Clinical Diagnosis in Plastic Surgery by Dr. David Tauber
DeLuca Plastic Surgery would like to congratulate Dr. David Tauber on the publishing of the book, Clinical Diagnosis in Plastic Surgery.
Clinical Diagnosis in Plastic Surgery systematically presents a collection of entities, syndromes, and diseases that are diagnosed and treated by plastic surgeons, hand surgeons, otolaryngologists, oral surgeons, and dermatologists.
The goal is to document an extensive array of signs and visual clues that are critical to the diagnostic process, thereby enhancing the clinician’s ability to identify relevant diagnostic features and make correct diagnoses. Skill in recognizing deformities and disease processes by observation is of vital importance in plastic surgery, which is very much a visual surgical specialty. In drawing together key diagnostic signs, this book will spare readers the onerous task of searching through endless resources, books, and websites.
A helpful appendix details the various classification systems used in the book with the aid of appropriate diagrams. Clinical Diagnosis in Plastic Surgery is intended for students, residents, practicing physicians, and surgeons in all of the affiliated fields of plastic surgery. (more…)
Breast Q&A: Will High Profile Breast Implants or Moderate Plus Give Me Natural Looking Breasts?
Question – Will High Profile breast implants give me natural looking breasts vs Moderate or Moderate Plus?
I am 5’4″ 125lbs, 31″ ribcage, 34C (wanting at least a DD) and my breast measures 13cm wide. I told my PS I wanted large, very nice looking (not high and ball-looking) breasts. He told me he will use a smooth, round, High Profile, 500cc silicone implant and it will look “very nice” with a “nice downward slope”. Everywhere on the internet says that high profiles don’t give a really nice natural look, and that moderate profiles do. Will high profile breast implants give me large, full, and natural-looking breasts with nice cleavage?
Answer – Although I use Moderate Plus or Moderate Profile prosthesis in the vast majority of cases, given your base width dimension of 13.0cm and your wanting a 500cc implant, a High Profile implant would be appropriate.
In answer to your question, it is not so much the size of the prosthesis that results in a ‘natural’ or ‘unnatural’ look but rather the surgical technique used in relationship to the pre-operative breast appearance.
If, on examination, your nipple to inframammary fold distance is 5.0cm – 6.0cm (meaning that the fold does not need to be lowered excessively), then a high profile implant can be placed in a position that provides adequate inferior/lower pole projection and avoids creating an overly round upper half of the breast (i.e. the “high, ball-looking” and ‘unnatural’ look you don’t like).
That said, there are many women who like the look of round, projecting breasts with upper pole fullness (high cleavage) – neither look is ‘right’ or ‘wrong’ so to speak, they’re just different. Every plastic surgeon has a certain aesthetic style they prefer (re: some aim for the most natural looking shape and size possible while other find the ‘high and round’ look more attractive), but at the end of the day, if the patient is clear about the way they want their breast to look after surgery, it’s my job as their surgeon to achieve it (within reason of course).
Breast implant profiles: high vs moderate plus vs low
Before diving into a few specific recommendations given the measurements you provided, here are my general thoughts on each of the 3 Mentor breast implant profile types:
Patient Forums – A Discussion Of A Things Plastic Surgery
Open-house style info-sessions/discussions are an opportunity to explore the ins and outs of a specific cosmetic procedure, new/innovative surgery technique or medical product. The diverse interests of a small (or smallish) group has a tendency to generate lively discussion on a wide range of topics due to all of the different questions which get asked. And with the almost overabundance of procedure options and cosmetic solutions available today, it is more important than ever to help people interested in cosmetic surgery be as informed about their choices and options as possible.
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Communication Between Doctor and Patient in Albany, NY
Why Clear Communication is Key to a Successful Cosmetic Experience
I recently started answering questions on the plastic surgery Q&A website RealSelf.com – it’s a neat, quickly growing service that has the potential to be truly great (they just need to improve a few key features which I plan to write about in a later blog post). That said, from reading and answering the many questions that come into my email inbox each day I think what stands out most is the frequent lack of clear and completely open communication between patients and their doctors (exemplified most often in questions by patients who have recently completed their surgery).
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