Surgeon Richard Fryer – Real Self Top Rated Doctor
Breast augmentation is one of the most popular cosmetic surgeries performed in the United States with over 300,000 patients requesting breast implants last year. The size and shape of a woman’s breasts help create the characteristic feminine curves. They often play a significant role in a woman’s identity and sensuality. Some women desire to have breast augmentation because they did not develop as large as they would have liked. Some are disappointed by the changes that can occur as a part of aging or pregnancy and nursing. Others may have genetic or developmental issues that prevented their breasts from growing or adversely affected their shape. Whatever your motivation may be, Dr. Fryer can help you achieve the beauty and confidence that you desire. He is a leading expert in breast augmentation, has performed thousands of operations, and consistently achieves the best outcomes with the highest patient satisfaction scores of any cosmetic plastic surgeon in Utah.
Breast augmentation is about helping you feel better about how you look. Dr. Fryer has developed a unique perspective on breast augmentation and a very innovative measuring and sizing method that helps his patients of his Salt Lake City area plastic surgery clinic achieve bigger, fuller breasts with improved shape while still ensuring that they look very natural. This innovative method helps Dr. Fryer achieve the best breast augmentation outcomes for his patients. He also uses meticulous surgical technique in his fully accredited, state-of-the-art Draper surgical center that results in less bleeding, less inflammation, and a much faster, rapid recovery after surgery. He will customize your procedure to help achieve, larger breasts with a better shape, increased upper pole fullness with more roundness, improved projection, greater self-confidence, and still help preserve the natural look of your breasts that fit your lifestyle.
Continue to read the information that is provided on this website, but make sure that you download your free breast augmentation planner that goes into much more extensive detail about every aspect of his innovative technique and perspective. This free planner is packed with 40 pages of important information and will help you become a much better educated patient and provides you with the best, most reliable information about breast augmentation with implants, and even breast lifts. Among the topics covered in your free planner are: saline and silicone implants; preparing for surgery; how to choose the best plastic surgeon for breast augmentation, details about the surgery; how to help improve your recovery after the surgery; and information about possible complications. Patients from all over Utah, Idaho, Wyoming, Nevada, Colorado, and even California have given high praise to this breast augmentation planner for being the best, most comprehensive source of information anywhere on the internet.
Dr. Fryer’s breast augmentation planner helped me make the best decisions about my surgery. This was the best information I found on the internet as I researched this procedure. I have read it many times and have shared it with other friends that are interested in learning more about breast augmentation.
Jennae; Elko, NV
I researched and consulted with carious doctors in the SLC valley, some of which I was shocked to see the size and diameter of implants they wanted to use on me. I have a very narrow and small chest. After doing different consults I kept coming back to Dr. Fryer and his patient reviews. He not only lived up to these ratings but has exceeded them in my opinion.
Sandi; American Fork, UT
Are you a good candidate for breast augmentation?
The best candidates for breast augmentation are women who are healthy and want to increase the size and shape of their breasts and feel better about their appearance. Some women begin to consider breast augmentation when they realize that nature may never provide them with the size they want. Often women seek breast enhancement when they feel self-conscious when they wear tight clothing or swimsuits because these clothes draw attention to the fact that they don’t feel like a woman. Some begin to research surgery after pregnancy and nursing have deflated the size of their breasts and made them droopy or saggy. Sometimes massive weight loss affects the size and shape of a woman’s breasts. Other women just want to improve their feminine curves and shape. All of Dr. Fryer’s patients want to look their best and that is why they choose him as their plastic surgeon to perform their surgery. With his extensive experience, he will be able to make sure that you are a good candidate for surgery and customize a plan for your unique situation.
Ultimately Dr. Fryer will need to review your medical information to ensure that you are a good candidate for breast augmentation; he wants to make sure that he doesn’t expose any of his patients to unnecessary risks. He helps his patients develop realistic expectations about what they can expect with a very comprehensive education about the actual planned procedure and the most common risks. The use of pictures and diagrams helps clarify these subjects and concepts for his patients. This education about breast enhancement is well worth the cost of the consultation and creates well-educated and informed patients ready to make the necessary decisions about implants and breast enhancement surgery. You will learn even more about breast augmentation and understand things so much better after your consultation with him in his Salt Lake City plastic surgery clinic.
I was impressed with how detailed he was in my consultation. I felt like my result and my safety were his highest priority. He definitely helped me create a realistic expectation of what to expect from breast augmentation surgery.
Trish; Salt Lake City, UT
Choosing a Plastic Surgeon
Choosing a plastic surgeon to perform your breast augmentation is a critical step in achieving natural results and avoiding complications. Not all plastic surgeons specialize in breast surgery. Dr. Fryer is a breast augmentation specialist near Salt Lake City, Utah and a well-respected industry expert about implants. You need to feel comfortable with, and confident in, your surgeon; your choice of doctor has a substantial role in your outcome. Not all plastic and cosmetic surgeons are created equally. Even though some may have all the highest qualifications, they may not have the artistic eye or surgical skill to achieve natural, beautiful breast augmentation results. A significant amount of information regarding the qualifications of plastic surgeons is included in your free breast augmentation planner. Dr. Fryer is a board certified plastic surgeon and a member of the American Society for Aesthetic Plastic Surgery (ASAPS), the American Society of Plastic Surgeons (ASPS), and the American College of Surgeons (ACS).
