Mommy Makeovers San Francisco Bay Area

Posted May 21, 2017 in Breast Augmentation, Breast Lift (Mastopexy), Breast Reduction, Breast Reduction (Women), Home, Liposuction, Mini Tummy Tuck (Mini Abdominoplasty), Mommy Makeover, Tummy Tuck (Abdominoplasty)

The most common Mommy Makeover combination is the one depicted above: Breast Augmentation and a Tummy Tuck. Breast Implants restore lost breast volume, while the Tummy Tuck flattens and tightens the abdominal wall.

The most common Mommy Makeover combination is the one depicted above: Breast Augmentation and a Tummy Tuck. Breast Implants restore the lost breast volume, while the Tummy Tuck flattens and tightens the abdominal wall.

Mommy Makeovers remain one of the most popular body shaping combinations for women. The combination of Breast Enhancement and Belly Embellishment is often performed after childbirth and/or weight loss, with the goal of reestablishing more shapely and youthful proportions. While Breast Augmentation with a Tummy Tuck is the most common combination, it is important to pick the procedures most appropriate to your needs. Below, I discuss the options for rejuvenation of the breasts and the belly.

Breast Enhancement

Breasts often change with pregnancy and breast feeding. Variations are common, but typically breasts increase with pregnancy and then end up smaller after lactation ceases. The problems come when the postpartum breasts are too small, too saggy or remain too large (less common but, can be just as annoying).

Breast atrophy after pregnancy is very common. Breast Implants can restore lost volume and restore the proportions that enhance the breasts' shape both in and out of clothing.

Breast atrophy after pregnancy is very common. Breast Implants can restore lost volume and restore the proportions that enhance the breasts’ shape both in and out of clothing.

It is best to wait at least three months after lactation ceases before having any breast procedure. This allows the breasts to settle down to a consistent shape, providing more predictable and safer surgery. Depending on your experience and goals, options for Breast Enhancement include:

Belly Embellishment

Bellies, too, get stretched out during pregnancy. Subsequent pregnancies tend to increase injury, especially if close together. Working out and abdominal exercises help, especially if you are in good shape before pregnancy and maintain a healthy weight during pregnancy. Even under the best circumstances, a big healthy baby can trump a flat healthy belly. The options for tummy rejuvenation include:

After pregnancy, or weight loss, the abdominal muscles, skin and fat can all be compromised. Fortunately, the Tummy Tuck can repair all three areas. Be certain to find a Board Certified Plastic Surgeon with experience for your belly rejuvenation.

After pregnancy or weight loss, the abdominal muscles, skin and fat can all be compromised. Fortunately, a Tummy Tuck repairs all three areas. An experienced Board Certified Plastic Surgeon is the best choice for your Mommy Makeover.

Liposuction can also be used in combination with either of the Tummy Tucks, and the fat removed with Liposuction can be repurposed to enhance other curves, like the buttocks when combined with a Brazilian Butt Lift. If you are wondering which procedure is best for you, an in-person consultation is the best way to find out. I have a page on my main website that explains some of the decision points when trying to decide: Liposuction or Tummy Tuck?

Mommy Makeover Consultations

To explore all your body rebuilding options, call (925) 943-6353, and schedule a personal consultation appointment in our San Francisco Bay Area plastic surgery clinic. A Board Certified Plastic Surgeon is your best guide for explaining what Cosmetic Plastic Surgery can offer. Since we offer a wide variety of procedures, we can offer you the best choices for your Mommy Makeover.

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Top Plastic Surgery Procedures – SF Bay Area

Posted March 05, 2017 in Brazilian Butt Lift, Breast Augmentation, Breast Lift (Mastopexy), Breast Reduction, Brow Lift, Eyelid Lift (Blepharoplasty), Facelift (Rhytidectomy), Home, Liposuction, Neck Lift (Rhytidectomy), Plastic Surgery Societies, Rhinoplasty (Nasal Surgery), Tummy Tuck (Abdominoplasty), Wrinkle Reduction (Non-surgical)

The 2016 ASPS National Plastic Surgery Statistic were released this week.

The 2016 ASPS National Plastic Surgery Statistic were released this week.

