It’s easy to see what a facelift can do, try a “six finger face lift”. You can do it right now. All you need is a mirror and two hands. Place the tip of your index finger on the angle of your jaw, the tip of the thumb under the the jaw and the middle finger on the cheek. Gently, push your facial skin up and back to tighten the neck, smooth out the jowls and lift the cheek.
How Is The Rhytidectomy (Face Lift / Neck Lift) Performed?
There are almost as many methods of Face Lifts and Neck Lifts as there are Plastic Surgeons performing them. Most of them are variations on two basic methods, lifting just the skin or incorporating the deeper layers. There are pluses and minuses to each method, which need to be discussed in detail tailored specifically to your face. However, no matter which technique is selected, even the Mini Face Lift takes longer then the “six finger face lift” described above.
Rhytidectomy (Facelift and Necklift) Consultations
There are many methods of lifting the face. My goal is to provide the best results in the safest and most predictable way possible. I prefer to use the simplest method that will work. For the best results, there needs to be the proper balance between the problem and the solution. A big lift for a small problem can lead to a tight or “over done” appearance. On the other hand, sometimes less is just too little.
Call (925) 943-6353 to schedule a private consultation at my San Francisco Bay Area Plastic Surgery office in Walnut Creek, CA. You can also send your questions via the contact form in the column.
Facial Plastic Surgery is designed to provide you with a more rested and youthful appearance. Blepharoplasty, or the Eyelid Lift, can do this and more.
Blepharoplasty on KRON 4 Body Beautiful in San Francisco
I recently had the opportunity to discuss Blepharoplasty with Bay Area New Station anchor Janelle Marie. The show, entitled Body Beautiful, aired live on KRON 4 last month. We discussed many of the details of eyelid aging, and how to fix it. The information on the video is supplemented below and on my main web site with more general information. If you are considering eyelid surgery, the best thing to do is visit an experienced Board Certified Plastic Surgeon near you, so that the details are covered too.
Eyelid Lift (Blepharoplasty) Video Presentation
Eyelid Lift Before and After Photos
If you already watched the video, you may have noticed the usual Before and After Pictures were missing. This Body Beautiful show was the last live broadcast from the old San Francisco Van Ness Avenue Studios. Maybe it was the studio ghosts way of saying she’ll miss us, but just before going live, the video editor ate the before and after pictures. You can see them here on the San Francisco Plastic Surgery Blog in my post from earlier this month: All Eyes on You – SF Bay Area Eyelid Surgery (Blepharoplasty), or visit the DrMele.com Plastic Surgery Photo Gallery.
What Happens to the Eyelids?
The Eyelids aging is due to intrinsic and extrinsic factors. The Intrinsic Factors we are born with. For example, the eyelids have the thinest skin on the body, and they move a lot. The amount of fat around the eyes is also genetic. Thicker, elastic skin and the proper amount of eyelid fat, contribute to the appearance of fewer wrinkles and smaller bags.
Extrinsic Factors are the environmental influences that change the appearance of our eyelids. Sun exposure and smoking are two areas over which we have some control. Using sunscreen, hats and moisturizers can protect the eyelid skin, prolong a youthful appearance and prevent skin cancer. Not smoking is good idea for many reasons.
How Blepharoplasty Works
Blepharoplasty is a facial plastic surgery procedure that literally means eyelid changing. Though both the upper and lower eyelids can have excess skin and fat, the most common problems corrected are excess skin of the upper eyelid and bulging fat bags of the lower eyelids. Both these features make us look older and tired.
Upper Eyelid Lifts
The Upper Blepharoplasty can be performed for both cosmetic and functional reasons. Sometimes, insurance will cover upper eyelid surgery when the excess skin is blocking your vision. Each insurance company has its own rules defining what is cosmetic and what is covered, so it is important to check with your insurance before having the surgery if your vision is compromised.
Lower Eyelid Lifts
The Lower Blepharoplasty is used to remove bags from under the eyes. Excess fat and skin are removed, and the eyelid is tightened. Fine lines can also be treated with chemical peels or laser skin resurfacing.
Eyelid Rejuvenation Consultations
As mentioned above, the best, if not the only way to find out if Blepharoplasty is right for you is via an in-person consultation appointment. A brief history and physical examination is necessary to be certain the procedure is appropriate for you. To schedule a private cosmetic eyelid surgery consultation, call (925) 943-6353, or use the contact form in the margin to contact my San Francisco Bay Area Plastic Surgery office.
