Breast Reduction Video – Reduction Mammoplasty SF Bay Area

Posted December 31, 2018 in Breast Reduction, Breast Reduction (Women), Home, Videos

The above Breast Reduction Before and After Side View Photos show improvement in breast shape, size and nipple position after Reduction Mammoplasty Surgery.

The above Breast Reduction Before and After Side View Photos show improvement in breast shape, size and nipple position after Reduction Mammoplasty Surgery.

Today, I am posting the latest episode of KRON 4’s Body Beautiful. This video segment continues where the last post left off, discussing Breast Reduction for Women. This new Breast Reduction Video Presentation contains:

  • Information about Reduction Mammoplasty
  • Reduction Mammoplasty Before and After Pictures
  • Descriptions of how Breast Reduction is performed
  • Several options for Breast Reduction
  • Recovery information and tips for after Reduction Mammoplasty
  • Narration of specific examples of Breast Reduction

Breast Reduction Video Presentation

You Are Not Alone

The above Breast Reduction Video is intended to provide general information about the procedure. However, there is no substitute for an in-person consultation with and experienced Board Certified Plastic Surgeon. Years of learning, practice and experience have shaped how I perform Breast Reduction. Many thousands of women have breast reduction surgery annually, but each case is different. Your plastic surgeon is here to guide you through each option and help you achieve the best possible results.

The Best Breast Reduction for You

There are several methods of Breast Reduction which may or may not apply to your specific needs. I tailor my approach to each individual patient, by choosing the option that will achieve the best result in the safest and most predictable manner.

These Breast Reduction before and after pictures demonstrate the amount of reduction and enormous lift possible with the inverted T-technique. You will notice that the breast hangs well below the level of the mole visible anterior to the crook of her elbow in the before photo, while in the after photo, the base of the breast is well above it.

These Breast Reduction before and after pictures demonstrate the amount of reduction and enormous lift possible with the inverted T-technique. You will notice that the breast hangs well below the level of the mole visible anterior to the crook of her elbow in the before photo, while in the after photo, the base of the breast is well above it.

Breast Reduction Consultation Appointments

For your Breast Reduction, you will want an experienced and well qualified Board Certified Plastic Surgeon. Members of the ASAPS (the American Society for Aesthetic Plastic Surgery) are particularly well suited for breast reduction surgery, as they are Board Certified Plastic Surgeons who specialize in Cosmetic Plastic Surgery, including all aspects of Breast Enhancement.

If you are in the greater San Francisco Bay Area and would like to schedule a personalized consultation appointment, call (925) 943-6363 today. Learn what is possible in a safe and private plastic surgery office that specializes in Cosmetic Plastic Surgery.

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Breast Reduction Mammoplasty – SF Bay Area Plastic Surgery

Posted December 17, 2018 in Breast Reduction, Breast Reduction (Women), Home, Post-Bariatric Surgery (After Weight Loss)

Breast Reduction can significantly reduce neck, back and shoulder pain.

Breast Reduction Before and After Photos: Breast Reduction can significantly reduce neck, back and shoulder pain.

Breast Reduction Surgery

Breast Reduction is one of the most rewarding plastic surgery procedures I perform. While the Reduction Mammoplasty is a procedure that often provides aesthetic improvement, it is more commonly performed to reduce the symptoms associated with large breasts.

Reasons For Breast Reduction Surgery

Each patient is different, so Breast Reduction is customized to your specific needs. The most common reasons for Reduction Mammoplasty are:

  • Breast pain
  • Neck pain
  • Back pain
  • Shoulder pain
  • Bra strap shoulder rutting
  • Recurrent rashes under the breasts
  • Inability to perform routine activities of daily living
  • Limitations on physical activity

Often, documentation of these types of symptoms is required for insurance coverage.

<strong>Reduction Mammoplasty Before and After Pictures:</strong> Breast Reduction not only helps reduce the symptoms associated with large breasts but can also increase ones fashion options.

Reduction Mammoplasty Before and After Pictures: Breast Reduction not only helps reduce the symptoms associated with large breasts but can also improve how your clothes fit. The amount of elevation is easy to measure, just look at the position of the breast with respect to elbows in the above pictures.