This week the American Society of Plastic Surgeons (ASPS) published the United States’ national Plastic Surgery Statistics for 2016. It is always interesting to me to see how the national statistics correlate with my own Cosmetic Plastic Surgery practice here in the San Francisco Bay Area. Last year, the correlation was pretty close.

Top Ten Cosmetic Plastic Surgery Procedures

As a group, surgical procedures grew 4% from 2015 to 2016. The top five Cosmetic Plastic Surgery procedures are almost the same. Facelifts edged out Tummy Tucks for the fifth spot, but the popularity of the two procedures remains very close. Here are the top five procedures as reported by the ASPS:

  1. Breast Augmentation (Augmentation Mammoplasty)
  2. Liposuction (Suction Assisted Lipectomy)
  3. Cosmetic Nasal Surgery (Rhinoplasty)
  4. Eyelid Lift (Blepharoplasty)
  5. Face Lift (Rhytidectomy)

The next five procedures, in order of popularity were: Tummy Tuck (Abdominoplasty), Breast Lift (Mastopexy), Neck Lift (Rhytidectomy), Forehead Lift (Brow Lifts) and Breast Reduction (Reduction Mammoplasty).

Brazilian Butt Lifts Grow The Fastest

The fastest growing procedure last year was the Brazilian Butt Lift (BBL). The BBL is not really a buttocks lifts, but more a buttocks enlargement. During the procedure, fat grafting is used to enlarge the buttocks and selectively enhance its shape. The results can be quite dramatic and the resultant shape is usually much nicer than that obtained from buttocks implants.

The Brazilian Buttocks Lifts is again the fastest growing cosmetic plastic surgery procedure. Significant improvement in the size and shape of the buttocks is possible by removing disproportionate fat from other areas, the lower back in this example, and selectively inserting the excess fat into the buttocks.

The Brazilian Buttocks Lifts is again the fastest growing cosmetic plastic surgery procedure. Significant improvement in the size and shape of the buttocks is possible by removing disproportionate fat from other areas, the lower back in this example, and selectively inserting the excess fat into the buttocks.

The number of Brazilian Butt Lifts increased 26%, from 14,705 to 18,489 in 2016. The procedure was also the fastest growing procedure of 2015 when it grew 28%, from 11,505 to 14,705. In fact, for the US population, the number of BBL’s has doubled from 2013 to 2016, and shows no signs of slowing in 2017.

Minimally Invasive Plastic Surgery Procedures

Minimally invasive plastic surgery procedures grew 3% in 2016. The top five procedures remain:

  1. Botulinum Toxin Type A (Botox®, Dysport®, Xeomin®)
  2. Soft Tissue Fillers (Restylane®, Juvederm®, Radiesse®)
  3. Chemical Peels (TCA, Phenol)
  4. Laser Hair Removal
  5. Microdermabrasion

Cosmetic Plastic Surgery Consultations

If you live near the San Francisco Bay Area and are considering Cosmetic Plastic Surgery, be certain to seek out an experienced and Board Certified Plastic Surgeon in your area. To schedule a private consultation, tailored to your specific needs, call (925) 943-6353, today.

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Breast Augmentation and Pregnancy

Posted February 12, 2017 in Breast Augmentation, Breast Implant Revision Surgery, Breast Reduction, Home, Mommy Makeover

Breast Augmentation and pregnancy, the combination is the source of many questions in my San Francisco Bay Area Plastic Surgery Clinic. The answers center around a few themes: timing, breast feeding and how breasts change.

Pregnancy brings many changes including changes to the breasts. If you are considering Breast Enlargement, or if you already have Breast Implants, and you are contemplating pregnancy, this post is for you.

Pregnancy brings many changes including changes to the breasts. If you are considering Breast Enlargement, or if you already have Breast Implants, and you are contemplating pregnancy, this post is for you.

Breast Augmentation and Pregnancy: Timing

If you are done having children, the timing is ideal. The dramatic changes that can occur with pregnancy and breast feeding are over, and the focus is on getting back the breasts you had, or the breasts you always wanted to have. Details like size and shape tend to change slowly with age, but may swing widely with pregnancy. Having this behind you is a big plus in the direction of predictability. Additionally, details like inverted nipples, enlarged nipples or enlarged areolae can also be addressed. The Mommy Makeover can also be discussed if your belly has been stretched and has not recovered to your satisfactionx.

