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Category: Breast Augmentation

Natural Breast Augmentation

Saline or silicone implants are the most common form of breast augmentation. While these provide a safe and noticeable way to enhance the volume and shape of the breasts, implants are not right for every woman. Breast augmentation with fat transfer offers similar, natural-looking results with fewer risks.

Woman wearing white bra with arms covering her chest

Benefits of Breast Augmentation with Fat Transfer

Remove Unwanted Fat

Breast augmentation with fat transfer uses fat instead of implants as the augmenting material. During this procedure, liposuction removes unwanted fat from the abdomen, hips, thighs, or buttocks and transfers it to the breasts to increase their volume and shape. Fat grafting takes fat from an area where you do not want it, and moves it to one that you do, allowing you to treat two concerns at one time. Even with diet and exercise, many women struggle with losing the final pounds around the abdomen and thighs. Fat transfer removes these fat cells and puts them to good use. Enhancement of the breasts with fat transfer is dependent on the amount of fat that can be harvested. More than one treatment is sometimes necessary to achieve the desired result.

Reduces Implant-Related Risks

Scar tissue forms around any foreign object that is placed in the body, including breast implants. Occasionally, this scar tissue tightens and squeezes the implant, forcing it to change shape and causing a significant amount of physical discomfort. This is known as capsular contracture. Although capsular contracture does not always occur, it is the most common complication associated with breast implants today.

Since the fat injected is your own, it is not a “foreign” object, and therefore no scar tissue will form. No scar tissue means no capsular contracture.

Fat Does Not Have a Time Limit

Breast implants are long-lasting; however, they are not necessarily permanent. Implants are expected to last between 10 and 15 years. Some last longer, while others experience complications much sooner. Fat transfer does not have a time limit. The fat that is injected into the breasts is unlikely to be significantly absorbed or lost with time. This makes fat transfer a longer-lasting option for breast augmentation. Loss of volume from fat transfer can occur with significant weight loss.

Breast augmentation with fat transfer or implants can lead to satisfying results. To learn more about breast enhancement, or to set up a consultation, call Dr. Schlechter at Spring Ridge Plastic Surgery at (610) 624-2740, or fill out our online contact form.

What Bikini Body Do You Want? Bigger Boobs or a Bigger Butt?

Summer is here! This means sunshine, sandy beaches, and bathing suit weather. But are you ready to rock your bikini this year? Are you happy with how your figure fills out your suit? If you have concerns that your body lacks the volume and fullness necessary to look great in a bikini, cosmetic enhancements can provide you with a sleek, contoured figure that is sure to turn heads. Dr. Schlechter can perform breast augmentation and a Brazilian Butt Lift to enhance your figure and help you get the rockin’ bikini body you desire.

Breast Augmentation

If you are self-conscious about the shape or size of your breasts, breast augmentation is an effective way to enhance your figure. Its biggest benefit is that you can completely customize the procedure. That said, one of the most significant decisions you can make when researching this procedure is your implant type.Breast Augmentation Before and After Photos

Implant Types

Saline Implants

Saline implants have a flexible silicone shell filled with a sterile saltwater solution after being inserted. Dr. Schlechter can make minor adjustments once he sees how the implants look after he fills them. Because he inserts the implants before he fills them, the incision is smaller.

Silicone Implants

Silicone breast implants have a flexible silicone shell that contains a silicone gel. These implants come pre-filled, which means that size adjustments are not possible after insertion. Additionally, the incision for silicone implants typically has to be larger than those made for saline implants. However, many women choose silicone implants because they look and feel more natural.

Augmentation with Fat Transfer

A breast augmentation with fat transfer is an excellent solution if you want to enhance the size of your breasts naturally and avoid implants. Your breast size increases with the addition of fat injections that originate from your body. This procedure offers a two-in-one benefit: in addition to increasing your breast size, you can also remove some stubborn fat from other places on your body, which will further enhance your curves. Fat is removed from your body using a liposuction procedure. The fat is collected into a sterile fat transfer system and is strategically injected into your breasts. Depending on the size you wish your new breasts to be, you may need multiple procedures.