Will Insurance Cover My Breast Reduction?

Your insurance may cover Breast Reduction. To find out, contact your insurance company directly. You may be required to see your primary doctor for authorization, be required to lose weight, undergo weeks to months of physical therapy, see only a plastic surgeon chosen by your insurance, wait a year and other hurdles. Letters from your primary doctor, physical therapist and chiropractor can help in obtaining prior authorization. Sadly, despite the tremendous amount of relief that comes from the procedure, many insurance companies have begun excluding coverage for Reduction Mammoplasty altogether.

Breast Reduction combines reduction of the breast volume with a breast lift to reduce the torque on the back an  the neck.

Breast Reduction Before and After Photos: Breast Reduction combines reduction of the breast volume with a breast lift to reduce the torque on the back and the neck.

Breast Reduction Consultations

Breast Reduction is one of the most rewarding of all cosmetic plastic surgery procedures because it relieves suffering. You can improve your chances of a good result by seeking an experienced and Board Certified Plastic Surgeon.

To schedule a personal, private, in-person consultation call (925) 943-6353, today. The goals, procedure and expected recovery, specific to your needs, will be reviewed in detail.

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Breast Augmentation With Gummy Bear Breast Implants | SF Bay Area

Posted October 05, 2018 in Breast Augmentation, Home, Mommy Makeover, Videos

Summer may be over, but Breast Augmentation is still one of the most frequently requested Cosmetic Plastic Surgery procedures here in the San Francisco Bay Area. For many, this is the best time of year for the procedure. As the weather cools down, it is easier to cover up during recovery. Moreover, you will be well healed by the time Spring comes around.

Gummy Bear Breast Implants are the newest technology. With a strong, cohesive gel inside, they can provide more projection, less rippling and the safety reduced gel migration.

Gummy Bear Breast Implants are the newest technology. With a strong, cohesive gel inside, they can provide more projection, less rippling and the safety reduced gel migration.

This Breast Implant Video Presentation illustrates the options and the results of Breast Enlargement. There are many reasons for Breast Augmentation. Sometimes it’s for size. Sometimes it’s for shape. The latest breast implants provide shape and support for the breasts with the increased safety of strong, highly cohesive gel inside them. These “Gummy Bear” Breast Implants reduces gel migration and some other problems seen in the past after Breast Augmentation with Silicone Gel Breast Implants.

Breast Augmentation Video (Augmentation Mammoplasty)

This Body Beautiful video segment from the San Francisco Bay Area’s News Station, KRON 4, reviews Breast Augmentation with the latest Gummy Bear Breast Implants. This Breast Implant Video reviews many of the options and illustrates the benefits of Augmentation Mastopexy with numerous Breast Aug Before and After Photos.

Breast Implant Consultations

If you are considering Breast Augmentation or Breast Implant Revision Surgery, consult with a Board Certified Plastic Surgeon in your area. When in the San Francisco Bay Area, call (925) 943-6353 today, and schedule a personal and private consultation appointment.

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How to Choose Breast Implants

Posted June 03, 2018 in Breast Augmentation, Home, Mommy Makeover

One of the most common questions Plastic Surgeons get is,”How do I choose the best breast implants?” While more often than not, this is in reference to size, there are multiple aspects to consider. The most important thing to remember is that you are not on your own. Your plastic surgeon should have a wealth of experience in this area, and they can help simplify and reassure you in your selection.

Breast Augmentation remains the most popular Cosmetic Plastic Surgery procedure.

Breast Augmentation remains the most popular Cosmetic Plastic Surgery procedure.

In my San Francisco Plastic Surgery office I depend on my patients to provide me with a clear idea of the size they want, and they depend on me to help them select the details that are most likely to give them a happy result. Let’s review some of the details.

Breast Implant Size

The amount of augmentation is determined by the volume of the breast implants. If you are looking for a particular cup size, the amount of volume needed will depend on many factors including:

  • The amount of breast volume you have before augmentation
  • Which bra you wear – Each manufacturer has a different definition of cup size.
  • The fullness you wish to achieve
  • The tightness of your chest skin and muscles
  • The shape of your breasts
  • The width of your chest

For the best results, do your pre-breast augmentation homework. Buy a bra the size you want to be. Stuff it. Wear it. Try it with different clothes. The clearer your goal, the easier it will be to communicate to your Plastic Surgeon and to achieve your ideal breasts.

