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Monthly Archives: February 2015

ASIAN BREAST AUGMENTATION

The following is an excellent case example of a Korean patient undergoing breast augmentation with silicone gel implants. From the orient and the Asian country very often desire silicone gel implants for the most soft and natural appearance to the breast. The incision site that I make is under the periareolar under the nipple in order to hide or camouflage the scars. The darker pigment and melanin of the skin of the Asian and oriental population can lead to hyperpigmentation and scarring. Therefore, I avoid the inframammary approach. The periareolar approach is safe. I am able to place the implant in a precise position releasing the muscle attachments of the pectoralis muscle medially along the inner chest area and laterally along the axillary armpit region.

This is an example of a patient undergoing bilateral breast augmentation with silicone high profile smooth gel implants through the dual plane, two-thirds under the muscle and lateral third over. Once again, saline and/or silicone can be used; however, in the majority of our Asian patients, Korea, or China population may undergo silicone gel cohesive Allergan or Mentor implants placed in the dual plane.

For a consultation regarding breast augmentation surgery give us a call at (310) 275-4513 or feel free to contact us via email for more information.

How Can I Get Rid of Stretch Marks of the Abdomen?

Removing Stretch Marks

Every week in my Beverly Hills practice I am presented with patients looking to improve the look of there abdomen. Sudden changes in the body size, such as during pregnancy, puberty, or weight gain can create stretch marks. During my consultation with most of these patients they explain that they have tried going to the gym, moisturizers, vitamin E oils and non surgical approaches.

If you have tried all these options and are still not happy, then the only true way to remove stretch marks in the stomach area is to have abdominoplasty surgery or commonly called a tummy tuck. A tummy tuck is a surgical procedure to remove excess skin from the lower abdomen, and tighten abdominal muscles. If you are a women who are finished having children and pregnancy or men and women who have experienced significant weight loss you might be the perfect candidate.

The benefits will be a flatter stomach, tightens lower abdominal muscles, however, the patient must also understand that there will be visible scarring after the surgery.

For a consultation regarding abdominoplasty surgery give us a call at 310-275-4513 or email us with your questions.

Reasons for Breast Reduction Surgery

Breast Reduction Beverly HIllsI am presented weekly in my Beverly Hills practice patients that are considering breast reduction surgery.  Most of these women are experiencing a range of physical issues due to overly large breasts, including:

Back Pain: when breast are excessively large, pulling forward on the woman’s body puts tension on her back muscles

Neck Pain: weight of the breasts affects a woman’s posture by pulling her shoulders and chest forward

Headaches: large breasts can lead to pain in the back of the head, known a occipital headaches

Rashes: skin folds of the breasts that rub together can cause a rash known as intertriginousdermatitis

Breast reduction surgery eliminates excess breast tissue and skin to reduce the size of the breasts and can alleviate many of these concerns. For a consultation regarding breast reduction surgery give us a call at (310) 275-4513

Natural Looking Breast Augmentation

The patient to the left was requesting a breast augmentation, also known as a augmentation mammoplasty. The patient was looking for a very natural look.  After she explained her expectation, we selected 330 – 360 cc saline moderate plus breast implants for the procedure. - 

Moderate plus profile implants are a compromise between the moderate profile (the widest and flattest implants, the least AP projection) and the high profile saline implants (the most AP projection and least in diameter or width). The moderate plus saline implants have a mid range of anterior/posterior projection and are not quite as wide as the more flattened moderate profile implant.

 The biggest advantage of moderate plus profile implants is not too much AP projection, especially useful for patients who are somewhat narrow along the thoracic cavity.

 

SILICONE IMPLANTS AND RIPPLING VISIBILITY

In general, there has been a myth that the use of silicone implants will completely reduce or prevent all visibility and rippling of the breasts. This is actually untrue. We have had a significant number of patients present with silicone implants from throughout the world who now have serious rippling and visibility, both along the medial breast as well as the lateral. This can occur both above and below the muscle. Obviously, placing silicone or saline implants above the muscle in the subglandular retromammary plane does increase risk of visibility around the medial breast, as there is no muscle coverage. However, even patients who are extremely thin and have an ectomorphic build may develop visibility and rippling around the medial breast associated with the fact that all silicone implants are not completely filled and there is loose laxity in the upper pole of the implant causing visibility. This can be distressing to patients and therefore we try to instruct patients that even style 45 extra high profile silicone gel implants can show visibility and rippling around the medial and/or lateral breast. Placing silicone gel implants under the muscle of either style 20 or style 45 on a primary augmentation using the dual plane technique, usually leads to reduced visibility and rippling. However, on revision surgeries, our patients are instructed that actually the least rippling and visibility of an implant is a high profile style 68 Natrelle saline implant over-filled significantly. We have had to use this on a significant number of patients who present with visibility and rippling with silicone implants and who want reduced visibility along the medial breast, especially patients in centerfold, high end modeling magazines.

Increased visibility and rippling with silicone implants can occur with textured implants which stick to the tissue and adhere such as Velcro. We don’t use textured implants because of its increased visibility as well as malpositioning of the implant which cannot be corrected unless directly operated on. The lower profile implants, style 10 and 15, have greater visibility and rippling around the medial breast associated with under-filled implants. Styles 20 and 45 are over-filled and have more projection and a narrowed tapered diameter and therefore rip less; however, even style 45 gel implants will ripple in very thin ectomorphic built patients. These patients should be instructed of this preoperatively and may require a acellular dermal matrix such as AlloDerm or Strattice in order to reduce some of the visibility and rippling. Once again, placing high profile style 68 saline implants may be the only alternative for severe medial breast visibility and rippling, although these implants have a more unnatural appearance and appear more “fake.” They can reduce rippling by greatly over-filling these bags.

Haute Living Magazine

Haute Living magazine, January / February, 2015 issue has Ryan Seacrest on the front cover, which discusses fashion, philanthropy and turning 40.

Inside this edition I am a part of the premier source for the country’s best doctors. Haute has handpicked surgeons who are at the pinnacles of their markets and areas of specialty.  I am happy to be representing Los Angeles California under the specialty of Breast.

I have included the internal page for this issue as well as a link to my profile from there online Haute MD.

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