Breast revision surgery can be extremely complex and the proper execution of such a procedure requires exceptional surgical technique, experience, and extreme attention to detail. The difficulty in these particular cases lies in the procedure being performed as well as the results from previous surgery/surgeries. Generally, any woman undergoing a breast augmentation will need some sort of a breast revision in the future, however, there are many other reasons that women may need to undergo a breast revision surgery. Dr. Golshani specializes in this area of plastic surgery and has extensive experience correcting some of the most difficult cases. When deciding to undergo any sort or augmentation or revision, it is extremely important for the patient to see a board certified plastic and reconstructive surgeon with significant experience and expertise in the field. Dr. Golshani has properly revised and corrected thousands of patients who have suffered from poor augmentations done by other surgeons, complications with implants, and has reconstructed thousand who have undergone bariatric and mastectomy surgeries.
The need for breast revision surgery emanate from a number of different causes ranging from problems with the surgical placement or position of the original implant, problems with the actual implant, problems with the patient’s breast tissue characteristics, and sometimes a combination. Improper surgical placement or position of an implant can create problems such as bottoming out and double-bubble deformity or high riding implants. Bottoming out occurs when the implant appears low on the chest and the nipples appear to be in an overly high position. Bottoming out often requires reconstruction of the internal capsule and often a breast lift with removal of skin along the bottom of the breast is required. Double-bubble deformity occurs when implants are improperly placed and are positioned too high. In order to fix this complication, patients generally have to undergo a capsulotomy (release of the scar tissue) as well as replacement of the implant.
Due to the fact that implants are a man-made product, there is always a chance for the implant to rupture or leak in both silicone and saline. It is generally obvious when a saline implant ruptures or leaks because the breast will look deflated, however, silicone can appear differently therefore it is important to continually follow up with your surgeon to prevent complications. If one is to arise, it should be replaced as soon as possible. Implants that are teardrop shape or anatomical, have a possibility to rotate over time creating a distorted and abnormal appearance of the breast. Patients with this complication will have to undergo a removal and replacement of the implant and change to a round implant. Some patients who undergo a breast augmentation desire a size change, whether larger or smaller, and may also require a breast lift to accompany the second surgery.
In some cases, patients experience problem’s with their breast tissue characteristics and may require a revision or reconstructive surgery. In a small number of women who undergo breast augmentation, capsular contracture is possible to occur. This happens when scar tissue forms around the implants, making it hard to touch and visibly deformed. In order to fix this problem patients must undergo a capsulotomy and/or capsulectomy depending on the professional judgement made by the surgeon. It is very common for women to suffer from breast asymmetry, however in some cases, the difference can be severe. Women who suffer from severe breast asymmetry require breast implants that are different sizes to best create an even, symmetrical appearance.
Breast reconstructive surgery is extremely complex and patient undergoing this type of procedure need to be treated very compassionately due to circumstances that have highly affected their quality of life. Not only does Dr. Golshani do many breast revision surgeries, he is also an expert in breast reconstructive surgery. He has extensive experience in post bariatric reconstruction including extremely difficult breast lifts, reductions, and asymmetry correction. For patients undergoing such a drastic change in their body, surgery is often required to correct the effect of severe obesity and fast weight loss. In addition, we regularly see patients wanting to undergo breast reconstructive after mastectomy. Recreating breast for women who have undergone a mastectomy is very difficult and requires exceptional skills and perfection in the art. There are different techniques for recreating breasts as well as the nipple and areola. When patients are seeking to undergo reconstruction after mastectomy, it is extremely important to consult a plastic and reconstructive surgeon with extensive training and knowledge in breast reconstructive surgery. Dr. Golshani attended the prestigious Plastic and Reconstructive Surgery Residency Program at the University of California San Francisco, where he underwent intensive and exceptional training by world renowned experts. He is highly qualified and trained in both plastic and reconstructive surgery.
At Avosant Surgical Associates we pride ourselves in providing the highest quality and care to all of our patients. We thrive on helping all of our patients to regain a part of their self that was lost and to deliver the quality and results that each patient had envisioned. With our caring and sensitive staff and Dr. Golshani’s personable nature, thorough and exceptional skills, a great experience and outstanding results are always obtained.
