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hi, i'm dr. frank lista and welcome to operatingroom number 1 here at the plastic surgery clinic. so lots of patients ask me about implantshape. so, basically, there are 2 different shapes of implants. implants can either beround or they can teardrop shaped. how do we choose? well, first of all, the numberone rule is, and if you've seen any of our videos so far you know the number one ruleis, create a breast that looks beautiful, that has a beautiful shape and looks natural.so, every patient gets an implant that's been determined to be the right implant for them.how do we decide that? well, first of all, implants can either be round or teardrop solet me show you an example. here's a round implant and here's a teardrop-shaped implant.you notice this implant is perfectly round. this implant has a shape that looks like ateardrop. now, this implant, the teardrop implant, is really useful for patients whohave droopiness, or if they have what we call constricted lowe

hi everyone! here we are in o.r. 1, this isthe number one operating room here at the plastic surgery clinic, and what a lot ofpeople have asked me to talk about is implant projection. so, people want to know, whatis the difference between low projection, medium projection, moderate plus projection,and high projection? what does that mean? lots of people think that projection meanshow high the implant stands. it doesn't. projection means how far out the implant projects orsticks forward in the frontways direction. let me show you 2 different implants. so theseimplants, these 2 implants are both 400cc implants. but this implant is a high projectingimplant, and this implant is a moderate projecting implant. so you see this implant sticks outmore in the front to back direction than this implant does. but they're both 400cc's. now,if they're both 400cc's the higher projecting implant is also narrower. so if you look atthese 2 implants you see how this one is narrowe

the decision to have breast augmentation isa very personal one. my goal as your plastic surgeon is to listen to your individual needsand to assist you in making the best choice. breast augmentation is a surgical procedureto enhance the size, shape, and the feel of your breasts. following breast augmentation,you'll enjoy improved self-esteem, confidence, and well-being. breast augmentation requiresan incision which allows for insertion of the implant. this could be made in the bellybutton, around the areola, in the underarm, or in the crease where the breasts meet thechest. in the tuba procedure, i use the invisible belly button scar technique to insert theimplants under the muscle. this is the latest advancement in breast augmentation surgery.a variety of breast implant types, textures and shapes are available, and in some, eventhe own fat can be used to increase the breast size. whether you're seeking breast augmentationsurgery to correct breasts of a different size, volu

[dr. craig jonov] hi, i'm dr. craig jonov.i am a board certified cosmetic surgeon, and i practice at the gallery of cosmetic surgeryin lynnwood, washington, just north of seattle. today we're going to discuss breast augmentation,or breast surgery. the questions become do we place the implants above the muscle, dothey go below the muscle? even a third is underneath the fascia. there's three potentiallyplaces to place the implant. the majority of the time above the muscle is limited, becauseall of the weight then is going to be added to the ligaments of the skin. the skin ligamentsare going to not be as strong, not hold up the breast over time, and it usually willfacilitate leading to more of a droopiness, or sagginess of the breast in a smaller periodof time. the move is to be putting under the muscleto give more support to minimize that dropping of the tissues. there's now people placingimplants underneath the fascia, which is in between. instead of just underneath

hi everybody. i'm dr. david reath and i'mhere to discuss this week's truth-o-meter tuesday question.well, we have another question this week that references breast implants, and it's aboutsomething that i talk to patients a lot about and get asked a lot about.and what we said is that breast implants, to get the best result, must be placed underthe chest muscle--the pectoralis major muscle. and the answer is false.now, many many women do have breast implants placed beneath the chest muscle, and for manywomen this is definitely the preferred position. however, some women do have the option ofgoing on top of the muscle, and with that they can have an excellent result every bitas good as going under the muscle, and in some cases perhaps even better.the things we take into consideration is the amount of the original breast tissue we'restarting with, and whether we're using saline or silicone as implants.saline implants will almost always go underneath the muscle

breast reconstruction is a big part of mypractice, and when a women is diagnosed with breast cancer, her world is turned upsidedown. breast reconstruction, believe it or not,is one of the more fulfilling aspects of the entire care because it restores a woman towholeness. on that note, it's very important that yoube informed about what questions are appropriate to ask when this diagnosis is first made. now, keep this in mind: your general surgeon,the surgeon that's performing your breast cancer surgery, may not have offered you ormay not offer you breast reconstruction as an option. and so, sometimes it's in the patient's roleto go out and seek information to find out what choices they have as it relates to breastreconstruction. so when you're meeting with your general surgeonand deciding on your final course of treatment for the breast cancer, it's okay to ask thatsurgeon, "am i a candidate for breast reconstruction? and, if so, who would i see? who wo

before the procedure begins sophie is lightly sedated-. this means that she will remain awake during the procedure, but she will be calm and relaxed.we then inject local anaesthetic to numb the area that we are going to treat. this waythe patient should feel no pain during surgery â the fat is then liquefied with a vaser probe. the technology used is ultrasound energy,which targets the fat cells and causes them to break up so that they are easily removed.the surrounding nerves and blood vessels are not damaged making the recovery process mucheasier. the local anaesthetic has now taken affectand sophie does not feel much except mild tugging. with the conscious sedation she isable to talk to us during the procedure. the liquefied fat is then extracted usinga tiny cannula with gentle suction process into a sterile system. â during this suctioningprocess the treatment areas are contoured for a natural result. the fat is cleaned and washed leaving us withsophie’s pure fat. the fat i

[james fernau] hi, i'm dr. james fernau, andfirst and foremost i'm a father of six beautiful children, and i am a board certified plasticsurgeon. a little bit about my upbringing i was born in wyoming, i went to the universityof wyoming undergraduate, and i graduated summa cum laude and then went to the universityof utah medical school and graduated at the top of my class. i then went to columbus ohioand did one year of general surgery after that, i did a four-year residency in otolaryngologyand [heading 00:00:44] at cancer surgery and became board certified in that field. i received further training and went backto the university of utah and i became board certified in plastic and reconstructive surgeryafter a two-year residency. i performed a cosmetic surgery fellowship in virginia beach,virginia with dr. richard mladick. i then settled in the pittsburgh area and i've beenpracticing here over 21 years. during my 21 years, i have practiced plastic and reconstructivesu

the procedure that i came to dr. lapuertafor was a breast augmentation. i can't say enough nice things about dr. lapuerta andthis staff. his facility is easily accessible as is he and his staff. always kind, caringand never rushed, always will listen if you have something to say. i was not nervous atall. the staff is very informative and put me right at ease and i trust dr. lapuerta.i would recommend dr. lapuerta to anyone who would listen and have done so. i believe inhis staff and the quality of his work, his bedside manner and i trust dr. lapuerta enoughto recommend him to others. the results are beyond my expectations. iam more than happy with the results. i would say the procedure has changed my outlook onlife. i think i walked with my shoulders back a little more. i'm certainly more confidentin how i look. i do consider dr. lapuerta and his staff friends.

today, i'd like to talk to you about the differencebetween a breast lift and a breast implant. some times, the lines between these two proceduresgets easily confused, both with patients and with surgeons. it's hard to know what youreally mean. not in the tebbetts world. tebbetts makesall decisions based on measurement, whether we're augmenting, lifting or reducing a breast.when you plan operations by the numbers, you take away all the guess work. so let's look at some of the things that mightdetermine which procedure is best for you. a mastopexy seeks to make the breast perkierand firmer, not bigger. while, breast augmentation, makes what you have bigger simply by usingan implant, but, that's all it is, simply bigger. a breast implant was never meant tolift a breast or to remove excess skin. so it's really really really important notto ask a procedure or surgery to do something it was never meant to do. a breast that needsa mastopexy might look something li