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    My Breast Augmentation Experience

    My Breast Augmentation Experience

    One of our patients kindly decided to describe her breast augmentation experience at the Plastic Surgery Institute of Atlanta.

    “I debated for years before I finally decided to undergo a breast augmentation with Dr. McCluskey.  Plastic surgery was not something I felt desperate for, nor did I think it would change my life. I was always unhappy with my breast size. As a kid I was made fun of by my childhood friends for not developing when they did. As a cheerleader I used to stuff my sports bra so that I wouldn’t look weird in my uniform. Thankfully, these insecurities never caused me to fear going out in public like other women I have seen undergo breast augmentation.  As I got older I was confident enough with my body yet I wanted breasts. Not huge breasts but larger ones that could give me an added curve to my body on top. Even pregnancy did not enlarge my breasts.   Pregnancy was the one thing I thought for sure would take me out of my training bra finally into a bra for the adult female. Go figure. During my consult with Dr. McCluskey I felt extremely comfortable and he was so kind to answer all of my questions. My experiences with other offices weren’t as easy. I felt a lot of the doctors seemed rushed. I was able to get all the information available about implants from the different kinds (saline and silicone gel) to what my post op experience would be. The day of my surgery could not have gone more smoothly. Dr. McCluskey’s entire staff was extremely helpful and attentive to my needs.  Any surgical procedure is scary and it was wonderful having the kind of patient care his staff gives.

     I went with an implant size (350cc Hi Profile Gel) that looked more natural. I did not want many people to know I even had the surgery done. The fake look was not my goal. I just wanted to finally wear that Victoria’s Secret 34C bra I eyed for so long. And four weeks after my surgery when I tried on that bra in the VS dressing room I was satisfied. I continue to be in love and happy with my breasts. My fiancé loves them too!! Thank you Dr. McCluskey and the entire staff at the Plastic Surgery Institute of Atlanta!”

    For more information on procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta visit http://sexualaesthetics.com/

    Plastic Surgery & Divorce

    As a divorced dad maybe I can offer a little insight on this topic.  I see a lot of patients who are either post-divorce or in the midst of a divorce or some other life-changing event.  I’m going to speak on the premise that there’s no right or wrong answer here.  Divorce sucks.  I don’t care what anyone says and I applaud those who try to smile and act like it’s no big deal but divorce is really hard on everyone involved, except for the lawyers of course.  Divorce breeds bitterness and hurt and it really brings out the worst in people – believe me, I know!  What I’ve found as a plastic surgeon, especially with my female patients, is that as the dust settles on major events like d

    mommymakeover

    ivorce, and sometimes it takes months to years, and people resume normal life they’re ready for positive change.  This positive change could mean getting a new job, moving to a new city, meeting a new special someone, or buying a

    new house or car.  As those things change, patients also seek to lose weight, eat better, exercise more, and in many cases have cosmetic plastic surgery.  This is one of those instances in which I really take issue with those who say that cosmetic surgery is all about vanity.  If a woman has had 2-3 children and she’s doing the best she can to look and feel good, then she deserves to get rid of that baby belly (extra fat, “the pooch”, extra skin, stretch marks) through a procedure like liposuction or a tummy tuck so that she can have a beautiful, flat tummy and feel better about herself both in and out of clothes.  Likewise if that baby weight has been tough to shed or maybe she’s dealt with feelings of depression that have caused some weight gain, then she deserves the immediate gratification of a procedure like liposuction.  Yes, it’s a quick fix & healthy weight loss requires a lifestyle change – I hear it all the time – but sometimes people just need a little boost or kickstart.  It’s amazing to me how many of my p
    So that’s my little spiel on plastic surgery and major life events such as divorce.  Plastic surgery doesn’t fix the emotional pain of divorce, and I would never recommend it to a patient as a way to get past any form of psychological pain.  But for many patients it’s the first time in many years they’ve felt like doing something entirely for themselves and I completely applaud any effort to pick oneself up and make some positive changes, whatever they may be.ost surgical patients make drastic lifestyle improvements.  Finally they’re happy with their appearance and they’ll do everything they can to maintain it.

