Aesthetic Plastic Surgery Blog | Dr. Linderman
Carmel and Indianapolis, Indiana
Thursday, January 7, 2010
Does the risk for Breast Cancer increase with Breast Augmentation Surgery?
Several studies comparing the incidence of breast cancer in women with breast implants against non-implanted women and there was no statistical difference in the two groups. Women having breast augmentation DO NOT have a higher risk of breast cancer.
Labels: breast augmentation
posted by Mandy W. at 11:26 AM
Tuesday, January 5, 2010
What is capsular contracture after breast augmentation?
Capsular contracture is the development of inelastic scar forming around breast implants. This scarring can produce hardening of the implants, displacement and in some cases pain. Surgery may sometimes be necessary to remove or release this scarring. Implant placement of the breast implants underneath the chest wall muscle does decrease the overall incidence of capsular contracture.
Labels: breast augmentation
posted by Mandy W. at 2:01 PM
Wednesday, December 30, 2009
Can I change the size of my breasts after the initial surgery?
In most cases the size of patient’s breasts can be altered by changing implant size and dimension. Normally I encourage my patients to wait a minimum of six months before making decisions to alter implant size. Rarely will a patient request smaller implants. In planning breast augmentation surgery, I make every effort to meet my patient’s expectations and produce the size breast they desire. With the custom implant sizing implant that I use, a very accurate estimate of the final implant size can be made and prevent requests for later size alteration. Implants come with various projections, allowing a choice to made to fit the patient’s chest wall dimensions and skin characteristics.
Labels: breast augmentation
posted by Mandy W. at 12:33 PM
Monday, June 29, 2009
What is a gummy bear implant?
Gummy Bear refers to a new generation of silicone gel implants that will soon be released by the FDA pending submission of further data by the implant manufacturers. These implants have been in use in Europe for several years. They are made of a very highly cohesive gel that when ruptured retains its original shape. These implants are being produced in a number of different shapes and sizes. The implants tend to feel harder and do not displace laterally when lying down as normal breast tissue and less cohesive gel implants. They also require a larger incision for placement and have the consistency of a hard gel. Current cohesive gel implants that are on the market tend to retain the shape with little or no tendency to migrate when ruptured.
Gummy Bear refers to a new generation of silicone gel implants that will soon be released by the FDA pending submission of further data by the implant manufacturers. These implants have been in use in Europe for several years. They are made of a very highly cohesive gel that when ruptured retains its original shape. These implants are being produced in a number of different shapes and sizes. The implants tend to feel harder and do not displace laterally when lying down as normal breast tissue and less cohesive gel implants. They also require a larger incision for placement and have the consistency of a hard gel. Current cohesive gel implants that are on the market tend to retain the shape with little or no tendency to migrate when ruptured.
Labels: breast augmentation
posted by Dr. Linderman at 3:37 PM
Wednesday, November 26, 2008
Wonderful Patients
On Monday I had a the pleasure of seeing a patient that made me feel good to be a plastic surgeon. I had the opportunity of performing breast augmentation on a wonderful young woman who is so happy with her results. She was a great candidate for this procedure but unfortunately she had a congenital clotting disorder and many people told her surgery was not possible. However she had an excellent hematologist who devised a safe regimen of drugs to prevent blood clots and bleeding to enable her surgery to be performed safety. Needless to say her surgery went fine and she has achieved the figure she desired. We all are so happy for her.
Labels: breast augmentation
posted by Dr. Linderman at 10:33 AM
Monday, October 6, 2008
What are the chances that my implant will rupture?
Currently there are two types of implants that are used for breast augmentation in the United States. Saline implants are inflatable and have an overall ten-year deflation rate of 3-5%. The manufacturers offer a lifetime warranty on these implants and will cover facility and anesthesia fees up to ten years after surgery.
Rupture rates on silicone gel implants are more difficult to determine. An asymptomatic leakage may go undetected for years but the gel is usually contained in the scar capsule, which develops around the implant. Currently the FDA recommends regular MRI studies to monitor implant integrity. If a leakage is identified, replacement may be indicated. These implants are also covered by an extended manufacturer’s warranty.
Labels: breast augmentation
posted by Mandy W. at 4:43 PM
mammograms after breast augmentation
Patients often ask me if they should have mammograms after breast augmentation surgery. I advise all patients to continue to have mammograms on a frequent basis according to their age as advised by their family physician. Patients should inform the technician performing the mammogram that they have breast implants so special displacement views are done to fully evaluate the breast tissue. Rupture of breast implants during mammogram is extremely unlikely.
