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How To Choose A Plastic Surgeon For Your Breast Implants
Breast Augmentation is the second most popular cosmetic surgical procedure in 2003 with 280,401 procedures performed; up from 101,176 in 1997. This means that the amount of women having breast implants has tripled in the past six years. 53% of the women having were between 19 and 34 years old. Innovations in breast implants surgery have led to lessened recovery time and no scarring. Women who want larger breasts but fear the pain, scarring and long recovery associated with traditional enlargement surgery will want to learn about the most recent evolution in medical procedures, Transaxillary Endoscopic Breast Augmentation, in which the implant is placed through the armpit."This procedure creates a precise implant pocket," says Dr. Douglas Senderoff, of Park Avenue Aesthetic Surgery with offices in Rye Brook and Manhattan (www.drsenderoff.com). The advantage is that there is no scarring to the breast itself." This procedure assures precise placement of the inserts with more control of the pocket. Now that scar-less is an option, I have been performing almost triple the amount of procedures in the past few years, says Dr. Senderoff.Less modern surgeons are still performing the long-established procedure which involves creating an incision under the breasts or around the nipples, which leave visible and larger scars. Transaxillary endoscopic leaves only one small incision and has become the method of choice for both surgeon and patient.What to know about size and placementBreast augmentation has become the most popular form of cosmetic surgery for women in the United States. The most popular size requested is a "C" bra cup size. But how much a plastic surgeon can increase one's breast size depends on the build of each individual woman, says Dr. Senderoff. "It's not a simple matter of going in and picking out a size. We can only fill the space that exists. There are limits to what can be achieved. We cannot go from a double A to a triple D cup size. If a tiny framed small busted girl wants a triple D she must understand that this cup size is unattainable because there is simply not enough skin." There are other factors to be decided, including if the implants should be placed below the chest muscle, which lies under the breast, or above the muscle and beneath the breast tissue. If the implant is placed beneath the breast the recovery is quicker but it's harder to get an accurate mammogram. If it's placed below the muscle, there is more recovery time, but the patient may get a better mammogram. "I discuss everything with my patients during our initial consultation including size, shape and silicone
vs saline. I want them to understand all the risks and benefits," says Dr. Senderoff. "I offer my patients a full range of choices and by showing them before and after pictures they better understand the options available to them." Dr. Senderoff is one of only a handful of surgeons in the New York metropolitan area that can offer silicone breast implants. He is a clinical investigator in the Inamed FDA monitored silicone implant studies. What to know about when choosing a surgeonNot all surgeons have the same training or certification. When choosing a surgeon, one should unquestionably look for a "Board Certified" surgeon. By choosing a plastic surgeon who is certified by The American Board of Plastic Surgery, Inc., you can be assured that the doctor has graduated from an accredited medical school and has completed at least five years of additional training as a resident surgeon. This includes a minimum three-year residency in an accredited general surgery program and a minimum two-year residency in plastic surgery. To become certified, the doctor then must successfully complete comprehensive written and oral exams. Interestingly enough, Board Certification is a voluntary process.You should always find out if your plastic surgeon has hospital privileges. This assures that (s)he had been reviewed and has been accepted by the credentials committee of the hospital. Also be certain to ask if your surgeon commonly performs and is comfortable with the various techniques and implant options. Your surgeon should make before and after photos available to you so that you can review his work personally. Patient references and testimonials should also be made available to you.The Final ResultThe excitement and exuberance you see on such shows as Extreme Makeover or Nip Tuck are not uncommon. "It is tremendously rewarding for me to witness how this procedure can result in such a dramatic improvement in my patient's self-esteem. I still hear patients say to me, "Thank you for changing my life," years after their procedure, remarks Dr. Senderoff, "It's as if immediately after their procedure there self-esteem sky rockets."As with all surgeries, there is a recovery period. Right after surgery, your chest may feel tight and sore, and this feeling of pressure on your chest may persist for a few days. But rest assured, almost all women who undergo a are delighted with their results.For more information, please contact:Park Avenue Aesthetic Surgery, PCDouglas M. Senderoff, MD, FACS461 Park Avenue SouthManhattan, NY 10016t) 212.481.3939e) e-mail protected from spam botsw) http://www.drsenderoff.com.
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