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American Society of Plastic Surgeons | 444 E. Algonquin Road | Arlington Heights | IL | 60005-4664 |
Showing posts with label breast augmenation. Show all posts
Showing posts with label breast augmenation. Show all posts
Wednesday, January 26, 2011
Report: Possible RARE Association Between Breast Implant Capsules and Lymphoma
Tuesday, December 28, 2010
Repost of a wonderful article by a Mommy Makeover patient!
This is a WONDERFUL article written by a woman who has had a "Mommy Makeover" surgery.
Although I wish I could boast about this being MY patient, it is not. She is an excellent writer and I feel she sums up her experience in a lighthearted and sincere manner.
However, I truly believe that anyone considering this type of surgery could benefit from reading this in order to help prepare for their experience!
Karen M. Horton, M.D., M.Sc., F.R.C.S.C.
After getting a mommy makeover, I came up with a top 10 list of things I wish I knew ahead of time!
1. Guilty as charged.
As most moms do, I tend to put everyone else first. A lot of times that is why women tend to feel like they have lost their identities. It’s hard to spend that much money on yourself, especially for aesthetic reasons. It seems okay to spend it on a car or a trip, but for some reason the thought of spending that money on your body is frowned upon. To some that may seem vain or boastful. For me it was about a self confidence that I had yet to achieve, a love of self that I have longed for my entire life. When I look in the mirror I like what I see now. When I feel good about myself…inside and out…I am a better woman, a better wife, and a better mom. It is absolutely normal to feel guilty about spending money on a mommy makeover and it is okay to finally put yourself first. It is the best money I have ever spent…just ask my family.
2. What to tell the kids.
This was a big one for me. I am a mom of two young girls (5 and 2). I grew up with a horrible body image and the last thing I wanted was to implement that to my daughters. I was concerned about what to tell the oldest, the two-year-old really didn’t understand. I thought about saying, “Well, you and your sister ruined my body while I was pregnant with you both.” But then I thought maybe that was too harsh. (Note the sarcasm). I have tried really hard not to down myself in front of them, calling myself too fat, or commenting on my huge belly. They see me exercise and make healthy choices, but I didn’t want them to know that I didn’t like my body. So I tried to keep it simple. The day before surgery I told my oldest daughter that I was going to have an operation to fix my tummy (I didn’t go into the whole booby thing). She of coursed asked why, I told her because the doctor said so. I was prepared for more questions but she seemed satisfied with that. I was informed by the ladies on this site that the best thing to do with boys, if they are older, is tell them you are having female surgery. They will shut right up and have no more questions. Nothing is more embarrassing than talking female issues with your mom.
3. I’m a big girl now.
Most mommy makeovers include lipo and a tummy tuck. Which probably means you will be lucky enough to wear a skin-tight crotchless compression garment. I, as most women, chose to wear panties over this outfit so I didn’t feel as it all my “stuff” was being squished out. (Think of baboons….ewww, or don’t.) Now, the tricky part here is the first couple of days after surgery. You will spend quite a bit of time on the toilet the first time you try to pee, similar to what it is like after giving birth. After a couple tries, it gets better. However, when you are taking pain medication and muscle relaxers on a regular basis, your mind may be fuzzy a bit. I had the great luck of forgetting I had those panties on and peeing straight through them…twice. Yes, not once, but twice. I was starting to think I might have to revert back to diapers but I graduated and learned how to use the potty like a big girl. Also, you will probably not poop for several days at first, so expect a good 3-5 days worth of poop on your first time. With that being said, consider pulling your garment down for that endeavor. The back to front wiping thing can be tricky in that thing. I’m just saying, not that it happened or anything…..I’m just saying…okay…next subject please.
4. Hello Dolly!
If you decide to get implants please remember that objects may appear larger than they actually are. When I first took a glance at my new girls, I thought “Holy Mary Mother of God, what have I done?!” I looked like Dolly Parton, or for younger ones, Beth from Dog the Bounty Hunter. This is NOT your final look. Please don’t freak out. The swelling takes a while to go down and for the implants to “drop” into place. After about a week your PS will probably give you the go ahead to start massaging them. Massaging the implants will help them soften up and find their final resting place. Your significant other with love this, and surprisingly, so will you. I was shocked to find how much I actually liked touching my own breasts. It sounds perverted, I know, but if you are used to your “ladies” hanging out down by your belly, then you will see how nice it is to hold them, let go, and be fascinated that they no longer fall down so low anymore. I can now understand why men are always holding onto their own “boys”. They are proud of them. I have caught myself with one hand on the remote and the other on one of my breasts. So relax, and let the boobs fall where they may.
5. Phantom of the itch.
I knew going into the tummy tuck part of the mommy makeover that my belly would be numb. It is a freaky and strange feeling. It is almost like you are rubbing on someone else’s tummy. I had heard before about people who have had an arm or leg amputated and still felt the feeling of it being there, the phantom limb syndrome. I was not prepared for that with my belly. Every now and then, I will get an itch, go to scratch it, and realize it is where my belly is numb. Scratching a numb belly doesn’t relieve the itch. Simple right? Well I have a masters degree and it took several times scratching before I got that one.
6. Sit. Stay. Good girl.
Once again, most mommy makeovers include a tummy tuck. This is a huge procedure and as most of you have surely read, it is a good idea to take off as much time as possible from your job. I was fortunate enough to take 2 weeks off from my PAID position. I capitalize paid, because as all moms know, the mom position is considered a “non for profit” position. Rarely do we moms put in a request for vacation from that position, so therefore we tend to work every day of the year, even if we are taking a vacation from our “paid jobs”. As most moms, I am an expert at multitasking. It was killing me to sit there and not do anything. The first 3 days or so you have no choice, your body will not allow it. I will admit that I probably did more than I should have. Looking back, I wish I would have taken more advantage of the quiet time and rested and relaxed. I was convinced that if I didn’t do it, it wouldn’t get done, and it wouldn’t get done right. I was wrong. Trust your loved ones. My husband was amazing. He became Mr. Mom and was pretty darn good at it. I have never given him enough credit in that department. Granted, it may have not been done the way I do it, but he stepped up and took charge. And if you don’t have someone doing those household chores….so what. Just take this time for yourself and give your body a chance to heal.
7. All aboard...the Bi-Polar Express.
This is a BIG one. Having your body cut upon, stitched up, and hung up to dry is traumatic. Throw a few pain meds into the mix and you will turn into an emotional tornado. I was known to go from ecstatic to tears in 6.9 seconds flat. Top that!! Be aware that this will be an issue, and emotions will be crazy. Explain this to your loved ones and the people caring for you so they don’t call the men in white coats with the strait jackets. When I felt teary, I would cry. It’s ok, you have a permit to go crazy, take advantage of it. When I was feeling really down and out, I typically would go to bed and nap it off. Use this site. Realself.com is full of women who are going through the same thing. Use them to lean on and talk to. The ladies I have met on here have been A HUGE support to me and I couldn’t have gotten through this without them. Well, I would have, but I would have probably been divorced and sitting in a mental institution. Thanks Ladies!!!