Brazilian Butt Lift

To address your flat buttocks, Dr. Schlechter brings his expertise and advanced training to the Brazilian Butt Lift (BBL) procedure. A BBL procedure will increase the curves of your buttocks, giving your lower half a shapely figure. The procedure is also performed by way of a fat transfer, similar to breast augmentation with fat transfer.

Brazilian Butt Lift Before and After Photos

Procedure

Dr. Schlechter will determine an appropriate liposuction procedure and then extract fat from your thighs, abdomen, hips, or other location on your body that has more fat than you desire. The fat is purified before being injected into your buttocks. This is where Dr. Schlechter’s expertise comes in. He knows how to strategically and precisely inject the fat to make your buttocks look naturally full.

If you’re looking to dramatically change your figure and achieve a bikini-ready body, then undergoing breast augmentation and/or a Brazilian Butt Lift can help give you the shapely curves and contours you’ve always wanted.

If you’d like more information or to see if you would be a good candidate for either breast augmentation or a Brazilian Butt Lift, contact our office to schedule a consultation with Dr. Schlechter. Call us today at (610) 624-2740, or fill out our online contact form. We look forward to helping you look and feel your best!

Mommy Makeover Pros and Cons

The addition of children to your life can be a whirlwind. You may not have time to regain your pre-baby figure with the added responsibilities of caring for children, and your ability to exercise may be more limited than before. Pregnancy, birth, and breastfeeding can also make weight loss more difficult. Between changes in your skin laxity and additional fat deposits, exercise alone may not be enough. A Mommy Makeover can help where exercise cannot. Comprised of a customizable set of surgical procedures, the Mommy Makeover tightens and tones your body to achieve your personal goals.

Mommy Makeover Before and After Photos

Benefits of a Mommy Makeover

A Mommy Makeover is an entirely customizable procedure, tailored precisely to your individual needs. Realistically, you can include almost any procedure in your Mommy Makeover, but the most common ones are a breast lift, breast augmentation, liposuction, and tummy tuck.

Breast Lift

Pregnancy and subsequent breastfeeding can leave your breasts sagging. A breast lift will elevate your breasts to a more youthful position. Dr. Schlechter will tighten the tissues to lift your breasts higher on your chest and remove any excess skin. A breast lift will reshape your breasts and restore their natural appearance.

Breast Augmentation

Women often lose breast volume after pregnancy and breastfeeding. If you want to do more than just fix the sagging left behind by your pregnancy, a breast augmentation can give you that something extra. Often performed with a breast lift, a breast augmentation with implants or breast augmentation with fat transfer will provide you with a larger cup size. If you’ve always wanted to enhance your appearance, a breast augmentation is a perfect way to do that.

Liposuction

If there are areas of your body with pockets of fat that are resistant to exercise and healthy eating, Dr. Schlechter will perform liposuction to permanently remove the unwanted fat cells. Using a small cannula allows Dr. Schlechter to be very precise so he can provide you with subtle, natural contours wherever you need them.

Tummy Tuck

The skin of the stomach stretches during pregnancy, and it doesn’t always return back afterward. If you find that you have excess skin that sags around your midsection or loose abdominal muscles, a tummy tuck will help you regain your pre-baby belly. Dr. Schlechter will tighten the underlying muscles and remove any excess sagging skin to help you achieve a more toned and attractive abdomen.

Things to Consider

Recovery Time

A Mommy Makeover requires you to be serious about your recovery. The length of your recovery will depend on the number of procedures you have and the extent of correction needed. Following your procedure, the surgical areas will be wrapped, and you may be required to wear a compression garment. You will experience swelling and bruising temporarily, but these will subside after a few weeks. You should take one to two weeks to recover at home, and you should avoid strenuous activities or exercise until Dr. Schlechter clears you (typically around six weeks).

