Breast Augmentation | Matthew Schulman, M.D.

July 27, 2023/in Breast Augmentation /by Dr. Matthew Schulman

Much has been written about reality star Heidi Montag before and after plastic surgery. Now wife to Spencer Pratt and going by Heidi Pratt, the former star of The Hills and The Hills New Beginnings claimed, in 2010, to have had “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 that much surgery in one day is not possible. While I will admit that this many plastic surgeries is definitely a lot, you must keep in mind the complexity of each procedure.

Heidi Montag Plastic Surgery History: A Surgeon’s Note

From what I understand, her cosmetic procedures included things like a revision of her nasal tip, fat injections to her cheeks, a breast implant exchange, chin reduction, liposuction, etc. There was also talk that Heidi recalled she died for a minute and at one time during her recovery, had a heart rate of five beats per minute.

The list above may include what seems like complicated procedures to the general public, but as a board certified plastic surgeon, I know that these are relatively small, quick procedures. Each one carries minimal anesthetic risk or risk of major post-operative complications — especially when performed on a young and healthy person.

Heidi Montag Plastic Surgery Procedures: Is 10 Procedures Possible?

While the media likes to focus on the seemingly large number of plastic surgeries, the complexity of each and the required anesthetic time is most important.

To give an example, facial rejuvenation surgery in my practice often includes a facelift, necklift, upper blepharoplasty, lower blepharoplasty, browlift, and chemical peel. This is common combination of six procedures performed widely by qualified plastic surgeons. The actual operating time of all these procedures may be less than performing one breast reconstruction.

The point is that the most important thing is the total length of the surgery, not the number of procedures. I have no personal knowledge about how long Heidi’s surgery lasted, and if it was an exceedingly long surgery (in excess of 6 hours), then one may argue that it was “too much”. But the fact that ten procedures were done should not be the sole reason for the uproar.

Many people also point out that Heidi is only 23 years old. Her young age and good health make her a good surgical candidate for an elective surgery (or ten). She has an extremely low risk of complications. Also, the fact that she is so young does not place her at risk for future complications.

Yes, as she ages, it is likely that some of her surgery will need to be redone as her body changes. Her surgeries only affect her appearance, not the function of her body or her overall health.

Should the Plastic Surgeries Have Been Done at All?

The real issue is whether or not these surgeries should have been performed at all. The fact that she desires such radical changes in her appearance at such a young age does raise suspicion about her mental state.

Body Dysmorphic Disorder (BDD) is a serious condition in which one person’s perceived flaw is amplified to intense dislike of the appearance of his or her own body. In order to truly have BDD, the person must have the perception of a problem, in the absence of a real problem.

For example, if someone has a crooked nose with a large hump, it is understandable that they may be unhappy with their nose and desire surgery. However, if a person has no obvious deformity, yet they cannot stand the way their nose looks in the mirror and they perceive a crooked, humped nose that is not there, then this is a sign of possible BDD. Some experts say Michael Jackson died with this disorder, though I do not claim to know this.

Plastic surgeons are always on the lookout for these patients because they will never be satisfied with the outcome of a surgery, no matter how successful the operation. They will always perceive a deformity and put so much pressure on themselves that they can ultimately no longer see reality. I never say I can fix the perceived issues of a patient like this. In many cases, I hope they will go to a doctor who specializes in BDD.

Heidi Montag Before and After Plastic Surgery

From the looks of it online, Heidi Montag (Pratt) seems to be doing well. Still, many of her fans from The Hills and The Hills New Beginnings say they liked Heidi Montag before plastic surgery better. You can look up Heidi Montag plastic surgery before and after pictures and decide for yourself.

Ultimately, I do not know if Heidi regrets her decision to undergo breast augmentation and many other surgeries. And I do not mean to imply that Heidi Montag suffers from BDD. In fact, it is more likely that she simply has a strong idea about how she wants to appear and happens to have the resources and connections to make it a reality.

My personal opinion is that her surgery was a bit excessive in that it dramatically changed her appearance to the point where she looks like a different person. But, as a plastic surgeon who routinely performs cosmetic surgery, I understand that cosmetic surgery is a matter of taste. It is our job to perform surgery in a safe and ethical manner, without imposing our own sense of taste on our patients.

We won’t make negative comments, but we will not perform “just anything” either. Sometimes, a surgeon needs to say “no” and not be affected by fame or money.

Fortunately for my sense of well-being (and unfortunately for my wallet), I say “no” very often in my practice. I just seem to sleep better at night.

Who is Heidi Montag

“Heidi Blair Pratt (née Montag; September 15, 1986) is an American reality television personality, singer and actress. Born and raised in Crested Butte, Colorado, she befriended Lauren Conrad in 2005. In 2006, Montag came to prominence after being cast in the MTV reality television series The Hills, which chronicled the personal and professional lives of Conrad, Montag, and friends Audrina Patridge and Whitney Port. During its production, she briefly attended the Fashion Institute of Design & Merchandising and was employed by event planning company Bolthouse Productions. As the series progressed, Montag began dating fellow cast member Spencer Pratt, which ultimately ended her friendship with Conrad. Their ensuing feud became the central focus of the series, and was carried through each subsequent season.”

Contact Schulman Plastic Surgery to Book your Appointment

If you are considering plastic surgery for yourself, choosing your plastic surgeon is no easy task. I like to think patients want a plastic surgeon who will listen to their desires but also help them come up with workable, realistic aesthetic goals. That sentiment is what we aim to provide.

Contact New York plastic surgeon Matthew Schulman, M.D. today to book your in-person or virtual consultation. We offer fly-in services and have relationships with several hotels in the greater New York City area.

Reference

https://en.wikipedia.org/wiki/Heidi_Montag

July 13, 2023/in Breast Implants, Breast Augmentation /by Dr. Matthew Schulman

Sometimes, the only thing holding a patient back from moving forward with breast augmentation is concern about having a breast implant scars.

Are you concerned about breast implant placement and scars locations? Want to make sure no one knows you’ve had surgery? Or, simply don’t want a pesky scar to mar your results?

Let’s take a look at some important facts about breast implant scar locations and how you can minimize the appearance and make your implant scars nearly imperceptible with just a few simple steps.

But first, do you have to have scars from breast implants?

Will I Have Breast Augmentation Scars?

In a word, yes. Whenever there is an incision involved in surgery, there’s going to be a scar. And breast implant surgery does require incisions so that the saline implants or silicone gel implants can be placed. Therefore, there will be scars from surgical procedures.

The good news, however, is that breast implant scars are usually not noticeable — especially after some time has passed and especially if you take the necessary steps to minimize scarring and limit their appearance.

So, where is the scar when you get breast implants? It won’t always be the same for every patient. Let’s take a closer look.

Breast Augmentation Scars Location

Breast implant scar locations depend on several factors, including what type of surgery is being performed, whether breast lift is also being performed, what type of implant is being used (saline vs. silicone, textured vs. smooth, etc.), and the anatomy of the patient.

Generally speaking, breast implant scar locations (where the scar healing the implants are inserted) may be:

In the breast crease or breast tissue fold, beneath the breast tissue(inframammary incision)
In the armpit (transaxillary incision)
At the areola’s edge (periareolar incision)

How big are they?

This also depends, but typically, each breast augmentation or scar tissue is approximately 1.5 inches to 2.5 inches long.

Dr. Matthew Schulman uses advanced breast augmentation techniques to create his implant incisions. One such technique is the short-scar breast augmentation, which features the Keller Funnel. He also uses Botox-assisted breast augmentation.

Botox-assisted breast augmentation has a range of benefits. It can first reduce or eliminate the need for narcotic pain meds. It can reduce scar tissue and can also reduce the sensation of tightness post-surgery and decrease muscle pain overall. Finally, Botox-assisted breast augmentation can provide faster final results and will certainly cut the time patients need to refrain from certain activities.

Do Breast Implant Scars Go Away?

With time, breast implant scars will fade considerably, but they will never completely go away. Basically, they can become nearly invisible if you take care of them correctly.

So, how do you hide breast implant scars?