8. Let's get physical.
Most people who are looking into plastic surgery are doing so because exercise has not been effective on certain areas of the body. There are only so many chest flies one can do before you realize they won’t make your boobies stand up and say hello. However, there are some who think this is the alternative to diet and exercise. If that is you….you are wrong. I truly believe my fitness level aided in my recovery time. And I know that I will have to work twice as hard to keep my new body looking tip top. The more active and healthy you are before surgery, the better your recovery will be. You will heal faster, feel better sooner, and be back to the gym before you know it. As you heal, stay away from processed and salty foods, soda, and fried foods. You will swell like the Stay Puff Marshmallow Man and be so uncomfortable. When your doctor says its okay, get back into exercising and let your body lead the way. It will tell you what is too much and when to quit.
9. Don't be naive: do the research.
When I decide to do something I go full speed, head first. In this case, you need to know what you are getting into. When I began this journey, I had no idea that there was a difference between a Board Certified Plastic Surgeon and a Board Certified Cosmetic Surgeon. Now, I will not step into the argument of who is more qualified; just know who you are dealing with. Ask around; find people who have used him/her. The doctor will give you referrals, but let’s face it; they are not stupid enough to give you someone who is unhappy with their work. If you know anyone who has had plastic surgery get as much info from them as possible. There will always be someone who is unhappy with a certain PS or procedure they have had done. But there is a HUGE difference between a “well, I just didn’t like his/her bedside manner” or “I just didn’t see a huge difference in my lipo” and the “he completely disfigured me”. Be wary of the flashy salesman. Go with your gut and ask LOTS of questions. The good ones will sit with you and take as much time as needed.
10. Avoid the Debbie Downers.
We all know one….the Debbie Downers, the buzz kill. And most of us will have to deal with a few after surgery. It is really hard when you feel that you don’t have the support from your loved ones. The choice to have a mommy makeover is strictly yours and hopefully you are doing this for you and only you. I have had a few family members of mine that I surprisingly haven’t received support from. It is hurtful, especially since they saw me struggle with my weight and self esteem issues for years. A lot of people will see it as a “waste of money”. I started feeling the need to explain my reasoning for having the surgery. I wanted them to know that it was not out of vanity, or selfishness. But remember the old saying “Those convinced against their will, are of the same opinion still.” It really doesn’t matter. As much as I wanted them to hear me out and understand my reasoning, they won’t. If they love you, they will keep their negative comments to themselves and support you no matter what. But you may have those who love you yet still feel the need to give their opinion even when not asked. My response to those people would be a nod and a smile. (Believe me, I know it’s hard) If you want, throw in a “please keep your negative comments to yourself” or a “if you don’t have anything nice to say…”. But my advice is to steer clear of the “screw you” sort of comment. It is just not worth it. As long as you know why you are doing this that is all you need. For me, being able to look in the mirror, smile and for the first time in my life, love what I see…well that is priceless to me. And for those who can’t see past the money or their opinions, they are missing out on watching someone they love transforming into the person they have always dreamed of being.
For more information or to ask questions directly about Mommy Makeover surgery, visit my website!
Although I wish I could boast about this being MY patient, it is not. She is an excellent writer and I feel she sums up her experience in a lighthearted and sincere manner.
However, I truly believe that anyone considering this type of surgery could benefit from reading this in order to help prepare for their experience!
Karen M. Horton, M.D., M.Sc., F.R.C.S.C.
10 Things I wish I'd known before a Mommy Makeover
After getting a mommy makeover, I came up with a top 10 list of things I wish I knew ahead of time!1. Guilty as charged.
As most moms do, I tend to put everyone else first. A lot of times that is why women tend to feel like they have lost their identities. It’s hard to spend that much money on yourself, especially for aesthetic reasons. It seems okay to spend it on a car or a trip, but for some reason the thought of spending that money on your body is frowned upon. To some that may seem vain or boastful. For me it was about a self confidence that I had yet to achieve, a love of self that I have longed for my entire life. When I look in the mirror I like what I see now. When I feel good about myself…inside and out…I am a better woman, a better wife, and a better mom. It is absolutely normal to feel guilty about spending money on a mommy makeover and it is okay to finally put yourself first. It is the best money I have ever spent…just ask my family.
2. What to tell the kids.
This was a big one for me. I am a mom of two young girls (5 and 2). I grew up with a horrible body image and the last thing I wanted was to implement that to my daughters. I was concerned about what to tell the oldest, the two-year-old really didn’t understand. I thought about saying, “Well, you and your sister ruined my body while I was pregnant with you both.” But then I thought maybe that was too harsh. (Note the sarcasm). I have tried really hard not to down myself in front of them, calling myself too fat, or commenting on my huge belly. They see me exercise and make healthy choices, but I didn’t want them to know that I didn’t like my body. So I tried to keep it simple. The day before surgery I told my oldest daughter that I was going to have an operation to fix my tummy (I didn’t go into the whole booby thing). She of coursed asked why, I told her because the doctor said so. I was prepared for more questions but she seemed satisfied with that. I was informed by the ladies on this site that the best thing to do with boys, if they are older, is tell them you are having female surgery. They will shut right up and have no more questions. Nothing is more embarrassing than talking female issues with your mom.
3. I’m a big girl now.
Most mommy makeovers include lipo and a tummy tuck. Which probably means you will be lucky enough to wear a skin-tight crotchless compression garment. I, as most women, chose to wear panties over this outfit so I didn’t feel as it all my “stuff” was being squished out. (Think of baboons….ewww, or don’t.) Now, the tricky part here is the first couple of days after surgery. You will spend quite a bit of time on the toilet the first time you try to pee, similar to what it is like after giving birth. After a couple tries, it gets better. However, when you are taking pain medication and muscle relaxers on a regular basis, your mind may be fuzzy a bit. I had the great luck of forgetting I had those panties on and peeing straight through them…twice. Yes, not once, but twice. I was starting to think I might have to revert back to diapers but I graduated and learned how to use the potty like a big girl. Also, you will probably not poop for several days at first, so expect a good 3-5 days worth of poop on your first time. With that being said, consider pulling your garment down for that endeavor. The back to front wiping thing can be tricky in that thing. I’m just saying, not that it happened or anything…..I’m just saying…okay…next subject please.
4. Hello Dolly!
If you decide to get implants please remember that objects may appear larger than they actually are. When I first took a glance at my new girls, I thought “Holy Mary Mother of God, what have I done?!” I looked like Dolly Parton, or for younger ones, Beth from Dog the Bounty Hunter. This is NOT your final look. Please don’t freak out. The swelling takes a while to go down and for the implants to “drop” into place. After about a week your PS will probably give you the go ahead to start massaging them. Massaging the implants will help them soften up and find their final resting place. Your significant other with love this, and surprisingly, so will you. I was shocked to find how much I actually liked touching my own breasts. It sounds perverted, I know, but if you are used to your “ladies” hanging out down by your belly, then you will see how nice it is to hold them, let go, and be fascinated that they no longer fall down so low anymore. I can now understand why men are always holding onto their own “boys”. They are proud of them. I have caught myself with one hand on the remote and the other on one of my breasts. So relax, and let the boobs fall where they may.
5. Phantom of the itch.
I knew going into the tummy tuck part of the mommy makeover that my belly would be numb. It is a freaky and strange feeling. It is almost like you are rubbing on someone else’s tummy. I had heard before about people who have had an arm or leg amputated and still felt the feeling of it being there, the phantom limb syndrome. I was not prepared for that with my belly. Every now and then, I will get an itch, go to scratch it, and realize it is where my belly is numb. Scratching a numb belly doesn’t relieve the itch. Simple right? Well I have a masters degree and it took several times scratching before I got that one.