This Friday marks the 166th anniversary of Elizabeth Blackwell‘s graduation from Geneva Medical College, now Hobart College. Like many people in the US at the time, Elizabeth was born in England. In 1828, at the age of eleven, she moved from Bristol, Gloucestershire, to the Untied States of America, to escape social unrest.
Plaque on the wall of the childhood home of Elizabeth Blackwell in Bristol, n.1 Wilson Street.
New York City, New York
Samuel Blackwell, Elizabeth’s father, was a sugar refiner who established the Congress Sugar Refinery in New York City. He was also a Congregationalist who believed each child should be given the opportunity for unlimited development of his/her talents and gifts. A sentiment also embodied in his association with Abolitionist leaders including William Lloyd Garrison and Theodore Weld. In 1838, Samuel Blackwell moved his family to Cincinnati, Ohio. The move was planned to salvage his failing business after his sugar refinery caught fire, but also it was fueled by an interest in cultivating sugar beets, an alternative to the slave-labor-intensive sugar cane. Unfortunately, shortly after the move he died, leaving his widow and nine children in debt.
Cincinnati, Ohio to Asheville, North Carolina
Elizabeth Blackwell commemorative bench located on the side of the Wachovia Bank Building on Patton Avenue in Asheville, NC.
Elizabeth and her older sisters, Anna and Marian, established a boarding school, The Cincinnati English and French Academy for Young Ladies, to make ends meet. Her decision to enter Medicine seems arbitrary. She despised everything to do with bodily functions and medical books; additionally, “female physicians” at the time was the name given to doctors who performed abortions. On the other hand, medicine would provide her with the ability to live an unattached life, independent of a man and the chains of matrimony. The added difficulty of overcoming the patriarchal status-quo, likely helped to keep her on her quest for a medical education.
The sisters once again came through. Anna helped Elizabeth get a job in Asheville, North Carolina, teaching music, with goal of saving $3000 for Medical School. She lodged with Reverend John Dickson who allowed her to use the medical books in his library and introduced her to his physician brother, Samuel Henry Dickson. Her initial attempts at obtaining a medical education where obstructed. Most physicians recommended that she either go to Paris to study, or that she take up a disguise as a man to study medicine.
After much perseverance, Elizabeth Blackwell was accepted by the Geneva Medical College class of 1849, literally. The story, as told by Robert H. Curtis, M.D., in Great Lives: Medicine is as follows:
The dean and faculty, usually responsible for evaluating an applicant for matriculation, were not able to make a decision due to the special nature of Blackwell’s case. They put the issue up to vote by the 150 male students of the class with the stipulation that if one student objected, Blackwell would be turned away. The young men thought this request was so ludicrous that they believed it to be a joke, and responding accordingly, voted unanimously to accept her.
People there were surprised when Blackwell actually showed up, and they were not at all welcoming; the acceptance letter was intended as a practical joke. Professors forced her to sit separately at lectures, and she was often excluded from labs. Blackwell, however, did not give up and eventually earned the respect of many professors and fellow students. Between her two years at medical college, Blackwell spent the summer at Blockley Almshouse in Philadelphia where she was given permission to observe the patients and physicians. The physicians, however, did not want her there and were not helpful. In her time at Blockley, she observed the city’s poorest patients, many of whom were suffering from typhus. She wrote her thesis on that disease, which is preventable with proper sanitation.
As described by Stephen Smith in a letter entitled The Medical Co-education of the Sexes, which was published in the New York Church Union newspaper in 1892:
Blackwell had an enormous impact on the class. Her presence turned a group of boisterous young men into well-behaved gentlemen. Whereas before, there was so much confusion and chaos in the lecture hall that the lecture itself was barely audible, with Blackwell’s arrival, the male students sat quietly and listened attentively to lecture.
Not only was Elizabeth Blackwell the first woman to graduate from a U.S. Medical School, she also graduated first in her class.
Bronze statue of Elizabeth Blackwell on the Hobart and William Smith College campus. She was admitted in 1847, after been refused by sixteen medical schools.
