Faq

Most women have a good idea what is a nice looking breast and what size they would like to be. And what they don’t like. They may remember their breasts when they were younger or pregnant or have seen others with a similar build or appearance. Cup sizes are classified as A, B, C, D or DD, E and so on. These reflect a look as much as a size. I always ask my patients the look they want and then translate the look into a cup size and shape. The bra size number is just the chest size measured under the breasts and should be close to dress size.

Most surgeons speak in terms of volume but much more important are dimensions which take into account the desired cleavage width and the patients height and breast width. Height determines implant height. Together with breast width (and therefore implant width) as well as implant projection (reflecting desired cup size), these dimensions will give the volume of the most appropriate implant.

This depends on the look you want. Everyone is different. A fake look? A natural look? Has she/ hasn’t she? If natural, is it a natural rounded look or is it a teardrop look? This helps me decide on the type and shape of implant. Generally I prefer cohesive gel implants (rather than saline) because they feel the most natural, and a textured surface rather than a smooth surface because of its lower published capsular contracture rate (firm scar formation around the implant). Smooth implants have a place in certain situations but they need a larger pocket and regular massaging to stop them going hard.

This is a very important decision for the surgeon to make and often the most difficult. As always, there are pluses and minuses with either placement and often it’s a compromise. The main reason to use the subpectoral position is to avoid seeing the implant, especially the upper border and to avoid visible rippling or wrinkling of the implant. It is most useful in those with thin breast cover. It can also be useful in creating a natural look when using a round implant especially in the D to DD cup sizes where the risk is creating an unwanted fake look. If you have good breast cover and especially if your breast is a little droopy, but not enough to need breast uplift, then the better position is prepectoral, on top of the pectoral muscle behind the breast.

This I usually discuss with the patient. I’m happy with all approaches. Personally, I don’t like inserting the implant through the nipple, for a number of reasons. Apart from small risks to nipple survival and denervation, there are important risks from scarring. Usually scars heal very well in the areola (the darker or pinker area around the nipple). However there are two situations which worry me. One is trying to get a larger implant through a smaller areola and the risk of the incision tearing into breast skin with subsequent uncorrectable bad scarring and second is the risk of scar contracture deforming the shape of the nipple itself. For those reasons I recommend either under the breast or through the armpit.

It is not uncommon for breasts to be slightly different in size. However, this difference may be very obvious (difference of 2 to 3 cup sizes) in some, causing great embarrassment and low self-confidence. Breast asymmetry can be corrected with breast augmentation.

There are a number of options that may involve the use of different sized implants with or without nipple repositioning on one or both sides. Implants can be inserted into the smaller breast to match the other, or both breasts may be augmented (with different sized implants) to achieve symmetry. The options are discussed in detail before selecting the ideal technique or combination of procedures that will help you achieve your aesthetic goals. It may require more than one operation to get good symmetry. Although correction is possible, it is important to note that even after surgery, the breasts will most likely not be entirely identical. Naturally, no two breasts are identical, but I will make all efforts to ensure your breasts look as natural as possible.

Along with the correction of asymmetry, the procedure may also involve the correction of breast droop.

Breasts in young women are firm and taut, but with age, weight gain or breastfeeding, the skin and underlying supportive tissue start to stretch. This stretching causes the breasts to sag or droop. There are varying degrees of breast sagginess. Low grade drooping may be perfectly well treated with implants alone (usually teardrop) if the nipple is above the fold (under the breast). The implants can provide the required projection, nipple-areola rotation, fill and lift to achieve the desired youthful look. However, in some cases a full mastopexy may be required to tighten the loose skin and lift the nipples.

When it comes to breast reconstruction surgery, the most important thing to remember is to have realistic goals as to how you want your breasts to look after the procedure.

This is a popular cosmetic procedure which results in a prominent, youthful, and more sensual body profile. This procedure installs volume and fullness to the buttocks by using the excess fat in the thighs, hips, and abdomen through liposuction. The Brazilian butt lift shapes or re-shapes flat buttocks, and it can also create a projection when desired. The Brazilian butt lift is the most natural approach used for buttock enhancement.