Breast Implant Profile

Choosing the right size for you is the most important aspect of Breast Augmentation.

Choosing the right size for you is the most important aspect of Breast Augmentation.

Size matters, but so does shape. If you are trying to make a statement with your breasts, larger, high-profile breast implants will fill the breasts maximally. If you are considering proportionate breast augmentation, moderate profile breast implants may be more to your liking. If you are a marathon runner looking for a B-cup, low profile implants may provide enough augmentation to the breasts’ foundation to give you the shapelier breasts you desire.

Breast Implant Filling

Breast implants are filled with two materials: Saline and Silicone. While the majority of breast augmentation performed today is with smooth round silicone breast implants, sometimes, saline is a better answer. It is important to choose an experienced Board Certified Plastic Surgeon who can evaluate these options and help you determine what is most likely to work best for your goals.

Breast Implant Placement

The best breast augmentation is achieved by selecting breast implants that are proportionate to the chest.

The best breast augmentation is achieved by selecting breast implants that are proportionate to the chest.

Breast Implants can be placed in front of or behind the pectoralis major muscles. There are advantages and disadvantages to both positions. It is important that you know the differences and have guidance to select the placement which works best for you.

FDA Approved Breast Implants

There are currently three FDA approved Breast Implant manufacturers in the US. They provide many variations of sizes, shapes, filler and textures. While there are still some options that are not available, the options we have make it difficult to justify using a non-FDA approved breast implant. You should know exactly which implants your surgeon plans to use, and you should receive a card identifying those breast implants after your procedure. This is very important for warranty enforcement, breast implant replacement and for future breast implant maintenance.

Help Choosing Your Breast Implants

If you are considering Breast Augmentation, call my Walnut Creek Plastic Surgery office at (925) 943-6353, and schedule a private, confidential consultation appointment. I will go over your goals, your options and will use my greater than 20 years of experience to help you choose a plan that is best suited to your needs.

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Post-Bariatric Plastic Surgery Video – SF Bay Area

Posted April 22, 2018 in Arm Lift (Brachioplasty), Breast Augmentation, Breast Augmentation Lift, Breast Lift (Mastopexy), Home, Lower Body Lift (Belt Lipectomy), Mommy Makeover, Post-Bariatric Surgery (After Weight Loss), Tummy Tuck (Abdominoplasty), Videos

Post-Weight Loss Plastic Surgery Video

Massive weight loss will shrink our volume, but does not reliably shrink our skin. In the before and after pictures above, breast volume is restored with breast implants. Sagging breast skin is tightened with a breast lift.  Excess abdominal skin is removed, and the belly bulge caused by stretched out abdominal muscles is flattened by tightening the muscle sheath.

Massive weight loss will shrink our volume, but does not reliably shrink our skin. In the before and after pictures above, breast volume is restored with breast implants. Sagging breast skin is tightened with a breast lift. Excess abdominal skin is removed, and the belly bulge caused by stretched out abdominal muscles, is flattened by tightening the muscle sheath.

Post-Bariatric Plastic Surgery is Plastic Surgery after Massive Weight Loss. Whether this is after a lifestyle change or after Bariatric Surgery, the amount of skin that persists after weight loss is often large and frustrating. This Post-Weight Loss Plastic Surgery Video reviews several of the most common treatments including: Lower Body Lifts, Tummy Tucks, Breast Augmentation, Breast Lifts and Arm Lifts. The results of Post-Bariatric Plastic Surgery are illustrated and narrated in this video with before and after pictures, which describe and demonstrate what Board Certified Plastic Surgeons can do for the skin excess that often occurs after weight loss.

Post-Bariatric Plastic Surgery Video

Extremity Tightening Procedures

The majority of skin tightening procedures performed after weight loss are for the trunk; however, the face, arms and legs can also develop excess skin. Face Lifts (Rhytidectomy), Arm Lifts (Brachioplasty) and Thigh Lifts can help with excess skin on the face/neck, upper arm and thighs. Below is an example of an arm lift.

