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Dr. Linder's Blog

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Monthly Archives: December 2010

Beauty of the Carribean

Beauty of the Carribean:

Grenadines, Antigua West Indes and Grand Turks

Carribean 1

Carribean 2

Conversion Of Saline to Silicone Implants

FACTORS TO CONSIDER

Many patients who have had saline implants placed over the last 10 to 15 years are now presenting for replacement of their implants with silicone gel.  Several factors should be discussed with the patient upon this conversion to a completely different product.

1. Silicone implants in general, at least in my opinion, appear smaller in the body than saline implants.  Saline implants have a similar affect to a water balloon, especially as they become narrower with more projection as in high profile implants and show more projection than silicone gel implants of the same size when placed behind the muscle.  As a result, patients who desire to have the same projection or volume in size should consider going with a larger silicone gel implant in order to compensate for this specific factor.  For example, patients who may present with a ruptured 390 cc smooth moderate profile saline placed 10 years ago may desire to have a larger 475 cc high profile silicone gel implant in order to regain fullness, but have a similar width.  High profile implants are narrower than their counterpart moderate profiles and thereby compensation in order to regain diameter should be examined by the plastic surgeon on the Mentor or Allergan chart, looking at base diameter specifically. 

2. Projection.  Silicone implants in general do not project as well as saline implants and this is generally the case in patients who are used to having more fullness with their salt water implants that convert to silicone.  These patients may not be satisfied with their silicone gel replacement and fullness and therefore once again high profile or at least moderate plus silicone gel implants should be used rather than the moderate profile style 10 gel and also increase in the volume of the bag should compensate for this reduction of AP projection associated with silicone gel. 

3. There are new style 45 extra high profile gels presenting to the market in 2011.  These will be useful for patients who desire a little less natural, but more upper pole fullness or possibly those who are having severe rippling and visibility with their saline implants, the rounder implants just by the law of physics, the less visibility and rippling an implant will have.  The extra style 45 high profile Allergan gels may great reduce rippling and visibility in these patients who are quite thin, ectomorphic build, who have minimal breast tissue or those who ripple severely with moderate profile saline or textured implants; however, these patients may have a little less unnatural upper pole fullness and more of a rounded upper ledge.

New Extra High Profile Gel Implant

Coming Soon!

New style 45  Allergan silicone gel implant, a hot Hollywood saline look with soft silicone gel feel.
Dr Linder will be featuring these new implants in January 2011.

Holiday Plastic Surgery in Beverly Hills

christmas-gift-tagsfn-christmas-gift-tags-06The holiday time is a perfect time for patients to undergo their cosmetic transformation.  It offers them a time to recover during their vacation break and allows them to boost their body self-image during the holiday season.  Body sculpting procedures may also act as a kickoff for the New Year to break those old habits, which include smoking, overeating and binging.  Plastic surgery in Beverly Hills during the holiday season is off and running.  We enjoy taking care of our patients during this time of season in which they get an extra week or so to recovery from during their vacation time.  This may greatly reduce your risks and complications by allowing your body to heal quicker.

The Dr. LinderBra Is Now Available

The Dr. LinderBra is now available worldwide, order yours now! Online at www.linderbra.com

bra_apperalband_apperal

Large Tummy Tuck Staging

Patients who present for tummy tuck procedures weekly to our office are evaluated for single versus double-stage abdominoplasty surgical procedures.  In general, larger women who have a significantly large abdominal pannus may require two-stage surgeries.

Tummy TuckThe first stage is the abdominoplasty with liposuction of the hips.  Three to six months later, complete lipo-sculpting of the abdominal flap, flanks and upper iliac crest rolls can be accomplished to greatly debulk the flap in order to truly reduce the size of the woman’s midriff.  We instruct all of our patients preoperatively as to whether they will probably be a candidate for a second stage surgery requiring liposuctioning of the abdominal flap in order to reduce the thickness of it.  Remember that liposuctioning the flanks and upper epigastric region is dangerous during the initial abdominoplasty procedure due to vascularity and blood supply problems.  Once the vessels are cut along the lower C-section areas aka inferior epigastric and the circumflex iliac arteries, the blood supply comes from the upper flank areas.  There are three specific blood vessel suppliers and if these are sculpted and liposuctioned, they could end up devascularized in the abdominal flap, which could lead to skin necrosis and death of skin and fatty tissue from the flap.  In order to be as safe as possible, lipo-sculpting should be delayed of the upper epigastric and upper flank areas for three to six months to allow revascularization of the lower flap.  Large abdominal pannus patients will require a second stage in order to debulk the flap.  This will make the patient much happier with her final result and should be instructed to the patient preoperatively.

Tummy Tuck Revision Beverly Hills

ABDOMINOPLASTY REVISION

Patients present for abdominoplasty revision or tummy tuck redo’s several times throughout the year.  This is most consistent with patients who have undergone gastric bypass surgery and had massive weight loss and concurrently with the original gastric bypass have had paniculectomies prior to losing their significant amount of weight.  As a result, patients often lose anywhere between 50 and 120 pounds and now present with further skin laxity as well as large dog ears on the hips. 

Tummy Tuck

 The treatment for this is surgical correction by secondary full abdominoplasty, tightening of the muscles as necessary, resection of the hip dog ears and often liposculpturing of the flanks and upper hip region.  Tummy tuck revisions are rewarding, especially in patients who have had gastric bypass or bariatric surgical procedures who require secondary removal of redundant amounts of skin laxity after continued weight loss.

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