Dr. Fryer has impeccable qualifications and the artistic insight to consistently obtain the best breast augmentation results while minimizing complications and ensuring the highest level of patient safety. You can be confident in choosing Dr. Richard Fryer in Draper, Utah as your surgeon regardless of where you are from. A significant percentage of Dr. Fryer’s patients travel to Salt Lake City, Utah from Wyoming, Idaho, Nevada, Colorado, and even California. According to the American Society for Aesthetic Plastic Surgery 2018 Survey on Cosmetic Procedures Performed, Dr. Fryer performs more than eight times the number of breast augmentations and three times the number of lifts than the average plastic surgeons who likewise specialize in cosmetic surgery. This data indicates that he is an expert in all types of breast surgery including augmentation with implants and lifts. He has the experience and the skill to help you get your best possible result from breast surgery in the state of Utah.
After reviewing your medical history, Salt Lake City plastic surgeon Dr. Fryer will take specific and unique measurements of your breasts and chest. This information allows him to give you his professional opinion regarding a range of implant sizes that will provide you with a natural look to your breasts and will be the best implant size to balance the rest of your body. You will then “try on” implant sizers in order to approximate what surgical enhancement may accomplish for you. This also helps you communicate your desires and expectations by taking an active role in determining which breast implant is right for you. Dr. Fryer’s innovative methods for determining the best size implant for his patients and his extensive experience have made him the highest rated and most reviewed cosmetic surgeon specializing in breast augmentation using implants in Utah.
Dr. Fryer’s free breast augmentation planner has an entire section dedicated to helping you understand the different qualifications of cosmetic plastic surgeons and warning signs that you need to pay attention to and avoid. Board certification as a plastic surgeon is critically important and so is an emphasis on cosmetic surgery. The augmentation planner will help you understand some of the confusing credentials and help you feel like you are making the best choice. You need to be aware that millions of dollars are spent advertising for cosmetic surgery in the state of Utah every year trying to catch your attention and influence your decisions. Dr. Fryer does not advertise but rather relies on satisfied patients’ reviews and testimonials to help educate other women about what their experience was like. Would you rather make decisions based on what real patients are saying about their surgical experience and outcome or based on advertisements? Your free augmentation planner will help you decide for yourself how you can make the best decision for your surgery.
I had my first augmentation 8 years ago with a different surgeon and had a horrible experience…. When I had the courage to try again, I did a lot of research to find the right doctor and Dr. Fryer had the best patient reviews and ratings. His staff was friendly and professional, and he was truly invested in me as a patient, ensuring I was content with my results. he did an incredible job and I couldn’t be happier with the outcome.
Lisa; Herriman, UT
Rapid Recovery After Breast Augmentation
Dr. Fryer has developed innovative methods to help speed his breast augmentation patients’ recovery and minimize discomfort and pain. He routinely performs breast augmentation with less than a teaspoon of blood loss for the entire procedure in his fully accredited ambulatory surgery center in Draper, Utah. Less bleeding means less bruising; less bruising leads to less tissue inflammation; less tissue inflammation results in a much more rapid recovery from breast augmentation and less down time. Although he prescribes a small number of narcotic pills, many of his patients do not find it necessary to use them. Dr. Fryer prefers to use alternative, non-narcotic medications for his patients and believes that this is safer for his patients while still providing for excellent comfort during recovery. He instructs his patients to perform stretches with their arms immediately after surgery but asks them to refrain from any strong chest or upper body exercises for six weeks or any aggressive, Olympic style weightlifting for three months. In Dr. Fryer’s extensive experience, he feels like the gentle arm stretches are as good or better than muscle relaxers at keeping the chest wall muscle loose and preventing muscle spasms. He also likes to minimize the number of medications that sedate his patients in order to try to avoid the possibility of over-medication. You can review this list of exercises that can be performed immediately after the surgery using your own judgement.
You should feel surprisingly well after Dr. Fryer performs your breast augmentation. The most common comment he hears when talking with his patients after surgery is, “I thought it was going to be a lot more painful!” His extensive experience and unsurpassed skill allows his augmentation patients to recover more rapidly and return to many normal life activities faster than they expected. Everyone’s experience can be different, however, but rest assured that you will be provided with medications and instructions to help you recover quickly and comfortably from your surgery at home. Patients that travel from out-of-town find easy access to very affordable accommodations very close to Dr. Fryer’s plastic surgery clinic and surgical center in Draper, Riverton, Bluffdale and Sandy, Utah. Slightly further away, but still very convenient and accessible, the communities of South Jordan, West Jordan, Herriman, Kearns, Alpine, Highland, Lehi, Orem, Provo, and Murray also offer very reasonable accommodations. His office has a list of nearby hotels and accommodation recommendations for out of town patients that you can request. Read more about the techniques used and the medication prescribed for your surgery in Dr. Fryer’s free breast augmentation planner.