    I recently saw a Dr. Oz episode about plastic surgery and discounts for divorce. I would never try to attract people to my practice as a result of some personal tragedy (or victory depending on your perspective).  Here’s a clip from that show and on this topic I have to completely agree with Dr. Oz’s opinion.   I love to offer discounts to military service people, teachers, and medical personnel but I do not offer discounts for divorce and the idea of such discounts just doesn’t sound ethical.

    http://www.doctoroz.com/videos/post-divorce-discounts-plastic-surgery-pt-1

    What’s Your Excuse?

    Source: mariakang.com

    Source: mariakang.com

    Wow, did Maria Kang (@mariakangfitness on Instagram) polarize social media world with three short words!  I have an Instagram account that I’m still figuring out but I’ve had the chance to look through Maria Kang’s photos.  I’ve never met this person so I can only make conclusions based on social media but @mariakangfitness has built an incredible following of “fans” or “likes” by simply living a healthy life and documenting it for the world to see.  She has 3 boys, born in 2009, 2010, and 2011 as she states in her profile.  She exercises at night or early in the morning when the kids are tucked in their beds and she combines plyometric training, weights, and cardio.  She has great taste in music, a supportive husband, and she is determined to maintain her fit lifestyle.  She speaks briefly about a history of bulemia and discusses her personal insecurities with her body.  She points out that she doesn’t have the thinnest waist, she doesn’t have six-pack abs, and she occasionally splurges on junk food.  She even includes a photo of a hot dog that a friend included in a box of donuts as a gift for her.  I can appreciate this.  There are other fitness gurus online who seem to live a life devoid of fun or guilty pleasures.  While occasionally splurging on junk food isn’t everyone’s idea of fun, it at least demonstrates that Ms Kang gives in to cravings just like the rest of us.

    Maria Kang posted a photo on Instagram of herself in workout gear with her three baby boys with the caption, “what’s your excuse?” and people are offended?  Would people be happier if she was fat, eating a pizza, and posted a photo with the caption “I have no excuse!” I heard this now infamous Instagram post discussed on the radio and I couldn’t believe how quickly people jumped to the conclusion that it’s easy for her but “based on my life & circumstances I can’t look like that.”  First of all, yes you can.  If you really want to commit to a healthy, fit lifestyle then you can look like that.  No matter what your age or health status or circumstances, if you improve your diet and exercise habits then you can “look like that.”  But more importantly I don’t think she’s challenging anyone to look like her nor is she saying that she has it tougher than anyone else.  Her point is that we can all make changes – either subtle or drastic – to improve our fitness levels, our appearance, and how we feel about ourselves.  Rather than get upset or argue over this post, get out and walk or run a mile.  You’ll be done in 15-30 minutes and I’m sure that many of those who’ve weighed in on Maria Kang’s story have spent at least that long discussing it.

    Here’s my own little struggle with weight gain & changes in metabolism.  As a divorced dad when my son is with me I put everything else on the back burner.  So when I have him I don’t exercise and I typically don’t eat very healthy – if the boys are eating pizza I might eat a salad but I’ll still have a couple of pizza slices.  The rest of my time is spent operating, seeing patients, and managing my practice.  I don’t have much free time and I eat meals on the go – but I don’t have an excuse!  I gained some weight this past year and it’s a direct result of exercising less and making poor diet choices.  I changed those habits over the past few months and I’ve lost almost 20 pounds.  I still have work to do but in answer to @mariakangfitness I have no excuse!  We’re all busy and we all have family and work commitments that get in the way.  But eating healthy doesn’t require extra time.  I know I can do better but I’m not going to take it out on someone like Maria Kang who is doing her best to be a great working mom and maintain a healthy lifestyle.  If you’re overweight or out of shape or munching on french fries while you’re reading this then you shouldn’t be upset at Maria Kang.  Instead, take it as a personal challenge.  Get up now, go into your bedroom or bathroom and take a before pic of yourself, a “selfie”.  Commit yourself to 4-6 weeks of better diet and as much light exercise as your schedule permits (3-5 times per week) then take another photo after that time period.  Your appearance will improve – if nothing else, you’ll feel better and if you feel better you’ll look better.  And you’ll realize that like me you have no excuse.  Life gets in the way sometimes but the only person who can help you make more time for yourself is you.   Make the time, eat better, exercise more and you may change your mind about people like Maria Kang.

