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Case Study: Breast Augmentation in the Female Bodybuilder

Background: Breast augmentation can be done placing implants either above or below the pectoralis major muscle. There are arguments for and against either implant location although the vast majority of plastic surgeons today opt for an under the muscle (subpectoral) implant position. The reasons are better tissue coverage of the implant and a reduced risk Read More…

Subpectoral vs Subglandular Breast Implant Placement

One of the historic debates in primary (first time) breast augmentation is whether the implants should be placed above or below the pectoralis muscle. While this issue has various opinions amongst different plastic surgeons and has waxed and waned over the years as implant options have changed, it is important that prospective patients know the Read More…

Avoiding The Need For A Lift In Breast Augmentation

The placement of a breast implant is often viewed as being either under the pectoralis muscle or above it. When it comes to being above the muscle in the so-called subglandular position it can only be completely in that position. But when it comes to the submuscular position, a partial or complete placement relative to Read More…

Case Study: Correction of Breast Implant Bottoming Out

Background: The placement of breast implants is largely debated about whether it should be above or below the pectoralis muscle. While this is an extremely important decision, the implant’s relationship to the inframammary fold also has relevance. It will have an influence on how the augmented breast shape will look, regardless of the tissue plane Read More…

The Role of Breast Base Diameter in Breast Augmentation Implant Selection

Breast augmentation is one of the most common aesthetic plastic surgery procedures and is in the repertoire of almost every plastic surgeon. Despite the commonality of this cosmetic breast procedure and the tremendous experience of many in performing it, it has an unappreciated (by patients) high reoperation/revision rate. While the medical literature reports reoperation rates Read More…

Case Study: The Fate of Breast Asymmetry with Implant Augmentation

Background: Breast augmentation is completely successful at enlarging the breast mounds. While it is not without its potential complications due to being an implant placed in the body through surgery, by far its most common postoperative concerns are aesthetic in nature. Are the breasts the desired size and shape and how well do they match Read More…

The Sister Concept in Cosmetic Breast Surgery

  Cosmetic breast surgery encompasses a wide array of procedures from the placement of implants, lifts, reductions, liposuction and fat grafting. This is not to mention another list of potential changes that can be done to the nipple-areolar complex with or without concomitant mound reshaping. But what makes breast reshaping surgery a very unique collection Read More…

Sientra Breast Implant Study Results

  Breast augmentation depends largely, if not almost completely, on a prosthetic device to create its results. There is certainly a strong influence of surgical technique which is not to be underestimated but, in the end, without a device there would be no result. (fat injection techniques not withstanding) The evolution of breast implant device Read More…

Case Study: Correction of Bottomed Out Breast Implants

  Background: Breast augmentation surgery is mainly associated with the size and shape of the implant, understandably so given its influence on the result. But the implant must be expertly placed in just the right location to have it exert its best effect. That is not always easy given the great variances in breasts between Read More…

A New Innovative Saline Breast Implant

  Breast augmentation is largely defined by the implant that is used to create it. At one time in the history of this surgery, from 1991 to 2006, the saline breast implant was the only commercial implant available. Essentially being water in a bag, it has advantages of being able to be inserted through small Read More…

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