Childcare

Due to the nature of the surgical procedures, it will be unlikely that you will be able to care for young children for up to two weeks after your procedure. You will need to make sure that you have someone to help you if you have young children that need to be carried or assisted throughout the day. Your results are dependent on how well your body recovers. Ensuring you engage only in light activities during your recovery will increase your chances of beautiful, long-lasting results.

To discuss which procedures will bring you one step closer to your goals, schedule your consultation with Dr. Schlechter today. Contact us today by calling (610) 624-2740. We look forward to hearing from you!

 

How Weight Loss Affects the Breasts

One of the concerns many women have when they are attempting to lose weight is how weight loss will affect their breasts. While weight loss can improve their health and lead to countless benefits for women who are overweight or obese, it can also cause breast volume loss, loose skin, and ptosis (sagging). When the breasts are significantly altered by moderate to major weight loss, a breast lift and/or breast augmentation can restore the shape, appearance, and firmness of the breasts.

Breast Augmentation with Lift Before and After Photos

Losing Weight

Because of anatomical differences, all women do not lose weight the same way, at the same rate, or in the same ratios from the same areas. Some may experience a noticeable reduction in breast size before seeing any slimming in the waist, and others may notice that their pants fit better before observing any other changes. Because women can gain and lose weight everywhere on their bodies, weight changes may be more noticeable in certain areas than others.

Losing Breast Tissue

The breasts are composed of fat, glandular tissue, and other types of tissue. When you are dieting or exercising to lose weight, the first tissue the body converts to energy is typically fat. Since women have different percentages of fatty tissue in their breasts, the loss of fat in the breasts can mean a more noticeable reduction in breast size for some women than for others. Weight loss (especially major weight loss) can have a significant impact on the appearance of the breasts. It is not unusual for women to have sagging, shapeless breasts with loose skin and volume loss after they have lost weight.

Restoring the Breasts After Weight Loss

After weight loss, breast surgery can help restore a woman’s breasts. Dr. Schlechter may not recommend breast surgery until a woman’s weight is stable because losing even just 10 pounds can change breast volume and skin quality. The best time for a woman to pursue breast surgery after weight loss is after she has maintained her stable goal weight for at least three to six months. When the timing is right, a woman can get a breast lift to tighten, lift, and reshape her breasts so that they are more flattering, feminine, and youthful. If volume loss is substantial, breast implants can restore some of the lost volume and augment breast size. Dr. Benjamin Schlechter can help you decide whether to undergo a breast lift, breast augmentation, or both to rejuvenate and enhance your breasts after weight loss.

How Our Fitness Culture Is Affecting Breast Augmentation

Two women exercising on a treadmillCultural shifts and societal trends determine patterns of behavior. For years, our focus on enhancing appearances led more and more women to get breast implants. Now, our cultural obsession with fitness is having the opposite effect. Increasing numbers of women are choosing to have their breast implants downsized or removed, or they are avoiding breast augmentation in the first place.

Breast Implants and Physical Fitness

Breast implants can have a profound effect on a woman’s experience while exercising. Some women who take up running discover that their breasts are so heavy that they bounce uncomfortably during the activity, making it an unpleasant or even painful experience. Strength training can be difficult, as certain upper body moves or exercises may not be possible with larger implants. Larger breasts can limit maneuverability, cause discomfort or pain, affect breathing, and reduce the quality and speed of many types of exercises. Larger breast implants can shift your center of gravity and exert more force on your spine, which creates additional issues for fitness-minded individuals.

Changing Body Ideals

Our cultural interest in fitness is accompanied by changing body ideals. There is a growing trend toward embracing the natural appearance, which has affected everything from makeup choices to hairstyles to breast augmentation. Today’s athletic women are less inclined to want the “fake” look of breast implants on their bodies. Instead of the round, prominent bustline that was so desirable in previous years, more women are interested in keeping their natural shape and softness. Society is celebrating a wider diversity of body types, which helps women feel freer to accept their natural appearance.

