Breast Augmentation & Liposuction Blog

SERVING Philadelphia, Pennsylvania and Newtown Square

November 20, 2015

A major factor in determining whether a cosmetic procedure is right for you is timing. Is this the right time in your life to undergo a procedure? Do you have enough time to recover? Is it the right season?

While it may sound odd that certain seasons are better for plastic surgery, studies suggest that fall and winter are ideal. Here are some reasons why.

Winter clothing makes it easy to conceal changes

If done properly, most procedures should leave very little evidence. But scarring and swelling immediately after the procedure can be common. Heavy coats and sweaters can cover up these temporary changes until you are ready to unveil the new and improved you.

More holidays in winter months

Thanksgiving and the holidays in December, usually carry with them more days off which you can use for recovery time. No point in taking extra vacation when you can use the holiday down time to rest up from a procedure.

Less sunlight

In many cases, it is best to stay out of the sun following a procedure. With shorter days and far less sunshine in the winter months, you can ensure that direct sunlight with not exacerbate anything post surgery.

If you have questions about the best time for you to undergo plastic surgery, call us at (610) 355-4275 to schedule your consultation with Philadelphia plastic surgeon, Dr. David A. Bottger today! 

November 16, 2015

As plastic surgery becomes more advanced and affordable, it’s important to remember that even the most commonly performed procedures are not without limitations and risks. Even with the most experienced Newtown Square plastic surgeon performing your procedure, being well informed about cosmetic surgery is a crucial part of achieving successful results.

Take care to educate yourself about some of the most common plastic surgery misconceptions, such as ideas that:

  • Liposuction is an effective way to lose weight – In truth, liposuction is strictly a body sculpting procedure that is most effective for people closest to their ideal weight. The reality is that liposuction will not help you lose weight.
  • Plastic surgeons and cosmetic surgeons are the same thing – In fact, plastic surgeons are distinguished by having a board certification from the American Board of Plastic Surgeons, while ‘cosmetic surgeon’ is a vague term in which case the physician may not always have the same accredited training.
  • Plastic surgery does not leave scars – While plastic surgery is known for its ability to enhance your appearance, it will also leave scars, though the visibility of your scars can be greatly reduced in many procedures.
  • Breast augmentation is a one-time procedure – Breast implants are not permanent. The implants themselves have a limited shelf life and additional augmentation surgeries will be required to keep your breasts looking beautiful as you age.

Unfortunately, the prevalence of plastic surgery procedures sometimes leads people to believe that choosing to undergo an enhancement is a casual decision that will lead to easily achieved perfection, when in fact it is a very serious choice that should not be taken lightly.

To find out if you are ready to undergo a plastic surgery procedure with our Newtown Square surgeon, call (610) 355-1929 today to schedule a consultation with Dr. Bottger.

November 11, 2015

If you have decided to have breast augmentation or reduction surgery, it is important you make the right choice in how large or small your breasts will be. Dr. Bottger, your Philadelphia-area cosmetic surgeon, can help you make the right decision for your body type, body size, and your self image, by considering the following factors:

  • Implant size- larger implants stretch out existing breast tissue and skin much more so than smaller implants
  • Breast tissue- the amount, texture, and distribution of natural breast tissue will affect how your breasts adapt to your implants
  • Skin quality- the elasticity of your skin will affect your final appearance
  • Age- chronological age as well as the age of any existing implants factor in your decision, primarily because of the related changes in skin elasticity and breast tissue
  • Lifestyle- athletics are a major factor in determining your breast size, as well as behavior, such as smoking or exposure to sunlight
  • Natural breast shape- if your breasts show signs of ptosis (drooping), the shape will be an important factor

The first step in determining the right size is to view before-and-after photographs of patients with a similar body type and breast shape to yours. Breast dimensions are then measured to allow the right range of implants to be considered. Finally, implant sizers will be placed in an appropriately-sized bra and matched with different garments of clothing to give a general final appearance. Ultimately, the size of your breasts will depend largely on your body type and your aesthetic goals.

Dr. Bottger is highly experienced at helping individuals decide on the right size of breast augmentation. Please contact our Philadelphia practice at (610) 355-4275 to schedule an appointment today. We happily welcome patients residing in and around the areas of Philadelphia, Newtown Square, and West Chester, Pennsylvania.

November 04, 2015

When a more youthful appearance is desired, a facelift can help to improve the visible signs of aging in your face and neck. If you are looking for a way to achieve younger looking skin and would like to learn about what options are available to you, contact the office of David M. Bottger, M.D. at (610) 355-4275 to schedule your cosmetic consultation.


