Breast Revision Surgery Video

Posted November 04, 2019 in Breast Asymmetry, Breast Augmentation, Breast Augmentation Lift, Breast Implant Revision Surgery, Home, Videos

Breast Augmentation remains one of the most frequently performed cosmetic plastic surgery operations. While the procedure remains the safest and most reliable means of Breast Enlargement, from time to time, patients may require Breast Augmentation Revision Surgery.

Saline Breast Implant Deflation Replacement Before and After Pictures

Saline Breast Implant Deflation Replacement Before and After Pictures

Saline Breast Implant Deflation Replacement Before and After Pictures – On the left, this patient’s saline breast implant has clearly deflated. On the right, after breast augmentation revision surgery, both breast implants were replaced and the breasts are now rejuvenated. A great time to consider changing the size, style or type of breast implant is when you need to replace a deflated device.

Breast Implant Revision Video Presentation

Today’s Plastic Surgery Video outlines several of the most common Breast Implant Revision Surgeries, and illustrates what is possible with numerous Breast Augmentation Revision Before and After Pictures. My segment segment first aired on, the San Francisco Bay Area’s news station KRON 4’s Body Beautiful. I have made numerous appearances during the show’s 12-years run, I have had the opportunity to inform millions of viewers about the pros and cons of Cosmetic Plastic Surgery.

Breast Revision Surgery Video Presentation as seen on KRON 4’s Body Beautiful

Breast Augmentation Revision Surgery

Breast Augmentation Revision Surgery for Capsular Contracture - Before and After Pictures

Breast Augmentation Revision Surgery for Capsular Contracture – Before and After Pictures show treatment of capsular contracture of this patient’s right breast implant. The results are improved symmetry, softness and patient satisfaction.

The majority of patients do not require revision surgery; however, Breast Implants are not considered lifetime devices. As such, they may require maintenance. The care of Breast Augmentation patients has become a specialty unto itself. Breast Augmentation Revision encompasses a variety of procedures including surgeries to adjust breast implant size, soften capsular contracture, reposition implants that have shifted and replace implants that have ruptured.

Breast Implant Revision Surgery for Symmastia - Before and After Pictures

Breast Implant Revision Surgery for Symmastia – Before and After Pictures. This patient developed symmastia, uni-boob or breast-loafing of her breast implants. Before correction, she had breast implant malposition with both symmastia and bottoming-out. After breast revision surgery, her breasts are separated and elevated to a more aesthetic position.

Breast Augmentation Revision Surgery Consultations

Breast Implant Revision is an important aspect of maintaining Breast Augmentation aesthetics. Like primary Breast Augmentation, careful attention to detail is necessary. If you are considering Breast Implant Revision surgery, be certain to consult with an experienced and Board Certified Plastic Surgeon. In the San Francisco Bay Area, call (925) 943-6353 to schedule your private consultation appointment.

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Skin Tightening After Massive Weight Loss Video

Posted October 15, 2019 in Arm Lift (Brachioplasty), Breast Augmentation, Breast Augmentation Lift, Breast Lift (Mastopexy), Breast Reduction, Breast Reduction (Men), Breast Reduction (Women), Butt Lifts, Home, Lower Body Lift (Belt Lipectomy), Mommy Makeover, Post-Bariatric Surgery (After Weight Loss), Thigh Lifts (Thighplasty), Tummy Tuck (Abdominoplasty), Videos

Bariatric Surgery has made massive weight loss commonplace. If you have ever watched My 600-lb Life you know what I am talking about. The show also airs in Colombia under a more appropriate title: Kilos Mortales. The title translates to Deadly Kilos, putting the emphasis on the fact that excess weight is deadly.

Massive Weight

Tummy Tuck after weight loss before and after pictures

Tummy Tuck after weight loss before and after pictures – The pounds and inches are gone, but the skin that used to cover them persists. A Tummy Tuck (Abdominoplasty) tightens the abdominal muscles and removes the excess skin and fat that remain after massive weight loss.

Morbid Obesity is no joke. It is associated with multiple health problems including heart disease, high blood pressure, strokes, high cholesterol and diabetes. Moreover, it makes taking care of oneself challenging. An individual is considered morbidly obese if he or she is 100 pounds over their ideal body weight, has a BMI of 40 or more, or 35 or more and experiencing obesity-related health conditions, such as high blood pressure or diabetes.

Achieving Massive Weight Loss

Chest Reduction (Male Breast Reduction) before and after pictures

Chest Reduction (Male Breast Reduction) before and after pictures – the chest can be left with excess skin too. In this case, gynecomastia reduction was combined with a skin reduction procedure to reveal a more masculine chest. The scar is in the inframammary folds under the breasts.

Before Weight Loss Surgery, losing weight depended solely on lifestyle modifications including diet and exercise. While effective, the process is slow and requires daily compliance. Today, weight loss surgery, also known as Bariatric Surgery, is an option that can significantly augment weight loss efforts. The availability of Bariatric Surgery has made massive weight loss attainable for more people.