Brachioplasty literally means arm changing. An arm lift can change the way an arm looks, feels and fits into sleeves.

Brachioplasty literally means arm changing. An arm lift can change the way an arm looks, feels and fits into sleeves.

Brachioplasty changes the arm by removing the excess skin that often hangs off the upper arm after weight loss. The skin is removed from the lower border of the upper arm, leaving a scar along the bottom of the arm. This is the only procedure that can remove large amounts of excess skin.

Post Bariatric Plastic Surgery Consultations

As an active member of the American Society of Bariatric Plastic Surgeons, post bariatric plastic surgery is an area in which I specialize.

The American Society of Bariatric Plastic Surgeons was formed by Board Certified Plastic Surgeons specializing in skin tightening after massive weight loss.

The American Society of Bariatric Plastic Surgeons was formed by Board Certified Plastic Surgeons specializing in skin tightening after massive weight loss.

When searching for an experienced post-weight loss plastic surgeon, be certain to look for a Board Certified Plastic Surgeon who is a Member of the American Society of Plastic Surgeons. Additionally, members of the American Society for Aesthetic Plastic Surgery specialize in the cosmetic side of plastic surgery, and members of the American Society of Bariatric Plastic Surgeons demonstrate additional dedication to the cosmetic side of post-bariatric plastic surgery.

If you are in the San Francisco Bay Area and want to learn more about your skin reduction options after weight loss, call (925) 943-6353, to schedule your private consultation appointment.

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Male Breast Reduction | Gynecomastia Reduction | SF Bay Area

Posted April 14, 2018 in Breast Reduction, Breast Reduction (Men), Daddy Makeover, Home, Liposuction, Videos

Male Breast Reduction is one of the most requested cosmetic plastic surgery procedures year after year.

Male Breast Reduction is one of the most requested cosmetic plastic surgery procedures, year after year.

Male Breast Reduction Video (Gynecomastia Reduction)

Gynecomastia is the medical term for Male Breast Enlargement. The enlargement can be isolated to the nipple areolar complex (puffy nipples), or may involve the entire chest. This Gynecomastia Reduction Video reviews the most common treatments and illustrates the results of Male Breast Reduction with multiple, narrated male breast reduction before and after pictures.

How Is Gynecomastia Reduction Performed?

Gynecomastia Reduction is often a combination of procedures. The most common combination is Liposuction plus direct excision of any firm glandular tissue which remains attached to the back of the nipple.

In situations where the skin is loose or the gland is saggy, skin reduction may also be necessary. The key it to pick the procedure, or combination, that gets the job done.

With good skin tone, even large breast reductions can be performed through small, minimally invasive incisions.

With good skin tone, even large breast reductions can be performed through small, minimally invasive incisions.

Which Male Reduction Procedure is the Right One for You?

For more information about Male Breast Reduction, visit the links in this post. For specific information, there is no substitute for an in-person consultation. Call (925) 943-6353 today, and schedule a private and informative consultation appointment. A proper evaluation and plan are the keys to excellent results.

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Breast Augmentation and Breast Lifts Combined – SF Bay Area

Posted April 09, 2018 in Breast Asymmetry, Breast Augmentation, Breast Augmentation Lift, Breast Lift (Mastopexy), Home, Post-Bariatric Surgery (After Weight Loss), Videos

Aesthetic Breast Surgery

Breast Augmentation Lift combines the Breast Enlargement of Breast Augmentation with the firming and shaping abilities of a Breast Lift.

Breast Augmentation Lift combines the Breast Enlargement of Breast Augmentation with the firming and shaping abilities of a Breast Lift.

The desire for the Best Breast can be divided into two areas: The best size and the best shape. This Breast Augmentation and Breast Lift Video discusses combining a breast lift with a breast implant. The procedure allows your plastic surgeon to maximize your results when both shape and size need modification.

Breast Augmentation Lift Video (Mastopexy Augmentation)

This Body Beautiful video segment from the San Francisco Bay Area’s News Station, KRON 4, reviews Breast Lifts combined with Breast Implants and illustrates the benefits of Augmentation Mastopexy with numerous Breast Aug Lift Before and After Photos.

