The DeLuca Plastic Surgery Blog




Do I Really Need A Tummy Tuck?

What Happens to My Belly During Pregnancy?

The pregnant abdomen undergoes many changes as the growing fetus and weight gain associated with pregnancy stretches the abdominal skin and underlying musculature. Delivery of the baby releases this pressure and the skin and muscles are able to start retracting back to their normal size. Often, however, the skin and the muscles often remain stretched – making post-baby physical recovery difficult as new-moms are faced with excess, hanging skin, stretch marks, and a post-baby bulge.

Post Baby Belly Picture

Stretch Marks, Loose, Hanging Skin, and A Post-Baby Bulge After Pregnancy

For these moms, a typical full tummy tuck (full abdominoplasty) is offered to flatten and reduce excess skin and stretch marks from both above and below the belly button and tighten the abdominal muscles. The trade off, however, is a scar in the bikini line that extends hip to hip and a scar around the belly button.

Do I really need a full tummy tuck? – Why not just liposuction or the “mini tuck?”

This is the number one question patients ask when they come in looking to get their pre-baby(s) body back. Most often, patients are hoping to only need some liposuction or a mini-tuck to address their concerns.

Liposuction is body-contouring procedure that reduces fat from under the skin through small stab incisions using small cannulas. It is used to address trouble spots throughout the body. The overall success of the procedure depends on the skin retracting back after the fat is reduced. The ideal candidates are young patients with good quality, elastic skin who are targeting stubborn areas resistant to diet and exercise.

A mini abdominoplasty (or mini-tuck) is a fine-tuning tummy-tuck that reduces a small amount of lax skin from below the belly button. It is tailored to a small subset of patients who have no abdominal wall laxity, no excess skin above the belly button, and only a small pouch of excess skin and fat below the belly button.

Mini Tummy Tuck Diagram

Mini Tummy Tuck Surgery

Unfortunately, most women have too much excess skin and laxity in their belly muscles to benefit from liposuction or a mini-tuck alone.

How can I see what surgery may be right for me? – “The Mirror Test.”

An easy way to know if you need a full tummy tuck is to look for the following things while naked and standing in front of the mirror.

  • From the front, do you have stretch marks around your belly button? When you pinch your skin, is it thick and snappy or is it thin and crepey?
  • Front the side do you see skin that hangs, creating an extra fold(s) (perhaps you have to “tuck” this extra skin into your underwear or pants)? When you flex your belly muscles, does your belly still bulge?

If you answer “Yes!” to any of these questions, you will probably need a full tummy tuck.

What is a “FULL” tummy tuck?

The full tummy tuck (full abdominoplasty) operation is performed in an operating room under general anesthesia and begins with elevating a layer of belly skin and fat; separating it from the belly muscles all the way up to the ribs. During this dissection, the belly button is separated from the surround skin and left attached to the belly wall. The skin and fat is pulled down tight and the excess skin and fat is reduced. The abdominal muscles are then sutured together to reduce the laxity (plication). Finally, the belly button is brought out to the surface through a new hole in the skin (transposition) and the incisions are closed over drains.

Full Tummy Tuck Diagram

Full Tummy Tuck Surgery

How is recovery from a full tummy tuck?

As with any surgery, the pain after a full tummy tuck is usually worse in the 2-3 days immediately after surgery and tends to improve after that. Management of pain is usually through a combination of narcotic and non-narcotic pain medications taken by mouth, oral medications that lessen muscle spasm, and long acting local anesthetics injected during surgery or infused from a small pump. The ability to return to work and everyday activities is variable and depends on many factors including the type of work, the pain tolerance of the patient, and the extent of the procedures. Most patients are ready to return to their lives in 2 weeks.

Pre and Post Mommy Makeover (Tummy Tuck and Breast Lift)

Pre and Post Mommy Makeover (Tummy Tuck and Breast Lift)

What about my breasts?

Deflated, drooping breasts after childbearing and breast-feeding are a common complaint. These patients are offered a combination of a breast lift and / or augmentation with an abdominoplasty – coined a “mommy makeover.” Other combinations include abdominoplasty and liposuction and abdominoplasty and Brazilian Butt Lift (BBL)Dr. David Tauber at DeLuca Plastic Surgery tailors all of these operations to each individual patient.

More info on mommy makeover.

More info on liposuction.

