One of the most common questions asked by patients considering implant removal is– “What am I going to look like after?” This depends on a few factors: 1. The degree of pre-operative ptosis of the breast. The less ptosis the better implant removal will look. 2. The quality and thickness of the remaining breast tissue and skin. The fewer the…
Gynecomastia is the development of breast tissue in men. This is commonly seen in teenagers and men in their 20s and 30s. Gynecomastia can produce a painful breast bud behind the nipple/areola and/or create a visible outpouching of the breast that can be seen through the T-shirt. This can make exercise such as running or contact sports difficult secondary to…
Breast cancer can be treated with either mastectomy or with lumpectomy. In some patients who undergo lumpectomy, they may also be a candidate for intra-operative radiation therapy. Patients who are undergoing lumpectomy, may also have breast implants previously placed. During intra-operative radiation therapy, the implant is removed. During this time, a patient may wish to have their implants replaced. The…
I had a great Saturday morning this weekend learning about recent advances and technologies in vascular imaging from other physicians and vascular lab technicians at the 11th Annual Hoag Vascular Imaging Symposium. I enjoyed lecturing on the importance of blood supply in plastic and reconstructive surgery and aesthetic surgery. It is always great to learn from other specialities.
Rhinoplasty is a common procedure to improve the appearance of the nose. Common reasons for patients to request rhinoplasty are a dorsal hump, bulbous nasal tip, wide nose, or droopy tip. Often patients with a dorsal hump will have a deviated septum and airway obstruction or some other cause of airway obstruction. The photograph demonstrates before and after rhinoplasty to…
Lower face and neck lift procedures are popular procedures for those women who want to improve the appearance of their face. The lower face and neck lift addresses the three aging components to the neck which are the skin, the muscles, and any underlying fat. Each patient may have varying degrees of each of these components that need to be…
Breast augmentation is a very common procedure in those patients who have a thin body habitus. The most simplified way to explain this are those groups of patients who regularly do yoga and Pilates but who want a small breast augmentation. These patients do not want large augmentations, simply an augmentation to fill the same bra size they are in…
Breast reduction patients are some of the happiest patients we encounter in plastic and reconstructive surgery. Often patients who seek breast reduction surgery have breasts that are disproportionately larger for their body frame and no matter how much they diet or exercise their breasts do not change in volume. Often the size of the breasts can hinder and prevent exercise…
Lumpectomy and radiation are a reasonable method to treat many breast cancers. The goals after lumpectomy are to get all of the wounds healed by six weeks so that the patient can proceed to radiation in a timely manner. The skin often tolerates radiation well after lumpectomy. The more intact and heartier the blood supply to the skin, the better…
Breast cancer can be treated with lumpectomy or mastectomy. Lumpectomy can treat breast cancer depending upon the size of the tumor relative to the size of the breast. The photo demonstrates right breast lumpectomy with oncoplastic reconstruction and left breast mastopexy-reduction for symmetry.