Tags: breast asymmetry, breast reconstruction, Breast Reduction, Breast Revision, capsular contracture, correct breast complications, heavy breasts, implant rupture, large breasts, mammaplasty reduction, mastectomy, post bariatric reconstruction, replace implants, revision mammaplasty, secondary breast surgery, uneven breasts
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According to the New World Encyclopedia, self-esteem or self-worth refers to a person’s subjective appraisal of himself or herself as intrinsically positive or negative. Self esteem can be specifically attributed to many different dimensions of one’s view of themselves, whether its beauty or one’s view of their worth as a human being. Living in an era where the value of one’s appearance is paramount can create a complex in large groups of individuals as to what is beautiful and acceptable. Lets face it, for any man or woman, comparing themselves to the model on the cover of Vogue is entirely unattainable. Each one has a perfect figure, perfect skin, beauty that is breath-taking, and absolutely no visible hair in any unwanted areas. Unfortunately, what is not present is a warning label that reads “these photos have been professionally altered; what you see is not real!” Therefore we grow up and constantly grovel about the imperfections that we see in ourselves and others. Honestly, how many people can say they have not personally commented negatively on some woman’s mustache or a man’s ‘ware-wolf-like’ appearance?
Many people constantly seek ways to remove this unwanted and embarrassing hair through methods such as cream depilatories, waxing, threading, shaving and electrolysis, which don’t always give the desired results and can often leave the skin red, bumpy, and irritated. However, laser hair removal effectively rids the skin of ghastly ingrown hairs and creates a smoother, softer appearance. Laser hair removal is the fastest growing and most popular means of ridding unwanted body hair and proves to be extremely effective for most skin types. It is an easy and virtually pain-free way for men and women alike to permanently reduce hair in these sometimes terribly embarrassing areas resulting in a better self image and overall quality of life. In this economic climate, many worry about cost of procedures like laser hair removal as compared to other more painful and less effective treatments which require routine maintenance. However, in the long run, you will actually be saving money as well as time. At Avosant Beverly Hills, we offer the most competetive and best prices in town. With our knowledgeable staff and expert nurse, we will be sure to get you going in the right direction to achieve the most satisfactory results. On average, people only need 6 to 8 treatments, as compared to monthly maintenance with other forms of depilation, giving you a lifetime of results. In a society where perfection can be extremely costly and entirely unattainable, a simple procedure like laser hair removal creates a positive self image that is ultimately priceless.
Source: “Self-esteem.” New World Encyclopedia. 4 Apr 2008, 01:03 UTC. 18 Jan 2010, 05:18 <http://www.newworldencyclopedia.org/entry/self-esteem?oldid=687694.
Tags: Laser Hair Removal, self esteem, self image
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 Do you have uneven breasts? Is one breast bigger or droopier than the other? Is your left breast a B-cup and your right breast a D-cup? Having this difference in breast size or shape is actually an extremely common condition for many women. Medically called breast asymmetry, unbalanced breasts are non-threatening to your health but often lead to embarrassment affecting your self-esteem, confidence and ultimately, the quality of your day-to-day life. Even simple tasks, such as finding a bra that fits, can become a chore. Unfortunately, most women with significant asymmetry never discuss their situation or seek help from their doctor and continue to quietly suffer from uneven, lopsided breasts.
According to the American Society of Plastic Surgeons (ASPS) and a study conducted by the Federal University of Sao Paulo, Brazil, breast surgery of disproportionate breasts can elevate a woman’s quality of life and self-esteem. Breast augmentation, breast reduction and/or a breast lift are common surgeries that can correct breast asymmetry by creating balance and evenness between mismatched breasts. In the study, 35 patients were evaluated six months after undergoing surgery to measure the breast procedure’s impact on their life. All patients were found to have “progressive improvement” in quality of life and a “statistically significant improvement in vitality, mental health and self-esteem.” These results parallel exactly the feelings expressed by Dr. Golshani’s patients who believe that breast surgery changes their lives forever helping them feel much happier and significantly more attractive.