Anybody looking to improve his or her self-image can benefit from this procedure. Generally, the best candidates for this procedure are individuals who have sagging buttocks, flat buttocks, and patients who have lost a lot of weight and desire to change the buttocks’ shape.

The plastic surgeon will liposuction fat from your thighs, stomach, or back and purify it. This fat is then re-injected into the buttocks. The fat used is removed from fatty areas through liposuction by using a device specially designed so it will not damage fat cells. Once the fat particles are cleansed, they are injected into the buttocks’muscle layers through a small incision.

A butt lift is customized to meet individual needs. Patients who may have an excess of drooping skin choose this procedure. A Brazilian butt lift can help improve the firmness of your rear. This procedure is more natural as it uses the patient’s fat rather than implants. Butt lifts have lowered risks of infection since the individual’s body tissue is used therefore the patient can recover faster.

Butt implants are also very popular. This procedure involves inserting artificial body implants to create a much nicer and voluptuous shape. This procedure is very common among patients with underdeveloped buttocks. It helps them achieve a more balanced figure.

It can last many years. However, natural aging can change the shape of the body. Results can be best maintained by exercising and keeping a healthy diet and body weight. Losing or gaining too much weight too quickly can affect the shape and feel of this procedure in the future.

Depending on the case, the patient will need to wear a support garment for a brief period after surgery. Your doctor will ask you to be careful how you are seated for several weeks. Each case is different. The post-operative recovery protocol will be reviewed with you to make your recovery more pleasant, safer, and less painful. If you are from out of town, you should stay in the area around 7-10 days.

If you gain weight, the transplanted fat cells will grow just like any other fat in the body. In other words, you will gain weight where liposuction was performed and in other areas as well. A BBL should not interfere with pregnancy or fertility. Many patients want a touch-up or a mommy makeover to achieve the ideal shape after pregnancy.

This procedure has a high success rate when performed by an experienced surgeon. Some common side effects include loss of fat, bruising, pain, swelling, unbalanced contour, and infection.

Small suction devices called cannulas are used to remove fat during a Brazilian Butt Lift. The incisions are very small, but they will take time to heal. The scars will first appear red but will become less noticeable. Some patients may have keloids. These are abnormal scars that become prominent. It is essential that you tell your surgeon if you are prone to these scars. There are lightening creams and other treatments available to minimize their appearance.

Patients should follow their physicians’ instructions, whether that includes skin care products or aftercare tips. You must avoid direct exposure to sunlight until you have fully recovered. Using sunscreen is recommended when going outdoors.

A tummy tuck will address fat tissue mainly in the upper and lower abdominal area. It also helps detach anterior abdominal muscles and address saggy skin, stretch marks, excessive weight loss and stubborn fat deposits after pregnancy.

Most patients undergo this procedure after they give birth and don’t plan to have any more children. Also, if you expect to lose significant weight, you should wait until you have reached the desired weight. There is not an ideal age. As long as the patient is in good health and a good candidate for the procedure, they will have a good outcome.

Some non-surgical skin-tightening approaches may be effective in some patients, including exercise. However, in most cases, a tummy tuck yields better results since these patients have loose skin folding over on itself. Loose belly skin can only be tightened with a surgical procedure.

A tummy tuck is not a weight loss plan. This procedure trims excess skin so you will probably weigh four to ten pounds less because of the skin that was removed. In other words, if you are close to your ideal weight but still have excess skin in the abdominal area, which cannot be corrected with exercise, you are a great candidate for a tummy tuck.

A tummy tuck will not remove all stretch marks, only those below the belly button. However, redundant abdominal skin can be removed with a tummy tuck, making stretch marks on the upper abdomen less noticeable. In short, this procedure can help improve the appearance of some stretch marks and eliminate others.

Absolutely! A tummy tuck will help remove excess loose skin.

