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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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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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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Saline Breast Implants – SF Bay Area Breast Aug Surgery

Posted February 11, 2019 in Breast Augmentation, Breast Implant Revision Surgery, Home

All breast Implants create larger breasts. While Silicone Breast Implants are more widely used, Saline Breast Implants still have a role to fill.

All breast Implants create larger breasts. While Silicone Breast Implants are more widely used, Saline Breast Implants still have a role to fill.

Over 90% of today’s Breast Augmentation patients choose Silicone Gel Breast Implants, but Saline Breast Implants still play a role in selected situations. Today, I review the pros and cons of Breast Augmentation with Saline Breast Implants.

Saline Breast Implant Cost Less

Saline Breast Implants cost less than Silicone Breast Implants. Since saline breast implants are easier to manufacture, they cost less. Also, saline breast implants are not pre-filled. The saline is actually inserted during surgery by your surgeon.

Saline Breast Implant Leak Detection

Saline is water with a little salt added to make it as salty as we are, about 0.9% NaCl.

Saline is water with a little salt added to make it as salty as we are, about 0.9% NaCl.

With Saline Breast Implants, leak detection is simple. When they leak, the slightly salty water inside escapes and is quickly absorbed by the body. The result is noticeable deflation, usually occurring overnight. Unlike Silicone Breast Implants, expensive diagnostic imaging, MRI is not needed. Saline Breast Implants are also easier to replace, because only the shell needs to be removed.

Saline Breast Implant Projection

Until recently, Saline Breast Implants provided more projection than silicone breast implants. When saline implants are filled, they become firmer and have more projection. For the same volume, Saline Breast Implants have about 10% more projection. Additionally, Silicone Breast Implants are flat on the back side, while Saline Breast Implants are convex.

Saline Breast Implants are convex on the back, so they give more projection than the flat-backed Silicone Breast Implants for the same volume.

Saline Breast Implants are convex on the back, so they give more projection than the flat-backed Silicone Breast Implants for the same volume.

Saline Breast Implant Incision Size

Saline Breast Implants are inserted empty, so the surgical incision is small. They can be collapsed and then filled after they are inserted by way of a filling tube. On the other hand, Silicone Breast Implants come pre-filled, thus they are bigger and require a larger incision for placement.

Saline Breast Implant Drawbacks

Saline Breast Implants feel firmer, tend to ripple (wrinkle) more and move differently than Silicone Breast Implants. For women going up one cup size, there may be enough native breast tissue to disguise the implant. However, for those going from an A-cup to a D-cup, the implant is more palpable, even when the Breast Implant is placed behind the muscle.

Breast Augmentation Consultation

The difference between Saline and Silicone Breast Implants is just one consideration before Breast Augmentation surgery. While the Internet can provide general information, consulting with an experienced, Board Certified Plastic Surgeon will help you translate which options will work best for you.

If you are in the San Francisco Bay Area, call (925) 943-6353 today, and schedule a private Breast Augmentation Consultation.

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Tummy Tucks and Mommy Makeovers | SF Bay Area

Posted October 25, 2018 in Breast Augmentation, Breast Augmentation Lift, Breast Lift (Mastopexy), Home, Tummy Tuck (Abdominoplasty), Videos

The Tummy Tuck is half of a Mommy Makeover. The patient shown above wanted her pre-baby belly and breasts back. The combination of Abdominoplasty and Breast Augmentation with a Breast Lift restored what nature had given and taken away.

The Tummy Tuck is half of a Mommy Makeover. The patient shown above wanted her pre-baby belly and breasts back. The combination of Abdominoplasty and Breast Augmentation with a Breast Lift restored what nature had given and taken away.

The Tummy Tuck remains one of the most sought after cosmetic plastic surgery procedures. Also termed, Abdominoplasty, it literally means belly changing, and that is exactly what it does.

Tummy Tuck and Mommy Makeover Video

Today’s episode of Body Beautiful reviews the Tummy Tuck procedure, and beautifully illustrates what Abdominoplasty can do to restore abdominal contours often lost after pregnancy or changes in weight. This video segment is from the Bay Area’s News Station, KRON 4’s, Body Beautiful. The show features the latest in Cosmetic Plastic Surgery, and uses before and after pictures liberally to demonstrate what is possible.

