Breast Augmentation and Liposuction Blog - Dr. Bottger

Around ten to twenty percent of women have some degree of what are known as inverted nipples. Health risks are not a concern to those impacted, but for new mothers wishing to nurse, the condition can obviously be troublesome, and some women do not like the appearance of their inverted nipples.

Inverted nipples are connected to breast tissue beneath them by connective tissue bands. A loosening or breakage of these connections can again cause the nipple to protrude.

For women with mildly inverted nipples, sometimes called "shy nipples," many nonsurgical options exist. Solutions may involve bringing the nipple out with ice or other stimulating procedures. Pregnant women who are preparing their breasts for breast feeding can use an implement called a breast shell that is placed inside the bra; breast shells are plastic discs that have a hole in the middle where the nipple is allowed to protrude. A dome covers the disc to let air circulate underneath, coaxing the nipple to pull outward.

Cosmetic surgeon Dr. David Bottger also assists women with this condition if other methods fail. Surgical intervention can definitely improve the appearance of the nipples, but may not improve a woman's chance of breastfeeding.

If you live in the Philadelphia, Pennsylvania area, Dr. Bottger can help you decide the best procedure to treat your inverted nipples. Please contact Dr. Bottger’s office at 610.520.1929 today to schedule an appointment.

One of the decisions you will make when you elect to have breast implant surgery is what type of incision to have. A consultation with Dr. Bottger will help you make the best choice. Incision type is based on a few key factors:

• The type of breast implant you choose
• Your personal preference
• Your unique physical characteristics
  

Inframmary

This incision along the fold under the breast and is one to two inches long; the scar is well hidden and this procedure works with all types of implants.

Periareolar

The periareolar incision creates a scar on the areola’s lower border. This fine scar is generally almost invisible. This is often not the best method for patients with small areolas.

Axillary

The axillary incision is in the armpit where an endoscopic system is used to create the pockets that will hold the implants.

If you live in the Philadelphia, Pennsylvania area, Dr. Bottger can help you decide on an incision type that will best meet your needs. Please contact Dr. Bottger’s office at 610.520.1929 today to schedule an appointment.

Many women with overly large breasts experience discomfort, health problems and chronic pain and embarrassment from their breasts. Their bra straps may dig into their shoulders and moisture may accumulate under the breasts, creating constant irritation. They may experience breathing difficulties and an inability to participate in certain sports. Unwanted attention may also be a part of their daily lives, along with chronic back, neck and shoulder pain.

A Proven Solution

Breast reduction procedures have become more and more common and provide a tried and tested means of surgically reducing breast size while eliminating all of the difficulties of overly large breasts. Dr. David Bottger performs many such procedures in his Philadelphia area clinic.

A Great Outcome

The procedure to reduce breast size typically requires that excess breast tissue be excised and breast skin made more taut; the result is that the breasts become smaller, less heavy and more firm. The surgical techniques Dr. Bottger uses will give you a natural-looking breast shape and reduce pain in the shoulders, back and neck due to breast size and volume. The most frequent reason for breast reduction is relief from physical pain rather than cosmetic enhancements, but often, the surgery will improve the outward appearance of the breasts.

If you live in the Philadelphia, Pennsylvania area, Dr. Bottger can help you determine if breast reduction surgery is right for you. Please contact the office of Dr. Bottger at 610.520.1929 today to schedule an appointment.

After several years of controversy regarding silicone breast implants, current scientific evidence has not been able to determine any correlation between implants and systemic disease in humans. Because of this, silicone gel implants are back on the market in the United States (and they have been in constant use in other countries). Women now have a clear choice between silicone and saline implants when choosing implant surgery.

Advantages of silicone implants

Gel implants offer the advantage of a much softer, more natural feel and oftentimes, appear much more similar to a natural breast. A key benefit is that only a very slim chance exists for rippling of the skin with silicone implants, making them a great answer for thin patients with less of a subcutaneous layer. Also, silicone implants typically last longer without needing to be replaced.

Disadvantages of silicone implants

One of the silicone gel implant’s small disadvantages is that it requires a bit of a larger incision (5 cm versus 4 cm); this generally makes the inframammary approach the necessary surgical technique. A ruptured gel implant is also harder to detect, which is why women are encouraged to undergo regular MRIs to check for a ruptured implant. Finally, gel implants are somewhat more expensive.

If you live in the Philadelphia, Pennsylvania area, Dr. David Bottger can help you explore which implant type would best meet your needs. Please contact the office of Dr. Bottger at 610.520.1929 today to schedule an appointment.