Fat should not return unless you gain weight. Nevertheless, since many of the fat cells have been removed during surgery, the capacity for extra fat will be less. The skin and muscles will also stretch over time, but you will enjoy an enhanced body shape for several years.

Women that already had children generally need a full tummy tuck to tighten the stretched-out abdominal wall and remove excess skin. Only a smaller percentage of women qualify for a mini-tummy tuck when the loose skin is mostly on the lower abdomen.

It all depends on the kind of work you do. If there were no complications after surgery and you are sitting by your desk most of the time and your job doesn’t require heavy lifting, you may go back to work a week after surgery. However, if you undergo a major procedure, you may need two weeks to recover fully. That is a decision your doctor can help you with.

The risks of this procedure are minor, including issues with wound healing and scar asymmetry, fluid buildup, and numbness. There are also some severe but less common risks such as bleeding, infection, and blood clots.

Liposuction is performed for men and women who are struggling with localized fat deposits. Ideal liposuction candidates are non-smoking, healthy individuals who are close to their ideal weight.

Liposuction is not a weight loss procedure, and patients should have realistic expectations of their results.

Most patients never experience any significant side effects after liposuction treatment.

Unfortunately, complications are possible. These risks include:

• Adverse reactions to anesthesia
• Bleeding
• infection
• blood clots
• long-term wound healing

Aesthetic complications include:

• negative scar
• contour irregularities
• asymmetry

Patients should not feel pain during the procedure. Mild to moderate pain can be expected in the first two weeks of healing as the incisions heal and swelling decreases. Although many patients find relief with over-the-counter pain medications, pain medications may be prescribed as needed.

The fat cells removed during a liposuction procedure are gone permanently and cannot grow back. However, that does not preclude a patient from gaining weight again in another area. If a patient gains an excessive amount of weight after a liposuction procedure, most of the benefits may be lost. The treated area will tend to show weight gain slower than other areas of the body, but it is not immune to additional weight gain.

The results from your liposuction treatment will begin to show immediately but will improve over the following 3 months as the bruising and swelling subside. While most of the swelling will dissipate within 6 to 8 weeks, some swelling may take up to 6 months to completely disappear.

The fat that is removed with liposuction is gone for good, but additional fat deposits can accumulate if a healthy lifestyle is not maintained. Patients should eat a nutritious diet and follow an exercise program.

Men who have tried diet, exercise, or medication to get rid of gynecomastia with no success are ideal candidates for gynecomastia surgery. It is important that patients have breast development that is stabilized and that they are at or near their goal weight. Men undergoing surgery should be in good health, not smoke, and have realistic expectations.

Gynecomastia is commonly performed using liposuction. It can also be combined with other body contouring surgeries, such as body liposuction, tummy tuck surgery, and arm lift surgery.

Results achieved with gynecomastia surgery are permanent. However, weight gain and certain steroids or medications can cause the recurrence of gynecomastia. For the best outcome, patients should maintain results by practicing a healthy lifestyle and incorporating diet and exercise into their daily routine.

Although rare, some risks and complications are associated with gynecomastia surgery, such as:

• Bleeding
• Infection
• Breast asymmetry
• Poor wound healing
• Unfavorable scarring
• Anesthesia risks

Candidates must be in good general health and have realistic expectations for what rhinoplasty can achieve. You will also be asked to quit smoking for a few weeks before and after your surgery.

Nose surgery can take approximately two to three hours to complete, depending on the specific corrections that need to be made.

General anesthesia is administered throughout your procedure, so you do not have to worry about feeling any pain or discomfort during surgery.

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As with any surgery, there are some risks involved with rhinoplasty. These include anesthesia risks, numbness, damage to deeper structures, deep vein thrombosis, fluid accumulation, infection, irregularities in contour, and loose skin.

Rhinoplasty is designed specifically to address the aesthetic conditions of the nose. However, rhinoplasty can be combined with septoplasty to address mechanical problems that obstruct breathing.