More info on Brazilian Butt Lift (BBL).

Dr. Tauber’s post-operative recommendations.

More blog posts from Dr. Tauber.

Make an appointment for a free cosmetic consultation today!

Click Below to Follow Dr. Tauber

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#plasticsurgery #abdominoplasty #tummytuck #liposuction #mini-tuck #mommymakeover #social

Post-Operative Care After Plastic Surgery

  1. Post-operative care after surgery helps patients achieve their optimal results. Most surgical patients experience some bruising and swelling that usually peaks at 3 days from surgery. Careful surgical technique, however, minimizes the bruising and swelling for most patients.

Peri-Operative Care

To encourage healing after face, nose or eyelid surgery, we utilize a Thera Pearl Face Mask
unique regimen of post-operative care that begins with copious icing and head elevation. To make icing easier, we recommend the TheraPearl Reusable Hot & Cold Therapy Face or Eye Mask. Elevation of the head can be achieved by sleeping on a couple pillows, however, the Brentwood Home Zuma Therapeutic Foam Bed Wedge Pillow makes it easier and more comfortable to maintain the elevation in any sleeping position.

Icing and elevation is also encouraged after labiaplasty. TendHer Perineal Ice Packs are designed to contour better to the area than bulky icepacks and come with washable sleeves.

In addition to these therapies, for all surgeries we recommend most patients take anti-bruising supplements, such as SinEcch (Arnica Montana) and Bruizex (Bromelain), starting before surgery and continuing for about a month after surgery.

Scar Management Strategies

ScarAway Scar Repair Gel for Post-Operative CareAt about 10 – 14 days after surgery, post-operative scar management strategies are begun. These include the use of sunscreen to keep the incisions from getting too pink, gentle massage of the incisions and operative area, to encourage blood flow and to keep the scars from getting too raised, and the use of a silicone based scar gel, such as ScarAway 100% Silicone Self Drying Scar Repair Gel, to help encourage optimal scar maturation. These strategies are continued for the full scar maturation period of 9 months to a year.

By following these post-operative care recommendations, patients of Dr. David Tauber at DeLuca Plastic Surgery often recover quickly, experience less bruising and swelling, and can return to work or social engagements in 2-3 weeks.

More blog posts from Dr. Tauber.

Make an appointment for a free cosmetic consultation today!

Click Below to Follow Dr. Tauber

Instagram Snapchat Twitter Facebook

 

#plasticsurgery #facelift #necklift #blepharoplasty #postop #postoperativecare #social

 

 

Mommy Makeover – Get Your Pre-Baby Body Back

What Happens to My Belly During Pregnancy?

The pregnant abdomen undergoes many changes as the growing fetus and weight gain associated with pregnancy stretches the abdominal skin and underlying musculature. Delivery of the baby releases this pressure and the skin and muscles are able to start retracting back to their normal size. Often, however, the skin and the muscles often remain stretched – making post-baby physical recovery difficult as new-moms are faced with excess, hanging skin, stretch marks, and a post-baby bulge.

Post Baby Belly Picture

Stretch Marks, Loose, Hanging Skin, and A Post-Baby Bulge After Pregnancy

For these moms, a typical full tummy tuck (full abdominoplasty) is offered to flatten and remove excess skin and stretch marks from both above and below the belly button and tighten the abdominal muscles. The trade off, however, is a scar in the bikini line that extends hip to hip and a scar around the belly button.

Do I really need a full tummy tuck? – Why not just liposuction or the “mini tuck?”

This is the number one question patients ask when they come in looking to get their pre-baby(s) body back. Most often, patients are hoping to only need some liposuction or a mini-tuck to address their concerns.

Liposuction is body-contouring procedure that removes fat from under the skin through small stab incisions using small cannulas. It is used to address trouble spots throughout the body. The overall success of the procedure depends on the skin retracting back after the fat is removed. The ideal candidates are young patients with good quality, elastic skin who are targeting stubborn areas resistant to diet and exercise.

A mini abdominoplasty (or mini-tuck) is a fine-tuning tummy-tuck that removes a small amount of lax skin from below the belly button. It is tailored to a small subset of patients who have no abdominal wall laxity, no excess skin above the belly button, and only a small pouch of excess skin and fat below the belly button.

