January 30th, 2014 admin
As one of the most regularly performed plastic surgery procedures, breast augmentation is desired by thousands of women every year. Although most of the specifics for a breast augmentation can be determined during your consultation with a board-certified plastic surgeon, choosing the form (shaped or rounded) of the implants is almost entirely the patient’s choice.
To get a better understanding about the different structure that breast implants come in and which kind is best for your body, we’ve provided you with some information about both types.
Often referred to as gummy-bear implants, shaped implants are filled with a highly cohesive silicone gel that maintains a constant teardrop or tapered form. Shaped implants have textured surfaces to prevent them from moving around once they are inside of the breasts. The silicone used in shaped implants is slightly firmer than most round implants and varies significantly in feel between the three manufacturers of these devices in the United States. The more stable silicone polymer of these implants appears to account for the significantly improved durability of the implant in clinical trials. These implants are a good choice for women who wish to improve the size of their breasts while retaining a more natural (less rounded) appearance of the upper breast.
Round implants are filled with either liquid saline or silicone gel and contain a smooth or textured surface. The smooth surface allows the implants to move freely inside of the breasts, while the softness of the saline or silicone fill provides the natural feeling of a real breast. Textured devices move less but may be associated with less hardening of the breast over time. Round implants give a more stereotypical augmented or rounded look which may desirable to some patients.
Although shaped and round implants provide their own sets of benefits, the type that you choose will ultimately depend on your own personal preference.
Breast augmentation is performed on an outpatient basis with the patient under general anesthesia. Each implant is inserted through a small incision and placed above or below the breast muscle. There are various incision patterns that can be performed during surgery, although the most common is the inframammary incision because it is so well hidden underneath the breast. Other techniques include making an incision around the areola and under the armpit. The method that is most beneficial for you will be decided during your consultation.
During the first few weeks, patients should refrain from any strenuous activity and heavy lifting to ensure a speedy recovery. Bandages are applied to the breasts directly after surgery, and a specialized compression bra will be placed on the breasts to reduce swelling. Pain may be apparent during the first few days of surgery, but this can be alleviated with prescribed medication. Although complications are rare, following your surgeon’s postoperative orders can greatly reduce the chances of complications arising.
For more information about Alabama breast augmentation surgery or any other cosmetic procedures, feel free to contact Plastic Surgery Specialists today. Call (205) 298-8660 or fill out an online contact form to get started. Our surgeons, Dr. Robert Oliver and Dr. Jason Jack are both certified by the American Board of Plastic Surgery (ABPS) and are dedicated to helping each patient achieve the best outcome possible.
December 23rd, 2013 admin
Fat grafting, also known as “autologous fat transfer” or “fat injections,” involves removing fat cells from one area of a patient’s body and injecting them into another area. This procedure has two great benefits: it eliminates unwanted fat from problem areas and provides plumpness to volume-deficient areas. First, fat is removed from the area(s) of the body the patient desires to be more slender. The fat cells are then purified before being injected into the areas requiring augmentation. Fat grafting is an extremely versatile procedure and has evolved over the years to provide enhancement for both cosmetic and reconstructive needs with long-lasting and natural-looking results.
Fat grafting can provide the following improvements:
Removal of Unwanted Fat
Even after following a healthy diet and exercise routine, many people are left with stubborn fat that is almost impossible to eliminate. Liposuction removes this fat to provide a slimmer body contour, and then the fat can be used to enhance other areas of the face and body. Liposuction can be performed on almost any area of the body, including:
Chin and neck
Abdomen and waist
Thighs and knees
Calves and ankles
Over time, the fat in our faces deteriorates, and hollows may form. The skin also loses elasticity with age, which causes wrinkles and fine lines to develop. Fat grafting can fill hollows, wrinkles, and fine lines to provide a more youthful facial appearance.
Lips that are thin or wrinkled can benefit from fat grafting. This procedure provides full, pouty lips as the injected fat plumps them with volume.
As we grow older, our hands tend to lose fat tissue, and bones and veins may begin to show through. Fat grafting can rejuvenate the hands and make them appear smooth and youthful by restoring lost volume.
Fat transfer to the buttocks can achieve a curvaceous rear end for patients with a poorly defined or flat buttocks. Specially designed needles are used to strategically inject the fat to create fuller and rounder hindquarters.
