Breast reconstruction following mastectomy is very common. Breast reconstruction often has a better result when the nipple areola complex is preserved. In patients who do not have a ptotic breast, the mastectomy can often be performed from an infra-mammary incision. At the time of the mastectomy, a tissue expander is placed. After the skin has healed the expander is removed…
Removal and replacement of breast implants can be common. One of the more common reasons that a person would want to change the breast implant is to change from a saline implant to a silicone implant. While both implants can produce excellent results, over time the saline implant may lose volume and the inherent rippling to all implants may become…
Mastopexy or breast lift surgery is common. It is typically more common in women who are in their forties, but may also be common in women who have simply developed ptotic breasts early in life. Breast lift procedures are often very rewarding for the patients as they can often regain their self-confidence. The mastopexy or lift procedure can be accomplished…
It is common for patients who have had implants in for a long period of time to eventually want their implants removed. Patients often wonder, if they have their implants removed, will their breast be in a lower position. The best way to determine that is based on the degree or preoperative ptosis to the breast. If the breast is…
Body contouring procedures are common procedures. Patients often request body contouring procedures after weight loss or occasionally after previous abdominal surgeries that produce tethered scars. The tethered scars often adhere to the underlying fascia and create creases or bulges. These creases or bulges can create abnormalities to the abdominal wall. After body contouring procedures, an abdominal binder is worn for…
Women are frequently presenting in my Newport Beach office desiring a revision of their breast augmentation from 8 to 10 years prior. These women have had saline breast implants in for almost ten years and now want to exchange their saline breast implants for silicone breast implants. Often, women who have had larger implants and now want to downsize desire to have…
As I continue to learn about both aesthetic and reconstructive breast surgery, I find that the same tools, skill sets, and planning that I use for aesthetic breast procedures apply to reconstructive breast surgery and vice versa. Frequently, I see women in consultation who have undergone first a breast augmentation, second a breast reduction, and often present desiring further reduction…
Today was truly a great day of cases. As the breast augmentation, revision breast augmentation, and capsular contracture surgery practice grows, I continually look for ways to improve patient outcomes, reduce patient recovery time, reduce incision length, and prevent capsular contracture I have found that the Keller Funnel facilitates delivery of silicone gel implants through smaller incisions and allows me to…
I am seeing more and more women in consultation in my office with deflation of their saline breast implants. In fact, twice this month we had women who presented with the development of pain around their breast implant with an associated distortion of the breast shape secondary to breast implant valve failure. It has been my experience that the development…
I have found an increasing number of women who present to my office in consultation who had saline breast implants placed ten years ago and who are now requesting removal and replacement of their mammary implants for highly cohesive silicone gel mammary prosthesis. Often these women underwent reduction mammoplasty with an implant to maintain upper pole fullness, but now want…
I have been using the Keller Funnel routinely for my periareolar and transaxillary breast augmentation cases. The Keller Funnel allows me to deliver larger implants through a smaller incision without traumatizing the breast implant, the skin, or having the breast implant come into contact with the skin. I believe strongly that this “no touch technique delivery system” can help reduce…
We are starting to see many patients come from out of state to have their revision augmentation procedures or capsulectomy surgeries performed at the Roxbury Clinic & Surgery Center in Newport Beach. I have been using the Strattice in the manner as taught to me by Neal Handel, M.D. When working through small incisions, I have found the use of…