A facelift is one of the best ways to treat sagging skin and create more youthful look, but there are still many misconceptions in regards to this popular procedure. Here are 3 important facts that you should know about facelifts:

  1. Surgical facelifts don't improve fine age spots, folds, or wrinkles. These types of imperfections are on the surface-layer of the skin and will require different treatments, such as BOTOX, filler treatments, or skin resurfacing treatment.
  2. Facelifts typically treat the lower portion of the face. Those looking to improve mid-level features such as the eyes of forehead may want to add an eyelid lift or brow lift at the same time as their facelift.
  3. Advertisements for non-surgical facelifts aren't actually facelifts. These non-surgical treatments typically consist of BOTOX or fillers to aid in adding volume and smoothing wrinkles, the outcome will not be the same as that of a surgical facelift.

Dr. Bottger works with patients in the Philadelphia area and is highly experienced at helping individuals in determining whether a facelift or injectable fillers are best suited for their situation. Please contact our Philadelphia practice at (610) 355-4275 to schedule an appointment today.

October 19, 2015


Modern plastic surgery has been around for many decades, and more people than ever before are seeking plastic surgery, but myths still abound. Our Philadelphia plastic surgeon would like to put a few to rest.

Four Plastic Surgery Myths Debunked

  1. Plastic Surgery is Vanity:  There is much more to plastic surgery than “boob jobs” and Botox. Plastic surgery is a medical specialization that encompasses everything from correction of birth defects like cleft palates to reconstruction following traumatic injury or disease.
  2. Plastic Surgery is for the Wealthy:  Most aesthetic plastic surgery patients are not the 1% that we hear so much about, but regular people who desire to enhance their confidence and improve their lives.
  3. Plastic Surgery Is for Women:  More men than ever before are seeking plastic surgery procedures. From Botox injections to treatment for gynecomastia, men are finding the same benefits to plastic surgery that women have enjoyed for many years.
  4. Plastic Surgery is a Shortcut:  Liposuction in particular is often seen as a shortcut for people who do not have the willpower or drive to exercise and eat right. In reality, liposuction treatment is suited only for those who have attained their weight objectives and seek to fine tune their physique.

To learn more about these procedures or any other plastic surgery options, contact the office of Philadelphia plastic surgeon David A. Bottger, M.D. by calling us at (610) 355-4275 to schedule an initial consultation. 

October 12, 2015

As many are well aware, October is breast cancer awareness month. The purpose of this month is to help raise awareness and raise money to help in the fight against breast cancer. It is also a time to educate the public and stress the importance of early detection, for both men and women.

Breast cancer is currently the second leading cause of cancer death in women. The American Cancer Society estimates that in 2015 there will be 231,840 new cases of breast cancer among women, with 40,290 of those cases resulting in death.

Mammograms are typically recommended starting at the age of 40. However, if you have any of these following symptoms, make sure to follow up with your physician right away:

  1. Change in the size or the shape of the breast
  2. Dimpling/Puckering of the skin
  3. Redness, swelling, warmth, or darkening of the breast
  4. Itchy, scaly sore or a rash on the nipple
  5. A lump, hard knot, or thickening inside the breast or underarm region
  6. Sudden onset of nipple discharge
  7. Pain in one spot on the breast that doesn't go away

Though this month tends to focus on women, it's important to realize men can be affected by breast cancer as well, and both genders should be aware of the signs and know their risks, implementing an early detection plan.

Since community awareness is imperative, the office of Philadelphia plastic surgeon Dr. David A. Bottger would like to encourage everyone to get involved and show their support for this great cause. Go Pink! 

September 30, 2015

A thigh lift is a procedure designed to remove excess fat and skin from either the outer or inner thigh. This helps to better smooth out the thighs to help better suit the

 contours of your body. Excess sagging skin around the thighs often results from loss of skin elasticity, weight fluctuations, and aging. To learn more about thigh lifts or other available body contouring options, contact our Philadelphia practice at (610) 355-4275 today!

Thigh lift surgery is desirable for many individuals after bariatric or substantial weight loss. It is also considered by those who have trouble reducing the excess tissue in their thighs through diet and exercise. Reasons to consider a thigh lift include:

  • Difficulty fitting into clothing due to larger thighs that are not proportionate to the rest of your body
  • Extreme weight loss
  • Desire for your thighs to have a firmer look and feel, or to better suit the contours of your body
  • If you feel distress over loose or flabby skin

In combination with the procedure, liposuction is often used to better contour the thigh, allowing for an even more drastic enhancement. As a result, the thighs will appear much smoother and firmer.

If you would like to learn more about thigh lifts or to schedule a consultation with board-certified plastic surgeon David Bottger M.D., contact our Philadelphia practice by calling (610) 355-4275. We happily welcome patients residing in and around the areas of Philadelphia and Newtown Square, Pennsylvania.

