This section includes important information for our established patients regarding care both before and after surgery.
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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.
#breast #implant #surgery
Deep plane” is much catchier moniker than “SMAS facelift” thereby contributing to its greater popularity as a descriptor. Nevertheless, both procedures are closely aligned, separated conceptually by the small but important differences presented here. However, facelift results are determined more by the skill and aesthetic sense of the surgeon as well as a given patient’s age and anatomy rather than the type of technique employed. Not covered here is the fact that there are multiple SMAS variations that can be tailored to a specific patient’s anatomy whereas deep plane technique is the same for every patient regardless of anatomical differences. More to come on that.
#facelift #deepplanefacelift #plasticsurgery
This is a common practice that should be avoided. Other misleading practices, whether intentional or not, include different lighting in the before and after images. Lighting from above casts shadows that often makes a condition appear worse compared to full frontal lighting. Facial expression is also important. Subjects should be shown in repose in both the before and after images. A slight smile in the after images always makes the result look better. Fortunately, the vast majority of surgeons are faithful in observing these principles as closely as possible.
#photography #lighting #beforeandafter
Every new technique in plastic surgery goes through the zealot phase both because it is new and there is FOMO. “Over the muscle” breast augmentation is the latest example. It is heavily marketed by an implant manufacturer whose product is especially suited to this approach. Also, some surgeons looking for a differentiating niche embrace it enthusiastically. It definitely is a valuable addition to our tool box of techniques but more time is needed to appreciate not just its advantages but also its limitations
#overthemuscle #augmentation #mammograms