You should start by paying close attention to the aftercare instructions provided by Dr. Schulman. You’ll receive a packet of information after your surgery that will explain to you exactly how to properly care for your incisions, what to refrain from doing during your recovery, and how to spend most of your time (rest is key). Follow this closely and if you have questions, do not hesitate to ask.

Within your instructions, you will be directed to avoid physically exerting yourself. That means not lifting heavy objects and not getting tired and sweaty through exercise. Some slow and gentle walking for short distances is fine when you are able. In fact, frequent ambulation (movement) after surgery is good and will help reduce your pain and inflammation. Overall, you don’t want to move too much or too quickly because you could pull your stitches or sutures, which can worsen scarring.

Make sure you also stay out of the sun during your recovery. Exposing your scars to sunlight can make them more apparent over time. Finally, drink plenty of water and eat a healthy diet. Hydrated, healthy skin doesn’t scar as badly as dehydrated skin. If, after your incisions have healed, you want to take your scar concealment a step further, you might also try silicone treatments. Silicone scar reducing sheets can often inhibit your breast augmentation scar and reduce the appearance of even more.

In rare cases where breast implant scars are still noticeable and you would like to reduce their the appearance of scars even more, breast implant scar removal is possible through techniques such as dermabrasion and laser skin resurfacing and the body’s natural healing process.

Questions and Answers

How do they hide breast implant scars?

With inframammary side incision technique you ensure that the breast implant scar are usually slender, measuring approximately one to two inches in length, and can be conveniently concealed beneath a bikini top. Employing this technique, the incisions are strategically placed horizontally along the crease of the breasts, resulting in less conspicuous scars compared to vertical incisions on the breasts.

Where are the scars for breast enlargement?

One commonly utilized incision site for breast augmentation is the inframammary fold, which refers to the area underneath the breast where its lower part meets the upper abdomen. This location is widely favored for performing the procedure.

What is the least scarring boob job?

Transaxillary Endoscopic Breast Augmentation (TEBA) is a surgical technique that involves creating an transaxillary incision through a fold in the underarm area. Dr. Schulman skillfully makes a discreet 1.5″ incision in natural skin tone the underarm, typically within the natural crease, resulting in an almost imperceptible scar.

What is the best incision for breast implant surgery?

Inframammary Surgical Incisions is highly versatile, allowing for the insertion of various types of breast implants. It provides plastic surgeons with excellent visibility during the breast augmentation procedure. Furthermore, it has a remarkable healing capability, eventually resulting in a nearly invisible scar that aligns with the natural folds of the skin.

What will my breast implant scars after 6 months look like?

With the approval of your plastic surgeon, gentle massaging can assist in smoothing out any ridges and flattening the scars. After 6 months of breast augmentation, the scars typically exhibit a subtle brown or light pink shade. They might also have a slight elevation and minimal swelling in the surrounding region.

Book Your Breast Augmentation Surgery Consult

Interested in learning more about the breast augmentation surgical procedure — including the best ways to achieve virtually no breast augmentation scarring and issues like breast implant surgery gone wrong!

Schedule a consultation appointment with Dr. Matthew Schulman board certified plastic surgeon in NYC. In addition to having been awarded nearly every major plastic surgery award in the country, Dr. Schulman is consistently quoted and interviewed for numerous major publications and is a regularly-invited speaker at medical conferences around the nation.

Put your breast augmentation procedure in the best hands. Contact our office today and book your consultation with NYC’s leading plastic surgeon, Dr. Matthew Schulman.

References

https://www.plasticsurgery.org/news/blog/what-sort-of-scarring-could-you-see-from-breast-augmentation

July 11, 2023/in Breast Augmentation /by Dr. Matthew Schulman

Breast augmentation remains among the most common cosmetic surgeries performed each year. While commonly done, it is also commonly done “badly.” Breast Implant replacement is among the most difficult procedures that plastic surgeons perform.

Unfortunately, if you undergo breast augmentation then breast implant revision from other surgeons remains common in my practice.

In order to understand how problems can be fixed, we must first understand where problems can occur. I like to categorize breast implants gone wrong into 5 major areas:

1. Problem with the implant itself

2. Problem with the size of the implant

3. Problem with the procedure choice

4. Problem with healing

5. Problem with poor implant placement

Choosing the Right Implant

Choosing the implant is of crucial importance. The shape, texture, and size of implant must be carefully chosen to match your body. Many problems that can occur can be the direct result of choosing an implant that is too big for your body. This can result in implants touching each other in the center (synnmastia), implants appearing to “hang off” the sides, or augmented breasts that now appear “droopy”.

Breast implants have a specific width, depending on the size. Your doctor should carefully measure the width of your chest (“base diameter”) so that the proper implant size can be chosen.

Implants must be placed within a carefully created implant pocket. If the implant pocket is too big, then the implant may move around in an unnatural position. If the pocket is not centered under your nipple, then the implant will be positioned too much to the center of your chest or the side. If the pocket is too small, then your implant may be “constricted” and take on an oval shape instead of the natural round shape.

There are also several variations in the type of breast augmentation that is performed. The implants can be placed above or below the muscle. Also, some women come to my office because they want “perkier” breasts and mistakenly think that breast implants will give them a lift.

While breast implants do result in a slight lift of the breast tissue, breast augmentation primarily makes the breast larger and will not adequately correct a “drooping” breast. This would require a breast lift, possible with the simultaneous placement of implants. There is complex decision making that must occur, even before you get to the operating room.

New Breast Funnel Improves Breast Augmentation Results

Recently a new device is being used in breast augmentation. It is called the Keller Funnel, developed by a Texas Plastic Surgeon. The device resembles a pastry bag. A silicone breast implant is placed inside this bag and essentially squeezed into the surgical opening in the breast.

While very simplistic in its actual design, the concept is exceptional. It allows for a truly “no touch” implant technique. This device allows the surgeon to place the implant, without having it come in contact with his hands or the patient’s skin. This reduces potential bacterial contamination, reduces infection risk, and more importantly, may reduce capsular contracture. Capsular contracture is the development of abnormal breast implant scar tissue around the implant, resulting in an implant that looks distorted and feels hard.

No one knows why capsular contracture develops in some people, but a leading theory is that a small amount of bacteria on the implant may lead to the development of this abnormal internal scar tissue. It may also be the result of the talc commonly found on a surgeon’s glove. The “no touch” technique is an important concept and until this funnel, was only possible through very large incisions.

In addition, a large amount of pressure is needed to force a large silicone implant through a small incision. This immense force may contribute to a weakened shell and a delayed rupture of the implant years later. The rupture rate has been estimated to be as high as 7% over the first 10 years. The breast funnel allows insertion of the implant with much less force, thereby potentially reducing the incidence of implant rupture.

Lastly, using the breast funnel, I am able to place the implants through a significantly smaller incision. This shorter incision means a shorter scar, and a happier patient. I have reduced the length of my incisions 1 cm.

Recovering from Breast Augmentation

Even if your surgeon chooses the right procedure, the correct implant size, and does everything perfectly in the operating room, your body still must heal. Not only must your body heal correctly on the outside (the incision), it must heal correctly on the inside. Abnormal scar formation on the inside may result in capsular contracture – or hardening around the implant. We now know that bacteria and blood can place you at increased risk of this abnormal scar formation, but there are some women who seem to be “predisposed” to capsular contracture.

If it can be recognized early, there are some things that we can do to slow the progression.

So, “fixing” the problem relies on the surgeon’s ability to identify what the cause is. Revisional surgery may include exchanging implants to a six better suited for your body, enlarging or reducing the implant pocket, removing abnormal scar tissue, or performing a completely different operation than had been done originally (i.e. a breast lift).

Some of these complications are avoidable by selecting a surgeon who understands the complexities of breast surgery. However, sometimes problems can occur that are not preventable, but revisional techniques are evolving and surgeons experienced in these complex revisional surgeries can improve things.

Questions and Answers about Breast implants

What are the chances of breast implants going wrong?

In a minimum of 1 percent of breast implant patients, the following complications may arise at any given time, some of which may necessitate medical intervention or additional surgery for correction:

Asymmetry: This refers to variations in the shape, size, or positioning of the breasts.