Individuals meeting the criteria for surgical intervention have an option to help them meet their weight loss goals. Bariatric Surgery helps with weight loss in two ways. The first is mechanical and the second effects absorption. The mechanical aspect of weight loss surgery reduces intake. By making one feel full more quickly, negative feedback is provided for overindulgence. The result is that less food is consumed.

The second mechanism is decreasing the absorption of the food that is eaten. Internal bypasses are created surgically to shorten the gut and route the food past areas where it is better absorbed. By allowing food to pass through incompletely digested, the number of calories absorbed is reduced. Overall, less food is consumed and fewer calories are absorbed after Bariatric Surgery.

The Health Benefits Of Weight Loss

There are many Health Benefits associated with weight loss. Blood pressure can return to normal allowing the dose of antihypertensive medications to be decreased and sometimes even stopped. Elevated glucose levels can also decrease, which may mean stopping supplemental insulin and oral diabetes medications. As high blood pressure and diabetes come under control, the complications and mortality associated with them also decrease.

Where Did All This Skin Come From?

For many, the weight loss journey doesn’t end when the pounds disappear. When we gain weight our skin expands. The tension placed on the skin causes it to grow to cover the additional girth. Unfortunately, when we lose weight, the excess skin is not absorbed and often it does not recoil.

Mommy Makeover before and after photos

Mommy Makeover before and after photos – weight loss, like pregnancy, can lead to deflated breasts and loose bellies. The Mommy Makeover, originally designed to repair the damages of pregnancy, is modified for weight loss to provide enhancement of the breast and abdomen and create a more feminine physique.

The Excess Skin that remains after weight loss can be problematic and bothersome for Bariatric Surgery patients. Often, the residual skin becomes lax and folds upon itself causing pain, rashes and infections. Additionally, excess skin makes it challenging to find comfortable clothing and difficult to perform many activities of daily living.

Massive Tummy Tuck before and after pictures

Massive Tummy Tuck before and after pictures – This tummy tuck has been “super-sized” to address over stretching of the abdominal muscles and generous amounts of excess, redundant skin.

Excess skin of the arms, neck, chest, abdomen, back and thighs is common after massive weight loss and the reason many Bariatric Patients seek Post Bariatric Plastic Surgery to complete their transformation.

Post Bariatric Plastic Surgery

Arm lift before and after pictures

Arm lift before and after pictures – The weight is gone, but the arms still don’t fit in a sleeve. An Arm Lift (Brachioplasty) removes the excess skin and slims the arms allowing them to better fit into a sleeve.

Post Bariatric Plastic Surgery is a specialized branch of Plastic Surgery that deals with the extra skin left after weight loss. It is often referred to as skin removal surgery. Many of the procedures are similar to those used for normal amounts of weight loss or after pregnancy, but often they are modified (super-sized) to treat the enormous skin excesses seen after massive weight loss.

Post Bariatric Plastic Surgery Video

Today’s video is from KRON 4’s Body Beautiful and includes many of the commonly performed Post Bariatric Plastic Surgery Procedures. I perform many including: Tummy Tucks, Body Lifts, Arm Lifts, Breast Reduction, Chest Reduction, Breast Augmentation, Breast Lifts, Thigh Lifts, Buttock Lifts, Neck Lifts and Face Lifts. These procedures are highlighted on my web site’s Post Bariatric Plastic Surgery Page and on each procedure’s specific page.

Post Bariatric Plastic Surgery Consultations

The American Society of Bariatric Plastic Surgeons

Dr. Mele is an active member of the American Society of Bariatric Plastic Surgeons, a professional society of board certified plastic surgeons specializing in skin removal surgery after massive weight loss.

If you have lost a massive amount of weight and are unhappy with excess skin, call (925) 943-6353 today to schedule a personalized consultation appointment. As a member of the American Society of Bariatric Plastic Surgeons, I am and experienced specialist in these types of plastic surgery procedures, and would be happy to guide you through the process.

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Breast Augmentation Revision Surgery – SF Bay Area

Posted September 02, 2019 in Breast Asymmetry, Breast Augmentation, Breast Augmentation Lift, Breast Implant Removal, Breast Implant Revision Surgery, Breast Lift (Mastopexy), Capsular Contracture, Home

Breast Implant Revision Surgery is performed when there is a problem with the breast implants. Some problems are subjective, for example when the implants are judged to be too small or too large. Other problems are objective, such as issues with the breasts’ shape, firmness, symmetry or position. These are commonly associated with Capsular Contracture and breast implant malposition. A third group of breast implant problems require urgent attention, like infections or exposure of the breast implants.

Today’s post reviews Breast Revision Surgery and the treatment for some of the more common Breast Augmentation Problems.

