Everyday I spend a lot of time discussing implant size with patients. Bra cup sizes vary according to the manufacture. Patients need to know that implant size that they see on the Internet or on another patient may not achieve the same result for them. There are many variables including preexisting breast volume, chest wall shape and tissue elasticity. I use a dimensional method to determine optimal implant size which considers the patients height, weight and body frame. I measure the diameter of the breasts, thickness of the tissue and the tissue mobility. By doing this properative analysis, I am able to achieve the most optimal results.
Robert M Wald Jr. MD
This entry was posted
on Friday, November 7th, 2008 at 11:20 am and is filed under Breast Enhancement.
Breast Augmentation is performed to enhance the size and shape of the breasts. Today silicone has been approved for all woman. In my practice, it is very important to explain the differences between silicone and saline implants. Silicone is softer and more natural then saline implants. There is also less rippling with silicone implants. A woman must realize that if she chooses a silicone implant, that MRI’s must be performed periodically to look for a rupture. The rupture rate for implants is approximately 3% within the first ten years. All the studies have indicated that silicone is safe with no established systemic effects. Even though silicone implants are modestly more expensive, from my observations, women believe the extra price is worth the advantages.
Robert Wald M.D.
This entry was posted
on Friday, November 7th, 2008 at 11:48 am and is filed under Breast Enhancement.
Breast reduction surgery is generally recommended for woman experiencing health problems associated with very large heavy breasts. Several medical conditions have been associated with large breasts including back and neck pain, skin rashes, breathing problems, shoulder indentations from tight bra straps and poor posture. It is also associated with a decrease sense of attractiveness and self confidence.
Breast reduction is usually performed to relieve physical symptoms and may be covered by insurance. Insurance companies usually require photographs and a letter from the plastic surgeon prior to any surgical intervention. If it can be shown the medical necessity is indicated, then the surgical procedure would be covered.
Many techniques are available for breast reduction. Traditionally and inverted “T” approach is used. This includes incisions around the areola down the center of the breast and in the infra mammary crease. Today much smaller incisions are available. Depending on the patients breast shape, size and amount of sagginess, a donut shaped vertical scar technique may be used. In my practice, almost all incisions have healed beautifully with minimal scarring.
Robert M Wald Jr. M.D.
This entry was posted
on Friday, November 7th, 2008 at 12:19 pm and is filed under Breast Enhancement.
A lot of women are candidates for breast lifts. Overtime and following childbirth, the breast envelope stretches causing breast ptosis or droopiness. Most women complain of the lack of upper pole fullness and the change in breast shape.
To correct these problems, a breast lift is required. The women must accept scars, either around the areola or in a lollipop or T-shape. In most cases, an implant is required to enhance the fullness in the upper breast. Textured implants are usually placed to help support the overlying breast tissue. Placing an implant without a lift will only cause larger, droopy breast. Overtime, as we age, the breast will continue to stretch. This may require a secondary procedure to re-tighten the breast skin.
Dr. Wald
This entry was posted
on Thursday, February 12th, 2009 at 4:35 pm and is filed under Breast Enhancement.
Women following childbirth develop aesthetic problems in their breasts, abdomen, and thighs. With pregnancy, women’s bodies stretch causing thinning of tissue, sagginess and stretch marks. Unfortunately, despite diet and exercise, the stretched and loose skin can only be corrected with surgery. Breasts also deflate following nursing which causes a decrease in breast size.
In order to correct these problems, breast augmentation, tummy tuck and liposuction may be indicated. All of these procedures may be done at the same time minimizing recovery time and cost.
Recovery time for all these procedures is approximately 2 weeks. Exercise may be resumed at 4 weeks. Women with young children should have help for one week. After this surgery, women are back to their pre pregnancy appearance.
Dr. Wald
This entry was posted
on Tuesday, April 14th, 2009 at 10:34 am and is filed under Breast Enhancement, Tummy Tuck.
