Repair of Bottoming Out - by Plastic Surgeon, Dr. Ciaravino, Houston & Sugarland, TX

Bottoming-Out Photos - by Plastic Surgeon, Dr. Corbin, Beverly Hills, CA

Bottoming-Out Photos - by Plastic Surgeon, Dr. DeWire, Advanced Art of Cosmetic Surgery, Richmond, VA

Bottoming-Out Photos - by Plastic Surgeon, Dr. Revis, South Florida Plastic Surgery Associates, Fort Lauderdale, FL

Bottoming-Out Photos - by Plastic Surgeon, Dr. Steven Teitelbaum, Santa Monica, CA

Bottoming-Out FAQ - by Plastic Surgeon, Dr. DeWire, Advanced Art of Cosmetic Surgery, Richmond, VA

Bottoming-Out FAQ - by Plastic Surgeon, Dr. Dr. Revis, South Florida Plastic Surgery Associates, Fort Lauderdale, FL

Bottoming-Out Photos - Plastic Surgeon, Dr. Corbin, Beverly Hills, CA
Bottoming-Out Photos - Plastic Surgeon, Dr. Steven Teitelbaum, Santa Monica, CA

Bottoming-Out Photos - Plastic Surgeon, Dr. Dr. Revis, South Florida Plastic Surgery Associates, Fort Lauderdale, FL

Bottoming-Out FAQ - Plastic Surgeon, Dr. Dr. Revis, South Florida Plastic Surgery Associates, Fort Lauderdale, FL

Breast Reconstruction - The Wall Center for Plastic Surgery, Shreveport, Louisiana

Repair of Bottoming Out - Plastic Surgeon, Dr. Ciaravino, Houston & Sugarland, TX

Bottoming-Out Photos - Plastic Surgeon, Dr. DeWire, Advanced Art of Cosmetic Surgery, Richmond, VA

Bottoming-Out FAQ - Plastic Surgeon, Dr. DeWire, Advanced Art of Cosmetic Surgery, Richmond, VA

Tuberous Breasts Repair & Photos

Some patients have a desire to increase the fullness of the inferior pole of the breasts. The distance from the areola to the “new inframammary fold” is increased using gentle dissection. Use of a breast implant can help increase the fullness of the lower poles of the breasts. This is done routinely for patients with constricted or tuberous breasts. Tuberous Breasts have a very narrow base and usually a long skin envelope. Sometimes people refer to "Tuberous Breast" shape as the shape similar to "snoopy's nose". In the most severe cases of Tuberous Breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. In many cases however, a lift is not necessary. The patient should be aware that the final result will take months to see and that they will need to be patient.

   This is a 18 year old patient from Murrietta CA, interested in breast enlargement and found Temecula Plastic Surgeon Dr. Pousti over the internet. She was looking for a very large result. She also had some constriction of her breasts and wanted the shape to be more natural.  This patient is now 2 months post op breast augmentation with 800cc smooth round moderate profile saline implants made by the Inamed Corporation. She is very happy with her results.

      This 24 year old patient from San Diego, CA came in to meet with Dr. Pousti regarding her constricted breasts. She has tuberous (tubular) breasts deformity and wanted breast implants to correct it.  She is now about 2 months post-op correction of her tuberous breasts with 450 cc silicone gel implants made by the Mentor Corporation.  

Click here for True Story Experiences on Tuberous Breasts

    Lateral Displacement Reconstruction

Some breast implant patients present with lateral (outwardly) displacement of the breast implants.  This can be corrected using an internal suture technique decreasing the size of the pockets and moving the breast implants toward the midline. 

 This 30 year old patient traveled from Arizona to have Dr. Pousti correct her “bottoming out” and the “lateral displacement” of her implants (left >right). Dr. Pousti performed “markings” on the patient the night prior to surgery to assist during the operation the next day.  

In the operating room, you can see how the right side has been corrected and the left has not yet been corrected.  

The patient is only a couple of weeks post-operative revisionary breast surgery but very happy with her results. 

