Category Archives: breast augmentation


French plastic surgeon holding Poly Implant Prosthese implants

Dear Dr. Dev, My boyfriend just saw a really scary story on the internet about thousands of British and French women who have silicone breast implants that leak and are harming them. One woman apparently died. You did my breast augmentation two years ago, with silicone breast implants, and now I’m a mess with the fear! Should I come in to have them removed? 

YOU SHOULD IMMEDIATELY…RELAX! That’s, right, relax because you have nothing to worry about. The implants manufactured by the company responsible, Poly Implant Prothèse (a French company), have been banned in Europe and the CEO faces potential criminal charges for the death of the woman you reference in your post. This has nothing to do with you or any other woman who has had a breast augmentation procedure at my Bakersfield, California plastic surgery practice.

Here’s the rundown though: Of the approximately 30,000 French women who had a breast augmentation with Poly Implant Prothèse’s silicone implants, about 1,000 have reported rupturing, causing intense pain and swelling. Another 40,000 in the UK have similar problems. Poly Implant Prothèse’s silicone implants are now banned, and French officials insist that women with those implants get them removed. You, on the other hand hand, had your breast augmentation in Bakersfield, so you can relax—my breast implants are made right here in the good ole USA and are FDA approved.

Thanks for the valuable question because I’m sure others maybe be wondering the same thing.

To your Health & Beauty,

Vip Dev, MD


Finding A Bra That Fits After A Breast Procedure

Finding a bra that fits is hard enough, but finding a well fitted bra after a breast augmentation can easily become a nightmare. Many of my previous patients in my California Plastic Surgery office have cited the same qualms. But now, with a few tips, you can find yourself a sexy and/or lacy bra that fits perfectly. It doesn’t matter what type of breast augmentation you’ve had done, whether it be a breast lift, breast implants, breast reduction, or even breast reconstruction, everyone deserves a comfortable and fitted bra.

The first thing to know what indicates a poorly fitted bra:

  • The bra band rides up your back.
  • You are tightening your straps to lift your breasts.
  • Your breasts don’t stay in the cup when you bend over.
  • The bra bags around the nipple area.

The next thing to remember is that, like jeans, sizes may vary from brand to brand. A Victoria Secret 36B may not be the same as a Lily of France 36B.

Your band size is the next step into finding the perfect bra. Measuring in inches, in the US, wrap a tailor’s measuring tape tightly around your ribcage, making sure it’s directly under your breasts. With that number in hand, add four if it is an even number or five if it’s an odd number, ie. 28 becomes 32 and 29 becomes 34. Luckily enough, your band size will always stay the same number after an augmentation.

So how do you measure your cup size? This time, making sure the measuring tape is horizontally level around your back, measure around the widest part of your breasts. Now simply find your number on the chart below!

Bust Size Minus Band Size (inches) Cup Size
0 to ½ AA cup
½ to 1 A cup
1 to 2½ B cup
2½ to 3½ C cup
3½ to 4½ D cup
4½ to 6 DD (or E cup for some bra makers)
6 to 7 DDD (or F cup for some bra makers)
7 to 8 G cup
8 to 9 GG cup
9 to 10 H cup
10 to 11 HH cup
11 to 12 J cup
12 to 13 JJ cup

Finally, make sure your bra straps fit comfortably. They should never be digging into your shoulders, nor should they be irritating your skin.

Finding the perfect bra can take time, effort, and plenty of trial and error, however, it will be rewarding in the end when you can stop pulling at your too-snug bra or too-loose bra. But don’t forget to take good care of your bra once you find the perfect fit. Using a lingerie bag in the washing machine and line drying will definitely make your bras last longer.

And never forget, bra shopping should always be fun, especially after a breast augmentation!

To your health & beauty,

Vip Dev, MD

Is There a “best time” for a Mommy Makeover?

