Breast Lift, General, Plastic Surgeon, Plastic Surgery, Plastic Surgery Blogs
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The donut mastopexy, also called as concentric or Benelli mastopexy, is a modified breast lift technique primarily designed to correct mild to moderate sagging in the breasts. It is important to note that if given to the right candidate, this procedure can provide a great result without using extensive incisions which are used in the traditional approach.
In the traditional breast lift, plastic surgeons use three separate incisions that resemble a nautical anchor—one around the perimeter of the areola, another vertical cut from the nipple to the breast crease, and a third one that horizontally covers the crease.
As a less invasive breast lift technique, donut mastopexy uses fewer incisions—just around the circumference of the areola. In this way, plastic surgery specialists can remove the excess skin around the pigmented part of the breast, raise the nipple to a higher position and reduce its size if necessary, and tighten the tissue.
And because of the limited incisions, patients can of course expect a relatively faster recovery compared to traditional breast lift which uses three extensive incisions. Another bonus is that this technique usually results to unnoticeable scars because the incision is strategically placed along the edge of the areola.
However, plastic surgeons believe that donut lift only works for women with small to medium breasts that have a mild to moderate sagging. But for large-busted patients with a more noticeable sagging, this is usually not enough to correct the drooping appearance.
Generally, the result of donut lift does not last a lifetime due to the effects of aging and gravity, although small-busted women can maintain it for many years if they use a good-fitting bra that provides a reliable support and avoid getting pregnant which may weaken and stretch their breast skin and tissue. Meanwhile, plastic surgeons have noticed that large-breasted women usually see a recurrence of sagginess much faster.
For women with a more pronounced sagging or those who wish to increase their bust size, they can have the donut lift performed in conjunction with breast implant surgery. If these two plastic surgery procedures are performed at the same time, most doctors place the implants under the chest muscles so that a thicker amount of tissue and skin can support them, thus preventing or at least postponing the sagginess in the future.
As with any plastic surgery, the donut lift does involve risks such as asymmetrical or “puckery” appearance, unnecessary scarring, and delayed healing. For such reasons, patients should only consult with a doctor who has extensive experience with the procedure and has board certifications from reputable medical groups.
Cosmetic Surgery Blogger @ October 18, 2011
Breast Augmentation, Breast Implants, Plastic Surgeon, Plastic Surgery, Plastic Surgery Blogs
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While breast augmentation surgery is primarily used to increase the bust size of a woman, this procedure may also create a more prominent cleavage which is the V-shaped indented formation. But to achieve this sexy feature, plastic surgeons adopt several techniques especially in terms of implant placement.
One of the most effective ways to create a cleavage is to place the implants higher up on the chest wall, thus increasing fullness in the upper pole of the breast. These synthetic materials may also be placed closer to each other to achieve a more prominent medial cleavage, a feature which naturally occurs on women with larger breasts.
However, one common downside of naturally large breasts is the lack of upper pole fullness because of their own weight, according to plastic surgery specialists.
Another important consideration is the implant dimension. The general rule is that the larger the implant is, the better cleavage a patient can get—both the upper pole fullness and medial cleavage. (This is because bigger implants can occupy more space on the chest wall.)
But for women who want to have a good cleavage but do not desire to get large-sized implants, it is still possible to achieve this feature with the use of certain types of implant dimension. To date, plastic surgeons are using high-profile implants that have a smaller diameter (ideally for petite patients), or moderate- to low-profile implants that have a larger diameter (recommended for individuals with moderate to large body frame).
While there are plastic surgery techniques that can improve the appearance of cleavage, it still boils down to a person’s anatomical feature particularly in terms of natural bust position and chest wall. For instance, it is relatively difficult for people with breasts that are placed wide apart to achieve a good medial cleavage.
On the other hand, patients with a pronounced or mild hollow on the middle of their chest usually get a good medial cleavage unlike those individuals whose chest cage center is very prominent, according to plastic surgery experts.
For patients who have sagging breasts with nipples pointing downward, it is usually difficult—if not impossible—to create fullness in the upper poles of the bust. Fortunately, this aesthetic problem can be treated with breast lift surgery complemented with implants.
Aside from the right implant placement and type of implants, plastic surgeons suggest that wearing a good-fitting bra which can provide a reliable support to the breasts will also create a good cleavage while preventing sagginess in later years.
Cosmetic Surgery Blogger @ October 18, 2011
Breast Augmentation, Breast Implants, General, Gynecomastia, Liposuction, Plastic Surgeon, Plastic Surgery, Plastic Surgery Blogs, Teens and Plastic Surgery
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In US plastic surgery, liposuction and breast augmentation are the two most commonly performed cosmetic procedures for adolescents over the past several years. But despite the treatments’ popularity, there are some physiological and psychological reasons why most teenagers should delay these treatments.
While reconstructive plastic surgery is obviously necessary for teenagers as this will improve their body’s function, treat physical difficulties, and help them live a normal life, this is not the case for cosmetic surgery which is solely performed to improve the physical appearance.
One of the most cited reasons why teenagers should delay cosmetic plastic surgery is that their level of emotional maturity may not be enough to understand its limitations and risks. In addition, they are prone to social pressure compared to other age groups; in fact, a study conducted by the American Society of Plastic Surgeons (ASPS) has shown that teens view surgery as a way to fit into their community while adults see this as a way to stand out from the crowd.
Aside from emotional maturity, another important consideration is a patient’s physical development. According to plastic surgeons, a teenager’s body is still growing which may affect the result of cosmetic procedure, and for this reason, she will most likely need a revision treatment in later years.