Labels: breast augmentation
posted by Dr. Linderman at 2:03 PM
Friday, September 26, 2008
What types of Incisions are used in Breast Augmentation?
There are four incision location for breast augmentation. Most surgeons will have their own preferences for one or two incisions. The most common location is the Inframammary Fold Incision located in the crease on the undersurface of the breast. It provides direct access for implant placement. It can be well hidden in an individual with a well defined crease. The next most commonly employed incision is the Periareolar Incision which is curved along the lower edge of the areola. This tends to give an excellent scar and provides good access except for patients with small areola. The Transaxillary Incision is placed in the armpit and avoids any scar on the breast. Correct implant placement can be more difficult and access is more limited should bleeding occur. The last and most infrequently employed incision is Periumbilical or around the belly button.
My personal preferences are the Inframammary and Periareolar Incisions which I find adaptable to almost all breast types. By limiting the incision length to 3 centimeters, scarring is minimal. There is no greater incidence of sensory loss with the periareolar incision.
Labels: breast augmentation
posted by Mandy W. at 1:59 PM
Thursday, September 25, 2008
Breast and Nipple Sensation after Breast Augmentation
Following cosmetic breast augmentation surgery, patients may experience areas of decreased or loss of sensation. These are usually temporary and sensation usually returns within 3-6 months of the time of surgery. Complete loss of sensation or numbness of the nipple is very unusual and occurs in a very small percentage of cases. Some patients may have temporary hypersensitivity of the nipple areola area that disappears in a short period of time. Of the commonly used incisions for breast augmentation – inframmary, periareolar and axillary -- there is no greater incidence of sensory alteration with any one particular approach... Breast sensitivity can increase or decrease in reaction to altering the size of the breasts. Larger implants can stretch the nerve supply, which may affect sensitivity. Woman of smaller breast size frequently have more sensitivity than woman with larger breasts.
Changes in breast and nipple sensation after breast augmentation are not uncommon. But, most often they are temporary. To learn more, contact an experienced and qualified cosmetic surgeon today.
Changes in breast and nipple sensation after breast augmentation are not uncommon. But, most often they are temporary. To learn more, contact an experienced and qualified cosmetic surgeon today.
Labels: breast augmentation
posted by Patti at 3:10 PM
Is there much bleeding with breast augmentation surgery?
No there is rarely any significant bleeding in breast augmentation. The implant pocket is created with electrocautery with typical blood loss of less than an ounce. By employing a soft touch technique with gentle tissue handling and retraction, pain in breast implant surgery is reduced and recovery is rapid.
Labels: breast augmentation
posted by Mandy W. at 1:14 PM
Tuesday, September 16, 2008
Breast Augmentation, Breast Feeding and Pregnancy
I am frequently asked by patients undergoing breast augmentation if they can breast-feed should they become pregnant. The surgical procedure of breast augmentation does not affect a woman’s ability to breast-feed but is it my recommendation that patients not breast feed with breast implants. A small number of women will develop mastitis with breast-feeding and I believe this increases the risk of development of capsular contracture and breast firmness. The cause is most likely due to a low-grade infection around the implants. Certainly patients have breast fed their children with no adverse effects but I prefer to error on the side of caution. This is an extremely personal decision that patients must balance the rewards against the risks.
Following breast augmentation, pregnancy can have unpredictable results on overall breast shape and volume. The increase in size may cause stretching and thinning of the breast skin. Loss of overall volume and breast sagging are common sequelae following pregnancy. Hereditary influences, skin quality and overall weight gain may a major role in the effects of pregnancy on breast tissue. Some women may have several pregnancies and have minimal changes to the shape and size of their breasts. However most women will experience some volume loss and possible ptosis. The majority are ideal candidates for breast augmentation and or breast lift surgery. With over 30 years of experience, Dr. Linderman can help breast volume and shape after pregnancy.
Following breast augmentation, pregnancy can have unpredictable results on overall breast shape and volume. The increase in size may cause stretching and thinning of the breast skin. Loss of overall volume and breast sagging are common sequelae following pregnancy. Hereditary influences, skin quality and overall weight gain may a major role in the effects of pregnancy on breast tissue. Some women may have several pregnancies and have minimal changes to the shape and size of their breasts. However most women will experience some volume loss and possible ptosis. The majority are ideal candidates for breast augmentation and or breast lift surgery. With over 30 years of experience, Dr. Linderman can help breast volume and shape after pregnancy.
Labels: breast augmentation
posted by Dr. Linderman at 3:21 PM
Monday, September 15, 2008
What happens if I have a breast implant deflation?
