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    Dr. Sam Jejurikar Answers Patients’ Top 10 Tummy Tuck Questions

    Dr. Sam Jejurikar Answers Patients’ Top 10 Tummy Tuck Questions

    tummy tuck surgery 

    It’s part and parcel of mommy makeovers and is more in demand than ever, thanks to the pressures of social media and the washboard abs streaming on our TVs, but tummy tuck surgery, also known as abdominoplasty, is nothing new. The procedure — which is elective and aimed at improving the shape and appearance of the abdomen — was first performed in France in 1890. In 1899, Baltimore surgeon Dr. Kelly performed the first tummy tuck in the U.S. Since then, advances in medicine have transformed this surgery into a safe, streamlined procedure that, according to Dallas-based cosmetic surgeon Dr. Sam Jejurikar, has given the term “cutting edge” a whole new meaning. 

    He’s recognized by Yelp as the best tummy tuck surgeon in Dallas, and Dr. Sam Jejurikar’s years of experience in tummy tuck procedures — combined with his implementation of the latest breakthroughs in medicine — have made him highly sought after by patients. While the surgery is fairly straightforward, those considering a tummy tuck still have questions. Here are Dr. Jejurikar’s answers to the 10 queries he’s most frequently asked.

    What should I expect from tummy tuck surgery?

    According to the Mayo Clinic, people with excess fat and/or skin in the navel area, or those with a weakness in the lower abdominal wall, are common candidates for abdominoplasty. The surgery removes excess skin and fat from the abdomen. Using permanent sutures, the connective tissues in the abdomen are tightened as well. 

    Tummy tuck procedures generally take two to three hours and are performed in a hospital or outpatient surgical facility setting under general anesthesia. During the procedure, the plastic surgeon makes a horizontal, oval, or elliptical incision, depending on the amount of tissue to be removed, just above the pubic line. When the incision heals, the resulting scar runs along the natural skin crease of the bikini line. In addition to removing excess skin and fat and tightening the connective tissues, the surgeon pulls the belly button through a small incision, anchors it into its normal position with sutures, and then judiciously repositions the surrounding skin to achieve a firmer, more toned aesthetic.

    What are the benefits of tummy tuck surgery?

    The main reasons for undergoing a tummy tuck procedure are enhancing body image and boosting self-esteem. Feeling good about how we look has a definite correlation with our mental health.

    While body image concerns are relatively common and are not considered mental health issues per se, according to the U.K.’s Mental Health Foundation, such worries can signal risk factors for potential mental health problems. It reports: “Research has found that higher body dissatisfaction is associated with a poorer quality of life, psychological distress, and the risk of unhealthy eating behaviors and eating disorders.”

    In addition to improving self-esteem, tummy tucks also afford patients a host of other valuable health benefits.

    A tummy tuck can strengthen your abdominal muscles. Having a stronger core can improve flexibility, help alleviate lower back pain, improve posture, and ward off hernias.

    A tummy tuck may reduce the risk for certain medical conditions, including sleep apnea, diabetes, heart disease, and gallbladder disease.

    A tummy tuck can increase bodily function control and decrease urinary stress incontinence occurrences. Many factors lead to the loss of bowel or bladder control. Aging, multiple pregnancies, and significant weight loss can be all factors. These issues can be exacerbated by the presence of excess fat and skin in the abdomen. Removing extra skin and fat and tightening connective tissue in the abdomen can improve control over bodily functions and lessen involuntary urinary leaks.

    How long after a tummy tuck can I sleep on my stomach?

    The accepted rule of thumb is to avoid sleeping on your stomach for six weeks after undergoing tummy tuck surgery. This hiatus from stomach sleeping ensures the skin and muscles have adequate time to heal. However, each patient is different, and some may need to stay off their tummies longer than six weeks. It is highly recommended you discuss a postsurgical sleeping protocol with your doctor prior to the procedure. 

    What’s the best way to recuperate from a tummy tuck procedure?


    Recuperating from a tummy tuck takes time and proper care of the body. To facilitate a speedy recovery, I recommend the following: 

    Eat right and keep hydrated. High-protein foods benefit healing by boosting energy and promoting muscle growth. Conversely, foods with high sugar and sodium content can have a negative impact on the healing process and should be avoided. While patients who’ve undergone abdominoplasty experience swelling, drinking adequate amounts of water (eight glasses per day is recommended) reduces retention by flushing fluids from your system.

    Don’t overdo it. People are eager to dive back into their everyday routines after surgery, but this can be a mistake. Instead, ease gradually into daily activities, and if your body is giving you the warning to stop doing something, listen to it. In general, tummy tuck patients should refrain from pulling, pushing, bending, and lifting heavy objects for a minimum of six weeks after surgery.

    Look into lymphatic drainage massage. As the name implies, lymphatic drainage massage stimulates the body’s lymphatic system. This enhances its efficiency, speeding the removal of toxins, boosting immune response, and aiding in the overall healing process.

    What’s the difference between a tummy tuck and liposuction?

    As mentioned above, a tummy tuck is a surgical procedure performed under general anesthesia in a hospital or outpatient surgical setting. Liposuction is a much less invasive procedure that does not require a surgical incision and can be performed under a local anesthetic (although general is preferred). Abdominoplasty is strictly abdominal surgery, while liposuction can be performed on any area of the body where stubborn fatty deposits that resist traditional weight loss protocols occur, including the neck, thighs, back, and arms.

    During liposuction, no skin is removed, nor is fat surgically excised. Instead, a saline, water, and anesthesia solution is injected into the target area. A cannula is then inserted, and the fat is sucked out. Those considering either procedure should consult with a reputable cosmetic surgeon before proceeding to better understand which one best meets their needs.

    How soon is it safe to get a tummy tuck after pregnancy?

    Due to significant changes in the body, one of the most prevalent times women choose to get a tummy tuck is after pregnancy. It’s only natural to want to get back to your pre-baby body as soon as you can. However, some guidelines must be adhered to in order to safeguard a woman’s health and achieve the maximum benefits from the procedure. 

    Six months after giving birth is the earliest patients should schedule a tummy tuck. Moms who’ve undergone a C-section may have to wait longer (up to a year) and should discuss any potential surgery with their doctor. There are other factors that may make postponing a tummy tuck a good idea as well:

    Are you still breastfeeding? Breastfeeding influences hormonal changes in the body that can impact the healing process and influence weight fluctuations. It’s recommended to wait until three months after you finish breastfeeding before getting a tummy tuck.

    Has your weight stabilized? Weight gain during pregnancy is normal. Getting back or close to pre-baby weight can take time, and many moms experience postpartum weight fluctuations. While a tummy tuck will improve physical appearance, it’s not strictly intended to be a weight loss procedure. Tummy tucks are most effective when patients are at or near their ideal weight. 

    Do you plan to get pregnant again? The logic of this is pretty simple: Every pregnancy can result in additional stretching of tissues and added fat to the midsection, all of which can undo the good your tummy tuck has done. If you think there might be more kids in your future, putting off tummy tuck surgery is best until after welcoming your last blessed event.

    Can men get a tummy tuck?

    The simple answer to this question is, yes. Men can and do get tummy tucks — and are doing so in increasing numbers. That said, when it comes to tummy tucks, not all men are created equal. Some men make better candidates for this surgery than others. Dr. Jejurikar advises men interested in the procedure to discuss their expectations with a certified cosmetic surgeon to ensure their desired outcome is realistic.

    Can a tummy tuck be combined with other surgery?

    Yes. One of the most popular cosmetic procedures currently performed is what’s known as the “mommy makeover,” which can combine a tummy tuck with breast enhancement and/or liposuction. The upside of combined surgeries is that they require only one recovery period. However, that recovery period will likely be longer than that of a single procedure. Your overall health is the biggest factor in determining whether multiple procedures are viable and must be determined by a doctor on a case-by-case basis.

    Who should not get a tummy tuck?

    Tummy tucks work wonders for some — but they’re not for everyone. The Mayo Clinic cautions that prior to embarking on the procedure, potential patients should thoroughly discuss any of the following conditions or concerns they have with their surgeon:

    You plan to lose a significant amount of weight. A major weight loss can result in excess skin on the abdomen. It’s better to wait until weight goals are met before undertaking tummy tuck surgery.

    You have a severe chronic condition, such as heart disease or diabetes. While abdominoplasty may lessen these conditions, if you already have them, they can put you at greater risk during surgery, especially when a general anesthetic is involved. 

    You have a body mass index greater than 30. Again, while tummy tucks do result in weight loss, it is not considered weight loss surgery. Patients who fare best are at or close to their ideal body weight.

    You smoke. In general, smoking increases surgical risks. It’s not a hard-and-fast rule, but nonsmokers generally enjoy better surgical outcomes.

    You’ve had previous abdominal surgery that resulted in significant scar tissue. Excessive scar tissue can be a side effect of any abdominal surgical procedure. Some patients are more prone to it than others. If prior surgery indicates that’s the case, further procedures might not be in your best interest.

    How do I find a good tummy tuck surgeon in Dallas or elsewhere?

     The qualities that make a good tummy tuck surgeon in Dallas are the same no matter where the procedure is being performed. A good tummy tuck surgeon combines thorough medical knowledge with technical artistry. A good tummy tuck surgeon truly cares about their patients, listens to their concerns, and helps them arrive at realistic goals and expectations. A good tummy tuck surgeon always makes the health of their patients their highest priority — even if that sometimes means saying no to a procedure.

    First and foremost, those considering cosmetic surgery should seek out a doctor who, like me, is board-certified in plastic surgery by the American Society of Plastic Surgeons (ASPS). Only board-certified plastic surgeons have the education, training, and certification to perform cosmetic surgeries on the face, breasts, and body. Always verify your surgeon’s credentials and make sure they have experience in the procedure you’re interested in.

    Male Facelifts – a New Normal in Plastic Surgery

    Dr Sam Jejurikar Men's facelift

    Once strictly a woman’s privilege, plastic surgery for men is on the rise. More men than ever are seeking facial rejuvenation procedures, according to Dr. Sam Jejurikar, touted as one of the best plastic surgeons in Dallas.

    One of the most significant changes that have taken place in this area is that men are now talking to one another about their issues with aging. In the not-too-distant past, aging and how it can impact men was not something most men would openly discuss, and therefore, many options have not been available.

    As social mores have changed so much in recent years, the facts have become clear, with men being encouraged to open up and talk about the physical changes that occur with aging. Men care about how they look and want options to combat the physical changes of aging.

    The commonly accepted idea that the more rugged and weather-beaten a man appeared, the more manly he is, is now a thing of the past. Many men who want to look younger and feel better about themselves are seeking facelifts at an increasing rate.

    What Happens During a Facelift for Men?

    Men's facelift Dr. Sam Jejurikar

    As men age, the tissues which control facial expression, the SMAS (Superficial Muscular Aponeurotic System), become lax and weak, beginning to sag. This sagging causes jowls to form, cheeks to hollow and deep creases to appear along the corners of the mouth and down the side of the nose. A SMAS facelift adjusts and mends this wear and tear, correcting sagging jowls and filling out hollow cheeks and deep creases.

    The procedure is performed under general anesthesia or with IV sedation.

    During the operation, incisions are made through all three facial and neck skin layers. The layers are then lifted in an upwards motion, with tension being placed on the underlying SMAS layer. Any excess fat is trimmed, and the SMAS is then sutured.

    A highly skilled surgeon, such as Dallas-based Dr. Sam Jejurikar, understands the minute differences in facial anatomy present in various patients. No two candidates are the same, and all patients are treated as individual cases, demonstrated by the excellent results he is famed for.

    Are Men’s Facelifts Different From Women’s?

    men and women facelift

    Absolutely. The male anatomy is different from that of the female, so the procedure must be approached distinctively for it to succeed.

    Men have thicker skin and muscle than women, which needs to be accounted for during surgery so that the overall appearance of the face is as natural as possible.

    The incisions made during surgery on a male are also different, mainly due to the fact that men have beard growth. In women, the main incision passes behind the ear’s tragus to conceal the scar. In men, the incision is positioned in front of the tragus so that any skin with hair on it won’t be drawn over the tragus and inside the ear.

    Can Men’s Facelifts Have Practical Benefits?

    The effects of a good facelift aren’t just aesthetic; a facelift can also greatly improve self-confidence and eliminate or lessen debilitating feelings of low self-esteem.

    This, in turn, can bring about genuine change in the lives of men who have undergone surgery. Relationships improve, and romantic social and professional opportunities may also increase as self-confidence is directly linked to how others perceive us.

    What About Post-Operative Care?

    The recovery from a procedure like this will generally take around 2- 3 weeks.

    • Some swelling, bruising, and numbness are completely normal and to be expected.
    • Bruising can last a little longer but, in general, should be completely resolved after around three weeks.
    • Patients need to rest and take things easy after their operation.

    Are There Any Complications to Consider?

    Facelift surgery for men is usually safe, but as with all surgery, it is important to understand the possible risks. The best candidates are men over 50 who are in good health and do not smoke.

    Smoking can increase the risk of infection in postoperative patients and slow healing. To ensure the best possible recovery, patients must listen carefully to the advice given by their surgeon.

    Seeking the Best To Achieve the Finest Results

    A facelift can easily knock a decade or more off a person’s face, especially if the procedure is performed by an experienced doctor who has been touted as one of the best plastic surgeons by Newsweek and D Magazine. Dr. Sam Jejurikar, of Dallas, Texas, has been practicing for over 20 years, is board-certified by the American Board of Plastic Surgery, and is a member of the renowned Dallas Plastic Surgery Institute.

    About Dr. Sam Jejurikar

    Dr. Sam Jejurikar has twice been named in D Magazine’s annual “Best Doctors and Pediatric Specialists in Dallas” list, and in August of this year, he was honored as a top plastic surgeon in Newsweek’s rankings of America’s Best Plastic Surgeons.

    After earning his undergraduate degree at the University of Michigan as a member of the Alpha Omega Alpha Honor Society, Dr. Jejurikar undertook a residency in plastic surgery at the University of Michigan Hospitals and Health Centers.

    Further training at the renowned Manhattan Eye, Ear, and Throat Hospital with a sub-speciality in aesthetic surgery followed, and more recently, Dr. Jejurikar earned his Executive MBA from SMU Cox School of Business.

    Dr. Sam Jejurikar currently serves as an active member of the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, the Dallas Society of Plastic Surgeons, and the American Medical Association.

    With philanthropic beliefs strongly informing his work, Dr. Sam Jejurikar regularly participates in medical missions. This includes an annual trip to treat impoverished children with Smile Bangladesh.

    If you want to hear the latest from Dr. Sam Jejurikar himself, he runs a podcast where he discusses the latest in plastic surgery, media trends, and what being an actual plastic surgeon is like. Hear the latest below:

    D Magazine honors Dr. Sam Jejurikar amongst best plastic surgeons in Dallas, Texas

    Best plastic surgeon Dallas

    For the third year in a row, Dr. Sam Jejurikar has been nominated to the 2022 prestigious list of best plastic surgeons in Dallas. Dr. Jejurikar, who has also earned accolades for his skill and finesse as a plastic surgeon by Newsweek, has now been included on the D Magazine “D Best” list for a total of four years.

    Each year D Magazine puts together its “Best of” lists, which then becomes a trusted go-to for local Dallas residents and visitors alike. To determine who will be included in the Best Doctors and Pediatric Specialists list, a vote of nearly 10,000 Texas doctors chose amongst their peers, and the final results are narrowed down by specialty. 

    Dr. Sam Jejurikar is a member of the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, the Dallas Society of Plastic Surgery, and the Dallas Plastic Surgery Institute. Dr. Jejurikar is a board-certified plastic surgeon with degrees from the University of Michigan and the University of Michigan Medical School, where he was a member of the Alpha Omega Alpha Honor Medical Society, a national medical honor society. 

    But his exceptional medical education and years of experience specializing in plastic surgery aren’t the only qualities that set him above the rest. “I recognize that each patient is different, so I take a caring, meticulous approach to plastic surgery,” Dr. Jejurikar says. “This allows me to craft both surgical and noninvasive solutions for my patients’ individual needs.” 

    Dr. Sam Jejurikar’s Education and Training

    After completing his residency in plastic surgery at the University of Michigan Hospital and Health Centers, Dr. Sam Jejurikar did an additional fellowship at Manhattan Eye, Ear & Throat Hospital in association with New York University Medical Center, where he worked with some of the leading plastic surgeons in the world. This extra training in aesthetic surgery is a step few plastic surgeons take after completing their residency, but it’s just another factor that sets Dr. Jejurikar apart from his peers, making him one of the best plastic surgeons in Dallas.

    “My success is largely based upon an emphasis on customer service,” Dr. Jejurikar told inspiry.com. “As a plastic surgeon, this means spending a greater than normal amount of time with each patient during their initial consultation, really listening to their individual concerns. This allows me to craft a surgical solution to their problems that is uniquely tailored to their issues and then to execute that plan during their procedure.”

    Additional Awards and Reviews that Set Dr. Jejurikar Apart

    Dr. Jejurikar has received a number of awards recognizing his skill. This past August, Newsweek partnered with global market research and custom data firm Statista Inc., and asked 2,000 skin health care professionals who they thought were the best plastic surgeons in the business, taking into account the surgeons’ recommendations as well as board certifications. Then, Newsweek ranked the top 100 in the five most popular kinds of plastic surgery: breast augmentation, eyelid surgery, face-lift, liposuction, and rhinoplasty. Out of 349 individual plastic surgeons, Dr. Jejurikar scored among the leading plastic surgeons in face-lift surgery, liposuction, and rhinoplasty — three out of the five categories. 

    The Newsweek award cements Dr. Jejurikar as a doctor admired by his peers and patients alike. The purpose of the ranking is not to show which surgeons are popular, but to help consumers make an informed decision and choose from the best surgeons in the business.

    His patient’s reviews are a testament to his skill and dedication. How do you only give 5 stars to a man that not only changed your body, but changed your whole life! His kindness and personality should be the standard for all humans,” gushed one happy patient on healthgrades.com.

    “I went to four different doctors for consultation and I am so thankful I chose Dr. J,” said another. “His knowledge and skills, accessibility, and post-op care was everything I could’ve asked for.”

    On top of being praised for his face-lift, rhinoplasty, and liposuction surgery, Dr. Sam Jejurikar is highly sought after for his “Mommy Makeover” surgeries, which, in addition to liposuction, include breast augmentation or reduction, breast lift, and tummy tuck. He’s also known for his innovative approach to imaging, offering Crisalix 3D imaging to go beyond the traditional before-and-after pictures and help clients accurately visualize their new and improved selves. During a consultation, Dr. Sam Jejurikar will explain how a procedure works and then go over your 3D images, making tweaks as necessary based on feedback.

    While Dr. Sam Jejurikar is undeniably well qualified and educated, it’s his personal touch that makes him stand out.

    “My most satisfying moments happen on a daily basis,” he says. “It is intensely gratifying to help patients achieve their goals. This could be a patient who lost massive amounts of weight after bariatric surgery, and now requires an entire body lift to feel confident in his or her own skin. It might be an aging patient who desires facial rejuvenation to be competitive in the workplace. It could be a young male who is bullied for having male breast development, who gets a breast reduction to no longer feel shame.

    “Although every patient’s story is different, the impact of his or her life is dramatic and significant. Being able to help patients experience moments like this will never cease to be immensely satisfying.” Dr. Sam Jejurikar also hosts a podcast where he elucidates the latest in plastic surgery. Listen below:

    What’s new in breast augmentation?

    Much like everything else in life, technology and techniques are constantly changing in plastic surgery. With the advent of new products, plastic surgeons can refine and improve the procedures they offer patients. This is particularly true with breast augmentation, which has evolved considerably in the past few years. So, what’s new you ask?

    The biggest changes involve improvements in breast implant gel and breast implant shells. Although silicone implants have been around for years, not all silicone implants are the same. The earliest silicone implants consisted of a mostly liquid silicone covered by a relatively wispy shell. Not surprisingly, these implants tended to leak, either from the breast implant shell rupturing or from silicone gel bleed, which occurred when silicone gel would leak through the breast implant shell to the surrounding tissue. When this happened, patients were plagued with severe pain, not to mention hard and deformed breasts. The problems were so bad that the Food and Drug Administration (FDA) removed silicone breast implants from the United States market in 1992. The implants remained available elsewhere in the world, however, and scientists and plastic surgeons worked diligently to improve them. The first change consisted of making the silicone gel material within the implant more cohesive, meaning the gel became stickier and thicker. The other substantial change involved improving the implant shell so that the implants were less likely to rupture and less likely to leak. The results of these changes were an improving safety profile throughout the world. Because of this, as well as numerous clinical trials conducted in the U.S., The FDA allowed silicone gel implants back on the market in 2006.

    Since then, breast implant technology has continued to improve. In 2013, the FDA approved the first of the cohesive gel implants that are most commonly used today. These are commonly called gummy bear implants, because they feel remarkably like the candy. Safety data from these implants are promising because, not only do these implants give the best aesthetic results for patients, but they are less likely to result in capsular contracture than other commonly used silicone and saline implants. Depending on the feel desired by patients, implants manufactures have even varied the cohesivity of implants. Allergan, for instance, offers a relaxed, soft touch (intermediate) and more cohesive implants. These options not only allow plastic surgeons to get better results than ever before, but to customize these results more than ever before to the preference of their patients.