If you are planning to have children whether to have Breast Augmentation now depends on how soon you plan to get pregnant. If you are actively trying to get pregnant, you should wait. Your breasts may change with pregnancy. The changes may be small or dramatic, there is no way to predict. Even from child to child, there may be variation. If you get Breast Implants, and then things change dramatically, Revision Breast Augmentation may be needed to restore the breasts’ volume or shape.

If you are planning to have children later, it may make sense to have Breast Augmentation now. If you consider the immediate gratification of the Breast Enlargement, and you feel you will have enough time to enjoy the results, before possibly needing a touch-up, then go for it. The decision is not purely black and white. Breast Augmentation Revision is not always needed after pregnancy, and Breast Implant Revision Surgery may be necessary, even without becoming pregnant.

Before: This young woman had Breast Augmentation before pregnancy. After two children, the skin of her breasts relaxed, dropping the breast tissue off her Breast Implants.  After: Her Breast Implants were exchanged to adjust volume and a Breast Lift was performed to reshape and rejuvenate her breasts.

Before: This young woman had Breast Augmentation before pregnancy. After two children, the skin of her breasts relaxed, dropping the breast tissue off her Breast Implants. After: Her Breast Implants were exchanged to adjust volume and a Breast Lift was performed to reshape and rejuvenate her breasts.

Breast Augmentation and Pregnancy: Breast Feeding

If you have Breast Implants, there is no reason not to breast feed normally. Breast Implants do not taint the milk, and in many cases, the advantage that breast milk gives your infant is significant. Breast Augmentation may decrease the absolute volume of milk produced. The exact mechanism is unknown, but the easiest way to think about it is that the breast may be tricked into thinking it is already full. The volume of the implant may inversely effect the breasts’ milk production. On the other hand, I have had many women who had Breast Augmentation in their twenties, who later went on to breast feed successfully.

If you are currently breast feeding, and wondering when you can have Breast Enhancement Surgery, it is recommended to wait until the milk has dried up for a minimum of three months. This allows the breasts to finish their post pregnancy changes, and decreases the risks of operating on a lactating breast. However, it is never too soon to have a consultation with a Board Certified Plastic Surgeon, and in the San Francisco Bay Area, there are many to choose from.

Sometimes Breast Augmentation alone is enough to rejuvenate the postpartum breasts, as demonstrated in the above Breast Augmentation before and after pictures.

Sometimes Breast Augmentation alone is enough to rejuvenate the postpartum breasts, as demonstrated in the above Breast Augmentation before and after pictures.

Breast Augmentation and Pregnancy: Breasts Change

We touched on this a little above, but breasts do change with pregnancy. Some change very little, some quite dramatically, and sometimes one changes more than the other. If your breasts change a little, then Breast Augmentation after pregnancy will be very similar to Breast Augmentation before surgery. On the other hand, if the breasts increase rapidly in size for lactation, and then shrink, often to a volume smaller than their original size, adjustments will be needed in your Breast Enhancement. These adjustments depend on the size and shape of your breasts.

Size is perhaps the easier of the two to understand. If breast lose volume, more stuffing is required to perk them back up to the desired size. In cases when the breasts enlarge, but do not shrink back down to the original size, it may be advantageous to have a Breast Reduction, especially when the sizes are uneven. When the breasts shrink too much, Breast Implants are used to restore volume and improve both the shape of the breasts and the fit of clothing.

The shape of the breasts is determined not just by their volume, but mostly by the breasts’ skin. When the volume of the breast shrinks, but the skin doesn’t, excess sagging occurs. Breast Augmentation alone may not be enough. A combination of Breast Augmentation and Breast Lift is needed in as many as 40% of women after pregnancy. The Breast Lift is used to reshape the breast and remove the skin excess, while Breast Implants can restore volume and increase the bust.

Breast Augmentation Consultations

If you are considering Breast Augmentation, give me a call at (925) 943-6353, and schedule a private, personalized consultation appointment. It is never too early to get the facts, and there is no better way to get a plan tailored to your needs than with an in-person consultation with an experienced, Board Certified Plastic Surgeon.

