Dr. Bruce Van Natta of Indianapolis, IN has a practice that is entirely elective so his patients are all paying out of pocket. So, price is a sensitive issue. When you have these cool new devices that are improving outcomes, how do you convince patients that they are worth the additional cost? In his practice, he has found that what works for him is showing patients his old before and after photos. The ones that he has been showing patients for 20 years. The outcomes are reasonably good, but they are not nearly as good as the ones that he is now getting with the mesh. Patients can see the difference. He also brings up that if there is a failure or loss of some soft tissue support down the road, and the patient is disappointed in the result and wants to come back for a redo then:
- Doing the same thing over and expecting a different result is probably not going to happen.
- He advises the patient to think of the mesh as an insurance policy.
Bottom line, it is considerably less expensive to get the mesh than it is to have revision breast surgery. Same with his primary aug patients where he is nervous about putting in anything other than a pediatric sized implant. With the mesh, these patients can have a reasonable sized implant without the risk of pocket stretch. It allows Dr. Van Natta to sleep better at night.