Last year's best breasts in Hollywood.

Scottsdale – I caught a bit of news about that very famous yearly list: Hollywood’s best breasts. Last year the voting was very close, but in the end, it was Scarlett Johansson‘s fabulous cleavage that rocked the vote.

Is it possible that Scarlett can win again?

I thought her chances were pretty slim this year, but we forgot about her new movie, Iron Man 2. It turns out the movie posters are Hot! Everyone seems to have taken notice of her tight black suit, which was especially designed to bring out her unique attributes.

In a recent report at least one of her co-workers discussed the issue: “Scarlett has this fantastic following anyway, but I think Black Widow’s gonna bring, like, tongues hanging, drooling toward her,” said co-star Samuel L. Jackson. (Source: Fox News).

The sequel hits theaters on May 7th. We think this is really going to boost her chances to top the best breast list in Hollywood for 2010.

“I don’t think I’ve ever worn anything like it before. I mean, it’s a unitard … a sexy unitard,” Johansson told ET about her Black Widow costume.

Revision Breast Surgery

1. Revision breast operations routinely take longer than the original breast augmentation.

2. Revision breast surgery is associated with a higher risk of re-operation and revision than breast augmentation.

3. Revision breast surgery involving capsule contracture is associated with a higher risk of the contracture reforming in the future.

4. Patients are more likely to need a breast lift as part of their revision breast surgery, especially if breast implants are removed and not replaced during surgery.

5. Revision breast surgery does not  alleviate breast pain.

For more information on breast implant exchange check out our website at www.MyFaceAndBody.com.

Silicone gel filled implants have been approved in the U.S. since November 2006. The FDA requires follow up studies to be completed through 10 years. This article summarizes the findings involved with Mentor Corporation Memory Gel Core Study at 6 years. There were 1008 patients enrolled in this study. The subgroups included 552 augmentation, 145 revision augmentation, 251 reconstruction, and 60 revision reconstruction patients.

A close look at the augmentation subgroup demonstrates the 6-year rupture rate at a very low 1.1%. This is the lowest reported implant leakage rate ever reported for a long-term implant study. In the group, there occurred a 6-year revision totaling 19.4% of patients. The most common reasons for re-operation in this sub-group was for the treatment of capsular contracture (33.3%) and size change (14.8%). There was an infection rate of 1.6% in the subgroup.

Capsular contracture is the scar tissue that develops around the implant and can tighten over time as a reaction to the implant. It is known that implants placed above the muscle have a higher risk of developing capsular contracture. It is believed that a certain number of contractures cannot be prevented. Currently, plastic surgeons utilized several techniques to reduce the incidence of contracture. However, patients should realize that even this study, performed by experts in breast surgery, contracture of the capsule over the implant will occur and cannot be totally preventable.

The overall rate of capsular contracture in the augmentation subgroup was 9.8% after 6 years. The article does not tell us how many patients had implants above the muscle. The most common operation performed to treat capsule contracture is capsulectomy or capsulectomy (removal of the tissue) with implant exchange. In the subgroup, 19.7% of the implants removed were due to capsule contracture while of the implants removed, 51.5% of the implants simply to change the size of the implants.

The revision augmentation numbers are even more interesting. The rupture rate for implants in this scenario was 11.4%. Additionally, capsular contracture (22.4%) and reoperation (33.4%) numbers were also higher. The more likely explanation for the higher numbers is that revision breast surgery is more technically challenging and certainly is riskier than primary breast augmentation. Patients who re contemplating revision breast surgery should be aware of the higher risks associated with revision surgery and implant exchange.

This article demonstrates that silicone gel filled breast implants are safe and effective. This study also demonstrates that complications can occur after cosmetic breast surgery and patients should be mentally prepared for these challenges. A 1.1% rupture rate at 6-years for cosmetic breast augmentation using Memory Gel Filled implants is the lowest reported rupture rate – ever.