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Dr. Linder's Blog


Monthly Archives: October 2008

Breast Revision in Beverly Hills, Hollywood

The next few blogs are going to specifically describe breast revision procedures and the need for corrective breast surgery after breast augmentation.

There are several subcategories of breast revision surgery. They include:

  1. Breast reconstruction for severe encapsulation or capsular contracture. This can be classified via Baker classification with a Baker IV being the worst, most painful and scarred up breast.
  2. Malposition of breast implants, implants placed incorrectly, associated with transumbilical or transaxillary approaches frequently.
  3. Double-bubble deformity, where the implants are superiorly elevated and the skin over-drapes it.
  4. Ruptured implants, requiring removal and replacement of the implant.
  5. Laxity of skin with implants, requiring breast lifts or formal mastopexies.

In the next upcoming blogs, we will describe each one of these specific categories in more detail and how we fix these in our Beverly Hills Surgery Center.

Tubular Breast Deformity Hollywood

Congenital Breast Deformity

Tubular breast deformities can be seen in patients throughout the world. In my practice, approximately 2% of patients that have breast augmentation will have some form of tubular breast deformity.

The components of tubular breast deformity include usually:

  • a poorly defined inframammary fold, which means the flattening of the lower pole of the breast
  • herniation of breast tissue into the nipple areolar complex
  • a restricted lower pole of the breast that looks conical in shape rather than a round shape.

We fix these types of breast deformities all the time in our Beverly Hills surgery center. Patients with these deformities do extraordinarily well.

Breast Implants can normally be placed in the dual plane, half under the muscle and half over. Both saline or silicone breast implants can be used, depending upon patient’s preference. However, the thicker the muscles are with these tubular breast deformities, the better the results of saline implants, you get a rounder and a fuller shape with better anteroposterior projection than you do with silicone.

So, if a patient has ample amounts of glandular tissue and/or muscle, and you’re going to half under/half over with dual plane, we like to do high profile smooth round saline implants. The inframammary fold needs to be lowered and the lower portion of the breast, the fascia of the breast, needs to be released in a radial striated fashion. This allows the convex breast to become rounded and a beautiful fullness to appear.

Postoperatively, the patients need an upper pole band for a prolonged period of time, up to six to eight weeks, in order to maintain the implant’s position inferiorly with lowering the pocket and allowing the shape to become rounded

The pseudoherniated breast tissue sometimes, if it is severe, can be removed upon opening the periareolar incision in the approach. This can reduce the protrusion of the breast and the conical shape, if necessary. That tissue should be sent to pathology. All glandular breast tissue specimens should be diagnosed by a Board Certified Pathologist

We enjoy doing tubular breast deformities all the time. We have a gallery of tubular breasts in our photo gallery on www.drlinder.com. We invite your questions at any time and look forward to hearing from you.

Liposuctioning and Body Contouring in Beverly Hills

Liposuctioning is performed throughout the United States daily and as such, body sculpting procedures are now more common than ever. However, there are many techniques involved and some are more predictable and safer than others. We perform tumescent liposuction and body contouring weekly in our ambulatory surgery center in Beverly Hills.

Tumescent Liposuction in Beverly Hills

The Tumescent liposuction technique includes infiltration of tumescent fluid, which includes salt water solution with lactated ringer or sodium chloride, lidocaine for numbing affects and epinephrine to reduce bruising and bleeding and to constrict the blood vessels. This allows us to remove more fat safely with less bruising, less down time and minimize the pain greatly.

Patients undergo liposuctioning and body contouring with combination procedures of breast augmentation, breast lifts and breast reductions as necessary. Liposuctioning is also combined with tummy tuck procedures, especially contouring the hips and flank areas. Liposuctioning should be performed by Board Certified Plastic Surgeons only, surgeons who are qualified and have experience in judgment in the abdominal wall and the anatomy of the thigh.

Benefits of a Board Certified Liposuction Surgeon

Liposuctioning is much more involved than simply suctioning fat with a cannula. You need to make sure you are in the right plane, that you do not over-suction which could cause problems of contour deformities and irregularities, as well as under-suctioning, which may lead to lumpiness and bumps. Also, suctioning must be maintained in the deep localized fat deposit areas and not close to the skin, which could lead to skin irregularities, contour deformities or even avascular necrosis and death of the skin.

Therefore, liposuctioning should be performed using the tumescent technique, small cannulas such as 3 mm triple lumen Mercedes tip cannulas and under general anesthesia with Board Certified Anesthesiologists and a State Licensed and/or Medicare Certified Surgery Center.

Dr. Linder performs liposuctioning and body contouring every day he operates, with combination breast augmentation patients as necessary.

Pink Channel XM Radio with Dr. Linder

Dr. Linder will host Plastic Surgery Segments for Women Only on the Premier Radio Networks (Clear Channel) newest channel, The Pink Channel on XM Radio.

Dr. Linder is thrilled to be doing radio with the prestigious Premier Radio Network on Clear Channel XM Radio for the Pink Channel. He will be discussing issues on plastic reconstructive surgery and body sculpting for women only. The Pink Channel, established on August 18, 2008, will be airing 24/7 on XM satellite radio, Channel 24. It features hits from the 70’s, 80’s and 90’s, as well as celebrity hosts reporting on the City of Hope’s latest cancer research.

Other hosts on the show will include American Idol’s Jordon Sparks, Olivia Newton John (Grammy winner), Jillian Michaels of “The Biggest Loser” and the singer Pink, among many others in the future.

Dr. Linder’s segments will include segments on plastic surgery, including cosmetic and reconstructive issues. The Pink Channel has associations with the City of Hope and Cancer Research. We are truly honored to have this opportunity to help and educate women each and every day.

VH1 After Party, Celebrity Plastic Surgery

Dr. Linder was present with his wife at the Red Carpet Event for the VH1 Celebrity “I Love Money” wrap up party.

This was a truly amazing event. VH1 has obtained the services of Dr. Linder as their celebrity plastic surgeon to be performing the upcoming breast augmentation surgery on film in the next two weeks for future episodes of “I Love Money”.

Dr. Linder, as always, looks forward to working with VH1 Television Production on this celebrity breast augmentation procedure.