The incidence of breast implant deflation after saline breast augmentation is less than five percent over a ten-year period. Deflation may begin with softening of the implant with eventual partial or total loss of volume. This is not an emergency. Patients should notify my office and arrangements will be made promptly to replace the deflated implant. It is preferable to replace the implant within a couple weeks of deflation, as less surgical dissection is required. Often this can be done under local anesthesia with mild sedation.
Labels: breast augmentation
posted by Mandy W. at 6:09 PM
Monday, August 25, 2008
What to Expect from the Breast Augmentation Procedure with Dr. Linderman
For over 25 years, board-certified cosmetic surgeon Dr. Richard Linderman has been helping patients in their desire for aesthetic enhancement. He is a member of the American Society of Plastic Surgeons and a diplomate of the American Society for Aesthetic Plastic Surgery. Dr. Linderman has the education to perform virtually all cosmetic surgical procedures in a way that has left over 9000 patients happy with their results. He will also be able to answer any of your questions and put you at ease. Dr. Linderman understands you many feel anxious, but his first concern is your comfort and your cosmetic desires.
When visiting Dr. Linderman for a breast augmentation procedure, the first step will be the initial consultation. It is here where most of your questions will be answered, and the procedure discussed in detail. You will be educated as much as possible on what you will be undergoing. What makes Dr. Linderman different than other breast augmentation doctors is his unique custom sizing system. This is an assessment done to determine the correct implant size for you.
Dr. Linderman believes in using the most advanced techniques in the field of cosmetic surgery so that your surgery, placement of the implant, and post-surgical recovery go as well as humanly possible. One technique Dr. Linderman uses is the soft touch technique, which begins as soon as possible following surgery. This series of exercises and stretches minimizes much of the discomfort you would otherwise feel, and gets you back to your normal routine in a short amount of time.
If you are interested in the breast augmentation procedure, please contact Dr. Linderman. He will be able to further explain why his experience, education and technique are areas that can you can be proud of, too.
When visiting Dr. Linderman for a breast augmentation procedure, the first step will be the initial consultation. It is here where most of your questions will be answered, and the procedure discussed in detail. You will be educated as much as possible on what you will be undergoing. What makes Dr. Linderman different than other breast augmentation doctors is his unique custom sizing system. This is an assessment done to determine the correct implant size for you.
Dr. Linderman believes in using the most advanced techniques in the field of cosmetic surgery so that your surgery, placement of the implant, and post-surgical recovery go as well as humanly possible. One technique Dr. Linderman uses is the soft touch technique, which begins as soon as possible following surgery. This series of exercises and stretches minimizes much of the discomfort you would otherwise feel, and gets you back to your normal routine in a short amount of time.
If you are interested in the breast augmentation procedure, please contact Dr. Linderman. He will be able to further explain why his experience, education and technique are areas that can you can be proud of, too.
Labels: breast augmentation
posted by Patti at 3:31 PM
How is breast implant size determined?
This is a question that is asked by almost all of my patients desiring breast augmentation. Patients usually present me with a size request that they desire and it is often a C cup. The ultimate size cannot be guaranteed but it is unusual not to be able to meet the patient's expectations. By using a custom sizing system and employing sizing breast implants when performing breast augmentation surgery, the patient's goal can generally be achieved. Custom sizing involves taking several measurements including breast width, height of nipple from the underlying fold and assessment of the overall skin elasticity. When placing a breast implant sizer in surgery I will usually place the larger implant if possible, as most patients tend to prefer the larger breast implant.
Labels: breast augmentation
posted by Mandy W. at 10:50 AM
Monday, August 11, 2008
Haydan's Story
Well, on May 11, 2005 I had bariatric surgery (gastric bypass). At that time I weighed about 279 lbs and wore a size 26W. I had no major health issues.....yet! I had always struggled with my weight ever since I was a young child. After having two children it was becoming even more difficult for me to maintain my weight and stay healthy. I was finally told by an internist that my hormone levels, while within the normal ranges, were off balance for me. He suggested the gastric bypass surgery to "shock" my system back to normal. To satisfy my insurance, I went through an 18 month, doctor supervised weight loss program. I didn't lose a thing! I finally had the surgery and it was a success! Although I was a "slow loser" that first year, only losing 92 lbs, I was still getting healthier by the day. By the time I came to see Dr. Linderman in November of 2007, I had lost over 125 lbs and had been maintaining my weight at around 150 lbs for a year. I was happy to be in a size 12!!! After my initial consultation, Dr. Linderman and I decided the best course of action to remove my excess skin and firm up my mid-section would be the belt lipectomy. Just two weeks prior to my surgery date, I also opted for a breast augmentation. Even while pregnant and weighing close to 300 lbs, I had never gotten out of an A-cup bra. I felt that if I were going to go this far to help improve my body, I might as well make it proportional! On January 29, 2008, I had the belt lipectomy and breast augmentation. The surgery went extremely well and was a complete success!! I now weigh 130 lbs, wear a size 3-4 and have beautiful C-cup breasts! Just 6 months post-op the scars are already faded around my mid-section and practically invisible on my breasts. I would do it all over again without hesitation. For the first time in my life, I feel like ME!! I am so thankful to Dr. Linderman as well as his staff. Their professionalism, care and sincere concern are beyond compare.