Breast Asymmetry Photos - Kaufman & Clark Plastic Surgery ~ Folsom, CA (Near Sacramento)

Breast Asymmety  - Plastic Surgery of the Carolinas, Columbia, SC

Breast Reconstruction Surgery: Weighing the Options

In an era - medical breakthroughs, it is reassuring to learn that breast cancers are being diagnosed in there earliest stages so that, according to the American Cancer Society (ACS), 96 percent - women with such cancers are alive after five years. Another promising trend: advances in reconstructive techniques have made it possible for plastic surgeons to create a breast that more resembles a natural one.

"One - the most frequent questions among women facing breast surgery is 'how will I look afterwards'?" said Dr. Frank J. Ferraro, an attending plastic surgeon at Pascack Valley Hospital in Westwood. "They worry about whether their clothes will fit and if they will still feel attractive."

In the past, the majority - women who had mastectomy surgery wore a prosthesis - a breast form made from materials that have the weight and feel - a natural breast - in their bras and bathing suits after surgery. Many women found such a prosthesis inconvenient or uncomfortable and wanted to feel "whole" again; plastic/reconstructive surgeons began to develop techniques to restore the shape and contour - the original breast. According to NIH, today about 75 percent - women who have mastectomies choose postsurgical reconstruction.

CHOICES IN BREAST RECONSTRUCTION

If you are planning to have breast reconstruction surgery, you must find a plastic surgeon skilled in the procedure before the mastectomy surgery so that the plastic surgeon can work with the general surgeon to develop a plan that lends itself to reconstruction. Since this is a demanding technique, it is important to choose a plastic surgeon who is bored certified in this specialty and experienced in breast reconstruction.

Women can choose to have the procedure at the same time as the mastectomy operation or return to the hospital for reconstruction several weeks or months later. The women and her surgeons will discuss what type - procedure is best for her: an artificial implant or a muscle-flap procedure in which the breast is reconstructed with skin, muscle and fat taken from another part - her body. Factors to be considered include the woman's medical history, height, weight and amount - body fat as well as other medical conditions.

CHOOSING A MUSCLE FLAP

The TRAM flap is another variation. The flap comes from the transverse rectus abdominus just below the waistline. The reconstructive surgeon detaches a small piece - skin, muscle and fat and pulls it through a tunnel under the skin between the abdomen and chest. Some women have enough extra fat in the abdomen to create a breast shape without an implant.

One advantage - the TRAM techniques is that some women find that their abdomens look flatter - as though they have had a tummy tuck. Women who have chronic lower back problems often choose other techniques since they may develop weakened abdominal muscle after the procedure and can increase back strain.

 A third technique, the free flap, eliminates the tunneling step. A portion - skin, fat and blood vessels is removed from the buttock, thigh or abdomen and move to the breast area. The blood vessels in the flap are sewed to the vessels under the arm at the mastectomy site. Because extensive microsurgery is required to reattach the blood vessels, the free flap is the most technically demanding - the muscle flap procedures. This technique, however, gives superb results.

"Women who smoke or have diabetes may be poor candidates for muscle flap procedures because their blood vessels may have narrowed enough to prevent healing - the flap," Dr. Ferraro noted. "That's why we advise patients to quit smoking and keep their blood sugar as close to normal as possible so that they can benefit from these procedures and have a natural looking breast."

Breast Reconstruction Surgery Info

Breast Reconstruction Info - Plastic Surgeon, Dr. Juan Garcia, Garcia Plastic Surgery, Glen Falls, NY

Breast Reconstruction Info - Dr. Jason Lichten, Central Ohio Plastic Surgery, Columbus, OH

Breast Reconstruction Info - Plastic Surgeon, Dr. David Kim, Beverly Hills Plastic Surgery, Beverly Hills, CA

Breast Reconstruction Info - Plastic Surgeon, Dr. Joshua Korman, Mountain View, CA

