Picking the Right Plastic Surgeon One of the scariest things about deciding on plastic surgery is figuring out who you can trust. We’ve all seen pictures surgeries gone awry, but we’ve also seen examples of the beautiful work a thoughtful, caring, qualified surgeon can perform.
How do you know who to pick to guarantee those great results? Here are a few ideas to get you started: · Make sure they’re certified by the American Board of Plastic Surgery (ABPS): A doctor may have many certifications from other boards, but these are meaningless compared to the ABPS. This is the certification you want to look for; don’t even add a surgeon to your list of possibilities until you’ve checked off this important qualification. Hint: The American Society of Plastic Surgeons (ASPS) only inducts surgeons who are certified by the American Board of Plastic Surgery. Check their website for local doctors at http://www.plasticsurgery.org. ·
Ask your family doctor or nurse:
People in the medical profession have inside information about plastic surgeons’ reputations that can be invaluable. However, be aware that these people tend to refer based on personality or acquaintance rather than ability, and most often refer “hospital based” surgeons who perform mainly reconstructive procedures. Although these surgeons are indeed sometimes “the best” at cosmetic procedures as well, make sure they have extensive experience with the exact procedure you are interested in. ·
Ask a friend:
If you’re lucky enough to have a close friend or family member who’s had a positive outcome with the kind of procedure you’re seeking, chances are you’ll be happy with that surgeon as well. Just make sure the procedure is indeed the same for your unique situation, double check their credentials, and ask lots of questions. What works for one person won’t always work for you. · Beware of the web and the phone book: Catchy, expensive advertising does not a good doctor make. In fact, many of the most impressive sounding doctors with the most extravagant advertisements aren’t even certified by the ABPS. Be careful. You might find it hard to believe that such unqualified doctors can be so boldly and successfully advertising themselves as otherwise, but rest assured this is common practice. Hence the plastic surgery “horror stories” you’ve read about. Deciding to undergo plastic surgery should be an exciting, exhilarating prospect, not an endeavor filled with fear and dread. To ensure the whole experience from start to finish is positive, take the time and make the effort to choose your surgeon wisely. If you get that part right, the rest should take care of itself.
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•Breast Implant Position - Part 2 Plastic Surgery Cincinnati from The Loftus Plastic Surgery Center Breast Implant Position Part IIby Dr. Michael D. Vennemeyer | Subglandular Breast AugmentationPlacing the breast implants over the muscle is also called subglandular because the implant is directly beneath the glandular tissue of the breast. Positioning the implant over the muscle leads to a faster recovery. There is less pain and swelling. Also, the shape of the breast can be improved easily because the implant is in direct contact with the breast tissue which is draped over it. Sometimes surgeons describe this as the implant “molding” the shape of the breast. This is not entirely accurate. As we discussed in “The battle for final breast shape” the interaction between the implant and breast tissue results in the final shape. This change is variable. However, in most patients this can help improve the shape of the breast. The improvement results from the increase in volume filling the skin and the shaping effect that the implant has on the breast tissue. The breast implant can exert this effect best in a subglandular augmentation because it is in direct contact with the breast tissue. This effect is not as pronounced with the implant positioned under the muscle.Subglandular Breast Augmentation DisadvantagesThe down side of placing the implant over the muscle is that you may see and feel more of the implant than you would like. Think of it this way. The more of you (your breast tissue) that covers an implant, the less you feel the implant and the more you feel you. Your breast will feel more natural and look more natural the more of you that covers the implant. If there is less breast tissue covering the implant you are more likely to see rippling and you will feel the implant more when you touch your breasts. Another disadvantage- there is a higher rate of capsular contracture when the implant is placed in a subglandular position. Finally, there is more interference with mammography when the implant is subglandular.So who benefits from placing an implant over the muscle? Classically, it is women with ample breast tissue where there is enough soft tissue coverage to minimize the risk of rippling and implant visibility. You’re probably thinking, “If I had ample breast tissue I wouldn’t need an augmentation in the first place.” We completely understand if you feel that way. Most women seeking breast augmentation don’t have much breast tissue and want another option. In “Part III: Under the Muscle” we will tackle that option to see if it works for you. Plastic Surgery Cincinnati by The Loftus Plastic Surgery Center •
Breast Implant Position Part I Plastic Surgery Cincinnati from The Loftus Plastic Surgery Center Breast Implant PositionWomen considering breast augmentation frequently ask, “Should I have my implants placed over or under the muscle?” Answering this intimidating question is easier than you might think, once you have the right knowledge. Although this blog will probably give you a good idea what the right choice is for you, the best way to make that decision is during your consultation. After considering your goals and performing an examination, we can help you discover what implant position will work best for you in the long term. First, it is important to understand how your breasts get their final shape from a breast augmentation. Then, you will be able to better understand the advantages and disadvantages of various implant positions, which we will discuss in parts II-IV. Implant vs. Breast: The Battle for Your Final Breast Shape Before we discuss implant position, it is important to understand how you arrive at your final breast shape after an augmentation. Your breasts have a certain shape to them. An implant has a certain shape. They both have variable stretchy characteristics. They both have variable degrees of softness. Breast Skin ElasticityYour breasts are covered with skin that has elasticity. Usually your skin gets less elastic as time (and pregnancies) go by. The amount of skin and elastic quality of that skin, the amount of breast tissue inside the skin and the distribution of that breast tissue all add up to determine your breast shape. More skin, less elasticity and less breast tissue filling results in a breast that looks deflated and ptotic (saggy ). More breast tissue and less, tighter skin result in a perkier breast. Breast Implant Effects on Breast ShapeThe implant is designed to have a particular shape, volume, and projection. Implants have different levels of softness and change differently with compression, depending on what they are filled with. (See Breast Blogs Saline vs. Silicone I, II, and III) There are all sorts of implants that vary in these characteristics. Implants can have the same volume, but the degree of projection can vary and result in different shaped breasts. The degree of projection is often referred to as “profile” (for example: High profile, moderate profile, etc.) Breast Interacts with ImplantSo, now we have your breasts on one side, and the implants on the other. In the operating room we bring them together and they interact. The breast pushes on the implant, and the implant pushes on the breast. All of these characteristics we have discussed intermingle to give your final, unique shape. The shape that results is not solely determined by the implant or the breast, but somewhere in between. Perhaps this sounds like complete chaos. Rest assured. With training and experience a plastic surgeon knows how to predictably combine these factors to get the result you want. That’s why we ask about your goals during your consultation, so we can help you make the right decisions. Now that you understand the interaction between implant and breast, we can discuss how different implant positions affect shape and a few other things. In the next blog, we will discuss placing the implant over the muscle.
