Breast augmentation articles

  • How do I get more cleavage with my breast implants?

    Types of cleavage with breast implants.

    A lot of patients who come in for a Breast augmentation or a Breast lift with implants consult will usually make a comment about cleavage. Some patients don’t want “that fake look,” yet others specifically ask for “a lot of cleavage.” It helps when patients bring in pictures, because cleavage is one of those words that, like “natural look,” can have different meanings to different people. In this post I will talk about cleavage, and how it is related to surgical technique and patient anatomy.The word cleavage is derived from the word cleft. According to the Merriam Webster online dictionary… cleft : usually V-shaped indented formation : a hollow between ridges or protuberances The misunderstanding between plastic surgeon and patient comes from knowing which end of the “V” we are talking about. Does the patient want upper pole fullness, which is prominent at the upper part of the breasts? Does the patient want medial cleavage, which is breasts that are close together at the midline? Or is it both upper pole fullness and medial cleavage? The surgeon has two surgical methods to improve cleavage with breast implants.

  • Breast surgery: What type of scar do I get with different breast techniques?

    An illustration showing a breast scar comparison for various techniques.

    I have been looking at some of the breast implant forums, and there are a lot of issues related to breast scars. It seems most surgeons use the Wise pattern, or Anchor scar, and some use the Benelli scar. A few surgeons use the Vertical scar or the Crescent scar. I use all of these breast techniques, except the Wise pattern scar. I feel that the Wise pattern technique makes unnecessary scars.

  • Types of Breast augmentation incisions

    An illustration showing incision types for breast augmentation: inframammary, infraareolar, TUBA

    What type of incision should you get for your Breast augmentation procedure? In addition to the implant size this is another very important decision that you need to make. It seems to me when I ask a patient whether they have a preference as to what kind of breast incision they want, the most common answer is that they want the type of incision that they have seen on a friend. Likewise, the second most common comment is “I don’t want such and such incision because somebody I know had one and it looks bad”. The truth is every type of incision has its pros and cons. Here is my explanation of the types of Breast augmentation incisions…

  • Multiple cosmetic surgery procedures – what is the protocol, is it safe?

    A collage of photos of a patient before & after a Tummy tuck procedure.

    Patients have recently been writing about the safety of multiple procedures. I would like to address the subject of multiple procedures such as a Tummy tuck combined with a Breast augmentation. Like you, I am also concerned about the safety of doing multiple surgeries at the same time on the same patient. Fortunately, recent advances in pre operative, operative, and post operative management allow me to do multiple surgeries safely and effectively. Preoperatively, we screen our patients carefully with the help of Internal Medicine specialists to make sure our patients are fit for surgery. We also inform the patient so that any drugs or herbs that can cause complications are avoided.

  • Saline vs. Silicone implants: Why I’m happy silicone implants are back!

    A hand pressing down on a implant on a table.

    In my last blog post, I went over briefly how the silicone implant moratorium came about. This week I’ll tell you why it is such a good thing that silicone implants are back as a choice for all breast augmentation patients. Remember, silicon implants weren’t really banned, as we have been using silicone implants for cancer patients, those with congenital defects, and patients needing a breast lift. Over the past 14 years they were just not available for cosmetic surgery patients. However, now all patients will have the choice to use saline or silicone implants.

  • FDA approves silicone breast implants

    FDA apporval logo.

    Silicone breast implants are back! The truth always comes out in the end. In the case of silicone breast implants, it took 14 years! How can it be that implants are supposed to be so bad yet they’re back in the market? Well, because silicone breast implants were never really ‘bad.’