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When Breast Augmentation Needs A Lift | SF Bay Area

Posted February 05, 2017 in Breast Augmentation, Breast Lift (Mastopexy), Home, Mommy Makeover, Tubular Breasts

Mastopexy Augmentation is the combination of Breast Augmentation and Breast Lift. When is Breast Augmentation alone enough? When is a Breast Lift the best choice? When should a combination of Breast Augmentation Lift be performed? It’s a big subject, and requires an in-person consultation for your specific needs, but some general rules for the procedures are explained below. There are many options, so be certain to consult with a Board Certified Plastic Surgeon before making the decision.

Breast Augmentation Lifts Come in May Sizes

Breast Augmentation with Breast Lift was used to enlarge the breasts, elevate the nipple and tighten the breast skin, especially the skin that hangs at the bottom of the breasts. The technique used, a horizontal breast lift, does not require the vertical scar seen in the anchor or inverted-T type breast lifts.

Breast Augmentation with Breast Lift was used to enlarge the breasts, elevate the nipple and tighten the breast skin, especially the skin that hangs at the bottom of the breasts. The technique used, a horizontal breast lift, does not require the vertical scar seen in the anchor or inverted-T type breast lifts.

Breast Augmentation lifts, like the breasts themselves, come in many shapes and sizes. When the shape of the breast is good, but a larger version is desired, Breast Augmentation with a Breast Implant is often enough. When the size of the breast is good, but the breast tissue sags, a Breast Lift alone may be enough. The exception in this case is when there is no upper pole fullness, often seen as gapping of the upper bra. A small implant may be beneficial to add a bit of volume to the upper breast in these cases. When the breasts are small and saggy, the Breast Augmentation Lift is the procedure of choice.

The case above is an unusual lift in that a periareolar (defined below) and an inframammary incision (hidden in the crease beneath the breasts) were used, but there is no vertical scar. The “Horizontal Breast Lift” is great for breasts that have bottomed out or for breasts with more extreme sagging.

Breast Augmentation Lift for Tubular Breast

Smaller Breast Lifts require smaller scars. In the case above, a periareolar scar was used to reposition the nipple and reshape the breasts. Periareolar literally means “around the areola”. The areola is the pigmented skin that surrounds the nipple. While this does provide the smallest scar, it does the least. It tends to flatten the end of the breast and it is not great for reducing the size of the areolae.

The Breast Augmentation and Breast Lift combination with the smallest scar is the Periareolar Mastopexy Augmentation. An incision around the areola is used to raise the nipple and insert the Breast Implant. In the above case, the flattening effects of the periareolar lift are exploited to help reshape these tubular (tuberous) breasts.

The Breast Augmentation and Breast Lift combination with the smallest scar is the Periareolar Mastopexy Augmentation. An incision around the areola is used to raise the nipple and insert the Breast Implant. In the above case, the flattening effects of the periareolar lift are exploited to help reshape these tubular (tuberous) breasts.

For cases of Tuberous Breasts, flattening of the shape of the breast is a plus. It can be used to prevent the puffy nipple from sticking out like a cherry on top of a sundae. This patient’s breasts are narrow at the base, and the constriction gives a narrow, elongated, tubular breast. The Breast Implant helps to round the breast out, but it may not correct the areola when it is puffy.

Bigger Sagging, Bigger Problems, Bigger Breast Aug Lifts

For patients with severe postpartum breast involution (shrinkage), and for patients after massive weight loss, the breast volume has left the building, leaving only a loose, empty flap of skin. Breast Augmentation Lifts are the only solution to this problem. Breast Implants are used to restore the breasts’ volume, and it is combined with a Breast Lift to restore the breasts’ shape.

Severely deflated breasts, like those seen above after massive weight loss, need more volume and bigger lifts. An Anchor shaped scar was needed to raise the nipple, remove the overhanging lower breast skin and to tighten the breast skin in the horizontal direction, too.

Severely deflated breasts, like those seen above after massive weight loss, need more volume and bigger lifts. An Anchor shaped scar was needed to raise the nipple, remove the overhanging lower breast skin and to tighten the breast skin in the horizontal direction, too.

