19 Dec 2018

Should I Remove My Breast Implants?

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Concerns about Breast Implant Illness (BII) are driving some women to consider removal of their breast implants. Research to this point does not support the existence of BII. Nevertheless, many women who believe they have BII experience at least temporary relief of their symptoms once their implants are removed (the possibility of a placebo effect must be acknowledged). Ultimately, if removing your implants might help you to feel better (even if only by relieving anxiety), what is the down-side in taking them out? 1.Loss of breast volume. Unless you have gained weight, breast volume will appear less than before your augmentation due to implant pressure causing flattening of the tissues,…

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25 Jul 2014

What is a Mommy Makeover?

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This is the surgery that can reverse some of the cosmetic changes that arise following pregnancy. Fundamentally there is surgery on both the breasts and the abdomen. The breast surgery addresses the loss of skin tone and volume from pregnancy/lactation. This typically involves a lift as well as possibly augmentation with an implant. The abdominal surgery is typically a tummy tuck including fascial repair and/or liposuction. This surgery is not covered by insurance, although I suspect it might be if it were men who carried and nursed babies!

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17 Jul 2014

Why are my Nipples Sensitive After Breast Augmentation?

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Breast augmentation causes some loss of sensation due to injury of the tiny nerves that serve the skin. If incision is in armpit, the inner arm often loses some sensation. An incision under the breast will cause loss of sensation of a 1 cm strip of skin above the incision. Neither of these incisions is prone to loss of sensation in the areola, and more commonly patients describe increased sensitivity. This hypersensitivity is temporary, and occurs because the nerves in the breast are stretched by the surgery and implant, and the stretched nerve is more irritable until it grows in length (nerves can grow!) and is again at normal tension.…

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27 Nov 2012

Breast Augmentation: Implants vs. Fat Grafting (part 7 of 7)

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Beautiful results from breast implant surgery results from excellent surgical technique, but it also relies on informed decisions by our patients. One decision you must make is whether to pursue augmentation through implants or Fat grafting.  Fat grafting was not a serious consideration until the past few years, and it still doesn’t have the capabilities of a silicone implant.  Still, for someone seeking a modest augmentation (1 cup) and possessing “good??? fat donor sites, and willing to accept unknown risks, and the possibility of lumpiness and inconsistent results, it is a consideration.  Much is written about how to make the operation more predictable, but at present it remains that breast implants are…

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3 Nov 2012

Breast Augmentation: Round vs. Anatomic Implants (part 5 of 7)

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Beautiful results from breast implant surgery results from excellent surgical technique, but it also relies on informed decisions by our patients. One decision you must make is whether to choose round or anatomic (breast-shaped) implants. Round implants can be smooth or textured, because a round implant can rotate without changing the breast appearance.  An anatomic implant must be textured to prevent rotation (e.g. upside-down breast!).  A common misconception among patients with some drooping of the areola and a hollow upper breast is that they need a round implant to fill the upper pole and correct this appearance.  In our experience, a better appearance is achieved by using an anatomic implant that…

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21 Oct 2012

Breast Augmentation: Incision location (part 4 of 7)

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Beautiful results from breast implant surgery results from excellent surgical technique, but it also relies on informed decisions by our patients. One decision you must make is the location of the incision for insertion of the implant. Incisions on the edge of the areola or across the areola (Pitanguy) are worth of consideration, but have the disadvantage of damaging milk ducts, exposing the implant to duct bacteria, and compromising nipple sensation.  Also, a bad scar here is a rare but conspicuous problem. Patients with very small breasts and no infra-mammary fold are good candidates for an armpit (axillary) incision.  The scar from this surgery is invisible, but does not allow…

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