6. Sit. Stay. Good girl.
Once again, most mommy makeovers include a tummy tuck. This is a huge procedure and as most of you have surely read, it is a good idea to take off as much time as possible from your job. I was fortunate enough to take 2 weeks off from my PAID position. I capitalize paid, because as all moms know, the mom position is considered a “non for profit” position. Rarely do we moms put in a request for vacation from that position, so therefore we tend to work every day of the year, even if we are taking a vacation from our “paid jobs”. As most moms, I am an expert at multitasking. It was killing me to sit there and not do anything. The first 3 days or so you have no choice, your body will not allow it. I will admit that I probably did more than I should have. Looking back, I wish I would have taken more advantage of the quiet time and rested and relaxed. I was convinced that if I didn’t do it, it wouldn’t get done, and it wouldn’t get done right. I was wrong. Trust your loved ones. My husband was amazing. He became Mr. Mom and was pretty darn good at it. I have never given him enough credit in that department. Granted, it may have not been done the way I do it, but he stepped up and took charge. And if you don’t have someone doing those household chores….so what. Just take this time for yourself and give your body a chance to heal.
7. All aboard...the Bi-Polar Express.
This is a BIG one. Having your body cut upon, stitched up, and hung up to dry is traumatic. Throw a few pain meds into the mix and you will turn into an emotional tornado. I was known to go from ecstatic to tears in 6.9 seconds flat. Top that!! Be aware that this will be an issue, and emotions will be crazy. Explain this to your loved ones and the people caring for you so they don’t call the men in white coats with the strait jackets. When I felt teary, I would cry. It’s ok, you have a permit to go crazy, take advantage of it. When I was feeling really down and out, I typically would go to bed and nap it off. Use this site. Realself.com is full of women who are going through the same thing. Use them to lean on and talk to. The ladies I have met on here have been A HUGE support to me and I couldn’t have gotten through this without them. Well, I would have, but I would have probably been divorced and sitting in a mental institution. Thanks Ladies!!!
8. Let's get physical.
Most people who are looking into plastic surgery are doing so because exercise has not been effective on certain areas of the body. There are only so many chest flies one can do before you realize they won’t make your boobies stand up and say hello. However, there are some who think this is the alternative to diet and exercise. If that is you….you are wrong. I truly believe my fitness level aided in my recovery time. And I know that I will have to work twice as hard to keep my new body looking tip top. The more active and healthy you are before surgery, the better your recovery will be. You will heal faster, feel better sooner, and be back to the gym before you know it. As you heal, stay away from processed and salty foods, soda, and fried foods. You will swell like the Stay Puff Marshmallow Man and be so uncomfortable. When your doctor says its okay, get back into exercising and let your body lead the way. It will tell you what is too much and when to quit.
9. Don't be naive: do the research.
When I decide to do something I go full speed, head first. In this case, you need to know what you are getting into. When I began this journey, I had no idea that there was a difference between a Board Certified Plastic Surgeon and a Board Certified Cosmetic Surgeon. Now, I will not step into the argument of who is more qualified; just know who you are dealing with. Ask around; find people who have used him/her. The doctor will give you referrals, but let’s face it; they are not stupid enough to give you someone who is unhappy with their work. If you know anyone who has had plastic surgery get as much info from them as possible. There will always be someone who is unhappy with a certain PS or procedure they have had done. But there is a HUGE difference between a “well, I just didn’t like his/her bedside manner” or “I just didn’t see a huge difference in my lipo” and the “he completely disfigured me”. Be wary of the flashy salesman. Go with your gut and ask LOTS of questions. The good ones will sit with you and take as much time as needed.
10. Avoid the Debbie Downers.
We all know one….the Debbie Downers, the buzz kill. And most of us will have to deal with a few after surgery. It is really hard when you feel that you don’t have the support from your loved ones. The choice to have a mommy makeover is strictly yours and hopefully you are doing this for you and only you. I have had a few family members of mine that I surprisingly haven’t received support from. It is hurtful, especially since they saw me struggle with my weight and self esteem issues for years. A lot of people will see it as a “waste of money”. I started feeling the need to explain my reasoning for having the surgery. I wanted them to know that it was not out of vanity, or selfishness. But remember the old saying “Those convinced against their will, are of the same opinion still.” It really doesn’t matter. As much as I wanted them to hear me out and understand my reasoning, they won’t. If they love you, they will keep their negative comments to themselves and support you no matter what. But you may have those who love you yet still feel the need to give their opinion even when not asked. My response to those people would be a nod and a smile. (Believe me, I know it’s hard) If you want, throw in a “please keep your negative comments to yourself” or a “if you don’t have anything nice to say…”. But my advice is to steer clear of the “screw you” sort of comment. It is just not worth it. As long as you know why you are doing this that is all you need. For me, being able to look in the mirror, smile and for the first time in my life, love what I see…well that is priceless to me. And for those who can’t see past the money or their opinions, they are missing out on watching someone they love transforming into the person they have always dreamed of being.
For more information or to ask questions directly about Mommy Makeover surgery, visit my website!
Monday, August 23, 2010
Mommy Makover surgery requires at least 6 weeks for a full physical recovery
After any major surgery such as a Mommy Makeover, you need to give yourself the time needed for complete physical recovery.
In most instances, a Mommy Makover includes a breast lift/implants (or breast reduction), a tummy tuck and/or liposuction.
For each of these surgeries individually, I counsel my patients to take 6 weeks off aggressive physical activity such as exercise, and to take at least 2-3 weeks off work, longer if they can! For combined procedures, the effects can be cumulative and recovery can take a little longer.
Becoming too active immediately after surgery can increase the risk of complications such as hematoma (bleeding), wound healing problems, increased bruising and pain! You may also have drains, that require special care and attention until they are removed.
When at home, rest as much as possible and have friends and family members assist you with your activities of daily living - like making meals, cleaning, child care, and transportation.
You are planning to invest a great deal of time, effort, energy and money into your surgery - be sure to also invest the appropriate effort in your recovery!
Sunday, April 18, 2010
Mommy Makeover Surgery - Rejuvenation of the Breasts and Body for Moms, Especially After Twins!
For Moms, a "mommy makeover" can be an empowering experience, particularly for mother who have had a twin or multiple pregnancy. The following is an online article I gave for the incredible website Twin Pregnancy and Beyond. I was interviewed by its creator, Kellie:
Plastic Surgery After Twins
We were so lucky to get some of the best information on plastic surgery after twins from a Board-Certified Plastic Surgeon. This informative article covers our interview with Karen Horton, M.D., and her advice on getting your body back after twin pregnancy via plastic surgery.
Her knowledgeable, straightforward counsel will help anyone who is interested in what's commonly referred to as a "Mommy Makeover". You will definitely get a better grasp on what's involved, recovery and costs. She also dicusses what happens to our bodies after twin pregnancy, as well as what to look for in a plastic surgeon and other available procedures. A must read!
I am a Board-Certified Plastic Surgeon and Reconstructive Microsurgeon, practicing in the Pacific Heights area of San Francisco. I specialize in both reconstructive surgery and cosmetic surgery for women, and in particular, Moms! Please visit my bio for additional information.