    @mariakangfitness on Instagram

    mariakang.com

     

    For more information on procedures offered by Dr Paul McCluskey, visit http://sexualaesthetics.com/

    Breast Pain

    Sometimes breasts hurt.  This is just a fact of life for women.  A search for “breast pain” on Google immediately pulls up 61,700,000 results.  A great deal of content on the major health sites is devoted to the subject of breast pain.  Breasts are glandular and glandular tissue responds to changes in hormone levels.  Changes in the body are often accompanied by aches and pains.  We’re not talking about fall on the ground in agony pain, but it’s enough to drive many women to the doctor to inquire as to the cause of this pain.  The most common cause of breast pain is probably associated with hormone changes from monthly periods.  This is called cyclic pain and it typically subsides as a period ends.  Cyclic breast pain affects both breasts and tends to occur in younger women.  Cyclic breast pain is considered a normal part of monthly hormonal changes and with menopause this type of breast pain will cease to occur.  Noncyclic pain is more common in women 30 to 50 years of age and it may occur in only one breast. It is often described as a sharp, burning pain that occurs in one area of a breast. Occasionally, noncyclic pain may be caused by a fibroadenoma (mass) or a cyst. If the cause of noncyclic pain can be found, treating the cause may relieve the pain.

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    Breast pain can get worse with changes in your hormone levels or changes in the medicines you are taking. Stress can also affect breast pain. You are more likely to have breast pain before menopause than after menopause.

    As a plastic surgeon I don’t typically treat cyclic/noncyclic breast pain unless it occurs in one of my breast augmentation patients.  If a patient arrives in my office with complaints of breast pain I recommend some over the counter treatments and refer her to either her primary care physician, an OB/GYN, or a breast doctor.  I still take the time to reassure these patients that it’s likely nothing serious but especially in patients with cyclic pain, there are other specialties who more commonly treat breast pain.

    Other ways to relieve breast pain include:

    1. NSAIDs such as Ibuprofen, Naproxen, or Aspirin are the most common medications for treating breast pain.
    2. Danazol and Tamoxifen are treatments reserved for severe cyclic breast pain but these medications are rarely used for this condition.
    3. Birth Control Pills (oral contraceptives). OCPs can relieve cyclic breast pain and lessen breast swelling.  OCPs can also cause breast pain as a side effect .
    4. Magnesium supplements have been shown to relieve premenstrual symptoms and cyclic breast pain.
    5. High fat in the diet is a potential cause of breast pain so reducing dietary fat can help to relieve this type of pain.
    6. Reducing caffeine intake in the diet can reduce breast pain as well.

    When patients ask me about breast pain I know that underneath it all they’re concerned about the possibility of breast cancer.  Breast cancer is not often associated with pain and breast implants do not cause breast cancer.  A painful mass is not usually breast cancer but it can be.  This is one of those frustrating, ambiguous things that doctors often say to patients – so is it or isn’t it?  The only way to know with 100% certainty if a mass is benign or malignant is to perform a biopsy.  But if a young patient has cyclic pain for example, and she can feel painful cysts there is usually no indication to biopsy these as long as they change with the cycle.  The take home message is that breasts can hurt and most of the time it’s nothing to be concerned about.  Breast implants do not cause cancer and often times when a patient has pain months or years after breast augmentation, this pain is a result of cyclic/noncyclic breast pain, and not caused by the implants themselves.

     

    For more information on other services offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta visit http://sexualaesthetics.com/

    How Strong Is A Breast Implant? (video)

    “What happens if my breast implant breaks?”, “What does it take to break a breast implant?”