The right options and choices for each patient’s operation can only be determined during a consultation with Salt Lake City cosmetic plastic surgeon Dr. Fryer. All surgical procedures have some degree of risk, but major complications are rare.
Call us at 801-571-2020 to schedule your consultation or contact us online.
I am still amazed at how painless everything was. I got pretty large implants and recovered much quicker and easier than my friends who had the same procedure from different doctors. I did not even bruise. This really is the best place to go. My results are amazing and Dr. Fryer makes sure you are comfortable with EVERYTHING and not pressured.
Carrie; Morgan, UT
I had the best experience with Dr. Fryer and his staff!! I traveled to Utah from out-of-state to have him perform my surgery and they accommodated me with no problems. He took so much time to explain the process in detail and answer all my questions without making me feel rushed. He listened to what I wanted without pressuring me to go bigger/smaller!! The results are amazing and I have loved this process from start to finish. Would highly recommend.
Amber, Evanston, WY
Revision Breast Surgery
Dr. Fryer performs a significant amount of complex, revision breast surgery for patients that have been dissatisfied with results they obtained elsewhere in Utah or even out of state. It is critical to choose your cosmetic plastic surgeon carefully, because it is difficult and expensive to fix a bad outcome. He can help you understand what options are available to correct issues that bother you when you meet with him in his Salt Lake City area plastic surgery clinic. This may include moving the breast implants into better position, closing (and sometimes opening) scar capsules around the implant, changing the size (both diameter and projection) of the implant, moving the implant behind the muscle, and possibly doing (or re-doing) a lift. Choose your cosmetic plastic surgeon carefully because not everyone in Utah specializes in cosmetic breast surgery and not everyone has the same skill and experience as Dr. Fryer. You can’t excuse bad breast surgery results by saying that you don’t mind because you got a great deal or that you got things done on sale; with cosmetic plastic surgery you most often get what you pay for. Save money on groceries, but don’t scrimp on your cosmetic plastic surgery.
Dr. Fryer encourages his augmentation patients to exchange their silicone implants every ten years to help reduce the chance that they may have to deal with an implant rupture. Ten-year rupture rates for implants are between 7 and 12%. Implants are fairly durable but like most products begin to wear out and weaken over time. Revision surgery to replace an implant if the patient has been happy with their results and hasn’t had any complications associated with their breast implants is a very straight forward and relatively simple operation. Revision surgery dealing with complications of ruptured silicone implants is much more involved and extensive and can result in more frequent operations in the future. Even if you are completely happy with your results and haven’t had any complications you should still plan on getting new breast implants about every ten years. Whatever your situation may be, Dr. Fryer is one of the most experienced and capable cosmetic plastic surgeons in Utah to perform your revision breast augmentation.
Revision breast augmentation and revision breast lift surgery are performed in the ambulatory surgical center in Draper, UT under general anesthesia and your comfort is enhanced with the addition of a local anesthetic. Dr. Fryer may have you purchase special underwire bras to help hold the position of the implants in the revised scar capsules. You may have to get several different bra sizes because it is difficult to anticipate which one will fit best with all the different changes that may be taking place. Initial breast augmentation operations typically take less than an hour for him to complete, whereas some complex breast revision surgeries can take up to six hours depending on what needs to be done. Recovery from revision breast surgery may include restrictions on movements or exercise of your chest and arms. Dr. Fryer’s innovative approach with alternative medications favored over narcotics keeps his cosmetic plastic surgery patients very comfortable and minimizes the risks associated with the use of narcotics.
I had a breast augmentation several years ago by a different doctor in Utah and to say it was a horrific experience would be quite the understatement. I finally decided I was ready to get “me” back, so I started reading reviews and searching for the best plastic surgeon. Once I had a consultation with Dr. Fryer, I knew that he was exactly who I was looking for. He…. took the time to explain several different options in detail and patiently answered my questions. I left his office that day with tears of joy welling in my eyes…. I am OVER THE MOON happy with my results and equally overjoyed with the amazing care that I received. Thank you, Dr. Fryer. Because of you, I feel like myself again.
Rachel; Provo, UT
Breast Implant Choices
There are several different options regarding implants. Some breast implants are filled with saline and some are filled with silicone. Some silicone implants are more cohesive than others (you’ve probably heard the term “gummy bear implant”). Some implants are round, and some are teardrop or anatomically shaped. Some breast implants have a smooth shell, and some implants have a textured shell. There are three main breast implant manufacturers in the United States as well. This means that there are literally thousands of different sizes, shapes and styles of breast implants to choose from. This is another reason why your choice of plastic surgeon to perform your breast augmentation surgery is so important; you will need some help sorting through which implants are right for you. Links to reliable industry information regarding the different implants and manufacturers are found in Dr. Fryer’s free breast augmentation planner.