Pain: Discomfort experienced in the nipple or breast area.

What is the syndrome after breast implants?

Referred to as “breast implant illness,” this condition is recognized by its symptoms, including fatigue, anxiety, chronic pain, and the worsening of dysfunction in the endocrine, autonomic, and peripheral nervous systems.

What happens to breast implants over time?

Changes in breast size, uneven appearance, and alterations in breast sensation, such as tingling, swelling, burning, or numbness, may become apparent. Rippling, characterized by wrinkles or ripples in the implants, can also occur. In certain instances, these ripples may be palpable, and in severe cases, they might even be visible through the skin.

What are the early signs of capsular contracture?

Signs of capsular contracture are relatively easy to identify because of the nature of scar tissue. If you notice any of the following, promptly seek your surgeon’s help if:

One or both breast(s) feeling and/or looking unnaturally tight after initial swelling has subsided.
The breast(s) losing a natural profile and instead taking on a more spherical shape.
Pressure from contracting scar tissue producing ripples across the skin.
Breasts sitting too high on the chest; while this is normal in the first few weeks after surgery, the breasts should gradually settle down to a natural position on the chest.

Contact Our Office if you have breast implant problems

Contact us if you have any further questions about silicone implants or saline implants and fixing bad breast implant surgery. We will be happy to help! Board certified plastic surgeon Dr. Matthew Schulman can answer any questions about breast augmentation surgery, breast implant complications and the breast implant procedure.

April 10, 2023/in Breast Augmentation /by Dr. Matthew Schulman

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 regarding your breast augmentation.

Many women are too focused on the volume number (or “cc”) of saline vs silicone implants 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.

Choosing Your Breast Implant Size Video

Understanding Breast Implant Sizes

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

Determine your personal preference of implant 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.
As breast implants get larger, they also get wider – This concept is important in choosing a size breast implants that fits your body. If you are very small framed, then large breast 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 and moderate profile implants. This gives you added ability to have an breast implants that fit your body.
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 natural breast 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 breast augmentation surgery. 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.
Small breast implants volume differences may not be noticeable – Most people only notice volume changes of at least 50 cc, 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
Larger breast 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.
Take your time – You should not feel rushed or pressured into choosing your breast implants 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 cup size, 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.

Factors to Consider When Choosing Breast Implant Sizes

Choosing the right breast implant size is a highly individualized decision that should take into account the personal preferences and lifestyle considerations of the patient. It’s essential to understand that what may be the ideal size smaller breast implants for one person may not be suitable for another, as each patient has unique aesthetic goals and lifestyle requirements.

Here’s why personal preferences and lifestyle considerations are crucial in determining the appropriate breast implant size:

Aesthetic Goals

Every person has their own aesthetic goals and desires when it comes to breast augmentation surgery. Some may prefer a more natural look, while others may desire a more dramatic or voluptuous appearance. The desired breast size should align with the patient’s personal aesthetic goals, and the implant size should be chosen accordingly.

A patient who prefers a subtle enhancement may opt for a smaller implant size, while a patient who wants a more prominent change may choose breast implant sizing a larger size.

Body Proportions

The patient’s existing body proportions, including their height, weight, chest width, and breast base diameter, should be considered when choosing the right breast implant size. The goal is to achieve a balanced and harmonious appearance that complements the patient’s overall body shape.

For instance, a petite patient with a narrow chest may require smaller implants to avoid an improperly fitted breast implants, while a patient with a full chest wall and broader frame may need larger implants to achieve the desired proportion.

Lifestyle Considerations

The patient’s lifestyle and daily activities should also be taken into account when selecting the breast implant size. For example, a patient with an active lifestyle may prefer larger implant or smaller implants that do not hinder their physical activities or cause discomfort during exercise. On the other hand, a patient with a more sedentary lifestyle may be comfortable with larger implants. Additionally, the patient’s profession, fashion preferences, and social activities may also impact their choice of breast implant size.

Psychological Well-being

Breast augmentation can have a significant impact on a patient’s self-confidence and body image. Therefore, it’s crucial to consider the psychological well-being of the patient when choosing the right breast implant size. It’s important for the patient to feel comfortable and confident with their decision, as it can affect their overall satisfaction with the results of the procedure.

Long-term Considerations

Breast implants are not permanent and may require replacement or revision in the future. Considering long-term factors, such as potential aging, weight changes, and future pregnancies, is crucial in determining the appropriate breast implant size. Choosing an implant size that aligns with long-term considerations can help minimize the need for revision surgery or further adjustments in implant sizing in the future.

The personal preferences and lifestyle considerations of each patient are crucial factors in the implant profile and determining the appropriate implant size. It is imperative for patients to openly communicate their aesthetic goals, lifestyle requirements, and personal preferences with their board-certified plastic surgeons.

This ensures that the breast augmentation procedure aligns with their expectations, resulting in a successful outcome that enhances their overall well-being. Open and honest communication with most patients and the surgeon is key to achieving the desired breast size and appearance, tailored to the patient’s individual needs and preferences.

Questions and Answers

What is the ideal breast implant size?

The ideal breast implant shape and size is one that matches the diameter of the natural breast or is slightly smaller/narrower. If the breast implant diameter is wider than the breast, it may cause the implant outline to be visible, which is not desired. Therefore, it’s important to choose an implant size that aligns with the patient’s natural breast width to achieve a more natural and aesthetically pleasing result.

This consideration helps to ensure that the implant blends seamlessly with the patient’s existing breast tissue, creating a harmonious and balanced appearance. Consulting with a qualified plastic surgeon can provide expert guidance in determining the appropriate breast implant’s profile size based on the patient’s unique anatomy and desired outcome.

What is the most common implant cup size?

In the United States, breast implants are available in a wide range of sizes, typically ranging from 100cc to 800cc, with the larger breasts and most common sizes falling within the 300cc to 400cc range.

What is the average size breast implant?

The typical implant size commonly falls within the range of 300 to 360 cc, which is often sufficient to achieve a fuller shape without appearing overly dramatic on most women’s frames. This breast cup size range is often chosen to provide a natural-looking enhancement that complements the patient’s existing breast tissue and body proportions.

Book Your Breast Augmentation Consultation

If you are interested in learning about breast implant size 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 he is the doctor for the job.

References

https://www.fda.gov/medical-devices/implants-and-prosthetics/breast-implants

March 19, 2023/in Brazilian Butt Lift, Breast Augmentation, Liposuction, Plastic Surgery, Tummy Tuck /by Dr. Matthew Schulman

If you’re on TikTok account a social media platforms, you know that trends change fast — sometimes, by the day.

Still, one trending topic has stood the test of TikTok time (say that 5 times fast).

What is it? Plastic surgery.

While for decades, confessing that you’d had plastic surgery was a no-no, today, it’s totally acceptable to shout it from the rooftops — er, post it to a TikTok account anyway.

And it’s actually pretty cool for your self esteem.

Turns out people want to know what it’s like to get a BBL or have your breasts enlarged. As always, a peek behind the scenes is intriguing and fun. Plus, before and afters never get old.

Up ahead, we’ll take a look at the top 5 plastic surgery procedures Tik Tokers and their most plastic surgeons are posting about these days. These are some of the most popular procedures both in NYC and around the globe.

1. Brazilian Butt Lifts

Brazilian butt lift Tiktok

Brazilian butt lift trends on TikTok seem to focus on BBL recovery and before and after BBL pictures and video. Some patients show themselves heading into their procedure and then later after they’ve recovered or while they’re still healing.

Various trends have come and gone of patients showing themselves in BBL before and afters, wearing jeans or tight skirts, walking down the street, shopping at the grocery story, getting ready to go out, etc. Brazilian butt lift reveals can be amazing, and the results look tremendously natural, so #BBL and #Brazilianbuttlift are really fun hashtags to follow.

The Brazilian Butt Lift Procedure

The New York City Brazilian butt lift procedure is performed in two parts. First, liposuction is used to remove excess fat from the abdomen and other locations on the body. Next, that fat is processed outside the body and then transferred to the hips and buttocks.

