Posts Tagged ‘ Breast Augmentation’


Named to Castle Connolly Top Doctors

Top Doctor 2012Congratulations to New York City (NYC) Board Certified Plastic Surgeon Dr. Matthew Schulman for his inclusion into one of the most prestigious group of healthcare providers – Castle Connolly’s “Top Doctor” 2012. These Top Doctors’ medical educations, training, hospital appointments, disciplinary histories – and much more – are screened by the Castle Connolly physician-led research team. Those doctors who are among the Top 1% in their specialties and in their communities are selected to receive this award. Doctors do not and cannot pay to be included in any Castle Connolly Guide or online directory.

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How Young is “Too Young” for Cosmetic Surgery?

Many people wonder about the appropriate age for cosmetic surgery and when someone is “too young.” This has been debated in the media. There is not one simple answer to this question and it depends on the procedure we are talking about. In general, a person needs to be physically ready for the procedure and the associated anesthesia. The body part that is being operated on needs to be in the proper stage of development, which usually means that it is no longer growing. Psychologically the person needs to be old enough to understand what is being done and be able to make a decision about it. It is always best if the person is old enough to really understand the procedure and be equipped to deal with the social after-effects of the surgery. As you can imagine, these are very individualized decisions, based on the person, the parents, and the specific procedure requested.

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Incision Options for Breast Implants

There are three basic options for the incisions used to place breast implants – peri-areolar (around the areola), inframammary (in the breast crease), and trans-axillary (through the underarm). The incision represents how the implant is placed. Each incision has pros and cons. Below is a basic review of the advantages and disadvantages of each approach.

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What causes capsular contracture after breast implant augmentation

Capsular Contracture is commonly referred to as “hardening of the implant”, but it this is a total misnomer. There is normally a soft capsule that forms around a breast implant, but when this capsule becomes thickened and hard, it is considered abnormal and is called Capsular Contracture or CC. CC will essentially “squeeze” the underlying breast implant. There are varying severities of CC and can range from simply slight hardening to a painful and grossly distorted breast implant. The treatment is very difficult and complex so much like anything, the key is prevention.

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Who is with you during your consultation does affect your Breast Implant decision

In my New York City Plastic Surgery Office, many of my patients bring someone with them to their consultation. This support person may be a spouse, a parent, a friend or a co-worker. There is good reason to bring someone with you – they will help you remember what the doctor says and will also offer comfort during what can be an uncomfortable or embarrassing situation. But does the person who accompanies you really matter? When you are coming for breast implant augmentation, it definitely does! I find that breast implant size is directly influenced by the woman’s companion.

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Advantages of 3D-Imaging for Breast Augmentation

Recently I added a 3D imaging software to my breast augmentation practice. This imaging software enable me to convert 2D images of a woman’s breast and convert it into 3D images that I can rotate in any direction. Also, I can then demonstrate in real time the “after” results with specific implants.

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Your Breasts are Cousins, not Sisters

Breasts are like snowflakes – no two are alike. I have seen a lot of breasts in my lifetime, and I have yet to meet a woman who has a right breast that is identical to her left breast. Some degree of asymmetry is normal and expected. This may be a slight difference in the volume, shape, nipple position, or breast fold height. They may be similar, but never identical. This is why I tell my patients that their breasts are like cousins, no sisters.

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Saline vs Silicone Breast Implants

There are two basic choices for breast implants: saline and silicone gel. Each has advantages and disadvantages which I will discuss so that you can be more knowledgeable in your pursuit of breast augmentation.

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How to avoid the “I wish I went bigger” after breast augmentation

According to national data, the most common reason for reoperation after breast augmentation is not implant rupture, infection, or scarring….it is size change! It is all too common for women to undergo breast augmentation yet still feel like they want to be bigger. As a board certified plastic surgeon specializes in cosmetic breast surgery, this makes me crazy because it is preventable.

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Rapid-Recovery Breast Augmentation

Breast Augmentation is one of the most popular cosmetic surgical procedures and not just in New York City. I am constantly striving to improve my technique for this procedure. Over the years I have altered my technique to create a “Rapid-Recovery Breast Augmentation” that requires half the recovery, half the bruising and swelling, and half the pain as other breast augmentation methods.

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