years experience,” says expert Dr. Sydney Coleman. [NY Times]

A British cosmetic clinic is showing off the cosmetic surgery results of their employees in a 2010 calendar. They’re calling the calendar “tongue-in-cheek, but tasteful, featuring “girls from across our company of all ages and they all look amazing.” [The Sun]

Can breast implants or lasik eye surgery be considered a marital asset? According to the Associated Press, attorneys in North Dakota thought the issue was worth debating. The judge’s ruling? “nonsense” [Star Tribune]

Giving cosmetic surgery for Christmas? Don’t surprise your significant other with a plastic surgery gift certificate unless you’ve discussed the idea in the past. Do it right and you’ve got an extraordinary gift! [RealSelf]

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