Mini Tummy Tuck Diagram

Mini Tummy Tuck Surgery

Unfortunately, most women have too much excess skin and laxity in their belly muscles to benefit from liposuction or a mini-tuck alone.

How can I see what surgery may be right for me? – “The Mirror Test.”

An easy way to know if you need a full tummy tuck is to look for the following things while naked and standing in front of the mirror.

  • From the front, do you have stretch marks around your belly button? When you pinch your skin, is it thick and snappy or is it thin and crepey?
  • Front the side do you see skin that hangs, creating an extra fold(s) (perhaps you have to “tuck” this extra skin into your underwear or pants)? When you flex your belly muscles, does your belly still bulge?

If you answer “Yes!” to any of these questions, you will probably need a full tummy tuck.

What is a “FULL” tummy tuck?

The full tummy tuck (full abdominoplasty) operation is performed in an operating room under general anesthesia and begins with elevating a layer of belly skin and fat; separating it from the belly muscles all the way up to the ribs. During this dissection, the belly button is separated from the surround skin and left attached to the belly wall. The skin and fat is pulled down tight and the excess skin and fat is removed. The abdominal muscles are then sutured together to remove the laxity (plication). Finally, the belly button is brought out to the surface through a new hole in the skin (transposition) and the incisions are closed over drains.

Full Tummy Tuck Diagram

Full Tummy Tuck Surgery

How is recovery from a full tummy tuck?

As with any surgery, the pain after a full tummy tuck is usually worse in the 2-3 days immediately after surgery and tends to improve after that. Management of pain is usually through a combination of narcotic and non-narcotic pain medications taken by mouth, oral medications that lessen muscle spasm, and long acting local anesthetics injected during surgery or infused from a small pump. The ability to return to work and everyday activities is variable and depends on many factors including the type of work, the pain tolerance of the patient, and the extent of the procedures. Most patients are ready to return to their lives in 2 weeks.

Pre and Post Mommy Makeover (Tummy Tuck and Breast Lift)

Pre and Post Mommy Makeover (Tummy Tuck and Breast Lift)

What about my breasts?

Deflated, drooping breasts after childbearing and breast-feeding are a common complaint. These patients are offered a combination of a breast lift and / or augmentation with an abdominoplasty – coined a “mommy makeover.” Dr. David Tauber at DeLuca Plastic Surgery tailors all of these operations to each individual patient.

Dr. Tauber’s post-operative recommendations.

More blog posts from Dr. Tauber.

 

Make an appointment for a free cosmetic consultation today!

Click Below to Follow Dr. Tauber

Instagram Snapchat Twitter Facebook

 

 

#plasticsurgery #abdominoplasty #tummytuck #liposuction #mini-tuck #mommymakeover #social

Rhinoplasty (Cosmetic Nose Surgery) Basics

What is a Rhinoplasty?

A cosmetic rhinoplasty is a surgery that reduces and repositions tissue in the nose for better aesthetics. This often involves straightening the dorsal profile, reducing dorsal humps, reshaping the tip, and possibly narrowing the width of the nose.

For a nose that is lacking projection and definition, grafting techniques may be needed to build up projection of the tip and strengthen the dorsum.

The decision the type of surgery, however, is based on the patient’s anatomy and patient’s preferences.

These are big movements that are often intended to create subtle, millimeter changes to the shape of the nose once it heals. The thickness of the nose skin can affect the overall result, however, an improvement can be obtained for most patients.

Anatomy of A Rhinoplasty

Anatomy of A Rhinoplasty

What is the recovery like?

The postoperative time for most rhinoplasty patients is often fraught with trepidation.

During a rhinoplasty, the skin and soft tissues are often completely separated from the underlying bone and cartilage framework. The framework is modified and the skin is laid back down. After a rhinoplasty the nose swells from the trauma of surgery and the tissues become edematous. This makes the normally pliable skin firm and causes the nose to take on a “swollen” appearance in the first few weeks after surgery.

This swelling and firmness cause the tip to rotate, the dorsum to appear rounded, and the columella to swell and bow out from under the nose. As the initial swelling settles out over the first few weeks, the dorsum begins to settle, the tip starts to soften, and the columella swelling begins to dissipate.

The nose continues to settle over the next few months as the edema finally escapes and the soft tissues adapt to their new underlying framework. It may take 9 months to a year to see a final result.