Breast Size

The ideal breast size varies from patient to patient, and it is important to recognize that the more you do your homework in determining what size makes you happy, the easier it will be for your plastic surgeon to give you the result you desire. Most patients request a cup size in the C plus to D minus range, but you should try it out at home, first.

Buy a bra the size you feel you want to be and stuff it. Ziplock bags filled with rice are a simple way to adjust your breast volume. Try it with different clothing to see how you like it. Do your normal activities, and see how it works. Also, think about your overall body size and your activity level. Marathon runners often go smaller, to avoid the added weight and momentum.

Breast size is determined by the volume of breast tissue you have now, plus the volume of the breast implant. When you have a good shape, Breast Augmentation alone is used to enlarge the breasts to the desired size. For most women this is the procedure of choice. When the breasts are saggy, asymmetrical or tubular, a breast lift may be recommended to improve the overall esthetic of the breasts.

Breast Augmentation Lift Before and After Pictures

Deflated, post child birth or post weight loss breasts can be lifted, tightened and enlarged with the breast enhancing Mastopexy Augmentation. Larger lifts require longer scars. In this case, the healing vertical scar is seen on the lower pole of the breast. After this breast augmentation mastopexy, the breasts are fuller, firmer and lifted.

Deflated, post child birth or post weight loss breasts can be lifted, tightened and enlarged with the breast enhancing Mastopexy Augmentation. Larger lifts require longer scars. In this case, the healing vertical scar is seen on the lower pole of the breast. After this breast augmentation mastopexy, the breasts are fuller, firmer and lifted.

Breast Shape

The ideal breast shape also varies from patient to patient. Most patients desire perky, teardrop shaped breasts. A Breast Lift reshapes the breasts by removing excess skin, lifting and firming the breast mound. When the upper pole of the breast is empty, a breast implant is used to add volume. A Breast Implant can balance the upper and lower halves of the breast, or it can enlarge the entire breast.

Breast Lifts come in many sizes. The most common are periareolar (around the areola/nipple), vertical (lollipop) and inverted T (anchor or keyhole). The amount of lifting needed determines the type of lift recommended. It is always desirable to choose the smallest lift expected to work. Smaller lifts come with shorter scars, but they lift less. Be sure to consult a Board Certified Plastic Surgeon near you to learn what is recommended for your particular needs.

Breast Augmentation Lift Consultations

When considering Breast Augmentation, with or without a Breast Lift, be certain to consult an experienced Board Certified Plastic Surgeon. They can explain your options and select the procedure most likely to get you the results you want in the safest and most predictable manner. Call (925) 943-6353 and schedule a personalized consultation appointment, today.

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BIA-ALCL January 2018 Breast Implant Associated Lymphoma Update

Posted January 13, 2018 in Home, Patient Safety

Through the years, I have posted several updates on the rare, but very treatable, Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) on the San Francisco Plastic Surgery Blog. As of January 4, 2018, a pivotal new study was released in JAMA Oncology.

An advanced case of BIA-ALCL. Arrows on this MRI point to white patches of increased fluid around the tumor cells.

An advanced case of BIA-ALCL. Arrows on this MRI point to white patches of increased fluid around the tumor cells.

What Is The Risk of BIA-ALCL in Women With Breast Implants?

The article, available on-line, is titled, “Breast Implants and the Risk of Anaplastic Large-Cell Lymphoma in the Breast.” The key question which the authors tried to answer is, “What are the relative and absolute risks of breast anaplastic large-cell lymphoma (ALCL) in women with breast implants?”

To properly frame the answer obtained, it is important to note that BIA-ALCL is not breast cancer. However, the relative risk of BIA-ALCL compared to the risk of breast cancer is often used to give proper reference to how rare BIA-ALCL is.

What Was Found – The Absolute Numbers

The study utilized the Netherlands’ Nationwide Network and Registry of Histo- and Cytopathology (PALGA). Over the 27 years, the study identified 32 patients with primary breast ALCL with a breast implants. Overall, 782 female patients were diagnosed with a non-Hodgkin lymphoma (NHL) of the breast in the Netherlands during 1990 to 2016. 43 primary breast-ALCL cases were confirmed. The median age of the 43 patients with breast-ALCL was 59 years. 32 of these patients had ipsilateral (same sided) breast implants, compared with 1 among 146 women with other primary breast lymphomas (OR, 421.8; 95% CI, 52.6-3385.2).

