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Adam G. Tattlebaum M.D.

Breast Lift

Removing Breast Implants-Are Breast Implants Forever ?

If you have silicone or saline breast implants at this point you should know that eventually they may fail. Usually not a big deal replacement is pretty straight forward. Its part of the deal when you have a man made device living inside you. I’ve seen both silicone and saline implants last more than 20 years, but not all do. But do you have to replace them? What happens if you don’t? Many patients seem to know less about getting them out then getting them in. So why would a patient want to remove them? People change- I have known… Read More

Wear your Bikini to the Mommy Makeover?

When I plan my mommy makeovers I like my patients to bring in their favorite underwear or even bathing suit with them. No string bikinis please, no lacy panties and no granny panties. Something about an inch or two wide around the hips for a tummy tuck or similar width for a bra under the arms, something not too valuable, in case I get some marker on it. I draw the outline of your garment on your body before plastic surgery and I use the outline as a target in which to hide scars. My incisions are individualized. For, example… Read More

Don’t try this at home

This is a follow up to a blog I posed a few weeks ago about the pencil test. I am going to describe a sequence of operations that I really do not advocate but I hope makes sense when I describe it. Every month or two, I will see a woman with a double D or more breasts who wants me to do a breast lift and give them gravity defying breasts. Now I can do a breast lift on just about any size breast. The problem is that if I lift a large and heavy breast that breast will… Read More

The Pencil Test

The internet has a lot of confusing and conflicting information and for those of you reading my blogs (and I hope you do) I try to clarify concept and give my personal experience. The pencil test is one of those topics. Somewhere, sometime, someone on the internet declared that if you could hold a pencil under the fold of your breast your breast was too droopy, your implant too saggy or your breast lift was not good enough. If you can’t hold a pencil under the fold then you have what I call “gravity defying breasts”. There are two groups of… Read More

Postpartum Restoration A.K.A. The Mommy Makeover

As the proud father of two beautiful children and a plastic surgeon, I have had the first hand opportunity to see how such a magnificent miracle can dramatically alter the female body. Hereditary, unpredictable, and often unfair, pregnancy is a body-altering experience. The body is incredibly intelligent and throughout pregnancy has the ability to change dramatically in response to the hormones associated with it. The breast become fuller, skin stretches and abdominal wall and pelvic muscles loosen, among other things. Unfortunately, the body does not always do as good of a job restoring itself. Following child-birth skin loses elasticity and… Read More

Plastic Surgery after Dramatic Weight Loss in Maryland

Weight loss is not easy as most of us know. If done through diet and exercise healthy weight loss can take months to years. Because of improved techniques for gastric bypass and the lap band procedure, we are seeing more and more patients after dramatic weight loss hoping to look normal again. Tightening all the areas of concern in the weight loss patient covers almost every aspect of cosmetic plastic surgery. Rather than going over every option, I hope to give some guiding principles. It is best to consider cosmetic surgery for weight loss when you achieve your goal weight… Read More

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