Heidi Montag Cosmetic Surgery: Sometimes you just have to say “No”

Much has been written recently about Heidi Montag and her “10 plastic surgery procedures in one day.”  I would like to give my thoughts about the many issues that pertain to this “story.”

First, let me dispel the myth that ten plastic surgery procedures cannot be performed in one operation. While I will admit that this is a lot, you must keep in mind the complexity of each procedure.  Read more

How To Choose Your Breast Implant Size

Selecting the size for your new breast implants can be a difficult task.  Many women allow this decision to “stress them out” because they fear making the wrong decision.  I will start out by saying that while the decision is important, it should not be a major source of anxiety.  Many women are too focused on the volume number (or “cc’s”) when the truth is that there is very little noticeable difference between close volumes – only your plastic surgeon (maybe) will be able to tell the difference between a 330 cc implant and a 350 cc implant after it is implanted.  In general, people only notice volume differences of at least 50 cc’s.

Here are a few guidelines to help you choose your implant size.

  1. Determine your personal preference of size – This is done by looking at magazines and photographs in order to determine “how big” you want to be.  You should find 3 photographs: “just right”, “too big”, and “too small.”  You should bring these photographs with you so that your surgeon will have a sense of what you are looking for.
  2. As implants get larger, they also get wider – This concept is important in choosing a size implant that fits your body. If you are very small framed, then large implants may be too close to each other in the center or may protrude off the side of your chest.  Your doctor will measure the width of your chest to determine you “base diameter.” This will help him guide you towards a size that fits your body shape and size.  Breast implants are now available in several different shapes such as low projection and high projection. This gives you added ability to have an implant that fits your body.
  3. You may not be able to be as large as want – It is not possible to make a big jump in breast size in all women. This is because there may not be enough tissue (breast and skin) to allow for a very large increase in size. Your doctor will examine you to be sure, but size increases of more than 2 full cup sizes may not be safe.  If you are an A cup, and desire to be a DD, this may not be possible in a single operation. You may have to increase to a full C, than a few years later (after your tissue has stretched out) have the implants increased in size to a DD.
  4. Small volume differences may not be noticeable – Most people only notice volume changes of at least 50 cc’s, so if you cannot decide between a 330 cc implant and a 350 cc implant, so not stress because the difference will be difficult to tell once they are placed. When trying different sizes, you should increase and decrease by 50 cc volumes
  5. Larger implants are heavier – As an implant gets larger, it also gets heavier. This means that very large implants may result in shoulder and back pain, similar to the complaints of women requesting breast reduction surgery.  Also, heavier implants may increase the likelihood of future breast sagging, or ptosis.
  6. Take your time – You should not feel rushed or pressured into choosing your implant size. Your surgeon should allow you time to “try on” the implants and examine yourself in clothing.  It is best to try them with a simple, non-padded, non-push-up bra, and a tight t-shirt.  This will give you the best idea about your post-operative result.  Many surgeons will also allow you to borrow the sample implants so that you can see how you feel about the size of the implants over a few days. I routinely tell my patients to wear the implants for a few days, go out to dinner, visit friends, or wear them to work – this is the best way to determine how you feel about the size.

Implant size is a combination of personal preference and your body’s shape and size.

You should have an idea of what size breasts you ultimately want to have, and your doctor should be able to tell you if that size is safe for you.  Many Plastic Surgeons now have the ability to use computer simulations to show you what you will look like with different size implants.  This may be helpful, but there is nothing better than wearing the implants for a few days.

Interested in Breast Augmentation in New York City

If you are interested in breast augmentation by a New York City Board Certified Plastic Surgeon please contact Schulman Plastic Surgery to book your consultation and get the results you have been wanting. Dr. Schulman is the top Plastic Surgeon specializing in plastic surgery of the breast body and face. With over 10 years of experience helping patients look and feel their best you can feel confident you will that Dr. Schulman is the doctor for the job. 

Hot Trends in Plastic Surgery for 2010

As we enter a new year and a new decade, I thought it would be appropriate to give my predictions for “Hot Trends” in plastic surgery for 2010. Procedures like non-surgical fat and cellulite reduction will become even more popular, but there are some other, more “unusual” procedures that I predict will become more popular in the upcoming year. Read more