Saline or Silicone Breast Implants
Saline implants are filled with a standardized and commercially available dilute salt solution. They tend to feel kind of like a bag filled with water because that’s what they are: a silicone shell filled with a saltwater solution. It is not uncommon for a patient to be able to feel the edges of the saline implant shift and fold beneath their fingers when they touch their breast. This is called implant rippling and does not mean that there is anything wrong with the implant. The amount of rippling that a patient may experience depends on many different variables: the size of the breast implant (how big), the amount of breast tissue (and potentially muscle) that covers the implant, and how resistant the patient’s tissue is to displacement and thinning. Saline implants and silicone implants are similarly durable and resistant to rupture. If a saline implant ruptures the saline is absorbed and there are no adverse effects. The patient is left simply with a “flat tire” and the social urgency to replace the implant. There are fewer options regarding implant size with saline implants. Sometimes the patient’s desired volume (size) is not available in saline and therefore a silicone implant must be used to achieve that anticipated result.
Silicone implants have the same shell as the saline implants but are filled with medical grade silicone of various thickness or stiffness. Unlike saline implants that must be filled at the time of augmentation surgery, silicone implants come pre-filled from the factory. Some silicone implants are thicker, or more cohesive, than others. All modern silicone implants have the consistency of thick jelly or “Jello” and all silicone implants ripple less than saline implants but can, and do, still ripple. The purpose of highly cohesive silicone implants is to reduce the amount of rippling (and hopefully prevent rippling all together), as well as to help maintain more fullness or roundness of the top of the implant (“upper pole fullness”). These more highly cohesive silicone implants are sometimes called gummy bear implants. Silicone implants are similarly durable and resistant to rupture as saline implants.
Dr. Fryer doesn’t want his patients to wait until their implants rupture and recommends that his patients replace, or exchange silicone implants every ten years. Medical grade silicone is specifically designed for optimum biocompatibility and undergoes extra purification steps during production in order to meet or exceed very rigid requirements of the healthcare industry. It can cause localized tissue inflammation if it ruptures and this will produce more frequent capsular contracture (hardening and stiffening of the scar tissue that surrounds the implant) into the future. A ruptured silicone implant can be replaced, and all visible silicone can be removed, but there will always be microscopic amounts of silicone that remain and will continue to create issues with recurrent capsular contracture. Once again, Dr. Fryer encourages his patients to replace silicone implants every ten years to help avoid this issue.
I can’t believe how natural my [silicone] implants look and feel! I absolutely love my results and wish I would have done this sooner!
Candice; Vernal, UT
Teardrop (anatomic) or Round Implants
There has been a significant amount of debate regarding teardrop or round implants and which one is the best or gives the most natural appearing results. This is a very confusing topic because it seems like everyone wants to share their opinion regarding their ideas. Dr. Fryer prefers to reference published data in medical literature to answer this question instead of offering personal opinions and ideas. The majority of well conducted studies that were designed to answer this very question have concluded that there is no visible difference between teardrop and round breast implants after insertion; both the teardrop and round implants result in very natural appearing shape. These results were generally judged by both patients and surgeons, and both failed to recognize a difference between the two breast implant shapes. Possibly the only exception to these published findings are larger implants, placed on top of the muscle, in patients that have minimal breast tissue to help disguise the implant.
The reason that teardrop and round implants can both give very natural appearing results is because when they are placed in the tissue (especially behind the muscle) they both have nearly the same shape. Yes, a round breast implant looks like it has a teardrop shape when it is oriented vertically in the patient with the tissue pressing against it. Diagram of teardrop vs round implant in tissue Smooth, round implants rotate freely in the tissue and will maintain that teardrop shape regardless of how they are rotated. The problem is that if a teardrop shaped implant rotates then it no longer looks very natural at all. All teardrop shaped implants are textured (have a slightly roughened surface) to help prevent rotation. They are not supposed to rotate, but they can, and do. Anatomic (teardrop shaped) implants are usually more expensive than the smooth, round implant options, and since Dr. Fryer doesn’t recognize any significant benefits from an anatomic implant he doesn’t want you to pay more money for something that doesn’t really provide you with a better result.
Textured or Smooth Breast Implants
Dr. Fryer uses almost exclusively smooth implants in his practice. This decision is based on excellent medical data, and his personal experience with thousands of patients. Smooth implants rotate freely in the tissue. Regardless of how they rotate, they always maintain a somewhat teardrop shape. The shell of textured implants is slightly stiffer than the smooth implant shell and sometimes that stiffness can be noticeable.
Textured implants were developed to help prevent displacement, rotation, and capsular contracture. Dr. Fryer again refers to published medical data to address these issues. Displacement (bottoming out) is one of the most frequent causes of revision surgery within the first several years (< 3 years). Textured implants supposedly decrease the rate of bottoming out or displacement, but this is not supported by data or by Dr. Fryer’s own extensive experience performing revision surgery on patients that had their original operation by other plastic surgeons. He has revised textured breast implant patients that have bottomed out, displaced down or laterally on the chest, and that have rotated so the implant is not oriented correctly.