    These are two commonly asked questions that patients ask plastic surgeons during consultations for breast augmentation.  I’ve been told that the Mythbusters television show demonstrated that a breast implant can survive being run over by a car and I’ve relayed this information to a few of my patients.  But when we searched for a clip from that show we were unable to find any evidence of this experiment.  So we thought we’d give it a shot by running over a saline breast implant with my truck.  Not that it makes a huge difference but I drive a large truck (Ford Raptor SVT) so this is a true test of the implant’s strength.
    Most implant ruptures or breaks are spontaneous and are likely a result of what the breast implant companies have coined a mechanical failure, or a manufacturer defect.  This explains why when I remove a ruptured saline implant from a patient I am often unable to find a leak in the deflated breast implant after it is removed.
    Although our little test has zero scientific validity it is not a gimmick.  As a plastic surgeon I was quite curious about whether or not the implant would remain intact.
    Results:  When part of the saline-filled breast implant is outside of the tire base the implant stretches and remains intact.  The test was repeated many times on hard pavement with the implant sitting on a blue towel like the ones I use in surgery.  When the entire breast implant is placed under the tire the implant ruptures.  We filmed this second test in slow motion.
    What does this test prove?  The test demonstrates that these are very strong, pliable medical devices.  Obviously no situation in normal daily life mimics this test but I found the results very interesting.  I can now honestly tell my patients that the implant was undamaged after being repeatedly smashed into the pavement.  And this isn’t as ridiculous as it sounds.  I have a patient who is a professional soccer player and she was very concerned about her risk for rupture while playing soccer. This test helped ease her concern.
    So enjoy the video and let me know what you think!

     

    For more information on treatments and procedures offered offered by Plastic Surgeon, Dr. Paul McCluskey visit:

    My Experience With Breast Cancer

    “Oh my God my mom has breast cancer.”  That’s all I remember thinking.

    I had just started my internship after graduating from medical school when our family received the news.  My mother had undergone a breast biopsy that revealed cancer cells.  I had grown all too accustomed to hearing and relaying tough news to patients and families.  With my medical career in it’s infancy I had already uttered the fateful words, “I’m sorry, we did everything we could do, but…” all too many times.  Trauma surgery in a major metropolitan university medical center is just that way – not everyone makes it.  So here I was a young, “battle-hardened” trauma intern and my parents call to inform me that my mother has breast cancer.  With the over-confidence that my shiny brand new M.D. degree afforded me, I knew all of the percentages about breast cancer survival, and I quickly deduced that my mom would be fine.  It’s not that I was insensitive, but at that point I only knew cancer and major illness as academic disciplines.  I knew the causes, treatments, and treatment success rates, but I didn’t really know the patients.  Except now this wasn’t about a patient, this was my mom.  And over the next few days it really hit me – forget all the numbers and the big doctor words and the treatment options – this was life or death.  This was surgery, radiation, chemotherapy, hair loss, puking your guts out, then praying to be among the lucky who don’t relapse.  And this wasn’t one of the 30 patients I rounded on at 5am, hoping to catch them before they were awake enough to ask a lot of questions. This wasn’t one of my nervous preop patients from whom I really just wanted a signed surgical consent.  This was my mom.  Plastic Surgery Institute of Atlanta, Dr. Paul McCluskey Breast ImplantsShe would have surgery within the week and she had already chosen to undergo mastectomy on the affected side.  Again I turned to the numbers, and my limited knowledge of breast surgery to conclude that everything was going to be fine.  Not until I met my family at St Thomas hospital in Nashville before surgery did I realize how little I knew.  The truth is that the numbers, stats, and rates of complication, cure, and relapse, are incredibly important and they paint a pretty clear picture of how the average patient will do.  But this wasn’t an average patient.  This was my mom and she had breast cancer and despite having watched a few mastectomies I was scared to death about what was about to happen.  I had no idea if the surgery would “work”, as in would it cure the cancer, and what would have to happen afterward.  I was an intern – basically a fourth year medical student with an MD next to my name.  My family looked to me for some insight and I tried to be strong and reassuring but I had no idea what I was talking about.  I just wanted her to be ok and for this to all be over.

