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You are here: Home1 / Breast Implants

Tag Archive for: Breast Implants

Tag Archive for: Breast Implants

September 4, 2023/in Breast Augmentation /by Dr. Matthew Schulman

Breast augmentation stands out as one of the most sought-after cosmetic surgical treatments, and it garners attention not only among plastic surgeons. I am dedicated to continuous enhancement of my breast augmentation technique. Over time, I’ve refined my approach to develop a “Rapid-Recovery Breast Augmentation” method that significantly reduces recovery time, bruising, swelling, and discomfort when compared to traditional breast augmentation methods.

What is Rapid Recovery Breast Augmentation?

Rapid Recovery breast augmentation involves four specific components:

  1. Long-acting local anesthetics injected into pain nerves of the breast
  2. Injection of Botox into the pectoralis muscle
  3. Insertion of the breast implant using a Keller Funnel
  4. Post-operative application of LED lights to reduce bruising and swelling

Dr. Matthew Schulman board certified plastic surgeon, performs breast augmentation under general anesthesia – you are completely asleep. However, I also inject long-acting local anesthetics into the nerves of the breast.

The medicine is specifically injected into the sensory nerves of the breast. The result is less pain during the first 8 hours after the surgery which is usually when most breast augmentation patients are most uncomfortable. This prevents the buildup of severe pain that can make a breast augmentation recovery difficult.

Breast Implant Placement

Rapid recovery breast augmentation

Rapid recovery breast augmentation

The majority of breast implants are placed under the pectoralis muscle. When implants are placed under the muscle, it requires that the surgeon cut the pectoralis muscles in order to place the implant under chest muscle. During the months after the surgery, this cut pectoralis muscle can have painful spasms. This can result in pain that can persist for weeks and months after surgery. Also, the implant can stretch the muscle, causing pain.

More importantly, the implants commonly remain “high” for several months after surgery because they are being held by the pectoralis muscle and need to “drop” into a natural position. This often takes up to 6 months after plastic surgery. The solution for all these things is Botox! I inject Botox into the pectoralis muscle at the time of surgery. This causes paralysis of the muscle for 4 months, decreasing painful spasms as the back muscle tissue heals and allows the breast implant to drop into the desired position in just a few weeks instead of 6 months.

Next, I use a special device for insertion of the breast implant. This device, called a Keller Funnel, allows non-traumatic insertion of the implant through a very small incision. Less trauma and a smaller incision equals less recovery time less pain.

The Final Component

The final component of the “Rapid-Recovery” Breast Augmentation in New York City is the use of LED lights. LED, or Light Emitting Diodes, are colored lights. Studies have shown the red and blue rays of light can decrease inflammation and bruising. My patients are given these hand-held lights to take home and apply it to the breasts several times a day. The use of these lights reduces the bruising, swelling, and pain.

Using this technique, I find that my patients have less pain, less bruising, less swelling, and a faster final result.

Incision Options for Breast Implants

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

Peri-Areolar

Advantages: well-hidden incision Disadvantagous: not possible if areolas are very small, possible disruption of milk ducts which can lead to infection and interference with breast feeding, more technically challenging for the surgeon, higher capsular contracture rate than some other approaches, risk for decreased nipple sensation.

Inframammary

Advantages: well hidden incision, technically easier approach for surgeon, no disruption of milk ducts or breast tissue so virtually no risk for interference with breast feeding, quick recovery, lowest risk of infection and capsular contracture Disadvantages: scar can be visible on underside of breast.

Trans-Axillary

Advantages: hidden breast implant scar, no disruption of ilk ducts or breast gland so virtually no risk for interference with breast feeding. Disadvantages: challenging approach for the plastic surgeon and usually requires a surgical technique and use of endoscopic camera equipment, highest risk for infection and capsular contracture, scar may be irritated when shaving underarms, high rate of implant malposition.

As you can see, there are several different approaches for placement of breast implants. Your surgeon will be able to discuss which approach is best for you. It will depend on your preference of breast enhancement surgery, type of implant selected, breast implant size selected, and your body shape and size.

Questions and Answers About Rapid Recovery Technique

Rapid recovery breast augmentation vs conventional

Rapid recovery breast augmentation vs conventional

What is rapid recovery after breast augmentation?

Rapid recovery represents a cutting-edge approach that provides patients with a swift and effortless recuperation following traditional breast augmentation surgery. Within just 24 to 48 hours, you can comfortably resume your daily routines, including normal activities like showering and even enjoying an evening out for dinner on the same day!

What is the difference between rapid recovery breast augmentation vs conventional recovery process?

Besides reduced pain, quicker recovery times, and the use of milder pain medications, rapid recovery breast augmentation boasts additional advantages over conventional breast augmentation procedure. Notably, it carries fewer risks compared to the traditional approach.

Can I get rapid recovery breast augmentation near me?

Yes. Dr. Schulman is a board certified plastic surgeon in NYC offering rapid recovery breast augmentation.

What are the worst days of breast augmentation recovery?

In the initial 3 to 5 days, you may encounter the highest level of discomfort. Dr. Schulman will have provided prescribed pain medication to manage this discomfort.

It’s possible to observe slight bleeding at the incision sites, which is a typical occurrence. However, if you have any concerns regarding bleeding, don’t hesitate to discuss them with your surgeon.

 Breast Augmentation Surgery Consultation

Contact Dr. Schulman’s practice of plastic surgery in New York City to schedule a free cosmetic surgery consultation and learn more about Dr. Schulman’s Rapid Recovery Breast Augmentation surgery.

July 31, 2023/in Breast Implants /by Dr. Matthew Schulman

There is a new weapon in the war against small breasts –  breast implants that have 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.

So why the need for this adjustable breast implants?

There are 3 situations in which I would use these adjustable implants in my breast practice:

1. To account for pre-operative differences in the shape and volume of the breasts. Breast asymmetry is very common and can make it difficult to choose the appropriately sized breast implants. A post-operative adjustable implant allows the surgeon to make small adjustments in the breast volume for months after the surgery, allowing better matching between asymmetric breasts.

2. To correct breast deformities such as Tuberous Breasts. Tuberous Breast Deformity is a fairly common condition characterized by an underdeveloped breast that is constricted at its base. Correction of this deformity involves placing a breast implant to increase the size (this is often only on one breast) and to correct the constricted base of the breast. Unfortunately, this cannot be done simply by placing a breast implant. You actually need to stretch the base of the breast.

A post operative adjustable breast implant allows the gradual expansion of the base of the breast to improve the shape and size.

3. To help women choose a breast size that they are happy with. The most common reason for breast implant reoperation is for a change in size. Some reports find that 25% of women ultimately undergo reoperation simply to increase/decrease the size of the implant.

A post operative adjustable implant allows the surgeon to place the implant to the desired volume and then over the next several months, small adjustments can be made until the woman is certain of the size.

Adjustable Breast Implants Have Some Drawbacks.

While this may make these implants sound like the best thing since sliced bread, there are some drawbacks.

• The implants are only saline, which have a tendency to be more visible, more palpable, show rippling and be more “unnatural” than their silicone cousins. They are also a little more expensive but you should never bargain shop your surgery.

• Adjusting the volume of the implant involves a visit to the doctor and a needle in the skin, which can cause pain and does carry some risk of infection.

• The fill port is palpable under the skin and may feel like a marble.

• Removal of the fill port involves a small office procedure.

• The range of each implant is limited (usually about 75cc in each direction) so you still need a basic idea of what size range you would like.

In my practice, 80% of the breast implants that I place today are silicone breast implants vs saline implants because I feel silicone are the most natural appearing (and feeling) implants. I do occasionally use adjustable implants though for the situations that I outlined above.

In the right circumstance, these implants are a powerful weapon in the field of breast surgery, especially in cases of marked breast asymmetry or congenital deformities.

Adjustable saline implantsDo Breast Implants Cause ALCL

Most recently in the news you may have heard about concerns involving an association with breast implants and a form of rare blood cancer. The safety of my patient’s is always my first priority and with the recent news headlines I want to provide you with accurate information.

Facts:

Anaplastic Large Cell Lymphoma (ALCL) is an extremely rare form of blood cancer – 1 out of every 500,000 women in the US are diagnosed and according to the National Cancer Institute, ALCL in the breast tissue is found in 3 out of every 100 million women nationwide without implants.

Nearly, 10 million women have breast implants and 34 unique cases world wide of ALCL in women with implants have been placed.

Breast implants for breast enhancement surgery are still FDA approved and the FDA along with plastic surgery governing societies feel breast implants remain safe and effective for women who are in good physical and mental health. Women with breast implants don’t need to change their medical care and should continue to follow normal routine – self exam and mammography when appropriate.

If changes to your breasts are detected or breast pain contact your board certified plastic surgeon.

The FDA, the American Society for Aesthetic Plastic Surgery, along with health care professionals and manufactures will continue to monitor silicone implants and saline implants to ensure the patient remains educated and safe.

For more information regarding FDA reports please visit: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm241090.htm

Questions and Answers

What is an adjustable breast implant?

Adjustable breast implants provide patients with an exclusive opportunity to fine-tune their breast size after surgery, ensuring precise adjustments that harmonize with their body proportions and desired results.

These specialized implants feature a small injection port or valve connected to the implant through a small tube, granting patients the ability to increase or decrease the implant’s volume as required. This unique feature allows for a personalized approach, empowering patients to attain their specific aesthetic objectives with greater control and customization.

Can you get adjustable breast implants?

If, even after completing the sizing process for your breast implant surgery, you still feel apprehensive about your choice, consider the option of adjustable breast implants. These implants have been available for over two decades and can be increased or decreased in size by up to 20 percent through a straightforward procedure after the initial surgery. This added flexibility provides reassurance and allows you to fine-tune your breast size according to your preferences and comfort level.

How do adjustable breast implants work?

A tissue expander is an implant designed to gradually expand the skin by utilizing saline to stretch it. These expanders can be either temporary or permanent. For more detailed information about tissue expander implants, please refer to the section below.

How long can you leave breast expanders in?

A tissue expander is an implant designed to gradually expand the skin by utilizing saline to stretch it. These expanders can be either temporary or up to six months. For more detailed information about tissue expander implants, please refer to the section below.

Contact Us Today to Discuss Adjustable breast implants

Please feel free to Contact my office if you have any questions about adjustable breast implants for breast augmentation or if you would like to schedule a consultation.

Coming From Out Of Town to NYC?

We Offer Virtual Consultations With Dr. Schulman!

Many of our patients travel a great distance to have surgery with Dr. Schulman, so we understand that it may not be possible for you to come to our office for your initial consultation.

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Schulman Plastic Surgery
62 East 88th Street, Suite C,
New York, NY 10128

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