Capsular Contracture Correction

Capsular Contracture occurs when the normal pocket that holds the breast implant in place becomes tight. It can be tight all around the implant causing firmness and a reduction in the apparent size of the implant(s), or it can be along one side, pushing the implant out of position, usually upward.

Breast Implant Revision for Capsular Contracture Before and After Pictures - Front View

These breast augmentation revision before and after pictures show grade III/IV capsular contracture of the right breast preoperatively, and the result of removing the tight capsule (capsulectomy) thus lowering the breast mound to match the left side. (Click image for uncensored view.)

In the Breast Implant Revision Before and After Pictures above, the right breast mound is significantly higher, and harder, than the normal appearing left breast mound (Grade III Capsular Contracture). This is a problem for the patient both in and out of clothing, and with time, the right breast has become tender (Grade IV Capsular Contracture).

This Breast Implant Malposition was treated with a complete capsulectomy, removal of the tight scar. The result is a softer breast, that is lowered back to its normal and symmetrical position. The areolae are also more symmetrical postoperatively. To see the nipple position, click or touch the picture above and the censoring will be removed. Tap again to replace it.

Symmastia Correction for Uniboob

Symmastia is a specific type of Breast Implant Malposition where the implant(s) move toward the midline. It is more common in women with tighter skin and larger, high profile breast implants. Just like raising the towers on the Golden Gate Bridge would raise the bridge’s cables across the mouth of the San Francisco Bay, the high profile breast implants have raised the skin across the sternum causing a Uniboob Deformity or “Bread Loafing”. In addition, this patient has “bottoming-out” of her breast implants, greater on her right side.

Breast Implant Revision for Symastia or Uniboob Before and After Pictures - Front View

These breast augmentation revision before and after pictures show symmastia of the breasts and bottoming out (right greater than left) preoperatively. The after photo shows the result of symmastia repair and breast implant replacement with smaller breast implants and raising of the inframammary folds (IMFs) thus getting rid of the uniboob bread-loafing of the implants in the midline. (Click image for uncensored view.)

The Symmastia Deformity was corrected by both repairing the damage and addressing the original problem to prevent recurrence. The damage was repaired by closing the original capsule medially, forming a pseudoneopocket in the correct anatomical position and reinforcing the repair. Since the original cause was breast implants too large for the chest, they were replaced with smaller implants. The after picture shows that the breasts have been elevated and separated into two separate breast mounds. Breast symmetry is improved and the reduction in breast implant size should help to maintain the superior cosmetic result.

Stage 1 – Breast Implant Removal for Impending Exposure

Breast Implant Exposure and Breast Implant Infections are emergencies, and require prompt surgical intervention. In the picture below, the square area at the base of her left breast is the lower edge of the breast implant which is about to erode through the breast skin. Once exposed, infection is inevitable, so the implant was removed promptly to prevent this eventuality.

Breast Implant Removal for impending breast implant exposure Before and After Pictures - Front View

These breast augmentation revision before and after pictures show stage one of treatment for breast implant exposure. Once an implant is exposed, it requires removal to prevent infection and sepsis. The after photo reveals that the left breast was smaller before breast augmentation, confirmed by the removal of a larger breast implant during surgery. (Click image for uncensored view.)

An inframammary incision was used to remove the breast implant, and the damaged skin at the base of the breast was also removed to allow for a secure closure. Her left breast implant was larger than the right, because her left breast was smaller than her right breast before Breast Augmentation. The size discrepancy is apparent in the after picture

Stage 2 – Breast Implant Replacement after Exposure

After breast implant infection or exposure, a minimum of three months is allowed to pass before replacing the breast implant. This is to reduce the risk of another infection. After three months, the patient returned to the operating room for delayed Breast Implant Replacement.

Breast Implant Replacement after breast implant exposure Before and After Pictures - Front View

These breast augmentation revision before and after pictures show stage two of treatment for breast implant exposure. After the breast implant is removed, and the site heals for several months, the breast implant can be replaced. The after photo shows the restoration of symmetrical breast mounds after Asymmetrical Breast Augmentation. (Click image for uncensored view.)

The before and after pictures above show the results of the second stage of reconstruction. The breast implants were replaced without complications, and the patient was happy to have her figure back.

Breast Augmentation Revision Consultations

If you are considering Breast Augmentation Revision be certain to consult with an experienced and Board Certified Plastic Surgeon in your area.

If you are in the San Francisco Bay Area, call (925) 943-6353, to schedule a private consultation appointment in my Walnut Creek, CA, plastic surgery office.

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Breast Implant Removal in the San Francisco Bay Area

Posted August 26, 2019 in Breast Implant Removal, Breast Implant Revision Surgery, Home

Breast Implant Removal is performed for about 1% of all Breast Augmentation patients. It is not a common procedure. Often it is elective, but sometimes it is as necessary as it is unwanted.

