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Monthly Archives: January 2017

Rippling and Capsular Contracture, Revision Breast Surgery

breast revision surgeryThe female patient presented to the left was requesting to have a breast revision surgery due to her breast being asymmetry . During the examination, the breast had asymmetry due to the right breast having scar tissue (capsular contracture) and the left breast experiencing a rippling effect. Capsular contracture is scar tissue that forms around the breast implant which causes the breast to harden and the rippling was due to the amount of soft tissue covering the implant.  After listening to her goals, and agreeing on the expectation, we scheduled a surgery date.

During the surgery we used 445 cc SRX extra full profile silicone (gel) implants. This implant has a smooth shell surface and provides the patient with the fullest, roundest look. Using the silicone gel will also help reduce most of the visible rippling.

The post-op photo to the right is at 7-weeks and as you can see her breast are symmetric and she is very pleased with her shape and fullness. 

To schedule your consultation with Dr. Linder and learn more about breast revision surgery, call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.

 

Plastic Surgery Is A Choice After Breast Cancer

Going through breast cancer and losing a portion or all of your breasts can be traumatic. A decision to undergo plastic surgery can be hard not only physically but also emotionally. As a board-certified plastic and reconstructive surgeon, I am thankful for my training, so I can help women who have battled breast cancer regain their self-esteem.

Education is very important during this journey. The better informed a woman is, the more comfortable and confident she will be with her decision. Most of my patients who are in this situation need time to process the information before making a decision. During my consultation and examination, I take time with my patients to help guide them through the available options and discuss the risks and benefits.

For more information on the actual approach for breast reconstruction, please visit breast revision after breast cancer and reconstruction. See also the video below of Dr. Linder explaining his pre-op marking for a breast reconstruction cancer revision surgery.

To schedule your consultation with Dr. Linder or to learn more about breast reconstruction surgery, call our office at 310-275-4513 or fill out our online contact form today.

 

 

Male Breast Reduction Procedure

gynecomastiaI was presented a 23 year-old male who was self-conscious about the size of his breasts. During the consultation and examination we discussed how to remove the excessive glandular breast tissue and fat by performing gynecomastia surgery. The procedure was performed under general anesthesia supervised by a board-certified anesthesiologist.

The photo to the right shows three weeks post-op, and as you can see the enlarged breast has been reduced and are well balanced. The patient is extremely happy with his appearance and will continue to follow my postoperative instruction for a few more weeks (light actives can be resumed – no heavy lifting).

To schedule your consultation with Dr. Linder or learn more about gynecomastia surgery or male breast reduction, call our office at 310-275-4513 or fill out our online contact form today.

 

 

 

HOW TO GET RID OF CELLULITE ON THIGHS

Patients present weekly desiring to have liposculpture of their saddle bags and anteromedial thighs. They also have concerns of cellulite dimpling of the lateral thighs and desire to have these areas smoothed out. It should be realized by the patient that cellulite that is severe cannot be corrected by any form of liposuction. Liposculpturing is to remove the localized deep fat deposits that can be found in the deeper layers of fat. Suctioning close to the skin will actually increase contour deformities and irregularities. Now feathering of areas of contour deformities performed by other surgeons can be done to smooth defects that are large, for example, very large contour concavities.

Fat grafting can also be considered with injection into areas where there is severe deformity; however, there is the risk of calcification of the fat with possible fat atrophy and fat loss or depth. Cellulite or dimpling of the thighs is often hereditary or genetic in nature and is usually uncorrectable with any form of lotions, potions, creams or laser therapy. In fact, some forms of exercising may be helpful in smoothing out and tightening up the muscle which may reduce the obvious appearance of the cellulite; however, the cellulite is very difficult if not impossible to be completely corrected.

Grade 3 Ptosis, Breast Augmentation Enhancement

Grade 3 ptosis breast augmentation

Pre-Op & 4 Weeks Post-Op

I evaluated a female patient who expressed that she wanted to lift the shape of the breast as well as increase the volume. During her examination, we discussed her slight tubular deformity and grade 3 ptosis. Grade 3 ptosis is where the nipples lie below the inframammary fold and point downward (see the pre-op photo to the left). After setting her expectation, we scheduled her breast augmentation. During her surgery, we placed 350 cc high-profile saline breast implants under the pectoral muscle.

The post-op photo to the far right is 4 weeks out, and she is extremely happy with the shape and fullness of her breasts.

To schedule your consultation with Dr. Linder or learn more about breast augmentation or breast lift surgery, call our office at 310-275-4513 or fill out our online contact form today.

 

 

 

 

MINI MOMMY MAKEOVER

The below example is a typical case of a patient who presents for a mini mommy makeover. She has had a cesarian section, has involutional upper pole atrophy, loss of upper pole fullness of her breasts, has lipodystrophy adiposity of the iliac crest rolls, and rectus diastasis. Her desire is to improve the fullness of her breasts. She has Grade I ptosis and will do well with straight augmentation mammoplasty procedure without the need for a breast lift, high profile saline implants as well as a mini abdominoplasty with tightening of and plication of the rectus sheath from the umbilicus to the suprapubic region as well as lipo-sculpting from the lower flank down to the iliac crest roll regions.

BHMommyMakeover1

On frontal view, please note the flattening of the lower abdominal area. Notice the natural projection of her breasts using the high profile saline implants in the dual plane. In the oblique you will notice the hips have been smoothed down beautifully with a much more elegant contour, less bulkiness above the jean line and a smoothening of the lower abdominal wall. The mini mommy makeovers can be performed with implant lifts concurrently with mini abdominoplasties and lipo-sculpting of the hips as well as the inner and outer thighs. Patients who have mini abdominoplasties normally have redundant skin of the lower abdominal wall; however, have good tissue and good skin tightening of the abdominal area and hypogastrium, not requiring a full extensive abdominoplasty.

We look forward to taking care of you for your mommy makeovers after you have finished having your children and finished breast feeding.

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