Breast Augmentation & Liposuction Blog

SERVING Philadelphia, Pennsylvania and Newtown Square

April 26, 2016

Do My Eyelids Need A Lift? | Philadelphia, Newtown SquareEyelid surgery or blepharoplasty is one of the most popular cosmetic surgeries in America. This procedure is great for aging skin and accumulating fat deposits in your upper and lower eyelids. Eyelid surgery can take years off of your appearance by removing excess skin and tissue and tightening the skin. This procedure can also help men and women who have vision difficulty due to sagging skin.

Our cosmetic surgeon in Philadelphia offers eyelid surgery, which can be done in conjunction with a browlift and facelift to make your overall face appear years younger.

You could be the perfect candidate for eyelid surgery if you have any of these eyelid issues:

  • Under eye bags
  • Puffiness in your upper and/or lower eyelids
  • You often appear groggy or tired
  • Vision impairment from excess skin and fat tissue

There are some medical and optical conditions that may exclude you from having eyelid surgery such as:

  • Glaucoma
  • Dry eye
  • Previous LASIK eye surgery
  • Diabetes
  • Cardiovascular disease
  • High blood pressure
  • Hyperthyroidism

These conditions don't always limit your cosmetic surgery options. The best way to know if you're a candidate for eyelid surgery is during your initial consultation with Dr. Bottger.

If you're interested in eyelid surgery, please call Dr. Bottger in Philadelphia today at (610) 355-4275 to schedule your initial consultation. Our office serves clients in Philadelphia and Newtown Square, Pennsylvania. 

April 18, 2016

Pay For Plastic Surgery With Your Tax Return | PennsylvaniaThe best thing about taxes is having them refunded each year. Many people make elaborate plans to go on vacation or use the money to pay off debt, but an increasing amount of tax payers are using their tax refund for plastic surgery. Some are choosing small cosmetic procedures such as injectables, while others are putting down payments on a breast augmentation or tummy tuck.

Our plastic surgeon in Pennsylvania offers several plastic surgery options and cosmetic procedures including:

  • Abdominoplasty
  • Breast Augmentation
  • Mommy Makeover
  • Rhinoplasty
  • Eyelid Lift
  • BOTOX® Cosmetic
  • Dermal Fillers

Most people don't plan on this money for monthly bills so it is commonly put towards something you've wanted for a while, but haven't been able to afford. Many procedures can be paid off fairly quickly in monthly payments with the help of your tax return. Whether you choose to have a smaller cosmetic procedure or go for one of the larger surgeries, your tax return can give you the look you've been wanting without going too far into debt.

Most procedures can't be used as a tax reduction, but breast augmentation can sometimes qualify. If you're in need of a breast reduction or have recently undergone a mastectomy because of breast cancer, you could be able to write off your breast augmentation.

If you're considering plastic surgery in Pennsylvania, call Dr. Bottger today at (610) 355-4275 to schedule your consultation today. Our office serves patients in Philadelphia and Newtown Square, Pennsylvania and surrounding areas. 

April 05, 2016

4 Plastic Surgeries You've Never Heard Of | PhiladelphiaThe world of plastic surgery is constantly advancing, and surgeons are discovering new procedures to offer patients. There are some lesser-known plastic surgeries you probably never anticipated. Consult our Philadelphia plastic surgeon to see if any of these procedures could work for you.

1. Bra-line Back Lift

Women often struggle with excess fat accentuated by bras. This plastic surgery gets rid of that back fat causing you grief by eliminating the fat and tightening the skin. A bra-line back lift can be done several ways, one of which is liposuction.

2. Grin Lift

A grin lift focuses on the sagging corners of the mouth. This can happen as you age or if you have a naturally angry or upset-looking face. Grin lifts are done either through a lower facelift or with the help of injectables, such as Juvederm™ or BOTOX® Cosmetic.

3. Removing Chubby Cheeks

Chubby cheeks are hard to get rid of with diet and exercise. Those with naturally full cheeks often wonder if plastic surgery can help. Liposuction is not traditionally used on the face because your nerves could be damaged in the process. A procedure such as the mid-facelift can help, or removing the fat through a small incision in your cheek could also work.

4. Six-Pack Abs With Plastic Surgery

No matter how hard you workout, it's difficult to reach the ideal definition for your abs. Abdominal etching gives you the six-pack look through detailed liposuction. This form of liposuction has several techniques, but each one sculpts the tissue around your abs to make them more defined.