Capsular contracture is the most common reason why patients have revision breast augmentation surgeries in the long term (> 5 years). Textured implants were developed to help decrease the rates of capsular contracture. According to the vast majority of peer reviewed plastic surgery literature the capsular contracture rates for textured and smooth implants are nearly identical when the implant is placed behind the muscle. The only clear difference in capsular contracture rates between textured and smooth implants is when the implant is placed on top of the pectoralis muscle (subglandular position). When implants are placed in the subglandular position the data significantly favors the use of a textured implant. Dr. Fryer prefers placing the implant behind the muscle (submuscular position) and he has very few exceptions to this preference. He therefore rarely uses textured implants.
Textured breast implants also present several potential complications that smooth implants either don’t have or have to a significantly lesser degree. Rotation complications are possible only with textured, teardrop shaped implants. Teardrop shaped implants are intended to look more natural, but if it rotates into the wrong orientation (upside down) it looks very unnatural. Delayed seroma (a sudden accumulation of fluid surrounding the implant long after surgery) is seen primarily only in patients with textured implants. Delayed seroma formation can be very uncomfortable and distressing because of the significant and obvious asymmetry that it causes. Double capsule (two completely different layers of scar tissue surrounding the implant – picture an eggshell inside an eggshell) is only seen in patients with textured implants. Textured implants have also been associated with anaplastic large cell lymphoma (ALCL) and although this disease is extraordinarily uncommon Dr. Fryer does not like to expose his patients to the extremely small risk of this rare disease because he does not see any benefit from the use of textured implants for his augmentation patients. This rare ALCL may be identified at some time in the future in a patient that has only had a smooth shell implant, but for right now we do not know if this has ever happened.
I had a great experience with Dr. Fryer and his staff. After my consultation I felt like I really understood breast augmentation and was able to make the best decision for me. Dr. Fryer is the best!
Missy; Logan, UT
Subglandular vs Submuscular
Breast implants can be placed on top of the pectoralis muscle (subglandular) or behind it (submuscular). Which positioning is best is another area of significant debate among plastic surgeons. Dr. Fryer strongly favors submuscular placement of implants. Submuscular implants look more natural because more of the woman’s own breast tissue is concealing and covering the implant. Submuscular implants have a lower rate of capsular contracture than subglandular implants; positioning the implant below the muscle allows the muscle to constantly “massage” the scar tissue surrounding the implant and keep the scar tissue soft and loose. According to the best published data, subglandular implants need to be textured to help delay the onset of capsular contracture. Dr. Fryer does not recognize a significant benefit from using textured implants and does not want to expose his patients to even the small risks associated with them unless a clear and specific indication for subglandular placement exists.
Submuscular implants only have a single minor drawback in Dr. Fryer’s opinion; they can move or “animate” when the muscle is contracted. All submuscular implants move to some degree, some more than others. This is something that is not completely predictable or preventable. Very few women find movement or shifting of the implant to be extreme and it tends to be a minimal annoyance for most women. He can help to decrease the chance or severity of breast implant animation if this is a significant concern for you. Most women barely notice the animation, but some women are bothered by it. Dr. Fryer estimates that less than 10% of his patients are bothered by or are concerned with animation. Window shading is a more severe extent of animation and creates a linear crease or fold in the breast skin and tissue when the muscle is flexed. He estimates that less than 5% of his patients have mild to moderate window shading, whereas less than 1% have severe window shading.
Dr. Fryer feels like the ONLY drawback to submuscular implant placement is animation or window shading. ALL OTHER considerations frequently discussed regarding implants are significantly improved with submuscular placement. How natural your breasts look is improved by having the implant placed behind the muscle. How natural your breasts feel is improved with submuscular placement. Rippling is much more likely with subglandular implants since having the muscle in front of the breast implant helps disguise it better. The rate or likelihood of capsular contracture is lower with submuscular implants because the muscle movement provides relatively constant massage to keep the scar tissue softer and more natural feeling. The main blood supply into the breast tissue is preserved with submuscular implant placement, whereas it is permanently divided when the implant is placed on top of the muscle. This is a significant concern for women who may eventually need a breast lift, because if the main blood supply of the breast tissue has been permanently divided by having an implant on top of the muscle then performing a lift and cutting into the skin will decrease the blood supply even more – possibly depriving some tissue of enough blood flow to live. The chances of developing symmastia (“uniboob”) are lower with submuscular placement if the surgeon respects the anatomy of the pectoralis major muscle. Dr. Fryer strongly recommends submuscular implant placement as the best choice for breast augmentation; there are very few situations when he will even consider subglandular augmentation.
I wish I had known about Dr. Fryer before I had my first boob job. I had problems and hated them from day one. My doctor tried to fix them a couple of times and they got even worse. He put silicone implants under my muscle and lifted my breast tissue and I couldn’t be happier with the results. Thank you Dr. Fryer!
