Recently published statistics from the American Society of Plastic Surgeons says the number of women undergoing “augmentation mammaplasty” rose 39 percent between 2000 and 2010, when more than 296,000 American women underwent the procedure. Not only does the number of women seeking the procedure seem to have increased, but also it seems as though many more patients are seeking bigger implants. A big reason for this is the increasing acceptance of the safety of silicone gel implants; with these implants, large cup sizes are achievable while still maintaining a natural looking result.
Obviously, there’s an upper limit to what appears natural and what the breast ligaments can support. Still, in most patients, a 2 or 3-cup size increase, if desired, if possible.
To learn more about breast augmentation or silicone breast implants, don’t hesitate to contact Dr. Jejurikar’s offices in Dallas or Plano at 214-827-2814.
It is not uncommon for many patients to ask me whether they can avoid the scars associated with a breast lift by simply placing a really big breast implant. This notion may have been placed in their mind by other surgeons, or by information that they have picked up from the Internet.
I certainly understand the motivation behind this question. I have never had a patient come to my office requesting more scars than necessary for surgery. Ultimately, people want to avoid scars on their breasts, and I am no different in this regard.
However, only a very minor breast lift can be accomplished with a breast implant. There are surgeons out there, many of who are not plastic surgeons and do not have specific training or experience with breast lifts, who will attempt to place an overly large breast implant into the patient’s breast rather than perform a breast lift. Not only can this give patients larger breasts than they want, but it can cause long-term negative consequences on the breast tissue and breast-supporting ligaments. It is in these situations that long-term complications such as implant malposition (the implant sliding down too far) are more likely to happen.
Ultimately, my goals for the patient always remain the same. First, it is important that the patient have a nice breast shape and size. This differs from patient to patient, but it is important for me and the patient to come to a mutual understanding of this prior to surgery. Two, if a breast lift is needed, I want to do it with the fewest number of scars possible, as well as the most aesthetically pleasing scars as possible,.
If you have more questions about breast implants and breast lift surgery, do not hesitate to contact me at 214-827-2814.
In most cases, when I perform breast augmentation, I place the breast implant, whether it is a saline breast implant or a silicone breast implant, behind the chest wall muscle. There are many reasons for this. The first is that the chest wall muscle (pectoralis major), actually serves as camouflage for the breast implant. Some of the visible rippling that can be seen, particularly with saline breast implants, tends to be obscured to some degree with coverage by the pectoralis major muscle. The second reason to put the implant behind the muscle is that it interferes with screening mammography much less. There is good data from the radiology medical literature that demonstrates that placement of breast implants in front of the chest wall muscle can obscure a substantial amount of the breast field on mammogram. The third reason is that traditional data with silicone and saline implants shows that the rate of capsular contracture, or pathologic scar tissue formation, is much higher when the implants are put in front the chest wall muscle as compared to behind it.
There are a few anatomic conditions in which aesthetic outcomes are improved when the implant is placed in front of the chest wall muscle. Careful examination and discussion with my patients are important in these situations to determine what will be best.
If you have any other questions regarding this or breast augmentation in Dallas and Plano, please do not hesitate to contact my office at 214-827-2814.
One of the most commonly sought out procedures in Dallas and Plano is the Brazilian butt lift. This procedure involves performing extensive liposuction elsewhere on the body and using the removed fat to augment and lift the patient’s buttocks. It is a well-tolerated procedure that generally takes about 3-4 hours. Areas that undergo liposuction traditionally involve the inner and outer thighs, abdomen, love handles, and lower back.
One of most important thing a patient needs to know before the procedure is the expected recovery time. Patients are asked to refrain from lying on their back, so as to avoid pressure on their buttock, for 2 months after the procedure. Patients are also asked to avoid directly sitting on their buttock for 2 weeks after the procedure. After 2 weeks, patients are asked to place a rolled towel or a pillow under the back portion of the thighs, specifically where the hamstrings lie. With this, the pressure on the buttock is off-loaded, and this is thought to help fat heal quicker after the operation.
If you would like to learn more about one of the most popular procedures in Dallas, please do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.
How much swelling and bruising you have after Dallas laser resurfacing depends entirely on how much time you have to recover from the procedure. Laser resurfacing in Dallas and Plano must always be individualized to the needs of the patient. If you have a few weeks, I can be very aggressive with the procedure. This will lead to dramatic improvement in facial wrinkles and pigmentation; redness may last 3-6 months after the procedure. If you only have 3 or 4 days, there are still excellent laser treatments I can perform, with much less redness thereafter. Ultimately, the specific laser treatment must be tailored to the amount of time you have to recover after the procedure.
So, what are the different options for laser resurfacing in Dallas? One of the ways we classify different laser resurfacing procedures is by whether or not they are fractional or full field resurfacing. Full field laser resurfacing includes some traditional types of laser treatments, including carbon dioxide and erbium lasers. With these types of procedures, all of the skin on the face is treated. Although the results can be beautiful, if the treatment is done at a deep depth, it will take longer to heal. A full field laser can be done at a more superficial depth to speed up the recovery. Fractional lasers treat some of the skins but leaves tiny islands of skin cells untreated. Two of the most commonly used fractional lasers used in my practice is Fraxel re:pair and Fraxel re:store. While all the differences between these lasers are too much for this blog entry, the re:store is non-ablative, which means it is not destructive, and the re:pair is ablative, which means that it destroys columns of skin. Re:pair usually is performed in the operating room and re:store is usually performed with the patient awake in a treatment room.
Regardless of the amount of time you have to heal, there are great treatments available to you. Benefits of all of these laser treatments include elimination irregular pigmentation, treatment of fine or deep wrinkles, and a healthier glow to the skin.
If you would like to learn more, please do not hesitate to contact Dr. Jejurikar at 214-827-2814.