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Topic: Technology

The IDEAL IMPLANT: A new, safe breast implant technology


When exploring the possibility of implant surgery there are many considerations including size, timing, the surgeon themselves, but also what kind of implants are right for you. The IDEAL IMPLANT is a new implant product on the market with an innovative design using safe and proven breast implant materials.

Inspired to create safer, long lasting implants after dealing with many ruptured silicone gel implants, plastic surgeon Robert S. Hamas MD spent 10 years developing and refining the IDEAL IMPLANT.


The Difference:

With major technological advances, the IDEAL IMPLANT creates the same feel and quality of a silicone implant without the risk of ‘silent leaks’. Instead, it relies on saline materials but is made with a structure specifically designed to reduce folding and wrinkling which can lead to ruptures. The implant is built with chambers and shells to create a natural looking and feeling breast. The inner chamber holds the inner saline filler and baffle shells allow the implant to maintain its structure and control the movement of the saline. Using an IDEAL IMPLANT also allows your surgeon to make a smaller incision during insertion and is easy to remove in the future if desired.


The IDEAL IMPLANT was founded in 2006 and approved by the FDA and Health Canada in 2014. Their products are manufactured in an FDA-inspected facility that has been manufacturing breast implants for over 30 years.

Our office is one of a few in Vancouver which offer the IDEAL IMPLANT, and we are very excited to be able to offer our clients this option, in addition to silicone implants, for breast augmentation.

Book an in-person consultation with Dr. Macadam to discuss your options or learn more about breast augmentation surgery here.

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A woman’s options after breast cancer – Breast Reconstruction

Being diagnosed with breast cancer is a difficult time for anyone. It’s normal to be concerned about what the future holds—many patients find the time after a breast cancer diagnosis to be a challenging period of transition and adjustment. While it can feel overwhelming, understanding your options for treatment can help prevent the anxiety and fear of the unknown. In discussing your treatment options with your doctor, you might consider having a mastectomy or lumpectomy (i.e., the entire or partial removal of breast tissue). Breast reconstruction surgery is common after cancer tissue has been removed and can take place during or soon after this surgery.

Deciding whether or not to have breast reconstruction surgery is a personal choice. It can allow you to feel comfortable in clothing and restore your sense of body image. In addition to restoring self- image the goal of breast reconstruction is ultimately to recreate the breast and to achieve symmetry. While a reconstructed breast will not be identical to your original breast and will not restore full sensation to that area, medical advances to date provide an expansive range of options for women facing the loss of one or both breasts.

To that effect, should you decide to go through with this type of surgery there are two main techniques for breast reconstruction; Flap Surgery which uses tissue from another area of the body and Implant Surgery that uses a carefully chosen implant.



Flap surgery (also referred to as Autologous surgery) involves using tissue from another area of your body such as your abdomen, thigh, back or buttock to form a reconstructed breast, which is then stitched into place. The ultimate source of the tissue is dependent on factors such as your body type, how much tissue is available, breast size and whether you plan on becoming pregnant in the future. There are various flap procedure options including: Deep Inferior Epigastric Artery Perforator Flap (“DIEP”), Lattissismus Dorsi Flap; Superior Gluteal Artery Perforator Flap (“SGAP”) and Transverse Upper Gracilis Flap (“TUG”). These can be illustrated by tissue source as follows:


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Implant surgery creates a breast that is round and involves inserting an implant filled with salt water (saline) or silicone. Breast implant reconstruction surgery can be performed in one or two stages. One-stage implant reconstruction is performed immediately after your mastectomy. Two-stage implant reconstruction involves using a temporary tissue expander causing the surrounding tissue to stretch to the desired size. After a couple of months, the tissue expander is replaced with a permanent breast implant.

Patients often come into our office unsure of which technique is best for them. Of course, there are considerations for both techniques and it’s a matter of the individual circumstances.



In consultation with your surgeon, you may ultimately choose one technique over the other if:



– Your own tissue and more natural-feeling
– You have sufficient tissue in another area of your body to reconstruct a breast
– You may require radiation therapy after breast reconstruction
Other considerations:
– Breast size may increase/decrease in conjunction with fluctuations in your weight
– Can leave two surgical sites and scars
– Generally requires longer operation and recovery time



– You have insufficient tissue on the abdomen, buttock, back or inner thigh
– You do not need radiation therapy (more likely to become damaged through radiation therapy)
– You’d like to avoid incisions/scars in other parts of your body
Other considerations:
– Shorter operation time on average
– Smaller and thinner women tend to be ideal candidates
– May not be adequate for women with very large breasts
– You may need to remove and/or replace the implant later in life
– Possible implant rupture and other complications


Whichever option you end up choosing – implant surgery or flap surgery- it’s important to make this decision in consultation with your surgeon. Establishing open channels of communication is of the upmost importance to the success of your recovery and satisfaction of the final surgical outcome.

Get in touch – contact Dr. Macadam