Haydan Hibschman
Haydan Hibschman
posted by Mandy W. at 3:57 PM
Monday, August 4, 2008
Stephanie's Story
After making the decision to have a breast augmentation, I began looking for a plastic surgeon. I spent a lot of time asking around for some suggestions and looking online. I came across Dr. Linderman at www.awholenewme.com and I was so impressed by all of the before and after photos that I just had to set up a consultation with him. I called the next morning and the office staff was so kind and informative. They told me all about Dr. Linderman and how many breast augmentations he has performed (over 9,000), and they even told me the cost of the procedure upfront!!! After discussing my schedule with the staff, they were able to get me in very quickly for a consultation.
I arrived at the office for my consultation and was greeted by the friendly staff. They immediately brought me back for my consultation and explained every step to me along the way. Then I met Dr. Linderman. We sat down and discussed my goals - size, where I wanted my incision, type of implant, etc. and then had my exam. The whole process was very comfortable and informative. Dr. Linderman made me feel completely prepared and reassured about having a breast augmentation. I knew he was the one I wanted to do my surgery and I scheduled it immediately.
I had my surgery on a Wednesday morning and after talking to Dr. Linderman that morning, I didn't even feel nervous. After my procedure I felt fantastic! I wasn't even in any pain. I went home and took a short nap and was able to sit at the table for dinner that night. I thought it must be too good to be true and the next morning the pain would start but I felt great the next day! I was able to blow-dry my hair the morning after and I was up and moving around the house. I started classes the following Monday (that's right just 5 days later).
I arrived at the office for my consultation and was greeted by the friendly staff. They immediately brought me back for my consultation and explained every step to me along the way. Then I met Dr. Linderman. We sat down and discussed my goals - size, where I wanted my incision, type of implant, etc. and then had my exam. The whole process was very comfortable and informative. Dr. Linderman made me feel completely prepared and reassured about having a breast augmentation. I knew he was the one I wanted to do my surgery and I scheduled it immediately.
I had my surgery on a Wednesday morning and after talking to Dr. Linderman that morning, I didn't even feel nervous. After my procedure I felt fantastic! I wasn't even in any pain. I went home and took a short nap and was able to sit at the table for dinner that night. I thought it must be too good to be true and the next morning the pain would start but I felt great the next day! I was able to blow-dry my hair the morning after and I was up and moving around the house. I started classes the following Monday (that's right just 5 days later).
My results are UNBELIEVABLE!!! Dr. Linderman did an amazing job...I never thought I could have such a good result! I had very little pain, my incisions are healing beautifully, and my breasts just keep looking better every day. I am so grateful to Dr. Linderman and his wonderful staff for making this such a good experience. I recommend Dr. Linderman to everyone I know. I hope this can help anyone searching for a plastic surgeon, I feel so lucky to have found such a good one!
Labels: breast augmentation
posted by Mandy W. at 12:40 PM
Friday, July 25, 2008
Can Breast Implants become infected?
The incidence of infection following breast augmentation surgery is less than 1%. Because breast implants have no blood supply, antibiotic treatment of infection in the pocket where the implants are placed is usually ineffective. The best treatment is implant removal to allow the infection to clear and replacement at a later date as early as three months.
Labels: breast augmentation
posted by Mandy W. at 1:58 PM
Tuesday, July 22, 2008
What is Breast Implant Wrinkling?
Breast implant wrinkling or the appearance of folds sometimes occurs with saline inflatable implants. The folds may be visible in certain positions or ridges may be felt along the bottom of the augmented breast. The condition occurs more commonly in woman with thin skin or under filled breast implants. While overfilling of breast implants does help reduce this problem, it is often difficult to completely correct. Overfilling too much may produce undesirable shape and hardness. This can be one drawback of saline breast implants.
Labels: breast augmentation
posted by Mandy W. at 10:28 AM
Monday, March 17, 2008
When can I be in the sun after breast augmentation?
