Pain-Free Breast Enlargement: Instant Recovery Breast Implant Surgery & A Ski Vacation While You're At It!

If you’ve ever thought that breast enlargement surgery is too expensive, think again. For what you’d pay for the procedure in the largest cities in the U.S. like New York or Los Angeles, you can have the body you’ve always wanted PLUS a great ski or resort vacation. It’s just a matter of flying to another city in the country where the cost is lower. The best part is that you finish your recovery time at a world-class resort and go home with no one ever the wiser that you had surgery while you were away!

In Salt Lake City where I have my practice, we see patients from all over the U.S. and beyond. Our location in the Rocky Mountains makes for a beautiful setting to have your surgery. For the cost of breast augmentation in New York City, you and your partner can enjoy five days in the beautiful Salt Lake Valley on the Wasatch Front of the Rockies. You can have your consultation one day, your surgery the next, your follow-up on the third day, and then spend one or two days recovering at a ski resort or spa. Voila! It’s finished, and you have received “just the right curves” and a little TLC at the same time.

Now, you may be asking if you can truly recover in just one or two days. Yes! With my Pain-Free Instant Recovery Breast Augmentation technique, there’s no need to take the typical one to two weeks. I promise all of my clients that they can begin working at their jobs (as long as it isn’t strenuous work) within two days! In fact, you can be out and enjoying yourself the very same day.

I have spent over a decade mastering this procedure, so it’s something that I take very seriously. Finding a way to give my clients a less brutal way to fulfill their dreams of looking better is what my practice is all about. It’s my passion!
The care and skill provided during surgery.No lying in bed. After a two-hour nap, you are up and about the day of surgery!Stretching without being wrapped like a mummy.Getting back immediately into your daily routine.
There is absolutely no reason why breast enlargement surgery needs to be so hard on the patient! The best results happen when there is less blunt force, less bleeding, less scarring, and, therefore, less pain. But this only occurs when a surgeon knows how to perform the surgery in a way that is clean and quick without sacrificing the most important thing? Your comfort as the patient!

And what about pain medications? Most surgeons prescribe medication for 3 to 7 days, but I have found that it’s rare for my clients to need pain medication other than Ibuprofen after my Pain-Free Instant Recovery Breast Augmentation Procedure. You don’t have to hurt!

We don’t operate like an assembly line, turning out as many patients as possible, and I strongly recommend that you avoid any practice that does. We treat each client as an individual with specific wants and needs. When we consult with a new client, we welcome her to our office as a friend and lead her carefully through the initial consultation, as well as every follow-up appointment. Our surgical facilities are certified by the highest standards set forth for ambulatory surgery.

That’s why so many clients are traveling to Utah to get their surgery and enjoying a beautiful ski vacation in the process?all for no more or sometimes even less than what they’d pay only for surgery in their home cities.

The best evidence I can give someone who is wondering why my procedure is so different is the word of a professional who is familiar with the work. From an operating room nurse: “I’ve seen thousands of procedures, and I chose Dr. Moore. Entering the operating room, this time as a patient, I was confident that I would have the best results possible. I could not have imagined how perfect my surgical experience was, and the augmentation is spectacular. I even joke that there should be a procedure to remove the permanent grin from my husband’s face.” –L. Ellsworth, RN, CNOR

For more information, please visit our site to request our free report. We serve clients from throughout the United States. 

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Allure's Review of Top Breast Augmentation Resources

Allure July 2002 Top Breast Augmentation Resources Allure magazine's July 2001 issue reports on the top internet sites for breast augmentation and includes ImplantInfo.com! We were one of the very few recommended! 

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Breast Enlargement Surgery: 100% Financing Makes It Within Everyone's Reach

Contributed by M. Kirk Moore, M.D., West Jordan, UT & The Genesys Medical Institute 

If you are one of those women who has always wanted a breast enhancement but believed you couldn’t afford it, think again. Many surgeons today will offer you 100% financing, which allows you to pay for your surgery over time. You no longer have to wait until you have saved the money. You can have “just the right curves” today.

It’s sad when women feel they must live with low self-esteem and poor fitting clothes simply because they don’t have the money for the cosmetic surgery they want so badly. But everyone should have the opportunity to feel beautiful. No one need feel insecure about her breast size or shape.

In my practice, we know what a positive, life-long impact breast enlargement can have on women, so it’s important to us to make it affordable for everyone. We offer CareCredit, a financing plan that allows our patients to pay for their procedures in low-interest installments. In this way, you can get what you want when you want it. You don’t have to put it off until it might never happen at all.
No initial paymentLow monthly paymentsNo prepayment penaltyAn easy application process
While paying for your surgery should be pain-free, so should the surgery itself! I offer a unique Pain-Free Instant Recovery Breast Augmentation technique that few are even approaching today. I developed it in order to minimize the discomfort, scarring, and downtime that my patients would experience after surgery. The results have been fantastic, and it has been one of the most rewarding things I have ever accomplished in my practice.

This is why women often travel from across the U.S. to visit my office in Utah. With the opportunity for 100% financing, as well as a pain-free technique that allows them to return to work within two days, the cost of travel is well worth it to them, particularly if you have researched and found your local pricing to be above $5,000 for a breast augmentation for silicone.

If you have felt that having the curves you want is a pipe dream, or you have been afraid of the pain of surgery, you can put those fears to rest and finally have the body you have always wanted. There is no need to put it off. Seeing the lives of my patients change for the better is why I do what I do.

For more information please visit our site and request our free report. We serve clients from throughout the United States.

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ImplantInfo's Support Community Lauded

 Excerpted from Plastic Surgery News June 2001

. . .implantinfo.com . . . offers woman-to-woman wisdom within a “support community.”

Although [the site] also provides reference services, such as how to locate a plastic surgeon, how to check credentials and printable lists of questions to ask your doctor, the biggest draw is the lively conversation among site visitors.

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3-D Simulation of Breast Augmentation Results

Every woman considering breast augmentation shares the same concern: How do I choose an implant that’s the right size for me?

While Dr. Teitelbaum is known for his skill in intuiting exactly what volume will satisfy his patient’s wishes and look most balanced on her body, it’s understandable that you will want to visualize precisely how different options will look on you. It’s for this reason that Dr. Teitelbaum became the first aesthetic surgeon in the country to use the Axis Three digital breast imaging system. He has now used this state-of-the-art technology to help hundreds of satisfied patients get the most accurate possible forecast of how they will look after their procedure.

After taking three-dimensional digital images of the breasts, the Axis Three software then calculates precise measurements and determines the exact volume of the breast tissue present. The system can then be used to simulate what various sizes of implants would look like when placed in your existing frame. Because any size implant can be simulated on your body, the machine presents you with an unprecedented opportunity to determine exactly how it is you wish to look—and to be sure that the surgeon both understands and is able to deliver the results you desire.

Of course, like any simulation, Axis Three can’t give a 100 percent precise prediction of the outcome. But Dr. Teitelbaum has found it to be far and away the most helpful forecasting tool available—and his patients agree. Many say that the digital imaging played a big role in reducing their concerns about their implant size, and gave them more confidence that they would be happy with their outcome.

All surgical consultations with Dr. Teitelbaum include a visual imaging session using the Axis Three at no additional charge.

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Painless Breast Augmentation Surgery: Reduce Recovery Time

Many people have seen breast augmentation surgery on health channels or the Internet and wondered, "Why is it so rough?" or "Can’t they take it a little easier?" ...or even "Do they have to be in such a rush?" The truth is that the best results happen when there is less blunt force, less bleeding, less scarring, and less pain. But this only occurs when a surgeon knows how to perform the surgery cleaner and, most importantly, with the patient’s comfort in mind. How do you find a surgeon like that?

First, the doctor should be credentialed by the American Board of Plastic Surgery, the American Society of Aesthetic Plastic Surgeons, the American Society of Plastic Surgeons. He or she should specialize in Cosmetic Plastic Surgery and have dedicated his or her life to breast augmentation surgery.