September 28, 2015

A tummy tuck, also referred to as abdominoplasty, is a surgical procedure that is intended to improve the abdominal contour. To learn more about a tummy tuck and other contouring options, contact our Philadelphia plastic surgery practice at (610) 355-4275 to schedule a complimentary consultation today!

Though you may be several weeks out from your tummy tuck procedure, it is never too early to start preparing for your surgery. When preparing to undergo abdominoplasty, you may be unsure on what you should be doing. The following tips can help you prepare for surgery and make sure that your body is ready for an effective recovery:

  • In the weeks leading up to surgery, make sure you are exercising daily to help boost your immune system. Keep in mind that you should not be overdoing abdominal exercises. Some options we recommend are swimming, yoga, and weightlifting.
  • For those who are smokers, refrain from smoking a couple weeks prior to surgery. Once surgery is complete, you should continue to abstain from smoking until you are fully healed.
  • To help heal in a timely manner, incorporate an plentiful amount of protein into your diet. This will not only help in preparing your body for surgery, but it will also boost your metabolism as well.
  • Avoid taking anti-inflammatory medication for the first few weeks before and after your procedure. Drugs such as ibuprofen, aspirin (e.g., Advil or Motrin), and naproxen (e.g., Aleve) can increase the risk of bleeding during and after surgery. For this reason, it is best to avoid these over-the-counter medications to lower your risk.

During your consultation Dr. Bottger will thoroughly address any questions or concerns you may have, and will go over all preoperative guidelines.

To schedule your complimentary Philadelphia plastic surgery consultation, contact our practice at (610) 355-4275. We serve residents in and around the areas of Philadelphia and Newton Square, Pennsylvania.

September 17, 2015

Mommy makeovers have become an increasingly popular obtain for moms to attain their youthful pre-pregnancy body after having children. If you have completed your family and are ready to get your pre-pregnancy body back, a mommy makeover may be just what you're looking for. To learn more about what options you may have, contact our Philadelphia practice at (610) 355-4275 to schedule your complimentary consultation.

The main appeal of a mommy makeover is the ability to address multiple concerns with a single surgery and recovery period. The combination of procedures performed are uniquely tailored to each individual . The most common procedures patients receive during a mommy makeover are:

  • Breast enhancement / breast lift – Pregnancy and breastfeeding can cause the breasts to sag and lose their shape. A breast procedure can not only add fullness but can also help to restore sagging breasts to a more youthful position.
  • Liposuction – Diet and exercise is not always enough to get rid of stubborn pockets of fat, even after you lose the baby weight.
  • Tummy tuck – After removal of excess fat, you may still experience excess skin left from the pregnancy. An abdominoplasty can help tighten up the muscles remove excess skin from the midsection.

Most patients only require one surgery over a lifetime, as long as they maintain a healthy weight afterwards through proper diet and exercise.

During your consultation, board certified plastic surgeon Dr. David Bottger will help you in deciding what the most effective combination of procedures may be, while also addressing any questions or concerns you may have.

To learn more about these procedures, contact the office of Philadelphia plastic surgeon David A. Bottger, M.D. by calling us at (610) 355-4275 to schedule an initial consultation. 

September 01, 2015

When it comes to breast augmentation every patient is unique and has their own individualized preferences.  An important part of the decision making process is what kind of incision you want. During your Philadelphia breast augmentation consultation, Dr. Bottger will discuss each incision option and what factors need to be considered with each. To schedule your initial consultation, call us at (610) 355-4275.

In order to obtain optimal results, it’s important patients understand what each option entails. Dr. Bottger offers the following incision options:

  • Axillary – This incision is through the armpit, leaving no visible scar on the breast.  A fiberoptic endoscopic system is then used to insert the implants, making it a viable option for saline implants.
  • Inframammary- This option places the incision at the crease of the breast. The incision is about one to two inches, can accommodate all implants, and because of its location the scar is well concealed making it one of the more popular options for patients.
  • Periareolar - This incision is placed along the lower border of the areola. The scar produced is typically fine and much less obvious, however, this form of incision is generally too small for silicone breast implants.
  • Umbilical - This option places the incision through the belly button and can be used for saline implants. A pathway to each breast will be created where the implant will be passed through and then inflated once placed.

There will be a number of factors that contribute to what the best incision option will be for a patient. Dr. Bottger will go over what you are wanting out of your breast augmentation and help you in determining what your best option may be.

To learn more about your incision options for breast augmentation in Philadelphia, contact our practice at (610) 355-4275  to schedule your consultation with David M. Bottger, M.D. today!