Plastic Surgery Cincinnati from The Loftus Plastic Surgery Center 2139 Auburn Avenue, Suite #201 Christ Hospital Medical Office Building, Cincinnati - Ohio (513) 793-4000 View Larger MapPlastic Surgery Cincinnati by The Loftus Plastic Surgery Center •Breast Augmentation in Cincinnati Dr Jean Loftus in TV Interview Plastic Surgery Cincinnati from The Loftus Plastic Surgery Center Dr Jean Loftus Plastic Surgery Cincinnati, author of "The Smart Womens Guide To Plastic Surgery" interviewed on TV show Later Today. Tips and Traps on Finding a Plastic Surgeon On How to Find a Plastic SurgeonFinding a qualified plastic surgeon can be challenging. Do not underestimate the complexity of this important task. Consider the following advice: Ask a friend:If a friend was satisfied with the care provided by a plastic surgeon, then chances are that you will be similarly pleased. Unfortunately, not everyone has a friend who has had plastic surgery. Ask someone in the medical profession, such as your family doctor or a nurse:Keep in mind, however, that doctors and nurses may only be familiar with the physicians at their own hospitals, and they may refer to plastic surgeons based on personality or friendship rather than ability.
They will also tend to refer to “hospital-based” plastic surgeons, who tend to perform mostly reconstructive surgery. Make sure your plastic surgeon spends most of his or her time performing cosmetic surgery – especially the one your seek. Look for a Plastic Surgeon who is certified by the American Board of Plastic Surgery:Be aware of made-up boards that sound official and issue official-appearing certificates. These boards may sound impressive, but according to Joyce D. Nash, author of What Your Doctor Can’t Tell You About Cosmetic Surgery, “Certification of competency from such organizations is probably meaningless.” Be certain to ask from which board certification was received. If your plastic surgeon is not certified by The American Board of Plastic Surgery, be suspicious. You may look in your telephone directory for a plastic surgeon, but beware:Know that in most metropolitan telephone directories, only about two thirds of the physicians listed under “Plastic and Reconstructive Surgeons” are plastic surgeons who are certified by the American Board of Plastic Surgery (ABPS). Some physicians listed in the plastic surgery section have absolutely no formal training in cosmetic plastic surgery. Telephone directories in most states do not require physicians to state from which board they received certification. Therefore, physicians may advertise under “Plastic and Reconstructive Surgeons” and state they are board certified, but not be certified by the American Board of Plastic Surgery. Look for a Plastic Surgeon who is a member of the American Society of Plastic Surgeons (ASPS).The ASPS only inducts plastic surgeons who are certified by the American Board of Plastic Surgery. To obtain the names of these plastic surgeons in your area, call the ASPS at 847-228-9900 or visit their web site at http:\\www.plasticsurgery.org. Summary advice on finding a qualified plastic surgeon:Finding a qualified plastic surgeon may seem like a daunting task. It can be. Understand that unqualified physicians make great efforts to create the impression that they are plastic surgeons. Be aware that the term “board certified” is meaningless, unless it is associated with the name of the board from which certification was received. Know that, in many states, it is legal for unqualified physicians to perform plastic surgery procedures in which they have not been trained. Realize that you may unknowingly see an unqualified physician, but think he is a qualified plastic surgeon. If you understand these issues, then you are well ahead of the general public. To begin your search, call a reputable plastic surgery organization, such as the American Society of Plastic Surgeons (847-228-9900), ask for the names of plastic surgeons in your area, and carefully evaluate your plastic surgeon during the consultation. More About Loftus Plastic Surgery Center:At Loftus Plastic Surgery Center, we offer everything from breast augmentation to facial rejuvenation and body contouring surgery. Our professional staff specializes in cosmetic plastic surgery for women. If you are looking into breast augmentation, we offer both saline and silicone implants. From face lifts and rhinoplasty to tummy tucks (abdominoplasty), our staff look forward to assisting you through the process.Plastic Surgery Cincinnati by The Loftus Plastic Surgery Center