Breast Augmentation and Liposuction Blog - Dr. Bottger

A number of newer trends emerged at the recent American Society of Plastic Surgeons meeting in Seattle.

In regard to facial rejuvenation more emphasis is being placed on volume and restoration in the form of fat grafting. By using very small cannula's, fat removed by liposuction, typically from the abdomen, is injected into the face. Such volume restoration to the upper and lower eyelids may circumvent the need for more aggressive class blepharoplasty procedures which actually remove fat and may produce a more gaunt or skeletalized appearance. Grafting of the cheek regions may also be added to various face lifting techniques to recreate the volume associated with a youthful face.

A number of panels and discussions focused on newer techniques for fat removal. Smart and slim liposuction utilizes a laser attached cannula's which vaporize fat cells. The resultant liquefied fat is subsequently removed by standard aspiration.

Bodylite is a new device which utilizes radio waves to break up and destroy or "melt" fat cells. This device has not yet been approved by the FDA for use in the United States.

Supposed advantages of these newer techniques include reduced bruising and swelling and potentially increased skin tightening. Thus far, however, no definitive evidence was shown showing that the newer liposuction methods produce any better results than can be obtained with standard tumescent technique.

A new innovation has recently been introduced for the placement of silicone gel implants in breast augmentation. The device is remarkably simple, resembling the funnels used by pastry chefs to decorate cakes. The breast implant is placed into the funnel, the funnel tip is inserted into the incision, and the implant is virtually "squeezed" into the dissected pocket, almost like a liquid. The device provides a number of advantages. The first is less trauma to the breast implant. Normally placement of a gel implant requires a fair amount of aggressive manipulation, which has the potential of damaging or weakening the implant shell. This trauma could theoretically lead to a greater chance for ultimate implant rupture.

Also, the Keller funnel allows placement of the implant without the device touching the skin or operative field. This is significant in that contamination of the implant shell with bacteria is felt to be a major cause of capsular contracture, leading to firm or hard beasts. The final advantage of the device is the ability to utilize smaller incisions and therefore, have shorter final scars. This, also, allows for more incisional placement options.

I have found this device to be of great value in my silicone gel breast augmentation patients.

According to one study, 34% of women who chose breast implant reoperation sought a larger implant. Clearly, the expense, exposure to surgery and recovery time involved make choosing the right breast implant size the first time an important matter.

Dr. Bottger's expertise in helping each woman achieve her preferred look covers choosing the size, shape and placement of the implants. While the trend is toward smaller, more proportional implants, he will determine the best technique to obtain whatever contour you prefer, the first time.

Before having breast implant surgery, it's best to be at an optimal weight. Losing weight after breast implant surgery can affect the tautness and shape of your breasts. It's best to lose excess weight first.

If you are considering any other body enhancements such as a tummy tuck, or future pregnancies and breastfeeding, it's very important to discuss this with Dr. Bottger. Breastfeeding is an especially important consideration. Although most women have no problems breastfeeding after having breast implants, you will want to know how your implants might affect your breastfeeding plans.

Please contact cosmetic surgeon, David Bottger, M.D. at one of his Pennsylvania plastic surgery offices in Philadelphia, Newtown Square, Bryn Mawr, or West Chester when you are ready for your breast implant size consultation.

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