Fallout with Florence Nightingale
Elizabeth Blackwell continued her education by taking a midwifery course at La Maternité in Paris. While treating a sick child, she got a serious eye infection which made it necessary to remove her left eye. She was forced to give up her dream to become a surgeon. She never married, but she adopted an Irish orphan named Kitty Barry in 1856 and continued in her quest to help empower women. Great drive can also rub people the wrong way, even those who presumably are on your side. Elizabeth and Florence Nightingale become friends over the year, and discussed opening a hospital together. Their plans, however, fell apart because Florence wanted Elizabeth to train nurses rather than train female physicians.
Remembering Elizabeth Blackwell
Commemorative 1974 18-cent U.S. postage stamp designed by Joseph Stanley Kozlowski. This one resides in the Syracuse University Medical School collection.
Many monuments to Elizabeth Blackwell’s memory have been erected both in the U.S. and in Europe. A few of them are included above. In 1974, Elizabeth Blackwell was commemorated on a U.S. postage stamp. Her life is an illustration of how personal perseverance can overcome the sometimes enormous obstacles that are a normal part of life. She is widely accepted as one of the most influential figures in Medicine, and would be happy to learn that women made up the majority of my medical school class of 1989, at the University of California, Davis. Not sure if that was a first, but it was nice change from my undergraduate major of Electrical and Computer Engineering at the U.C. Davis College of Engineering.
On May 31, 1910, Elizabeth Blackwell died in her home in Hastings, Sussex. Her ashes are interned at St. Munn’s Parish Church in Kilmun, Scotland, the place where three years earlier a fall down a flight of stairs left her almost completely mentally and physically disabled.
St. Munn’s Parish Church in Kilmin, Scotland, is the final resting place of Elizabeth Blackwell.
The life story of Elizabeth Blackwell is interesting and well documented. It is a story worth reading for anyone who fights for the ideal that the world should be a fair place. She inspired many women to become physicians, including her younger sister, Emily Blackwell, who became the third woman to graduate from a U.S. Medical School, and the second from Case Western Reserve University.
The Brazilian Butt Lift has come to the SF Bay Area. More patients are requesting that the fat removed with Liposuction be transplanted into their buttocks to provide them with a more shapely contour.
The Brazilian Butt Lift adds volume to the buttocks. Liposuction is used to remove the disproportionate fat from the lower back, and then the fat is transplanted into the buttocks to form more shapely buttocks.
What is the Brazilian Butt Lift?
The Brazilian Butt Lift is a cosmetic plastic surgery procedure that is used to restore volume to the buttocks. Whether you never had full buttocks, or if that fullness has been lost, the Brazilian Butt Lift is a way to pump your booty up.
The procedure can be performed with any Tumescent Liposuction. The first step is to obtain the fat for grafting. Tumescent Liposuction is performed on an area of your body that is disproportionate. After the fat cells are collected, they are transplanted into the buttocks. The cells can be selectively injected to enhance the desired contours.
Brazilian Butt Lift Before and After Pictures
Liposculpture was used to contour and remove excess fat above and below the buttocks. The fat was then grafted into the buttocks to provide additional fullness in the desired areas.
The combination of removing the disproportionate fat and augmenting areas of buttocks atrophy, can achieve dramatic changes in contour. The combination of Liposculpture above and below the buttocks, and the Brazilian Butt Lift to provide Buttocks Augmentation, creates a more feminine shape, as seen in the Before and After Pictures above.
Brazilian Butt Lift Consultation
If you are considering a Brazilian Butt Lift, a consultation appointment is necessary to determine if you are a good candidate and what you can expect from the procedure. Call (925) 943-6353 today, and schedule your personal consultation appointment. You can also send a question to us via the contact form in the margin.
These Mommy Makeover before and after photos display the most popular combination of belly and breast enhancement: The Tummy Tuck (Abdominoplasty) with Breast Augmentation (Breast Implants).
What’s a Mommy Makeover?
A Mommy Makeover is any combination of Cosmetic Plastic Surgery procedures that restore what pregnancy takes away: perky breasts and a flat belly. Pregnancy can be hard on the breasts and the belly, so the most common combination for a Mommy Makeover is Breast Augmentation with a Tummy Tuck. This combination of procedures is also useful after massive weight loss, which also often leaves women and men with deflated sagging breasts and a loose stretched-out tummy.
Other Mommy Makeover Combinations – Upper Half
Another Mommy Makeover is the Tummy Tuck and Breast Lift. If you are happy with your breast size, but not the shape, sagging or looseness, a Breast Lift may be all that is needed.
