A complete abdominoplasty, or “tummy tuck”, is a major surgical procedure that removes stretched skin and excess fat, flattens the abdomen by tightening underlying muscles, and improves the overall contour of the waist. It has the toughest recovery of all plastic surgery procedures associated with it and leaves the biggest scars. However, in the right […]
Abdominoplasty Methods: How Much is Enough? Read More »
What are shaped breast implants? Shaped breast implants, also known as anatomic or tear-drop implants, have an asymmetric shape with a round base that tapers to a thin top (Figure 1). They are designed to mimic the natural downward slope of the upper breast while providing sufficient volume in their lower portion to enlarge it.
Shaped vs. Round Breast Implants Read More »
Injectables are becoming more and more popular for facial rejuvenation, but there is a limit to what these agents can accomplish. Depending on the patient’s age and the type and severity of their wrinkles and folds, a facelift may be a better alternative. Figure 1. Loose skin and jowl formation before (left) and after facelift
Fillers vs. Facelifts: Where Are the Boundaries? Read More »
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There are many ways to accomplish breast augmentation and there is a best method for every patient based on baseline anatomy and size preference. This patient wanted a natural appearing but significant size increase. More space was needed in the lower breast to accommodate the desired size. Lowering the fold position underneath the breast to accomplish this was best achieved through an incision along the bottom edge of the areola. These incisions heal great and are barely perceptible. “Under the muscle” was chosen to provide a smooth contour to the top of the breast. Silicone, the most common type used, was selected here due to its natural, tissue-like consistency. She is thrilled and so are we!
#silicone #implant #surgery
There are some scenarios where “the internal bra” may be of value, such as the massive weight loss patient with thin and stretched breast skin. However, it is probably an overused preventative today. Moreover, it is an added expense and complicates the surgical procedure. While it holds promise, the jury is out regarding its true value.
#bra #collagen #support
This tummy tuck result shown 8 years later testifies to the “one and done” nature of this procedure. This feature is pretty unique within the plastic surgery procedure spectrum. In this case it was more about the post pregnancy muscle separation rather than excess skin and fat. In truth a tummy tuck (abdominoplasty) entails a challenging recovery, but the results are worth it!
#skin #muscle #flat
Breast augmentation can be achieved in many ways depending on patient preferences and their unique anatomy. Here are three examples:
Patient 1: She is a great candidate for over the muscle because she has many favorable factors. These include ample baseline tissue volume, breasts that are close together, and small implant size preference.
Patient 2: She is an example of the most common approach widely practiced: silicone implants placed under the muscle through an incision in the crease under the breast.
Patient 3: Postpartum patients do best with silicone implants due to the thin breast tissue remaining after breast feeding. The crease under the breast had to lowered in this case to accommodate the implant diameter of the size she selected. This is important so that the implant is centered on the nipple to create optimal breast aesthetics. Using an incision around the lower areola edge is the best way to lower the crease position with control and accuracy in cases like this.
There are many combinations of factors that include incision location; implant type, size, and profile; pocket plane either above or below the muscle; and patient aesthetic preferences that mandate an individual approach for each patient. There is no single technique that will yield the best result in all patients.
#breast #implant #surgery