Often, I will see on the Internet the misconception that if a big enough implant is placed, you will not need a lift. This is not true. Imagine an implant, the size of the one used above, placed under the skin of the pre-op picture. The breast would be the same size; however, the loose skin holding the nipple would hang off the end. In the above case, only a Breast Lift can correct the problems with the breasts’ shape, nipple position and excess skin at the bottom of the breast.

More Scar = Happier Patient?

The ultimate goal of Cosmetic Plastic Surgery is a happy patient. So how can more scar lead to a happier patient? It all depends on the circumstances. If a scar is not needed, then more scar is bad. I have had patients on the borderline of needing a lift elect to not have lift because of the extra scar. Some are happy with their decision of not completely correcting the sagging, and not having extra scars. Others have come back for a Breast Lift after their Breast Augmentation, and are much happier now, after the Breast Lift. Staging does make it easier to see what each procedure has to offer the final result.

The main goal of Cosmetic Plastic Surgery is a pretty result. The Breast Augmentation Lift allows for control of both the size and the shape of the breasts. The cost is additional scar. In this case, an Inverted-T scar was needed.

The main goal of Cosmetic Plastic Surgery is a pretty result. The Breast Augmentation Lift allows for control of both the size and the shape of the breasts. The cost is additional scar. In this case, an Inverted-T scar was needed.

Above, an inverted-T Breast Lift was performed along with placement of a Breast Implant. A periareolar lift would have left the nipples low, the areolae much larger and the end of the breasts flat. A vertical lift would not have tightened the lower pole sufficiently, or coned the shape of the breast as beautifully. In my experience, the incision underneath the breasts is well hidden. By keeping its length short, the scar will hide in the shadow under the breasts.

Breast Augmentation Lift Consultations

If you are considering a Breast Augmentation, Breast Lift or the Combination Augmentation Mastopexy, be certain to consult an experienced Board Certified Plastic Surgeon. While there are advantages to combining the procedures, it is also more complicated than both procedures done separately.

If you are in the San Francisco Bay Area, give me a call at (925) 943-6353, and schedule a private comprehensive consultation. Your options will be reviewed and the best course selected to optimize you breast aesthetics.

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Mommy Makeover SF Bay Area

Posted December 26, 2016 in Breast Augmentation, Breast Lift (Mastopexy), Breast Reduction, Home, Liposuction, Mini Tummy Tuck (Mini Abdominoplasty), Tummy Tuck (Abdominoplasty), Videos

Every Mommy Makeover includes enhancement of both the belly and the breasts. The most common combination is Breast Augmentation with a Tummy Tuck (Abdominoplasty). However, other options include:

  • Breast Enhancement
    • Breast Lifts
    • Breast Implants with Breast Lift
    • Breast Reduction
  • Belly Enhancement
    • Liposuction
    • Mini Tummy Tucks
  • Other Body Enhancements
    • Brazilian Butt Lift
    • Lower Body Lift
    • Facial Enhancement

The combination best for you depends on what you need, tempered by safety and predictability.

Mommy Makeover Video Presentation

The television segment included below is all about Mommy Makeovers and includes many of the most popular variations. The Mommy Makeover Video includes Mommy Makeover Before and After Pictures that illustrate what the procedure has to offer.

The following video segment is from my latest appearance on the San Francisco Bay Area’s New Station, KRON 4. The show gives me the opportunity to talk about the latest Cosmetic Plastic Surgery News.

Mommy Makeover Video

Make Your Mommy Makeover Consultation Appointment

When considering a Mommy Makeover, be certain to find a Board Certified Plastic Surgeon in your area who has years of experience with the techniques currently available. If you are in the San Francisco Bay Area and would like to schedule a personalized appointment in my Walnut Creek Plastic Surgery clinic, give me a call today at (925) 943-6353.

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Breast Augmentation Breast Lift Combined (Mastopexy Augmentation) SF Bay Area

Posted December 10, 2016 in Breast Augmentation, Breast Lift (Mastopexy), Home, Videos

Excellent Breast Enhancement is about obtaining the right size and the right shape. If your breast shape is good, more volume is all that is needed, and Breast Augmentation is usually enough to get the results you are looking for.