Second, the doctor who has a passion for this procedure will give the most effort, the most confidential care, and have the most concern for your safety and well-being. I have spent over a decade mastering the Pain-Free, Instant Recovery Breast Augmentation Procedure. This is not just a surgical procedure to me-it is my life and my passion!

Third, the facilities and service should be nothing short of exceptional. When we consult with a new client, we welcome her to our office as a friend and lead her carefully through the initial consultation, as well as every follow-up appointment. Our surgical facilities are certified by the highest standards set forth for ambulatory surgery.

Fourth, recovery time is typically one to two weeks with MOST cosmetic surgeons, but it doesn’t have to be that way. I promise to have you working at your non-strenuous job within two days! In fact, you can be out and about enjoying yourself with "just the right curves" the very same day-not spending your time recovering from surgery. No one need ever know-unless you tell!

For more information please visit our site to get our free report. We serve clients from throughout the United States.

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Advantages of Submuscular Breast Implant Placement

Unlike other centers, we use sub-muscular placement of implants exclusively, because there are numerous advantages that are supported by study and research: A greater number of breasts are superior in form, position and texture and are a result of using the sub-muscular technique. Mammograms are easier to read with this method. It is more likely that you'll be able to breast feed. Nipple sensation is preserved. With the layer of muscle over the implant, there is less chance of sagging and long-term results are better.

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Getting the Best Results From Your Breast Augmentation

The natural, beautiful results Dr. Teitelbaum is known for are no accident—they are a direct result of the principles that have guided him since he opened his practice in 1995, and have made him one of the country’s premier breast surgeons. Here, he shares his advice for making smart decisions that will yield the best possible outcome.

It’s critical that you select an implant size and shape that fits your breasts. If an implant is too big, the breast looks round, shiny, and bulging on top in the short term. In the long term, the skin will stretch, the tissue will compress and thin, and the breast will sag. If an implant is too small, it will fail to proportionally fill out the breast. There is a narrow range of ideal sizes for each woman’s breast, and your surgeon will help you to understand what is realistic for you.

When considering the choice of incision, the resulting scar isn’t the only factor to consider. The most important thing is that your surgeon uses the incision that allows him to create a pocket into which the implant will sit in the most gentle, accurate, and consistent way. Keep an open mind, and listen to what your surgeon has to say about other relevant issues, such as pain, recovery, accuracy of placement, retention of sensation, and avoiding capsular contracture (hardening of the implants).

If you are thin and can see your breastbone and ribs, don’t expect augmentation to correct a wide gap between your breasts. Some patients and plastic surgeons have the mistaken assumption that larger implants will fill in that space: They will not. Placing an implant under the extremely thin skin close to the sternum will result in fake-looking breasts that could migrate so close together that they form what is commonly referred to as a “uniboob.” (The medical term for this is symmastia.)

All breasts are a little asymmetrical—even after augmentation. Dr. Teitelbaum will do everything he can to make sure both breasts are as even as possible, and can adjust the implant size to correct major asymmetry when necessary. But it’s important to be realistic and accept that a tiny amount of variation will always be present—and almost never be noticeable to anyone but you.

Remember that skin stretches. If your tissue is thin, the implant will be visible no matter what the size. And, just as we have all seen with natural breasts, the larger they are, the more all breasts fall with age. It should come as no surprise that the additional weight of augmented breasts will similarly cause the skin to stretch and sag over time. A good cosmetic surgeon will help you assess what implant will best fit your natural breast pocket as well as examine your skin quality.

Don’t automatically dismiss the idea of a breast lift. If your skin is thinned, sun-damaged, or already stretched, adding additional weight can often cause the breasts to sag more quickly. This seems to be especially common in women who have stretch marks on their breasts, have had babies, or lost a lot of weight. Your surgeon will take measurements of your breast skin under maximal stretch. If the measurements are greater than a certain amount, your surgeon may recommend a breast lift. Heed his or her advice—or do no surgery at all. Proceeding with an augmentation in breasts that really need a lift rarely produces the results desired, and may ultimately just postpone the inevitable and necessitate a lift down the road.

Once you’ve taken the above factors into consideration, weighed your options, and heard what your surgeon recommends, you should find yourself in an excellent position to get the best, most beautiful, and natural-looking breast augmentation results. 

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Breast Augmentation - A Self-Esteem Booster?

Contributed by M. Kirk Moore, MD, of the Genesys Medical Institute in the Salt Lake City, UT area of West Jordan, UT.

Any woman who is dissatisfied with her breasts knows what it’s like to feel insecure about her body. She worries about finding bras that fit properly, she worries about fitting into clothes, and she worries about feeling and looking attractive. That’s why performing breast augmentation is such a rewarding practice and why I’m passionate about helping women to feel better about themselves.

All you have to do is experience it once—the look on a client’s face when she sees how much more proportioned her body has become as a result of the surgery. And often, very little is required to achieve this. After all, it’s about achieving “just the right curves”!

But some women are afraid of breast augmentation because it appears so painful when they see reports about it on television or the Internet. Well, it doesn’t have to be! I have spent over a decade mastering my Pain-Free, Instant Recovery Breast Augmentation Procedure. This is not just a surgical procedure to me—it is my life! That’s why I dedicated so much time to finding a way to give women this satisfaction without so much pain.

As a result of my Instant Recovery procedure, a client not only experiences the joy of beautiful results, but I can give her a chance to enjoy those results immediately. She can go out to dinner the very same day and return to work within two days! No more two-week recovery time.

Another reason that some women shy away from breast augmentation is that they fear the results will be obvious. Again, they don’t have to be. Remember that it’s about “just the right curves.” If you’re considering breast augmentation, you should never feel pressured to get larger implants than you want, and no one needs to know that you had surgery. That’s another benefit of my Instant Recovery procedure. You don’t have to take off a week or two from work post-surgery. You can just take a couple of vacation or personal days, and no one will be the wiser.

There’s no reason why any woman who suffers from low self-esteem as a result of her breast size or shape should continue to suffer. There is now a way to achieve those beautiful curves without pain or a long recovery period.

For more information please our website and request our free report. We serve clients from throughout the United States.

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Improved Technique for Determining Bra Size

Many women express their goals for breast surgery in terms of bra size; yet the traditional method of bra sizing is confusing and inaccurate, with up to 80 percent of women said to be wearing the wrong size bra. In response to this problem, a new system of bra measurement was developed. It is a modified version of a previously reported method of bra sizing that determines cup size by direct breast measurement while now allowing for the fact that cup size varies with band size (e.g., the C cup of a size 36 bra is larger than the C cup of a size 34 bra).

With this system, brassiere band size is still determined by the industry standard of "underbust chest circumference plus 5," but cup size is determined by the relationship of breast width to underbust circumference. Breast width is measured with a tape from the breast mound's origin on the lateral chest wall to its termination in the parasternal area. Small or firm breasts can be measured with a woman upright or supine, and large or ptotic breasts are measured with the subject supine.

The image, Fig. 1. Woman with 500-cc silicone implants. Bust circumference is 36 inches, underbust circumference is 29 inches, breast width is 9.5 inches, bra size by traditional measuring system is 34B,and bra size by new measuring system is 34D. In the top photo, the 34B bra is too small, gapping across the lower sternum and providing inadequate breast coverage. In the bottom photo, the 34D bra fits well.

Breast width and chest wall measurements were studied in relationship to bra fit in more than 1,000 women undergoing breast surgery over a period of 5 years, until a consistent relationship between the two was established. The correlation of breast width and underbust circumference to bra size is shown in the table below. The relationships are most easily understood by examining the "prime" sizes, which are denoted by the asterisks in the table.. For any given underbust circumference, every 1 inch increase or decrease in breast width changes the cup by one size. For example, a woman with a 33-inch underbust and a breast width of 8.5 inches would fit a 38B bra, but if her breast width were 9.5 inches, she would fit a 38C bra.

