By Miguel Delgado, M.D.
Some women are not candidates for breast augmentation with breast implants no matter what type of implants are used. Despite how many preventative measures surgeons may take, these patients develop capsular contracture around their breast implants. There are also women that do not want implants but still desire to have fuller breasts without visible scars.
The latest technology now offers women an alternative to breasts implants, and that is using their own fat via fat transfer!
25 years ago the American Society of Plastic Surgeons (ASPS) banned the use of fat transfer to the breasts claiming the results were unpredictable. Fat nodules were difficult to differentiate from cancer for radiologists.
Today, there have been significant advances in technology for ultrasound, MRI, and mammograms. Also, there is “Coleman Technique,” where the surgeon removes fat from a donor site by liposuction of the patient, usually the tummy, flanks or inner thighs. The fat is then purified by placing the fat into a centrifuge, and the fat and stem cells are separated from fluids and oil.
Now ASPS acknowledges breast augmentation by fat transfer has become a great option for women who desire natural looking fuller breasts without implants. With the increase of breast augmentation by fat transfer, many women seeking breast revision surgery are opting for fat transfer instead of new implants.
In addition to a natural augmentation of the breasts, there is the added benefit of reducing fat from the donor site. Dr. Miguel Delgado, M.D. states that both procedures are done the same day in about 3 to 4 hours with recovery in about 7 to 10 days.
By Miguel Delgado, M.D.
Women who choose to have breast augmentation surgery will be faced with several important decisions.
• Silicone or saline implants?
• Will the breast implant go above or below the muscle?
• What size implant?
• Which incision location is best?
There is not a right or wrong answer to any of these questions. Board Certified Plastic Surgeon’s will help their patients make the right choice dependent on what the patient’s goals are. The surgeon will explain the advantages and disadvantages of each.
Regarding the best choice for the location of the incision will depend on the goals of the patient and the preference and experience of the surgeon. Surgeons have their own preference as to which approach they use the most, however, if a patient has strong feelings about the location of the incisions; most surgeons can accommodate them. The main goal of the incision is to have it as invisible as possible with the least amount of complications.
There are three popular locations for insertion of breast implants:
1. The Periareolar Incision: The periareolar incision is a half-moon shape around the lower half of the areola. With the incision site so close to the placement of the implant, it is easier for the surgeon to control bleeding and make precise placement of the implant. Due to the change of color and texture of the areola, the incision heals to almost invisible. This incision will also allow easier access for possible future breast revision surgeries. The downside of this incision is a higher risk of sensation loss to the nipple, and milk ducts could be compromised making future breastfeeding problematic. In addition, the size of silicone implants may be limited.
2. The Inframammary Incision: This incision is located just above the breast fold; it is the most common approach. It gives the surgeon the most direct route for placement, and the least amount of surgery time. Also, post-operatively there is the least amount of swelling, as the breast gland is not cut. The scar is well hidden, so that if the woman is wearing a bathing suit the incision will not show if the top should ride up. This placement allows for the most options for implant sizes and the easiest access for future breast revision surgeries should they be necessary.
3. Transaxillary Incision: With this incision, the surgeon tunnels from the armpit, usually with an endoscope, to the breast. This will leave a small scar which may be visible when a woman raises her arm while wearing sleeveless garments. Saline implants are the easiest with this method as they are filled after insertion. Silicone implants, especially large ones, will have limitations. With the transaxillary approach, the surgery time is usually longer, and if breast revision is necessary for the future, a new incision site may be required.
There is a fourth option that some women request called the Trans-umbilical Breast Augmentation, also known as TUBA. This procedure remains somewhat controversial as the incision goes through the belly button; the advantage is that there is no visible scar.
However, only saline implants can be used. Dissecting the breast pocket is very challenging to get the optimal position, leading to higher rates of complications. When and if a breast revision surgery is needed, a new incision site may be required; however, there are some surgeons who specialize in this procedure.
By Miguel Delgado, M.D.
At the time of an initial breast augmentation consultation, hopefully, you are advised that you may need to have breast revision surgery, possibly within ten years.
There can be a lot of changes with women’s bodies after ten years. Some women may have had a baby, perhaps gained or lost weight, or noticeable aging to the body that may have caused sagging or asymmetry. Do not despair; see your plastic surgeon to discover the latest techniquesto improve your breasts. You may want to change the shape or size of your breasts, or perhaps change from saline to silicone or vice versa, or adjust the placement of the implants.
New Advancements In Breast Implants
In the last ten years, there has been significant advancement in breast implants. There are more choices than ever, for example, the 5th generation of silicone implants includes cohesive gel implants nicknamed the “gummy bear” as the consistency is similar to the popular candy. The gummy bear implants offer great benefits including a natural teardrop shape with lower complication rates. They cannot leak, and are less likely to ripple or develop capsular contracture.
Depending on your long-term goals and your natural anatomy, you and your surgeon have many choices to select the ideal breast implants for your body.
There is no rule stating that you must have your implants exchanged at the ten year mark. If you are not having any issues and are happy with your breast implants, no changes are needed.
Breast Implants Have a Lifetime Warranty
Even if all is well and you are not having any issues, Dr. Miguel Delgado, M.D. recommends that you have a ten year checkup a few months early just in case there may be an unknown complication. Besides a lifetime warranty on breast implants, most manufacturers include a warranty on their implants that gives some financial assistance for replacement surgery for up to ten years after the initial augmentation.
