July 14th, 2010 admin
MYTHS ABOUT BREAST IMPLANTS
MYTH #4: Rippling is a common problem with breast implants.
Rippling following breast augmentation is extremely rare if the following guidelines are followed:
1. Silicone implants are much less prone to rippling than saline filled implants, and therefore silicone breast implants are better for most patients.
2. If saline breast implants are used, they should be overfilled beyond the manufacturer’s recommendations in order to minimize the risk of rippling.
3. So-called “moderate” profile implants are really low profile implants and they are underfilled. “Moderate” profile implants, whether they are saline or silicone, are more prone to rippling. Therefore when doing breast augmentation in Manhattan, we use either “moderate” plus profile breast implants or high profile breast implants. With these two last profiles, rippling is almost never seen.
For more information on breast implants, please go to www.drberaka.com
Posted in Body Procedures, Breast Procedures, General Information | No Comments »
June 23rd, 2010 admin
MYTHS ABOUT BREAST IMPLANTS
THIRD MYTH ABOUT BREAST IMPLANTS: IMPLANTS CORRECT SAGGING OF THE BREASTS
1. Breast implants correct mild sagging of the breasts. For moderate sagging, I make an individual decision for each woman.
2. Breast implants will not correct severe sagging. In fact, they will create a deformity. If you have severe sagging, you really need a short scar breast lift. The lift is done alone or together with breast augmentation. Women accept the scars just fine if they love their new perky shape.
3. When using breast implants to correct sagging, they should be smooth walled, round, cohesive silicone gel breast implants, and they must be placed over the muscle.
For more information on procedures such as Breast Augmentation and Breast Lifts, please visit our website at www.drberaka.com
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May 26th, 2010 admin
MYTHS ABOUT BREAST IMPLANTS
New York City, NY- FIRST MYTH ABOUT BREAST IMPLANTS: Breast implants need to drop or settle after surgery.
Many patients (and some plastic surgeons) think that you have to wait weeks or months after surgery for breast implants to drop into the right position. This is not true. If the implant pockets are made accurately, your breasts should look great right after surgery.
In fact, when we do breast augmentations in Manhattan, we put the patient in the sitting position before the operation is finished (of course you are still under anesthesia). This way, we can see exactly if the implants are in the right place, and if the size and symmetry of the breasts are as perfect as we can made them. If not, we keep working until we get the result that we want.
Breast implants should not look too high after breast augmentation.
For Before and After photos of breast augmentations, please visit us at www.drberaka.com
Posted in Breast Procedures, General Information | 1 Comment »
May 12th, 2010 admin
New York City, NY- We have recently made an important advance in how we do a tummy tuck. The skin of the abdomen is lifted up in the course of doing the tummy tuck and traditionally at the end of the operation two drains are inserted under the skin. The drains are left in for several days and their main purpose is to prevent fluid accumulation under the skin, also known as a seroma. The drains works very well but are a little uncomfortable and patients look forward to their coming out.
We now use an alternative technique which has minimized the need for drains. We use either no drain or just one drain, and we leave it in for fewer days. The new technique consists of closing the cavity under the lifted skin of the abdomen with several buried absorbable sutures. The role of these internal stitches is to eliminate the potential cavity under the skin and therefore they are very effective in preventing fluid accumulation. Thus, much less need for drains.
Tummy Tuck Before and After Photos.
For more information on Tummy Tucks, please visit our website at www.drberaka.com.
Posted in Body Procedures, General Information, Mini Abdominoplasty | 2 Comments »
April 21st, 2010 admin
THE MYTH THAT BREAST IMPLANTS HAVE TO “DROP” OR “SETTLE”
With the patient in the sitting position during surgery, we decide on the optimal implant size by trying different implant sizers, and also that is the time to make any adjustments in shape. At the conclusion of the operation, when all of the wounds are sutured closed, once again we check the appearance of the breasts to make sure that they are as good as they can possibly be. Therefore the final result with the implants at exactly the right level is achievable during surgery and your breast implants should look exactly where they belong immediately after surgery. Breasts implants do not need to settle over time.
For more information on breast augmentation and implants, please visit our website at www.drberaka.com.
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April 7th, 2010 admin
THE MYTH THAT BREAST IMPLANTS HAVE TO “DROP” OR “SETTLE”
PART I
New York City, NY- It is not clear where this idea came from, but many women feel that after breast augmentation, the implants have to come down into their ideal position over a period of time. The implication of course is that the breast implants are too high right after surgery.