Conversely, for any given breast width, the cup goes up or down by one size with every alternate step in band size. For example, a woman with a 9-inch breast width and a 3I-inch underbust circumference would wear a 36C bra, but if her underbust circumference were 35 inches, she would wear a 40B bra.

The information in the table was used clinically to help meet patients' breast surgery goals. For example, if a woman with an underbust circumference of 29 inches (34 band size) wished to be a C cup after augmentation or reduction, an attempt was made to enlarge or reduce her breasts to a width of 8.5 inches. Figure 1 on the right demonstrates the difference between the traditional and new methods of bra measurement in a representative patient.

Breast measurements are helpful in breast augmentation and reduction and in quantifying the difference in size in women with asymmetrical breasts, with each I-inch increment corresponding to a cup size. Experience has shown that almost every woman will fit the size bra determined to be right for her by this new system, even if she chooses to wear a bra of a different size for personal reasons.

Chart For Determining Your Breast/Bra SizeBreast
WidthUnder-Bust Circumference* - The asterick denotes "prime" brassiere sizes - *

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No Pain Medication Required 24-Hour Recovery Breast Augmentation

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Firm Support with a Laser: The Laser Bra

Contributed by Dr Grant Stevens, Marina Plastic Surgery Associates, Palos Verdes, CA & Marina del Ray, CA.

Dr. Grant Stevens created the Laser Bra, a procedure for lifting the breast. He discusses how he combines his approach with conventional surgery. 

(This article was reprinted from Body Language International)

As breast surgery is so popular, it is not surprising that accompanying procedures have been developed to improve results or make them last longer. The whole point of the Laser Bra is to create a longer lasting and more permanent lift of the breast when performing a reduction, augmentation mastopexy, or standard breast lift.

In traditional breast-lift surgery, the skin envelope is reduced in size and tightened. This allows the nipple and areola complex to be lifted. Generally speaking, the skin reduction performed results in skin that is excised and discarded. Using the Laser Bra technique, a C02 laser softens the skin and fashions an internal bra. Treating the excised skin makes it soft and pliable, and internal scarring ensures the permanency of the brassier.

The Laser Bra is, basically, an internal bra that elevates the upper chest. The laser creates the bra which is attached to the chest wall with permanent sutures, along with small tabs.

If a patient is undergoing a breast reduction, the Laser Bra will elevate the newly reduced breast. With an augmentation mastopexy, the bra supports the implant and the existing breast, thus avoiding the "ball and sock deformity". One of the greatest attributes of the Laser Bra is greater longevity and lift for cosmetic breast surgeries. What's more, the Laser Bra is created from a patient's own tissue. The Laser Bra cannot be felt by the patient. As it is attached at all times (not a free graft). there is no risk of infection or rejection.

The Laser Bra also makes breast surgery an option for a wider group of women who previously were not candidates. As a result of the increased blood supply provided, smokers, diabetics, hyper-tensives, or people with cardiovascular disease can still have laser breast reduction.

In addition, the blood supply to the nipple and areola (with breast reduction) is so improved that I no longer have to consider performing nipple grafts. This enables a patient to continue to experience nipple sensation and retain the ability to breastfeed. In the past 4 years, I have performed more than 150 Laser Bra procedures. My patients remain incredibly impressed with the longevity of the post-op results and the "perkiness" of the breast.

The procedure generally takes 2 hours; swelling and discomfort are minimal. As lasers are used, blood loss and bruising are reduced. Recovery-time is generally 7-10 days, with the resumption of full activity about three weeks afterward. For those women who have been concerned about achieving a natural appearance of the breast, or the longevity of their post-operative results, the Laser Bra affords a natural, safe, and long-lasting approach to breast surgery.

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Breast Reconstruction - Weighing the Options

The following New York Times article on Breast Reconstruction features Dr. Frank Ferraro, of Ridgewood, NJ. The article was originally published on September 9, 2001

In an era of medical breakthroughs, it is reassuring to learn that breast cancers are being diagnosed in there earliest stages so that, according to the American Cancer Society (ACS), 96 percent of women with such cancers are alive after five years. Another promising trend: advances in reconstructive techniques have made it possible for plastic surgeons to create a breast that more resembles a natural one. "One of the most frequent questions among women facing breast surgery is 'how will I look afterwards'?" said Dr. Frank J. Ferraro Jr., an attending plastic surgeon at Pascack Valley Hospital in Westwood. "They worry about whether their clothes will fit and if they will still feel attractive."

In the past, the majority of women who had mastectomy surgery wore a prosthesis - a breast form made from materials that have the weight and feel of a natural breast - in their bras and bathing suits after surgery. Many women found such a prosthesis inconvenient or uncomfortable and wanted to feel "whole" again; plastic/reconstructive surgeons began to develop techniques to restore the shape and contour of the original breast. According to NIH, today about 75 percent of women who have mastectomies choose postsurgical reconstruction.

"Advances in breast reconstructive surgery mean that almost all women are candidates for the procedure," Dr. Ferraro observed. Cosmetic results also have improved. Although a reconstructed breast isn't a perfect copy of the original, many women - especially those with stage one tumors, the smallest - find that their breast may look almost unchanged. If you are planning to have breast reconstruction surgery, you must find a plastic surgeon skilled in the procedure before the mastectomy surgery so that the plastic surgeon can work with the general surgeon to develop a plan that lends itself to reconstruction. Since this is a demanding technique, it is important to choose a plastic surgeon who is bored certified in this specialty and experienced in breast reconstruction.

Women can choose to have the procedure at the same time as the mastectomy operation or return to the hospital for reconstruction several weeks or months later. The women and her surgeons will discuss what type of procedure is best for her: an artificial implant or a muscle-flap procedure in which the breast is reconstructed with skin, muscle and fat taken from another part of her body. Factors to be considered include the woman's medical history, height, weight and amount of body fat as well as other medical conditions.

Although implants require less extensive surgery and shorter hospital stays, many women now choose muscle flap procedure. Dr. Ferraro, who learned the techniques at Duke University Medical Center in Durham, North Carolina, is a leader in the procedures. "Muscle-flap procedures use tissue from the back or abdomen to either form a breast or create a pocket for an implant. As a result, the breast looks more natural." The flap is made in several ways. In the latissimus dorsi technique, tissue is transferred from the area on the back below the shoulder blade by way of tunnel made under the skin in the underarm area. The blood supply to the muscle is left intact. The muscle and skin create a pocket that an implant fills out to provide a breast shape. The TRAM flap is another variation. The flap comes from the transverse rectus abdominus just below the waistline. The reconstructive surgeon detaches a small piece of skin, muscle and fat and pulls it through a tunnel under the skin between the abdomen and chest. Some women have enough extra fat in the abdomen to create a breast shape without an implant.

One advantage of the TRAM techniques is that some women find that their abdomens look flatter - as though they have had a tummy tuck. Women who have chronic lower back problems often choose other techniques since they may develop weakened abdominal muscle after the procedure and can increase back strain.

A third technique, the free flap, eliminates the tunneling step. A portion of skin, fat and blood vessels is removed from the buttock, thigh or abdomen and move to the breast area. The blood vessels in the flap are sewed to the vessels under the arm at the mastectomy site. Because extensive microsurgery is required to reattach the blood vessels, the free flap is the most technically demanding of the muscle flap procedures. This technique, however, gives superb results.

"Women who smoke or have diabetes may be poor candidates for muscle flap procedures because their blood vessels may have narrowed enough to prevent healing of the flap," Dr. Ferraro noted. "That's why we advise patients to quit smoking and keep their blood sugar as close to normal as possible so that they can benefit from these procedures and have a natural looking breast."

