This is perhaps the most fun part of the procedure. The goal of the augmentation is to restore volume and projection to the breast. During a consultation, patients can "try on" different sized implants to see which size gives the most natural appearance. Being attentive to a patient's wishes and desires is extremely crucial in finalizing the correct size.
The patient's height and body shape, along with the pre-surgical dimensions of her breast plays a prominent role in determining the size to acheive a natural look. The pre- operative tissue stretch and existing volume will determine the size of the implant that is chosen. Implants come in various dimensions and profiles and implants that are too large can often distort the anatomy. The surgeon will guide you in making the best choice to suite your individual goals.
Most of my patients want a natural look that fits their body. This is desirable in my opinion. Often when we hear that there is a problem, it is usually related to the implant being too large for a patient's frame. The other issue is that the implant should not be too small either. I usually give patients a range of sizes and often pick the size that best fits their body.
Wednesday, February 17, 2010
Monday, January 18, 2010
Q/A: How does smoking affect plastic surgery? Can I still have plastic surgery if I smoke?
Everyone knows the ill-effects of smoking. Media coverage is abundant when it comes to the detrimental effects of smoking. We know that it causes all sorts of cancers, but lets explore how smoking affects plastic surgery.
Smoking affects the microcirculation in the body. It causes the smallest blood vessels to constrict even more. This prevents blood from flowing into areas that are important during healing process. After plastic surgical procedures, whether big or small, we are relying on your ability to heal wounds. Smoking affects this process.
Another affect of smoking occurs with each puff of the cigarette. With each puff, instead of oxygen, carbon monoxide is delivered into the lungs. This same carbon monoxide is then delivered to a wound during the healing process. Now the wound, which needs oxygen to heal, is getting poisoned by the carbon monoxide.
The combination of constricting blood vessels and the absence of oxygen being delivered to a wound adversely affects wound healing. Most of the procedures that are performed in plastic surgery rely on wound healing to occur correctly and effectively. Smoking adversely affects how a wound heals.
The general recommendation of American Society of Plastic Surgery is for patients to quit smoking about 2 weeks prior to the procedure and to remain smoke free at least 4 weeks post surgery.
Smoking affects the microcirculation in the body. It causes the smallest blood vessels to constrict even more. This prevents blood from flowing into areas that are important during healing process. After plastic surgical procedures, whether big or small, we are relying on your ability to heal wounds. Smoking affects this process.
Another affect of smoking occurs with each puff of the cigarette. With each puff, instead of oxygen, carbon monoxide is delivered into the lungs. This same carbon monoxide is then delivered to a wound during the healing process. Now the wound, which needs oxygen to heal, is getting poisoned by the carbon monoxide.
The combination of constricting blood vessels and the absence of oxygen being delivered to a wound adversely affects wound healing. Most of the procedures that are performed in plastic surgery rely on wound healing to occur correctly and effectively. Smoking adversely affects how a wound heals.
The general recommendation of American Society of Plastic Surgery is for patients to quit smoking about 2 weeks prior to the procedure and to remain smoke free at least 4 weeks post surgery.
Friday, January 8, 2010
What factors make skin age faster? Is there something I can do to prevent this?
Anti-aging medicine is a catch term that has become very popular in the last decade. The skin is the first manifestation of the aging process. There are a number of factors that have been shown to speed up aging of the skin. Fortunately, these are factors that are within your control. Any steps that you take to adjust these factors will help to slow down aging of the skin. Remember these seven factors and make adjustments in your life as needed!
1. Sun Exposure
2. Smoking
3. Dry Extreme Cold Weather
4. Lack of a Sleep
5. Stress
6. Lack of Exercise
7. Too much Alcohol
1. Sun Exposure
2. Smoking
3. Dry Extreme Cold Weather
4. Lack of a Sleep
5. Stress
6. Lack of Exercise
7. Too much Alcohol
Wednesday, January 6, 2010
Are there any non-surgical solutions for excessive underarm sweating and palmer sweating?
Hyperhidrosis (excessive palmer and underarm sweating) is a real problem faced by many patients in the United States. It affects patients both on a personal social level and even professional level. This can have a profound effect on productivity at work.
Although, there are many solutions to this problem, Botox injections are very effective in helping control the hyperhidrosis. Botox works to block the neurotransmitter that results in the excessive sweating. It is injected directly into the affected area. This can be done in the office setting under local anesthesia. There is little to no downtime. It takes a few days for the Botox to start working. Once it takes effect, it will temporarily stop the excessive sweating.
Although, there are many solutions to this problem, Botox injections are very effective in helping control the hyperhidrosis. Botox works to block the neurotransmitter that results in the excessive sweating. It is injected directly into the affected area. This can be done in the office setting under local anesthesia. There is little to no downtime. It takes a few days for the Botox to start working. Once it takes effect, it will temporarily stop the excessive sweating.
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