Here are some of the options a patient may consider for their BBLs.

Liposuction 360 (Lipo 360)

When Dr. Schulman removes fat from your body in preparation to transfer it to the hips and buttocks, you have a choice about where you want that fat to come from. Some slim patients won’t have much excess volume to work with, so it may be more of a challenge to find a good target location for harvesting. Other patient needs may want major liposuction performed — for example, with a lipo 360.

Read more about liposuction 360 in New York City.

2. Breast Augmentation

#breastaugmentation videos on TikTok run the gamut from experience posts in which patients show breast implant before and after clips, to educational posts from plastic surgeons.

A recent trend, for example, has plastic surgeons on social media platforms showing followers how durable breast implants are — specifically, silicone implants. Doctors post cuts of themselves and their staffs dropping implants from tall buildings, stepping on them with stiletto heels, shutting them into doors, and running over them with cars. And of course, the implants never pop.

The Breast Augmentation Procedure

Breast augmentation in New York City involves increasing the fullness and size of the breasts. There are three main ways to perform this surgery: with implants, with a fat transfer process, or with the assistance of Botox.

All options increase the breast size and can also alter the projection and perkiness of the breasts. In some cases, a New York City breast lift is combined with augmentation to both lift and add volume. A breast lift alone is good for patients who have enough volume but want their breasts to sit higher up on the chest.

Let’s take a look at each option.

Silicone or Saline Implants

Implants are the most typical option for increasing the breast size. There are saline and silicone implants. These days, silicone tends to create the most natural-looking results.

However, some patients are reticent about getting silicone implants because every few years, patients will need to get a sonogram or MRI to ensure no leaks have occurred. If a leak has occurred, for medical reasons, the implant will mostly likely need to be removed and replaced. Conversely, with saline implants, you’d know right away if a leak occurred, and the body would simply absorb the leaked saline.

Fat Transfer Breast Augmentation

Your own body fat can also be transferred to the breasts to increase the breast size. Keep in mind, however, that the fat transfer process will not create a “structure” for the breasts, so this may not give you the shape you ultimately want from your augmentation.

Botox-Assisted Breast Augmentation

Botox is usually used to relax the muscles of the face temporarily. This reduces the appearance of lines and wrinkles.

Botox-assisted breast augmentation uses implants as the primary filler. But Botox is also used in conjunction in order to achieve more immediate results and a speedier recovery process. Instead of months after surgery, the patient can see their results just a few weeks after surgery.

3. Rhinoplasty

With a nose job or rhinoplasty, it’s all about the before and afters. Rhinoplasty or nose job in New York City is one of the most popular face procedures in general, and young people love seeing patients’ big reveals on TikTok.

Most rhinoplasty patients on the platform get the surgery to improve the aesthetics of their nose — crookedness, nasal tip asymmetry, excessive tip projection, excessive width, nasal bump, excessive size, etc. But there are also patients who go in for septoplasty, which is a procedure that repairs the nasal septum.

Rhinoplasty before and afters are super-fun to see — just watch out! As with all plastic surgery videos that show the procedure in process, the videos can get graphic.

The Rhinoplasty Procedure

There are two main reasons to get rhinoplasty — first, to correct an aesthetic problem, and second, to fix a breathing issue.

As stated above, aesthetic concerns may involve things like crookedness, a bump on the bridge, excessive size or width, asymmetry, excessive tip projection, or another similar issue. When rhinoplasty is performed for breathing issues, it’s called septoplasty.

Finally, some patients may be interested in improving their nasal breathing and will also opt for some form of aesthetic improvement while they’re at it. Rhinoplasty may be performed open or closed.

Open Rhinoplasty

In open rhinoplasty, the nasal skin is folded up, and the bone and cartilage beneath is exposed. This gives the doctor and the surgeon easier access to the underlying structure of the nose. This technique is generally used when bigger changes need to be made.

Closed Rhinoplasty

Closed rhinoplasty is performed through the nostrils without lifting the nasal skin. As a result, this technique is generally employed for only minor reshaping issues.

4. Liposuction

Another one of the most popular plastic surgeries on TikTok is New York City liposuction. The fun thing about lipo is that it can be performed almost anywhere on the body, so the results that pop up are pretty eclectic.

Along with liposuction before and after videos, many TikToking surgeons will post educational videos about what to expect with the procedure. The videos may be clips of actual surgeries, computer-generated graphics that show how lipo is performed, or clips of surgeons speaking directly to the camera about cosmetic procedures, liposuction recovery tips, preparation advice, and more.

The Liposuction Procedure

The liposuction procedure involves the removal of fat cells from areas on the body that have been difficult for the patient to reduce on their own. The most common places to have liposuction performed include the abdomen, flanks, upper and lower back, thighs, and arms and shoulders. There’s also New York City neck and chin liposuction, which primarily targets double chins.

Some of the additional options patients have for liposuction include the following.

High-Definition Liposuction (HD Lipo or Hi-Def Lipo)

High-definition liposuction offers some of the latest technology available in liposuction. The big factor that sets it apart from traditional lipo is that it leaves a bit of padding around the muscles. In addition, the muscles are actually contoured by the surgeon.

This creates natural shadows that surround the muscles and ultimately results in a fit, lean look. High-definition liposuction only works for a unique subset of overall fit patients. These patients may have small pockets of super-stubborn, diet-resistant fat, but they are generally in good shape.

Liposuction Technologies

When patients opt for classic, non hi-def liposuction, there are four main technologies to choose from:

– Traditional: The traditional liposuction method has mostly been replaced by new technologies. In general, this method utilizes a cannula, which is a long, thin metal tube. The tube is inserted into small incisions near the target areas, and the fat is then removed through it.

– Tumescent: As an easier and safer option that reduces blood loss and speeds up recovery, tumescent lipo uses an injection of liquid before the fat is removed. The liquid is called tumescent fluid and is made up of numbing medicine, epinephrine, and salt water.

– Power-Assisted Tumescent: Like the tumescent method, power-assisted tumescent liposuction uses a tumescent fluid, but it also uses a suction device that vibrates. The vibrations assist in breaking up the fat, and this improves the removal process.

– Energy-Assisted: Finally, this form of liposuction stimulates the retraction of the skin and the breakup of fat by using some form of sound wave energy, heat energy, or laser energy.

5. Tummy Tucks

Also called abdominoplasty, New York City tummy tuck TikTok posts are most popular with individuals who’ve had significant weight loss — and moms. This is because both groups have experienced extensive stretching of the abdomen, and in many cases, this stretching can become permanent, which will result in sagging skin that won’t retract.

Search for #tummytuck on TikTok, and you’ll see plenty of tummy tuck before and after clips as well as before and during posts.

The Tummy Tuck Procedure

Loose excess skin can be cumbersome and uncomfortable. Not only does it make some young people self-conscious, but it can interfere with exercise and other physical activities as well.

The tummy tuck procedure gets rid of excess skin by literally cutting it off. In addition, the procedure can knit together separated abdominal muscles and incorporate some liposuction to get rid of any remaining stubborn fat pockets.

Here are two tummy tuck options to consider:

Extended Tummy Tuck

Most extended tummy tuck patients have lost a large amount of weight. Therefore, a more-than-average amount of skin needs to be removed.

This may result in a lateral scar that is larger than usual and which may extend past the hips on either side. In some cases, a fleur-de-lis tummy tuck is used in which a vertical incision is made up the center of the abdomen and around the lower back as well.

Schedule a Consultation With Dr. Schulman

Dr. Matthew Schulman is a board certified plastic surgeons serving patients in New York City. From Brazilian butt lifts and tummy tucks, to lipo and more, Dr. Schulman uses his expertise and experience to help you achieve the aesthetic goals you’re looking for.