Everyone has an aspect of their body they'd like to make better, and there's most likely a procedure for the body part you'd like to change.

If you're looking for a plastic surgeon in Philadelphia, contact Dr. Bottger today at (610) 355-4275 to schedule your consultation. We serve patients in the Philadelphia and Newtown Square, Pennsylvania areas. 

March 31, 2016

Mommy Makeover After Delivery | Philadelphia, PennsylvaniaMothers across the country are becoming more and more interested in mommy makeovers after childbirth. Pregnancy is an amazing and rewarding experience, but your body undergoes many changes. A mommy makeover can restore your body to its pre-pregnancy condition by performing a combination of breast augmentation, liposuction and abdominoplasty.

The question many mothers are asking is, "How soon is too soon for plastic surgery?" The best way to find out if a mommy makeover is right for you is to schedule a consultation with board-certified plastic surgeon Dr. Bottger in Philadelphia.

This form of body sculpting is an invasive procedure that requires ample recovery time. It's important to wait until your child is slightly independent and doesn't need to be consistently held or picked up. Many moms wait several years after delivery so their children are more self-sufficient, but a minimum of one year is a good place to start.

In that time, try to lose as much of your pregnancy weight as possible. Your body needs to recover after giving birth and it will take some time for your breasts to return to normal after breastfeeding. Your stomach also needs time to contract. A mommy makeover is great for removing stubborn fat and excess skin. The better shape your body is in the more successful your surgical results could be. 

You should wait to undergo a mommy makeover until you're done having children. Giving birth after a mommy makeover procedure could reverse the results.

If you're interested in a mommy makeover, call our Philadelphia plastic surgeon today at (610) 355-4275 to schedule your consultation. Dr. Bottger provides experienced plastic surgery to patients in the Philadelphia, Bryn Mawr and Newtown Square, Pennsylvania areas. 

March 17, 2016

Dermal fillers treat many forms of wrinkles and lines. These injectables specialize in certain regions of your face. Call Dr. Bottger today to learn more.There are a handful of dermal filler options. Some of them deal with specific types of lines and wrinkles. If you're looking to fix creases along your brow line, for instance, then an injectable used for lips probably isn't the right choice.

The best way to figure out which dermal filler is right for you is by calling Dr. Bottger in Philadelphia today to talk about facial rejuvenation.

Here is a rundown of your options.


This is the most popular of all dermal fillers. BOTOX® is used to temporarily freeze the muscles in your face that lead to wrinkles and lines. It's used for:

  • Eyebrow or frown lines
  • Creases along your forehead
  • Eye wrinkles or "crow's feet"
  • Raising the brow to imitate a brow lift.

The effects of BOTOX® typically last four or five months.


RESTYLANE® is a gel consisting of hyaluronic acid. It  lasts about six months. This dermal filler is used to add a natural-looking shape to certain aspects of your face such as:

  • Lines and sunken folds situated between your lips and nose (the nasolabial fold)
  • Down-turned furrows at the corners of your mouth
  • Frown lines between your eyebrows
  • Bags under your eyes


This injectable filler is made mainly of hydroxylapatite. This substance is biodegradable and could last as long as two years. RADIESSE® is used for:

  • The nasolabial fold
  • Frown lines
  • Wrinkles below your mouth


JUVEDERM™ is an FDA-approved hyaluronic acid gel filler, and is very similar in chemical makeup to RESTYLANE®. JUVEDERM™ is versatile as it can be applied as a thin or a thick gel. This provides the option to treat fine wrinkles such as "smoker's lines," which are generally located on and above your upper lip. JUVEDERM™ may last longer than RESTYLANE®.

Fat Grafts and Injections

Fat is an effective and useful material for facial injections. Dr. Bottger removes the fat via liposuction from your hips, thighs or abdomen. The fat collected is then injected into the underlying layers of muscle in your face. Fat grafts and injections can treat:

  • Bags under your eyes
  • Atrophy associated with aging
  • Lines along the nasolabial fold
  • Skin deflation surrounding your mouth and cheeks

This form of dermal filler can be permanent, but repeat procedures may be necessary.


Alloderm is modified from your skin and promotes collagen replacement within your body. Alloderm can be permanent and is commonly used for:

If you're interested in dermal fillers, please call Dr. Bottger today at (610) 355-4275 to schedule a consultation. Dr. Bottger is a board-certified plastic surgeon who provides plastic and cosmetic surgery to patients in Philadelphia, Bryn Mawr and Newtown Square, Pennsylvania.