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How to Choose Your Plastic Surgeon

Choosing a plastic surgeon is an important, life-altering decision. It is vital to your safety and the success of your cosmetic surgery that the surgeon you choose has the right qualifications, ample experience, and documented results of his or her work.

Not all surgeons who perform cosmetic surgery are trained equally, and any doctor with a valid medical license—regardless of the length and type of training he or she has—can perform cosmetic surgery.

As the demand for plastic surgery continues to increase each year, this fact becomes more alarming. According to the American Society of Plastic Surgeons (ASPS), the foremost authority on plastic surgery, more than 10.2 million cosmetic plastic surgery procedures were performed in the United States in 2005, up 11 percent from 2004.

It is very important that you choose a qualified and highly experienced plastic surgeon to perform your cosmetic surgery. If there are any complications during surgery, an experienced plastic surgeon will be more adept at handling the situation. In addition, a plastic surgeon that has performed many cosmetic surgeries will have had more time to perfect his or her technique and results.

There are several guidelines to follow in order to ensure that you choose one of the finest plastic surgeons in your area:
You need your plastic surgeon to be certified by the American Board of Plastic Surgery. This certification is an indication that the surgeon has had extra training in the field of aesthetic plastic surgery. This also ensures that the plastic surgeon has earned his or her degree from a reputable medical school and has completed five years of additional residency.Reputable plastic surgeons should have privileges to perform cosmetic surgery procedures at an accredited hospital – not just in the surgery center in their office.Ask your plastic surgeon to show you before-and-after photos of patients who have undergone cosmetic surgery and ask to speak with some of their patients.Good doctors will ensure realistic expectations and take the time to address your concerns. They will encourage you to do your homework, talk to other patients, and make an informed choice.Be skeptical of super saver deals advertised in newspapers and magazines. Most plastic surgeons charge comparable rates and rarely offer "deals." Don't compromise quality care and your safety just to save a few dollars; it may end up costing you more in the long run. An experienced plastic surgeon will be more adept at fixing or addressing any problems that may arise.Of course, one of the most important factors in choosing a plastic surgeon is your personal comfort level with the doctor. You should feel comfortable asking questions about your cosmetic surgery procedure so that you can make an educated final decision regarding your surgery.This article was contributed by Dr. Tom Pousti of San Diego, CA.

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Breast Augmentation with Lowering of the Inframammary Fold

In the operating room with breast implants in position and the infra-mammary fold lowered and therefore producing a larger distance from the areola to the infra-mammary fold.

This procedure can be used for patients with tubular or "constricted” breasts as well to help in achieving the fuller, rounder appearance. Settling of the breast implants may require 3-12 months after surgery.

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Correction of Tubular Breast Deformity

Article Contributed by Dr. Tom Pousti, San Diego, CA

Tubular breasts have a very narrow base and usually a long skin envelope. Sometimes people refer to "tubular breast" shape as the shape similar to "snoopy's nose". In the most severe cases of tubular breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. In many cases however, a lift is not necessary. The patient should be aware that the final result will take months to see and that they will need to be patient.

The surgery is usually done under a light general anesthesia and the procedure takes about two to three hours. The incision is usually confined to around the nipple entirely or beneath the crease, and can be very inconspicuous. The procedure involves making internal incisions to release the tight breast tissues, making a larger space for an implant, rounding out the lower breast crease, and correcting enlarged and protruding areola.

Placing a breast implant underneath the breast and pectoralis muscle, along with making small incisions on the inside of the breast will usually allow this tight skin to spread into a better shape. This process can take a few months but usually results in a very pleasing shape without the telltale scars of a breast lift.

There will be a recovery time of 1-2 weeks just as with breast augmentation surgery for non-tubular breast patients. Bed rest, along with plenty of fluids, is necessary after surgery. Your chest will be sore. Your Surgeon will prescribe appropriate pain management medications. Take your medication regularly and keep your office visits. Usually after a week, you will begin to feel back to normal.

A brassiere and bandeau will be fitted for you during your first week of recovery. These will need to be worn for a month. You will not be able to shower until your sutures are removed. Initially, breast implants will appear to be slightly higher than normal and your breasts will be swollen. Over time, the breast implants will descend to a more natural position.

Steri-strips are placed around the areola (where the incision is made). These steri-strips will fall off on their own

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Symmastia Correction - Revisionary Breast Surgery

Revisionary breast surgery, also known as breast augmentation revision surgery or breast implant revision surgery is commonly performed at Pousti Plastic Surgery. For patients with malposition of the breast implants, it is very important that they have a qualified surgeon performing their revision. Medial displacement of breast implants is known as symmastia. This is commonly referred to as "breadloafing" or "uni-boob". This results from the loss of tissue support along the sternal area, allowing breast implants to move excessively towards the woman’s midline. If the pectoralis muscle that is connected to the sternum and goes across the implant is cut during surgery, then the implant can move toward the middle of the chest. Symmastia may result from overly aggressive attempts to alter chestwall anatomy trying to increase cleavage in patients. This outcome is made worse by use of larger implants in thin patients, and is a problem for implants over or under the muscle, though submuscular implant placement allows the muscle to provide some softening of the transition to the cleavage area from the augmented breast mound.

The degree of medial displacement varies from patient to patient and the reconstructive technique therefore, also varies. Usually, the medial displacement of the breast implants causes the nipple-areola complex to appear off-center on the patient’s breast mound. Often, there are other problems associated with the symmastia including “bottoming out” (inferior displacement of the breast implants), rippling / palpability of breast implants and breast asymmetry.

Correction of symmastia involves careful planning and intra-operative reinforcement of the medial fold of the breasts. Reconstruction usually involves removal of the breast implants and internal suture reinforcement of the involved area. The use of dyes and needles through the skin surface assists the exact placement of permanent sutures. Usually the breast implant capsule that is redundant is removed to allow for two raw surfaces to heal together, presumably lowering the rate of recurrence of the symmastia. Often, it is necessary to “open” the breast implant pocket laterally (outer breast fold) to allow for positioning of the implant centrally behind the breast mound. This maneuver may also decrease the amount of implant pressure against the medial suture line. Use of a smaller breast implant, if possible, may serve the same purpose.

For correction of symmastia, the procedure can take from 2-3 hours depending on how much work is involved. Board Certified Plastic Surgeon, Dr. Pousti takes his time in the operating room to make sure that he does what he can to achieve the best result for the patient.
An incision is made (usually under the areola) to expose the underlying tissue, muscle, and implant.The tissue that surrounds the implant is removed in the area of the planned repair.Tissue is sutured together to hold implant in place (with permanent sutures).The incision is then sutured close.Intra-operatively, sitting the patient upright is imperative to assess the repair and degree of symmetry. Patience is important as multiple trials of suturing may be necessary to achieve satisfactory repair and symmetry.

Post-operatively, the use of tape is used to apply pressure on the previously elevated skin overlying the sternum. Compressive dressings and a pressure bra are also helpful. Bed rest, along with plenty of fluids, is necessary after surgery. Your chest will be sore. Dr. Pousti will prescribe appropriate pain management medications. Take your medication regularly and keep your office visits. Usually after a week, you will begin to feel back to normal.

A brassiere and bandeau will be fitted for you during your first week of recovery. These will need to be worn for a month. You will not be able to shower until your sutures are removed. Initially, breast implants will appear to be slightly higher than normal and your breasts will be swollen. Over time, the breast implants will descend to a more natural position.

The bra that is worn after symmastia repair is referred to as the "thong bra". It is used to stabilize the area after symmastia reconstruction. This will allow the sutured area between the breasts to heal properly without excessive pressure being applied to the area.