Free-Flap Breast Reconstruction Info - Plastic Surgeon, Dr. Joshua Korman, Mountain View, CA

TRAM Flap Breast Reconstruction Info - Plastic Surgeon, Dr. Joshua Korman, Mountain View, CA

Breast Reconstruction - Plastic Surgeon, Dr. Kunkel, Fort Worth, Texas

Breast Reconstruction - Plastic Surgeon, Dr. John Lettieri, Carolina Plastic Surgery, Spartanburg, SC

Breast Reconstruction - Plastic Surgeon, Dr. Constantino Mendieta* Coconut Grove, FL

Breast Reconstruction - Plastic Surgeon, Dr. Sheryl Pilcher, Accent Plastic Surgery PA, San Antonio, TX

Postmastectomy Breast Reconstruction - Plastic Surgeon, Dr. Otto Placik, Arlington Heights, IL

Breast Reconstruction - Plastic Surgeon, Dr. Tom Pousti* San Diego, CA

Breast Reconstruction - Plastic Surgeon, Dr. Mary Powers, Long Beach, CA

Breast Reconstruction Info - Plastic Surgeon, Dr. Robert Rothfield, Weston Plastic Surgery, Weston, FL

Breast Reconstruction - Plastic Surgeon, Dr. Kimberly Short, The Gillian Institute for Plastic
Aesthetic and Laser Surgery, Indianapolis, IN

Breast Reconstruction Info - Plastic Surgeon, Dr. Silberman, Doylestown, PA

Breast Reconstruction - Plastic Surgeon, The Plastic Surgery Group* Albany, NY

Breast Reconstruction Info - Plastic Surgeon, Dr. Janet Turkle, Plastic & Cosmetic Surgery, Indianapolis, IN

Breast Reconstruction Info - Plastic Surgeon, Dr. Jennifer Walden, New York, NY

Breast Reconstruction Info - Plastic Surgeon, Dr. Steven Wallach, New York, NY

Breast Reconstruction Info - Plastic Surgeon, Dr. Laurence Weider, Dallas, TX

Breast Reconstruction Info - Plastic Surgeon, Dr. Scott Zevon, Central Park Plastic Surgery, New York, NY

Post-Mastectomy Reconstruction Info - Plastic Surgeon, Dr. Kent Hasen, Aesthetic Plastic Surgery of Naples, Naples, FL

Breast Reconstruction Info - Plastic Surgeon, Dr. David Abramson, New York, NY & Englewood, NJ

Breast Reconstruction - Plastic Surgeon, Dr. Gary Berger, New York, NY

Breast Reconstruction - Plastic Surgeon, Dr. Michael Brown, The Loudoun Center for Plastic Surgery, Herndon, VA

Breast Reconstruction - Plastic Surgeon, Dr. Corbin, Beverly Hills, CA

Breast Reconstruction Using Tissue Expander Implant - Plastic Surgeon, Dr. Gregory Fedele, Willough Hills, OH

Breast Reconstruction - Latissimus Dorsi Flap - Plastic Surgeon, Dr. Fedele, Center for Plastic & Cosmetic Surgery, Willough Hills, Ohio

Breast Reconstruction - TRAM Flap - Plastic Surgeon, Dr. Fedele, Center for Plastic & Cosmetic Surgery, Willough Hills, Ohio

Breast Reconstruction Info - Dr. Michael Fiorillo, Pearl River, NY & Westwood, NJ

Breast Reconstruction - Plastic Surgeon, Dr. Fedele, Center for Plastic & Cosmetic Surgery, Willough Hills, Ohio

Breast Reconstruction - Plastic Surgeon, Dr. Frank Ferraro, Ridgewood, NJ

Breast Reconstruction - Plastic Surgeon, Dr. Gerson, Lake Geneva, Wisconsin

Breast Reconstruction - Plastic Surgeon, Dr. Scot Glasberg, New York, NY

Areola Reduction Info

Aerola Reduction Information - by Bay Area Plastic Surgery, San Francisco, CA