Correction to Contour Irregularities
Contour irregularities, such as deformities and depressions in the skin, on almost any area of the body can be corrected with fat injections. Irregularities are improved as the injected fat fills the area.
If you are interested in enhancing your appearance with fat grafting or any other plastic surgery procedure, please contact Plastic Surgery Specialists of Birmingham by calling (205) 298-8660 or filling out our online contact form. Board-certified plastic surgeons Dr. Robert I. Oliver and Dr. Jason M. Jack offer a variety of surgical procedures and non-surgical treatments to provide patients with beautifully rejuvenated appearances and bodies to give them the confidence they desire.
December 2nd, 2013 admin
Dermal fillers provide a safe and effective way for men and women to restore a rejuvenated look to their faces. Designed specifically to eliminate fine lines and wrinkles around the nose, mouth, and lower part of the face, filler treatment takes just a few minutes with little to no downtime. At our Birmingham practice we offer JUVÉDERM® and RADIESSE®, which are among the most popular fillers that exist today. Although both of these fillers can noticeably improve an individual’s facial appearance, they are made of entirely different materials.
This filler is made of a substance found naturally inside the body that adds volume and hydration to the skin. The hyaluronic acid in JUVÉDERM® is not derived from animal sources, which ensures no allergic reaction for patients who undergo this treatment. After JUVÉDERM® is injected, the face looks fuller and the wrinkles on the skin become smooth.
Composed of microscopic calcium-hydroxyapatite spheres, RADIESSE® contains essential minerals that make skin smooth and firm. Since calcium-hydroxyapatite occurs naturally in the bones of the human body, patients do not need to worry about the risk of an allergic reaction during treatment. RADIESSE® can be injected into various parts of the face, but it is most effective for eliminating fine lines and wrinkles in the cheeks, chin, and jawline. As the gel is harmlessly absorbed into the body, the spheres continue to provide a youthful appearance over an extended period of time.
If you would like to add a youthful appearance to your face, feel free to contact Plastic Surgery Specialists by calling (205) 298-8660 or fill out our online contact form today. Dr. Robert Oliver and Dr. Jason Jack are board-certified plastic surgeons and look forward to meeting you during your initial consultation. They are highly experienced and will be able to help you decide which filler is best suited for you.
November 20th, 2013 admin
Breast cancer is one of the most common cancers that women in America are diagnosed with, second to only skin cancer. Treatment options include radiation therapy, chemotherapy, hormone therapy, and surgery to remove some or all of the breast tissue (lumpectomy or mastectomy). Lumpectomy and mastectomy procedures can result in disfigured breasts or a complete lack of breasts, depending on how much tissue needs to be removed. Breast reconstruction surgery can restore the appearance of the breasts, but it was previously only performed after patients had healed from their breast cancer treatment surgery. This left patients with the trauma of seeing themselves without breasts and feeling incomplete and less feminine. Fortunately, as public awareness and support have increased, research funding has allowed for the development of new techniques for breast cancer treatment and reconstruction.
A recently developed option for breast cancer patients is oncoplastic breast surgery in which plastic surgery techniques for reconstruction are combined with breast cancer treatment (oncology). Dr. Oliver and Dr. Jack work closely with the breast cancer surgeon to coordinate surgical techniques in order to achieve the best possible results. Oncoplastic surgery generally achieves an improved final breast appearance compared to separate procedures for treatment and reconstruction.
Oncoplastic breast surgery techniques include:
Fat grafting of contour irregularities, radiated skin, and lumpectomy deformities
Immediate reconstruction using a flap method or implants, which includes the following benefits:
If you’ve been diagnosed with or treated for breast cancer, Dr. Robert I. Oliver and Dr. Jason M. Jack are committed to helping you through this difficult time so you can feel whole again. They offer many techniques for breast reconstruction and can help you determine the best treatment options for your individual circumstances. To schedule a consultation with Plastic Surgery Specialists of Birmingham, please call (205) 298-8660 or fill out our online contact form today.
September 26th, 2013 admin
Who knew that beauty could be defined by numbers? Although we don’t usually think about math when we notice a person’s allure, proportions are apparently a big part of what we perceive as attractive when it comes to appearance.