At least half of my practice focuses on breast cancer reconstruction, using new techniques that are not yet widely performed in the United States: (1) Single-stage procedure using an implant, giving women a natural result without the need for multiple surgeries; and (2) Microsurgical reconstruction of the breast using the body's own tissue, usually from the lower abdomen or inner thigh area. This option avoids the use of implants, and provides a permanent, soft and living tissue reconstruction, while adding the benefit of a tummy tuck or a thigh lift!
The other part of my practice focuses also on women, most of them Moms! The "mommy makeover" spectrum of procedures rejuvenates a woman's body after she has completed childbearing. This type of surgery usually focuses on the breasts and body.
Many women who come to see me after doing an internet search say they feel more comfortable because I am a woman Surgeon. I think many women feel most comfortable discussing their bodies, their body image and self-esteem, and their personal goals for surgery with another woman - with the same anatomy, and who can relate to them as a peer as well as their doctor.
I give every single patient who walks through the door or my practice my full attention and absolute care. I get to know my patients intimately, and strive to understand them as a whole person. I explore how their desire to modify a part of their body will affect their life, health, wellness and spirit, and I encourage realistic goals and objectives for surgery. Each of my patients is given my personal cell phone number, and my patients are encouraged to contact me directly with any questions or concerns, no matter how big or small.
Many women find their abdomens have permanent changes following pregnancy, including stretch marks, loss of abdominal tone, excess skin and extra fat deposits that have accumulated since having babies.
Most mothers do not have complete recovery of their bodies after children. Many of my patients are personal trainers, who also need a little help once they are mothers!
Regardless of whether you breastfeed or not, having babies "suck the life right out of them" (your breasts)! The breasts are usually more and more deflated with each subsequent pregnancy.
This loss of volume is usually addressed by a breast augmentation, and sometimes a breast lift is incorporated to move the nipple and areola up to a more aesthetic position and to tuck excess breast skin. Twin pregnancies and multiple births can amplify the changes to a Mom's body.
Often the abdominal skin and rectus muscles are stretched so far apart that a hernia occurs, which is visible when you try to do a sit-up as a protruding bulge in your midline. This is repaired in a standard abdominoplasty, together with tightening your muscles and removing excess skin. There is no substitute for this incredible operation, which is one of my favorites to do!
How a mother feels about herself as a mother and a woman is integral to her self image and self esteem. For a mom to want to take care of herself and feel youthful, sexy and confident is NOT self-centered or vain!
A Mommy Makeover can include a breast lift, breast augmentation or breast reduction, depending on the changes of pregnancy and your specific aesthetic goals.
Because the muscles of the abdominal wall are permanently separated after pregnancies (particular after multiple children or twin pregnancies), a million sit-ups will not help! A tummy tuck (abdominoplasty)and/or liposuction is often recommended to bring the abdominal muscles back together in the midline, and to recreate a flat belly.
A "mommy makeover" surgical procedure should only be considered at least 6 months after the birth of your last child so that your body has the chance to recover as much as possible and to enable you to achieve as much as you can on your own, with a healthy diet and regular exercise.
I encourage each of my patients to become as physically fit as possible before considering any major surgery. If you are athletic and your body is used to being stressed physically, with endorphin release and a good heart and lung workout, then surgery will be much less of an insult to your body. If you are a couch potato and do no physical activity at all, then surgery will be a huge stress to your system and your recovery will be much more difficult.
Any Plastic Surgery operation is a major deal. Each procedure involves cutting and sewing, bruising, downtime, discomfort, and healing time. Reality shows and celebrity gossip magazines often portray Plastic Surgery in an unrealistic light, minimizing the downtime and sensationalizing the results.
In addition, many Hollywood celebrities who have had more than their share of cosmetic procedures look abnormal and have lost their natural beauty. The best Plastic Surgery does not make you look different, does not distort your features, and is not overtly obvious to any passer-by. Most women seeking surgery in my office want a natural result, without looking "fake" or "done". Most Moms usually just want their pre-pregnancy bodies back, or perhaps to look even better than they did before!
Two main Plastic Surgery procedures apply to the post-pregnancy tummy:
(1) Liposuction will remove excess fat in areas that are stubborn to weight loss, such as the abdomen, flanks, pubic area, and thighs. Liposuction will not address excess skin or stretch marks, and will not help to tighten abdominal tone.
(2) Abdominoplasty or "tummy tuck" addresses both the inside and the outside of the abdominal wall, in a three-dimensional manner:
Tummy tuck surgery not only removes excess skin and fat from the lower abdomen (including some stretch marks), but it also tightens the muscles of the abdominal wall through "rectus plication". This step of surgery "corsets" the fascia overlying your abdominal muscles together in the midline and truly decreases the diameter of your waist from the inside! The bulge of pregnancy ("rectus diastasis", separation of the rectus abdominis muscles) is an integral part of this operation.
Depending on your particular situation, either liposuction or a tummy tuck, or both, may be recommended to achieve your specific goals.
An abdominoplasty has major downtime and recovery, and will require 4-6 weeks off of exercise and heavy activities that raise your heart rate or blood pressure, including carrying your children. You will need to have help with the activities of daily living during the immediate postoperative period, and ensure that you take care of yourself during this time, with others helping to care for your family!
Loss of breast volume after having children is corrected by placing a breast implant behind the breast tissue to fill out what has been lost.
Breast augmentation can help restore a woman's sense of proportion to her body, and in many cases can improve a Mom's self-esteem and confidence. Breast implants are placed either behind the breast tissue (subglandular position) or behind the breast tissue and the pectoralis major muscle (submuscular position). There are proponents for each technique, based on opinion and surgical training.
Regardless of the placement of the implant, the fill material and the size, having breast implants does not interfere with breast self-examination, physician breast exams, mammograms, ultrasound, MRI or any other cancer detection techniques.
Breast implants are safe! All implants have a silicone shell; silicone breast implants are the most widely studied medical device in the history of the FDA. To read more about the science and safety of all implants, visit the BreastImplantAnswers.com website.
Breast augmentation using implants will not interfere with breast cancer detection. Implants of all shapes and sizes have a shell made from silicone, which is an inert solid and is used in many implantable devices. The fill can be either saline (sterile salt water) or silicone gel. Sizes range from 125 cc to 800 cc, and implants may be smooth-walled or textured, round or shaped.
If you are "happy in a bra" and do not usually wear padding in your bras to achieve your aesthetic goals, a breast lift alone may be your answer for sagging breasts. Breast lift surgery (known as mastopexy) can restore droopy breasts to a normal size and shape. This operation, although similar to breast reduction, is considered cosmetic and is rarely covered by insurance.
A mastopexy reshapes and lifts the breasts, removes excess skin from stretched-out breasts, lifts the nipples and areolas to a more youthful position, and makes the diameter of stretched areolas smaller. Breast lift surgery creates scars that are permanent, but which fade with time, and are hidden in a bra and even a triangle-string bikini top. If you desire both replacement of lost volume and a lift to your nipples, a combination augmentation-mastopexy may be indicated.
I also see women with concerns about excess tissue in their external genitalia region, the labia minora. Hanging or redundant labia skin can cause embarrassment, pain with intercourse, or friction or sores when walking or doing exercise. One procedure I perform to correct this is called labiaplasty.
Labiaplasty surgically reduces excessive large labia minora tissue to create symmetry when it is lacking, and to make the labia appear more cosmetically appealing. Occasionally excess tissue around the clitoral hood is also carefully trimmed, without any injury to the nerves that provide sexual stimulation.