Theresa; Provo, UT
Breast Augmentation Incisions
Breast augmentation can be performed using several different incisions: inframammary (in the crease at the bottom of the breast), periareolar (at the edge of the dark skin surrounding the nipple), and axillary (in the armpit). There are different benefits and risks associated with each of the different incisions used for augmentation and plastic surgeons often debate about which incision is the best. Dr. Fryer has a very strong preference for the inframammary incision because it has lower risks of complication, higher patient satisfaction rates, less risk of implant contamination and damage, and is in an area that is hidden and hard to see. Using the inframammary incision allows him to perform breast augmentation with almost no blood loss, precise placement, and a very rapid recovery. The inframammary incision is the most commonly used approach for augmentation surgeries in the United States. Most revision surgeries require the use of this inframammary incision, so any future surgeries may require a scar in this position anyway.
The periareolar incision is popular with some surgeons, but there are several risks with this incision that are not seen with other incisions. There is a minor, but statistically significant, increase in the chance for altered nipple sensation. This scar can sometimes become tethered to underlying breast tissue and create an indentation or crease at the edge of the areola that looks very unnatural. A journal publication has also shown that using this incision for breast augmentation greatly increases the risk of bacterial contamination of the implant. There is typically more bleeding with this approach and can lead to increased bruising and recovery time.
The axillary incision is located the farthest away from where the implant will actually be located, and this can create several undesirable issues. The implant is squeezed through a much longer tunnel to reach its position and this can place a significantly greater stress on the implant shell and potentially even cause some damage. This incision for breast augmentation also tends to create more bleeding than all other incisions, which leads to even greater bruising, more tissue inflammation, and much longer recovery times.
I was surprised how small my incision was and how fast I recovered after breast augmentation. Dr. Fryer and his staff exceeded every expectation I had.
Lorraine; Alpine, UT
What is the best breast implant for me?
Deciding which breast implant is best for you can be quite confusing because there are so many different options and choices. Dr. Fryer will help you navigate through all the confusing information and opinions to make the best choice for you. This is just one of the reasons why Salt Lake City area Dr. Fryer has become the best reviewed and highly awarded cosmetic plastic surgeon in Utah. He considers the issues that are most important with his patients and the best scientific information in order to help them choose the right implant to fit their needs, body, and lifestyle. He can select between implants from Natrelle, Mentor, Sientra, and Inamed (Allergan) to make sure that you are able to choose the best implant for your surgery. Are you interested in the gummy bear implant? He has that option for your surgery if it fits your measurements and fulfills your requirements. Do you want the newest generation, and latest silicone implant? Dr. Fryer has extensive experience with them. Do you want the most cohesive silicone implant available? He will help you decide which implant will give you the best results and fit your expectations and lifestyle.
Dr. Fryer has developed an innovative technique for measuring and sizing that combines an artistic eye with science to help his patients pick the right breast implant. In order to select the right implant for you, he believes that these measurements are critically important to help ensure that the implant complements your curve and shape but doesn’t overwhelm it. The implant needs to harmonize with your chest dimensions and balance all your other feminine curves as you achieve the best size and shape. Dr. Fryer can help guide you to make the right decision. He gives his patients boundaries and allows them to choose the best implant for themselves within those limits.
In order to choose the right size implant that looks natural and balances your body, there is no substitute for a consultation with Dr. Fryer in his Salt Lake City area plastic surgery clinic. You will be better educated, have a better understanding, and feel more comfortable with the different options and choices that you have after meeting with him and his very experienced and well-trained staff. He believes that it is his job to give you guidelines and boundaries to help minimize complications and risks of surgery, but he lets you decide what looks and feels natural to you. You will spend time trying on implants with his nurses during your consultation so that you can compare what you have imagined in your mind about the size and fullness of your breasts with what the different implant choices may provide for you.
I had a breast augmentation with Dr. Fryer and couldn’t be happier! I had a consultation with another doctor prior to finding Dr. Fryer that left me feeling unsure and uneducated. He told me to try the implants on and choose the ones that I liked the best. That was it — no measuring, no recommendations, nothing- just choose what you like and schedule your appt. When I had my consultation with Dr. Fryer, it was a COMPLETELY different experience. He took all types of measurements, looked at my dramatic weight loss history, body type, etc. and educated me on what to expect, risks associated with my unique case & body, what size range would be best for me, etc. He took his time, answered all my questions and knew his stuff. I felt so great about the consultation, I booked the same day and had surgery 5 weeks later. The final result is everything I expected and more.
Amber; Kanab, UT
Should I wait to have breast augmentation until after I’m done having children?
Women frequently ask about the timing of breast augmentation surgery in relationship to having more children. Some women think that pregnancy will adversely affect the result of their breast augmentation. There is no way to anticipate what will happen after pregnancy. Dr. Fryer believes that pregnancy simply speeds up the natural changes that would otherwise happen. Therefore, he advises women that they don’t necessarily need to wait until after having children to have breast augmentation. You can enjoy having larger, fuller, rounder breasts right now and don’t have to wait until you’re done having children.