The Golden Ratio, also called the “Phi Ratio,” is believed to define optimal facial proportions, and it is based on the Fibonacci number sequence, where each subsequent number is the sum of the preceding two (i.e., 3, 5, 8, 13…). Any number in this sequence in relation to the number before it creates the Golden Ratio (e.g., 13:8), which results in approximately 1.618 when divided. The Golden Ratio is an efficient way to organize things and maximize space, and it is found in many patterns in nature, from sunflowers to seashells to pineapples and even in the structure of our DNA. Numbers create beauty, and several studies on attractiveness show that this ratio creates ideal proportions for an aesthetically pleasing face.
A 2012 contest to find “Britain’s Perfect Face” had over 8,000 entries and, after narrowing the selection, asked the public to vote for whom they thought was the most beautiful. After their winner, Florence Colgate, was chosen, her face was analyzed according to the PhiMatrix to determine whether it demonstrated the Golden Ratio. In addition to having the classic signs of feminine beauty (large eyes, full lips, high cheekbones, good complexion), Colgate’s facial analysis showed at least 24 head and facial dimensions that almost perfectly create the Golden Ratio.
Overall, studies suggest that the following female facial characteristics are perceived as attractive:
- Large eyes
- Small nose
- Full lips
- High cheekbones
- Large smile
- Small chin
Although there are many different opinions on how beauty should be defined, what really matters is how YOU feel about yourself. If you are unhappy with your appearance or simply want to enhance your features, please feel free to contact Plastic Surgery Specialists of Birmingham by calling (205) 298-8660 or filling out our online contact form. We offer procedures that can reshape your nose, add volume to your lips, eliminate wrinkles or blemishes, and achieve many other aesthetic goals to increase your beauty and self-confidence.
August 13th, 2013 admin
What Is Ear Surgery?
Also known as “otoplasty,” ear surgery can improve the shape, position, and protrusion of the ears from the head. It can correct deformities resulting from injuries or congenital (birth) defects, such as folded ear tips, long earlobes, and even the absence of an ear.
Who Is a Candidate for the Surgery?
Anyone who is unhappy with the appearance of their ears is a candidate for this surgery. The ears may stick out from the head, be too large or too small, or be misshapen. Otoplasty can be performed on patients of any age whose ear cartilage is stable enough for surgery, and it is often performed on school-age children. Young children are frequently teased and ridiculed for having ears that protrude from the sides of their head, which can negatively affect their confidence and psyche. Children around ages five or six usually have ears that are developed enough to undergo otoplasty.
How Long Does Surgery Take? What Is the Recovery Time?
Ear surgery takes between one and two hours, depending on the extent of the surgery. The recovery time varies greatly between patients because of individual circumstances and the technique performed for the procedure. Approximately one week after surgery bruising typically resolves, stitches are removed, bandages are replaced with smaller dressings, and patients generally return to work and regular activities. Mild swelling may be present for a few weeks.
What Are Realistic Expectations of Ear Surgery?
Ear surgery patients can expect to see almost immediate results once the bandages are removed after the initial healing. Scars will be well-hidden in the natural creases in the back of the ear. Otoplasty typically provides pleasing, long-lasting results.
If you are interested in learning more about ear surgery, please contact Plastic Surgery Specialists of Birmingham, Alabama by calling (205) 298-8660 or filling out our online contact form today. Dr. Oliver and Dr. Jack are board certified plastic surgeons and are dedicated to helping their patients achieve the appearance and confidence they desire.
July 23rd, 2013 admin
Breast implants are a great way to enhance the female figure and improve self-esteem, and breast augmentation is one of the most sought-after plastic surgery procedures in the United States as well as the world. As with any surgery, there are certain complications that may result from breast augmentation with implants, such as implant rupture. Implant rupture is the breaking or splitting open of the silicone shell of an implant. Fortunately, if an implant rupture does occur, studies have shown that neither silicone nor saline implants cause disease.
Knowing how to reduce the risk of an implant rupture, how to identify a potential rupture, and what to do if you think a rupture has occurred are the best ways to prevent further complications from an implant rupture.