Breast Implant Removal or Downsizing

Women who wish to embrace the fitness culture and changing body ideals may downsize or remove their breast implants. Breast revision surgery can exchange larger implants for smaller ones to restore a more natural appearance. Dr. Schlechter can also perform implant explantation with breast revision surgery. With this approach, Dr. Schlechter will completely and permanently remove the implants to recreate a natural appearance. Depending on how long a woman has had her breast implants, various techniques (such as a breast lift with tissue removal) may be employed to produce optimal results.

Natural-Looking Breast Augmentation

While some women are downsizing or removing their implants, many others desire breast augmentation while maintaining a natural look. Breast augmentation with fat transfer can provide a subtle boost in breast size for women who desire breast enhancement without getting implants. For this procedure, Dr. Schlechter will extract fat via liposuction from another area of the body and then inject it into the breasts. This technique provides a natural enhancement with results that are more compatible with current cultural trends.

Advances in Breast Implant Technology

Natrelle®Breast Implant technology has improved immensely over the past few years. Recently, Allergan’s Natrelle® implants have been FDA approved with highly cohesive gel, which is the same silicone gel as in the Natrelle® 410 shaped implants that have been available for a few years. The Natrelle INSPIRA® line of implants has 30 percent more gel fill, which reduces the risk of rippling and also provides for potentially better projection of the implant.

Mentor® MemoryShape® Breast ImplantsMentor®’s silicone gel implants are made in the United States at their plant in Texas, and the MemoryShape® Breast Implants have a cohesive gel fill that is quite natural filling. The use of shaped implants has gained popularity for primary breast augmentation. Implants now come in literally hundreds of sizes and shapes, which allows Dr. Schlechter to better tailor the implant to the patient and results in more accurately achieving the result the patient desires.

Saline implants continue to be available. The drawback with traditional saline implants is that the implants have a scalloped edge that can be noticeable at the side of the chest where the tissue is the thinnest over the implant. Saline implants also have an increased tendency for visible rippling, particularly in women who have smaller breasts and less soft tissue coverage of the implants.

IDEAL IMPLANT®A new generation saline implant that is FDA approved is now available, which is called the IDEAL IMPLANT® Structured Breast Implant. The IDEAL IMPLANT® is filled with saline. However, due to its unique structure, the IDEAL IMPLANT® has the feel of a silicone gel implant without the use of silicone gel.

IDEAL IMPLANT® Diagram

The feel of the IDEAL IMPLANT® is not from the saline but from internal baffles oriented inside the implant. This internal structure prevents the implant from losing volume at the upper part of the implant when the patient is upright and also prevents the fluid wave that can occur when the implant is touched. The IDEAL IMPLANT® conforms nicely to the patient’s chest wall and does not have the issues of rippling and scalloping as a traditional saline implant may have. Patients do not need to be concerned about silent rupture of the implant. If a saline implant leaks, whether it is a traditional saline implant or the IDEAL IMPLANT®, the patient will notice a deflation. The five-year risk of deflation of the IDEAL IMPLANT® is quite low.

Breast Augmentation is one of the most popular plastic surgery procedures performed. To find out more about breast augmentation surgery, contact Spring Ridge Plastic Surgery to schedule your consultation with our board-certified plastic surgeon Dr. Benjamin Schlechter. Call us today at (610) 624-2740 or fill out our online consultation form.

New Breast Implant Available: FDA Approves Natrelle INSPIRA® Cohesive Breast Implants

breast-implantsAdvancements in plastic surgery have led to the development of new breast implants that can offer women even better results from breast surgeries. Each newly developed product must be approved by the U.S. Food and Drug Administration (FDA) so that patients can be assured of its safety for use. Natrelle INSPIRA® Cohesive breast implants have recently been approved by the FDA and are now being offered as an excellent option for breast implants here at Spring Ridge Plastic Surgery.

