Breast Lift Surgery Popular in Miami

Recently, a study has found that certain cosmetic plastic surgery procedures are more popular in varied locations throughout the country. In Los Angeles, Botox ® is highly requested, while New York natives opt for rhinoplasty, and Miami residents are more likely to undergo breast lift surgery.

Typically, a breast lift is designed to help patients reduce the appearance of sagging in the breasts. This breast enhancing procedure is commonly requested by women who have experienced pregnancy, aging, and/or massive weight loss. Through incisions made around the nipple and vertically down the breast, into the crease, the breast can be repositioned to a more youthful location. A qualified plastic surgeon can help patients regain lost volume with this procedure. In some circumstances, breast implants may be used to achieve a more voluminous appearance. Should the surgeon determine that there is minimal sagging, incisions can be limited to placement that is necessary for breast augmentation – underneath the breast, around the nipple, or in the armpit. Additionally, those who have excess fat deposits often combine liposuction surgery with their breast lift procedure.

If you are in the Miami area and would like to learn more regarding breast lift surgery, breast augmentation, or liposuction, you can contact Ary Krau, M.D., F.A.C.S. An experienced breast and body surgery specialist, Dr. Krau can help you meet your ideal body shape.
From time to time you will get asked by breast cancer patients whether their reconstruction surgery can be done all in one stage at the time of mastectomy. The answer is you can, but there are a number of factors working against you for the best result, such that "baby steps" (planned sequential small procedures)

Typically, most implant reconstruction surgery involves placing a temporary implant called a "tissue expander" at the time of mastectomy that is later replaced by a permanent implant. As compared to a regular implant, a tissue expander is shaped different to maximize shape of the lower breast. It is decidedly more rigid and firm and then permanent devices, particular when silicone implants are later used. The advantage of such specialized devices is that they allow either 1) expansion of the skin by periodically adding fluid to them and 2) better resisting shrinkage of the skin following mastectomy.

Planned 2 stage surgery was popularized by Dr. Pat Maxwell (my mentor) and Dr. Scott Spears, and is well established as the most popular way to do breast reconstruction world wide. There has always been some interest in trying to skip the intermediate step, but doing it predictably is elusive. The big problem is tissue shrinkage of the skin, which as I mentioned is better resisted by the more rigid expander implant versus the softer permanent ones. The best candidates are those with smaller breasts who are having nipple-sparing procedures so that the native skin is 100% conserved. Even in that group, I find I'd be increasingly likely to go back and fat graft to camouflage the implant in a 2nd stage surgery. To my way of thinking, the benefit of single stage surgery just work enough to give up the benefit of the expander structural advantages.


Latisse (the eyelash drug) has been a raging clinical success

Quick thought of the day:

After dispensing Allergan's Latisse medication for enhancing eyelash growth for over a year now, I'm officially impressed. It is hand's down the single most reliable treatment we offer to patients, and I have not seen anyone who does not respond well with it. Part of it's popularity is also the relatively low price tag (~ $120-$130 for a 2 month supply).

The "off the record" advice I have for Latisse users is that I think you can actually use it less frequently then daily and maintain results. I advise patients that once they get to a good clinical result that they try every other or every third day for application. Rationing the medication like that can make a single box extend for 3-4 months instead of 2 without much diminishing results. A good cosmetic budgeting strategy in these times!


If the roll out of 21st century health care could have been more poorly handled, I'm not sure how. From a slow bleed over the spring involving an ill-conceived re-imagination of American health care delivery by the Democrats we are now presented with statements from President Obama's electronic medical record (EMR) czar that a medical record does not have to actually reflect what your medical history is.

Dr. David Blumenthal, the National Coordinator for Health Information Technology, said in an interview with CNS news (see here) that patients can choose to omit procedures such as abortions, positive HIV tests, or other perceived embarrassing information from their electronic health records (EHR).This is concerning in that a purported health record reporting a patient's comprehensive history could be edited so as to be politically correct. As a provider it would be important (for instance) to know that a patient had hepatitis or HIV before scheduling major elective procedures so as to protect oneself and operating room staff from unnecessary exposure or even advise patients to avoid some procedures altogether. Much as a physician has an informed consent with a patient, a provider must be aware of any and all material issues when delivering care.


Understanding the Long Term Impacts of Breast Augmentation

Breast augmentation, along with liposuction, is one of the most popular cosmetic surgery procedures today. But while many women are flocking to plastic surgeons to have implants put in, few consider the long term impacts – both in terms of their health and their pocketbook. A recent study by implant manufacturer Allergen found that about one in three women return to the doctor for a follow-up operation within four years of receiving a breast augmentation. This, however, comes as no surprise to most plastic surgery patients who have undergone the proper consultation. The Food and Drug Administration (FDA) noted long ago that the majority of patients will need to have their implants removed or replaced either due to a rupture or other complications.