Breast Implants are not always necessary for a Mommy Makeover. If your breasts are a good size, but have dropped, a Breast Lift may be enough to restore your Breast Aesthetics and Body Confidence. There are many options for your Breast Lift, or Mastopexy. If the breasts have dropped and volume is missing, a combination of Breast Lift and Breast Augmentation (Augmentation Mastopexy) is utilized.
Other Mommy Makeover Combinations – Lower Half
With severe muscle laxity, diet, exercise, even Liposuction is futile. The Tummy Tuck is the only way to fix this. Lesser problems, on the other hand, may improve with smaller procedures.
The Tummy Tuck repairs skin laxity, lower abdominal disproportionate fat, and it is the only procedure that effectively tightens the abdominal muscles. For the belly above, muscle laxity is the primary problem, so only a Full Tummy Tuck can provide the optimal result. It works like an internal corset to flatten the tummy.
Sometimes, a smaller procedure is enough. If you only have disproportionate fat, and have maintained good skin and muscle tone, Liposuction may be a better option with a shorter recovery and lower cost. If your muscle and skin laxity is confined to the area below the belly button, a Mini Tummy Tuck (Mini Abdominoplasty) may be enough to achieve the desired look.
Schedule Your Mommy Makeover Consultation
Mommy Makeovers are as unique as mommies, so the best way to learn your options is during a personalized consultation appointment with a Board Certified Plastic Surgeon. To schedule a private consultation appointment in our San Francisco Bay Area Plastic Surgery office call (925) 943-6353, or ask a question via the contact form in the left margin of the San Francisco Plastic Surgery Blog.
Media is buzzing about the Selfie leading to more Plastic Surgery. It is no secret that Selfies and FaceTime allow us to view ourselves and our faces in a new way. Perhaps we are seeing ourselves a little more often because of video chat services like FaceTime, Skype and Google Hangouts. On the other hand, mirrors, photographs and video have been around much longer. The ability to compare past and present in visual form has often provided the motivation for self improvement, and portable video chat technology is yet another way for us to see how we look to others.
Are Selfies and FaceTime driving a surge in Facelifts?
Physiognomy (from the Gk. physis meaning “nature” and gnomon meaning “judge” or “interpreter”) is the assessment of a person’s character or personality from his or her outer appearance, especially the face. Physiognomy is a double edged sword. It is part of forming a first impression when we meet someone new. It is a starting point that helps us to interpret whether someone is friend or foe. Study after study shows that initially we prefer attractive faces. This is not a learned behavior and can be demonstrated in infants as young as 6 months of age. While Physiognomy becomes less important for relationships after we get to know someone, it is an initial metric that is undeniably inherent in being human.
Facelifts and Job Opportunities
Studies of job interviews show that all other variables being equal, attractive people are more likely to get the job and to get the promotion. Attractive sales people are more likely to make the sale. Many of my San Francisco Bay Area Plastic Surgery patients mention the desire to maintain a successful career as part of the reason for getting Plastic Surgery. One of the more popular procedures as we get older is the Facelift or Rhytidectomy.
What Does the Face Lift Do?
Facelifts can reverse signs of aging and remove lines associated with worry, fatigue and even anger.
The Facelift is unique in that it can reverse signs associated with aging and diminish facial animation lines associated with fatigue, disinterest, anger or worry.
Face Lift or Neck Lift?
Neck Lifts and Face Lifts both treat the neck. The procedures are very similar, and they are usually performed together, so really you don’t have to choose between the two. The difference in the names is more an indication of where the emphasis is placed, rather than a difference in techniques. Below is a view of the face not usually seen on FaceTime or in a Selfie, but is often seen in the photographs patients bring in as an illustration of what they want fixed. Often, pre-Facelift and pre-Rhinoplasty patients will purposefully avoid profile pictures until after their procedures.
Before and After Neck Lift as seen from the side. Loose skin under the chin is removed and the angle between the neck and chin is improved. Facelifts also improve jowls, clean-up the jawline and reduce the loose skin that accumulates around the mouth and sides of the nose as we age.
Facial Rejuvenation Consultation
When considering a Face Lift, Neck Lift, Mini Facelift or any other Facial Plastic Surgery, be certain to get the advice of an experienced and Board Certified Plastic Surgeon. We Board Certified Plastic Surgeons dedicate our professional lives to learning and refining the techniques specific to Facial Rejuvenation and applying these techniques uniquely for each of our patients, and it’s a great job to have.