Natrelle INSPIRA® Cohesive Breast Implants

The new Natrelle INSPIRA® Cohesive breast implants are designed for a soft feel with the fullest roundness. Natrelle INSPIRA® Cohesive implants are filled with cohesive silicone gel and are available in multiple sizes and projections so that women can personalize their look. Due to their high gel-fill ratio and highly cohesive gel, Natrelle INSPIRA® Cohesive implants offer improved fullness and roundness to provide patients with more customizable options. These implants are also more likely to maintain their shape long-term and may reduce the risk of implant irregularities and rippling. The cohesive gel in Natrelle INSPIRA® Cohesive breast implants helps the implants resist tissue compression and minimizes distortion and gel migration in the unlikely event of implant rupture.

Now Available at Spring Ridge Plastic Surgery

Dr. Schlechter is now offering Natrelle INSPIRA® Cohesive implants to provide his breast augmentation, breast revision, and breast reconstruction patients with more options that can help them achieve the best possible results. Patients who are most likely to benefit from these new implants are those who desire a fuller and rounder look, patients with thin breast tissue who are at a higher risk of rippling, patients who need lower breast pole expansion, and patients who are undergoing breast reconstruction with implants. With Natrelle INSPIRA® Cohesive breast implants now approved by the FDA, many more women will be able to experience even better results and achieve their aesthetic goals with breast surgery.

To learn more about the newly approved Natrelle INSPIRA® Cohesive breast implants or other breast implant options available at Spring Ridge Plastic Surgery, schedule your personal consultation with our board-certified plastic surgeon, Benjamin Schlechter, MD, FACS. Please call us at (610) 624-2740 or complete our online contact form to request your consultation today.

INSPIRA™ Breast Implants

New Breast Implant by AllerganAllergan Corporation recently released the INSPIRA™ line of new silicone gel breast implants to complement their NATRELLE® Collection of gel-filled breast implants. The advantage of this new implant is that it is filled 95 percent volume with TruForm™ (cohesive) gel. The advantage to this is that the INSPIRA™ breast implant creates more fullness, particularly in the upper part of the breast, which leads to improved projection. This implant will also help to decrease deformities such as rippling or wrinkling. The implants are available featuring 400 different options for a more customized fit.

If you are considering breast augmentation and want more information regarding your breast implant choices, including the new INSPIRA™ breast implants, contact Spring Ridge Plastic Surgery to schedule your consultation. Dr. Benjamin Schlechter is a board-certified plastic surgeon with years of experience performing breast augmentation. To schedule your complimentary consultation, please call (610) 624-2740 or fill out our online contact form today. We look forward to helping you achieve the breast results you desire.

Breast Implant Warranties Improved for 2015

Screen Shot 2015-02-03 at 3.00.43 PMThere is a lot of confusion among patients as to what their breast implant warranty covers following augmentation surgery. There is a distinction in warranties between saline and gel implants, and a slight difference among the various manufacturers; Allergan, Mentor and Sientra. Registration for the warranty varies between medical practices, but whenever there is a fee to the patient for an upgraded warranty, the patient is responsible for doing that themselves online within 45 days of their surgery. Beginning with saline implants, there is lifetime replacement coverage for a rupture, or deflation. In this situation the companies also provide a contralateral implant (for the non-affected implant) within a comparable size range. For the first ten years if something does happen to the implant the manufacturers may also provide financial assistance as well, to help cover the cost of the doctor replacing the defective implant. To obtain or increase the financial assistance there may be a fee of $200, this is often referred to as the enhanced warranty. It is important to understand that while the implant itself is covered by warranty for the lifetime, the financial assistance ends after ten years. It is highly recommended that all patients with saline implants purchase the enhanced warranty when available, as the standard plan may offer no financial assistance, and even if it does the standard financial assistance is not enough to cover the surgeon’s fees.