    Other big advancements have come in the fight to prevent capsular contracture, which is one of the worst complications that can happen with breast augmentation. Capsular contracture essentially is pathologic scar tissue build up around a breast implant, resulting in painful, hard and deformed breasts. Usually, surgery is required to fix this problem when it develops, so prevention is obviously of paramount importance. It’s thought that capsular contracture is the result of subacute bacterial infection.

    The Keller Funnel is a device most plastic surgeons believe will reduce the incidence of capsular contracture. The Keller funnel essentially functions as a condom for breast implants; the implant is completely sheathed in the funnel as it passes through the skin into the breast pocket. Once in the appropriate location, the breast implant can be squeezed out of the funnel into the breast, never having touched the patient’s skin. With no skin contact, the chances of contaminating the implant with even a small number of bacteria is reduced, theoretically diminishing the likelihood of capsular contracture.

    Another way to reduce the incidence of capsular contracture is through antibiotic solutions which bathe the breast pocket and the implant prior to insertion into the patient. Compelling data has demonstrated that the combination of three antibiotics (cefazolin, bacitracin, gentamycin), with the addition of an iodine containing solution markedly reduce bacterial biofilm around implants. This should also lessen the likelihood for bacterial colonization of a breast implant, thereby lessening the likelihood of capsular contracture.

    Finally, preoperative doctor-patient communication has been significantly improved with the advent of three-dimensional imaging. Dr. Jejurikar finds that it’s relatively simple to create an accurate 3D rendering of a patient and then use that rendering to point out relevant anatomy to patients. Patients can see differences in size and symmetry from all angles and then better understand the rationale behind using different sized implants or recommending a breast lift. In addition, it is possible to simulate a breast augmentation on these 3D models with varying sized implants, tremendously helping with the process of preoperative implant selection.

    Obviously, innovative technology and implants must be used in concert with good surgical judgment and technique. If you’d like to learn more about breast augmentation consult with Dr. Jejurikar, please do not hesitate to contact our office to set up a consultation. If you’d like to submit photos prior to your consultation to create your every own 3D rendering, follow this link.

     

    Skin lightening without hydroquinone

    Recently, the state of Texas banned the dispensing of hydroquinone, the most popular skin bleaching cream, in concentrations of 4% of more, because of safety concerns. Hydroquinone had been used by many patients in pre-surgical and post-surgical therapy, as well as by many patients as part of their skin care reigmen. So what are patient’s to do?

    Elure™ Advanced Skin Lightening Technology (http://www.elureskin.com) is a new topical cosmetic product available at EpiCentre Park Lane and EpiCentre Legacy. The appearance improvement provided by elure is based on a patented natural enzyme, known as Melanozyme™, which temporarily reduces the dark-colored pigment in your skin. In several clinical studies, elure produced a brighter and more even toned skin appearance for most subjects in just 28 days. Elure™ does not contain hydroquinone. Early results with this product have been quite promising.

    To learn more, contact Dr. Jejurikar’s office at 214-827-2814.

    Free Latisse or Botox with your Breast Implants

    Allergan, one of the major breast implant manufactures in the United States, is offering patients a free one-month supply of Latisse or 20 units of Botox free with purchase of breast implants. If you’ve been thinking of having breast augmentation surgery, take advantage of this great special today! Call Dr. Jejurikar’s office at Dallas Plastic Surgery Institute (214-827-2814) to set up a complimentary consultation.

    Rates of silicone breast implant placement are on the rise

    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.

    Can A Breast Lift Be Performed With Breast Implants Alone? Dr. Sam Jejurikar, Breast Augmentation Specialist, discusses breast lift and breast implants in Dallas, Texas.

    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.

    Are Breast Implants Better In Front of or Behind the Chest Wall Muscle? Dr. Sam Jejurikar of Dallas Plastic Surgery Institute discusses optimal placement of saline and silicone breast implants.

    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.

    Gluteal Augmentation With Fat: The Brazilian Butt Lift at the Dallas Plastic Surgery Institute with Dr. Sam Jejurikar, Board Certified Plastic Surgeon

    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.

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