A FINAL WORD OF WARNING:
It is important to realize that any body-modifying surgery can have a major impact on body image and self-esteem. Hopefully, the change is a positive one!
However, just like a drastic haircut, there can be a "body image adjustment" period or temporary feeling of remorse after surgery. I counsel my patients at their initial consultation that this adjustment period of potential feelings of uneasiness, anxiety or "what have I done?" is completely normal and common after surgery. It can take some time to adjust to your body after any surgery, and the most healthy approach is to acknowledge how you are feeling and to communicate this to your loved ones who are assisting you after surgery.
A Mom should do her homework when seeking a Plastic Surgeon! You will be trusting your body to this person! Do your 'due diligence'. The surgeon should be Board-Certified and a member of the American Society of Plastic Surgery (ASPS - if in the United States) or another major professional society, and should be current in their Board Certification and training.
They should have a great deal of experience in the procedure you are seeking, and should show you multiple before-and-after photographs of their results - not just the best outcomes, but "average" results in body shapes and types just like you! Ask to speak to some of their patients who have had surgery with the Surgeon, and don't be shy about asking them all about their experience - you need to know the good, the bad, and the ugly!
Bring a list of questions with you, and bring a friend to act as another listener and objective observer. There should be a "good fit" between you and the physician - in terms of personality, aesthetic goals for the procedure, office staff atmosphere, etc.
I don't usually discuss the costs of surgery - this is left up to my Patient Coordinator Mary, who spends time with patients once they have completed their consultation with me, which usually lasts 45-60 minutes on our first visit. Mary then reviews the procedures we have discussed and provides an estimate of the total costs of the procedure(s), which include a surgical fee, operating room time, anesthesia fees, and sometimes an overnight stay in the hospital.
Estimated costs for the doctor's fee for some common procedures include:
* Breast augmentation $ 4,200 - 5,000
* Breast lift $ 6,000 - 8,000
* Breast reduction $ 6,000 - 8,000 (some cases may be covered insurance)
* Abdominoplasty $ 6,000 - 10,000
* Liposuction (per site) $ 2,000 - 3,500
* Labiaplasty $ 3,500 - 4,000
Keep in mind that when multiple procedures are done at the same time, the overall cost is less and discounts are given. I usually recommend no longer than 6-8 hours under anesthesia, and mandate an overnight stay for any procedure longer than three hours.
Plastic Surgery After Twins
Getting Your Body Back
We were so lucky to get some of the best information on plastic surgery after twins from a Board-Certified Plastic Surgeon. This informative article covers our interview with Karen Horton, M.D., and her advice on getting your body back after twin pregnancy via plastic surgery.Her knowledgeable, straightforward counsel will help anyone who is interested in what's commonly referred to as a "Mommy Makeover". You will definitely get a better grasp on what's involved, recovery and costs. She also dicusses what happens to our bodies after twin pregnancy, as well as what to look for in a plastic surgeon and other available procedures. A must read!
WHAT TYPE OF DOCTOR ARE YOU AND WHAT DO YOU SPECIALIZE IN?
I am a Board-Certified Plastic Surgeon and Reconstructive Microsurgeon, practicing in the Pacific Heights area of San Francisco. I specialize in both reconstructive surgery and cosmetic surgery for women, and in particular, Moms! Please visit my bio for additional information. At least half of my practice focuses on breast cancer reconstruction, using new techniques that are not yet widely performed in the United States: (1) Single-stage procedure using an implant, giving women a natural result without the need for multiple surgeries; and (2) Microsurgical reconstruction of the breast using the body's own tissue, usually from the lower abdomen or inner thigh area. This option avoids the use of implants, and provides a permanent, soft and living tissue reconstruction, while adding the benefit of a tummy tuck or a thigh lift!
The other part of my practice focuses also on women, most of them Moms! The "mommy makeover" spectrum of procedures rejuvenates a woman's body after she has completed childbearing. This type of surgery usually focuses on the breasts and body.
Many women who come to see me after doing an internet search say they feel more comfortable because I am a woman Surgeon. I think many women feel most comfortable discussing their bodies, their body image and self-esteem, and their personal goals for surgery with another woman - with the same anatomy, and who can relate to them as a peer as well as their doctor.
I give every single patient who walks through the door or my practice my full attention and absolute care. I get to know my patients intimately, and strive to understand them as a whole person. I explore how their desire to modify a part of their body will affect their life, health, wellness and spirit, and I encourage realistic goals and objectives for surgery. Each of my patients is given my personal cell phone number, and my patients are encouraged to contact me directly with any questions or concerns, no matter how big or small.
CAN YOU TELL US A BIT ABOUT WHAT HAPPENS TO OUR BODIES. ABDOMENS, BREASTS AFTER PREGNANCY
(especially a twin pregnancy)?
(especially a twin pregnancy)?
Many women find their abdomens have permanent changes following pregnancy, including stretch marks, loss of abdominal tone, excess skin and extra fat deposits that have accumulated since having babies.Most mothers do not have complete recovery of their bodies after children. Many of my patients are personal trainers, who also need a little help once they are mothers!
Regardless of whether you breastfeed or not, having babies "suck the life right out of them" (your breasts)! The breasts are usually more and more deflated with each subsequent pregnancy.
This loss of volume is usually addressed by a breast augmentation, and sometimes a breast lift is incorporated to move the nipple and areola up to a more aesthetic position and to tuck excess breast skin. Twin pregnancies and multiple births can amplify the changes to a Mom's body.
Often the abdominal skin and rectus muscles are stretched so far apart that a hernia occurs, which is visible when you try to do a sit-up as a protruding bulge in your midline. This is repaired in a standard abdominoplasty, together with tightening your muscles and removing excess skin. There is no substitute for this incredible operation, which is one of my favorites to do!
How a mother feels about herself as a mother and a woman is integral to her self image and self esteem. For a mom to want to take care of herself and feel youthful, sexy and confident is NOT self-centered or vain!
WHEN DIET AND EXERCISE HAVE DONE ALL THEY CAN FOR A WOMAN WHO HAS TRIED TO LOSE THE POST-PREGNANCY WEIGHT, WHAT TYPES OF PROCEDURES SHOULD SHE CONSIDER?
A Mommy Makeover can include a breast lift, breast augmentation or breast reduction, depending on the changes of pregnancy and your specific aesthetic goals.Because the muscles of the abdominal wall are permanently separated after pregnancies (particular after multiple children or twin pregnancies), a million sit-ups will not help! A tummy tuck (abdominoplasty)and/or liposuction is often recommended to bring the abdominal muscles back together in the midline, and to recreate a flat belly.
A "mommy makeover" surgical procedure should only be considered at least 6 months after the birth of your last child so that your body has the chance to recover as much as possible and to enable you to achieve as much as you can on your own, with a healthy diet and regular exercise.
I encourage each of my patients to become as physically fit as possible before considering any major surgery. If you are athletic and your body is used to being stressed physically, with endorphin release and a good heart and lung workout, then surgery will be much less of an insult to your body. If you are a couch potato and do no physical activity at all, then surgery will be a huge stress to your system and your recovery will be much more difficult.
Any Plastic Surgery operation is a major deal. Each procedure involves cutting and sewing, bruising, downtime, discomfort, and healing time. Reality shows and celebrity gossip magazines often portray Plastic Surgery in an unrealistic light, minimizing the downtime and sensationalizing the results.