Lots of women come into my Bakersfield Plastic Surgery practice because their breasts are sagging due to age, weight loss/gain cycles and/or pregnancy and breastfeeding. Also, many women come in because their tummies are sagging for the same reasons, plus stretch marks that they absolutely hate. Here in Bakersfield, I do hundreds of breast augmentations in the course of a year, as well as breast lifts and breast reductions. As well, we do hundreds of tummy tucks and liposuction, too. What we also do is a combination procedure called a “Mommy Makeover.”

What I mean by the phrase “combination procedure,” is that it’s a breast enhancement plus a tummy tuck and, often, a bit of liposuction as well. The goal of a Mommy Makeover is to return my patient’s body to its younger state, when the breasts were firm and high and the tummy was flat and firm, with most, if not all, of the stretch marks gone for good!

Some women wonder when it’s the best time to have a Mommy Makeover. If you’re completed your family and don’t plan any more pregnancies, you can have a Mommy Makeover anytime after you have recovered from childbearing. I suggest my moms wait until they are finished breastfeeding, because having a baby on the breast just after a breast enhancement can be really uncomfortable, as well as the pressure of the baby’s weight on a tummy that’s recovering from a tummy tuck. But so long as you’re otherwise healthy, you can benefit from a Mommy Makeover whether your youngest is 1 or 50! And, you don’t need to have been a mom to have a Mommy Makeover.  Losing weight and growing older are two perfect reasons to enjoy a more youthful figure–I really see, in my happy patients, that when their bodies are tight and trim, they feel younger! And feeling younger makes them feel happier, more sexy, more alive.

Further, I often do a bit of body sculpting with liposuction during a Mommy Makeover, just to eliminate stubborn areas of fat that don’t go away with diet and exercise. It really finishes up the picture in a wonderful way. As an added bonus, the fat that’s removed during liposuction can be used to plump up areas of the body that need a bit more fat, such as the lips, the face, the back of the hands or the buttocks.

My patients often tell me that their “new figure” has awakened their interest in shopping for clothes and paying more attention to diet and exercise, not to mention the “rev up” they’re enjoying in their sex lives at home, thanks to their “new body”!

If you’ve had some thoughts about your body and they aren’t pleasant ones, come in and see me. In no time at all, you’ll be able to look in the mirror–whether you have clothes on or not–and smile back at your renewed figure!

To your health & beauty,

Vip Dev, MD

What’s the real price of international plastic surgery?

In these financially challenging times, it’s only logical that we seek out the best value for our dollar, whether it’s for a box of laundry detergent or a breast augmentation. The difference, of course, is that a box of Cheer is the same box of Cheer whether you pay $3.65 at Albertson’s or $3.52 at Target. It makes perfect sense to purchase it wherever it’s cheaper. Cosmetic surgery is different. The price you pay may or may not reflect the skill and experience of the surgeon you’ve chosen because each cosmetic surgeon has different qualifications, skills and experience.

New York State’s Attorney General recently charged a Manhattan-based Dominican Republic doctor with unauthorized practice of a profession because this surgeon advertised cheap plastic surgery, then examined the patients in Manhattan before they flew to the Dominican Republic for the actual procedure. Evidently, many of his patients developed severe infections and disfigurement. They saved money, but what was the ultimate cost?

You must examine the background of any surgeon you interview about cosmetic surgery, whether they’re based overseas or here in Bakersfield. Cosmetic surgery may be cheaper in another country, but the cost of airfare, hotel, meals and the need to bring a companion can offset those potential savings. Surgical instruments, anesthesia, implants, dressings and all the things that go into a safe surgical environment cost roughly the same for every surgeon, but the skill and experience of the surgeon is what matters most. The difference of even a few thousand dollars is meaningless over time if you’re left with unsightly results or, worse, complications from infection or poorly administered anesthesia.

You can’t put a price tag on your body or your health. Cosmetic surgery isn’t like a box of Cheer or any other commodity. Since you wouldn’t hire an unqualified person to work on your car, why do so with your body?

