comparison

Q: Should I Go See a Plastic Surgeon or a Dermatologist for my Botox Injection?

Submitted by Q-A from clee on Fri, 06/17/2011 - 01:08

I decided to go for my first botox injection. I have decided to stay away from botox party or med spas. I am going to the best plastic surgeon or dermatologist. I wonder which one is better. The surgeon or the dermatologist. thank you in advance. I am in southern california. But I don't mind traveling!

A: Botox Injections

An experienced aesthetically minded doctor who readily recognizes the limitations of injectable would be preferred. The advantage a plastic surgeon has over a non-surgeon, is the experience to know when surgical correction is the best treatment in his armaments of aesthetic tools.

Q: Breast Explantation Due to Intracapsular Rupture with Fluid Build

Submitted by Q-A from clee on Sat, 05/14/2011 - 09:07

fluid build up in my right breast, ultrasound showed there is a thick film of capsular around my implant. Look swollen but no pain. I went to 2 surgeons, one said to remove implant without removing any capsules nor stitch up the implant pocket. While the other one will remove all capsules, stitch up pocket.

My implants are under the skin and they're saline. I have them for 7 yrs. Which one should i go with? Will the fluid goes away so i can leave them in since I have no pain? Please advise.Thx

A: Not really understanding some points...your clarification necessary

You mentioned that you have saline implants for 7 years, yet they are ruptured with fluid and swelling. Saline ruptures lead to deflation and their treatment is by replacement usually with assistance of the manufacturer provided the parameter of the warranty are followed.

Silicone is a different matter. 7 years ago there was a moratorium on their placement. Ruptures silicones should probably be removed.

If you are having exchange of implant, then either a pocket exchange or capsulectomy would be wise since the capsules are thick according to your imaging studies.

Q: Saline or Silicone? I need the most natural feel, look, and movement

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:12

Getting BA done next month. My doctor usually recommends silicone because most of his patients have an A cup. After examining me, he said I could go either way; silicone or saline because I'm a full 34B cup. He said I have enough breast tissue to where you won't tell a difference. I would still get the same results, will be soft as silicone, and give me good projection. I'm a 34 full B.I'm shooting for a 34 full D.What would you suggest? I need the most natural feel, look, and movement.

A: Evaluate factors such as size, incision you prefer to make you choice

You have a wonderful breast envelope capable of holding many saline or silicone in the preferred submammary plane. If your preference is to have the smallest incision possible in the areolar region with a large implant, then saline will be best. If you prefer an inframammary incision with softer more natural breasts then choose silicone.

Q: Saline or Silicone for Someone with Adequate Breast Tissue?

Submitted by Q-A from clee on Fri, 05/13/2011 - 12:07

Getting BA done next month. My doctor usually recommends silicone because most of his patients have an A cup. After my exam, he said I could go with silicone or saline because I'm a full 34B cup. He said I have enough breast tissue so there wouldnt be a difference, and would get the same results.

It will be soft as silicone, and give me good projection. I'm a 34 full B, shooting for a 34 full D.What would you suggest? Also, 450cc or 500cc?Would like fuller, natural feel, look, and movement.

A: You have choices, let your preferred incision guide your implant decision

Let your incision choice and size of implant dictate your type of implant. If you prefer to scar in the areolar complex, then use a saline implant as your areola is not large enough to permit placement of a large silicone implant. If you prefer the inframammary incision, then go with the cohesive get as the feel more natural. Request for them to be place in the submammary position as it is far less painful and you have sufficient breast to adequately prevent ripples even from saline implant to show.