Some women have heard that having implants can impact a woman’s ability to nurse. The data and studies, however, do not really support this fear. Incisions around the areola do have a statistically higher chance of creating issues with nursing, but the incision near the crease that Dr. Fryer favors doesn’t seem to affect it as frequently. This is a problematic topic to investigate and study, because even women that have never had implants will have difficulty nursing some of their children and maybe not have problems with others. It is difficult to show a cause and effect between breast augmentation and problems nursing. He has had hundreds of patients successfully nurse babies after breast augmentation. He does not recognize any compelling evidence that supports the suggestion that women wait until they are done having children before they undergo breast augmentation.
Removing Breast Implants
Women may want to remove their implants eventually. There are multiple different reasons for a woman to remove her breast implants. The implants may no longer fit her lifestyle, or she has gained more breast tissue as she became older. Dr. Fryer often sees women who had breast augmentation by other plastic surgeons in Utah and surrounding states that have never been happy with their breasts because they felt their implants were too big or made them look fat. This underscores the importance of selecting your plastic surgeon wisely. You want to make sure that your plastic surgeon is highly experienced and routinely achieves the breast augmentation results you like the best. Occasionally women think that their implants are making them sick (sometimes called breast implant illness on social media and the internet).
Whatever the reason for wanting to get their implants out, Dr. Fryer is usually able to perform explantation (implant removal) in his Draper, Utah plastic surgery clinic under local anesthesia. This saves you on cost, is faster, has almost no recovery time, and avoids exposure to a general anesthetic. You can drive yourself to the clinic, and after your implants have been removed, you can drive yourself home. He typically encourages patients to wear a tight, supportive sports bra day and night after removing their implants in order to help their breast skin to shrink and retract as much as it can. His patients are frequently surprised at how much they like the shape of their breasts after only removing the implant and not performing a lift. A patient can always decide to have a lift later and then they can be confident that the resulting scars and additional risk are worth the improved breast contour and shape.
Sometimes women come in requesting to have their implants removed for health reasons (often they have questions regarding breast implant illness that they have read about on the internet or social media). Some of these patients request to have an en bloc capsulectomy (or a total capsulectomy) based on information they have read on the internet. Dr. Fryer is very experienced in performing both en bloc and total capsulectomy. He feels, however, that these procedures are far more aggressive than most women require, expose patients to much greater risks with significantly higher complication rates, and have substantially greater cost. He is unaware of any peer-reviewed, scientific publications that show any benefit with total or en bloc capsulectomy compared to simply removing the implant and leaving the scar tissue (capsule) alone. He relies on scientific data to help his patients make informed decisions about what they would like to have done. If a total or en bloc capsulectomy offers greater benefit to a patient in a particular situation then Dr. Fryer supports the choice of that procedure, but he generally finds that these more aggressive options are unnecessary and excessive. He can perform en bloc capsulectomy and total capsulectomy when indicated in his fully accredited, ambulatory surgical center located in Draper, Utah. He also removes breast implants under local anesthesia in his Salt Lake City area plastic surgery clinic. You can drive yourself to the appointment, and then drive yourself home with little or no down time for recovery and nothing more than Tylenol and Ibuprofen for discomfort. In general, Dr. Fryer prefers the simplest, easiest way to remove implants that has the lowest complication rate in order to remove implants and obtain the best results for his patients.
I had breast augmentation many years ago and I wanted to have smaller breasts. I saw several doctors that told me I had to use a smaller implant and get a lift. Dr. Fryer was the only doctor that told me that I didn’t have to have smaller implants — I could just remove them. He also told me to wait for my skin to shrink because I might not need or want a lift. I am so glad I went to Dr. Fryer. I love the size and shape of my breasts and don’t think I need a lift.
Tess; St. George, UT
Breast Implant Illness (BII)
Recently there have been a growing number of women who self-identify as having various symptoms that they attribute to their breast implants and have called these symptoms breast implant illness. Social media has helped these women identify others with similar symptoms who are similarly looking for the best treatment. There is no laboratory test or study that has linked any of these reported symptoms with implants. This is not to say that these women do not have the symptoms they report, it is only to indicate that women with these symptoms do not have consistent laboratory abnormalities that can be used to describe a specific syndrome or disease. Medical grade silicone has been studied extensively and to date no cause-and-effect relationship has been identified between silicone and any systemic illness. Because there are no official diagnostic criteria for breast implant illness, we are not able to determine the risk of developing these symptoms. Further complicating things, there are many people in the general public who have never had implants that similarly experience the same or similar symptoms of breast implant illness. Overall, the percentage of women that self-identify with symptoms of breast implant illness appears to be quite small, and there is not yet a scientific explanation as to what is making these patients sick.