However, when breasts are the wrong shape, bigger is not always better. For congenital deformities like Poland’s Syndrome or Tubular Breasts, a Breast Implant alone is often not enough. A Breast Lift is added to reshape the breast mound and relocate the misplaced nipple.

Breast Augmentation With Breast Lift Video (Mastopexy Augmentation)

Below is a segment from my latest KRON 4, Body Beautiful show. Several Breast Augmentation With Breast Lift Before and After Pictures are included and narrated, to help illustrate what Breast Augmentation With Breast Lift has to offer. Examples of both the correction of the typical breast deflation with sagging (breast ptosis) typically seen after pregnancy or weight loss, as well as congenital deformities like Poland’s Syndrome or Tubular Breasts are reviewed.

The splash screen of the video above shows Mastopexy Augmentation used for a woman with tubular breasts and very low nipples. Breast Augmentation alone would give her larger breasts; however, the nipple areola complex would still be puffy and the location of the nipple would remain at the bottom of the breast. A more ideal nipple shape and location was obtained by combining the use of Breast Implants for enhanced volume with a Vertical Breast Lift for a better shape. The result is a happy patient.

Breast Augmentation and Breast Lift Consultations

If you are considering Breast Augmentation or a Breast Lift, be certain to choose an experienced and Board Certified Plastic Surgeon who understands how to address your specific breast anatomy and your goals. In the San Francisco Bay Area call (925) 943-6353, to schedule a personalized and private consultation appointment.

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Body Beautiful TV This Week – SF Bay Area

Posted December 04, 2016 in Breast Augmentation, Breast Lift (Mastopexy), Home, Liposuction, Mommy Makeover, Tummy Tuck (Abdominoplasty)

Dr. Joseph Mele appears on the Bay Area's News Channel, KRON4's Body Beautiful this week.

Dr. Joseph Mele appears on the Bay Area’s News Channel, KRON 4’s Body Beautiful this week discussing Breast Augmentation, Breast Lifts, Tummy Tucks, Liposuction and Mommy Makeovers.

Body Beautiful Live Wednesday at noon on KRON 4

San Francisco Bay Area’s News Station, KRON 4, will be airing the latest installment of Body Beautiful this week. The show will be broadcast live, at noon, this Wednesday (Dec 7, 2016) on channel 4, and will include the latest in Cosmetic Plastic Surgery with the emphasis on Body Sculpting.

Cosmetic Plastic Surgery – Body Sculpting

The topics this week include:

So Many Topics; So Little Time

I try to keep the show fast-paced, accurate and informative, but I did not learn about these topics in a half-hour television show. More information is available online by clicking on the links above, but nothing can substitute for an in-person consultation tailored to your specific needs. If you are serious about learning what Cosmetic Plastic Surgery can offer you call my Walnut Creek Plastic Surgery Clinic at (925) 943-6353.

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Breast Augmentation Recovery – SF Bay Area

Posted November 07, 2016 in Breast Augmentation, Home

Breast Augmentation remains one of the most frequently requested Cosmetic Plastic Surgery procedures.

Breast Augmentation remains one of the most popular cosmetic plastic surgery procedures, but what is the recovery like after Breast Implants?

Breast Augmentation remains one of the most popular cosmetic plastic surgery procedures, but what is the recovery like after Breast Implants?

Breast Augmentation – The Procedure

Breast Augmentation is simple to understand. Breast Enlargement is performed by placing a Breast Implant behind the breast tissue to increase the breasts’ volume. Of course, there is more to it than that, and it is important to seek the advice of an experienced Board Certified Plastic Surgeon, before your Breast Enhancement Surgery.

Breast Implants are placed in the operating room, almost always under general anesthesia. This provides maximal safety and predictability of the operation, especially when Silicone Breast Implants are being placed behind the muscle, or when a Breast Lift is also being performed.

Breast Augmentation Recovery Time – The First 24 Hours

After the anesthetic is given, the next thing you will know, you will be in the Recovery Room. It feels instantaneous. Your breasts will be sore and many patients feel pressure, like an elephant is sitting on their chest. Pain is present, but should be manageable. Local anesthesia is frequently placed around the Breast Implants to help with the initial discomfort. Medications will be given intravenously to make you feel better. The primary goals are to allow you to wake-up and to reduce your discomfort.

