Breast augmentation is a common procedure. There are several different implant options for implant dimensions. One of the most common measurements we use when placing breast implants is the base diameter of the breast. This is a measurement from the medial aspect of the breast where the breast begins to the lateral aspect of the breast where it ends. This…
The lower blepharoplasty is one of the most effective procedures to rejuvenate the face in the appropriate candidate. Patients who are great candidates tend to have localized fat accumulation in the lower lids leading to puffiness and lower eyelid bags. Patients often state that they have a tired appearance to the face despite getting a great night of sleep. The…
Breast augmentation is a common operation to improve the appearance of the breast. There are two types of breast implants-saline and silicone. The most common implant in our practice is the silicone gel mammary prosthesis. The outer shell of each implant is exactly the same-it is a silicone elastomer. What is different about each implant is what goes on the…
Capsular contracture is an exaggerated response of the body’s normal healing process. It is the thickening and or contracting of the lining that normally develops around an implant. This can happen around any medical device placed in the body, a breast implant, a plate on a wrist fracture, a pacemaker, etc. When the device is soft such as a breast…
Breast augmentation is a common procedure to enhance the appearance of the breast. One complication that we try our best to avoid in breast implant related procedure is capsular contracture. There are many reasons why a patient might get capsular contracture. One common philosophy is the “biofilm” mechanism where an indolent bacteria enters the breast implant pocket and creates inflammation.…
Breast reduction is a common procedure with a high satisfaction rate. There are many reasons why a patient would choose to undergo a breast reduction. The more common reasons tend to be neck, back, and shoulder pain from the weight of the breasts pulling down on these anatomic structures. Other common reasons are difficulty exercising and rashes in the breast…
Breast reduction surgery is a common surgery that has a high satisfaction rate. There are often several reasons that patients seek breast reduction surgery: 1. Neck or back pain 2. Persistent skin rashes in the crease of the breast 3. Difficulty exercising 4. Trouble sleeping 5. Impaired self-esteem/tough on themselves with regard to body image It is important prior to…
The latissimus myocutaneous flap is an effective flap to help close mastectomy defects or to improve the overall quality of the overlying mastectomy skin. One challenge with mastectomy breast reconstruction is the durability and quality of the mastectomy skin. Skin that has been radiated or skin that is thin is more prone to cellulitis, wound dehiscence, and other complications. When…
There are many reasons that patients can have breast asymmetry. Breast feeding can make one breast grow significantly larger than the other, radiation can make one breast contract, previous infections can shrink the breast volume, and surgery of the breast can affect development if surgery is performed at young age. Previous surgery, infection, and radiation can all cause the nipple…
Breast cancer reconstruction is a challenging component of Plastic & Reconstructive surgery. Breast cancer reconstruction is frequently performed in several stages. The first stage of reconstruction involves placing a tissue expander at the time of mastectomy. I usually prefer to place a minimal amount of volume of saline at the time of mastectomy as this often minimizes pain post-operatively. Minimal…
Breast reconstruction is a challenging aspect of plastic & reconstructive surgery. Often patients require radiation after mastectomy and the radiation can have significant changes on the ski and affect its ability to heal. When wounds are not able to heal often it is best to replace the radiated skin with skin from the back that has not been radiated. The…
The lower blepharoplasty is a common procedure to help improve the appearance of the lower eyelid. Puffiness or fullness in the lower eyelids is often an inherrited trait with many patients saying that their parents had the same puffiness. The transconjunctival lower lid blepharoplasty is an effective way to improve the appearance of the lower eyelid. Most patients report looking…