Article Contributed by Dr. Tom Pousti, San Diego, CA 

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Breast Implant Cup Size & Expectations of Breast Augmentation Surgery

The following article is an excerpt from Dr. Tebbetts book, The Best Breast 2: Although some methods of defining breast size are popular, they are not as accurate as we might like to believe. First, let’s consider how not to define your desired breast. Cup size is not even a consistent fashion measurement, let alone a medical term that can accurately and consistently define breast size. But it’s probably the most common yardstick women use. Any woman who has ever shopped for bras knows that a B is not a B is not a B. Although the labels say the same size, when you put them on, some fit and some don’t. For the same woman, some B cup bras fit better than her usual C cup and vice a versa. Some B cup bras fit better than other B cup bras. Check your own bra drawer! How many cup sizes do you have?

We frequently hear from patients, I’m sorta a B cup and I want to be a full C cup. Our response is simple. Tell me what a sorta B or a full C cup is! Can you go buy me a bra that is labeled sorta B or full C? If you can’t define it and you can’t buy a bra labeled it, how do you expect a surgeon to create it? And if a surgeon tells you he can create it, what should that tell you about the surgeon?

Cup size is extremely variable and inconsistent from one brand of bra to another. If cup size is inconsistent and you know it from buying your own bras, why would you want to rely on cup size to specify what you want?

You can’t define it because it isn’t a consistent measurement from manufacturer to manufacturer, as much as they’d like you to think it is. If a surgeon guarantees you a cup size, that should tell you something about the surgeon. How can you deliver something that isn’t consistently definable? What about the surgeon who doesn’t even know that bra cup size is not consistent or definable?

How do we use cup size? We have no objection to using cup size as a general guideline, provided you recognize it is only a general guide that can’t be ordered or delivered, and your surgeon doesn’t talk to you about cup size only when defining your desired outcome.

We always ask our patients the following questions: What cup size were you before you were pregnant? Largest during pregnancy? What cup size after pregnancy and nursing if you nursed? What are you now? What would you like to be? If cup size is not a consistent measurement, why do we ask? The answers to these questions give us a clearer understanding of how our patient sees her breasts. During our exam, measurements will precisely define the size of the patient’s skin envelope.

Knowing what a patient thinks she is (by asking the questions) and knowing what she really is (from our measurements) helps us better understand the patient’s perspective and her wishes. But we NEVER define the desired result by cup size alone. Many women don’t buy bras to fit their breasts... a personal revelation from Dr. Tebbetts

During my first several years in plastic surgery, I was baffled by the array of bra types and sizes that patients applied to breasts that all looked very similar and that measured similar in size on exam. One of the more enlightening milestones of my plastic surgery career was the day I realized that women don’t buy bras to fit their breasts. Most women buy bras to push their breast tissue where they think it looks best. Women don’t necessarily buy bras that fit their breasts. They buy bras that the breast will fill. What do I mean?

The width of a breast (from side-to-side, Figure 4-1) increases with increasing cup size. But I was amazed that women who had measurements indicating a D cup width were often telling me they were a B cup. What they really meant was that they were wearing a B cup bra. Then one day I asked a patient to please put her bra on as I observed. The B cup bra did not fit the fold beneath the breast. The breast was wide, more like a D cup width. The bra she had picked was much narrower than the width of the breast. When the patient put it on, she leaned forward and tucked the outside part of the wider breast inward to fill the cup of the smaller and narrower B cup bra. A light went on! Then I understood! She picked the smaller B cup bra because the amount of breast tissue that she had would fill it! When she pushed the outside portion of the breast inward into the bra, it not only filled the bra but bulged at the top of the breast and toward the middle. More cleavage! From that day on, I have been able to put bra cup size in perspective and rely more on measurements to document the size of breasts.

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Breast Enlargement: How It Relates To Self Confidence and Cup Size!

Article courtesy of M. Kirk Moore, M.D., West Jordan, UT at the Genesys Medical Institute 

When your clothes don’t fit right or you feel self-conscious about a “less than womanly” figure, it can consume your thoughts day and night. Your friends might joke about your flat chest, or you might spend hours trying on bras and clothes to find something that won’t gap or look strange. If you’re like some women, you might avoid the beach or even feel that you have to undress with the lights out. You might imagine that everybody else notices how you look, even if they don’t. The truth is that whether anyone else notices your breast size or not, that’s just no way to live!

As much as we hate to admit it, our looks matter. They affect the way other people perceive us, and they certainly affect the way we feel about ourselves. In my practice, I have found that it doesn’t matter what cup size a woman is or wants to be. The bottom line is that she needs to feel good about how she looks. When a woman feels that her body is proportioned and womanly – when she feels that her clothes fit her well and look good on her whether she’s in a business suit or a little black dress – it makes an enormous difference in how she walks through her day. She not only feels more confident around men, but she feels more confident in every aspect of her life. She is no longer thinking about how she looks or how uncomfortable she feels in her clothes. In short, she can get on with living her life because she’s free from self-defeating thoughts. Let’s face it: Self-confidence is the key to success.

But when it comes to self-confidence, cup size is relative. The important thing is that it be the right cup size for each individual woman. I have always believed a woman should let her body decide. Every woman is unique – both her body and her expectations. So, the deciding process needs to be very individualized. It needs to be based on a woman’s frame and the proportions of her body. Too small an implant will be a disappointment, and if it is too large, tissue stretching can occur that would require subsequent surgery to correct. The best option is to get the optimal breast size, not the maximum breast size. After all, most women don’t want people to notice they have had a breast enhancement.

So, you definitely need a sensitive and experienced surgeon – preferably one who is literally passionate about breast augmentation surgery. For me, this procedure is a calling. I love seeing my patients walk away with smiles on their faces. I know how important it is to them, and it’s enormously rewarding to see the results make a difference in their lives.

Perhaps most importantly, I want my patients to be able to enjoy their new body immediately without anguish. That’s why I devised the Pain-Free Instant Recovery Breast Augmentation procedure that simply uses less blunt force and gets women moving immediately after surgery. I have found that wrapping the body and staying still post-surgery only makes things worse. In fact, with my method, I have only had three women in more than a year that required a post-surgery pain prescription for a short time. In most cases, women have been able to go out to dinner the same day without any pain at all.

So, besides the self-confidence that comes with breast enlargement surgery, you need to have confidence in your surgeon. Because of my innovative technique, women often travel to my practice in Utah in order to experience the surgery without pain, as well as return to work within only a couple of days. No one has to be the wiser that they had a breast augmentation. They simply combine it with a ski vacation and tell their friends they hit the slopes while away for a few days.

Every single woman we’ve spoken to after her breast enlargement has said, “Why didn’t I do this sooner?” No matter the cup size she has chosen in order to have “just the right curves,” the difference in her self-confidence is priceless.

For more information, please visit our website to get our free report. We serve clients from throughout the United States.

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Terrye Tebbetts: Breast Augmentation Discussion 3/23/09

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Dr. Vasisht's Keys to Successful Breast Augmentation

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Correction of Inverted NIpples

Many men and women have inverted nipples (either one or both) but don’t feel comfortable discussing it with their doctors. Inverted nipple repair is rarely thought of when patients consider breast enhancement. The procedures that are normally thought of are breast enlargements, breast lifting or breast reductions. For some patients, they not only want the breast size taken care of, but also have concerns regarding their nipple and/or areola-- the nipple is the projected part and the areola is the dark pigmented skin that surrounds the nipple. Patients are happy to hear it’s a simple procedure to enhance the nipple/areola. Whether the nipple is inverted, too big or protruding too far, Dr. Pousti can assist you with correction. The nipple is an important part of a woman’s appearance and sexuality. Inverted nipples affect the body image of both men and women. Inverted nipples are congenital most of the time – sometimes the nipples become inverted after childbirth and/or breast feeding. There are three "grades" of inversion - which basically means three levels of severity. While some nipples may only be inverted some of the time (and "come out" or become everted in response to cold or physical touch), others are more severely inverted and never come out. Some women can breastfeed normally, while others will never be able to breastfeed.
Grade 1. Nipples are inverted but can become everted manually (through stimulation) or in response to cold temperature. They can remain everted for some time. Milk ducts are usually not compromised and breast feeding is possible. These are "shy nipples".Grade 2. Nipples are inverted and are more difficult to evert. The eversion almost never lasts - the nipple returns to the inverted state immediately. Breast feeding could be possible, but this is not a sure thing.Grade 3. Nipples are severely inverted and never evert. Milk ducts are often constricted and breast feeding is impossible. Women with Grade 3 inverted nipples may also struggle with infections, rashes, or problems with nipple hygiene.Patient’s are happy to hear that inverted nipple procedures are minimally invasive and can be performed in conjunction with other procedures such as breast augmentation, breast lifting or breast reduction surgery (for both men and women). This procedure is performed in our outpatient surgery center under either local or general anesthesia.
Surgical Correction of Inverted Nipples

The surgery consists of a small incision at the base of the nipple. Milk ducts are identified and divided – this allows the nipple to remain spontaneously everted. A suture is used to support the eversion and closure of the suture line is accomplished. Usually, only dissolving sutures are necessary.