In addition, many Hollywood celebrities who have had more than their share of cosmetic procedures look abnormal and have lost their natural beauty. The best Plastic Surgery does not make you look different, does not distort your features, and is not overtly obvious to any passer-by. Most women seeking surgery in my office want a natural result, without looking "fake" or "done". Most Moms usually just want their pre-pregnancy bodies back, or perhaps to look even better than they did before!
WHAT TYPES OF PROCEDURES ARE AVAILABLE FOR WOMEN WHO WANT TO ADDRESS THE EXTRA SKIN, STRETCH MARKS, AND BELLY BULGE LEFT AFTER HAVING TWINS?
Two main Plastic Surgery procedures apply to the post-pregnancy tummy:(1) Liposuction will remove excess fat in areas that are stubborn to weight loss, such as the abdomen, flanks, pubic area, and thighs. Liposuction will not address excess skin or stretch marks, and will not help to tighten abdominal tone.
(2) Abdominoplasty or "tummy tuck" addresses both the inside and the outside of the abdominal wall, in a three-dimensional manner:
Tummy tuck surgery not only removes excess skin and fat from the lower abdomen (including some stretch marks), but it also tightens the muscles of the abdominal wall through "rectus plication". This step of surgery "corsets" the fascia overlying your abdominal muscles together in the midline and truly decreases the diameter of your waist from the inside! The bulge of pregnancy ("rectus diastasis", separation of the rectus abdominis muscles) is an integral part of this operation.
Depending on your particular situation, either liposuction or a tummy tuck, or both, may be recommended to achieve your specific goals.
An abdominoplasty has major downtime and recovery, and will require 4-6 weeks off of exercise and heavy activities that raise your heart rate or blood pressure, including carrying your children. You will need to have help with the activities of daily living during the immediate postoperative period, and ensure that you take care of yourself during this time, with others helping to care for your family!
LET'S TALK ABOUT BREASTS. FOR THOSE OF US WHO HAVE BREASTFED OUR TWINS, WHAT CAN WE DO ABOUT THE INEVATABLE SAGGING?
Loss of breast volume after having children is corrected by placing a breast implant behind the breast tissue to fill out what has been lost. Breast augmentation can help restore a woman's sense of proportion to her body, and in many cases can improve a Mom's self-esteem and confidence. Breast implants are placed either behind the breast tissue (subglandular position) or behind the breast tissue and the pectoralis major muscle (submuscular position). There are proponents for each technique, based on opinion and surgical training.
Regardless of the placement of the implant, the fill material and the size, having breast implants does not interfere with breast self-examination, physician breast exams, mammograms, ultrasound, MRI or any other cancer detection techniques.
Breast implants are safe! All implants have a silicone shell; silicone breast implants are the most widely studied medical device in the history of the FDA. To read more about the science and safety of all implants, visit the BreastImplantAnswers.com website.
Breast augmentation using implants will not interfere with breast cancer detection. Implants of all shapes and sizes have a shell made from silicone, which is an inert solid and is used in many implantable devices. The fill can be either saline (sterile salt water) or silicone gel. Sizes range from 125 cc to 800 cc, and implants may be smooth-walled or textured, round or shaped.
If you are "happy in a bra" and do not usually wear padding in your bras to achieve your aesthetic goals, a breast lift alone may be your answer for sagging breasts. Breast lift surgery (known as mastopexy) can restore droopy breasts to a normal size and shape. This operation, although similar to breast reduction, is considered cosmetic and is rarely covered by insurance.
A mastopexy reshapes and lifts the breasts, removes excess skin from stretched-out breasts, lifts the nipples and areolas to a more youthful position, and makes the diameter of stretched areolas smaller. Breast lift surgery creates scars that are permanent, but which fade with time, and are hidden in a bra and even a triangle-string bikini top. If you desire both replacement of lost volume and a lift to your nipples, a combination augmentation-mastopexy may be indicated.
ARE THERE ANY OTHER PROCEDURES OR TOPICS YOU WOULD LIKE DISCUSS?
I also see women with concerns about excess tissue in their external genitalia region, the labia minora. Hanging or redundant labia skin can cause embarrassment, pain with intercourse, or friction or sores when walking or doing exercise. One procedure I perform to correct this is called labiaplasty.Labiaplasty surgically reduces excessive large labia minora tissue to create symmetry when it is lacking, and to make the labia appear more cosmetically appealing. Occasionally excess tissue around the clitoral hood is also carefully trimmed, without any injury to the nerves that provide sexual stimulation.
A FINAL WORD OF WARNING:
It is important to realize that any body-modifying surgery can have a major impact on body image and self-esteem. Hopefully, the change is a positive one!
However, just like a drastic haircut, there can be a "body image adjustment" period or temporary feeling of remorse after surgery. I counsel my patients at their initial consultation that this adjustment period of potential feelings of uneasiness, anxiety or "what have I done?" is completely normal and common after surgery. It can take some time to adjust to your body after any surgery, and the most healthy approach is to acknowledge how you are feeling and to communicate this to your loved ones who are assisting you after surgery.
WHAT SHOULD WE BE LOOKING FOR IN CHOOSING A DOCTOR TO PERFORM THE AFOREMENTIONED PROCEDURES?
A Mom should do her homework when seeking a Plastic Surgeon! You will be trusting your body to this person! Do your 'due diligence'. The surgeon should be Board-Certified and a member of the American Society of Plastic Surgery (ASPS - if in the United States) or another major professional society, and should be current in their Board Certification and training.They should have a great deal of experience in the procedure you are seeking, and should show you multiple before-and-after photographs of their results - not just the best outcomes, but "average" results in body shapes and types just like you! Ask to speak to some of their patients who have had surgery with the Surgeon, and don't be shy about asking them all about their experience - you need to know the good, the bad, and the ugly!
Bring a list of questions with you, and bring a friend to act as another listener and objective observer. There should be a "good fit" between you and the physician - in terms of personality, aesthetic goals for the procedure, office staff atmosphere, etc.
COST WISE, CAN YOU GIVE US A BALLPARK FIGURE ON WHAT WE SHOULD EXPECT TO PAY FOR SOME OF THE MENTIONED PROCEDURES (plastic surgery after twins)?
I don't usually discuss the costs of surgery - this is left up to my Patient Coordinator Mary, who spends time with patients once they have completed their consultation with me, which usually lasts 45-60 minutes on our first visit. Mary then reviews the procedures we have discussed and provides an estimate of the total costs of the procedure(s), which include a surgical fee, operating room time, anesthesia fees, and sometimes an overnight stay in the hospital. Estimated costs for the doctor's fee for some common procedures include:
* Breast augmentation $ 4,200 - 5,000
* Breast lift $ 6,000 - 8,000
* Breast reduction $ 6,000 - 8,000 (some cases may be covered insurance)
* Abdominoplasty $ 6,000 - 10,000
* Liposuction (per site) $ 2,000 - 3,500
* Labiaplasty $ 3,500 - 4,000
Keep in mind that when multiple procedures are done at the same time, the overall cost is less and discounts are given. I usually recommend no longer than 6-8 hours under anesthesia, and mandate an overnight stay for any procedure longer than three hours.
Monday, March 1, 2010
Breast implant massage video - Instruction on how to keep your breast implants soft after breast augmentation
Following a breast augmentation, is is imperative that women massage their breasts to keep the implant inside mobile and to ensure a soft, natural result!
To watch the Women's Plastic Surgery video on breast implant massage technique, click here.
POSTOPERATIVE MASSAGE INSTRUCTIONS FOR BREAST IMPLANT SURGERY
We cannot over-emphasize how important your post-op massaging is in order to preserve your excellent results of breast augmentation surgery.
Massaging begins general at a week or two after breast augmentation surgery. You will be taught by Dr. Horton and her staff how to massage directly only your own breast.
DO NOT WORRY, YOU CANNOT BREAK THE IMPLANT. It takes more than 50 times the force of a mammogram to rupture an implant!
You should be able to make your fingers meet through the implant in both the vertical and horizontal directions. You should also move the implant around in its pocket to keep the pocket open. The best time to massage is in the shower or when you are warm and relaxed. You should massage once or twice a day for five minutes.
If you have any questions about the massage technique or whether your implant is hardening, do not hesitate to contact us.
GOOD LUCK AND HAPPY MASSAGING! See the video here: http://womensplasticsurgery.com/video_massage-aug.html.
To watch the Women's Plastic Surgery video on breast implant massage technique, click here.
POSTOPERATIVE MASSAGE INSTRUCTIONS FOR BREAST IMPLANT SURGERY
We cannot over-emphasize how important your post-op massaging is in order to preserve your excellent results of breast augmentation surgery.
Massaging begins general at a week or two after breast augmentation surgery. You will be taught by Dr. Horton and her staff how to massage directly only your own breast.
DO NOT WORRY, YOU CANNOT BREAK THE IMPLANT. It takes more than 50 times the force of a mammogram to rupture an implant!
You should be able to make your fingers meet through the implant in both the vertical and horizontal directions. You should also move the implant around in its pocket to keep the pocket open. The best time to massage is in the shower or when you are warm and relaxed. You should massage once or twice a day for five minutes.
If you have any questions about the massage technique or whether your implant is hardening, do not hesitate to contact us.
GOOD LUCK AND HAPPY MASSAGING! See the video here: http://womensplasticsurgery.com/video_massage-aug.html.
Thursday, February 25, 2010
Online Article with Dr. Karen Horton of Women's Plastic Surgery - Neko Cheri and NC Mag Online
I was recently interviewed by Neko Cheri about my experience being a woman Plastic Surgery and in starting my practice and business in San Francisco.
Neko Cheri is the creator of NC Mag, "The intelligent woman's guide to sophisticated living", an online publication for women, by women.
She also hosts a live online talk radio show, Neko Cheri LIVE on Blog Talk Radio. Check her out!
The full article including links to my website and additional information can be read here:
INTERVIEW QUESTIONS DR. KAREN HORTON:
Q: WHAT PROMPTED YOU TO START YOUR OWN PRACTICE, AND HOW LONG HAVE YOU BEEN IN BUSINESS?
I completed a long, but very rewarding 16 year road of University study to become a Plastic Surgeon, and started my private practice in Plastic Surgery in 2006. I am one member of a unique, all-woman Plastic Surgery practice, "Women's Plastic Surgery". See our website www.womensplasticsurgery.com for more information.
Starting your first job at the age of 35 was quite different from many of my friends from college and peers in the community; however I wouldn't have done it any other way! I am exciting to get out of bed each day and to go to work, something that many others can't relate to!
When considering the options for employment, I considered different types of practice, including academic University life, an HMO setting (like Kaiser Permanente), a large group practice, or private practice.
For me, private practice was the best fit, in that it enabled me to develop a specialized practice, focusing on the areas of Plastic Surgery I am most passionate about, and to deliver the best patient care, in a personal setting.
Q. WHAT IS YOUR AREA OF EXPERTISE?
I am a Board-Certified Plastic Surgeon and Reconstructive Microsurgeon, practicing in the Pacific Heights area of San Francisco
At least half of my practice focuses on breast cancer reconstruction, using new techniques that are not yet widely performed in the United States
The other part of my practice focuses also on women, many of them Moms! The "mommy makeover" spectrum of procedures rejuvenates a woman's body after she has completed childbearing. This type of surgery usually focuses on the breasts and body. There are permanent changes after pregnancy such as breast deflation or drooping, loss of abdominal muscle tone, and/or excess skin and fat in the middle section or thighs. Many of my patients are personal trainers, who also need a little help once they are mothers!
A mommy makeover can include a breast lift, breast augmentation or breast reduction, depending on the changes of pregnancy and your specific aesthetic goals. Because the muscles of the abdominal wall are permanently separated after pregnancies (particular after multiple children or twin pregnancies), a million sit-ups will not help! A tummy tuck ("abdominoplasty") and/or liposuction is often recommended to bring the abdominal muscles back together in the midline, and to recreate a flat belly.
Lastly, I see patients for general Plastic Surgery concerns: moles, skin cancers, and other body concerns. Labiaplasty is one procedure I particularly enjoy! Redundant labia minora tissue (inner lips of the female external genitalia) that hangs lower than the labia majora (outer lips) is trimmed for both cosmetic concerns and sometimes for pain during intercourse.
Q: WHAT WOULD YOU SAY IS THE MOST SIGINIFICANT ADJUSTMENT THAT WOMEN HAVE AFTER SURGERY?
Any body-modifying surgery can have a major impact on body image and self-esteem. Hopefully, the change is a positive one! However, just like a drastic haircut, there can be a "body image adjustment" period or temporary feeling of remorse after surgery. I counsel my patients at their initial consultation that this adjustment period of potential feelings of uneasiness, anxiety or "what have I done?" is completely normal and common after surgery. It can take some time to adjust to your body after any surgery, and the most healthy approach is to acknowledge how you are feeling and to communicate this to your loved ones who are assisting you after surgery.
Q: IT SEEMS THAT PLASTIC SURGERY IS A MALE DOMINATED INDUSTRY HOW HAVE YOU BECOME SO SUCCESSFUL?
Many women come to see me after doing an internet search because I am a woman Surgeon. I think many women feel most comfortable discussing their bodies, their body image and self-esteem, and their personal goals for surgery with another woman - with the same anatomy, and who can relate to them as a peer as well as their doctor.
I give every single patient who walks through the door or my practice my full attention and absolute care. I get to know my patients intimately, and strive to understand them as a whole person. I explore how their desire to modify a part of their body will affect their life, health, wellness and spirit, and I encourage realistic goals and objectives for surgery.
Each of my patients is given my personal cell phone number, and my patients are encouraged to contact me directly with any questions or concerns, no matter how big or small.
Q. WHAT HAS BEEN THE MOST CHALLENGING PART OF STARTING YOUR PLASTIC SUGERY BUSINESS?
In Medical School
Q: WHAT ARE SOME OF THE MILESTONES YOU HAVE ACHIEVED IN THE PAST YEAR?
In the past year, I have helped literally hundreds of women become whole again after breast cancer, feel sexy and youthful again after pregnancy or aging, and to be more comfortable and confident in their own skin. This provides such gratification to me; it's almost a bonus that I get to make a living doing this!
Within five months of starting my practice in July 2006, I was covering my overhead and starting to make a profit, which is a feat in itself! Since then, I have maxed out my practice schedule, and am fully booked in the operating room and in the office. I now officially need to focus on "working smarter, not harder".
Q. WHAT IS THE MOST COMMON MISCONCEPTION ABOUT PLASTIC SURGERY?
Any Plastic Surgery operation is a major deal. Each procedure involves cutting and sewing, bruising, downtime, discomfort, and healing time. Reality shows and celebrity gossip magazines often portray Plastic Surgery in an unrealistic light, minimizing the downtime and sensationalizing the results.