Screen Shot 2015-02-03 at 3.01.11 PMThe warranty for gel or silicone implants is slightly better coverage. Again, the implants themselves are covered for life if a rupture or defect occurs. It is possible for the doctor to get a contralateral (other side), implant at no charge as well, within a comparable size range. The financial assistance for most companies is $3500 to help cover the surgeon’s fees, if there is an issue during the first ten years following surgery. The improvement in the warranty beginning in November 2014, is that the companies will not provide a replacement implant at no charge if the patient has a capsular contracture, which occurs in 15% of all implant patients according to the national data. The restriction is that it must be within the first 3, or 10 years depending on the manufacturer, and it must be what they refer to as Baker lll/lV, which means the severity of the contracture must be on the higher end. It does not cover a very mild case of capsular contracture. The grade is determined by the physician. Some companies also provide financial assistance for capsular contracture, others do not, so be sure to have an understanding after your consult of exactly what the warranty will cover regarding capsular contracture. To further complicate things for the consumer, one company does offer an enhanced version of the capsular contracture warranty, so that if an additional fee is paid by the patient after surgery, the warranty time period extends from 3 to 10 years of coverage. If an enhanced warranty is offered on the gel implants it is highly recommended that the patient purchase it. Always ask the doctor with whom you are consulting with how often he encounters these situations, as it can vary greatly. The staff at Spring Ridge Plastic Surgery is very thorough about reviewing the warranty coverage for the implants with each patient.

Breast Implant Exchange Myths

Breast Revision, Wyomissing, PA

Since breast implants are not lifetime devices, it is no surprise that several myths have surfaced about breast revision surgery and breast implant exchange. Whether you desire a different size, correction from a complication, or you simply no longer wish to have your implants, here are some of the most widely believed myths about breast implant exchange, debunked.

Myth 1: I must get my breast implants replaced after ten years.

Many women think that they must have their implants replaced after ten years, when, in fact, ten years is simply the average amount of time that passes before most women have them replaced. After ten years, the patient may have grown dissatisfied with the size she originally chose for her breast implants. Or, she may have gone through pregnancy or breastfeeding and her implants no longer provide the enhanced shape or volume they did when they were first placed.

The risk for developing complications from breast augmentation with implants also increases with time. If ten years have passed, there are no complications, and the patient is still happy with the way her breasts look, most surgeons see no need to replace them.

 

Myth 2: If I exchange my breast implants for a smaller size, I will have loose skin.

If you decide to replace large implants with smaller ones, there is a chance you will experience excess skin, but this is highly dependent on your unique situation. The most straightforward way for your surgeon to determine the amount of breast sagging is to simulate smaller breasts by deflating the implants. This procedure is done under local anesthetic while the patient is awake. Of course, this can only be done if the initial implants are saline filled. Excess skin may be easier to predict if you are choosing a significantly smaller size than your initial implants. Your surgeon may recommend a breast lift along with implant replacement when this is the case, as a breast lift will eliminate any loose skin.

 

Myth 3: Two surgeries are required for breast implant exchange.

Many women believe that if they have their implants removed, they must allow their breasts to heal for several months before receiving new implants in a secondary surgery. The majority of the time, breast implant exchange can be performed during one procedure, but this is dependent on the patient’s unique circumstances. If there is a significant amount of aesthetic correction to be made (e.g., the nipple must be adjusted significantly, or a breast lift must be performed), two surgeries may provide the best results. Two surgeries may likely be advised if the reason for implant replacement is due to an infection.

 

Myth 4: My breasts will look deflated if I choose to remove and not replace my implants.

If you have your implants removed but not replaced, you may experience sagging skin or other undesirable cosmetic changes to your natural breasts such as dimpling, wrinkling, puckering, or breast tissue loss. These issues can be avoided by combining breast implant removal with a breast lift. Dr. Schlechter also performs breast augmentation with fat transfer to provide natural-looking augmented breasts without the use of implants.

 

Dr. Benjamin Schlechter has been performing secondary breast augmentation for more than 20 years at his practice in Wyomissing, PA. If you are interested in this procedure, please schedule a consultation at Spring Ridge Plastic Surgery by calling (610) 624-2740 to schedule your appointment.

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Benjamin Schlechter M.D.
2603 Keiser Blvd Suite 207
Wyomissing PA 19610
(610) 624-2740

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