How to Reduce the Risk of a Rupture
Implant rupture generally occurs spontaneously without an obvious cause, so there are only a few preventative measures that can be taken to reduce the risk of it occurring. Severe trauma to the chest could possibly cause an implant to rupture, so situations that can injure the breasts should be avoided. Undergoing breast augmentation surgery with a board certified plastic surgeon and being completely honest with your surgeon will reduce the risk of all complications, including implant rupture.
How to Identify a Rupture
Saline implants consist of a solid silicone rubber outer shell filled with sterile salt water. It is immediately obvious if a saline implant has ruptured; the implant deflates and there is a noticeable reduction in the size of the breast. The body will safely and naturally absorb the saline solution within hours of the rupture.
Silicone implants are composed of a solid silicone rubber outer shell filled with cohesive silicone gel. If a silicone implant ruptures, capsular contracture (compression of the scar capsule around the implant) may occur and the breast may change its shape and feel. A silicone implant rupture may not be immediately noticeable, and an imaging test may need to be performed to confirm it.
Routine surveillance of a patient’s silicone gel breast implants with imaging studies (MRI or ultrasound) is not endorsed by most experts for women who are not having problems with their implants. If there is some question of the integrity of the implants, an ultrasound or breast MRI may help determine the status of their implants if they were not otherwise planning on having them replaced. For women with older silicone breast implants who otherwise are not experiencing issues with their implants, some consideration should be made to exchange the devices at 15-20 years following implantation. Newer form-stable “gummy bear” type implants recently introduced in the United States appear to last a considerably longer period of time and may never need to be replaced just based on the age of the device.
During the initial breast surgery, a pocket, or “capsule,” is created in the breast tissue that prevents the implant from moving around, and in the case of a rupture, the silicone gel may remain within the capsule. However, there is a chance the silicone may leak out of the scar tissue capsule and spread to other parts of the body, where it may be difficult or impossible to remove. Fortunately, the development and FDA approval of highly cohesive silicone gel breast implants has eliminated the risk of silicone leaking into the body in the case of a rupture. The silicone bonds in these new implants are so strong that the implant will retain its shape even if cut in half.
What to Do if You Think a Rupture Has Occurred
If you believe that one or both of your implants have ruptured, it is important that you go to your plastic surgeon or another qualified surgeon as soon as possible. A ruptured implant should be removed promptly to reduce the risk of developing additional scar tissue, which could require a more extensive surgery in order to be removed. If it is confirmed that a rupture has occurred, breast revision surgery will be scheduled. During breast revision surgery, the ruptured implant will be removed and, if desired, replaced with a new implant.
At our Alabama office, plastic surgery specialists Dr. Robert I. Oliver and Dr. Jason M. Jack are certified by The American Board of Plastic Surgery (ABPS) and routinely perform breast revision surgery. They are dedicated to making sure that each and every patient is completely satisfied with their results. If you are concerned that your implant has ruptured, please schedule a consultation with Plastic Surgery Specialists by calling (205) 2988660 or filling out our contact form today.
July 2nd, 2013 admin
On May 14, 2013, The New York Times published an article in The Opinion Pages section of the newspaper written by actress and director Angelina Jolie titled “My Medical Choice,” wherein she disclosed her decision to undergo a preventive double mastectomy. She underwent a double mastectomy after discovering that she carries a mutated “breast cancer 1” (BRCA1) gene, which gave her an 87 percent risk of developing breast cancer and 50 percent risk of developing ovarian cancer. Jolie’s preventive double mastectomy surgery reduced her risk of developing breast cancer to less than 5 percent.
Jolie’s surgeon, Dr. Kristi Funk, detailed the entire process in her blog on the Pink Lotus Breast Center webpage. After much surveillance and deliberation, the first procedure Jolie underwent was called a “nipple delay.” This procedure is performed to ensure there is no disease in the breast ducts behind the nipples in order to allow the nipples to remain and be used for the breast reconstruction surgery. Two weeks after that, the double mastectomy was performed to remove the breast tissue and replace it with temporary expanders until reconstruction was completed with implants. Jolie and her surgeon chose the newly FDA-approved anatomic teardrop-shaped implants with allograft (synthetic sheets of material) for a more natural appearance.