March 11, 2016

It's fairly common for women to undergo more than one plastic surgery procedure at a time. Combined liposuction and breast augmentation might work for you.Many women are opting to have liposuction and breast augmentation at the same time. Undergoing both surgeries allows for less recovery time and a lower cost. Dr. Bottger in Philadelphia can help you decide if both procedures are right for you.

There are risks with all surgeries. Combining two plastic surgery procedures means you only have to go under general anesthesia once. An all-at-once surgery also reduces your chances of a reaction or an infection. You can heal at your own pace.

Liposuction and breast augmentation are not the only plastic surgeries you can combine. The mommy makeover is an option for women who are done having children and are not currently breastfeeding. This involves liposuction, a form of breast enhancement and an abdominoplasty (tummy tuck).

But you don't have to be a mother to combine plastic surgery procedures into a single surgery. Multiple procedures performed at once is fairly common. Sometimes, this produces less obtrusive scarring.

The best way to find out if liposuction and breast augmentation in tandem is right for you, is to consult a skilled Philadelphia plastic surgeon like Dr. Bottger, who has more than 20 years of experience. He is board-certified by the American Society of Plastic Surgeons. This certification involves staying up-to-date with new and evolving procedures. Speak with him about all of your concerns and he can tailor your procedure to fit your cosmetic goals.

If you're shopping for a Philadelphia plastic surgeon, please call Dr. Bottger at (610) 355-4275 to schedule your consultation today. Our office serves clients in Newtown Square, Philadelphia and the surrounding areas of Pennsylvania. 

March 01, 2016

What Causes Gynecomastia? | Male Breast Reduction in Philadelphia Gynecomastia is a condition affecting males which typically begins in adolescence. The term gynecomastia derives from the Greek term for “woman-like breasts.” In adults, gynecomastia may be a result of:

  • Weight gain
  • Hormonal imbalance
  • Steroid use
  • Medication side effects
  • Marijuana use

In most cases of gynecomastia, the cause is unknown. What is known, however, is that males with gynecomastia may feel embarrassed and self-conscious, leading them to seek male breast reduction surgery to improve their appearance.

In Philadelphia, gynecomastia is treated at the offices of board certified plastic surgeon Dr. David Bottger. Male breast reduction focuses on removal of fat and glandular tissue from the breasts using liposuction. Scars remaining from the procedure are typically inconspicuous.

Are you a good candidate for gynecomastia surgery? Ideal candidates possess these traits:

  • No significant medical problems
  • No use of anabolic steroids or marijuana
  • Firm, well-toned skin
  • Emotional stability
  • Realistic expectations

After gynecomastia correction, you will wear a close-fitting vest for two to three weeks. While some swelling and bruising is to be expected, pain is generally minimal and well controlled with oral medications. Stitches are dissolvable. Some patients may require placement of drains which are usually removed after a few days.

You can expect to see full results after three months of healing. Most patients are able to return to work and other activities within a week, avoiding heavy exercise for three weeks or until Dr. Bottger says you are ready to resume strenuous activities.

Please contact Dr. David Bottger using the form on this page or call (610) 355-4275 today to schedule your gynecomastia consultation. We serve patients in the Philadelphia, Pennsylvania area.

February 22, 2016

If you are considering rhinoplasty to improve the appearance of your nose, you are probably wondering what recovery is like. Prior to surgery, Dr. David Bottger will give you the details of what to expect in your unique case, as well as the full pre-operative and post-operative instructions you will need to follow in order to make your recovery as smooth as possible, avoid unnecessary complications, and enjoy the optimal outcome from your procedure. But you don’t have to wait for your appointment to learn the basis of Philadelphia rhinoplasty recovery.

Immediately After Surgery

After surgery you will experience bruising and swelling. Don’t be surprised if you have two black eyes and a headache. And, don’t be alarmed if the bruising and swelling actually get worse over the next two or three days.

To minimize the swelling and discomfort, keep your head elevated for the first few days and use a cold compress. Frozen peas are a popular option. Have several packages in your freezer so you can switch them out. The discoloration will start to fade in a few days and the swelling will go down in a week or two. Taking proper care of yourself from the moment you get home from your procedure will speed up the process.

You will also have a splint on your nose. That will come off during your follow-up visit one week after surgery. Any external stitches will also be removed at that time. Internal stitches dissolve on their own.

You may feel stuffy or congested after your Philadelphia rhinoplasty. Do not blow your nose. You’ll need to wait at least a week or two to do that.

If you wear glasses, you will need to keep them off of your nose by taping them to your forehead or resting them on your cheeks for the first few weeks.

Other Precautions During Rhinoplasty Recovery

You can resume light activity after the first week, but you’ll need to avoid strenuous activity for about three weeks. Avoid bending over as it will increase blood pressure to your nose. You need to avoid sun exposure and any activities that could involve bumping your nose for the first two months after surgery.

Seeing the Final Results

It can take six months to a year for the swelling to completely subside and for you to see the final, beautiful results of your Philadelphia rhinoplasty. However, the swelling should be minimal enough after the first couple of weeks that most people will not notice it.

Learn more about Philadelphia rhinoplasty by contacting Dr. Bottger online to schedule your consultation.

February 18, 2016

When you need facelift recovery information contact board-certified plastic surgeon Dr. Bottger in PhiladelphiaA facelift can alleviate wrinkles and give your skin a younger, firmer appearance. A board-certified cosmetic plastic surgeon like Dr. Bottger in Philadelphia will lift your facial skin to reach the underlying tissue. After tightening these tissues, your skin will be gently positioned back over your face, and held in place with stitches. The surgery itself is just the beginning. It can take several months for your facial muscles and skin to fully recover, and for you to see the full results from a facelift.


When you wake up after surgery, you will have a thick bandage wrapped around your head. This bandage will stay in place for up to 24 hours post-surgery, and then either be replaced with an elastic bandage to prevent further swelling, or left to heal naturally.

Your Hospital Stay

If your facelift was extensive, you will most likely be required to stay overnight for Dr. Bottger to oversee your initial recovery. Anesthesia or sedation through IV is necessary during a facelift. General anesthesia and local anesthesia are both options. You will be unconscious under general anesthesia, and wake up feeling groggy. Nausea is a common side effect. Local anesthesia prevents painful nerve impulses without causing unconsciousness, and you could be able to leave on the same day of your surgery.


Your face is most vulnerable in the first 48 hours. Hold off on showering or washing your hair within this time, and be careful not to irritate your face. Swelling and bruising is a normal part of the process, but if you keep your head elevated while you recover in bed, you can prevent continued swelling. Your stitches will dissolve or require a visit to Dr. Bottger's office within 5 to 10 days to remove them.

Avoid Exercise

Stay away from heavy lifting for four weeks. Light exercise can be resumed two weeks after your facelift. After the first two weeks, you can wear makeup to hide leftover bruising. Your face will feel numb for a few months, but as long as you pay close attention to Dr. Bottger's aftercare instructions, your recovery will go smoothly.

If you're looking for a board-certified plastic surgeon in the Philadelphia area, contact Dr. Bottger at (613) 355-1929 to schedule an initial consultation today. Dr. Bottger serves clients in the Philadelphia, Bryn Mawr, West Chester, and Newtown Square, Pennsylvania. 

January 29, 2016

Liposuction is an effective way to achieve a more toned, sculpted figure. The procedure removes targeted pockets of fat which have been resistant to diet and exercise. But what happens to these fat cells after they are removed? Are they gone forever or can they return over time? There has been a significant amount of debate over this topic in recent years.

A study conducted by researchers at the University of Colorado found that fat removed as part of a liposuction procedure returns within one year, but it comes back in different places. A year later, a study published in an issue of Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons (ASPS), found just the opposite – that fat cells do not return to treated areas or get redistributed to other areas of the body after liposuction.

It has long been acknowledged that weight gain is possible after liposuction. For many patients who gain weight after their procedure, the fat tends to accumulate in different regions than it did prior to liposuction. This supports the notion that once fat cells are removed, they do not return to the treated region; instead, remaining fat cells in other parts of the body increase in size as a part of weight gain. 

Though research on the matter is ongoing, it is important to remember that liposuction is not a tool for weight loss and shouldn’t be used as a substitute for maintaining a healthy lifestyle. The best way to ensure your liposuction results last a long time is to eat a balanced diet and exercise regularly. If you commit to staying fit after your procedure, then liposuction will truly be serving its purpose as a body sculpting tool.

If you are interested in liposuction and whether or not you would make a good candidate, please contact our Philadelphia practice at (610) 355-4275 to schedule your  consultation.