Other Associations With BIA-ALCL

BIA-ALCL seems to form on the surface of textured breast implants. The cells can also be found in the fluid  that accumulates around the breast implant. The bacteria that form a biofilm around the textured implants have been associated with this tumor.

BIA-ALCL seems to form on the surface of textured breast implants. The cells can also be found in the fluid that accumulates around the breast implant. The bacteria that form a biofilm around the textured implants have been associated with this tumor.

BIA-ALCL is associated with textured breast implants. Out of 109,448 breast implants sold in the Netherlands, 49,109 were textured (P < 0.01). This means of the breast implants sold in the Netherlands, and presumably used, 45% are textured. In this study, however, 23 of 28 patients diagnosis with BIA-ALCL had textured breast implants at the time of their diagnosis or 82%. So the actual number of BIA-ALCL cases associated with textured implants was almost twice what would be expected if BIA-ALCL occurred at the same rate in textured and smooth breast implants. Even more importantly, in this study, it was unknown if the patients with smooth implants had previously had textured breast implants, but more on that below.

Textured Breast Implants & BIA-ALCL

The Plastic Surgery Foundation has the most complete and largest database of BIA-ALCL cases. As of December 1, 2017, of the 183 unique reported cases in the PROFILE database, every patient has had a textured breast implant prior to their diagnosis. Even women who had smooth breast implants at the time of their BIA-ALCL diagnosis, had previously had either a textured breast implant or a textured tissue expander prior to receiving their smooth breast implants.

Comparisons With Breast Cancer

If you live to 80 years of age, your risk of developing breast cancer is 1:8. If you have breast implants, your risk of developing BIA-ALCL ranges from 1:1000 to 1:30,000 for women with textured breast implants, depending on which epidemiological study you read. In 2018, about 40,920 women in the U.S. are expected to die from breast cancer. World wide there have been 17 deaths from BIA-ALCL over the 56 years that breast implants have been available. Like breast cancer, early diagnosis is the key to a cure. Unlike breast cancer, BIA-ALCL is very treatable.

The Signs of BIA-ALCL

Current treatment of BIA-ALCL is usually curative, but depends on early diagnosis and appropriate treatment.

Current treatment of BIA-ALCL is usually curative, but depends on early diagnosis and appropriate treatment.

Although it is unlikely that a woman with breast implants will ever have to deal with BIA-ALCL, it is important to know the symptoms and seek care if they develop. When BIA-ALCL is confined to the capsule, removing the breast implants and capsules has been curative for every patient to date. The majority of early stage patients require no additional treatment. Chemotherapy is required for unresectable disease to metastasis.

Delaying or declining treatment is not advisable. Analysis of the known deaths from BIA-ALCL revealed that patients either received radiation (x-ray therapy) or chemotherapy alone, died of the treatment itself, had incomplete surgical resection or had distant metastasis. All cases of BIA-ALCL should be reported to the PROFILE registry.

BIA-ALCL usually presents as unilateral (one-sided) swelling of the breasts, an average of 8-9 years after the insertion of textured breast implants (range 2-28 years reported). This can occur even if the breast implants have been replaced with smooth breast implants. Fluid around a textured breast implant is not usually due to BIA-ALCL, but it can be sent for analysis when the conditions are suspicious. BIA-ALCL can also present as a lump in the breast or in the armpit like breast cancer does.

Risk Factors

The FDA does not recommend any additional screening or treatment for BIA-ALCL. BIA-ALCL is extremely rare, and it is impossible to predict who will develop it, but there are 4 identified risk factors: TIMD

  1. T – Textured Breast Implants – There have been no reported smooth-walled device cases at this time.
  2. I – Inflammation – Chronic inflammation has been implicated. Certain bacteria in the biofilm that forms around breast implants have been associated with an increased risk of BIA-ALCL.
  3. M – Mutations – There may be a link with genetic mutations in JAK1 and STAT3. Further research is necessary.
  4. D – Duration of Augmentation – Presentation is usually 8-9 years after textured breast implant insertion.