Source: Garcia, Elvio MD, PhD; Neto, Miguel Sabino; Lemos, Ana Lucia Alves; Freire, Marcia; Ferreira, Lydia Masako. (2006) Quality of Life and Self-Esteem after Breast Asymmetry Surgery. Plastic and Reconstructive Surgery: Journal of the American Society of Plastic Surgeons, 118(4), 144.
Tags: breast asymmetry, Breast Reduction, different breast size, unbalanced breasts, uneven breasts
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 Though motherhood can be a wonderful, life-changing experience, it can also leave you with a changed body. Pregnancy, childbirth and nursing can leave many women with numerous stretch marks and sagging breasts. Some mothers may go from a full C-cup to a deflated A-Cup. Others may exercise and go on a post-pregnancy diet only to find that their once taut stomach is still sagging and the extra abdominal skin just won’t go away! Unfortunately, these changes may be permanent as genetics and age can determine how a woman’s body is affected by pregnancy and how it recovers. Some women may find it easy to get their pre-pregnancy body back while others may struggle, begin to feel undesirable and frustrated, and ultimately give-up!
If you’ve experienced this in your life and have the desire to get back your youthful figure, a Mommy Makeover may be perfect for you. This specialized surgical procedure combines several breast and body surgeries into one personalized procedure and may include a breast augmentation (mammaplasty), breast lift (mastopexy), breast reduction, tummy tuck (abdominoplasty), autologous micro-fat grafting, and liposuction. A Mommy Makeover reverses the impact of pregnancy, childbearing and age on your body by improving the size and shape of breasts. It also helps to remove fat from specific areas of the body such as the hips and thighs as well as any excessive skin on the abdomen. This special makeover is based on your unique needs and can transform your body back to the way it used to look or even better. This year, give yourself a self-esteem boost and a ton of confidence by rejuvenating your figure with fuller breasts, a flatter stomach and a transformed body. To find out more about a Mommy Makeover, schedule a consultation with Dr. Daniel Golshani at our Beverly Hills office today!
Tags: mommy makeover, post-pregnancy body, sagging breasts, stretch marks, transformed body
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Breast augmentation has become one of the most popular plastic surgery procedures performed on patients today. However, in some cases, women who have undergone this cosmetic surgery desire a breast revision (revision mammaplasty) due to dissatisfaction with results or to correct complications from a previous breast augmentation procedure. Cosmetic reasons for this secondary breast procedure include replacing current implants because of improper size, unanticipated shape, asymmetry and/or rippling and wrinkling of the actual implant that can be felt or seen through the skin. In some cases, women may just want to exchange their present, outdated implants for cohesive silicone gel or saline ones.
There are several reasons a women may require a secondary revision. Over time, breast implants may begin to deflate, leak or rupture. They may get infected, excessively firm, shift into another position and/or become increasingly uncomfortable. Other implant complications include retracted nipples, synmastia (both implants begin to form one implant) and capsular contracture (thickening or tightening of the scar surrounding the implant resulting in an unnatural breast shape).
A breast revision surgery utilizes a variety of surgical techniques to correct unsatisfactory breast augmentation and create a more satisfying, natural breast appearance. These techniques include replacing the implant size or style, changing the position of the implant from over to under the pectoral muscle or vice versa, capsulectomy or capsulotomy (removing excess scar tissue), performing a breast lift (mastopexy) or removing the implants.
Compared to the initial breast augmentation surgery, revision mammaplasty can be far more complex and difficult. Therefore, it is especially important to choose a board-certified plastic and reconstructive surgeon with significant experience in the area of breast surgery. Certified by the American Board of Plastic Surgery (ASPS) and the American Board of Surgery (ABS), Dr. Daniel Golshani has extensive experience and specializes in breast revision. To learn more about this secondary breast surgical procedure, it is best to schedule an initial consultation with Dr. Golshani in Beverly Hills.