During your personal Face Lift Consultation, you can expect a frank discussion of not just the risks and benefits of the procedure, but more importantly the options available to correct the aspects of your appearance that you would like to see improved.
To schedule your private consultation, call (925) 943-6353, or use the contact form in the margin.
Eyelid surgery is a way to open tired looking eyes and reduce lower eyelid bags. It can improve your view of the world and how the world views you. An Eyelid Lift is an outpatient Cosmetic Plastic Surgery procedure that can dramatically improve the appearance of the skin around the eyes.
Eyelid Lift Before and After Pictures
Eyelid Surgery, or Blepharoplasty, shrinks the loose skin than overhangs the upper eyelid and tightens the bags often seen in the lower eyelids.
What Can Blepharoplasty Do For You?
Blepharoplasty literally means “Eyelid Shaping,” and that’s exactly what it does. If you have excess eyelid skin encroaching on your upper eyelashes, or acting like blinders blocking your vision, an Upper Blepharoplasty can help. Removing redundant upper eyelid skin not only makes you look more alert and rested, in cases of visual obstruction, it will increase your field of vision.
Cleaning Up the Upper Eyelids
Excess upper eyelid skin gives a tired look. After upper eyelid surgery, the appearance is alert and rested.
Lower Eyelid Bag Removal
The Lower Blepharoplasty can also diminish the tired look. The fat of the lower eyelid can push forward as we age and looks like the puffiness seen with fatigue. A Lower Eyelid Lift can remove the excess fat and tighten the lower eyelid, restoring a more youthful rested appearance.
Lower Eyelid Lift Before and After Photos
While upper eyelid surgery removes hooding, lower eyelid surgery removes bags. The post-operative appearance is alert, rested and still you.
What Can Eyelid Surgery Do?
The most common reasons that Eyelid Lifts are performed include:
This patient had upper and lower blepharoplasties, also known as a “Quad Bleph.”
The “Quad Bleph”
The rejuvenation of all four eyelids, two upper and two lowers, is also know as a “Quad Bleph.” The above Quad Bleph before and after photos reveal improvements in the appearance of both the upper and lower eyelids. Less upper eyelid skin means smoother, cleaner lines and that eye makeup stays put better. Lower eyelid improvements include smoother appearance and less bagging of both skin and lower eyelid fat.
Schedule an Eyelid Lift Consultation
There are a variety of techniques used for eyelid surgery. If you want more information that is specific to your needs, there is no substitute for an in-person and personal consultation appointment. Call (925) 943-6353 to take the next step toward rejuvenating your eyelids.
My favorite part about being a Plastic Surgeon is fixing stuff. I have been this way for as long as I can remember. I was one of those kids who loved taking things apart to see how they worked, and putting them back together like new, but improved. The ability to combine fixing stuff with helping people makes being a Plastic Surgeon the perfect profession for me.
Why Plastic Surgeons Like to Fix Stuff
I received the nicest email this week. A patient, who is a decade or so out from her Tummy Tuck, made my day by dropping a little note about how her Tummy Tuck is holding up. Rather than paraphrase, here are her words:
Hi there! I am a former patient who had a T-Tuck I think ten years ago. I was getting dressed this morning and still ADMIRING the work you did an how great I still look so I wanted to send you an updated “after” photo so your patients can see what really can be achieved with this procedure. I’m 56 now and I … look this good in a bikini. So, I just wanted to share this with you. If you can respond with your email address I will forward it – – and come by you have time to prove its not a fake!! ; )
The Proof is in the Selfie
Of course, I responded. And here is the proof:
Ten Years After Tummy Tuck at 56-years-not-so-old.
The Before Picture
To make her feel even better about taking care of the “work,” I sent her the before picture:
The “infamous” before Tummy Tuck picture at 46-years-old.