For example, if rhinoplasty or “nose job” is performed on patients aged younger than 14, there is a great chance that they will undergo a revision procedure several years after their initial treatment since their nasal structure is not yet fully developed. It is important to note that subsequent surgery is usually more expensive and complicated and involve more risks.
Because the natural development of the body may affect the result of a particular cosmetic procedure, plastic surgeons consider the age of their patients and usually turn down anyone who will not meet this requirement. For instance, breast augmentation surgery through the use of saline implants require a person to be at least 18, or 21 years old if she will have the silicone version.
In liposuction treatment, most doctors also require their patients to be at least older than 20 since some people just appear plump because of their “baby fats” which usually disappear in later years. But in some cases, this procedure is given to male teenagers who are suffering from gynecomastia, a condition in which their breasts become enlarged due to the excess fats, skin, and/or tissue.
Cosmetic Surgery Blogger @ October 18, 2011
Breast Augmentation, Breast Implants, General, Plastic Surgery
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Breast augmentation Los Angeles has been one of the most commonly performed cosmetic plastic surgeries over the past several years. Its growing popularity can be attributed to the deeper understanding with the breast anatomy, introduction of safer technologies and surgical techniques, and changing attitude toward the procedure.
For petite women who often have a limited amount of fats and tissue in their breasts, there is an ideal approach to achieve the best possible result. Because of their anatomical feature, they are at higher risk of palpable and visible implant rippling especially if they choose sizes that are too large in comparison to their body frame.
In most cases, petite women and those with small breasts should receive submuscular breast implant placement, also called “unders,” in which the material is positioned behind the chest muscle, preventing its shell from becoming visible and palpable.
Meanwhile, “unders” is available in two variations: complete submuscular in which the top two-thirds of the breast implants is covered by the muscle while the remaining area is supported by a tissue (it is anatomically impossible to place them totally behind the muscle); and partial submuscular in which the upper half of the implant is covered by the muscle while the lower half is not.
With submuscular placement, a thicker wall of muscle—in addition to fats, tissue, and skin—can cover the shell, minimizing the risk of implant wrinkling.
By contrast, subglandular placement—in which the breast implants are positioned on top of the muscle and behind the tissue—is not ideal for petite women with limited breast tissue because it can make them more prone to implant wrinkling.
Aside from the proper implant placement, using the right type of breast implants can further result to a more natural appearance and lower risk of complication. Between saline and silicone implant, the latter is considered more ideal for them because it mimics the feel and “movement” of breast tissue in which they lack.
On the other hand, saline implants, because they are filled with just a sterile saltwater, may feel and move like a water balloon; this is usually a concern on patients with a limited amount of tissue and fats to work with.
To further reduce the risk of rippling and wrinkling among patients with limited tissue and fats, doctors specializing in breast augmentation Los Angeles recommend smooth implants rather than the textured ones.
Textured implants, because they have small ridges around their surface, can become visible under the skin particularly if there is only a thin wall of tissue and fats, and if the wrong kind of implant placement is used.
Cosmetic Surgery Blogger @ October 16, 2011
General, Liposuction, Plastic Surgeon, Plastic Surgery Blogs
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In the early 1970s, an Italian doctor invented the modern form of liposuction which had been further developed by other physicians to make it more effective in removing the unwanted fats. After years of its introduction, it became popular in the US despite some negative publicity such as excessive bleeding, skin irregularities, and prolonged recovery.
But everything has changed with the invention of tumescent liposuction in 1985. Dr. Jeffrey Klein, a dermatologist from California, created this technique that has allowed plastic surgeons to perform fat extraction totally by local anesthesia instead of general anesthesia which involves more risks and higher surgical cost.
Meanwhile, the earlier forms of liposuction involved the use of large cannula with a diameter greater than 3 millimeters. This fat-suctioning probe, with its relatively thick body, resulted to higher risk of skin irregularities, visible scarring, more surgical trauma, and excessive bleeding.
To make matters worse, earlier liposuction techniques used oscillating blades encased in metal cannulas and sharp “bladeless” probes which resulted to more tissue damage, higher risk of permanent numbness, and significant bleeding.
During the 1980s, there were questions about the safety of liposuction and other cosmetic and elective surgeries. And in this period, there was also a debate if the procedure should be conducted by plastic surgeons, dermatologists, general surgeons, or primary care physicians.
However, all things have changed with the introduction of tumescent lipo technique in which the treated area is injected with a solution primarily made of local anesthesia for the numbing effect, epinephrine to prevent excessive bleeding, and sterile saline (or saltwater) to further emulsify the fat and pave way for its gentler extraction.
By contrast, earlier liposuction techniques, also referred to as dry lipo (because no solution was used during the treatment), resulted to higher surgical trauma because there were no drugs to emulsify the fat, particularly the fibrous one which is commonly found around the navel, male breast, flanks, and calves.
But with trial and error, plastic surgeons had discovered that injecting saline to the treated area can emulsify the fats and pave way for gentler and faster extraction. After this, some infused the solution with epinephrine which is a drug known to constrict the blood vessels, preventing excessive bleeding; and lidocaine (a type of local anesthesia) to provide numbness.
Combining lidocaine, epinephrine, and saline in liposuction has paved way for wet technique. This later evolved as a tumescent lipo in which the amount of solution is about two to three times the quantity of fats to be removed. By contrast, the fluids used in wet lipo is the same amount of the fats to be suctioned out.
Cosmetic Surgery Blogger @ October 16, 2011
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