Breast Implant Removal Before and After Pictures - Side View

These breast implant removal before and after pictures show the result of removing moderate sized breast implants from a woman with young, elastic skin. No lift was needed. (Click image for uncensored view.)

Why Breast Implants Are Removed

Breast Implant Removal is chosen for many reasons ranging from completely elective to emergency situations. Elective reasons include the desire to have smaller breast, anticipating pregnancy and breast feeding and even a desire to exchange the current breast implants for larger ones. Urgent situations include exposure and infection of the implants.

How Are Breast Implants Removed?

Breast Implant Removal With Breast Lift Before and After Pictures - Side View

These breast implant removal before and after pictures show the result of removing ptotic, “bottomed-out” breast implants with a Breast Lift performed at the same time. (Click image for uncensored view.)

Breast Implants are often removed during a relatively short outpatient procedure through the same incisions originally used to place them.

For Saline Breast Implants, after a small incision is made the implants are deflated and then removed. The empty shell allows removal through a smaller incision.

Silicone Breast Implants are not deflated prior to removal to avoid leaving silicone inside the breasts. If silicone breast implants are already ruptured, the capsule is often removed to contain the extravasated silicone and to prevent gel migration.

Breast Implant Removal Recovery

Breast Implant Removal Before and After Pictures - Side View

These breast implant removal before and after pictures show the result of removing large breast implants from breasts with less elastic skin. No lift was performed, so the skin sags after the loss of support previously provided by the breast implants. (Click image for uncensored view.)

Recovery after Elective Breast Implant Removal is normally just a few days. If a capsulectomy is performed, a drain is often placed, and it may take longer for the swelling to subside. Aesthetically, the appearance of the breasts continues to improve for several months as the skin recoils postoperatively.

BioCell® Textured Breast Implants

Since the recall of BioCell® Textured Breast Implants a few weeks ago, I have received several phone inquiries regarding breast implant removal. This textured surface is associated with a small risk of developing BIA-ALCL; however, the FDA’s current recommendation is to leave the implants in place and follow them clinically for signs and symptoms including enlargement due to fluid collections around the implants and swelling.

Despite the FDA’s current recommendations, some patients feel more comfortable having their BioCell® textured breast implants removed or replaced. Allergan® will provide smooth replacement implants at not charge (until July 24, 2021). Since the FDA does not recommend removal, there is no financial support available for the elective surgical removal of BioCell® textured breast implants.

Breast Implant Removal Consultations

If you are considering elective Breast Implant Removal, be certain to consult with an experienced and Board Certified Plastic Surgeon. In cases with larger implants and skin laxity, a Breast Lift may be recommended, either at the time of breast implant removal or staged after recovery.

An experienced plastic surgeon can discuss these and other options with you and offer personalized guidance during an in-person consultation appointment. To schedule a private consultation in our Walnut Creek plastic surgery office call (925) 943-6353.

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Breast Implant Revision Before and After Pictures – Capsular Contracture SF Bay Area

Posted July 22, 2019 in Breast Asymmetry, Breast Augmentation, Breast Implant Removal, Breast Implant Revision Surgery, Home

Breast Augmentation Revision for Capsular Contracture

Breast Augmentation Revision for Capsular Contracture. Notice the decreased volume, increased hardness and irritated red color in the before picture on the left. After release, the breast are softened and expanded. (To view uncensored before and after photos, click on the image.)

There are many different reasons for Breast Implant Revision Surgery. Possible causes include:

  • Capsular Contracture
  • Breast Implant Malposition:
    • Too high
    • Too Low (Bottoming out)
    • Too close (Symmastia, Uniboob, Bread loafing)
    • Too far apart (in the armpits)
  • Breast Implant Deflation
  • Breasts sagging off implants (Waterfall deformity)

Capsular Contracture

One of the most common reasons for Breast Implant Revision Surgery is Capsular Contracture. So what is the capsule and what is contracture?

When you have Breast Augmentation, a pocket is created for the breast implant behind the native breast tissue. As this pocket matures, your body creates a thin layer of scar around the breast implant. This scar pocket is called the capsule, and it is very important because the capsule holds the breast implant in place, preventing it from migrating. Capsular Contracture occurs when the scar lining the breast implant pocket contracts, squeezing and distorting the breast implant.

Breast Augmentation Revision for Capsular Contracture Unilateral

Capsular contracture often affects just one side. In the case above, the right breast implant is higher and tighter than the left before surgery. After surgery symmetry is restored.
(To view uncensored before and after photos, click on the image.)

The above patient has mild capsular contracture affecting only her right breast. She was able to compensate for the difference in upper pole fullness by tightening her left bra strap. During the Breast Augmentation Revision, a capsulotomy was performed to expand the right breast capsule and lower the right breast implant.