Post-operative care after nose surgery helps patients achieve their optimal results. To encourage healing we utilize a unique regimen of post-operative care including icing, head elevation, supplements to decrease bruising, and silicone gel scar management.

What surgery is right for me?

A detailed examination will help delineate the best surgical treatment. The goal of a a rhinoplasty is to create an aesthetic nose with the size, shape, and projection that is desired by the patient.

During your consultation, measurements of the nose are used as a starting point to recommend a surgery. For some patients, digital computer simulations are used to help visualize the likely result.

Dr. David Tauber at DeLuca Plastic Surgery tailors the operation to each individual patient.

Dr. Tauber’s post-operative recommendations.

More blog posts from Dr. Tauber.

Make an appointment for a free cosmetic consultation today!

Click Below to Follow Dr. Tauber

Instagram Snapchat Twitter Facebook

 

#plasticsurgery #nosesurgery #rhinoplasty #social

Breast Augmentation Basics

 

What is a breast augmentation?

A breast augmentation (insertion of implants) is often performed to replace volume lost from weight loss, breast-feeding, or age or to increase the size of the breast for aesthetic reasons.  It is most appropriate for patients with breasts that don’t sag (normal ptosis). In patients with breasts that sag, the need for a lift is determined by your current nipple position and the quality of your tisssue.

The implants can be placed over (sub-muscular) or under (sub-glandular) the pectoralis muscle. Advantages to sub-muscular implants include a lower risk of capsular contracture, lower chance of rippling, better coverage in thin women, and perhaps a more natural upper pole contour. Implants placed under the muscle can, however, be influenced by the contraction of the pectoralis muscle – especially in very athletic women.

Implant Position - Above and Below the Muscle

Native Breast, Sub-Glandular Implant, and Sub-Muscular Implant

Implants placed over the muscle, in contrast, are more visible. This results in larger looking augmentation and a sharper transition between the natural breast and the edges of the implant resulting in a more done look. Additionally, in thin women, the folding of the implant in the sub glandular pocket can manifest as rippling of the skin.

There are a variety of implant types, shapes, and styles and the implants are most often inserted through one of two different small incisions. These include 1) an incision around the lower half of the nipple areola (peri-areolar), or 2) an incision in the breast crease between the breast and the chest wall (infra-mammary incision). The choice of incision is based on multiple factors including surgeon preference, patient preference, patient anatomy, and / or type of implant.

Breast Implant Incisions: Periareolar and Inframmammary

Breast Implant Incisions

What is the recovery like?

After surgery, the breasts swell from the trauma of surgery and the tissues become edematous. This combined with the tightness of the skin and the squeeze of the pectorals muscle on the implant can give the implants a high and flat appearance as the round implants are squeezed like a pancake against the chest.

As the swelling subsides and the tissues begin to stretch from the weight of implants, the breasts begin to settle. Over the next few months, the implants settle and the soft tissue and pectoralis muscle relax. The shape changes from high and tight to lower and fuller as the implants round out and more of the implant is in position to provide lower pole projection.

This “drop and fluff” often occurs over the first few months after surgery as the edema finally escapes and the soft tissues relax. This process is often asymmetric as the breasts relax and settle at their own rates. It will take 3 to 6 months to see a final result – although for some patients this process occurs faster.

What surgery is right for me?

A detailed examination will help delineate the best surgical treatment. The goal of a breast augmentation is to create an aesthetic breast with the size, shape, and projection that is desired by the patient. The decision the type of surgery and the size, shape, and position of the implants is based on the patient’s anatomy, the type and size of the implant, and patients preferences.

During your consultation, measurements of the breasts are used as a starting point to recommend a surgery and in-office sizing and digital three-dimensional computer simulations are used to help guide your implant choices.

Dr. David Tauber at DeLuca Plastic Surgery tailors the operation to each individual patient.

More info on breast lifts.

More info on mommy makeovers and tummy tucks.

Dr. Tauber’s post-operative recommendations.

More blog posts from Dr. Tauber.

 

Make an appointment for a free cosmetic consultation today!

Click Below to Follow Dr. Tauber

Instagram Snapchat Twitter Facebook

 

 

 

 

#plasticsurgery #breastaugmentation #breastaug #breastimplants #social

Breast Lift (Mastopexy) Basics

What is a breast lift?