Article Contributed by Dr. Tom Pousti, San Diego, CA

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Vectra 3-D Imaging System for Breast Augmentation - Sample

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Breast Augmentation Pocket Protection - Implant Mal-Position

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Inverted Nipples - Correction Through Surgery

As many as 2% of American women have at least 1 inverted nipple and still the subject of nipple inversion is seldom discussed among friends or in the media. Usually when people discuss breast enhancement, they are talking about enlarging, reducing or lifting their breasts.

Clearly nipples are an integral part of the breast, playing a role in appearance, in sexuality, and in motherhood. And for the women who have inverted nipples, inversion may affect their self-esteem and body image. While several different surgical techniques have existed for inverted nipples, now there is a treatment that has been successful with long-term results.

Most cases of inverted nipples are congenital — some people are just born that way. However, some nipples become inverted after breastfeeding when scar tissue builds in the milk ducts. Nipples that become inverted after birth are usually caused by one of three things: not enough skin at the base of the nipple, constricted milk ducts, or scarring of the milk ducts due to breastfeeding.

There are 3 "grades" of inversion — which basically means- 3 levels of severity. While some nipples may only be inverted some of the time (and "come out" or become everted in response to cold or physical touch), others are more severely inverted and never come out. Some women can breastfeed normally, while others will never be able to breastfeed.

Grade 1: Nipples are inverted but can become everted manually (through stimulation) or in response to cold temperature. They can remain everted for some time. Milk ducts are usually not compromised and breast feeding is possible. These are "shy nipples".

Grade 2: Nipples are inverted and are more difficult to evert. The eversion almost never lasts — the nipple returns to the inverted state immediately. Breast feeding could be possible, but this is not a sure thing.

Grade 3: Nipples are severely inverted and never evert. Milk ducts are often constricted and breast feeding is impossible. Women with Grade 3 inverted nipples may also struggle with infections, rashes, or problems with nipple hygiene.

(compliments of Grant Stevens, M.D., Marina del Rey, California)

Most people who have inverted nipples are happy to hear about surgical corrections and how simple they can be. Inverted nipple repair is performed on nipples that have been inverted since birth or have become inverted due to breast feeding or other trauma. Recurrence of nipple inversion after surgical repair elsewhere is also a reason that nipple repair may be performed.

Dr. Stevens's and Dr. Stoker's unique approach, both in the surgery and the after-care (using the Stevens Stent for traction to ensure the nipple retains eversion), repairs the nipple, retains nipple projection, leaves minimal scarring, and gives a natural appearance.

Correction for inverted nipples can be done on an out-patient basis. A patient can opt for local anesthesia, intravenous sedation and local anesthesia, or general anesthesia.

The surgery consists of a small incision at the base of the nipple while the nipple is in a protected projected state. Then a gentle spreading of the fibers is performed within the nipple (these fibers are what pulls the nipple inward). Special care is taken: the spreading happens parallel to the milk ducts in order to preserve them.

Once the fibers are spread and the nipple is free and in an outward, normal position, special sutures (stitches) are placed inside the nipple. If you think of a clock, the sutures go from the 12:00 position to the 6:00 position. Another set of sutures go from the 3:00 position to the 9:00 position. A third suture goes around the base of the nipple. This adds stability and strength to the base of the nipple and helps retain its outward projection. All sutures are dissolving so you won't be required to come into the office to have any stitches removed.

Finally a special stent called the Stevens Stent, is placed over the nipple. This stent actually holds your nipple in place and ensures that the nipple heals in an outward position, retaining the integrity gained through the surgery. Not only does it help with the nipples' projection, it also protects the nipple in the healing stages. This stent is left on for one to three days.

The sutures dissolve within 10 to 14 days and the initial incision will not be noticeable. To date, none of the nipples corrected have reverted.

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Which Breast Implants to Get? Saline Filled or Silicone Gel Filled?

Article Contributed by Dr. Tom Pousti, San Diego, CA Saline implants have a silicone rubber shell that is inflated to the desired size with sterile saline. The implants are placed under the pectoralis muscle deflated and therefore, the incision used for this type of implant is minimal. These implants can be overfilled to achieve a more rounded appearance.

The FDA has approved the saline breast implants for breast augmentation / breast reconstruction surgery for all patients.

Saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference. Patients will need an MRI to diagnose a silicone gel rupture. Replacing a ruptured silicone gel implant is more difficult than repairing a saline implant. Silicone implants also have a higher rate of capsular contracture and a higher deflation rate. Saline implants are also less expensive than the silicone gel implants.

Silicone implants have a silicone rubber shell that is filled with a fixed amount of silicone gel. Most silicone gel-filled implants are not adjustable and therefore, the incision used to place the silicone gel implant is larger than the incision needed for saline implants. The silicone gel implant cannot be overfilled – it comes in an exact size that cannot be manipulated.

Silicone implants vary in shell surface (smooth/textured), shape, profile, volume, shell thickness, and number of shell lumens.

Some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have. If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants. If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more natural result.

As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.

For Immediate Release: November 17, 2006

Arlington Heights, Ill. (November 17, 2006) – The American Society for Aesthetic Plastic Surgery and The American Society of Plastic Surgeons, the two largest plastic surgery membership organizations, applaud the FDA’s decision today to approve (manufacturer’s) silicone breast implants and return these devices to the U.S. market. This decision comes 14 years after the FDA restricted access to the silicone implants because of safety concerns. “This is a great day for American women and the plastic surgeons who care for them,” said Roxanne Guy, MD, ASPS president. “Silicone breast implants have been scrutinized more than any medical device, and we applaud the FDA for making its well thought-out decision and allowing American women to make informed choices about their health care.”

Today’s FDA decision follows a lengthy process in which the agency sent “approvable with conditions” letters to the two silicone breast implant manufacturers in the second half of 2005. The approvable letter stipulated a number of conditions that the manufacturers needed to satisfy in order to receive FDA final approval to market and sell silicone breast implants in the United States. These letters came after an FDA advisory panel hearing in April 2005, in which the panel heard more than 20 hours of data presentations from the manufacturers and public comment.

Approximately 300,000 women chose breast augmentation in 2005, according to ASAPS and ASPS statistics. Nearly 58,000 women had breast reconstruction in 2005, according to ASPS. Both breast augmentation and reconstruction have been proven in numerous studies to have psychological and physical benefits for women who choose these procedures.

The ASPS and ASAPS will continue to offer their assistance to the manufacturers for the conditions set forth by the FDA related to physician and patient education. One comprehensive example of this assistance is a joint Web site, breastimplantsafety.org, which offers objective and science based information regarding saline and silicone breast implants.

The American Society for Aesthetic Plastic Surgery (ASAPS) is the leading organization of board-certified plastic surgeons specializing in cosmetic plastic surgery. ASAPS active-member plastic surgeons are certified by the American Board of Plastic Surgery or the Royal College of Physicians and Surgeons of Canada. www.surgery.org.