Grades of Capsular Contracture

A scar around the breast implant is normal. Without the scar pocket, the breast implant will bottom out and move to the sides. On the other hand, too much scar causes problems with implants riding too high or becoming too hard.

Capsular Contracture is normally classified into four grades (I-IV), but I like to add grade zero for malposition problems caused by not enough scar support.

  • Grade 0 – not enough support causing breast implant malposition
  • Grade I – normal soft
  • Grade II – firm but no visible distortion of breast shape
  • Grade III – hard causing visible distortion of the breast shape
  • Grade IV – like grade III but is also painful

Breast Augmentation Revision for Capsular Contracture Unilateral

Severe unilateral capsular contracture – The right breast so high that it would be hard to disguise in clothing. After treatment for capsular contracture, the breasts are much more even.
(To view uncensored before and after photos, click on the image.)

The patient above has severe contracture of the right breast, which was noticeable both in and out of clothing. A capsulectomy was performed to remove the previous capsule, expand the pocket, lower the breast implant and reset the formation of a new capsule. Now both her breasts are soft and even.

Breast Implant Revision

If you have Breast Implants but are unhappy with their size, placement or firmness, Breast Implant Revision is worth considering. To schedule a private consultation, call (925) 943-6353, today. Breast Implants have changed in the last few years, and there are new options available.

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Abdominoplasty, Tummy Tucks, Mommy Makeover Videos – SF Bay Area

Posted June 24, 2019 in Brazilian Butt Lift, Breast Lift (Mastopexy), Fat Grafting, Home, Liposuction, Tummy Tuck (Abdominoplasty), Videos

Year after year, Tummy Tucks remain a top-ten Plastic Surgery procedure. Also known as Abdominoplasty, the procedure tightens and sculpts the abdomen on multiple levels. Tummy Tucks reverse and repair the damage to the abdominal wall caused by the overstretching of the skin and muscle that comes with weight gain and pregnancy. Damage that despite proper diet and exercise, often does not improve to the point of satisfaction. The result of Abdominoplasty is a flatter abdomen, and a more pleasing figure, boosting both self esteem and confidence.

Tummy Tuck Video (Abdominoplasty)

The following Tummy Tuck Video includes several examples of Abdominoplasty, after both weight loss and pregnancy. This segment is taken from the San Francisco Bay Area’s News Station, KRON 4’s Body Beautiful. In this video, I review Tummy Tuck Before and After Pictures and narrate the indications, procedure and recovery from Tummy Tuck Surgery.

Tummy Tuck With Brazilian Buttocks Lift

The Tummy Tuck may be combined with other procedures to enhance the results and keep the body in balance. The most common combination is Tummy Tuck plus Liposuction of the sides and back to improve the waist line all the way around. This is helpful when there is a disproportionate amount of fat causing a muffin top.

Today, fat is often transferred to provide volume in areas of deficit or areas that have atrophied. The most common area that fat is grafted to is the aging face. Fat Transplantation can reduce wrinkles and revitalize saggy cheeks by optimizing facial volume. Less common, but the fastest growing area for fat grafting is the buttocks, no pun intended. Fat Grafting to the Buttocks is also known as the Brazilian Butt Lift. The Tummy Tuck Before and After Photos below also include the results of liposuction and fat grafting to optimize body proportions.

Tummy Tuck with Brazilian Butt Lift Before and After pictures

Tummy Tuck with Brazilian Butt Lift Before and After pictures show: flattening of the tummy, improvement in abdominal muscle tone and perkier, rounder and more defined buttocks.

In the above case, a Tummy Tuck was used to tighten the abdominal muscles, reduce skin laxity and remove disproportionate abdominal wall fat. Liposuction was used to further enhance the results by removing disproportionate fat from the abdomen, waist, lower back and thighs. Normally, the fat removed by Liposuction is discarded; however, additional improvement in my patient’s body proportions was obtained by repurposing the fat to enhance the buttocks. A Brazilian Buttocks Lift was performed to create more shapely buttocks. For her, rounder, firmer buttocks were created, and the indentations on the outer aspect of the buttocks were corrected. Combining procedures repaired the postpartum damage improved her appearance in form-fitting clothes. She is happier and more confident with her new shape.

Tummy Tuck As Part Of A Mommy Makeover

Tummy Tucks are an important part of the Mommy Makeover, enhancement of both the breasts and the belly, frequently after pregnancy. The most common combination of procedures for Mommy Makeovers is Breast Augmentation with a Tummy Tuck; however, other procedures can be substituted as needed or desired. In the following case, Abdominoplasty was performed with a Breast Lift (Mastopexy), rather than Breast Augmentation, because she was already happy with the size of her breasts, but not the shape.

Mommy Makeover Before And After Pictures

Mommy Makeover Before And After Pictures – In this case, Abdominoplasty was combined with a Breast Lift to complete this Mommy Makeover. (To see the movement of the nipple in the uncensored photos, click this picture.)