What To Do If You Suspect You Have BIA-ALCL

Get checked out. See your primary medical doctor or your plastic surgeon. Get an updated medical history and physical examination. If enough fluid is present around the breast implant, a sample can be sent for analysis. 2-3 tablespoons are required for cytology and CD30 immunohistochemisty to rule out BIA-ALCL. Mammograms are not useful. PET/CT scans are used for staging.

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Breast Augmentation With Breast Implants Bay Area

Posted December 16, 2017 in Breast Augmentation, Home, Mommy Makeover, Videos

Breast Implants can enlarge and enhance the shape of a woman's breasts.

Breast Implants can enlarge and enhance the shape of a woman’s breasts.

Breast Augmentation remains one of the most requested Cosmetic Plastic Surgery procedures year after year. My San Francisco Bay Area Breast Augmentation patients are no exception. Whether breast shape or volume has become a problem postpartum, after weight loss or if you have always had small breast, Breast Implants may be the answer you are looking for.

Breast Augmentation Before and After Pictures

Breast Implants can put the stuffing back into deflated breasts.

Breast Implants can put the stuffing back into deflated breasts.

This week I discussed Breast Augmentation on the SF Bay Area’s New Station, KRON 4, with host Janelle Marie. The video segment below includes information about Breast Implants and how they are used. In it, I narrate multiple Breast Implant Before and After Pictures of my actual patients.

Breast Augmentation Video (Breast Implants)

Breast Augmentation Explained

Breast Augmentation with Breast Implants has been around for over 50 years. The procedure involves creating a pocket for the Breast Implant behind your breast tissue to augment the breasts. This enhances both the size and shape of the breasts. More information is available here on the San Francisco Plastic Surgery Blog, by selecting “Breast Augmentation” under the “Search By Category” heading in the sidebar. There is also information about Breast Augmentation Lifts, Breast Implant Selection, Breast Implant Revision, Breast Implant Removal and a wide variety of other cosmetic breast, face and body procedures.

The best breast augmentation is achieved by selecting breast implants that are proportionate to the chest.

The best breast augmentation is achieved by selecting breast implants that are proportionate to the chest.

Breast Augmentation Consultations

If you are considering Breast Enhancement Surgery, call (925) 943-6353, today, and schedule a personal consultation appointment, tailored to your goals. We are conveniently located in the East San Francisco Bay Area city of Walnut Creek, CA.

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Cup sizes and CCs – SF Bay Breast Augmentation

Posted November 19, 2017 in Breast Augmentation, Home

How many ccs in a c-cup? This is a question I hear every day. The question is simple; however, the answer is complicated. I will try to explain in today’s San Francisco Plastic Surgery Blog post.

In 1937, Warner introduced its Alphabet Bra with four cup sizes (A, B, C and D)

In 1937, Warner introduced its Alphabet Bra with four cup sizes (A, B, C and D)

Math is Beautiful

Volume of a hemisphere

Please explain how this equation answers the question,”How many ccs are there in a C-cup?”

If you are still reading this, I will explain. The equation above is the approximate volume of a breast, given its radius (r). The volume of the breast is directly related to its radius cubed. In other words, if you double the radius of the breast, this will increase the volume eight-fold.

The upside to using an equation is that equations are 100% objective. Measuring the base width of the breast gives us the radius, and via the equation the volume. The beauty of mathematics is that there is a defined answer. The downside is that even this simplified equation is hard to relate to for most people. Additionally, the actual volume will be less than calculated, because breasts are not perfect hemispheres. At least they should not be, but this segues nicely in the subjective side of the C-cup.

Objective vs. Subjective

At the latest American Society for Aesthetic Plastic Surgeon (ASAPS) meeting, a company was offering a high-tech laser scanner that can be used to measure the exact contours of a patient’s body. If plastic surgery were 100% objective, this would be great; however, even though we can measure and calculate volumes with great precision, what exactly a C-cup represents is subjective. It depends on each patients experience, body shape and even the brand of the bra worn.

Bras were much pointier in the past.

Bras were much pointier in the past.

It is estimated that 75-80% of women wear the “wrong” bra size. My grandmother was a corsetiere. She sold lingerie at I. Magnin’s in Walnut Creek until the day it closed. She fitted women for bras, and even for prosthetics after a mastectomy. She had a loyal following, because she could find the right size for each customer and each manufacturer, and she confirmed that most women wear the wrong bra size. On the other hand, we wear what is comfortable.

Why Women Wear the Wrong Size Bra

Bra researchers have studied what size bras women wear and have documented through the years that most women do not wear the size bra for which they measure. Moreover, two trends are consistent. Women with smaller breast tend to wear bras which are too large, and women with larger breast tend to wear bras which are too small. Oprah Winfrey had an entire show dedicated to this, so it must be true. I think it’s an extension of the saying, “The grass is always greener on the other side of the hill.” In this case, the hill is a C-cup.

Inflatable cup sizes.

Inflatable cup sizes.

To add to the confusion, boutiques that tailor their products to younger/thinner women tend to inflate the cup size for a given volume. The best example is Victoria’s Secret. It is no secret that if you wear a C-cup in VS, you likely wear a B-cup in other mainstream bra manufacturers like Warner’s and Bali. This brand specific sizing, and often style specific sizing, leads to further confusion over what a C-cup really represents. There is no industry standard for bra sizing, so if you wear a 34C from company A, a 34C from company B may not fit.

Cup Volumes And Band Size

Cup volumes are also dependent in band size. The measurement under the breasts, the size of the chest without including the breasts, determines the band size. A larger chest means a larger band size. In the US, the measurement is made in inches, and then 4 or 5 is added to this to get to an even number. Other countries simply use the closest even number, so it is important to know the method of sizing.

Measurements are made around and below the bust for bra fittings.

Measurements are made around and below the bust for bra fittings.

When measuring around the breasts, each increase of one inch equals and increase in one cup size. Again, there are variations, some countries use 2 cm and others may use 3 cm. Since is takes more volume to increase an inch around a larger chest, cup volumes increase, for a given letter size, as the band size increases. For example, the cup volume of a 34C is 25% larger than that for a 32C and 23% smaller than that for a 36C.

So How Many CCs Are There In A C-Cup?

Bra sizing can be frustrating and confusing, and this is why it is hard to promise a certain cup size after Breast Augmentation. As it was so eloquently put by a presenter at the ASAPS annual meeting, “If a patient wants a guarantee for a specific cup size, I tell her I can, if I get to buy the bra.”

The simple answer: Objectively: When we do the math using the most commonly used US system of bra measurement, a 34C cup is 480ccs.

The real answer: Subjectively: It depends. It depends on many factors including:

  • Who’s C-cup you wear. A pretty, cleavage enhancing, Victoria’s Secret bra may only hold half the volume calculated above. Some of the cup size is filled with padding, and the wire length may be reduced to force the breasts together.
  • How you like your bra to fit. You can wear a cup size larger if you are smaller, or wear a tighter band size to support larger breasts. Research shows most women do.
  • Skin tightness. Tighter, higher breasts fit into a bra differently than deflated, lower breasts. Larger natural breasts do not fill the upper portion of the cup without support, while larger implants do.

How To Choose The Best CCs For Your Breast Augmentation?

This is a question that is asked every five minutes on the Internet, if not more frequently. The best way is to:

  • Seek guidance from a Board Certified Plastic Surgeon who is experienced and fully trained in Breast Augmentation.
  • Be honest with yourself, your goals and your surgeon.
  • Do your homework. Buy a bra that is the size you want, the band number should be the same, and stuff it. Ziplock bags filled with (uncooked) rice is a simple way to vary the size and try on different looks. Be sure to use different clothes too, to see how your look changes. This short post is as true today as the day it was published: How to Choose the Correct Breast Implants: Size.

Also remember, there is no perfect answer. Your ideal size may change from day-to-day, and through the years. So the goal should be to find your comfort zone and aim for the center of it. Additionally, breasts change. They can change with normal monthly cycles. Breast size and shape morph as we age, have children and gain/lose weight.

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