This can be very frustrating for patients who believe that they have symptoms caused by their implants. There is no data to prove or disprove the relationship. Plastic surgeons are participating in large studies and breast implant registries in order to understand these issues better and therefore be able to offer better care and advice to their patients. Dr. Fryer feels like some surgeons are unfortunately trying to capitalize on the situation by offering strong opinions in online forums claiming that the best treatment requires extensive (and expensive) surgery in order to cure them of their symptoms. These surgeons claim to have reputable publications and scientific articles that support en bloc capsulectomy and total capsulectomy as well as wholistic detoxification programs and removal of lymph nodes. Despite contacting many of these surgeons directly and asking for these references, Dr. Fryer has never received references or articles that support the benefit of total or en bloc capsulectomy procedures over simply removing the implants and leaving all the scar tissue behind.
Dr. Fryer has removed implants in his clinic under local anesthesia in his Draper, Utah plastic surgery clinic and left scar tissue alone in many women; some women’s symptoms of breast implant illness improved, and some did not. Likewise, he has removed breast implants en bloc or with total capsulectomy in many other women in his Draper, Utah surgical center; some patients experienced improvement in their symptoms of breast implant illness, and others did not. He has not noticed a trend in his extensive personal experience whether symptoms typically improve or not with any method of implant removal. Dr. Fryer is unaware of any peer-reviewed journal articles in plastic surgery literature that claim greater benefits from en bloc capsulectomy over simply removing the implant and leaving the scar tissue behind. Therefore, he generally favors the simplest, safest, and least expensive procedure, which is removal of the implant under local anesthesia in his Draper, Utah plastic surgery clinic. There are specific situations where this method is not possible or advisable, but this requires an in-person consultation to determine which procedure is the best for you.
Dr. Fryer has studied the plastic surgery literature extensively and speculates that some women’s symptoms may be associated with their breast implants; other women’s symptoms or illness may not. This speculation regarding breast implant illness symptoms has nothing to do with silicone, but rather with something called biofilm. We know that biofilm can be produced by some bacteria when they are on the surface of ANY medical device that is placed into a patient’s body (not just breast implants). This biofilm acts like a fortress and shields the bacteria and does not allow the patient’s immune system to attack and kill the bacteria. The bacteria may never quite create an infection, but they produce proteins and byproducts (even toxins) that a woman’s body can detect but can’t eliminate. This could theoretically create symptoms associated with an immune system that is working furiously to eliminate potential bacterial contaminants that are shielded and protected by the biofilm.
Dr. Fryer knows what he is doing. My husband and I felt like he was the only plastic surgeon that we had a consult with that had a scientific approach to breast augmentation. His system of measurements makes so much sense and helped me choose the best size implant to get a natural look.
Olivia; Ogden, UT
If Dr. Fryer’s biofilm hypothesis regarding breast implant illness is correct, then we need to determine where the bacteria come from and what would need to be done to treat it. To understand how an implant can become contaminated with bacteria you need to recognize that everything used in the operating room is sterilized. Dr. Fryer has protocols and safeguards for his ambulatory surgical center to ensure that all the instruments, drapes, gowns, solutions, gloves and everything else used during every operation are sterile. Likewise, the breast implants are sterilized by the manufacturer and there are quality control standards to ensure sterility. The only thing that cannot be sterilized in the operating room is the patient’s skin.
Bacterial contamination of an implant has been shown to occur from bacteria present on the patient’s own skin. For this reason, Dr. Fryer has established a protocol that most other surgeons do not follow anywhere else in Utah or any surrounding states. He provides a strong antibacterial soap to his surgical patients to use in three consecutive showers prior to their surgery to help decrease the bacterial load on their skin. Another strong soap is applied to the patient’s skin in the operating room and the patients receive a dose of antibiotics in their IV. The surgical area is rinsed with antibiotic solution and that same solution is used to bathe the implant prior to insertion. Dr. Fryer believes strongly in using a funnel insertion device, like the Keller funnel, to insert the implant. This allows him to insert the implant without allowing the breast implant to ever touch the patient’s skin. He rinses his gloves with the antibiotic solution before palpating the breast implant with his finger to ensure proper implant orientation. Everything that he does in the fully accredited ambulatory surgical center near Salt Lake City, Utah is designed to optimize sterility, patient safety, and achieve the best breast augmentation results that his patients have come to expect.
If Dr. Fryer’s biofilm theory about breast implant illness is correct, then removal of the implant alone and not removing the scar tissue should suffice. Biofilm is inseparable from the medical implant once it forms, therefore if there is biofilm present on the implant, then it will be completely removed when the implant is removed. Without the protection of the biofilm, bacteria cannot survive inside the tissue for very long because the patient’s immune system will search out and destroy them. If the breast implant illness symptoms improve, then another breast implant could likely be inserted months later with careful precautions to help safeguard the new implant from bacterial contamination. If the symptoms of breast implant illness do not improve, then he feels like some other unidentified cause is likely to blame. In this case too, another breast implant could likely be replaced some time later since the patient’s symptoms were seemingly unrelated the presence of the implant.
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