The above Mommy Makeover Before and After Pictures reveal the results of combining Abdominoplasty with a Breast Lift. Prior to her Mastopexy, she was happy with the size of her breasts, and how they looked in a bra; however, the droopy appearance and downward pointing nipples were not acceptable. Breast Augmentation would have enlarged her breasts, but size was not the issue. Also Breast Augmentation alone would not correct the low nipple position, therefore a Breast Lift was the best option and the procedure of choice. An uncensored version of the before and after is available for viewing by clicking on the picture.

Abdominoplasty After Massive Weight Loss

After weight loss, especially massive weight loss, the abdominal wall is left lax and redundant. This is true at multiple levels of the abdominal wall including both the superficial skin and the deeper muscle and fascia layers. Abdominoplasty is uniquely appropriate for correcting both problems. A Tummy Tuck repairs the muscle by tightening the tough fascial case that encloses it, much like applying an internal corset. This flattens the abdominal wall’s foundation and supports the guts. Tummy Tucks also remove the excess skin and fat from the lower abdomen, thereby eliminating the redundant skin that impairs hygiene and blocks wearing clothing with a cinched waist.

Post Bariatric Plastic Surgery - Tummy Tuck Before and After Pictures

Post Bariatric Plastic Surgery – Tummy Tuck Before and After Pictures. Abdominoplasty was used to flatten the belly by tightening the muscles, removing the fat and reducing the redundant skin.

Abdominoplasty is often used after Bariatric Surgery to “clean-up” excess skin and complete the journey to a better body. It is normal to wait one year after Bariatric Surgery before having Plastic Surgery. Earlier surgery increases the risk of wound healing problems. By waiting for the body to recover nutritionally, we can enhance wound healing and achieve superior results.

Tummy Tuck Plastic Surgeon

If you’ve recently had a baby or lost weight and are contemplating plastic surgery to flatten your belly, you are going to want a Board Certified Plastic Surgeon for your procedure. Board Certified Plastic Surgeons are uniquely qualified due to their years of training and experience performing Cosmetic Plastic Surgery.

To find out more about Abdominoplasty, call me at (925) 943-6353. Each patient is unique in their needs and desires. In every case, both are considered when planning your specific procedure. Enter your questions in the contact form on this page, or for a faster response, give us a call and get answers now.

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Breast Augmentation Before and Afters In The San Francisco Bay Area

Posted June 10, 2019 in Areolar Reduction, Breast Asymmetry, Breast Augmentation, Breast Augmentation Lift, Breast Implant Revision Surgery, Breast Lift (Mastopexy), Home, Tubular Breasts

Year after year, Breast Augmentation remains the most popular cosmetic plastic surgery procedure in the United States. This is true in the San Francisco Bay Area also. Common reasons include congenitally small or misshapen breasts and changes in the breasts seen after weight loss, pregnancy and breastfeeding. Today, we will review a few examples.

Breast Implants For Breast Augmentation And Lifts

Breast Augmentation Lift for Tubular Breasts adds volume and improves the shape of the breasts.
(To view uncensored before and after photos, click on the image.)

Breast Implants are used for Breast Augmentation, either alone or in combination with a Breast Lift (Mastopexy) for Augmentation Mastopexy. The implants provide volume while the lift improves the shape, elevates the nipples and reduces skin redundancy.

The before and after pictures at the top of this post are of Breast Augmentation with a Breast Lift. In the above case, Augmentation Mastopexy was used to enlarge and reshape a congenital breast deformity named Tubular Breasts. In addition, Areola Reduction was included in the Mastopexy to prevent the areolae from expanding with the Breast Augmentation.

Breast Implants For Breast Augmentation

Breast Augmentation Before and After Pictures

Breast Augmentation Before and After Pictures: Breast Implants alone are enough to enlarge the breasts and improve their shape when we are starting with “normal” anatomy.
(To view uncensored before and after photos, click on the image.)

The above case in simpler than the first. In this case, the patient has normal anatomy. The nipples are in a more ideal location, the breast skin has good tone and there is no excess skin causing sagging. A lift was not needed, so straight-forward Breast Augmentation was performed via an incision under the breasts via the IMF (inframammary fold). The scar is hidden in the shadow under the breast.

Breast Implants For Asymmetrical Breast Augmentation

Breast Augmentation before and after pictures: Breast Implants areused to enlarge and improve breast asymmetry.

Breast Augmentation before and after pictures: Breast Implants are used to enlarge and improve breast asymmetry.
(To view uncensored before and after photos, click on the image.)

Asymmetry is as challenging as it is common. The third case is an example of Asymmetrical Breast Augmentation. The right breast is smaller and higher than the left breast. In these cases, a larger implant can be placed behind the smaller breast to balance the volume disparity. Additionally, the right IMF was lowered to match the left breast. The right nipple follows, to further improve symmetry. Larger asymmetry can sometimes require a Breast Lift or Breast Reduction on the larger size for the best results.