At home, prescription pain medications are often used for the first few days. Acetaminophen (Tylenol) is also safe, because it does not increase the risk of bleeding like aspirin can. Acetaminophen should be taken instead of, not with, your prescription pain medication because most prescription pain medications already have acetaminophen in them, and too much, can cause liver damage.

RICE Therapy for the Breasts

Post-operative discomfort can also be helped with RICE. The acronym RICE stands for:

  • Rest
  • Ice
  • Compression
  • Elevation

REST – Not overusing your chest muscles after surgery can speed your recovery. Your Plastic Surgeon should review what precautions to take after surgery. To read a copy of my Breast Implant Instruction Sheet, click the following: Post-Operative Breast Augmentation Instruction Sheet.

Ice is Nice: Ice provides natural pain relief with few side-effects.

Ice is Nice: Ice provides natural pain relief with few side-effects.

ICE – I cannot stress the importance of icing down after surgery. Like after any injury, ice can effectively decrease swelling and discomfort after surgery, often better than pain medication. Ice should not be applied directly to the skin, to avoid frostbite. A thin cloth should be placed between you and the ice, and the ice should be applied hourly for 15 minutes at a time.

COMPRESSION – The amount of compression will vary by Plastic Surgeon. Some surgeons recommend no support, while others bind the chest. Remember, your Plastic Surgeon will choose the method that works best for the surgery they perform. I prefer the combination of Bra and Band to keep the Breast Implants in their proper position, and to provide some post-operative support and comfort.

ELEVATION – Keeping the head elevated day and night the first few days after Breast Augmentation also helps reduce swelling and discomfort in the breasts. Sleeping on an extra pillow or two is all that is needed. If you are not used to sleeping on your back, a pillow behind the knees can help. It helps you maintain the correct position while you are sleeping and makes your back more comfortable.

Breast Implants have been an option for women with small breasts for over fifty years. During that time, the Breast Implants, the techniques and the recovery time have all improved.

Breast Implants have been an option for women with small breasts for over fifty years. During that time, the Breast Implants, the techniques and the recovery time have all improved.

Getting Back To Normal

After the first few days, your activities will begin to get back to normal. Most patients can drive by three or four days. However, if you are still sore or are taking pain medication, you should wait. By the end of the week, office work is usually doable. After two weeks, light physical activity is encouraged, and by six weeks, you should be able to return to all your usual activities.

It is also important to know that your results will vary. Good results and experiences are a product of teamwork. Choosing a Board Certified Plastic Surgeon who you are comfortable with is paramount. Doing the Breast Enhancement well is only part of my job, getting you through the recovery is equally as important to a good result.

Breast Augmentation Questions

If you have questions about Breast Augmentation, please call my San Francisco Bay Area Plastic Surgery Office today at (925) 943-6353, and schedule a private consultation appointment. While a lot of good Breast Augmentation information is available here, on the San Francisco Plastic Surgery Blog, and the links provided, an in-person consultation allows us to discuss the details specific to your Breast Enhancement.

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Mastopexy = Breast Lift | Video from KRON 4’s Body Beautiful

Posted June 11, 2016 in Breast Augmentation, Breast Lift (Mastopexy), Home, Videos

The Breast Lift (Mastopexy) is one of the most frequently performed Breast Enhancement procedures. It is part of every Breast Reduction and is performed with Breast Augmentation as high as 40% of the time. There are many Breast Lifts to choose from, and I discuss the Breast Lift Basics in this segment from the San Francisco Bay Area’s News Station KRON 4‘s Body Beautiful.

Breast Lift Video (Mastopexy)

Mastopexy literally means “breast fixing”. Unlike Breast Augmentation, it does not change the size of the breast, but the shape. In this segment from Body Beautiful, I discuss the three basic Breast Lifts and review what they can and cannot do. The Breast Lift Video is illustrated with several Breast Lift Before and After Pictures including an example of combining a Breast Lift with Breast Augmentation for a Dramatic Breast Enhancement.

How Does A Breast Lift Work?

Imagine you have a favorite pillow that has gone flat. To restore the pillow’s original firmness, you have two options: You can add more stuffing or make the cover smaller. Adding more stuffing is like Breast Augmentation. During Breast Augmentation the Breast Implant is the additional stuffing that provides volume and some support to the breasts.

