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 301-656-6398  |  703-442-4919
Adam G. Tattlebaum M.D.

Recent Posts

Balancing Breasts – Breast Augmentation

I think there are a lot of subtleties about breast augmentation that the public is not aware of.  Breasts by their very nature are never exactly the same before or after plastic surgery.  It is common for patients to have asymmetric breast volume and shape.  It is common to have different degrees of droop.  Many women have one breast that is slightly higher on the chest wall than its counterpart.  In these patients, the fold of the breast and the nipple are slightly higher.  Often the underlying muscles are very different as well; the dominant hand pectoral muscle is often… Read More

Liposuction is not about the fat!

Each day in my Maryland and Baltimore Maryland offices I see people in consultation for Liposuction. While Liposuction is one of the most popular procedures that I perform I find that often it is the most misunderstood. Liposuction is not only about the fat—it’s about the overlying skin. Liposuction can be used to remove fat from just about any area of the body but the key to a nice looking result is having good skin tone. When I evaluate my Clientele in Maryland and Baltimore Maryland for Liposuction, with their permission, I pinch them to assess the skin tone. If… Read More

The Best Botox®

Every day I see ads in newspapers, magazines and circulars offering Botox® at insanely low prices. It leaves me wondering how patients really know that they’re getting good Botox treatment. Botox is reconstituted with sterile water. Add more water and you may stretch a bottle farther, but you also may see less of a result. Older Botox may not work as well as a freshly opened bottle. So, paying for Botox by the site can mean a better or worse result, depending on how generous or frugal your doctor is. In my own practice we reconstitute the Botox® strictly according to… Read More

The American Society for Aesthetic Plastic Surgery Meeting

This week I attended the annual meeting of The American Society for Aesthetic Plastic Surgery here in D.C. at the National Harbor.  This meeting brings together plastic surgeons from all over the United States and the world. While it would seem to the outside observer that this meeting is all about the plastic surgeons and the innovations in the exhibit halls, in reality this meeting is about safety, consistency and predictability for our patients. Early in its evolution cosmetic plastic surgery was an offshoot and little publicized branch of plastic and reconstructive surgery.  Surgeons had different approaches and techniques that… Read More

When is the best time for cosmetic surgery?

The best time for cosmetic surgery is when you have the time and support to recover. Each operation that I perform has different timing in terms of average recovery.   Things that require pulling or stretching of muscles like tummy tucks for example will need a longer recovery than skin tightening procedures such as breast lift.  While each patient is different I offer some general rules of thumb: 1. Give yourself off about a week for all but the most minor procedures: It is better to be pleasantly surprised and need less recovery time than to need more time and not… Read More

Facelift, S-Lift, Thread Lift, Lifestyle Lift – Which One Should I Choose?

The names of procedures that are marketed today for facial rejuvenation can sound like alphabet soup and can be very confusing for patients. Facelifts fall into one of two categories: Mini or Full. You may have heard of the ones with the cute names like S-lift, Thread lift, or Lifestyle lift. These are often marketed in the popular magazines, and are merely variations on the mini-facelift. So which one do I recommend?—the one that fits my patient. When a patient comes in to my office for a consultation I will listen to their goals and concerns, look at their hairline… Read More

The “Bigger” Disease – Preventing prior to Breast Enhancement Surgery

The Bigger disease is highly contagious and usually sets in about six months after breast augmentation surgery. When breast implants are first put in all patients look too big tight and high before the skin and muscles relax. I prepare my patients extensively for this so they don’t panic. Next comes what I call the honeymoon period. As about 3 weeks rolls around the implants start to settle but still have that push up bra look without the push up bra. While these breasts don’t yet look natural patients get used to the dramatic fullness so when the implants fall… Read More

So what exactly is a mommy makeover?

The term “mommy makeover” gets used a lot on web sites and in marketing. In my own practice I call it post partum restoration which I think sounds more professional. Weather its makeover or restoration the goal is the same. It’s about making women who have had children feel normal again and it is one of the most rewarding parts of my practice. There are usually two components to this kind of restoration: breast enhancement and rejuvenation of the abdomen. Breast enhancement: In a rather cruel way the breasts enlarge with childbearing but they often deflate after weaning leaving even… Read More

Breast Augmentation Surgery- It’s about the hips!

Breast Augmentation is the most popular procedure that I perform. While the breast certainly plays an important part, to me the key is a sense of balance when I look at the entire person and especially the hips. Prospective Breast implant patients are taken to an implant sizing room in my office where we keep implants to try on in all sizes. Before I walk into the consultation, the breast augmentation patient has often already chosen and is trying on the smallest breast implant in our sample drawer. I think the conventional wisdom is that “smaller” will always be more… Read More

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