Plastic Surgery is a Partnership
It takes two to get a great Plastic Surgery result. At 46, my patient was in pretty good shape, but a lot can happen in 10 years. I suspected my patient was doing more for herself than getting an Abdominoplasty. When I inquired she responded with:
Well ok – I work out 6 days a week running and doing strength training also and I am in better shape now at 56 than I was in my 40’s when I had the procedure done. Here is the key – -Getting the surgery gave me a whole NEW level of confidence that inspired me to take it all to a new level! I don’t think I would have been motivated to really change my whole “lifestyle identity” if I had gotten from the surgery a glimpse of the potential I could reach. So thank you so much for everything! ; D
Make My Day
I hope you can see why this made my day. It is a privilege to be a Plastic Surgeon. Plastic Surgery is a lot of work, and it takes a lot of ongoing training, but the rewards are wonderful. Just like many of the things I took apart in my youth, my patients are not “broken.” In fact, many of them look very good without my help. While the changes we see in these Tummy Tuck Before and After Photos are physical, the changes that I often see go beyond that.
Excellent Plastic Surgery is a Partnership between the patient and the surgeon.
Improved Self Esteem?
It is often said that Plastic Surgery can improve self-esteem, and there are numerous studies that bear this out. Since most of us do not have best friends who are also Plastic Surgeons, it takes gumption to present your least favorite body part to a complete stranger. I think Plastic Surgery can remove some physical barriers, but the psyche and the body must be healthy to start with. Removing an uncomfortable physical barrier can awaken a healthy self-esteem like it did for my Tummy Tuck patient above.
San Francisco Bay Area Board Certified Plastic Surgeon
If you are considering Plastic Surgery in the San Francisco Bay Area, call (925) 943-6353 to schedule your person consultation appointment. There is a lot of information available about the many Cosmetic Plastic Surgeries I perform here on the San Francisco Plastic Surgery Blog, and the other web sites listed under “Useful Links” above. Also, feel free to ask questions via the contact form located in the column.
Facelifts, Eyelid Lifts, Tummy Tucks and Brazilian Butt Lifts (fat grafting to the buttocks) will all be discussed on this week’s Body Beautiful airing on the Bay Area's News Station, KRON4, this Wednesday at 11:00 AM (12 Dec 2014).
It’s hard to believe that I have been appearing on Body Beautiful for seven years. Doing live television is fun with a little unpredictable mixed in. The nice thing about live TV is that viewers can call in and ask questions. Since there are no retakes, the time commitment is exactly the same as the length of the show, plus San Francisco Bay Area travel time. The downside is there are no retakes, so what you see is what you get.
New Studios Just About Finished
The new KRON studio goes live in the next few days, and I hear it’s as beautiful as it is state-of-the-art, but that will be seen next episode. This week’s Body Beautiful will be one of the last shows broadcasted from the old KRON 4 studios. The current TV studio’s layout is the result of years of use. Every inch is utilized, and every wall has a purpose.
Janelle Marie and Dr. Mele getting ready for another episode of Body Beautiful – Looks like we were talking about Breast Implants that day.
The main KRON 4 studio I will use Wednesday has the Body Beautiful set, the main KRON 4 News set, a large green screen and the weather desk, the traffic desk and seating area used for interviews. In the center are the cameras which rotate around to the desired set. There are lots of cables interconnecting all the equipment on the floor and numerous lights hanging from the ceiling. Somewhere behind the green screen is the speaker that I hear your questions through. Above this is the booth where the producer and director produce and direct. The talent is top notch, and everyone is extremely nice, which helps a lot.
During the show, the phone number for KRON 4 will be broadcast. If you have questions about any of the procedures reviewed, or about Plastic Surgery in general, be sure to call in during the show. It the mean time, you can call my office at (925) 943-6353, or send me a note via the contact form in the margin. Some questions are hard to answer without seeing you, but I will do my best to get you the information you need.
Breast Augmentation remains the most popular Cosmetic Plastic Surgery procedure. With over fifty years of use, Breast Implants remain the safest and most reliable way to increase the size of a woman’s breasts.
Breast Implants have been an option for women with small breasts for over fifty years, but many myths about Breast Augmentation persist.
Ten Breast Augmentation Myths
A large amount of Breast Augmentation Information is available here on the San Francisco Plastic Surgery Blog and many other places on the Internet. Despite this, many misconceptions about Breast Enhancement still exist. Below are a few of the most common:
Breast Implants must be replaced every ten years. Breast Implants do not have an expiration date. As long as they are intact, look good and feel good, there is no reason to change them. The most common reasons for Changing Breast Implants is to change size or change from saline to silicone gel.