It is my policy to place very few limits on sun exposure following breast augmentation. I tell my patients that they may go to a tanning booth two weeks after surgery as long as their breasts are covered. Swimming is allowed two weeks after surgery. For full exposure to the sun without coverage, I recommend patients wait four weeks. Following breast augmentation, some patients may have some areas of decreased sensation which is temporary. Because of this, they are at an increased risk of suffering sun burn and this is why I prefer coverage for about a month. The sutures that are used are dissolvable and patients can go swimming quite soon.
It is my policy to place very few limits on sun exposure following breast augmentation. I tell my patients that they may go to a tanning booth two weeks after surgery as long as their breasts are covered. Swimming is allowed two weeks after surgery. For full exposure to the sun without coverage, I recommend patients wait four weeks. Following breast augmentation, some patients may have some areas of decreased sensation which is temporary. Because of this, they are at an increased risk of suffering sun burn and this is why I prefer coverage for about a month. The sutures that are used are dissolvable and patients can go swimming quite soon.
Labels: breast augmentation
posted by Dr. Linderman at 4:15 PM
Thursday, March 13, 2008
Quick to work after breast augmentation surgery.
I am often asked what is the recovery period following breast augmentation. This will vary from patient to patient as well as the physical demands placed on them in the home or office place. With the "soft touch" technique that I employ, it is not uncommon for some patients to go out the day after surgery. Much of the discomfort that patient's experience post operatively is due to inactivity and muscle spasm. By beginning stretching exercises in the recovery room, stiffness of the chest wall muscles can be greatly reduced and pain decreased. My technique uses electrocautery dissection with minimal tissue stretching to prevent trauma and bleeding thus reducing postop pain. Patients are instructed to shower after surgery and to return to their activities as soon as possible. Most patients that have surgery on Friday can be back at work on Monday.
Labels: breast augmentation
posted by Peter at 10:35 AM
Friday, February 22, 2008
What is a Mommy Makeover?
Recently a new buzzword has been making the rounds in the plastic surgery news--- A Mommy Makeover. Simply stated this is catch phrase for treatment of a particular group of women who are seeking plastic surgery to address the changes of age and pregnancy. Many women desire figure rejuvenation after multiple pregnancies. These include improvement in breast size and shape, removal of excess skin and stretch marks of the abdomen and fatty deposits of the hips and thighs.
Mothers who desire a return of their more youthful figures are wonderful candidates for combined procedures such as minitummy tuck and breast augmentation with selected liposuction of small areas. Frequently this transformation can be accomplished as an outpatient.
Mothers who desire a return of their more youthful figures are wonderful candidates for combined procedures such as minitummy tuck and breast augmentation with selected liposuction of small areas. Frequently this transformation can be accomplished as an outpatient.
Labels: breast augmentation, tummy tuck
posted by Peter at 11:03 AM
Thursday, January 24, 2008
Don't wait on breast augmentation
If you are thinking about getting a breast augmentation this year in anticipation of summer sun dress and swimsuit season, now is the time to get moving. Although recovery time for breast augmentation surgery is relatively short, it takes time for the full aesthetic benefits of the surgery to be seen. After breast augmentation surgery, you can return to work after 3-4 days, and even engage in significant exercise in a couple of weeks, but you may not have the shape you desire for a while after that.
Breast implants initially appear very high on the chest, and this is partly by design. Over time, implants settle into place, achieving optimal shape around 3-4 months post-op. So, if you want to look your best for the summer, now is the time to start! Contact Dr. Linderman today to set up your initial consultation about breast augmentation surgery.
Breast implants initially appear very high on the chest, and this is partly by design. Over time, implants settle into place, achieving optimal shape around 3-4 months post-op. So, if you want to look your best for the summer, now is the time to start! Contact Dr. Linderman today to set up your initial consultation about breast augmentation surgery.
Labels: breast augmentation
posted by Patti at 10:42 AM
Monday, January 7, 2008
Previous Posts
- Rippling and Saline Implants
- How often do saline implants deflate?
- What the risks and complications of tummy tuck sur...
- Can I exercise immediately after I have a tummy tu...
- What are the indications for facial liposuction?
- Will my face be bruised and swollen after facelift...
- How tight will my face feel after facelift surgery...
- Are there stitches with a facelift and when are th...
- How much pain is associated with facelift surgery?...
- What is the recovery after liposuction?
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Aesthetic Plastic Surgery
of Indiana
12188-A North Meridian Street
Carmel, IN 46032
toll free: 1-800-678-9909
phone: 317-848-5400
Naab Road Surgery Center
8260 Naab Road
Indianapolis, IN 46260