Angelina Jolie encourages other women to be aware of their options when it comes to preventing and treating breast cancer. She advocates accessibility to breast cancer gene testing (which typically costs more than $3,000 in the U.S.) for all women with a family history of breast or ovarian cancer in order to find out if they are at an increased risk for breast cancer. Jolie also believes that women with a genetic risk for breast cancer should have the option to undergo preventative surgery. Her choice may empower other women at high risk to consider a preventive double mastectomy as a way to protect themselves against breast cancer.
Although Jolie’s announcement of her procedure has made many women more aware of their options, certain doctors worry that some may misinterpret her decision and undergo preventive mastectomies unnecessarily. It is important to realize that Jolie’s condition was extremely rare, as abnormal genes are the cause of only 5 to 10 percent of all breast cancer cases. Each woman’s individual circumstances are different, and surgery is not always the best option for everyone. It is important to discuss risk factors and options regarding breast cancer with a qualified physician to evaluate individual circumstances and determine the best plan of action for battling breast cancer.
How to Reduce the Risk of Breast Cancer
Mammograms and other preventative measures reduce your risk for breast cancer.
Unfortunately, there is no guaranteed way to prevent breast cancer. However, the best way to battle the odds is to take measures to reduce the risk and aid in the early detection of breast cancer.
Maintain a healthy diet
Consuming fruits, vegetables, and whole grains may help reduce the risk of breast cancer, while dietary fats and processed grains may increase the risk. Although dietary measures have a noticeable impact on cancer prevention, unfortunately, they are not proven effective in battling against other breast cancer risk factors.
Limit alcohol consumption
It is extremely important to restrict excessive alcohol consumption; consuming more than two drinks per day increases the risk of breast cancer by 41 percent.
Exercise reduces the amount of estrogen, testosterone, insulin, and other growth factors in the body that may cause or increase the development of breast cancer. Evidence from over 50 studies shows that the risk of developing breast cancer is 20 to 30 percent lower for women who exercise 4 to 7 hours per week at moderate to vigorous intensities compared to less active individuals.
The risk of breast cancer has been shown to be reduced by certain medications that counter the effects of estrogen. Women at a high risk for breast cancer should discuss with their doctor whether or not these drugs would be beneficial to them.
Practice methods for early detection
Regular breast exams are very important for the early detection of breast cancer. The sooner the diagnosis, the sooner treatment can begin and the more likely breast cancer can be defeated.
Examine your breasts once a month for irregular lumps or any other changes. To learn more about this early detection technique, watch how to do a breast self-exam (BSE).
Have a mammogram once a year, starting around age 40 (or earlier if your family has a history of breast cancer).
Get a thorough physical exam twice a year.
Know your risk
Genetic testing can determine if a woman has an abnormal gene that can put her at a higher risk for developing breast cancer. Women with the following conditions are more likely to have a mutated breast cancer gene:
Blood relatives (grandmothers, mother, sisters, aunts) on either your mother’s or father’s side of the family who were diagnosed with breast cancer before age 50
A family history of breast cancer and ovarian cancer, particularly in a single individual
A family history of other gland-related cancers, such as pancreatic, colon, and thyroid cancers
Women in your family with cancer in both breasts
A man in your family with breast cancer
You are of Ashkenazi Jewish (Eastern European) heritage
You are an African American diagnosed with breast cancer at age 35 or younger
If you have undergone a mastectomy procedure and are interested in breast reconstruction or any other procedures in Alabama, please contact Plastic Surgery Specialists by calling (205) 298-8660. Our board certified plastic surgeons, Dr. Robert I. Oliver and Dr. Jason M. Jack, look forward to helping you achieve the appearance you desire.
May 22nd, 2013 admin
Although there are many different shapes and sizes of nipples and areolas, some women are unhappy with the size of their nipples and the dark pigmented skin surrounding them. For some women, genetics may lead to the development of large nipples and areolas. For other women, weight gain, pregnancy, and aging can cause the areola and nipple skin to stretch and become larger than what is considered “normal.” Other women are concerned that their nipples and areolas appear disproportionate to the size of their breasts. Nipple and areola reduction surgeries can be performed to reduce a woman’s nipples and areolas to their previous size and shape and fit them to her definition of beauty. These surgeries can be performed individually or together, depending on the patient’s desires.
