Breast Augmentation & Liposuction Blog

SERVING Philadelphia, Pennsylvania and Newtown Square

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. 

January 27, 2016

Cellulite is a condition affecting the vast majority of women as well as some men. It results in a lumpy, dimpled skin surface. Many patients visit Dr. Bottger’s Philadelphia office for a consultation and ask whether liposuction can treat their cellulite. Unfortunately, the answer is no. Liposuction is strictly a body contouring procedure intended to remove stubborn pockets of fat which are resistant to diet and exercise. It is not effective at eliminating the appearance of cellulite.

Cellulite is most commonly caused by a combination of the following factors:

  • Genetics
  • Aging
  • Pregnancy
  • Hormones

Over the years there have been several new technologies that have come on the market for cellulite treatment. Unfortunately, non of these treatments have evidence to back their effectiveness. If you are looking to achieve a toned, sculpted body, then you may be a good canidate for liposuction.

To schedule your initial consultation with Dr. Bottger, please call us at (610) 355-4275. We serve patients in the Philadelphia, Newton Square, and Pennsylvania region.

January 11, 2016

Rhinoplasty, also called a nose job, is a cosmetic procedure that reshapes and sculpts the nose for a more youthful, pleasing appearance. Many of our Pennsylvania patients choose rhinoplasty for purely aesthetic reasons, while others find that it can help solve difficulties with breathing.

In rhinoplasty, the nose is carefully reshaped to meet your specific cosmetic needs. Because the nose is so central to your appearance, having clear aesthetic goals and a realistic attitude are key to a successful operation. Some of the beneficial improvements that rhinoplasty can confer include:

  • Reduction of humps on the nasal bridge
  • Improvement in appearance of the nasal tip
  • Reduction in size of excessively flared nostrils
  • Reduction in overall width
  • Improved breathing in patients with nasal obstruction.

Depending upon your specific goals, incisions can be limited to within the nostrils to reduce scarring (closed rhinoplasty), or external incisions can allow for more extensive restructuring of the nasal tissue (open rhinoplasty). Recovery from rhinoplasty is similar to other cosmetic procedures, though patients who choose closed rhinoplasty may recover somewhat more quickly than those who prefer the open option.

Rhinoplasty is a versatile procedure that can address numerous issues. If you’re ready to learn more about rhinoplasty, please contact Dr. David A. Bottger today at 610-355-1929. We are pleased to serve patients throughout Pennsylvania.

January 05, 2016


It's that time of the year again where everyone is looking to make their New Year's resolutions. With the fresh slate of a new year, many people are looking to make resolutions that will not only make them look better, but feel better as well. If you are starting to show signs of aging, your resolution may be aimed at helping slow down to progression or reduce the signs of aging in order to help you age more gracefully.

Here are some ways to help you achieve an impressive transformation this new year: 

Cut back on sugar and alcohol – Overconsumption of sugar and alcohol takes a negative toll on the skin. Not only is it dehydrating, but it can also be a cause of inflammation, breakouts, and premature aging.

Eat a healthy – What you put in your body has a significant impact on not only your body, but also on the quality of your skin and how you feel overall. By incorporating more servings of fruits and vegetables into your daily diet (particularly leafy greens and berries), you can help in reversing many of those unwanted signs of aging while feeling better inside and out.

Quit smoking – We all know that smoking is associated with an increased risk of health conditions such as heart disease and lung cancer, but it is also associated with making you look older by aging your skin quicker. Cigarette smoke can lead to the development of wrinkles and is considered to be a primary cause of premature aging.

To learn more about the services we offer and how we can help you achieve your desired look, please contact Dr. David Bottger at (610) 355-4275 to schedule your Philadelphia cosmetic consultation today. We proudly serve patients throughout the areas of Philadelphia and Newtown Square, Pennsylvania.


December 16, 2015

Though breast enhancement may change over the course of time, a qualified plastic surgeon can provide a full continuum of care before, during and after your procedure. If you’ve undergone breast augmentation and think your implant may have failed, Philadelphia plastic surgeon Dr. Bottger can assess your case and help you pursue the correct course of care.

When you choose to proceed with a breast augmentation procedure, your doctor's qualifications and experience should be a top priority, especially when it comes to breast implant leaks or ruptures. Always make sure you have done your research on the following:

  • Specialty: To ensure the best care, you should find a plastic surgeon who has considerable experience with breast surgery
  • Board certification: A plastic surgeon who is board-certified by the American Board of Plastic Surgery has demonstrated experience and dedication, earning a medical degree, completing at least five years of general surgery training (including two solely devoted to plastic surgery) and passing a series of exams
  • Fellowships: Programs of intensive study and training supplementing a plastic surgeon’s knowledge of specific procedures like breast augmentation could mean even more comprehensive treatment for your breast implant leak

If you believe a breast implant has failed, consult your plastic surgeon as soon as possible. If the leak isn’t visibly apparent, Dr. Bottger may conduct a magnetic resonance imaging (MRI) test, which creates an image of the soft tissue in the bosom using radio waves. Should he diagnose your breast implant with a leak, your options to remove or replace  the failed implant will then be discussed.

To learn more about breast augmentation and how a board-certified plastic surgeon can help you in the event of a rupture, please contact Dr. David Bottger at (610) 355-4275 to schedule your Philadelphia breast implant consultation. We proudly serve patients throughout the areas of Philadelphia and Newtown Square, Pennsylvania.

December 04, 2015

For many people, the decision to get a rhinoplasty is the culmination of years of thought and planning. Regardless of how much you have planned ahead for your procedure, it is common to still be nervous and feel unprepared. The most important thing you can do prior to your procedure is to mentally prepare yourself.

To help you better prepare for your rhinoplasty, Dr. Bottger suggests the following:

1. Relax

Prior to having rhinoplasty, it is common for patients to feel overwhelmed and somewhat anxious. Relaxing prior to surgery is important for both mental and physical health. Some relaxation that may help include:

  • Yoga
  • Meditation
  • Massage
  • Breathing Exercises
  • Visualization

Developing a post-surgery recovery plan ahead of time will also help to minimize anxiety.  

2. Educate Yourself About the Process

When a patient is well-educated on the procedure they tend to be much more comfortable with the idea of surgery. Dr. Bottger will make sure that you are thoroughly prepared and that any questions or concerns you may have about the procedure or recovery process is fully addressed prior to scheduling you an appointment. Never be shy or hesitate asking questions as it will help put you at ease.

3. Have Realistic Expectations

Fully understanding what a plastic surgeon can and can't do, and have realistic expectations about your rhinoplasty are important. Studies have shown that patients who are unhappy with outcomes of cosmetic procedures are those who go in with unrealistic expectations.

4. Understand the Recovery Process

The first thing to remember is that recovery takes time. It may take up to two years for your nose to completely reach its final form. Every patient heals differently and at their own pace.

If you live in the Philadelphia region and are interested in getting a rhinoplasty, contact us at (610) 355-4275 to schedule your cosmetic consultation with Dr. Bottger today!

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.