There are many clinical scenarios where a patient chooses to revise or improve upon her previous breast augmentation. One of the more common reasons for a patient to desire revision of her breast augmentation is when the breast implants have palpable or visible rippling. Rippling of the breast implant can be related to the patient’s body habitus, for example in…
In the ptotic patient and when the patient would like to have an autologous reconstruction, it is helpful to reconstruct the breast with an inverted-T skin pattern. The photograph demonstrates before and after breast reconstruction with a Deep Inferior Epigastric Artery Perforator Flap. The left breast underwent mastopexy reduction to set a new goal position to match. The right breast…
The upper and lower eyelid blepharoplasty are two procedures that are commonly performed together. Often these procedures are performed in combination with a lower face and neck lift to rejuvenate the face. However, the upper and lower eyelid blepharoplasty are great procedures to perform prior to a lower face and neck lift procedure. The upper and lower eyelid blepharoplasty procedures…
After mastectomy, the breast can be reconstructed with implants or with the patient’s own tissue. When we reconstruct the breast with the patient’s own tissue, we use the term autologous breast reconstruction. Reconstruction with the patient’s own tissue is helpful in cases where radiation was required after mastectomy or in situations where implants became infected at any time after a…
Silicone mammary prosthesis or silicone breast implants are a medical device. Over time the outer shell of the implant can become weak and tear or rupture. When this happens, the body can recognize the silicone gel as foreign, and the body can form scar tissue around the implant. The body can form scar tissue around the implant even if there…
One of the more common procedures performed for body contouring is the abdominoplasty. There are several reasons that a person would like to proceed with an abdominoplasty operation. Having excess skin of the lower abdomen and stretch marks is a frequent reason. Patients are often happy with the results of abdominoplasty who have excess lower abdominal skin. The other common…
Breast reconstruction following mastectomy can be performed with tissue expanders and implants. In some cases, patients do not want to have their breast reconstructed with implants and we can use the skin and fat from the abdomen to reconstruct the breast. In some patients the DIEP flap can be completed at the time of the mastectomy depending upon the size…
Many breast cancer patients have been treated with lumpectomy and radiation therapy. In some patients, the lumpectomy defect and the whole breast radiation can cause significant changes or deformities to the breast. In the before and after photograph shown, the patient had previous right breast cancer treated with lumpectomy and radiation. The lumpectomy defect as well as the whole breast…
Upper eyelid blepharoplasty surgery is an effective procedure to allow the face to appear more youthful. In both men and women who undergo upper eyelid blepharoplasty surgery, the patient will state that even their close friends and family members can not tell that they had any surgery. This is a good sign. Most patients state that their friends and family…
When the mastectomy has been radiated and there is either a tissue expander or implant beneath the radiated pocket, a capsular contracture can develop which displaced the implant to a more superior location. When an implant reconstruction is not possible or favorable secondary to the radiation, then the breast can be reconstructed with a DIEP flap. In a DIEP flap…
One of the more powerful tools for body contouring is the abdominoplasty. During an abdominoplasty an incision is made along the lower abdomen. This incision is often at the location of a previous c-section scar or placed below. The skin is raised to the margins of the ribs. The rectus muscles are brought together in the midline of the abdomen.…
Bilateral upper blepharoplasty is a common procedure performed in our office with a high satisfaction rate. Patients who seek a bilateral upper blepharoplasty typically indicate that they have excess kin on their upper eyelids, and they may have difficulty putting on upper eyelid makeup. Removing the excess upper eyelid skin can have a significant impact to make the patient appear…