A breast lift (mastopexy) is powerful procedure that can lift the nipple, reduce excess skin, and reshape the breasts to sit higher on the chest in a more youthful position. A breast lift is appropriate for patients with breasts that are adequately sized but saggy; but can also be done in combination with an implant to add volume (breast lift – augmentation), to adjust for asymmetry, or to improve unusually shaped breasts (tuberous breasts).

The gold-standard method of assessing the need for a breast lift is the “pencil test.” Standing in front of a mirror, lift the breast and lay a pencil in the fold under the breast and allow the breast to settle over the pencil. Look at the position of the nipple in relation to the pencil.

Pencil Test For Determining Degree of Breast Ptosis

Pencil Test For Breast Ptosis

The lower the nipples and breast are below the pencil and the more excess skin you have, the greater the chance you will need a breast lift and the more of a breast lift you will need. If your nipple and a majority of your breast are at or above the pencil (Normal), you will likely get a great result from a breast augmentation alone. Larger implants can shift this equation slightly for patients that have borderline ptosis (Grade 1).

The trade off with a breast lift, is a scar on the breast around the nipple with a possible extension down towards the breast crease creating a lollipop or possibly an inverted “T” pattern. The choice of incision is based on multiple factors including patient anatomy, surgeon preference, and patient preference.

Breast Lift Incisions: Peri-Areolar, Lollipop, and Inverted "T"

Breast Lift Incisions: Peri-Areolar, Lollipop, and Inverted “T”

What surgery is right for me?

A detailed examination will help delineate the best surgical treatment. The goal of a breast breast lift is to create an aesthetic breast with the size, shape, and projection that is desired by the patient. The decision about the type of surgery and, if needed, the size, shape, and position of the implants is based on the patient’s anatomy, the type and size of the implant, and patient’s preferences.

During your consultation, measurements of the breasts are used as a starting point to recommend a surgery and in-office sizing and digital three-dimensional computer simulations are used to help guide your implant choices.

Dr. David Tauber at DeLuca Plastic Surgery tailors the operation to each individual patient.

Dr. Tauber’s post-operative recommendations.

More blog posts from Dr. Tauber.

Make an appointment for a free cosmetic consultation today!

Click Below to Follow Dr. Tauber

Instagram Snapchat Twitter Facebook

 

#plasticsurgery #breastlift #mastopexy #social

Tummy Tuck (Abdominoplasty) Basics

What is a “FULL” tummy tuck?

The full tummy tuck (full abdominoplasty) operation is performed in an operating room under general anesthesia and begins with elevating a layer of belly skin and fat; separating it from the belly muscles all the way up to the ribs. During this dissection, the belly button is separated from the surround skin and left attached to the belly wall. The skin and fat is pulled down tight and the excess skin and fat is removed. The abdominal muscles are then sutured together to remove the laxity (plication). Finally, the belly button is brought out to the surface through a new hole in the skin (transposition) and the incisions are closed over drains.

Full Tummy Tuck Diagram

Full Tummy Tuck Surgery

How can I see what surgery may be right for me? – “The Mirror Test.”

An easy way to know if you need a full tummy tuck is to look for the following things while naked and standing in front of the mirror.

  • From the front, do you have stretch marks around your belly button? When you pinch your skin, is it thick and snappy or is it thin and crepey?
  • Front the side do you see skin that hangs, creating an extra fold(s) (perhaps you have to “tuck” this extra skin into your underwear or pants)? When you flex your belly muscles, does your belly still bulge?

If you answer “Yes!” to any of these questions, you will probably need a full tummy tuck.

How is recovery from a full tummy tuck?

As with any surgery, the pain after a full tummy tuck is usually worse in the 2-3 days immediately after surgery and tends to improve after that. Management of pain is usually through a combination of narcotic and non-narcotic pain medications taken by mouth, oral medications that lessen muscle spasm, and long acting local anesthetics injected during surgery or infused from a small pump. The ability to return to work and everyday activities is variable and depends on many factors including the type of work, the pain tolerance of the patient, and the extent of the procedures. Most patients are ready to return to their lives in 2 weeks.

Dr. Tauber’s post-operative recommendations.

More blog posts from Dr. Tauber.

Make an appointment for a free cosmetic consultation today!