    Fortunately everything went well.  St Thomas is a fantastic hospital and her breast surgeon, Dr Kathleen Crews Williams did a wonderful job.  The surgery took much longer than I had expected and the reason for that was simple – my mom underwent an immediate breast reconstruction by Dr Bryan Oslin, a Nashville plastic surgeon, after Dr Williams completed the mastectomy.  Dr Oslin performed a latissimus dorsi musculo-cutaneous flap reconstruction with a tissue expander.  In essence he raised and released the latissimus muscle from the back, rotated it through the underarm, and then used this large flap of skin and muscle to cover the mastectomy site.   He placed a tissue expander underneath the muscle.  This is a device similar to a saline breast implant that can be filled during and after surgery until it reaches a specified volume.  Once it reaches that volume and the tissue has had a chance to expand over it the tissue expander is removed and exchanged for a silicone gel breast implant.

    I often think back to the image of my mom being wheeled from recovery to her hospital room.  I had never seen or even imagined her in this state, pale, & groggy, with tubes and IV’s, drains, and monitors all over the bed.  I knew what every tube, monitor, and drip represented but at that moment it was all a blur to me.  She was fine but she didn’t look fine.  None of my limited medical knowledge or experience mattered at that point – my mom was a postoperative patient and I was just one of her frightened, hopeful family members.

    My mom was after all one of the lucky ones.  Her cancer was stage 1, her sentinel lymph node biopsy was negative for cancer, and after surgery she did not require radiation or chemotherapy.  She was placed on a medication called Tamoxifen that had been shown to prevent relapse.   She healed great from the surgery and always gives glowing reviews of her medical team including Drs Williams and Oslin.

    That experience affected me profoundly in two ways – 1. It changed my entire approach to patient care and especially my approach to patients and families before and after surgery.  2. I wanted to learn everything possible about breast cancer diagnosis and breast reconstruction.

    Nancy Brinker’s sister was named Susan G Komen.  Susan G Komen developed breast cancer at a time when much less was known about the disease and she died from metastatic breast cancer.  Nancy Brinker thus started the Susan G Komen foundation in her sister’s name, dedicating this hugely successful charitable organization to breast cancer awareness & research.  My story about my mother’s breast cancer pales in comparison to this, but it changed my life.  My mom was “cured” and she recovered flawlessly as a vast majority of women do these days. We have all been affected by this disease and through greater awareness more and more women have good outcomes.  My mother’s experience with this disease revealed to me just how little I knew about breast cancer and it changed the course of my career.

    -Dr McCluskey

     

    For more information on treatments and procedures offered offered by Plastic Surgeon, Dr. Paul McCluskey visit:

    Botox Receives Approval from FDA for Crow’s Feet Cosmetic Treatment

    botox injectionDr. Paul McCluskey, an experienced plastic surgeon in Atlanta, GA, provides cosmetic and reconstructive surgeries of the face, breast, and body. People in Atlanta who are looking for a cosmetic treatment for eyes may not consider Botox treatment to reduce crow’s feet. Botox can make the eyes appear youthful and rejuvenated, and now the treatment has the stamp of approval from the FDA for removing crow’s feet around the eyes.

    Since eyes the most delicate external organ of the body, it is always a fantastic idea to choose an experienced cosmetic surgeon or a certified Botox provider in Atlanta or other places to receive Botox cosmetic treatment. Botox is made from botulinum toxin, which is a powerful biological agent that can be used to reduce facial wrinkles and fine lines around the eyes. Refreshed and rested eyes can remove the tired or old look from the face, and make a person appear more youthful.

    Cosmetic Application of Botox

    Crow’s feet around the eyes are technically called lateral canthal lines, which occur due to the repetitive action of eye muscles over a period of time. Repetitive muscular action that is caused by certain facial expressions such as frowning, smiling, or squinting can lead to lasting wrinkles or lines in the long run. Botox was approved several years ago for the cosmetic treatment of frown lines. It is also approved for the treatment certain medical conditions such as eyelid twitching or blepharospasm.