Breast Implants Cause Cancer or Connective Tissue Disorders. Breast Cancer is the most common cancer in women, and for Hispanic women, breast cancer is the leading cause of deaths from cancer. For all other ethnicities, lung cancer is the cancer most likely to kill you. Large studies show that your risk of cancer is the same with or without breast implants. Similarly, connective tissue disorders like Rheumatoid Arthritis, Scleroderma and Lupus are more common in younger women, but are found at the same rates in age matched populations of women with and without Breast Implants.
Saline Breast Implants are safer than Silicone Breast Implants. The FDA has approved both Silicone filled Breast Implants and Saline filled Breast Implants as safe and effective. Both have advantages and disadvantages, and these should be discussed with a Board Certified Plastic Surgeon before you make your Breast Implant Selection. Most patients who have had both types prefer the look and feel of Silicone Breast Implants over Saline Breast Implants.
Breast Augmentation with Fat Grafting is better than Breast Implants. The argument is that fat is “natural”; however, Fat Grafting of the Breasts was around before Breast Implants. Since the invention of breast implants, nothing has been shown to be safer or more effective. Fat grafting offers advantages for filling partial defects, like those seen after a large breast biopsy; however, fat is not a reliable substrate. The volume of fat transferred to the breast may not be the volume that survives. Fat grafting is unpredictable. It may take 100%, or may take 50%, and the amount of take may vary with location in the same breast. The fat will continue to change volume with your weight, and fat that does not take may disappear silently or form hard lumps that can calcify and make mammography more difficult to read. On the other hand, a precise Breast Implant volume can be selected.
You cannot breast feed after Breast Augmentation. Current recommendations are to try to Breast Feed whether you have Breast Implants or not. The breast milk is not changed by your breast implants. Incisions placed beneath the breasts (the IMF) are less likely to interfere with the lactiferous ducts ending in the nipple. Larger breast implants may be more likely to trick the breasts into thinking they are full, so lower volumes of breast milk may be produced.
Nipple sensation is lost after Breast Augmentation The vast majority of Breast Augmentation patients have no change in breast or nipple sensation after Breast Implants. Approximately 15% of women will have a change in sensation. The most common change is increased sensation, which often resolves in a few months. Decreased sensation can also occur, but is rarely permanent.
Breast Implants will Lift My Breasts. Breast sagging, or ptosis, is caused by a combination of factors. Loose skin and a low nipple position are the most common. The best treatment for breast ptosis is a Breast Lift. Sometimes, a Breast Implant will help provide additional upper pole fullness. Rarely, Breast Augmentation alone will correct a deflated breast. It requires a specific type of sagging called pseudo-ptosis (fake sagging).
Textured breast implants will prevent Capsular ContractureCapsular Contracture occurs when the pocket of scar that hold the breast implants in place becomes too tight. Texturing allows the scar to adhere to the surface of the breast implant and may reduce the risk of Capsular Contracture for some patients, but it can still occur. For patients who have had problems with Capsular Contracture in the past, switching to a textured Breast Implant may reduce the risk of recurrence. On the other hand, textured implants have a higher risk of rippling, wrinkles in the breast implants transmitted to the surface of the breast.
Darker Skin means darker, thicker scars. While the incidence of Keloids is higher in darker skinned individuals, it is still not common. A good test is to check your ear piercings. If you have a large lump of scar around the piercing, you may be at higher risk of a thicker scar, but this is true regardless of your skin type. It is how your body heals, not the color of your skin, which determines the appearance of your Breast Augmentation Scars.
Breast Implants provide Improved Self Esteem. This is something I have seen in print repeatedly. Self esteem is difficult to measure. It is clear that women often feel more confident and comfortable both in and out of clothing after their Breast Augmentation; however, it takes a fair bit of self esteem to find a Plastic Surgeon and show them a part of your body you want improved.
Breast Augmentation Facts
The Internet can provide a lot of information about Breast Implants and Breast Augmentation, but it is hard to sort through all the “facts” without years of training. After doing your online research, the best way to reach your Breast Enhancement goals is to consult a Board Certified Plastic Surgeon. There is no substitute for an in-person evaluation and consultation. Your goals and options will be explained in detail, and a safe and predictable plan constructed.
To schedule a private Breast Augmentation Consultation, call (925) 943-6353, or send me a message via the contact form in the left margin. Breast Augmentation is no myth. It is the most popular Cosmetic Plastic Surgery performed in the San Francisco Bay Area, and the United States.