Click Below to Follow Dr. Tauber

Instagram Snapchat Twitter Facebook

 

#plasticsurgery #abdominoplasty #tummytuck #social

Nothing But Neck – Kybella vs. Liposuction To Treat Neck Fat

Fullness of the neck due to excess neck fat can be treated with both invasive and non-invasive strategies. Reduction of this fat can give better definition to the jaw like and neck and make patients look younger and more fit.

Kybella

Kybella is a non-invasive injection that has been recently approved by the FDA to help improve the appearance of fullness associated with the submental fat of the neck in adults. Young adults, with a moderate amount of excess fat and good skin tone are usually good candidates.

During a office based Kybella treatment, the neck is first cleaned and numbed with topical lidocaine. A pattern is drawn on the neck and the product is injected into the fat of the central neck – dissolving the fat. The body then absorbs the fat over several weeks. There is swelling that occurs and may be bruising and some numbness in the area during this time. The injections are usually done once every six weeks and it usually it usually takes at least two treatments to achieve the desired improvement.

The treatment takes about 15 minutes each session. The cost is variable depending on the amount of fat to be treated, however, most patients are started with a 2 treatment package priced at $1900 in our office.

Treating Neck Fat with Kybella

Treating Neck Fat with Kybella

Neck Liposuction

Liposuction of the neck is a surgery during which small cannulas are used to suck the fat from the neck. This procedure is done through a small stab incision under the chin and can be performed under general anesthesia, with sedation, or even using only local anesthesia in the right patient. In many cases, liposuction is performed as part of a larger procedure such as a face and neck lift, however, isolated liposuction of the neck is also common.

Recovery after liposuction can last several weeks during which swelling, bruising, and numbness are common. Patients wear a neck support strap for the first week 24-7 and then during the second week at night. The sutures are removed at about a week.

The cost is variable depending on the facility and anesthesia fees but usually runs about $3500 when performed in the OR under anesthesia.

Treating Neck Fat with Neck Liposuction

Treating Neck Fat with Neck Liposuction

Which Neck Fat Treatment is Right For Me?

Patients who are looking for a minimally-invasive procedure but are willing to accept that multiple treatments may be necessary for an optimal result are good candidates for treatment of the neck fat with Kybella. Patients who want a more immediate outcome but are willing to have a surgical procedure performed (or are already in the OR for another operation) are good candidates for liposuction of the neck. In both cases the ideal candidates are young patients with excess fat localized to the middle of the neck, good skin tone, and no excess skin.

As with any cosmetic surgery, realistic expectations are important. A detailed examination and an in-depth discussion with Dr. David Tauber at DeLuca Plastic Surgery will help delineate the best surgical options. Please note that results may vary from patient to patient and results aren’t guaranteed.

Dr. Tauber’s post-operative recommendations.

More blog posts from Dr. Tauber.

Make an appointment for a free cosmetic consultation today!

Click Below to Follow Dr. Tauber

Instagram Snapchat Twitter Facebook

 

#plasticsurgery #neckliposuction #kybella #neckfullness #neckfat #social

The Skinny on Liposuction

Liposuction is a body contouring procedure that reduces fat under the skin to address trouble spots throughout the body.

Traditionally liposuction has been used to tweak areas resistant to exercise such as the love handles, the lower abdomen, the neck, and the buttock. Liposuciton is performed through small access incisions hidden in inconspicuous areas. Because of this, the recovery is relatively quick compared to more invasive surgery, and the restrictions after surgery are few.

Unfortunately, however, liposuction does not have the ability to address any excess skin laxity. The overall success of the procedure depends on the skin retracting back after the fat is reduced. The ideal candidates are young patients with good quality, elastic skin. In patients where the skin does not retract, a skin tightening procedure can be performed to address the excess loose skin.

Liposuction treatment areas

An alternative use of liposuction is as a debulking procedure during weight loss to “jump start” the process of slimming down. This procedure results in a modest weight loss and an incremental improvement in contour that helps motivate patients to continue losing weight through dieting and exercise.

Compared to traditional liposuction, debulking liposuction focuses on performing the procedure quickly with large cannulas to get rid of as much fat as possible in as short a time as possible. This change in focus keeps OR and anesthesia time down and, therefore, significantly reduces cost. There is less attention paid to fine contour refinement and, therefore, patients must accept that there may be contour irregularities that may need further tweaking with contour focused liposuction or surgery in the future.