Interested in one of the procedures we mentioned above? Give our NYC office a call today, and schedule your consultation with Dr. Schulman!

https://www.tiktok.com/tag/plasticsurgery?lang=en

https://www.plasticsurgery.org/news/articles/body-contourings-latest-frontier-high-definition-liposuction

https://www.mayoclinic.org/tests-procedures/tummy-tuck/about/pac-20384892

https://www.webmd.com/beauty/cosmetic-procedures-nose-job-rhinoplasty

https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation

March 9, 2023/in Breast Augmentation /by Dr. Matthew Schulman

If you are considering breast implant surgery but are uncertain about the expenses involved, you have landed on the appropriate page. In the following sections, we will discuss the probable cost of your breast implant surgery, taking into account several factors related to your breast enhancement procedure.

However, I advise you to confirm that breast augmentation is the surgical option you desire before we proceed further.

Why Breast Augmentation?

You’d be astounded at how many potential patients I see in my office who don’t realize that breast augmentation isn’t really for them. There are actually a lot of other breast surgeries out there

You want to make sure that breast implants are the right one for you.

What Is the Average Breast Augmentation Cost?

One of the first things patients want to know about breast augmentation is how much it’s going to cost.

This is totally understandable. You’re not made of money, and you certainly want to know that the money you do plan on spending is going to be well worth it.

So, let’s look at the average cost of breast augmentation in the United States today.

According to the American Society of Plastic Surgeons (ASPS), “The average cost of breast implant surgery is $4,516.” Remember that this is the average cost. We’ll look at the factors that go into this price later on.

For now, what does this cost include? Let’s take a look:

Medical tests and labs
Anesthesiologist fees
Surgical facility or hospital fees (if applicable)
Surgeon’s fee
Fees for medical devices (such as post-op compression garments)
Prescription fees

How Breast Augmentation Surgery Cost Varies

What is breast augmentation surgery cost

You’re probably going to hear a lot of numbers thrown around when it comes to the average cost of breast augmentation. There’s the average cost we’ve outlined above. And then there’s the costs you’ll see online on forums or the ones your friends tell you.

The first thing to remember if someone divulges the cost of their breast augmentation to you is that that was their cost of surgery. And unless you are going to the same surgeon, in the same year, and opting for the exact same stipulations as that person, the cost of your surgery will probably be different.

Ultimately, the cost of surgery depends on factors such as the following:

Your surgeon and the surgery location

The surgeon you choose and the location of your surgery will impact the overall cost of cosmetic surgery. Most notably, surgeons with extensive training and experience will typically charge more for their services. Likewise, busy, in-demand locations will usually charge higher prices as well.

The Types of Breast implants you choose

There is an array of types of breast implants to choose from when it comes to selecting breast implants for your breast augmentation.

First, you’ll decide what size and material type, either saline implants or silicone implants. Sizes run the gamut from around 200 cc to 600 cc. Material type options include saline, silicone, and gummy bear. You’ll also be able to decide between anatomical implants (teardrop shaped) and round implants. Finally, you can discuss other options such as projection and surface material.

All of these factors will impact the overall cost of your surgery.

Whether other procedures will be performed at the same time

Lastly, the breast implants surgery cost will naturally be higher if you plan on getting a breast lift, injections from a fat transfer, or any other procedures performed at the same time.

A combination breast lift and breast augmentation, for example, is a common surgery that costs more than breast implants cost for augmentation alone. Likewise, if a patient wants to achieve an even more natural look by combining breast implants with injections of fat taken from other parts of the body through liposuction, this will raise the cost as well.

There are also mommy makeovers, which involve multiple procedures all rolled into one surgery. For instance, a patient may opt for a tummy tuck and liposuction in addition to breast augmentation for their mommy makeover. While getting all of these surgeries performed at the same time will ultimately lower the cost of each individual surgery, the bottom line cost is going to be higher.

Will Health Insurance Cover My Breast Implant Surgery?

In the majority of cases, a breast augmentation procedure will not be covered by health insurance. This is because most breast augmentation surgeries are elective (they have the intention of enhancing a person’s appearance as opposed to being medically necessary).

On the other hand, if you had breast cancer and, as a result, had one or two mastectomies, your medical insurance company will most likely cover the reconstruction of your breasts, which generally includes implants. If you have questions about potential health insurance coverage for breast implant surgery, it’s best to consult with your health insurance provider directly.

Breast implants surgery cost

Want to know exactly how much your breast implant surgery cost? We will be unable to tell you the ultimate cost of this surgery until we meet with you in person.

Questions and Answers

What do breast augmentation scars look like?

While breast augmentation or “boob job” scars may not be completely imperceptible, a skilled plastic surgeon can skillfully craft tidy and discreet incisions. The healing process for these scars can extend up to 18 months, and it’s typical for them to initially appear somewhat more pronounced before gradually improving in appearance.

How long does breast augmentation last?

The longevity of breast augmentation results can vary depending on several factors, including the type of implant used, the surgical technique used, and the patient’s lifestyle.

On average, breast implants can last between 10 to 20 years. However, it is important to note that breast implants are not lifetime devices and may need to be replaced or removed due to complications such as implant rupture, capsular contracture, or implant displacement.

How do most people pay for breast augmentation?

Here are some of the most common ways people pay for breast augmentation:

Out-of-pocket: Many people pay for their breast implants surgery out-of-pocket using their personal savings, credit cards, or financing plans.

Financing: Some plastic surgery practices offer financing plans to help patients pay for their breast augmentation surgery over time. These plans often require a credit check and may charge interest.

Insurance: In general, breast augmentation is considered an elective cosmetic procedure and is not covered by health insurance. However, in some cases, insurance may cover the cost of breast augmentation costs or reconstruction surgery after a mastectomy.

What is a gummy bear implants?

“Gummy bear” is an informal descriptor used for form-stable or highly cohesive silicone gel implants. These implants are characterized as form-stable due to their ability to maintain their shape even in the event of the implant shell being compromised, akin to the consistency of gummy bears. The gel within these implants is notably dense rather than liquid.

Learn about Breast Augmentation Cost! Contact us Today!

Interested in breast enhancement surgery like breast augmentations. Book your consult with board certified plastic surgeon in NYC Dr. Matthew Schulman.

References

https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/cost

https://www.webmd.com/beauty/cosmetic-procedures-breast-augmentation

March 2, 2023/in Breast Augmentation /by Dr. Matthew Schulman

The world of fashion is ever-changing, and currently, the prevailing trend is for smaller sizes – not just in clothing but also in breast size. A number of high-profile celebrities have opted for smaller breast implants, such as Pamela Anderson, Victoria Beckham, Tamra Barney, and Heidi Montag.

However, they are not the only ones following this trend. If you have been exploring breast augmentation options, you may have come across before-and-after images of these and other famous women who have undergone breast surgery and chose for a smaller cup size.

For years, women undergoing breast augmentation surgeries have subscribed to the “go big or go home” and “bigger is better” mantras, but the celebrity trend of having bigger implants replaced by smaller breast implants—or having them removed completely—is starting to catch on with women across the country.

Every day, I am working with…

Women who need to have their saline vs silicone breast implants updated and are opting for smaller replacements
Women who are getting implants for the first time who are choosing a more modest augmentation than they might have chosen in previous years
Women who previously had larger breast implants, but are now choosing to get them downsized as a matter of taste.

As a New York City Board Certified Plastic Surgeon, I talk to at least a dozen women each week who want a boob job. They bring in magazine clippings of Jennifer Aniston, Halle Berry and Meghan Fox—women with the most popularly-requested celebrity bust lines in breast augmentation surgery.

During these initial visits, I’ve clearly noticed a decrease in the percentage of women requesting D and DD cups, but an increase in the percentage of women requesting beautiful, but more modest C and full B cups.

Factors behind the Smaller Breast Augmentation Trend

Of course, one of the important things I have to discuss with my patients is the fact that their breast augmentation really needs to “fit” them, whether it’s a considerable size increase, or just a modest one. And frankly, my patients are very savvy and already have a good idea of what type of augmentation will enhance their figure without looking awkward and unnatural.

