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Articles Archive

Restylane, Juvederm, Perlane, Voluma: With so many facial fillers, how do you figure out which one to use?

Despite the variety of fillers on the market, the dominant facial injectibles today are all just different versions of the same underlying chemical: hyaluronic acid.  Hyaluronic acid (HA) is a naturally-occurring polysaccharide or complex sugar that is present in our connective tissues, skin, joints, and even our eyes.  It binds to water in the areas outside our cells (extracellular matrix). Depending upon the length and chemical cross-linking of the sugar chains, HA products can be made thinner or thicker, resulting in varied effects.

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MRI Screening for Silicone Gel Breast Implant Rupture. Is It Really Necessary?

The first silicone gel breast implants were placed in the United States in 1962. For the next thirty years, they were the only widely accepted breast implants. In 1992, as increasing numbers of women with silicone gel implants reported autoimmune diseases, such as fibromyalgia and lupus, the FDA placed restrictions on the use of silicone gel implants. In 2006, fourteen years and hundreds of studies later, the FDA concluded that there is no link between silicone gel breast implants and any autoimmune disease.

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Do Breast Implants Interfere With Breast Feeding?

Most women can successfully breastfeed their babies after breast augmentation with saline or silicone gel implants. However, no one can give you a 100% guarantee that you will be able to do so. Why not?

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Vertical Scars in Tummy Tuck

A full tummy tuck addresses three problems: excess skin, excess fat, and abdominal wall laxity. I perform the vast majority of full tummy tucks through a curved horizontal lower abdominal incision and an incision around the umbilicus (belly button). Through this incision, I remove a horizontal ellipse that includes all of the skin from the belly button to the pubic area.

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Saline Breast Implant Deflation: Everything you need to know

Following FDA restrictions on silicone gel implants in 1992, saline implants were the only available devices for breast augmentation in the U.S. until the approval of silicone gel in late 2006. Unfortunately, most breast implants do not last as long as the women who possess them. If you have undergone or are considering breast enlargement, recognize that at some point in your lifetime, you will probably experience implant failure (deflation of saline breast implants or rupture of silicone gel breast implants) requiring reoperation for implant replacement.

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Two-Stage Body Lift After Major Weight Loss: Less risk, better results

If you have experienced a major weight loss due to aggressive dieting and exercise or bariatric surgery, congratulations! You have undoubtedly improved your health and you probably look way better — in clothes. Out of clothes, however, you may notice sagging skin along the abdomen, thighs, buttocks, breasts, and arms.

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Preventing Blood Clots After Tummy Tuck and Body Lift

Tummy tucks and body lifts can be life-changing procedures. The removal of skin and fat excess along with tightening of the abdominal wall can reverse many of the problems that occur following childbirth and/or weight loss. But make no mistake: even though tummy tucks and body lifts are cosmetic surgeries, they are still surgery. And every surgery has risks.

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How do I figure out the right breast implant size?

It has become popular among breast implant surgeons to measure the width of the base of the breast, find an implant with the same diameter (based on a chart provided the implant manufacturers), and then tell the patient that this is the magical "right size." Although this is reasonable anatomically, it seems to me that your wishes regarding breast size are much more important than the surgeon’s. While a surgeon can and should provide guidance regarding implant size, the ultimate choice should be yours. If your “right” size is different from his, your surgeon should be flexible (rather than mindlessly following his breast diameter chart).

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Which are better? Smooth Breast Implants or Textured Breast Implants?

All saline and silicone gel breast implants have an outer shell that is made from solid silicone. As the name implies, smooth implants have a smooth, slick surface. Textured implants have a rough, clingy surface.

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Minimizing Pain with Injectable Fillers and Botox

Injectables such as Botox and Dysport are great for reducing wrinkles between the eyes (glabella), in the forehead, and along the crows’ feet regions. Injectables such as Restylane, Juvederm, and Perlane are great for filling wrinkles around the mouth and cheeks, restoring facial volume, and improving lip definition and volume.

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Above Muscle or Below? Where should my breast implants be placed?

If a woman has not undergone prior breast surgery, I place the vast majority of implants below the pec major (pectoralis major) muscle.

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Breast Augmentation Recovery: Do older patients heal more slowly than younger patients?

According to the American Society of Plastic Surgeons (ASPS), breast augmentation (“augmentation mammaplasty”) has been the top cosmetic surgical procedure in the country since 2006. And these days, it isn’t just 18 year-olds getting breast implants as a high school graduation gift. Middle-aged women, as well as those approaching senior citizen status, are visiting plastic surgeons for consultations regarding their options on how to enhance their shape.

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Saline or Silicone Gel: Which breast implants should I choose?

Softer to touch, feel more like breast tissue. Silicone gel is an oil, similar to the fatty tissues of the breasts. Saline is simply saltwater. Reduced rippling relative to saline implants. All implant edges ripple. Try putting water in a Glad bag and look at the edges of the bag. You will definitely see less rippling with oil in a bag than water in the same bag. Apparent greater longevity. Preliminary studies suggest that silicone gel implants may last a little longer than saline implants.

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How Much Does Breast Augmentation Cost?

Board-certified plastic surgeon, Ronald M. Friedman, M.D., has been performing breast augmentations for over 15 years. He averages about 120 breast augmentations annually. (This is more than three times the number performed by most plastic surgeons.)

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Breast augmentation with Breast Lift

Okay, so you’ve had a couple of kids and your breasts just don’t look the same anymore. They’ve lost fullness, especially up top, and they’ve gotten smaller and saggier.

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Nipple Reduction Surgery for Men

Okay, I agree. It’s an awkward topic. But many men come to our office seeking reduction of nipple size. They complain that their protruding nipples cause self-consciousness when wearing a bathing suit or a light T-shirt. Some men cover their nipples with band-aids. Some just wear dark shirts or shirts with lettering across the chest.

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