I think I ruptured my breast implant…now what?

  One of my earliest (and favorite) patients called me three weeks ago.  She had undergone her yearly screening mammogram in May, which was very painful, and she noted a subsequent decrease in the size of her left breast.  I asked her to come in to see me, and indeed, her left breast was significantly smaller than her right.  I … Read More

Why I perform breast augmentation surgery

  I love performing breast augmentation in my New York plastic surgery practice, because it is an operation that challenges me in many ways.  It forces me to examine the many elements that determine breast shape.  It allows me to use my surgical skills to provide an aesthetic result for a given patient.  (I also get to use some great … Read More

Scars

I hate scars.  We all do, but I really hate them because they can be difficult to treat.  When I see “scar consult” on my patient list for the day, I get discouraged, not because I don’t want to see the patient, but because I know that I may not have the solution that the patient wants to hear. The … Read More

“Why are my breasts different?”

Breast asymmetry, or a different size or shape between breasts, is extremely common in women.  Differences tend to become more marked during puberty, when the breasts are developing, and in most cases will resolve once growth is complete.  Sometimes, these differences persist.  There are many possible causes for breast symmetry, including congenital deformities, such as tuberous breast deformity or Poland’s … Read More

Sientra implants now available in the United States

On Friday, March 9, 2012, the Food and Drug Administration (FDA) approved the use of silicone gel implants manufactured by Sientra for both breast augmentation and breast reconstruction.  There are now three companies in the United States who are able to offer silicone implants: Allergan, Mentor, and Sientra.  Similar to requirements of the other two implant manufacturers, Sientra is required … Read More

Beauty Breakthroughs

Despite the number of products available on the market, there are only a handful of beauty innovations which have truly changed the way we care for our skin.  The first is tretinoin, a vitamin A derivative which was the first retinoid approved by the FDA to treat wrinkles.  Tretinoin increase the production of collagen, stimulates the formation of new blood … Read More

Differences between men and women surgeons

My colleague Dr. Patricia Patrick and I recently published an article in the Aesthetic Surgery Journal entitled, “The Influence of Career Stage, Practice Type and Location, and Physician’s Sex on Surgical Practices Among Board-Certified Plastic Surgeons Performing Breast Augmentation.” One of the most interesting findings of our study included the data on gender differences.  We found that men surgeons place … Read More

Fat grafting for breast augmentation

[:en]Fat has become an increasingly popular injectable.  For many of us, it’s in abundance, it’s natural, and it’s soft.  Plastic surgeons do use fat in many parts of the body for both cosmetic and reconstructive purposes, including filling in contour defects after breast reconstruction or liposuction, and to plump deep folds in the face.  The use of your own fat … Read More

“What implant size is best for me?”

This is one of the most frequently asked questions that plastic surgeons receive, both in the office and online.  Other variations of this question are, “How many cc’s do I need to go from an A cup to a C cup?”, and “I’m petite, what’s the largest implant size I can get?”.  Of course, there’s no simple answer to these … Read More

Skin cancer and sunscreens

  Over 2 million people are diagnosed with more than 3.5 million skin cancers each year.¹  In addition, there is significant evidence that sunburns increase the risk for melanoma, a potentially fatal form of skin cancer.²  Regardless of the color of your skin, a broad-spectrum (provides protection against both UVA and UVB rays) sunscreen with an SPF of at least … Read More