For the consumer, these concerns have touched off much consternation over which breast implants have the highest safety record and the most longevity. Lingering cautionary tales warn that certain breast implant types may require “surgical tune-ups,” which would mean increased medical risk and out-of-pocket expenses for life.

But much of this scrutiny and self-guided research is misplaced. Many breast implants carry lifetime warranties that cover the cost of the implant itself if it ruptures. The operating room expenses and the surgeon’s fees, however, are not covered. This is because the techniques and skill level wielded by the surgeon are far more variable and critical than the type of implant that is used. Choosing which implant and breast augmentation surgery will be best for a patient’s specific goals is a conditional judgment call which draws upon the expertise and experience of the doctor. Because of this, it is best for patients to engage in thorough consultations with a board certified plastic surgeon.

Recognizing this importance, many doctors, such as Dr. Miguel Delgado, a Marin breast augmentation specialist, offer free consultations for prospective breast implant patients. Dr. Delgado’s consultation includes a detailed discussion of the long-term impacts as well as computer imaging which allows patients to visualize their surgical plan. Extended consultations are the key to ensuring that patients have realistic pre- and post-surgery expectations.
Sorry for the long break! We've been busy designing our practice's new web site. It's gonna POP! Stay Tuned.

This post is kind of an "inside baseball" topic about what surgeons look at when we judge our own or others work. One thing I fixate on more and more with cosmetic breast surgery is the position of the inframammary fold (IMF). The IMF (in layman's terms) is an anatomic landmark created by adherence of connective tissue to the chest wall. It defines the inferior border of the anatomic breast, and it's location makes it the most popular place for an incision to place breast implants via the "inframammary" approach.

One of the things I look for in someone I've operated on or whom comes in for revision surgery by another provider is where a prior inframammary scar is. If the scar is stable and in the position it was originally made in then I'm satisfied the surgical dissection was performed well. If the scar is now residing up on the skin of the lower breast, that suggests over release of the native IMF during prior surgery. Once violated, that anatomic border is hard to reliably recreate. Just a little extra attention during surgery can prevent a lot of issues down the road as it relates to this.


Cosmetic Plastic Surgery Abroad?

While there are risks involved with medical tourism, plastic surgery is often seen as a luxury to those who have the financials means of paying for it. For some, going to other countries where it may appear cheaper is increasingly becoming a worldwide trend; recently, an Australian teen was said to be heading to Malaysia in order to undergo body rejuvenating procedures. In Beverly Hills, Stuart A. Linder, M.D., F.A.C.S. often sees patients from afar. Along with individuals from across the country, those from out of the country have also inquired about plastic surgery procedures at Dr. Linder’s office.

A specialist in breast and body enhancing procedures, the practice of Dr. Linder is often visited by patients from such countries as Canada, Australia, Spain, and Norway. His qualifications and experience have led to several successful outcomes. Some of his most commonly requested procedures include breast augmentation, breast lift surgery, liposuction, and tummy tuck surgery. In fact, many women who have experienced multiple pregnancies often undergo a combination of these surgeries in order to attain optimal results. When meeting with Dr. Linder, you can discuss your problem areas and learn of your body contouring options.

If you are interested in undergoing a cosmetic plastic surgery procedure with internationally known Dr. Linder, you may visit his website to schedule an appointment. You may also view before and after photos of those who have previously undergone body enhancing procedures in Beverly Hills.

Laser Resurfacing with Dr. Paul Vanek

Dr. Paul Vanek is a double board certified general and plastic/reconstructive surgeon with advanced training and expertise in body, facial, and breast surgery. With years of experience in providing enhancement through surgery, such as when he traveled to Haiti and provided his services after the devastating recent earthquake, Dr. Vanek also specializes in non-surgical procedures. This includes skin and body treatment with the use of the Sciton laser.

He is proud to offer men and women the chance to refresh their appearances through laser rejuvenation. Maintaining a youthful look and clear complexion is valued by most individuals, which inspires them to seek the assistance of a professional specialist, such as Dr. Vanek.

Those who suffer from such problems as wrinkles and fine lines, post-traumatic scars, acne scars, sun spots, freckles, and/or aging and sun-damaged skin, need not fret when in the care of Dr. Vanek. Using the Sciton ProFractional™ laser resurfacing system, he can improve these wide range of skin conditions with ease while refreshing the overall appearance of the skin. A laser resurfacing specialist near Lake County, Dr. Vanek ensures a safe experience, which offers patients the opportunity to be in and out with minimal downtime.

In addition to using the Sciton laser for the facial fractional resurfacing procedure, the special, innovative laser can be used for a variety of skin and body procedures, such as laser peels, skin tightening, laser hair removal, and phototherapy. The Sciton laser is also an effective tool in treating vascular and pigmented lesions.

Every patient’s skin is different; this is why the consultation is so important. It gives Dr. Vanek the chance to assess the patient’s condition and do a thorough evaluation of the skin. The type of treatment best recommended by Dr. Vanek will be determined by several factors, such as the patient’s goals and severity of his or her problem areas.