As with any body contouring surgery, realistic expectations are important. A detailed examination and an in-depth discussion with Dr. David Tauber at DeLuca Plastic Surgery will help delineate the best surgical options.

Dr. Tauber’s post-operative recommendations.

More blog posts from Dr. Tauber.

Make an appointment for a free cosmetic consultation today!

Click Below to Follow Dr. Tauber

Instagram Snapchat Twitter Facebook

 

#plasticsurgery #liposuction #social

 

Do I Really Need A Breast Lift?

The decision to do a breast augmentation by itself versus a breast augmentation with a breast lift, however, is less based on patient preference and more dictated the saginess, the nipple position, and the ratio between the breast volume and the amount of excess skin that is present.

How ptotic are my breasts?

The gold-standard method of assessing the need for a breast lift is the “pencil test.” Standing in front of a mirror, lift the breast and lay a pencil in the fold under the breast and allow the breast to settle over the pencil. Look at the position of the nipple in relation to the pencil.

Pencil Test For Determining Degree of Breast Ptosis

Pencil Test For Breast Ptosis

The lower the nipples and breast are below the pencil and the more excess skin you have, the greater the chance you will need a breast lift and the more of a breast lift you will need. If your nipple and a majority of your breast are at or above the pencil (Normal), you will likely get a great result from a breast augmentation alone. Larger implants can shift this equation slightly for patients that have borderline ptosis (Grade 1).

What is a breast augmentation?

A breast augmentation (insertion of implants) is often performed to replace volume lost from weight loss, breast-feeding, or age or to increase the size of the breast for aesthetic reasons.  It is most appropriate for patients with breasts that don’t sag (normal ptosis).

The implants can be placed over (sub-muscular) or under (sub-glandular) the pectoralis muscle. Advantages to sub-muscular implants include a lower risk of capsular contracture, lower chance of rippling, better coverage in thin women, and perhaps a more natural upper pole contour. Implants placed under the muscle can, however, be influenced by the contraction of the pectoralis muscle – especially in very athletic women.

Implant Position - Above and Below the Muscle

Native Breast, Sub-Glandular Implant, and Sub-Muscular Implant

Implants placed over the muscle, in contrast, are more visible. This results in larger looking augmentation and a sharper transition between the natural breast and the edges of the implant resulting in a more done look. Additionally, in thin women, the folding of the implant in the sub glandular pocket can manifest as rippling of the skin.

There are a variety of implant types, shapes, and styles and the implants are most often inserted through one of two different small incisions. These include 1) an incision around the lower half of the nipple areola (peri-areolar), or 2) an incision in the breast crease between the breast and the chest wall (infra-mammary incision). The choice of incision is based on multiple factors including surgeon preference, patient preference, patient anatomy, and / or type of implant.

Breast Implant Incisions: Periareolar and Inframmammary

Breast Implant Incisions

What is a breast lift?

A breast lift (mastopexy) is powerful procedure that can lift the nipple, remove excess skin, and reshape the breasts to sit higher on the chest in a more youthful position. A breast lift is appropriate for patients with breasts that are adequately sized but saggy (Grade 1 and greater ptosis); but can also be done in combination with an implant to add volume (breast lift – augmentation), to adjust for asymmetry, or to improve unusually shaped breasts (tuberous breasts).

The trade off with a breast lift is a scar on the breast around the nipple with a possible extension down towards the breast crease creating a lollipop or possibly an inverted “T” pattern. The choice of incision is based on multiple factors including patient anatomy, surgeon preference, and patient preference.

Breast Lift Incisions: Peri-Areolar, Lollipop, and Inverted "T"

Breast Lift Incisions: Peri-Areolar, Lollipop, and Inverted “T”

What surgery is right for me?

A detailed examination will help delineate the best surgical treatment. The goal of a breast augmentation or a breast lift is to create an aesthetic breast with the size, shape, and projection that is desired by the patient. The decision the type of surgery and the size, shape, and position of the implants is based on the patient’s anatomy, the type and size of the implant, and patients preferences.

During your consultation, measurements of the breasts are used as a starting point to recommend a surgery and in-office sizing and digital three-dimensional computer simulations are used to help guide your implant choices.

Dr. David Tauber at DeLuca Plastic Surgery tailors the operation to each individual patient.

Dr. Tauber’s post-operative recommendations.

More blog posts from Dr. Tauber.

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