While breast augmentation is commonly discussed in terms of the powerful physical transformation possible, the most meaningful improvements can often be emotional and psychological. For many women, the most profound changes from breast implant surgery occur beneath the surface. As a prominent board-certified plastic surgeon in Philadelphia, Dr. David Bottger believes robust patient education is crucial to achieving a satisfying, optimal outcome after breast augmentation….

Motiva^® breast implants, developed by Establishment Labs^®, are a newer generation of silicone implants designed with safety, softness, and patients’ aesthetic preferences in mind. Unlike older breast augmentation devices, Motiva^® models retain softness and fullness in the upper poles of the breasts and adapt shape as your body changes positions. This means Motiva^® implants can remain rounded and youthful when lying down, and provide an…

Breast augmentation is a highly personal decision and selecting the right implant size is an essential — and sometimes challenging — part of the surgical process. While factors like implant type and placement matter, size in particular plays a key role in how natural your results look, how you feel in your body, and how well your implants fit into your lifestyle. Board-certified Philadelphia plastic…

Breast augmentation and fat transfer are two highly effective approaches to enhance the size and/or shape of the breasts. That said, the two procedures are not interchangeable. Depending on the exact improvements you wish to see in your breast contours, one cosmetic surgery may be able to provide your desired results to a greater degree than the other. Here, Dr. David Bottger, our acclaimed board-certified…

Sagging breasts, medically known as breast ptosis, can develop as early as a patient’s thirties. Breast sag is often caused by a number of factors, including hormonal changes, decreased collagen production, weight fluctuations, gravity, and smoking. Reduced skin elasticity and drooping breast tissue also tend to worsen after pregnancy and menopause. This does not create any medical concerns, but it’s not uncommon for stretched, elongated,…

There are many reasons why women may elect to get breast implants. From self-consciousness about a small breast size to losing volume after having kids, breastfeeding, or menopause, board-certified Philadelphia plastic surgeon David Bottger, MD understands that the motivation to pursue breast augmentation is personal to each patient. Dr. Bottger knows that a strong understanding of the breast augmentation procedure is the best way to…

Marilyn Monroe’s legacy as a cultural icon is indisputable. Though her filmography was not extensive, and many of her films were not critically acclaimed, her impact on the public’s imagination has been profound and lasting. This enduring influence is exemplified by recent tributes such as a towering 26-foot statue in Chicago, depicting her famous pose from “The Seven Year Itch,” and the release of new…

Traditionally, breast implants used to be replaced every ten years. In the days where almost all breast implants were silicone-filled and plastic surgery lacked the technology to detect a “silent rupture” — which refers to when breast implants rupture, but remain intact — earlier intervention was necessary to ensure implants were in good condition. Thanks to the many strides made in the field of aesthetic…

The question of how breast implants can potentially affect one’s ability to breastfeed is one of the most common questions asked by Philadelphia patients interested in breast augmentation. Every breast procedure, including breast augmentation with implants, is personalized according to the needs and overall goals of each person. That said, Dr. David Bottger — a highly skilled board-certified plastic surgeon — understands that breastfeeding can…

For most women, the loss of a youthful breast shape stands out among the myriad of aesthetic changes caused by the natural aging process. While advancing age can catalyze many transitions in the appearance of the face, skin, and body, changing hormone levels during this stage of life often notably affect the breasts in particular. According to the National Health Institute, the breast-related aesthetic changes…