    Chronic migraine and excessive underarm sweating can also be treated with FDA approved Botox treatments. Now the FDA has announced its approval for Botox as an effective temporary treatment to reduce the formation of fine lines and wrinkles around the aging eyes, which are commonly known as crow’s feet. Patients who are bothered by the appearance of crow’s feet around the sides of the eyes can now achieve a smoother and more rejuvenated look with Botox treatment for crow’s feet.

    Successful Botox Test Results

    Botox treatment for crow’s feet received the approval from FDA only after an extensive study conducted by Allergan, Inc., the drug’s Irvine, CA based manufacturer. The study was conducted on a group of 833 adults. People who participated in the study were selected at random for receiving a Botox placebo injection.

    The group which was treated for crow’s feet with Botox revealed a noticeable reduction in crow’s feet compared to the other group that was not treated. Botox treatment may be received from a plastic surgeon in Atlanta, GA or other areas. The effect of the treatment may last for about three to six months. Patients should have realistic expectations in order to achieve better satisfaction from the results.

    Crow’s Feet

    Due to aging or other factors, fine lines may develop around the eyes that shoot out from the far outside corners of the eyes. These lines are commonly known as crow’s feet. These lines become more visible when we smile because the facial muscles in that area become active on smiling. Skin folds and wrinkles can occur naturally when the contraction of muscles occurs underneath the skin. The skin folds become deeper, depending on the frequency of the smile, and as skin elasticity becomes weaker with age.

    Botox can temporarily reduce these fine lines around the eyes. Botox chemical is injected directly into the affected muscles that are causing the formation of lines. The chemical works immediately to block the neural passage between the muscle and the nerve and prevents the muscular contraction. This enables the skin to appear smooth even when a person smiles because the treated muscle does not contract. As a result, the appearance of crow’s feet around the eyes can be diminished significantly.

    Precautions

    A qualified cosmetic surgeon in Atlanta, GA or other areas may be in the best position to provide Botox treatment. Safety should be the top priority in any cosmetic treatment, and eyes in particular need special care because they are the most sensitive external organ. The FDA warning is included in the Botox label, which says that the toxin’s effect has the risk of spreading to other areas of the body from the injection site. This may lead to symptoms akin to botulism.

    The FDA warning also provides an assurance that when Botox is used in recommended dosage, it has never been known to cause such an adverse event. Therefore, signing up and scheduling a Botox treatment session with the precise dosage is the key. Secondly, the toxin must be injected into the targeted muscle with accuracy to achieve the specific, desired results.

    Source of News: FDA Press Release

    For more information on other services Dr. Paul McCluskey provides visit http://sexualaesthetics.com/

    Breast Implant Placement

    Breast implant placement has a huge effect on the final results of a breast augmentation surgery. Patients have a choice between submuscular (below the pectoral muscle) and subglandular (above the pectoral muscle) placement depending on what suits their needs and the look they wish to achieve. Here, Dr McCluskey explains the importance of breast implant placement:

    Implant Placement

    “Breast implants can either be placed beneath the pectoralis muscle or above the pectoralis muscle.  The benefits and risks of implant placement above or below the muscle have been studied extensively by comparing hundreds of thousands of breast augmentation cases and the findings overwhelmingly support submuscular placement of breast implants.  Placing implants beneath the muscle, in a pocket created between the chest wall and the pectoralis muscle carries many advantages and reduces risks of complications.  It’s difficult to rank these advantages in order of importance but submusclar placement has the following pro’s:  1. reduces the risk of capsular contracture, 2. allows for mammograms to be performed and read (ie doesn’t interfere with early detection of breast cancer or other problems), 3. theoretically patients can still breast feed if they choose to do so, and 4. submuscular implant placement has a more natural appearance and contour in the upper chest.”

    For more information on services offered by Dr McCluskey go to sexualaesthetics.com

    Breast Lift (Augmentation Mastopexy)

    Breast lifts (or Augmentation-Mastopexy) are common among women who have lost the youthful shape of their breasts for a number of reasons. This could be due to weight change, breastfeeding and childbearing, or simply the natural aging process and gravity taking their toll. Through a breast lift, Dr McCluskey can both lift and increase the firmness of the breasts. A breast lift alone can not increase the fullness of the breasts or significantly change their size. If you are interested in breast reduction, or breast augmentation along with a breast lift, Dr McCluskey will work with you to create the results that you desire!