In fact, looking natural is one of the biggest reasons behind the “smaller is better” trend in breast implant surgeries. These are some of the things women are considering as we discuss their own boob job possibilities:

Smaller breast implants appear more natural. The larger the breast implant, the more “artificial” it will look, particularly on a woman with a smaller frame. A smaller breast implant will have a more natural shape and texture while still being larger than the originals. Another thing that surprises many women who get larger implants is the stretch marks that might occur on the skin; the risk of needing to deal with stretch marks is dramatically reduced with smaller implants.
Enhancement without unwanted gawking

Many women want breast augmentations to enhance their natural beauty without drawing excessive or unwanted attention to themselves. They don’t want to hear the loud whispers of boob job speculation, “Those can’t be real,” or worse behind their backs. A smaller implant helps you avoid these awkward moments.
Thinking about the future surgeries

A smaller, more natural breast augmentation surgery is less likely to look “dated” years down the line when fashions change. One of the reasons I’m seeing an increase in breast enhancement procedures is that women are going back under the knife to have larger implants reduced to smaller ones.

Of course, there is always the chance that a woman who got smaller implants may want larger ones down the line. But that is why I always spend a lot of time working with my patients before surgery to make sure we plan augmentation procedures that they will love for a long time to come.
Medical reasons for smaller breast implants

Smaller implants mean smaller incisions, smaller scars and fewer back problems—yes, back problems. Many women who request larger breast implants have to adjust to the new chest weight, which can cause muscle strains in the neck, shoulders and back.
Smaller breast implants enable more versatile clothing options

As I mentioned earlier, fashion is constantly changing; a smaller boob job surgery will keep you within the range of normal for looking great in most prêt-à-porter clothing options as styles change.
Smaller implants don’t interfere as much with athletic activities

More and more women are concerned not just with staying in shape at a baseline level; many want to compete in serious athletic competitions of their choice.

The smaller the silicone implants, the easier it will be to find proper support wear and to engage in rigorous activity with minimal discomfort. And as I mentioned earlier, smaller breasts look more natural on slim, fit bodies.

In the end, our ultimate goal with any boob job is to help you look your very best. Don’t get your heart set on a specific cup size just because it looks great on Pamela Anderson or Jennifer Aniston, or even just your best friend.

Your body is unique and we need to discuss options that will work best for your shape, your lifestyle and your desired appearance goals.

I suggest looking through our breast augmentation surgery FAQ and the other pages in our library to learn more about the surgery and what is involved.

You may also find out a lot by visiting my Instagram page (@nycplasticsurg) and my Snapchat plastic surgery channel (@nycplasticsurg) where you can see the surgeries, office visits, recoveries and results, almost as they happen, on a daily basis.

Questions and Answers

What size is considered a small breast implants?

The size of a small breast implants can vary depending on individual preferences and body proportions. Generally, breast implants range in size from about 100cc to 800cc or more.

A small breast implants is typically considered to be one that is between 100cc and 300cc.

However, it’s important to note that the size of the breast implants should be chosen based on individual needs and goals, and should be discussed with a board-certified plastic surgeon during a consultation.

The plastic surgeon can help determine the appropriate size based on factors such as the patient’s body type, breast shape, and desired outcome.

Are small breast implants worth it?

The decision to undergo breast augmentation with small implants is a personal one that depends on individual goals, preferences, and body type. In general, small breast implants can be a good choice for women who want a subtle enhancement to their breast size and shape, or who want to restore breast volume lost after weight loss or pregnancy.

They can also be a good choice for women who have a small frame or who are concerned about looking natural and proportionate.

What size breast implants are most popular?

The most popular size for breast implants can vary depending on factors such as geographic location, cultural norms, and individual preferences.

However, according to the American Society of Plastic Surgeons, in the United States the most popular size for breast implants in 2021 was between 300-399cc. This is followed by implants between 350-449cc and 400-449cc.

Book Your Surgery

Of course, the best way to get started on your boob job journey is to schedule an appointment for a consultation online or just call us at 212-289- 1851 today.

We look forward to hearing from you about your breast enlargement.

June 12, 2020/in Breast Augmentation /by Dr. Matthew Schulman

Breast augmentation with implants is among the most popular cosmetic surgery procedure performed worldwide. Women want to know if they need to change their breast implants every 10 years. This is a very common question asked by women who have breast implants, or women who are thinking about getting breast implants. The quick answer is “No.” Implants are not car tires that have an “expiration date”. They are carefully studied medical devices that you can technically live with forever.

The Breast Implant myth is they “stop working” or “fall apart” 10 years after they are placed.

What Type of Issues Can I have with My Breast Implants?

Like with anything, issues can occur. There is a small chance that your breast implant can rupture or leak. The shell of the implant may develop a small hole or tear over time. Also, some abnormal thickened scar tissue may develop around the implant, making the implant feel hard. This is called capsular contracture and can vary from very mild to more severe.

Mild capsular contracture can result in an implant that feels slightly “harder”. As the severity increases, the scar tissue can distort the shape of the implant, making is appear more oval than round. Severe capsular contracture can cause painful breasts.

Other issues with breast implants can occur, such as implant malposition or “shifting”. The implant may appear to shift upwards or even into sideways into the armpits. The may also be visible folding or rippling of the implant, or bottoming out where the implant seems to drop below the breast fold.

These would be reasons to change, or remove, your breast implants. So, as you can see, there are certainly reasons why you may need to have another surgery on your breasts after breast augmentation surgery.

Where Did The 10-Year Recommendation Originate?

Where did the “ten-year” thing come from and why does everyone focus on this time frame? “Ten-years” exists for a variety of reasons. The FDA studies that were done on breast implants were incredibly detailed and carefully followed women for 10 years. The studies found that although the rate of all complications was relatively low, the risk increases the further out you get from the date of surgery.

So that means that you are more likely to experience an implant-related complication at 10 years after your surgery then you would only 3 years after your surgery. This does not mean that you WILL experience a complication at 10 years. It just means that the longer you have your breast implants, the higher the likelihood. The vast majority of women, however, do not experience any problems at 10 years after surgery. I have met some women, including some of my own patients, who have had breast implants for 20 years and have absolutely no adverse issues.

What Do I Tell My Patients?

So what does this mean and what recommendations do I give to my patients who are thinking about getting breast augmentation with breast implants? I tell all my patients that breast implants are not considered a “lifetime” device. In fact, the FDA specifically says that breast implants should not be considered a lifetime device.

If you have breast implants placed when you are young, there is a very high likelihood that you will have another surgery (or surgeries) on your breasts in your lifetime. However, it will usually be because you “want” another surgery, not because you “need” another surgery.

Why Would You Want Another Breast Surgery?

There are several reasons why you may choose to have another breast implant surgery, even if you are not having any complications like rupture, rippling, malposition, or capsular contracture. Perhaps you decide that you want a different breast implant size. Maybe you want them to be made a little larger or a little smaller. This would require that you schedule a surgery to exchange the implants. Maybe your body changes as you age, or after childbirth, and your breasts change in size or shape.

It would not be uncommon to require a breast lift, or breast reduction, after aging, weight fluctuations, or pregnancies. This would require and additional breast surgery. You may also just want to “upgrade” your breast implants. Technology is always changing and improving, and breast implants improve.

The implants we have today are significantly better than the implants we offered just a few years ago. It is also true that the implants we will offer in the future will be even better in terms of safety, comfort, and appearance. In this case, you may want to “upgrade” in the future to an improved implant.

Why Would I Want to Upgrade My Implants in the Future?

There are many women coming in today to have their older implants changed to current implants that are more advanced. For example, 10 years ago, most women were getting breast augmentation surgery with saline, or salt water, filled implants. These implants are satisfactory and have been placed in millions of women. However, they have a higher rate of visible rippling and also tend to look and feel a little more “fake” than silicone alternatives.

The data also shows that these implants have a higher rate of rupture, or leaking, than current silicone implants. Many women who have saline implants, are electively asking to change to silicone implants now. Also, even women who received silicone implants years ago, are requesting that their implants are changed.

This is because the silicone implants of the past are very different than the silicone implants of today. Older silicone was a liquid consistency.

Today’s silicone is a cohesive gel, or a “gummy bear” consistency. The more cohesive silicone tends to look and feel more natural as compared to older, liquid silicone. New, cohesive silicone implants have a lower incidence of leaking, rupture, and capsular contracture.