By Dr. Paul Vitenas, Jr.
It is not always easy to ask questions, especially when it comes to a cosmetic procedure. However, Dr. Vitenas wants to give you the necessary tools to make an informed decision about our award winning, fat transfer techniques. The Brazilian Butt Lift is one of the most requested procedures at Vitenas Cosmetic Surgery, and for good reason, as it provides beautiful body contouring results. Below are the answers to some of our most common Brazilian Butt Lift questions:
1. Why would I get a Brazilian Butt Lift instead of butt implants?
A Brazilian Butt Lift utilizes your own fatty tissue, meaning there is less chance for complications following the procedure. The technique is minimally invasive, as well as provides more natural looking and feeling results than silicone implants.
2. Where will the fat for my Brazilian Butt Lift be taken from my body?
The fatty tissue will be donated from a place that has excess fat already, such as the flanks (Love Handles), stomach, or inner thighs. At your consultation, Dr. Vitenas will determine the best donation site for your body.
3. How much fat is needed for my Brazilian Butt Lift?
Keep in mind that everyone is different. The amount of fat necessary to create a natural looking, proportionate bottom will depend on your body size, width, and height, as well as your personal desires.
4. Can I have a butt that looks like Kim Kardashian?
It is always good for patients to come into the office with an ‘ideal’ bottom in mind, however, there are many factors that will limit the final results, such as body shape/size and genetics.
5. Is a Brazilian Butt Lift safe?
Yes, the Brazilian Butt Lift is a safe and effective procedure. While there are minor risks involved, such as infection, asymmetry, and fat embolisms, these are rare when patients choose a Board Certified surgeon like Dr. Paul Vitenas.
6. Will my Brazilian Butt Lift scar?
Scarring after a Brazilian Butt Lift procedure is minimum, but it does occur. Dr. Vitenas will ensure that all scars are well hidden within the natural anatomy, making them easily concealed.
7. How long will my Brazilian Butt Lift results last?
The benefits from a Brazilian Butt Lift will last for years to come. Large weight fluctuations can affect the results, however, so patients are encouraged to remain at a stable weight to better maintain their new look.
8. What if I become pregnant after my Brazilin Butt Lift?
There is no problem with pregnancy or childbirth following a Brazilin Butt Lift. However, the weight changes associated with pregnancy can affect the volume and size of the buttocks.
9. Will I be able to sit after my Brazilian Butt Lift surgery?
For the first two to three weeks, following your Brazilian Butt Lift, Dr. Vitenas recommends avoiding putting pressure on the buttocks, as the fatty tissue is still fragile. This will mean sleeping on your side or stomach, and using a special cushion/donut when you must sit.
If you still have questions about the Brazilian Butt Lift, do not be shy. Contact Vitenas Cosmetic Surgery at 281.870.2051 to speak with our experienced staff or to schedule your free consultation. For a good idea of the results that you can expect, be sure to check out our Brazilian Butt Lift before/after gallery.
By Miguel Delgado, M.D.
The American Society of Plastic Surgeons (ASPS) has been keeping track of cosmetic surgery trends for years. Recently the statistics for 2015 was published and revealed that it was another year of the rear!
Hottest crazes in fashion now extend beyond makeup and clothing to include body contouring for women. The Kardashians, Jennifer Lopez and other women popular in themedia have brought attention to the enhanced derriere.
For women with sagging or flat buttocks, there are now cosmetic surgical procedures thatwork quite well for enhancement.
The most popular is known as the Brazilian Butt Lift (BBL) which gives the butt morefullness, projection, and roundness and is achieved by augmentation using the patient’s fat. The fat is removed by liposuction from another part of the body, usually the abdomen and then transferred to the buttocks. The result gives a balanced look for the body and thereby increases a woman’s self-image.
ASPS states that butt lifts have increased 252% since the year 2000. There are three popular butt lift procedures:
- Butt augmentation (BBL): by fat grafting
- Butt Lift: lifting sagging buttocks, not always with augmentation
- Butt implant: augmentation with a silicone implant similar to a breast implant
If you are considering butt enhancement, be sure to see a Board Certified Plastic surgeon. Different surgeons use different methods for augmentation; Miguel Delgado, M.D. prefers using fat transfer because the advantages are:
- Lower complication rate
- More natural and softer feel
- Avoiding foreign material
- Able to treat and sculpt multiple areas
- Added benefit of reducing fat from the donor site
By Miguel Delgado, M.D.
Board certified plastic surgeons; most likely prepare breast augmentation patients to expect that they will need breast revision surgery at some point in their lives, and for many more than one revision may be necessary.
Most breast implant manufacturers guarantee their breast implants last for the lifetime of the patient. Additionally, many of the manufacturers offer some financial aid toward breast revision surgery for up to 10 years after surgery.
Reasons for breast revision surgery vary. If an implant has deflated or ruptured, it is best to have surgery sooner rather than later. However, many women choose to have breast revision surgery because they are unhappy with the size, the position, or the type of their implants, in these cases, the patient can schedule surgery at her convenience.
As women age, gain or lose weight, they may notice changes in their breasts and will find that revision surgery offers restoration of youthful breasts. Aging and gravity will continue to affect the shape of the breasts for most women necessitating additional breast revision surgery.
Having a copy of the original operative report and the knowing the type and manufacturer of your implants is invaluable information for your breast revision surgeon.