    “There are entire textbooks written about breast lifts.  I have in fact contributed chapters to some of these textbooks.  A mastopexy procedure, or breast lift, is the best option for rejuvenating sagging, droopy, or deflated breasts.  The plastic s

    melons

    urgeon word for sagging is ptosis (the ‘p’ is silent) so when a plastic surgeon tells you that you have a slightly ptotic breast, it’s a gentle way of saying you have a droopy or saggy breast.  Why are there so many textbooks written about breast lift techniques?  Like many procedures in plastic surgery, a breast lift can be performed using many different techniques.

    When I discuss breast lift with a patient I take a number of measurements and I demonstrate for the patient how I will lift the nipple to a natural position (at the level of the breast fold, and in the center of the breast).  Almost every patient with
    In a breast lift consultation, I always draw out the typical improvements that can be expected and I diagram the incision patterns on the drawing.  The incisions are effectively named a circle, a lollipop, and an anchor.  The circle describes an incision around the nipple, or a periareolar breast lift.  This is the most basic form of breast lift and can really only achieve a few centimeters of lift.  But in many patients a periareolar mastopexy not only provides adequate lift but allows for the creation of a smaller (less wide) areola in patients with larger areolae.whom I discuss breast lifting with is concerned about the incision scars.  It’s a valid concern as there will be some scars after a breast lift, but it’s a tradeoff.  A thin scar that will fade over the next few months is a fair exchange for a more youthful, well-shaped breast with more fullness in the upper chest.

    The lollipop style of incision characterizes the most common style of breast lift that I perform.  This is a vertical breast lift whereby the nipple is lifted and the skin and breast tissue beneath the nipple is tightened and lifted.  Patients are often afraid of this vertical scar on the breast but (and I say this with complete honesty) this vertical incision typically heals beautifully and is often nearly invisible 2-3 weeks after surgery.

    In patients with larger or wider breasts I often use the anchor style incision by removing excess breast tissue along the underside of the breast, in the inframammary fold.  Regardless of the lift technique or the incision pattern, a breast lift offers a wonderful change to patients with mild to severe ptosis.  A breast lift is similar to a reduction in that the incisions used are often the same, but a breast reduction involves removing a large volume of breast tissue and re-shaping the breast.” – Dr. Paul McCluskey

    For more information on procedures offered by Dr McCluskey visit http://sexualaesthetics.com

    Cohesive Gel “Gummy Bear” Breast Implants

    gummy bear“Gummy bear” implants were recently approved by the FDA  and provide a more cohesive silicone gel implant compared with traditional silicone breast implants. This firmer gel is thought to cause less wrinkling and rippling and create a firmness that some women may find more desirable. As with all implants, cohesive gel implants do have risks such as rotation, and larger incisions are needed for their insertions due to their added firmness. Here is Dr McCluskey’s take on cohesive gel implants:

    “The breast implant manufacturers such as Mentor Corp, Allergan Natrelle, and Sientra have been touting cohesive gel or gummy bear implants for a long time.  These companies created buzz over these new implants, driving patients to plastic surgery offices requesting cohesive gel implants.  I performed a number of breast augmentation cases with cohesive gel implants after they were FDA approved, but the results and patient satisfaction ratings were mixed.  A number of the patients complained that the implants were too firm & that they didn’t have the softer feel of natural breast tissue.  In two cases my patients asked that I remove the cohesive gel implants and replace them with standard silicone gel implants.  In both of those cases the patients were much happier after I exchanged the implants.  From my experience silicone gel implants have a soft, natural feel and the newer cohesive gel implants are more firm and do not offer an advantage over standard silicone gel implants.”

    During your consultation, Dr McCluskey will assess which type of implant is right for you and the look you are trying to achieve.

    For more information on treatments and procedures offered offered by Plastic Surgeon, Dr. Paul McCluskey visit: