Tag Archive for: New York City

October 20, 2023/in Arm Lift /by Dr. Matthew Schulman

Numerous individuals often struggle with insecurity regarding their upper arms. Significant weight loss and the aging process can result in the accumulation of surplus fat and saggy skin. When these factors converge, achieving toned arms without cosmetic intervention can feel like an insurmountable challenge.

Concealing arms daily, particularly in the warmer seasons, is far from ideal. Thankfully, a range of treatments exists to slim, tone, and redefine the upper arms like Arm lift surgery.

An arm lift, or brachioplasty, is a surgical procedure that:

Reduces excess sagging skin that droops downward
Tightens and smooths the underlying supportive tissue that defines the shape of the upper arm
Reduces localized pockets of fat

Significant weight loss, aging and heredity can cause your upper arms to have a drooping, sagging look. This is a condition that cannot be corrected through exercise and diet.

Arm lift surgery may be right for you if the underside of your upper arms are sagging or appear loose and full due to excess skin and fat.

Upper Arm Treatment

Treating the upper arm area is difficult not because we don’t have any options. It is difficult because the gold standard – brachioplasty – works very well but can leave a long scar down the inside of the arm. This arm lift scar is hidden when the arms are down at your sides, but the scar is visible when the arm is raised. If you are willing to accept this scar, then there is no better procedure out there for giving you the slimmer arm you have always wanted. This is the only legitimate option for true “bat wings.”

However, many people find that this scar is not worth the surgery, so what are the other alternatives?

Another option is a short-scar brachioplasty. This is designed to reduce the excess skin of the arm, but keep the scar completely with in the underarm area. While this sound like a good idea, it is not as easy as it sounds. Because the scar is only within the underarm, the amount of excess skin that can be removed is limited.

This is therefore not a good option for people with significant excess skin. Also, gravity tends to make the scar migrate out of the underarm area and can make it more visible than it is designed to be. This is a good option for mild to moderate skin laxity.

Occasionally, liposuction is an option. This is a good option for young people with good skin quality and only small to moderate amounts of fat and very little skin laxity. Liposuction will remove the excess fat but will not remove excess skin. You must be very careful, too much fat removal can make the appearance of the upper arm worse. Some liposuction techniques can provide added skin tightening, such as laser liposuction. This is a good option if moderate fat is your problem and not excess, sagging skin.

Questions and Answers

How much does an arm lift cost?

Arm lift surgery cost depends on several factors. Contact us to book a arm lift consultation to learn the price.

How painful is brachioplasty?

Generally, brachioplasty surgery is a well-tolerated procedure with minimal discomfort and recovery time. You may experience temporary swelling, bruising, and mild discomfort, but these effects typically resolve within a week.

How long does a arm lift last?

Arm lift outcomes can endure for a decade or longer, provided you maintain a steady weight and lead a healthy lifestyle. Furthermore, as the procedure permanently removes some loose skin and fat, your arms will maintain a firmer appearance compared to not having an arm lift.

Is arm lift surgery worth it?

Is the arm lift procedure a worthwhile investment? If excess skin beneath your arms undermines both their aesthetic and your self-assurance, then it is indeed worth considering.

How much weight is lost with brachioplasty?

What’s the Weight Loss Potential with Brachioplasty? Typically, an arm lift surgery can eliminate approximately 1.5 pounds of fat.

Who is a candidate?

Typically, potential arm lift candidates encompass: Adults dealing with notable upper arm loose skin. Adults, regardless of age, maintaining stable weight and not significantly overweight. Healthy individuals without medical conditions hindering healing or heightening surgical risks.

How long does it take to recover from surgery?

Arm lift recovery from an arm lift is individualized, varying based on skin and overall health. Typically, expect your recovery to be finalized in approximately two to three weeks. During that time refrain from heavy lifting, strenuous exercise, quit smoking and live a healthy lifestyle.

Book Your Cosmetic Procedure Today

If you are thinking brachioplasty make sure to find a board certified plastic surgeon experienced in this procedure. Dr. Matthew Schulman is a cosmetic procedure expert in New York City.

To learn more about cosmetic surgery and why it may be right for you, contact us through our website or call the office.

References

https://www.plasticsurgery.org/cosmetic-procedures/arm-lift

October 16, 2023/in Belly button surgery, Brazilian Butt Lift, Plastic Surgery /by Dr. Matthew Schulman

Dr. Schulman would like to mention his 3 most common plastic surgery procedures in NYC. These procedures included cosmetic procedures of the face and body, as well as reconstructive surgery from head to toe.

To come up with his “Top 3”, He looked at several factors including the number of cosmetic procedures performed, media requests about these cosmetic procedures, and overall demand.

#3 Breast Augmentation

Breast augmentation, often called a “boob job,” enhances breast size using implants or fat transfer. It restores volume, shape, and symmetry.

Breast augmentation surgery achieves:

Enhanced breast fullness and projection
Improved breast-hip contour balance
Boosted self-image and confidence.

Dr. Schulman does a lot breast augmentations each year with plastic surgery patients coming from all over the country to book these popular cosmetic surgery procedures. Plastic surgery patients usually come for more than one procedure and combine breast augmentation with other procedures like tummy tuck and breast lift.

Umbilicoplasty

The demand for belly button surgery or Umbilicoplasty has continued to increase over the past several years. Common requests are to make an “outie” into an “inne”, remove that overhanging “hood” of skin, or remove the remnants of a belly button piercing. The beauty of this procedure is that I can perform a significant improvement in the comfort of my office, using only local anesthetic and under 45 minutes.

My patients complain of only a small amount of soreness that lasts for 1-2 days afterwards, making this an extremely easy recovery as far as plastic surgery procedures go. In 2011, I performed several belly button surgeries per week, and drew patients from all over the tri-state area and as far away as London. I have basically become known as “the belly button plastic surgeon” because I perform a large number of this very uncommon procedure.

Brazilian Butt Lift

Requests for the Brazilian butt lift has definitely increased. With continued media focus on Beyonce, JLo, and Pippa Middleton, request for a lifted and fuller backside was through the roof. To improve the shape of the buttock, Dr. Schulman uses a new plastic surgery technique that combines liposuction and fat injection. Commonly known as the Brazilian Butt Lift, this technique involves removing fat from the areas around the buttock (the outer thighs and lower back), processing this fat, and reinjecting it into the buttock.

The result is a rounder, fuller, and more lifted backside. While there are many plastic surgeons performing this procedure, Dr. Schulman has added several techniques to the procedure that I think improves my results and increases fat survival. In addition to meticulous liposuction and fat harvesting techniques, He adds specialized growth factors to the fat before he reinjects it.

This addition of growth factors is unique to my practice and it is one of the reasons why people are choosing me over the numerous other surgeons offering Brazilian Butt Lifts.

Questions and Answers

What are the 5 most common plastic surgeries?

The most popular cosmetic procedures include breast augmentation, liposuction, rhinoplasty, eyelid surgery, tummy tuck, and facelift.

What is the most requested plastic surgery procedure?

Breast Augmentation (298,568 procedures, up 4% from 2019) Abdominoplasty (161,948 procedures, up 37% from 2019) Breast Lift (143,364 procedures, up 30% from 2019) Eyelid Surgery (115,261 procedures, up 13% from 2019)

What is the hardest plastic surgery to recover from?

These procedures below do take the longest to recover.

Liposuction (up to three months)
Tummy Tuck (2-3 months)
Facelift (two months)
Breast Reduction (two months)
Breast Augmentation (six weeks)
Rhinoplasty (six weeks)

What plastic surgery is the most difficult?

Rhinoplasty is commonly acknowledged as one of the most challenging cosmetic surgeries. Even minor nasal contour adjustments demand deep knowledge of nasal anatomy, precise surgical skills, and awareness of potential complications.

Book a Plastic Surgery Consultation

To learn more about popular plastic surgery procedures at Schulman Plastic Surgery in NYC, book you cosmetic surgery consultation by calling 212-289-1851. Plastic surgeons like Dr. Matthew Schulman are experts at surgical procedures and minimally invasive cosmetic procedures so do not hesitate to book your consultation.

October 14, 2023/in Botox-Assisted-Breast-Augmentation, Breast Augmentation /by Dr. Matthew Schulman

As a specialist in cosmetic breast surgery, I perform a large number of NYC 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 breast augmentation 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.

Ultra-Short Breast Augmentation Scars Technique

My breast augmentations are performed using an ultra-short breast augmentation scars technique in which the incision is only slightly longer than an inch. The breast implants are then placed through this tiny incision using the aid of a Keller Funnel. This funnel helps to get the breast implant in through the small incision, but it also helps decrease complications such as infection, capsular contracture, and breast implant rupture.

I have also added Botox to my breast augmentations. Yes, you read that correctly. When done correctly, Botulinum toxin can be used to help achieve a more rapid and less painful recovery. I place very small amount of Botox into very specific areas of the chest muscle. This helps to relax the muscles, without interfering with the function of the chest muscles. The result is less pain and also a more rapid “settling” of the breast implants.

I created this Botox-Assisted Breast Augmentation scars technique and truly believe it will revolutionize breast augmentation surgery. I have been performing this procedure for several years and have worked out specifically where to inject the toxin and how much toxin is needed. I have already read about other doctors utilizing this technique and in some cases, claiming it as their own.

Aside from it being unprofessional for a doctor to purposefully mislead patients into thinking someone else’s procedure is theirs, it is also potentially dangerous to you the patient – incorrect injection of Botox can interfere with normal muscle function of the chest and arms, and incorrect dosing can potentially lead to toxicity and death.

We have all heard about Botox to reduce lines and wrinkles in the face. But I now use it in a totally new way – in your breasts. Yep, you heard that right. I perform a Botox-Assisted Breast Augmentation surgery. This involves injected Botulinum Toxin into the chest muscle during breast augmentation. Temporarily weakening the chest muscles during a breast augmentation serves several purposes:

Botox Is No Longer Just For Your Face

Less pain
Reduced feeling of “tightness”
More rapid return to normal activities
Faster “final result”

When a breast implant is placed beneath the chest (pectoralis) muscle, the muscle needs to be cut. This is the cause for the intense post-operative pain that many women feel in their chest during the first several days or weeks after surgery. Also, the healing muscle can cause painful muscle spasms for months after the procedure. By temporarily weakening the muscle surgery with Botox (or a Botox-equivalent from another company), there is significantly less pain and spasms during the healing process.

This allows my patients to take less pain medication and return to normal activity quicker. Also, because the muscle is relaxed, there is less feeling of “tightness” in the chest.

Even more important is that Botox-Assisted Breast Augmentation allows my patients to achieve the “final result” in a matter of WEEKS instead of MONTHS. The relaxed muscle allows the breast implant to drop into position much more rapidly than it would if the muscle was not partially paralyzed with Botox. With my technique, you can avoid that 3-4 month period of awkwardness when the implants are sitting too high on the chest.

The effects of the Botolinum Toxin begin in a few days and lasts for about 4 months. There is no permanent effect on your body and the dose that is used is not much more than someone would have injected into their face to reduce lines and wrinkles.

Now, You Can Add Botox To Breast Surgery To Ease Recovery

“During a Botox-assisted breast augmentation procedure , a precise amount of Botox is injected directly into the chest muscle from the inside. The Botox will relax the muscles for about three to four months,” Dr. Schulman told Byrdie.

Relaxing the chest muscles reduces muscle spasms as they heal, meaning less pain and shorter breast augmentation recovery time. It also improves the look of your new breasts. “Usually after traditional breast augmentation, the implants can appear to be high on the chest for about six months,” Dr. Schulman said. “This is normal, but high implants can look unattractive or very fake.”

When Dr. Schulman uses Botox to relax the muscles, however, the implants drop into a pleasing final position within four to six weeks.

One of Dr. Schulman’s patients — 31-year-old Jennifer, who works in Manhattan — told the New York Daily News about her experience with Botox-assisted breast surgery: “I felt great, like I didn’t have it done. I was back to work in a few days. The implants settled quickly.”

As far as risks go, Dr. Schulman says, “When done correctly, it has no negative effect on the chest muscle and will not interfere with any chest or arm strength.”

Less Post-Op Pain Faster Time to see Final Results

According to statistics released by the American Society of Plastic Surgeons (ASPS), nearly 13.1 million surgical and non-surgical cosmetic procedures were performed in 2010, a 39% increase in the last decade. Breast augmentation led all cosmetic surgeries with 296,203 procedures performed.

Matthew R. Schulman, M.D. board certified plastic surgeon and Assistant Professor of Plastic Surgery at the Mount Sinai School of Medicine has introduced a new method of breast augmentation using Botulinum Toxin, or Botox. According to Dr. Schulman Botox-Assisted Breast Augmentation has two major advantages – less post-operative pain and a more rapid final cosmetic result.

“In comparing Breast Augmentation surgery cases done with and without Botox, our before and after photos show those surgeries done with Botox reveal one month results comparable to the four month results of surgeries done without Botox.”

The procedure is done as a standard breast enhancement surgery where the breast implant is placed under the muscle. (This is the preferred position of implantation.) After the muscle has been elevated, Botulinum Toxin is then injected into the muscle before the implant is placed. This partially paralyzes the chest muscle, resulting in less muscle spasms that naturally occurs during the healing process, and dramatically reduces patient discomfort.

“The most exciting outcome we have seen with Botox-Assisted Breast Augmentation is the rapid achievement of the final cosmetic result,” says Schulman. Because the muscle is relaxed, the implant can drop into position faster. After surgery, implants will naturally appear higher on the chest as the chest muscle is contracting against the implant. With regular breast augmentation it takes about three to four MONTHS for the implants to drop into the desired position.

By paralyzing the muscle with Botox-Assisted Breast Augmentation, implants can settle into position in about three to four WEEKS.

According to Dr. Schulman, with Botox-Assisted Breast Augmentation there is less pain and a more rapid return to normal activities. Additionally, patients have a better overall cosmetic appearance in a shorter amount of time – getting them into halter tops, strapless dresses and bikinis faster!!

Contact Us to Book Your Consultation

For more information regarding Botox Assisted Breast Augmentation patients, to set-up an interview with Dr. Schulman or to view some dramatic before and after images, contact Dr. Sculman of Schulman Plastic Surgery NYC at 212.289.1851.

References

https://www.plasticsurgery.org/news/plastic-surgery-statistics?sub=2011+Plastic+Surgery+Statistics

September 29, 2023/in Plastic Surgery, Smooth Tuck, Tummy Tuck /by Dr. Matthew Schulman

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 and reconstructive 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 surgical procedures like Smooth Tuck®, Keller Funnel™, and PermaLip™.

Smooth Tuck®

Smooth Tuck® is a surgical technique that I developed as a less invasive alternative to the traditional tummy tuck. Smooth Tuck® is a unique combination of high volume liposuction of the upper and lower abdomen and flanks, with removal of excess skin, and repositioning and rejuvenation of the belly button. Who is a candidate? Someone who is a good candidate for the traditional tummy tuck but desires a procedure with high the recovery and pain.

Also, people who are considered “too obese” for a traditional tummy tuck are good candidates because of the high volume liposuction. Compared to the traditional tummy tuck, Smooth Tuck® removes 3 times as much fat (an average of 3 liters), back to work in 7-10 days (compared to 14-21 days), and ½ the pain as determined by the amount of prescription pain medicine required. Smooth Tuck® has been featured on CBS, ABC, NBC, FOX, The Doctors, and Life & Style Weekly.

Currently it is only available with me at my New York City office and has attracted patients from around the globe.

Keller Funnel™

Keller Funnel™ is an innovative device used to help with the insertion of silicone gel breast implants. This device resembles a pastry bag. Using this device has revolutionized my breast augmentation practice. I am now able to insert even large gel implants through the tiniest incisions.

In fact, my average incision length for breast implants is 1.18 inches! Other advantages include: less pain, less risk of infection, less risk of implant rupture, and less chance of capsular contracture or “hardening of the implant”. As one of only a few plastic surgeons in the New York area using this technology, I have become among the most sought after cosmetic breast surgeons in New York City.

I have integrated this funnel into my surgical breast lift technique and now offer an “ultra-short-scar, rapid-recovery breast augmentation.”

Permalip™

PermaLip™ is the latest in permanent lip augmentation. This soft, solid silicone rubber implant can be inserted into the upper or lower lip, giving a permanently fuller lip that looks, and feels, natural. This has allowed me to offer my patients a fuller pout, without the pain, cost, and inconsistency of temporary injectable fillers like Restylane or Juvaderm. I was among the first plastic surgeons in New York to try PermaLip™.

Now, several years later, I have among the largest experience with this implant in the country. The procedure is done in my office using only local anesthesia. The added benefit is an incredible cost savings. Temporary fillers can cost upwards of $700 and the results last about 6 months. This means that plumping your lips and maintaining this look for 5 years with temporary fillers will cost over $7500! At a cost of $2500 for one implant, and $4000 for two implants, this is a huge savings.

In fact, Life & Style Weekly called it “a steal”.

Now there seems to be another option. I have been using PermaLip, a permanent silicone implant for the lips. These implants are solid silicone rubber that is soft and flexible. They are manufactured with tapered ends, making them very natural appearing when placed in the lips.

The soft nature of the implant allows them to move naturally with lip motion. Additionally, they do not elicit an inflammatory response, making it easy to remove if necessary. This makes the PermaLip a safe option for permanent lip augmentation.

Unlike with injectable fillers, the results are consistent overlying skin, and not soley dependent on the skill of your injector.

Permalip™ Cost

The implants are placed in a short in-office procedure requiring only local anesthesia. These is some swelling and bruising after the procedure that may last for one week. However, with a cost of approximately $3000 for both upper and lower lip, this is a cost effective option for women who desire permanently fuller lips.

So, by adding these 3 procedures to my cosmetic plastic surgery practice, I am able to offer my patients the latest (and “greatest”) ways to rejuvenate their face and body.

Questions and Answers

What are the 5 most common plastic surgeries?

The most popular cosmetic procedures include breast augmentation, liposuction, rhinoplasty, eyelid surgery extra skin on, tummy tuck, and facelift.

What are the methods of cosmetic surgery?

Cosmetic plastic surgery encompasses both surgical and non-surgical techniques aimed at enhancing and reshaping the body’s structures to boost one’s appearance and self-assurance.

What kind of technology is used in plastic surgery?

Laser technology frequently minimizes bleeding, bruising, and scarring in reconstructive plastic surgery procedures. Various laser types are available, selected based on the surgery’s purpose and location.

Contact Our Office to Book Your Cosmetic Procedures

To schedule your cosmetic surgery consultation in my Park Avenue Office, contact us today by call 212-289-1851.

If you are from out-of-town, ask about our assistance in arranging overnight lodging or arranging an internet or virtual consultation.

References

September 26, 2023/in Plastic Surgery /by Dr. Matthew Schulman

How to find a good plastic surgeon is important. You place an enormous amount of trust in your plastic surgeon and he/she ultimately is responsible for your plastic surgery results and your safety. No matter how you first found your surgeon, there are some key questions to ask before you commit to cosmetic plastic surgery.

As a Board Certified Plastic Surgeon in NYC specializing in Cosmetic Surgery, here are 5 questions that I think are the most important:

Are you a Board Certified Plastic Surgeon?

Dr. Matthew Schulman Plastic surgeon New York City

Board Certified Plastic Surgeons means that your plastic surgeons has completed the appropriate training and has also passed both written and oral examinations. It also means that your plastic surgeons meets the appropriate ethical and moral standards.

Make sure he/she is a Board Certified Plastic Surgeon. Don’t be fooled into thinking that a cosmetic surgeon is the same. If a doctor tells you he/she is a Board Certified Cosmetic Surgeon, turn and run.

This means that they were trained in some other field (maybe even cardiology or radiology) and has taken a course on cosmetic procedures as short as a weekend, and now is allowed to call them self a cosmetic surgeon. I call BS on doctors doing that. Don’t be fooled. You deserve better.

Where do you operate and do you have admitting and operating privileges at a nearby hospital?

Some plastic surgeons operate at a hospital, an ambulatory surgery center, or out of an office based operating room. If your plastic surgeon operated out of an office based operating room or practice, make sure it is a fully certified facility and meets all the standards set forth by the state.

Also make sure that your anesthesiologist is a board certified anesthesiologist who is dedicated solely to you during your case and not working multiple operating rooms at a time.

Even in the safest operating environment, rare complications can occur. In this situation, it is important that your surgeon can get you to a nearby hospital that he/she has admitting privileges at. This means that the can continue to take care of you should you require hospitalization. More importantly, your surgeon should also have operating privileges in the rare event you need to have a surgery performed at the hospital.

If your surgeon is not affiliated with a nearby hospital, then in the rare chance that you need urgent hospitalization, you will likely end up at the nearest hospital and your surgeon is not allowed to be actively involved in the care of you.

How many ____________(the surgery you are interest in) do you perform in a month/year?

There is no magic number as to how many cases a surgeon must perform before they are considered “good” at it. Some people have tossed around the number 100, but I don’t think this is necessarily fair. The point is that you certainly don’t want to be the first (or 20th?) of a particular case. Also, just because your surgeon has done 100 of a particular case, doesn’t tell you whether or not the results were any good.

Unfortunately there are plenty of really busy, yet really bad, plastic surgeons. Every plastic surgeon specializes in something. No plastic surgeon does everything. Some may be known as a “face guy” and others may be known as a “body guy”. It doesn’t make sense to have your breast implants put in by a body guy.

Can I speak with some patients?

This question is key. You can learn a lot from speaking with cosmetic surgeons and some patients who have had the same, or similar, procedure. The surgeon should be able to give you 3 names of patients who are willing to speak to you. Keep in mind though, that these are clearly going to be “happy” patients.

It would be bad form for a surgeon to give you the phone number of a patient who has poor results and will be likely to tell you about their bad experience. But there is some value in speaking with them because they can tell you about the process, the recovery, and give you valuable tips that will be helpful no matter who you select as your surgeon.

What is your revision policy?

Plastic Surgery is an art. As a plastic surgeon I do everything I can possible do to get the best result for my patients. Unfortunately this is not always possible because there are many factors that we cannot control for.

Occasionally, revision or reconstructive surgery may be needed. You should find out what the surgeon’s revision policy is. Does he/she charge? If so, what are the fees? Each office should have a policy regarding this. Hopefully it is never an issue for you, but in case it is, you should have the information in advance.

Book Your Plastic Surgery Consultation

Contact Us for more information on on how to choose your plastic surgeon in the New York City area. Matthew Schulman, M.D. is Board Certified in plastic surgery and specializes in cosmetic surgery of the face, breast and body.

References

https://www.plasticsurgery.org/news/blog/how-to-find-a-plastic-surgeon

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.

Do 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.

March 2, 2023/in Umbilicoplasty /by Dr. Matthew Schulman

Pictures recently surfaced that rocked the world of females aged 25-45. John Stamos, known most famously for his role as Uncle Jessie on Full House and considered among the “hottest” men around (or so my wife says) is not so perfect after all.

People are saying that John Stamos belly button is deformed. What John Stamos has is more than simply an “outie” and he claims it is the result of a childhood to repair an umbilical hernia.

What Is an Umbilical Hernia

An umbilical hernia is an opening in the abdominal wall and results in the protrusion of fat or intestine. This appears like an “outie” that can be pushed in. These hernias are extremely common in infants and usually close on their own by age 2 or 3 years old. Hernias that fail to close may require a surgical procedure to close the opening, preventing potential complications in the future.

The most serious complication can be a piece of the intestine getting stuck in the opening causing bowel obstruction, partial death of the intestine, and septic shock.

So, if his hernia was repaired, why does his belly button look like that? This is probably because the surgeon closed the opening with sutures, which is the appropriate thing. But what the surgeon probably failed to do is remove any fat that was trapped outside the opening, or trim the excess skin of the belly button.

This may be the reason why he has a bulging belly button with overhanging skin. Essentially, the hernia was repaired, but little consideration was given to the cosmetic portion of the procedure. As a plastic surgeon, I have trained in BOTH general surgery AND plastic surgery. This means that I am able to repair the hernia AND make the belly button look better!

Cosmetic Belly Button Procedure

But don’t worry if you have had your hernia fixed and you belly button still doesn’t look good. You can still have a cosmetic belly button procedure that improves the appearance. Cosmetic surgery of the belly button, or umbilicoplasty, has become one of the most common in-office procedures that I perform.

In fact, I have been nicknamed “Dr. Belly Button” by many of my patients who come great distances for the procedure. It takes anywhere from 30-60 minutes and is done using only local anesthesia. The recovery time is rapid.

So John, if you are reading this (if you are not, then you are really missing out on a great blog), give me a call so I can correct your only flaw.

Are there any risks?

Make sure to contact your doctor right away if you notice any of the following symptoms in the weeks after your surgery:

severe bleeding
nausea
dizziness
pain that doesn’t go away
signs of infection, such as a fever, unusual smell, or colored discharge

The Bottom Line

Umbilicoplasty is a procedure that can help your change the shape of your bellybutton. If you’re considering it, scarring is always an issue but if you choose a Board Certified Plastic Surgeon they will be able to get the result you want.

Depending on your situation, the procedure might not be worth the risk. Also, if you are a women and getting pregnant is in your future plans, it’s best to hold off on the surgery to avoid undoing the results.

Who Is John Stamos

“John Stamos is an American actor, producer, musician, comedian and singer. He first gained recognition for his contract role as Blackie Parrish on the ABC television series General Hospital, for which he was nominated for the Daytime Emmy Award for Outstanding Supporting Actor in a Drama Series.

He is known for his work in television and videos, especially in his starring role as Jesse Katsopolis on the ABC sitcom Full House. Since the show’s finale in 1995, Stamos has appeared in numerous TV films, ads, videos and series. Since 2005, he has been the national spokesperson for Project Cuddle.

Stamos is a big fan of Elvis Presley and has often referenced or paid homage to him in the show Full House. Stamos began dating model/actress Rebecca Romijn in 1994 after they met at a Victoria’s Secret fashion show in which she was modeling. Stamos and Romijn became engaged on Christmas Eve 1997, and they married on September 19, 1998, at the Beverly Hills Hotel.

They announced their separation in April 2004. John Stamos filed for divorce in August 2004, and it became final on March 1, 2005.

On October 23, 2017, Stamos announced his engagement to model and actress Caitlin McHugh after a year of dating. In December 2017, the couple announced they were expecting their first child, due in the spring of 2018. Stamos and McHugh married in February 2018.

Contact Our Office

If you would like to learn more options about cosmetic surgery of the belly button, call 212-289-1851 or contact me to request additional information or view our umbilicoplasty before and after gallery

Reference

- https://en.wikipedia.org/wiki/John_Stamos
- https://www.healthline.com/health/umbilicoplasty

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