If a thinner nipple is desired, a pie-shaped wedge can be removed from the underside of the nipple. For nipple reduction to create a shorter nipple, the tip is often excised and the remaining nipple is sutured closed.
For a combined nipple reduction & areola eduction, the length of the nipple is reduced by removing a section of skin along the bottom of the nipple and then attaching the original tip of the nipple to the base. This allows for a single incision to reduce the size of the nipple and areola, and can then be closed with dissolvable sutures. To exclusively reduce the size of the areola, an incision is made around the outside of the areola, and the necessary amount of pigmented skin is removed. The incision is usually closed with absorbable sutures.
The procedure takes approximately one to two hours, depending on the extent of the surgery, and it is performed on an outpatient basis. Patients can usually return to their normal activities within a few days following surgery, but a support bra should be worn for at least three weeks after the procedure. Because the incisions are so small and along the natural line between the areolas and the breasts or in the natural crease between the nipples and areolas, the resulting scars will be inconspicuous and fade over time.
Before undergoing any surgery, it is important for patients to be fully aware of all possible risks and complications. Possible complications associated with nipple and areola reduction surgery include infection, numbness and loss of sensitivity, extreme sensitivity, problems with breastfeeding, scarring, and loss of pigmentation. To reduce these risks, it is important to have a board certified surgeon perform your surgery and to follow all post operative instructions.
Nipple and areola reduction surgery is commonly combined with other breast procedures, such as breast reduction, breast augmentation, and/or breast lift surgery. These procedures can produce more attractive, youthful breasts that are in harmony with the rest of your body. The majority of patients who undergo nipple and areola reduction surgery are very satisfied with the results of their procedure and have a new sense of confidence regarding the appearance of their breasts.
If you are interested in nipple and areola reduction or any other breast procedures in Alabama, please contact Plastic Surgery Specialists by calling (205) 298-8660. Our board certified plastic surgeons, Dr. Robert I. Oliver and Dr. Jason M. Jack, look forward to meeting you during your initial consultation.
May 8th, 2013 admin
Although it is not always apparent, no woman’s breasts are perfectly symmetrical. For some, the difference between their breasts is very noticeable and can be extremely embarrassing.
Breast Asymmetry Disorder is a condition characterized by extreme differences in size, position, or shape; differences in nipple height, areola diameter, and breast height and width are some irregularities that are more common than you may think. Breast asymmetry can negatively affect women’s personal and social lives by causing stress, social inhibition, lack of self-confidence, and difficulty finding appropriate clothing, especially swimwear. Studies have shown that these issues were improved following breast asymmetry surgery, resulting in higher self-esteem and quality of life.
How Breast Asymmetry Occurs
Breast size abnormalities can be the result of genetics, random growth patterns, traumatic injuries during the developmental phase, and hormonal changes. Another condition that causes breast asymmetry is Poland’s syndrome — a lack of pectoral muscle and an underdeveloped breast.
During puberty, the hormone estrogen activates the growth of breast tissue in girls, and the breasts are generally fully developed within four years thereafter. By the age of 21 most women’s breasts are fully developed, and if breast asymmetry exists at that age it is likely permanent unless corrected with breast surgery.
Breast Surgery to Correct Asymmetry
Many women who suffer from Breast Asymmetry Disorder decide to undergo surgery to alleviate this problem. There are many different techniques that can be used to correct a woman’s particular condition. This includes:
Breast reduction to the larger breast: Women who have excessively large breasts but an asymmetrical appearance can choose to have the larger breast reduced and lifted to the same height as the smaller one.
Breast implant for the smaller breast: To make breast size even, an implant can be placed in the smaller breast. For this method, the larger breast often needs a small lift and adjustment to balance out the surgically enhanced breast.
Two different sized implants: In the case where both breasts are small and asymmetrical, implants of different sizes can be inserted to enlarge both breasts to the same proportion.
A lift for one breast: When one breast (and nipple) is lower than the other, a lift can be performed on the lower breast to raise it to the same level as the higher breast.
During an initial consultation, Dr. Oliver or Dr. Jack will evaluate your individual circumstances to determine the best method for correcting your breast asymmetry. To schedule your consultation today with one of our board certified plastic surgeons, please fill out call (205) 298-8660. We look forward to hearing from you!