To your health & beauty,

Dr. Vip Dev

Cosmetic Surgery Patients Get Older

The face of plastic surgery is getting older. According to the Procedural Data of the American Academy of Cosmetic Surgery (AACS) from 2002 to 2007, the average age of patients seeking invasive cosmetic surgery has increased by two years.

As reported by the AACS, the procedures with the largest increase in age are liposuction, sclerotherapy, facelift and forehead lift. Botox®, the most popular non-invasive treatment, has also experience a two year increase in average patient age.

According to, the aging population and baby boomers may be the driving force behind this trend. Baby boomers, who are 42 to 64 years old, make up approximately 28% of the population. The average age of patients receiving invasive plastic surgery is 42.6 years and non-invasive treatments in 42.4 years.

Perhaps, as the baby boomer generation gets older, the plastic surgery clientele gets older. While younger women may seek liposuction or breast augmentation, the country’s number one non-invasive cosmetic treatment, Botox®, is intended for an older grow to battle the signs of aging.

To Your Health & Beauty,

Vipul R. Dev, M.D.

Breast Augmentation Safe in Moderation, Not in Excess

Sheyla Hershey (pictured left) is infamous for having the “World’s Largest Breasts” with some help from breast implants. The Texas woman, who is no stranger to plastic surgery, is now facing serious medical complications from her super-sized bosom.

Hershey, who claims to have had more than 30 cosmetic procedures, is currently suffering from a dangerous staph infection in both of her augmented breasts. The infection, which can easily spread to the Brazilian model’s bloodstream, could cost Hershey not only her 38KKK breasts, but also her life.

According to physicians, Hershey’s implants each hold approximately one gallon of silicone, or about 3785cc. The largest silicone implant manufactured in the U.S. is 800cc, less than one quarter of the size of Hershey’s implants. Ethically and legally, implants of such an excessive amount should never have been used, especially not on someone with such a small frame. Hershey was able to have her procedure performed in Brazil, however. Complications are imminent with such a drastic surgery.

Hershey has undergone nine separate breast augmentations that have stretched out her breast pockets each time. Even so, the exorbitant implants are too heavy and too large for the surrounding breast tissue to support. The staph infection is most likely a result of a dehiscence; an opening that occurs when the pressure from the implants causes the incision to open up. Through this opening, bacteria are capable of entering into the breast pocket and even the blood stream.

In addition to dehiscence, women with implants that are too large are more prone to upper back and neck problems, as well as sagging implants. For Bakersfield residents who are considering breast augmentation, you should always choose your health before your beauty. Breast augmentation is a common procedure performed on millions of American every year, however, augmentation is safest when done in moderation.

If a cosmetic surgeon warns against a procedure due to health precautions, this warning should not be taken lightly. In the plastic surgery industry, we are medical doctors first and value your health as our number one priority.

To Your Health, Safety & Beauty,

Dr. Vip Dev

The Great Debate Over Silicone Implants and MRIs

A recent article by NewBeauty magazine explores the importance of MRI’s, and how they should be done, for women who have had breast augmentation with silicone implants. There is an ongoing debate as to whether women with silicone implants should have an MRI lying down or standing upright.

Doctors are currently studying upright MRIs to gauge whether or not they offer better screening results than the traditional recumbent position. Considering most implant leakage occurs at the bottom of the implant due to weight and gravity, some doctors argue that an MRI standing will be most accurate when recreating the natural position of the implants and any possible leaks. MRIs in the recumbent position could possibly miss minor leaks due to the redistribution of the weight of the implant.

Another factor to consider is that traditional MRIs have a 10% false positive rate. This means that 1 in 10 women with silicone implants who have an MRI done will be alerted of an implant leak that does not actually exist. This causes many women to undergo unnecessary, expensive procedures to fix a problem that does not exist.

While the debate is still in its infancy, it is recommended that women with silicone breast implants undergo an MRI three years after insertion and every year thereafter to screen for potential leaks or changes to the implant.