Breast Augmentation Consultations

As you can see from the examples above, breasts are like snowflakes; no two are exactly alike. In fact, a woman’s breasts are more like sisters than twins, and each requires careful individual evaluation. In the San Francisco Bay Area call (925) 943-6353, to schedule your personal Breast Augmentation Consultation. We have the experience, certifications and the latest technology in breast implants for you.

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Breast Augmentation With A Breast Lift (Video) – SF Bay Area

Posted April 15, 2019 in Breast Augmentation, Breast Augmentation Lift, Breast Lift (Mastopexy), Home, Tubular Breasts, Videos

Breast Augmentation with Breast Lift (Mastopexy Augmentation) and Tummy Tuck. Breast Enlargement when the breasts are sagging and the nipples are below the inframammary fold requires a Breast Lift to achieve an aesthetic result. The Tummy Tuck further enhances the breasts' proportion by flattening the belly.

Breast Augmentation with Breast Lift (Mastopexy Augmentation) and Tummy Tuck. Breast Enlargement when the breasts are sagging and the nipples are below the inframammary fold requires a Breast Lift to achieve an aesthetic result. The Tummy Tuck further enhances the breasts’ proportion by flattening the belly.

The Components Of Breast Enhancement

Breast Enhancement surgery has two aesthetic components: size and shape. Breast size is increased with Breast Augmentation and reduced with Breast Reduction. Breast shape is adjusted with the Breast Lift. There are many options for adjusting both size and shape, and today’s video is an introduction to the most versatile of all the Cosmetic Breast Enhancement procedures, Mastopexy Augmentation — the combination of Breast Augmentation and Breast Lift procedures.

Breast Augmentation With Breast Lift Video (Mastopexy Augmentation)

This Mastopexy Augmentation Video is from my Body Beautiful television show, originally broadcast on the San Francisco Bay Area’s News Station, KRON 4. It reviews the techniques and options available for different types of Breast Augmentation With Breast Lift.

Indications For A Breast Lift With Augmentation

The majority of Breast Augmentation patients do not need a lift, but here are 5 reasons why your Plastic Surgeon may be recommended adding a Breast Lift (Mastopexy) to Breast Augmentation:

  • Breast sagging (ptosis)
  • Low set nipples
  • Tubular breast deformity
  • Breast asymmetry
  • Disproportionately large areolae

Breast Augmentation Lift – When the breasts are close to the desired size, sometimes a Breast Lift alone is all that is needed to create youthful, perky breasts. If the upper pole is empty, a small implant can be used to  enhance the shape of the breasts by adding fullness to the bust line without over exaggerating the size.

Breast Augmentation Lift – When the breasts are close to the desired size, sometimes a Breast Lift alone is all that is needed to create youthful, perky breasts. If the upper pole is empty, a small implant can be used to enhance the shape of the breasts by adding fullness to the bust line without over exaggerating the size.

Mastopexy Augmentation Consultations

When considering Cosmetic Breast Surgery, be certain to select an experienced and Board Certified Plastic Surgeon. During your Breast Enhancement Consultation, your goals for both size and shape of the breasts should be discussed. If you are happy with the shape of your breasts, and are just looking for more volume, Breast Augmentation alone is likely the procedure of choice. If your size is good, but the shape is bothersome, a Breast Lift may be the best option to achieve your desired breast aesthetic. If your goal is to both augment and rejuvenate your breasts, the combination of Mastopexy Augmentation is often recommended and may be the best choice for you.

To schedule a personal consultation appointment in the San Francisco Bay Area call (925) 943-6353.

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Mommy Makeovers After Children (Video) | SF Bay Area

Posted April 08, 2019 in Breast Augmentation, Breast Lift (Mastopexy), Breast Reduction, Home, Liposuction, Mini Tummy Tuck (Mini Abdominoplasty), Mommy Makeover, Tummy Tuck (Abdominoplasty), Videos

Mommy Makeovers include breast and belly enhancement in one surgery.

Mommy Makeovers include breast and belly enhancement in one surgery.

No matter what shape you are in before childbirth, the postpartum physique is rarely an improvement. Pregnancy can wreak havoc on a woman’s body. Cosmetic Surgery Repairs after having children are done so frequently, there’s a name for it: Mommy Makeover. Today’s video is all about the Mommy Makeover, and its many variations.

Breast Augmentation and Tummy Tuck Video (Mommy Makeover)

This Mommy Makeover Video is from my Body Beautiful television show broadcasted on the San Francisco Bay Area’s News Station, KRON 4. It reviews the techniques and options available for different types of Mommy Makeovers.

What Is A Mommy Makeover?