In addition, many Hollywood celebrities who have had more than their share of cosmetic procedures (no names needed!), look abnormal and have lost their natural beauty. The best Plastic Surgery does not make you look different, does not distort your facial features, and is not overtly obvious to any passer-by. Most women seeking surgery in my office want a natural result, without looking "fake" or "done".
Q. WHAT ADVICE WOULD YOU GIVE TO A YOUNG WOMAN LOOKING TO WORK IN YOUR FIELD?
I had very few female Mentors during my training. My father is a General Surgeon and was a breast cancer specialist, who undoubtedly influenced me, although he was a workaholic and hardly ever around! My mother held a Ph.D. in Biochemistry, and instilled in my sisters and me the conviction that "you can be anything you want in life, except a Daddy!"
I was raised to believe that I could achieve just about any career goals I wished, as long as I received good grades in school and worked hard. My parents encouraged me to investigate other career fields, based on my interests of art and drawing, such as architecture and fine arts. However, medicine and surgery was the best fit for me, based on my fascination with the human body, science and figuring out the way things work!
A career in Plastic Surgery is difficult to enter and is fiercely competitive. In Canada Medical School
I encourage students who are interested in learning more about Plastic Surgery to shadow me in the office and the operating room, and I regularly mentor young females who are considering a career in Medicine.
Q. WHAT IS THE REWARDING PART OF YOUR OCCUPATION?
The most rewarding aspect of my career is helping people in an intimate and emotional way, every single day! Plastic Surgery enables me to use my brain, my hands, my creativity and artistic talents, and my compassion and caring nature in the best possible way. Helping others truly is my calling, and Plastic Surgery is the venue!
Q. WHAT TRENDS TO SEE HAPPENING IN YOUR INDUSTRY?
Many non-surgical aesthetic treatments are increasingly being offered as an alternative to, or as an adjunct to surgery.
Examples are Botox, Dysport and other injectable agents that decrease muscle contraction and eliminate wrinkles, injectable fillers that help to fill lines in the face, that decrease the effects of aging around the eyes, and plump the lips or cheeks, and "laser"-type treatments that can help to tighten skin without surgery and to improve abnormal pigmentation of the skin.
Nonsurgical treatments such as these can be a little less expensive than surgery, and can be a great option for women who are not ready for a facelift or eyelid lift surgery. However, the effects are usually temporary, and over time, the expenses can add up! Surgery sometimes is the correct answer; your Plastic Surgeon can help to determine which options will best achieve your goals!
Q. HOW DO YOU SEE YOUR PRACTICE EXPANDING IN THE NEXT 5 YEARS?
I will always be committed to breast cancer patients, and I intend to continue to perform breast reconstruction for women facing cancer throughout my career. At this point in my practice, I am already extremely busy, I'm tired, but I'm thrilled about this!
I would like to expand my "mommy makeover" cosmetic practice and help many more Moms achieve their body image and self-esteem goals via surgery (once they have achieved their maximal results with a health diet and regular exercise).
I am now ready to train a "Fellow" (fully trained Plastic Surgery graduate) and teach them all I know, and to eventually take on a Junior Associate in my practice! I also plan to hire a Physician Assistant to enable me to be as efficient as possible and to share my responsibility with inpatient hospital rounds, office preoperative visits, phone calls, and weekend call.
I hope to start my own family soon, and having someone I have personally trained and trust to care for my patients in the same manner and degree as I do, will enable me to best juggle work and a family life. I look forward to that challenge!
Q. HOW HAS SOCIAL NETWORKING AFFECTED YOUR FIELD?
There is a great deal of inaccurate information and gossip on the internet, particularly regarding Plastic Surgery.
I am active on Twitter and Facebook, and I use these resources as a way to reach out to other and to educate, inform and empower women (and men!) about what Plastic Surgery is and isn't, to discuss some of the latest controversies in Plastic Surgery, and to get the word out there about new surgical techniques that are the latest and greatest!
I think social networking is great, as long as it is used with respect and professionalism. Many of my patients "follow" me online, and it's important to remember that once an opinion or message is posted, it is out in cyberspace forever!
Step-by-step animation about breast augmentation surgery!
The American Society of Plastic Surgeons (ASPS) has developed a new series of videos that detail the steps in many different Plastic Surgery procedures.
One of my favorites is the animation on breast augmentation using silicone implants and a subglandular (under the breast approach). This is the technique that I most commonly use for breast augmentation in my patients.
Watch the animation here! (silicone implants, under breast incision)
The ASPS is a wonderful resource for individuals interested in learning more about Plastic Surgery in an unbiased approach, without emphasizing one particular surgeon or technique.
Only Board-Certified Plastic Surgeons can become members of the ASPS. Learn more here.
To see additional before-and-after pictures of breast augmentation, visit our website gallery!
Monday, February 22, 2010
How are breast implants put in the body?
1. In the fold under the breast (inframammary)
2. Around the areola (periareolar)
3. Through the areola and around the nipple (transareolar)
4. Through the armpit (trans-axillary)
5. Via the belly button (trans-umbilical)
Inframammary fold (IMF) incisions preserve the function of the function of the breast, namely breastfeeding and pleasure. I use this incision most commonly for breast augmentation surgery.
When an incision is made in the fold under the breast, the scar lies in a natural crease and does not tend to stretch or be raised, as can happen in other areas. All structures leading to the nipple and areola (milk ducts, nerves, blood vessels) remain intact. In addition, once an implant is inserted, it is probable during a woman's lifetime that another surgery may be required (to change the implant, remove it later in life, perform a breast lift with drooping, etc.). Therefore, the scar is already present and this can be used again as an incision in the future.
Many other incisions used for breast augmentation are only a one-time option, with the IMF incision required in the future. The IMF scar is hidden in bras and even triangle-top string bikinis, and will only be visible up close when the breasts are lifted.
Peri-areolar incisions are usually around the bottom of the areola, the pigmented circle that surrounds the nipple. There are bacteria that live in this area, and vital milk ducts and nerves in this region. By definition, some of these structures will be divided (cut) during surgery, resulting in a higher risk of complications (infection, numbness, inability to breast feed, etc.). In addition, if a woman makes raised scars, they may be visible beneath a tight shirt or through a bathing suit.
Trans-areolar incisions also cut through breast tissue and/or ducts, blood vessels or nerves. Nipple retraction can also result from scar tissue that normally forms after surgery. For these reasons, I would not recommend this for most women.
Trans-axillary breast augmentation makes an incision in the armpit, or axillary area. This is often a one-time incision, that creates a scar in the area where most women shave, and is also a site of normal bacterial growth (hence deodorant use!). The incidence of infection can potentially be higher, and this incision cannot be reused in the future for addition other surgery.
Trans-umbilical breast augmentation (TUBA) is more of a gimmick than routine approach. A long tube and scope with a camera must be tunneled beneath the skin of the belly button all the way to the area under the breast. If there are any complications during surgery such as bleeding, or if the surgeon cannot adequately visualize what they are doing, a second incision must be made in the IMF. Only a tightly rolled up saline-filled breast implant can be used (not silicone implants), it is also a one-time incision, and a long band of scar tissue beneath the skin is possibly visible after surgery - a permanent deformity. I would never recommend this option to any of my patients.
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