The American Society of Plastic Surgeons is the largest organization of board-certified plastic surgeons in the world. With more than 6,000 members, the Society is recognized as a leading authority and information source on cosmetic and reconstructive plastic surgery. ASPS comprises more than 90 percent of all board-certified plastic surgeons in the United States. Founded in 1931, the Society represents physicians certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada. www.plasticsurgery.org.

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Terrye Tebbetts: Breast Augmentation Discussion 9/15/08

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Board Certified Plastic Surgeon Dr. Brad Bengtson Joins ImplantInfo

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Revision of Breast Implant Problems

If you are considering breast augmentation for the first time, you want to be sure that you do it right. You obviously want to avoid the emotional distress, inconvenience, and expense of having to have an early revision. And doing it right the first time is the best chance to set you up for having a result that will be as long lasting and beautiful as possible.

There are many women with serious and even permanent problems because of errors made with their first breast augmentation. Dr. Teitelbaum has learned from these women which choices in the first surgery can set a patient up for problems later. Using these principles, he was asked by an implant manufacturer to create an educational curriculum to teach other surgeons how to reduce their revision rates. And he is coauthor on a landmark paper that sets guidelines for surgeons to reduce the number of operations a patient will have in her lifetime.

Many surgeons approach this surgery with a very short-sighted view of their outcomes. Dr Teitelbaum recognizes the importance of achieving beautiful results not just for a year or two after the surgery, but for a patient’s entire life. While a surgeon that operates on a patient today is not technically responsible for a patient five years from now, Dr. Teitelbaum nonetheless recognizes that decisions made today will have effects years from now, and therefore counsels patients to make decisions that take this into account. He will always discuss with patients not just the short term effects of their choices, but what will happen to their breasts over time.

Other plastic surgeons refer Dr. Teitelbaum the most challenging cases that need revision. Having done so many of these revisions, Dr. Teitelbaum was asked to write a textbook chapter for an upcoming plastic surgery textbook entitled “Revision of Breast Augmentation.”

As complex as first-time breast augmentation is, revision is substantially more difficult. Patients’ anatomy may have been distorted with the past surgery, old records may have been lost, and tissues may have been thinned, stretched, or in other ways damaged. Worst, patients are frustrated, angry, and fearful after having spent a large sum of money and undergone one or more operations for a result that is totally unacceptable.

Dr. Teitelbaum understands these issues, and is aware of the spectrum of options to handle these problems, both “tried and true” and the new or experimental. For instance, he has a large experience using the cohesive or gummy bear implants, which can be helpful in many types of revisions because of their low likelihood of developing any visible folds or ripples. He is on the advisory board of a company named Lifecell which makes a special material derived from human or pig skin, working to find the optimal way to solve the most difficult augmentation problems. He is one of the pioneers of a new technique called the “neo retropectoral pocket,” which is a powerful and very effective technique that can be frequently applied in breast augmentation revision. He has coauthored a paper on using it to correct symmastia (the so-called “uni-boob,”) one of the most difficult problems to correct.

This remains the most frequent cause for secondary reoperation. The best way to treat it is to avoid it in the first place. But if it occurs, it is important to take all the steps necessary to reduce its chance of recurrence. Complete removal of scar tissue, using a “low-bleed” implant, considering textured or cohesive implants, bloodless and gentle surgery, early post-op motion, and antibiotic irrigations are the cornerstones of treatment. Similarly, there are a few patients for whom recurrent contracture is unavoidable, and recognizing these situations and discussing whether or not to proceed is important as well. The most beautiful women in the world all have asymmetry of their breasts. But sometimes an implant ends up so misplaced that it makes the asymmetry unacceptable and even causes deformities. The most common asymmetry is when one implant is too low. But they can be too close together, essentially joining in the center. This is known as symmastia (aka the uni-boob deformity.) Or the implants can lay to far to the sides, widening cleavage and distressing patients by how far they fall out when they lay down. Treatment for all of these problems can be done by creating a new pocket. For instance, if an implant is in front of the muscle, a more even new pocket can be made behind the muscle, and vice versa. But if the pocket is already behind the muscle and there is good reason to stay behind the muscle, for instance to maintain good coverage over the implant, then one either closes off the lowered pocket with a technique called capsulorraphy or with something called a capsular flap. The newest way to handle this is with a technique called the neosubpectoral pocket, which creates a new pocket between the scar tissue and the muscle, using the strength of the scar tissue to correct the pocket malposition. Sometimes an implant stays fixed in place and the breast can slide off it, drooping as a result of gravity. At other times, the implant itself falls down, stretching out the lower skin of the breast, which is known as “bottoming out.” These problems most frequently occur in women who had large implants and/or pre-existing stretched skin and perhaps droopy breasts before they even had their implants. That could have been the result of their own development, weight fluctuations, or pregnancies. Very often, these patients will recall being told that they needed a lift when they first had their augmentation, but decided against it because they didn’t want the scar. Each of these cases is very different, and care needs to be individualized. Many patients complain that they can see or feel folds, ripples, or knuckles of implants. This happens mostly with saline, but it can even happen with silicone implants. If tissue is thin enough, this can even happen with the cohesive gel gummy bear implants, though that happens less frequently. Since he is an expert with the cohesive implants, many patients with this problem seek out Dr. Teitelbaum. While these implants do have an advantage over other implants for this situation, the underlying problem for most of these women is the thinness of their soft tissue over the implants. All of the patients with the worst rippling problems are extremely thin. The cornerstone of improving patients in this category is trying to get as much tissue coverage as possible, such as switching implants to behind the muscle if they are in front. Oftentimes, these patients have been behind the muscle, but they have stretched in the lower part of their breast, and by lifting the lower part of their breast, more of the implant can be kept under the muscle. Other techniques, such as using Strattice or Alloderm tissue implants can be very helpful in these challenging cases. This is an unfortunate reason for surgery. If there is adequate preoperative discussion and planning, this should be largely unavoidable, but it can still happen. Dr. Teitelbaum believes that implants should be sized at the first surgery according to what fits a patient’s particular breasts. Too big will look unnatural and stretch the breast, and too small will leave the upper breast underfilled and the breast looking empty and disproportional. So, if the implant chosen for the first surgery is that which was suggested – on these objective terms – then to change the size later would be illogical. That being said, sometimes patients go larger or smaller than was suggested to them initially, or other patients change their mind about what they want. This operation is not always as simple as just removing one and replacing with a bigger or smaller size. It can require some work to increase or decrease the size of the pocket, depending upon your tissues and the change in size. The most important thing to recognize is that if you are wanting bigger and bigger implants because your skin has a tendency to stretch, you need to stop and consider whether you should stop and have a lift, rather than progressively going larger, which inevitably will mean more stretch and emptiness later…one step forward and two steps back. With the end of the 14 year moratorium on silicone in the United States ending in November of 2006, there are hundreds of thousands of saline patients in the United States who at one time or another will come in to have their implants replaced. Despite evidence demonstrating that the fears that lead to the moratorium in 1992 were unfounded, some women nonetheless are suspicious of silicone. But most of the patients Dr. Teitelbaum sees want to have silicone. Some saline patients are bothered by firmness and roundness if their saline implants were highly filled, while others are bothered by upper pole emptiness, sloshiness, and ripples if their implants were underfilled. With saline, there was no perfect fill, and switching to silicone frequently fixes these problems. Other women have a saline deflation, and come in after one breast “disappeared” over a few days, and have both implants switched, either to saline or to silicone. Many are coming in now years after their saline, asking now to either replace their saline implants or get silicone implants so that a deflation does not occur at a time that is inconvenient for them. Some women asking to switch to silicone have nothing really wrong, except perhaps wanting a little softer and more natural of a feel, and something that is less perceptible to their intimate partners.