The Mommy Makeover has two goals: to enhance the shape of the breasts and to flatten the belly. With pregnancy, the breasts enlarge and then often shrink and collapse. Breast Augmentation and Breast Lifting are used to enlarge and lift the breasts. On the other hand, if the breast remain too large after pregnancy, a Breast Reduction can be substituted to improve breast and body proportions. The differences and options for Breast Augmentation and Breast Lifts are discussed further here: Breast Augmentation or Breast Lift?

For the belly, a Tummy Tuck is the workhorse that dramatically improves the appearance of the abdomen by tightening the abdominal muscles and skin, and by removing excess fat. When abdominal laxity is confined to the area below the belly button, a Mini Tummy Tuck may be the procedure of choice to restore a pre-baby toned belly. Lastly, if the skin and muscle tone are good, but disproportionate fat is bothersome, Liposuction alone may be the answer. The differences between the procedures are discussed here: Liposuction or Tummy Tuck?

Mommy Makeover Consultations

If you are considering a Mommy Makeover, or its component cosmetic procedures, Breast Augmentation or Tummy Tuck, be certain to consult with an experienced, Board Certified Plastic Surgeon. In the San Francisco Bay Area, call (925) 943-6353, and schedule a personal and private consultation appointment today.

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Mommy Makeovers – Breast and Belly Rejuvenation

Posted March 04, 2019 in Breast Asymmetry, Breast Augmentation, Breast Augmentation Lift, Breast Implant Revision Surgery, Breast Lift (Mastopexy), Breast Reduction, Breast Reduction (Women), Home, Liposuction, Mommy Makeover, Tummy Tuck (Abdominoplasty)

Mommy Makeovers may include Breast Augmentation, Breast Lifts or Breast Reduction combined with a Tummy Tuck, Mini Tummy Tuck or just Liposuction, depending on the areas that need improvement and the patient’s wishes.

Mommy Makeovers may include Breast Augmentation, Breast Lifts or Breast Reduction combined with a Tummy Tuck, Mini Tummy Tuck or just Liposuction, depending on the areas that need improvement and the patient’s wishes.

There is no denying that breasts and bellies take a hit with pregnancy. Fortunately, there is a solution. Mommy Makeovers rejuvenate both the breasts and the belly, to help restore your pre-pregnancy body.

Mommy Makeover Options

The term Mommy Makeover comes from the frequently requested combination of cosmetic plastic surgery procedures used to restore a woman’s body after childbirth. The most common combination is Breast Augmentation with a Tummy Tuck, but variations are available when indicated.

Mommy Makeover Breast Options

The motivation for having a Mommy Makeover is the desire to restore the breasts and belly to their pre-pregnancy shape. For breast enhancement, the best procedure depends on how the breasts have changed:

  • Smaller Breast may benefit from Breast Augmentation.
  • Larger Breast may benefit from Breast Reduction.
  • Sagging breast may benefit from a Breast Lift.
  • Changes to the nipples and areolae can also be reversed.

Mommy Makeover Before and After Pictures

This Mommy Makeover included Breast Augmentation and a Tummy Tuck, the most common combination for restoring the body after childbirth.

This Mommy Makeover included Breast Augmentation and a Tummy Tuck, the most common combination for restoring the body after childbirth.

Mommy Makeover Belly Options

Just like with the breasts, there options are available for treating the belly, depending on each patient’s needs. While the most common surgery to restore a pre-baby belly is the Tummy Tuck, sometimes a smaller operation is the better choice. Regardless of the procedure used, the best results are obtained when your weight is optimal.

Common scenarios and treatment options include:

  • Loose abdominal skin and muscle laxity are treated with a Tummy Tuck (Abdominoplasty)
  • Loose skin and muscle laxity confined to the lower abdomen may respond to a Mini Tummy Tuck.
  • If the muscle and skin are tight, but disproportionate fat is present, Liposuction might be the best solution.
  • The abdominal fat, which is removed during the Mommy Makeover, is sometimes repurposed to enhance an atrophied bootie. Fat from the abdomen can often be transplanted to the buttocks as part of a Brazilian Buttocks Lift.

This Mommy Makeover combined a Breast Augmentation Lift with a Tummy Tuck and Liposuction.

This Mommy Makeover combined a Breast Augmentation Lift with a Tummy Tuck and Liposuction.

Mommy makeover Consultations

There are many treatment options for Mommy Makeovers, so it is necessary to have an experienced professional to guide your decision making. The Internet can give you an idea of what is possible; however, there is no substitute for an in-person consultation with an experienced Board Certified Plastic Surgeon.

If you have Mommy Makeover questions, call me at (925) 943-6353, and schedule a private consultation appointment. Your options will be discussed and your questions will be answered in a manner specific to your needs.

Coming Soon to a Station Near You

Stay tuned to the Bay Area’s News Station, KRON 4. Later this month, I will be starting my television show Body Beautiful with a segment dedicated exclusively to the Mommy Makeover, and more before and after pictures will be revealed.

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