We feel that his notion is not correct. When performing breast augmentation, we insert sterile implant sizers into the breast pockets and then the patient is placed in an upright position. (Of course the patient is still under anesthesia). With the patient in the sitting position, the exact shape and size of the breasts can be seen exactly as they will look in the final result.
Please visit our website www.drberaka.com for more information on breast augmentation.
Posted in Breast Procedures, General Information, Uncategorized | 1 Comment »
March 23rd, 2010 admin
1. Your surgeon should have a large inventory of different size and shape breast implants available in the operating room. Surgeons who do a lot of breast augmentations have this inventory provided by the manufacturers.
2. If an implant inventory is available, then the plastic surgeon can put sterile disposable implant sizers in your breast pockets during surgery to see what a particular implant actually looks like when it is inside you. This is the only way to make a choice without the chance of making an error. An implant sizer costs only $45 and it takes all of the guess work out.
3. We look at the appearance of your breasts with the implant sizers in place with you in the upright position. Of course, all of this is done while you are still under anesthesia. Only in the upright position can the actual size, shape and symmetry of the breasts be accurately judged.
4. When the best size has been determined by this process, the implant sizers are discarded, and only then are the correct breast implants opened from the operating room inventory and put inside your breasts to complete the operation.
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March 9th, 2010 admin
1. This is the most common type of question asked by women considering breast augmentation. The first thing to understand is that it is the surgeon’s job to pick the right breast implants. It is not your job. Implant selection is a technical decision requiring significant experience.
2. You need to make sure that your surgeon really understands the look that you want. Your surgeon’s idea of a beautiful breast may be quite different from yours. Just mentioning a cup size is not adequate. Your surgeon should show you pictures of different breasts so that you can point out what you like. If he or she does not show you pictures, you can provide your own. Then your surgeon has to tell you if your chosen look is appropriate for your anatomy. The most common mistake is to pick breast implants that are too big.
3. I strongly recommend that the plastic surgeon not make a final choice of breast implants in advance of surgery. This is just an educated guess. The best approach is to make the final implant selection during your surgery.
Posted in Breast Procedures, General Information | No Comments »
January 6th, 2010 Dr. Beraka
Tips To Help You Choose A Plastic Surgeon.
1) Is the surgeon a member of the American Society for Aesthetic Plastic Surgery? Members usually do a lot of cosmetic surgery.
2) Did you sense a commitment to excellence in the office. Did the surgeon spend a lot of time with you? Someone who rushes through the consultation may rush through the surgery.
3) Were you treated as an individual? Did the surgeon present you with a surgical plan tailor made for you?
4) Plastic surgeons have to have a good eye and meticulous technique. Did the surgeon show you A LOT of before and after pictures, and did you love the results?
5) Talk to other doctors you know. Established plastic surgeons have a reputation in the community, good or bad.
6) Ask to speak to a patient who has had the procedure you want. You are looking for a surgeon who does a lot of what you want. Many patients are eager to share their experience. Privacy is preserved by having the patient call you.
7) If you are having breast augmentation, ask if the surgeon has a large inventory of different size and shape breast implants available in the operating room. A surgeon who does a lot of breast surgery will have an inventory. This way, the final implant choice does not have to be made in advance.
8) With office surgery, make sure the surgical facility is ACCREDITED. Very important safety assurance.
9) Make sure the anesthesia is given by a BOARD CERTIFIED ANESTHESIOLOGIST. Another very important safety factor.
10) Make sure the office has trained nurses available for hands-on post operative care. This can really speed recovery.
Posted in Breast Procedures, General Information | No Comments »
July 23rd, 2007 drberaka
Recent research shows that cosmetic surgery can actually be a powerful mood enhancer.
A significant number of people stopped needing anti-depressants after having cosmetic surgery. Also, 98% of patients said that cosmetic surgery markedly improved their self esteem.
These findings were presented at the 2006 annual meeting in San Francisco of the American Society of Plastic Surgeons. One of the scientists said; “Plastic Surgery patients are taking a proactive approach in making themselves happier by improving something that truly bothers them.”
We have always known that cosmetic surgery improves self-esteem and body image.
In fact, that’s the best argument in favor of cosmetic surgery.
This study is summarized in the journal Plastic Surgery Practice Advisor.
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