Breast Augmentation and Liposuction Blog - Dr. Bottger

Dr. Bottger is known for thoroughly evaluating and preparing his patients for their plastic surgery outcomes. He knows that when patients have the most realistic expectation for breast augmentation results possible they are most likely to be satisfied with their new look.

Dr. Bottger will give you the most thorough examination and evaluation, listening to you to determine what you want to accomplish and why it is important to you. He will consider dozens of factors including your health, physical attributes such as body type, skin type, lifestyle, and much more to decide how to help you reach your goals. You will have the opportunity to look over his before and after breast augmentation photos. Your preferences will give him a clearer idea of how you envision your body could be.

After reviewing all of the factors that will affect your outcome, he will help you develop a set of realistic expectations for your breast augmentation. Depending upon your age and other factors, these may or may not be what you’d originally hoped for, but they will be as realistic as possible.

Knowing that you might not look 30 again when you’re 50, but that you will have a more attractive contour is far more satisfactory than having the same results but being disappointed because you had expected more improvement or different results than was possible.

If you are in the Philadelphia, Newtown Square, Bryn Mawr or West Chester, PA area please contact plastic surgeon Dr. David Bottger, M.D. for a consultation and learn more about realistic expectations for breast augmentation.

Many women have questions about breast enlargement surgery. Many of these questions are specifically about breast enlargement surgery and age-related concerns.

Age is definitely a serious consideration. Too young and results could end up being regrettable later on. Too old and results may disappoint immediately.

While the optimal age range is between 18 and 50 years old, your personal health, plans for future pregnancies, lifestyle, job, general health and current breast health have as much to do with your breast enlargement decision as your age.

Cosmetic surgeon, Dr. David Bottger evaluates these and other personal factors during each consultation. During your examination he will take all of your personal goals into consideration in respect to your age when preparing his recommendations.

If you are under 18, you will probably be told to wait a few years before making such a life-affecting decision. You may have different wants later. However, if your breasts are asymmetrical or misshapen, you may be an excellent candidate for early surgery.

If you are approaching 50 years old, Dr. Bottger will have some special recommendations for your based upon your full medical history and your expectations. You can expect better results if you’ve taken excellent care of your body and skin throughout your life. However, as we age, our skin and muscles begin to deteriorate. Achieving our former look or taking 20 years off our age may not be a realistic goal.

If you think you would benefit from breast enlargement surgery and have questions about how your age will affect your outcome, please contact Dr. David Bottger plastic surgeon to schedule an appointment at one of his clinics in Philadelphia, Newtown Square, Bryn Mawr or West Chester, PA.

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.

Online customer reviews are a popular resource for people looking for a cosmetic surgeon. Some websites are solely dedicated to online opinions, while others have specific areas where you can post your opinion.

We highly value your opinions! Below are a list of websites that make it easy for you to share honest feedback about your experience with Dr. David A. Bottger. Please take a minute to share your opinion and post a review of your experience with our office at these review sites:

• Google - Google uses a rating system that allows you to assign up to five stars for excellent service and write a quick review to share your experience. Visit our profile and share your opinion.
• Citysearch - Visit our office profile, click on the "Write a Review" link in the upper right corner of the profile, rank our office and share a short review.
• Yelp - Yelp.com also uses the five star rating system and review area. Go directly to our profile to rate our office and share your opinion.

We hope you had a positive experience with Dr. David A. Bottger. Thank you for taking the time to share your experience.

For breast augmentation, the U.S. Food and Drug Administration (FDA) approves saline-filled breast implants for women age 18 and older and silicone-filled implants for women age 22 and older. These are age recommendations, not legal restrictions, and teens under age 18 are actually able to get breast augmentation as long as they have parental consent.

There are many reasons why it may be inappropriate for teens to undergo breast augmentation surgery:

• Women's breasts can continue to develop into the 20s, so the breasts they have at age 16 may look completely different at 23.
• Teenagers may not be mature enough to fully understand the potential risks and complications that can arise as a result of breast implants.
• On average, breast implants have a lifespan of 10 years, so getting implants at a young age can possibly require many additional surgeries over the patient's lifetime.
• Breast implants can impede milk production after pregnancy, so women who plan to become pregnant in the future may have difficulties breastfeeding.
• Body image is a hot topic with teenage girls, and some may feel that breast implants will help to make them more popular. This is not a healthy reason to get implants.

According to a February 2009 article, "the Italian Health Ministry is considering banning teenagers from undergoing breast augmentation surgery, citing the health risks" or medical complications that can occur when a woman is not fully mature. For now, there are no age bans in the United States.

The debate over what age is the appropriate age for breast augmentation will continue as long as there is no definitive legal restriction. If you are considering breast implants for your teenager and would like to discuss the decision with Dr. David Bottger, please contact us today for a free breast implant age analysis consultation. We serve patients in Delaware and in and around the Philadelphia, Pennsylvania area.