Category: Breast Asymmetry

Fat Grafting and Breast Augmentation – Part 3 of 3

March 12, 2016 Joseph A. Mele, MD

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I am very excited about how Fat Grafting is literally shaping cosmetic surgery. It is an important procedure, and there are aspects of fat grafting that make it very appealing for selective patients and selective procedure. We don’t know yet everything Fat Grafting can offer. On the other hand, it is not a panacea, and more research is needed for large volume fat grafting, especially to the breasts. Some proponents of fat grafting may read this post as negative, because I do list many of the problems with Fat Grafting. I am a fan of the cautious use of Fat Grafting, but overall, I have tried to keep objective.

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Fat Grafting and Breast Augmentation – Part 2 of 3

March 06, 2016 Joseph A. Mele, MD

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For routine Breast Augmentation, Breast Implants are still superior to fat grafting. Fat grafting has been an option since long before Breast Implants were invented in the early 1960’s. Did you know that the poor results achieved with previous methods of Breast Enhancement was why breast implants were invented? Over 50 years ago, breast implants quickly replaced all other techniques, because of their enhanced safety and predictability.

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Fat Grafting and Breast Augmentation – Part 1 of 3

February 28, 2016 Joseph A. Mele, MD

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In 1893, Gustav Adolf Neuber reported the use of small fat grafts to fill in a soft tissue depression on a 20-year-old man’s face. Neuber mentioned he had less success when he tried to use larger grafts, saying that “grafts larger than an almond would not give good results”. This is still true today, as larger fat grafts cannot establish a blood supply fast enough to survive the transplantation.

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What is Breast Implant Capsular Contracture?

February 20, 2016 Joseph A. Mele, MD

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Breast Augmentation remains the most popular cosmetic plastic surgery procedure year after year. Breast Implants enlarge small breasts, whether you were born with small breast, lost breast volume with weight loss or your children have sucked the life out of your breasts. Capsular Contracture can interfere with good results, but before I explain what Capsular Contracture is, I need to discuss Breast Augmentation, the breast implant pocket and normal healing.

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Breast Augmentation Revision – Bottoming Out

May 30, 2015 Joseph A. Mele, MD

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Bottoming Out is when breast implants settle lower on the chest than desired. It is a form of Breast Implant Malposition also called inferior malposition. Breast Implant Revision Surgery Before and After PicturesBottoming-Out Correction Breast Implant Malposition Malposition literally means “Bad Position,” and it is a generic term applied to any situation where the breast […]

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Breast Augmentation with a Lift (Augmentation Mastopexy)

July 26, 2014 Joseph A. Mele, MD

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The combination of Breast Augmentation and Breast Lift is one of the most complicated plastic surgery combinations, but it can also be one of the most rewarding. It requires a thorough, in-person examination and discussion with an experienced, Board Certified Plastic Surgeon.

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Breast Implant Revision Bay Area | San Francisco Breast Aug Revision

April 19, 2014 Joseph A. Mele, MD

As Breast Augmentation becomes more and more common, the need for Breast Augmentation Revision also increases. Breast Implants are not “life-time devices,” and the reasons for Breast Implant Revision Surgery vary. Why Have Breast Implant Revision Surgery? There are many reasons for Breast Revision Surgery, and it is much more common after Breast Reconstruction Surgery […]

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Breast Implant Revision Surgery San Francisco Bay Area | Breast Augmentation Revision Walnut Creek, CA

October 05, 2013 Joseph A. Mele, MD

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Breast Augmentation remains the most popular Cosmetic Plastic Surgery Procedure performed in the US year after year. According to the FDA, Breast Implants are not considered lifetime devices. Breast implants may require maintenance, with as many as 25% percent of women with breast implants having Breast Augmentation Revision Surgery by 10 years post-op. With breast […]

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Inverted Nipple Repair in the San Francisco Bay Area | Walnut Creek, CA

July 06, 2013 Joseph A. Mele, MD

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Inverted Nipples, a source of embarrassment for some women, and men, can be corrected with a simple office procedure, performed under local anesthesia. Types of Inverted Nipples The presentation of Inverted Nipples ranges from a Shy Nipple that everts spontaneously with minimal stimulation, to a nipple that disappears around puberty, and becomes permanently buried as […]

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