Tummy Tuck After Pregnancy or Weight Loss

After pregnancy or weight loss, the abdomen is often left flaccid. The muscles, even when strong, are stretched out and cannot support the abdominal contents the way they used to. The skin itself is stretched out, often leaving stretch marks and rolls. The result: clothes don’t fit the way they used to.

What is a Mommy Makeover?

The breasts often suffer a similar fate, so restoring breast volume and perkiness is often performed at the same time as the Tummy Tuck via Breast Augmentation, Breast Lift or the combination Breast Augmentation Lift.

More Mommy Makeover before and afters: Again, Abdominoplasty is combined with Breast Enhancement. In this case, a Breast Lift was combined with a Tummy Tuck for a uplifted, aesthetic result.

More Mommy Makeover before and afters: Again, Abdominoplasty is combined with Breast Enhancement. In this case, a Breast Lift was combined with a Tummy Tuck for a uplifted, aesthetic result.

Because this is commonly a problem after pregnancy, the combination of Breast Enhancement and Tummy Tuck goes by the name Mommy Makeover. In the Mommy Makeover Before and After Pictures above, a Breast Lift (Mastopexy) was combined with a Tummy Tuck for maximum aesthetic results.

Tummy Tuck or Mommy Makeover Consultations

There is no substitute for proper training and experience. When considering a Tummy Tuck, Mommy Makeover or any Cosmetic Plastic Surgery, consult with an experienced and Board Certified Plastic Surgeon. If you are in the San Francisco Bay Area, call (925) 943-6353 to schedule a private and personalized consultation appointment, today.

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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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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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Mommy Makeover Before and After Video – SF Bay Area

Posted December 23, 2017 in Breast Augmentation, Breast Augmentation Lift, Breast Lift (Mastopexy), Home, Mommy Makeover, Tummy Tuck (Abdominoplasty), Videos

The combination of Breast and Belly Enhancement has been coined the Mommy Makeover. Since the breasts and belly often change after childbirth, the combination is most often performed for mommies. Children, however, are not a prerequisite as any weight gain and loss can cause similar changes.

Mommy Makeovers After Weight Loss

Mommy Makeovers can be performed after weight loss, too.

Mommy Makeovers can be performed after weight loss, too.

The combination of breast and belly rejuvenation is frequently requested after bariatric surgery or larger weight loss after diet and exercise. As with pregnancy, both areas stretch with weight gain, and then deflate and often sag after the weight is lost, taking the shine off all the hard work. The Mommy Makeover procedure can enhance the breast and the belly in a single operation. The Mommy Makeover Video below shows additional examples.

Mommy Makeover Video (Breast and Belly Enhancement)

This Mommy Makeover video narrates several Mommy Makeover Before and After Pictures and provides additional information on the Mommy Makeover procedure including options and recovery.

Mommy Makeover Results Last

This mommy has been shown here before. She is maintaining her healthy lifestyle and her beautiful results.

This mommy has been shown here before. She is maintaining her healthy lifestyle and her beautiful results.

You can expect your Mommy Makeover to last. With proper maintenance, the procedure is very effective at improving body contours long term. If you are planning to have children, it is recommended to have them before the Mommy Makeover.

Mommy Makeover With A Brazilian Butt Lift

The Mommy Makeover can also be combined with the Brazilian Buttocks Lift.

The Mommy Makeover can also be combined with the Brazilian Buttocks Lift.

For selected patients, the Mommy Makeover can be combined with fat grafting to the buttocks, aka the Brazilian Buttocks Lift. The upside is added shape to the buttocks by grafting fat from the belly and back that would usually be discarded during the tummy tuck. The downside is trying to avoid sitting/laying on the fat grafts while recovering. Sometimes separating the procedures is recommended.

Mommy Makeover Consultations

To schedule your personal Mommy Makeover Consultation, tailored to your specific needs, call (925) 943-6353. As a Board Certified Plastic Surgeon, I offer a wide range of options for both breast enhancement and tummy tightening. Check out the San Francisco Plastic Surgery Blog and my main websites for more information. If you have a question, just ask via the contact forms available on this and all our webpages.

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