What if I Am Not Willing to Have Another Surgery in The Future?

It is indisputable that if you are considering breast implant surgery, you should accept that at some point you may have more surgery and with surgery comes recovery. If you are 100% opposed to any future surgeries, then breast augmentation with implants is not the procedure for you, since additional procedures are likely. It is possible that additional surgery will be needed because of an implant-related complication, but more likely it will because you desire a change or an upgrade.

The 10-year mark is a fabricated number, but it is a reasonable guide for you to be aware of. It serves as a good mental reminder that you may want to consider a change or upgrade. But, if you are happy with your size, and you are not experiencing any implant-related issues, you do not have to schedule a routine procedure after 10 years. So, while you may find that you want to change your breast implants after 10 years, you are not required to.

Learn More About Breast Augmentation

You can learn answers to more Frequently Asked Questions about breast augmentation. When you’re ready to discuss your plastic surgery goals with Dr. Schulman and specifically discuss breast augmentation, feel free to give our New York City office a call at (212) 289-1851. We’d be pleased to help you schedule an appointment and get you in for your initial consultation with Dr. Schulman.

April 20, 2020/in Breast Augmentation /by Dr. Matthew Schulman

Breast augmentation is the most popular plastic surgery procedure in the United States, accounting for over 300,000 procedures annually, most of which are performed in fairly standard way. A plastic surgeon places an implant, made either from saline or silicone, behind either the breast tissue or the chest wall, often tightening and lifting the skin and muscles in the area in the process. But what if there was a better way to perform breast augmentations?

Dr. Matthew Schulman has pioneered a new approach to breast augmentation that uses Botox to speed recovery. Though not yet practiced widely, Dr. Schulman’s approach can also make post-surgery recovery less painful and can help patients realize their new appearance sooner.

Botox-Assisted Breast Augmentation: How It Works

To understand why Botox-assisted breast augmentation is so beneficial, it’s important to look more closely at how the procedure works. Though largely similar to conventional breast augmentation, Dr. Schulman begins this version of the procedure by injecting Botox into the chest wall to weaken the muscles, applying the chemical properties of botulinum toxin – commonly used to reduce wrinkles – in a new context. Post-surgery, the temporarily weakened muscles are less likely to spasm, reducing post-surgical pain and allowing patients to get back to their typical activities more quickly.

See Also: Everything You Should Know About Breast Augmentation

Though Dr. Schulman is one of just a few plastic surgeons using Botox in the breast augmentation process, he has seen great success because he uses it in a highly targeted way. The procedure uses no more Botox than would be appropriate for facial wrinkles, well within the known safe range. The dose of Botox wears off within three months, the ideal time frame for patients healing from breast augmentation, well after concerns about post-operative spasms have faded.

Who Makes A Good Candidate?

Botox-assisted breast augmentation doesn’t necessarily change surgical outcomes, but given how long surgery can leave women out of commission, many women consider Dr. Schulman’s approach worth pursuing. A certain subset of patients, however, may particularly benefit from this approach, including those who want to avoid the need for opioid pain relievers and who work physical jobs and need to shorten recovery time. In an era marked by the opioid epidemic and concern over prescribing such medications, more doctors should aim to reduce their use. Botox can also reduce the uncomfortable feeling of tightness that many patients experience after breast augmentation.

Another group that can benefit from Botox-assisted breast augmentation are patients who want to achieve final results on a short timeline – for an upcoming wedding or vacation, for example. That’s because in a typical breast augmentation, the implant isn’t placed in its final position, but rather into a pocket in the chest, from which it will eventually drop into its final, natural placement. In Botox-assisted breast augmentation, however, the weakened muscles allow the implants to drop into their final position within three to four weeks. This can allow women to see the final results of the procedure within three to four weeks, rather than the three to six months it would typically take. It can be hard to wait to see the end result of such procedures, and Botox helps patients get there faster, without substantially changing the procedure.

While using Botox can speed the aesthetic aspects of recovery, it can also be a powerful tool for patients who work physical jobs or have a limited amount of time off. Though these patients still need to be very careful about being too active after surgery, by reducing pain and helping the implants settle, patients can safely get back to their normal routines more quickly. Many athletes who want to get back to training sooner also prefer this type of breast augmentation.

See Also: Top Questions to Ask Your Breast Surgeon

Are There Concerns About Off-Label Use?

Botox isn’t approved for use in breast augmentation, meaning that Dr. Schulman’s approach is considered to be “off-label” use – but patients shouldn’t be put off by that fact. Many medications are used off-label with great success, and Botox is actually used off-label to treat hyperhidrosis and jaw issues leading to teeth grinding, among other applications. Once a medication has been approved, doctors have significant freedom to use it as they see fit.

Many people worry that injecting Botox into the chest wall might interfere with the patient’s ability to breathe, but the injection does not impact the diaphragm, nor does it fully paralyze the muscles. Rather, when used in breast augmentation surgery, Botox simply weakens structural muscles in the area of the rib cage, a harmless application.

Regarding the use of Botox for breast augmentation, then, as long as a doctor approaches the procedure with care and monitors their patients throughout, there are no major concerns – and Dr. Schulman is the leading practitioner of Botox-assisted breast augmentation. He has found Botox-assisted augmentations to be no riskier than standard breast augmentations, while actually being easier on the body during the recovery process. There is no greater risk involved in adding Botox to the main procedure than in using Botox for any other purpose.

Preparing For Botox-Assisted Breast Augmentation

Overall, preparing for Botox-assisted breast augmentation is not unlike preparing for the more conventional version of the procedure. Patients will need proper support at home during the first few days of recovery, including arranging for childcare and pet care, and should plan a modified fitness routine, as exercise can facilitate the healing process. Individuals who have previously had this procedure also recommend arranging for help with housekeeping and other chores.

In addition to arranging for help during the first week or two after surgery, patients will also need someone to pick them up after surgery, which is generally performed as an outpatient procedure, not requiring a hospital stay. Botox-assisted breast augmentation will get patients back on their feet faster, but it’s still important to be gentle with your body during the recovery process.

Get The Best Results With Dr. Schulman

If you’re considering undergoing breast augmentation, you need an expert on your side, and in the case of Botox-assisted breast augmentation, there’s no one as experienced as Dr. Matthew Schulman. To learn more about his technique and whether it may be right for you, contact our offices today to set up a consultation. We look forward to helping you find the best procedure for your needs.

January 27, 2020/in Breast Augmentation /by Dr. Matthew Schulman

Over the years, various beauty trends have come and gone, but what’s never changed is the desire to look one’s very best. Unsurprisingly, this continues as we enter the 2020s, and in this new decade, men and women are leaning on plastic surgery more than ever to improve their looks.

Here are the biggest plastic surgery trends to look out for in the year (and decade) to come.

See Also Mommy Makeover 101: How to Best Restore Your Body

Botox for all

Plastic surgeons and dermatologists agree: 2020 will be the year of Botox for all.

Much of this has to do with a younger and younger population wanting to preemptively delay the signs of aging. For a long time, people thought Botox was only for people that already showed showed the signs of aging. This meant that Botox was predominantly used on people in their 40s and 50s who had facial lines and wrinkles. Today, however, people recognize that Botox can prevent the deep lines and wrinkles associated with aging. By treating the face with Botox before the wrinkles formed, it can prevent them from ever occurring. Now, people in their 20s and 30s are interested in botox treatments as a way of preventing the signs of aging. Also, more men are recognizing the power of Botox treatments. So in 2020, expect both men and women in their 20s, 30s, 40s, and 50s to be regular users of Botox. Also, don’t forget that Botox can also be used to reduce sweating of the underarms, palms, and feet.

Botox is a safe, FDA (Federal Drug Administration)-approved drug that is injected into the skin at strategic points on the face and neck, in order to weaken the underlying muscles by blocking the nerve connections. Relaxation of the muscles helps to smooth line and wrinkles and reverse the signs of aging because the deeper muscles are no longer contracting. The effects of botox lasts about 3-4 months.