Tags: Breast Revision, capsular contracture, correct breast complications, popular procedure, replace implants, revision mammaplasty, secondary breast surgery
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 In recent years, more and more women are expressing a desire to have a more youthful, enhanced buttock as well as a curvier body profile. Autologous fat grafting to the buttocks, also known as a Brazilian Buttock Lift, can help women alter the size of their bottom and give it an attractive lift.
At Avosant Beverly Hills, double-board certified Dr. Daniel Golshani performs a Buttock Lift by utilizing the microfat grafting technique. Unwanted, excess fat from other parts of the patient’s body including the lower back, hips, thighs, waist and abdomen is gently removed via liposuction and after being harvested and prepared, the pure fat is carefully injected into the buttocks using a special procedure called the Coleman technique. The result with the fat grafting surgical procedure is a more lifted, fuller look to the gluteal area. In addition, the shape of the body is improved as this surgical method augments a liposculpture procedure to add or enhance curves and create a more sensuous and prominent profile.
Autologous buttock augmentation to the gluteal area is a safe and effective way to enhance flat buttocks and improve the contour of the body. There are many benefits to this surgical procedure over buttock implants. Implants are considered foreign material while microfat grafting uses the patient’s own adipose fat cells as a natural filler. Therefore, there is a lower complication rate and there is no chance of an allergic reaction or body’s rejection of the fat. Implants in the gluteal area, on the other hand, have a risk of infection, may shift or easily rupture.
Source: Roberts, T.L., Toledo, L., Zulmira Badin, A. (2001) Augmentation of the buttocks by micro fat grafting. Aesthetic Surgery Journal, Volume21, Issue 14.
Tags: autologous fat grafting, brazilian buttock lift, buttock implants, curvier body, enhanced buttock, lifted gluteal area, Liposculpture, Microfat Grafting
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 INCREASE IN QUALITY OF LIFE AFTER BREAST REDUCTION
Recent medical study shows Breast Reduction Surgery to decrease pain and significantly improve the quality of life.
Large, heavy breasts can cause much physical and psychological pain to women of all backgrounds and ages. Excessive breast size can literally weigh a woman down and throw off her center of gravity and the alignment of her spine. The result is a large array of health problems including chronic back, neck and shoulder pain, strained and overworked muscles, headaches, skin rashes, sagging breasts and stretch marks as well as low self-esteem and dissatisfaction with overall body image. Studies have also shown that women living with this type of physical pain compare their symptoms to other medical conditions with chronic pain such as arthritis, joint pain and low back pain.
Many women who suffer from these physical and emotional problems seek a breast reduction, also known as reduction mammaplasty. This common surgical procedure can not only create a natural breast shape that is firmer and more proportionate to the body, but also improve the overall quality of a woman’s life. A recent medical study conducted by the Department of Plastic Surgery at Helsinki University Central Hospital found that reduction mammaplasty resulted “in significant improvement in the quality of life and a decrease in pain and breast-associated symptoms.”
In the study, 82 female patients suffering from symptomatic breast hypertrophy, were examined and surveyed to access the effectiveness of surgery to reduce breast size. By alleviating the physical symptoms caused by full, heavy breasts, this procedure not only provided great relief of pain but also significantly relieved or eliminated a large variety of debilitating physical symptoms such as shortness of breath, skin irritation and poor posture. The study also cites that “the effect of intervention of reduction mammaplasty was comparable to that of hip and more than knee total joint replacement.”
As evidenced by this scientific medical study as well as numerous other ones, the benefits of breast reductions are extremely positive. To better understand the benefits associated to this surgery and how it can change your life, please visit http://www.labreastreduction.com or call our Beverly Hills office to schedule a consultation with board-certified plastic surgeon Doctor Daniel Golshani.
Source: Saariniemi, K., Keranen, U., Salminen-Peltola, P., Kuokkanen, H. (2007) Reduction mammaplasty is effective treatment according to two quality of life instruments. Journal of Plastic, Reconstrutive and Aesthetic Surgery, 61(12), 1472-1478.
Tags: back pain, Breast Reduction, headaches, heavy breasts, large breasts, mammaplasty reduction, neck pain, poor posture, sagging breasts, shoulder pain
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