Abdominal Wall Hernias are common. The hernias can occur after previous surgery. Common causes of umbilical hernias are congenital defects or from previous laparoscopic surgery. Larger hernias can occur from previous incisions. Hernias can often be repaired from a lower abdominal incision. Smaller hernias can be repaired primarily by approximating the edges of the hernia. Larger hernias require release of…
Abdominal wall hernias are common. A hernia can occur from a congential defect or it can occur from a previous surgery. When the hernia increases in size, the abdominal contents can protrude through the abdominal wall. This can be painful to the patient. Ocassionally, this can cause an obstruction or abdominal symptoms. When the hernia is repaired, the muscles are…
Abdominal wall reconstruction can be a common procedure after many different types of abdominal surgery. One of the more important components of abdominal wall reconstruction is to recreate a dynamic abdominal wall so that the musculoaponeurotic system of the trunk can serve its purpose. By bringing the rectus muscles back toward the midline of the abdomen, the intraabdominal pressure can…
It is common for many patients to want to undergo removal and replacement of their mammary prosthesis. These patients often have had their implants in for a prolonged period of time. The incision pattern used to remove and replace the mammary prosthesis is called the Wise-pattern mastopexy. This incision pattern allows the patient to undergo a breast lift procedure as…
Breast lift procedures are common procedures. Typically, patients may have had their breast implants for several years and their breasts had dropped. Breasts may drop or sag because of breast feeding, changes in weight with either weight gain or weight loss, or simply secondary to time and gravity. The breast lift procedure involves lifting the nipple areola complex into a…
Today, many women come to the office choosing to downsize their implants from larger implants to smaller implants. Typically the women tend to be in their late 30’s to 50’s. The women often have changed their diet and exercise and prefer to have a more sleek appearance. Often these women are now doing yoga, pilates, etc. and wish to have…
Patients often ask what is the difference between saline and silicone; which one is better? Both saline and silicone have advantages. The outer shell of each implant is the same. The implant shell is made of a silicone elastomer. So whether you have saline or silicone, you have a silicone shell in your body. What differs is what goes inside the…
Breast reduction surgeries are some of the more satisfying procedures for both the physician and the patient. Ideal candidates for breast reduction include those who experience pain in their neck, back, or shoulders from the weight of their breasts on their chest wall. These patients also have grooving in their trapezius muscles from their bra straps and hypertrophy of their trapezius…
There are two different types of breast implants or mammary prosthesis, saline or silicone. The outer shell of each implant is exactly the same it is composed of a silicone elastomer. What differs is what goes on the inside. The saline implant is filled by the operating surgeon with saline at the time of the augmentation. The silicone implants come pre-packaged…
