As a specialist in cosmetic breast surgery, I perform a large number of breast augmentations. While over 300,000 breast augmentations were performed in the U.S. in 2011, not all of them were good ones. Breast Augmentations may appear easy to do, as evidenced by the countless poorly trained and inappropriate doctors trying to do this surgery. However, breast augmentation is very difficult to do really well and the revision rate for breast augmentation remains very high nationally. In my practice, I strive for natural-results, minimal complications, and a rapid recovery. I have created a technique for breast augmentation that I think helps me to achieve my goals. While perfection is impossible, I think I get pretty close. Read more
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.
Several times each day I am asked the question, “Is silicone or saline a better implant?” I explain that I cannot say which is “better” because it is impossible to define “better.” Also, breast implant selection is a very personal decision. I do tell my patients that silicone implants tend to look more natural and feel more natural. They then must decide if this constitutes “better” in their mind.
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.
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.
As a Board Certified Plastic Surgeon and Assistant Professor of Plastic Surgery at The Mount Sinai School of Medicine in New York City, I am always looking for the latest advances in cosmetic plastic surgery. Techniques and Technologies are constantly evolving. Many of these new methods are really nothing new, but every once in a while something really exciting comes along that allows me to offer my patients better results with less pain, recovery, and scarring. There have been a few of these advances that I am really excited about. These include Smooth Tuck®, Keller Funnel™, and PermaLip™.
Try this experiment – enter “cheap breast implants in New York City” into Google. You may be surprised that nationally there are almost 2 million search results. Many of these results are from plastic surgeons offering breast augmentation for prices that are significantly lower than most other doctors are charging. My personal favorites are $2700 at a plastic surgeon in New Jersey, $2995 in Miami, and $2995 in Beverly Hills. Even some surgeons in the highest priced markets such as New York City are advertising prices as low as $5700. As the old adage goes, “If it sounds too good to be true….”
There is a new weapon in the war against small breasts – a breast implant that has adjustable volume. Adjustable breast implants have a port through which saline can be added or removed. This allows the volume to be adjusted for various reasons. Before you get too excited, these are not intended to allow women to increase their breast size for a night on the town, or decrease the size for that important business meeting. The adjustment process involves a plastic surgeon placing a sterile needle through the skin into the fill port that is under the skin and meticulously adding or removing sterile saline solution. So it is a far cry from the Reebok Pump sneaker technology of the Eighties.
As I lounged on the beach this weekend (with my SPF 50), my eyes wandered to all the breasts around me. It’s ok, because as I tell my wife, it’s all “research” and I assured her it was for my latest blog entry. Breasts can be found in a variety of shapes and sizes. But the point is that the breasts that I observed are likely not the same size and shape that they were five years earlier. Breasts are extremely susceptible to changes – they change with age, weight, pregnancy, and breast feeding. To understand why, we have to examine the physiology of the female breast.
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