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Oxygen Magazine Plastic Surgery

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Dr. Steven Teitelbaum's Philosophy on Breast Augmentation

Article courtesy of Dr. Steven Teitelbaum

Dr. Teitelbaum’s approach to breast augmentation is a direct result of years of studying, writing, and lecturing on the subject. He’d like to share with you a few of the points that distinguish him from other aesthetic surgeons:

“Augmentation affects your breasts for the rest of your life—a responsibility I take very seriously. Every surgical decision we make together—from the incision site to the pocket location to the type and size of implant—should further the goal of making your breasts look their absolute best, in the safest way possible.

My personal aesthetic gravitates toward breasts that are beautiful and natural, and my patients generally share this approach. Most of them specifically say that they do not want to look “fake”; unless a patient specifically requests otherwise, this is always my goal. Because I understand that my aesthetic sensibilities will not be shared by all prospective patients, I will work hard to make sure that they are compatible with your own before proceeding with any surgery.

Here’s what you can expect from me. First, an unparalleled consultation experience. Many plastic surgeons actually pass you off to a patient coordinator, or they may spend only a few moments with you. I schedule a large block of time for each prospective patient, and will take as much time as you need to discuss how you’ve always wanted your breasts to look, and any concerns you may have. Whether you have the surgery done by me, by someone else, or not at all, you will be sure to leave my office with a dramatically enhanced understanding of how an augmentation could change how you look.

This dialogue will continue throughout our entire relationship as doctor and patient. Far too often I hear other surgeons’ patients complain that their augmentation didn’t give them the results they wanted or expected. This is unacceptable to me, which is why I will explain the implications and consequences of each decision we make together, and stay in constant contact to make sure you know exactly what to expect.

I put an enormous amount of effort into keeping up to date with medical advances, and am proud to have one of the most state-of-the-art surgical facilities in the United States. And while I don’t rush to embrace every innovation, through my own research, I have been able to improve upon breast augmentation techniques. In fact, I instruct other surgeons in how to minimize recovery time and pain in initial breast augmentation based on my own clinical studies.

Finally, I think it is important to stay in close contact with a patient after surgery. No matter how busy our office gets, you can expect regular follow-ups and the kind of top-notch postoperative care I consider necessary to ensure the best possible results. I’m honored when any patient chooses me to be her surgeon, and I strive to make sure my conduct always reflects that feeling.”

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Dr. Chang Soo Kim Joins ImplantInfo

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Risk-Free Breast Augmentation Consultation Offered

Have you been thinking about a breast enhancement, but you aren’t sure if it’s right for you? Any surgeon that you consider should offer you a risk-free consultation. In my practice, it’s as simple as a phone call. My staff is trained to answer any and all questions you have, and you can take all the time you need to find out everything you can about the procedure and the costs. You are never under any obligation beyond that. You can take all the time you need to make your decision and call again, if necessary, to ask additional questions.

After all, any kind of surgery requires thought. You need to be sure it is what you want. No doctor’s office should pressure you into it. Of course, we’re cheerleaders for the procedure because we have seen firsthand what it does for our patients – both physically and psychologically. But it has to be right for you!

After the initial phone call, if you are still interested, the doctor’s office should allow you to come in for the consultation, which should include an examination and discussion of your individual case. Again, this should be without obligation. You cannot make a decision until after the doctor has told you what can be accomplished and after you have met the surgeon and the staff. You need to feel 100% confident and comfortable with your doctor and the office staff.

The doctor should never pressure you into having the surgery or pressure you to get a breast enlargement that is beyond what you want. In fact, your body should decide based on what will be a proportional and natural look for your frame. Otherwise, you could risk stretching other tissues if your implants are too large.

In other words, you need an expert who is dedicated to breast enhancement surgery. Your surgeon should be Board Certified by the American Board of Plastic Surgery and be credentialed by the American Society of Aesthetic Plastic Surgeons, as well as the American Society of Plastic Surgeons.

In my practice, I have developed a unique technique that ensures less blunt force, less bleeding, less scarring, and, therefore, less pain. My Pain-Free Instant Recovery breast enhancement procedure allows my patients to return to work within 24 hours after their surgery, and they need not experience the brutal procedures that they have seen on television. That’s why many women travel from all over the U.S. to my Utah office. They only have to be away for a few days, and they can easily bring along their spouse and combine it with a ski vacation.

Whatever you decide, never entrust your body to anyone but the best! You owe it to yourself to consult with doctors until you find the right one, and you should be allowed to ask as many questions as you need to feel comfortable and make the right decision for you!

For more information, please our site and request a free report. We serve residents from around the United States.

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Terrye Tebbetts: Breast Augmentation Discussion 9/30/09

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Every Dress Tells a Story

The first story published on ImplantInfo.com, Nicole's, was featured in this Marie Claire article.

The story, like dozens on the ImplantInfo website, describes how Nicole felt before breast surgery and echoes the emotions of the thousands of women who "meet" on Nicole's discussion boards each day.

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Dr. Brad Bengtson Featured in Allure Magazine

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Breast Enlargement: Just How Big Should Your Breast Implants Be?

Article courtesy of M. Kirk Moore, M.D.,West Jordan, UT & The Genesys Medical Institute

When you decide to get breast implants, you have several decisions to make. Not only do you need to determine what size you want, but you need to think about shape and proportion as well. You may like the breast size of a favorite celebrity, but will that size really look best on your body?

For example, two women who both wear a 36C bra size may have very different breasts in terms of shape. One of them may have nursed children, and her breasts may sit lower on her chest as a result. Both women may have breasts of different widths, even though they could wear the same bra comfortably. Don’t forget that the cup size is all that matters in terms of the actual size of your breasts. The number of your bra size refers to the measurement of your chest above your breasts. This number won’t change after your breast enlargement procedure. Only your cup size will change.

When women come to me for a consultation, my main concern is that their figure is enhanced without looking unnatural or fake. I want them to have the optimal breast size after their procedure, not necessarily the maximum size. Any doctor that you meet should be interested in helping you choose the best size and shape for your body. Every woman is unique, so it should be a very individualized, one-of-a-kind decision-making process. In fact, something as specific as the way your ribcages curve inside your chest can make a difference in how certain implant shapes and sizes will look on your body. Too small an implant won’t fill out the breast properly, and you’ll be dissatisfied with the result. Too large an implant, on the other hand, can cause stretching of the breast tissue that cannot be reversed without additional surgery. And nobody wants that!

No matter the size and shape that you choose for your implants, your body needs to be able to support them over time. Your doctor must be able to advise you of the best way to achieve the look that you want.

The width of your breasts,The cup size of your breasts, andThe degree of stretch in the tissues of your breasts.
We then discuss the pros and cons with you of the two types of implants: silicone and saline. The one that is chosen will have a lot to do with your body type and the way you want to look after your procedure. Of course, the ultimate decision of the size and shape of your new breasts is always yours! So, it’s important to think about whether you want others to notice that you’ve had an enlargement. If not, you may opt for a slightly smaller size so that it more closely mirrors the current shape of your breasts. You may choose to increase the size of your breasts by only one or two cup sizes. The most common ‘request’ is a C cup, and depending upon your body type, this increase is often subtle enough that no one would know you had implants.

Some women prefer a rounder shape because it gives them more fullness at the top of the breasts for enhanced cleavage. So, a lot depends on your priorities and what you and I believe would look best on your body. For example, there are different styles of round implants. Some protrude more and some are flatter on your chest, hence allowing for more or less of an increase in cup size. The style chosen will be dependent on a number of factors, some of which we have discussed above. You absolutely need a skilled surgeon to help you make the perfect choice for your body and your preferences!

Whatever size and shape that’s chosen, every woman wants to feel and look beautiful after her breast enlargement surgery. Be sure that you choose a doctor who can help you to get noticed for having “Just the Right Curves!”

For more information please visit our website to request our free report. We serve clients from throughout the United States. 

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