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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. Right after breast augmentation surgery, most implants look too high and too tight. I joke with patients that their implants will look […]

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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. Unfortunately, these procedures can be uncomfortable. Though ice is often sufficient to make Botox […]

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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. Why? Submuscular breast implants have the following advantages: 1. Reduced risk of capsular contracture. The scar tissue around the breast implants is less likely to become excessively tight if it is being […]

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Saline or Silicone Gel: Which Breast Implants Should I Choose?

Saline vs. Silicone Gel Advantages of silicone gel breast implants: 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 […]

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Breast Lift with Augmentation

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. Can you get away with putting in breast implants (Fig. 1), or would you benefit from a breast lift too (Fig. 2)? Figure 1: Breast Augmentation Figure 2: Breast […]

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