Non-Invasive body contouring

There are essentially two types of body contouring procedures: Invasive or Non-Invasive.

Invasive solutions include tummy tucks and liposuction. Both of these procedures are invasive surgical procedures that require some use of anesthesia and require some amount of healing and recovery. They may be combined with other procedures to help the patient achieve their desired body shape and contour.

There are also non-invasive body-contouring procedures that can help shape the body, without surgery, pain or recovery. These include injectables or energy-based treatments that can reduce fat, enhance muscles, and tighten the skin. These non-invasive body contouring procedures have increased greatly in popularity, and we expect to see that popularity skyrocket even higher in 2020. While these treatments may not offer the same results as their invasive surgical alternative, they are desirable to people who want a pain-free treatment with no recovery. This is largely because they’re essentially pain-free.

One of the most popular non-invasive body contouring treatment is TruSculpt iD. This device uses radiofrequency energy to permanently destroy fat. Studies show an average of 24% permanent fat reduction after a single treatment that is painless and takes 15 minutes. TruSculpt iD can be used throughout the body and neck, and is a good option for those who have specific problem areas and are looking for an alternative to liposuction. This has been a very popular choice for men.

For those with significant amounts of excess skin or fat, non-invasive treatments like TruSculpt, may not offer enough of an improvement and highly effective procedures like the tummy tuck and liposuction may be a better choice.

Contouring of the Chin and Jawline

Chins are in! Dermatologists and plastic surgeons have seen a significant uptick in the number of chin procedures patients want. Amazingly, you can have the ultimate chin you’ve always dreamed of with just some filler to add volume or evenness to specific areas. Alternatively, you can get rid of a double chin if one’s been plaguing you.

For women and men who want to get rid of a double chin, the procedure can vary depending on exactly what the issue is. Most of the time, a double chin is the result of both excess pockets of fat or skin on the neck, combined with a small chin. Fillers can be used to enlarge the chin, which often helps reduce the appearance of a double chin. If significant volume is needed, or a permanent solution is desires, a silicone chin implant can be inserted through a small incision in beneath the chin. Liposuction can be used to remove the excess fat, especially from the neck area directly beneath the chin. Additionally, a neck lift procedure can help create a smoother neckline and jawline if the issue is excess or loose skin. During a neck lift procedure, the skin along and beneath the jaw on the neck is lifted and tightened. The excess skin is then removed through carefully hidden incisions behind the ears.

Men, in particular, are looking to add volume to their chins and strength to the jawline. The strong chin and jawline is a classically masculine look. Many men are looking to give themselves a stronger, wider jawline (think Brad Pitt). Of course, women are also concerned with their jaws — especially the symmetry of this key line that gives a face its overall shape.

This new fanaticism for the chin and jawlines comes from heightened awareness of the overall shape of the face — its structure — as opposed to what we’ve seen in the past: emphasis on the nose, lips, and brow line. Some plastic surgeons and dermatologists are even saying that jaw perfecting procedures will be the most popular of the year.

In some individuals, an invasive surgery may be necessary to reshape the bones of the chin and jawline. However, in may people, the area can be contoured with simple injections of fillers such as Restylane, Juvederm, or Radiesse.

Fat Transfer

There are many areas of the body that can be reshaped and contoured using your own fat. Your fat is a great alternative to temporary injections and fillers. Fat will last forever, will change as your body changes, and has no risk of a foreign body reaction. Also, since harvesting the fat requires liposuction, you will have the added advantage of reducing fat in some areas that you don’t want it, such as your abdomen, flanks, or thighs.

Fat can be used to enlarge breasts or correct some pre-existing breast asymmetry. This will allow some people to get enlargement of the breasts without the need for a synthetic implant. This may not be the ideal solution for everyone, since only a small to moderate enlargement is possible with this method.

Fat is also commonly used to enlarge and reshape the buttock and hips. This procedure is commonly referred to as a Brazilian Butt Lift and continues to grow in popularity. The procedure specifically involves liposuction of the abdomen, flanks, back, and legs to harvest the fat. Next the fat is processed and reinjected into the buttock and hips, to give the shape and size you want.

Your own fat is also a good way to correct asymmetries or contour deformities from prior cosmetic procedures, like liposuction, or for placement in the cheeks as an alternative to temporary fillers.

Impeccable skin with specialized facials and peels

Your skin is what everyone sees, so it is important to treat your skin right. In 2020, women and men understand that treating the skin of the face correctly can help prevent many of the things that people complain of later in life. Good skin care can smooth pores, reduce lines and wrinkles, eliminate uneven pigmentation, and help prevent sagging. While a good daily skin care routine is important, more specialized treatments such as chemical peels, lasers, and facials are necessary. A plastic surgeon, dermatologist, or licensed esthetician can evaluate your skin and help design a treatment plan.

One of the most popular treatment for 2020 is the HydraFacial. This treatment combines hydration, exfoliation, extraction, and peels in a single treatment. Having a professional skin treatment, such as HydraFacial or EscarGlow facial, monthly can be a huge benefit to your skin that will supplement the daily skin products that you are already using. Professional skin treatments are also gaining in popularity among men.

See Also 10 Ways to Heal Properly after Your Procedure

What Are Your Beauty Resolutions for 2020?

With 2020 upon us, it’s time to start making good on those New Year’s resolutions! What are your beauty goals for the upcoming year? For the upcoming decade?

If one of your resolutions was to develop your confidence and self-esteem through an improved aesthetic appearance, plastic surgery in New York City is an ideal way to realize these goals. Through the use of the latest technologies and with help from an experienced and highly-skilled board-certified surgeon like Dr. Schulman, you can finally have the body and face you’ve always desired.

To schedule your consultation appointment with Dr. Schulman today, or if you have questions or concerns regarding surgery, send our office an email or give us a call! (212) 289-1851

Archive for category: Breast Augmentation

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Heidi Montag Plastic Surgery Procedures: Is 10 Procedures Possible?

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Heidi Montag Before and After Plastic Surgery

Who is Heidi Montag

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Reference

Will I Have Breast Augmentation Scars?

Breast Augmentation Scars Location

How big are they?

Do Breast Implant Scars Go Away?

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How do they hide breast implant scars?

Where are the scars for breast enlargement?

What is the least scarring boob job?

What is the best incision for breast implant surgery?

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References

Choosing the Right Implant

New Breast Funnel Improves Breast Augmentation Results

Recovering from Breast Augmentation

Questions and Answers about Breast implants

What are the chances of breast implants going wrong?

What is the syndrome after breast implants?

What happens to breast implants over time?

What are the early signs of capsular contracture?

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Choosing Your Breast Implant Size Video

Understanding Breast Implant Sizes

Factors to Consider When Choosing Breast Implant Sizes

Aesthetic Goals

Body Proportions

Lifestyle Considerations

Psychological Well-being

Long-term Considerations

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What is the ideal breast implant size?

What is the most common implant cup size?

What is the average size breast implant?

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References

1. Brazilian Butt Lifts

The Brazilian Butt Lift Procedure

2. Breast Augmentation

The Breast Augmentation Procedure

3. Rhinoplasty

The Rhinoplasty Procedure

4. Liposuction

The Liposuction Procedure

5. Tummy Tucks

The Tummy Tuck Procedure

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Why Breast Augmentation?

What Is the Average Breast Augmentation Cost?

How Breast Augmentation Surgery Cost Varies

Your surgeon and the surgery location

The Types of Breast implants you choose

Whether other procedures will be performed at the same time

Will Health Insurance Cover My Breast Implant Surgery?

Breast implants surgery cost

Questions and Answers

What do breast augmentation scars look like?

How long does breast augmentation last?

How do most people pay for breast augmentation?

What is a gummy bear implants?

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References

Factors behind the Smaller Breast Augmentation Trend

Enhancement without unwanted gawking

Thinking about the future surgeries

Medical reasons for smaller breast implants

Smaller breast implants enable more versatile clothing options

Smaller implants don’t interfere as much with athletic activities

Questions and Answers

What size is considered a small breast implants?

Are small breast implants worth it?

What size breast implants are most popular?

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