A Breast Lift is more like tailoring the breast skin to match the current size. If you are happy with the size of your breasts, but disappointed with the shape, you breasts have deflated or your breasts sag without a bra, a Mastopexy may be the best option. The amount of sagging and the nipple’s location on the breast mound will determine the amount of tailoring necessary and thus the type of breast lift needed.

Breast Lift with Breast Augmentation

A Breast Implant is not usually used during a breast lift; however, it can be added when both sagging and size are issues. The Breast Implant can be used in two ways. The most common way is for Breast Augmentation, where the entire breast is enlarged proportionately. The second way is to balance the upper and lower halves of the breasts. Often, when there is sagging, the lower half of the breast is larger, while the upper pole remains flat. A low profile implant can be used to provide fullness to the upper breast. This can balance the overall shape of the breast without overly enlarging it.

Breast Lift Consultations

To find out what type of Breast Lift is right for you, see a Board Certified Plastic Surgeon. A personalized consultation and a few measurements are all that they need to provide you with your best options. To schedule an appointment in my San Francisco Bay Area Plastic Surgery office located in the East Bay city of Walnut Creek, California, call (925) 943-6353, today.

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10 Years of Body Beautiful on KRON 4 – The SF Bay Area’s News Station

Posted June 04, 2016 in Arm Lift (Brachioplasty), Breast Lift (Mastopexy), Breast Reduction, Breast Reduction (Men), Breast Reduction (Women), Home, Mini Tummy Tuck (Mini Abdominoplasty)

Dr. Mele and Body Beautiful host Janelle Marie in the KRON 4 Bay Area News studio.

Dr. Mele and Body Beautiful host Janelle Marie in the KRON 4 Bay Area News studio.

Since my first Body Beautiful appearance in 2007, the goal has remained the same: to explain what Cosmetic Plastic Surgery can and cannot do. The show began in the old KRON 4 Van Ness studios as a live broadcast, giving San Francisco Bay Area plastic surgery curious viewers the ability to call in and have their questions answered on the air.

Body Beautiful – Still Going Strong

The KRON 4 line up has changed through the decade, and so has the Body Beautiful broadcast time. Originally, part of the Medical Mondays lineup, we followed the morning news. As the daytime line up changed, we moved to Wednesday mornings and on occasion, the show was taped and rebroadcast on Saturday mornings.

Dr. Mele discusses Breast Lifts (Mastopexy), Breast Reductions (Reduction Mammoplasty), Arm Lifts (Brachioplasty) and Mini Tummy Tucks (Mini Abdominoplasty) LIVE next Wednesday, June 8, 2016, at noon on the Bay Area's News Station, KRON 4's Body Beautiful.

Dr. Mele discusses Breast Lifts (Mastopexy), Breast Reductions (Reduction Mammoplasty), Arm Lifts (Brachioplasty) and Mini Tummy Tucks (Mini Abdominoplasty) LIVE next Wednesday, June 8, 2016, at noon on the Bay Area's News Station, KRON 4’s Body Beautiful.

This Wednesday Body Beautiful is LIVE

This week’s show is special. We will again be broadcasting LIVE, on Wednesday, June 8, 2016, at noon. It’s a new time, a new show, and it’s from the new KRON 4 studios, but the goal of demystifying Cosmetic Plastic Surgery remains the same. This week’s topics on Body Beautiful are all about Body Shaping:

Cosmetic Plastic Surgery Videos

As usual, the segments from the show will be posted here on the San Francisco Plastic Surgery Blog. Currently, there are 128 Plastic Surgery Videos on the blog, so if you are looking for Cosmetic Plastic Surgery information, you are in the right place. Use the links under Categories to explore the procedures you are interested in learning more about. This blog, as well as my other plastic surgery web sites, are constantly being updated, as new information and options become available. And don’t forget to watch our next live show this Wednesday at noon on KRON 4.

Cosmetic Plastic Surgery Consultations

The Internet is a great place to get information, but there is no filter on it. There is no substitution for an in-person consultation with an experienced and Board Certified Plastic Surgeon. To schedule your personalized and informative, private plastic surgery consultation, call (925) 943-6353, today.

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