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

Maryland

Which incision for a breast implant?

I saw a young woman last week, and I have seen quite a few like her over the years. She had breast augmentation done elsewhere about 4 months ago. She was concerned that her breast implants were too high. Everyone starts out big, tight and high, but by 4 months most people are dropping nicely, and she wasn’t. It turns out that she had her breast implants placed through the armpit. While it sounds cool and sexy implants that are too high or don’t drop are a common consequence in this approach. During breast augmentation the lower insertion of the… Read More

What is posterior flank liposuction?

Many of you know that I perform frontal flank liposuction on most of my tummy tucks. For those that need liposuction in this area it gives more curve and contour to the hips and in my opinion makes the tummy tuck look more streamlined and sexy. The frontal flank is the love handle or the area you can grab if you pinch the roll just above your hips. In some people, this roll is mainly on the side of the body, but in some it extends all the way around above the buttocks. When it goes around the backside I call this… Read More

What’s a fleur de lis tummy tuck (Abdominoplastly)?

A few months ago I saw a woman who had lost over 100 pounds through diet and exercise. She was, without a doubt ready to get rid of all the loose skin hanging from her lower belly. She had seen another doctor who recommended liposuction and a standard tummy tuck, but because of her significant laxity I asked her if she had considered a fleur de lis tummy tuck. She looked at me as though I were crazy, not because she didn’t want the tummy tuck, but because she had never even heard of this procedure. So what’s a fleur… Read More

What’s a breast implant funnel?

I’m not a big one to jump on brand new items that come out for plastic surgeons. It seems to me that manufacturers’ want to sell me something that will “revolutionize” my practice on a monthly basis. Most of these things are short lived because they aren’t so revolutionary or just don’t work. In fact, the hype usually far exceeds the science. I feel differently about the breast implant funnel. A plastic surgical colleague was looking for a way to make it easier to insert silicone gel breast implants. Putting in a large silicone gel implant can require a lot… Read More

Spring sprang early

As some of you have undoubtedly noticed I haven’t written a blog in a while. Please accept my apologies. Sometimes work just gets in the way. I like to write my blogs about personal things and real things and I like to do them (as I think they should be done) on my own. It’s just been crazy busy in our office since before the New Year. Usually there’s a period of time in the winter when people see if they succeed or fail at their New Year’s resolutions, but Spring sprang early this year and people started coming in… Read More

Hair on, Hair off

The grass is always greener on the other side of the fence. In one room in our facility we spend our days putting in hair, and in another room just down the hall we take it off. Who’d of thunk? Hair transplantation has become ever increasingly popular. So why don’t you see more people who have had it done? You probably do but you just don’t know it, both men and women. It looks that good. The days of big hair plugs, dolls head results and grand surgeries are largely gone. The state of the art is called microfollulicular grafting,… Read More

Tattoo Removal – Your Options & What the Future Holds

As I am fond of telling my kids, the key to tattoo removal is prevention. Unfortunately, most of the people I see, at my cosmetic surgery practices in Maryland and Baltimore Maryland, who want tattoos off never got that advice. But here I’ll provide some options each with pros and cons. Laser Tattoo Removal: Lasers can remove certain tattoos. The best results are when the tattoo has dark ink. Lasers target black best. Reds and greens are much more difficult to eradicate. Professionally applied tattoos often come off more easily because the pigment is at a more uniform level. The… Read More

Sorry I Kept You Waiting ….

I find myself running behind in the office and sometimes doing what I hate the most… keeping someone waiting for their cosmetic surgery consultation. I am on your side here. I don’t like waiting in the doctor’s office either. So first and foremost if you are reading this and I have kept you waiting, or will keep you waiting, I offer you my sincere apologies. There is more to this blog however. I thought you might find it interesting to know how and why we can get backed up. —–The cascading arrival time: While we have a good scheduling program… Read More

PIP and safety of Breast implants

Recently a French manufacturer of silicone breast implants, Poly Implant Prothèse or PIP, came under Investigation by the French government for using low grade silicone in their silicone gel breast implants. The French have recommended that patients with these implants have them removed and replaced as a preventive, but not urgent matter. These breast implants are not approved for use in the United States and I have never used them in my practice. The concern is only relevant for patients who have had breast augmentation outside the United States. The only gel breast implants approved for use in the United… Read More

Temporary Rhinoplasty?

A number of people have seen us over the past few years asking about the liquid or temporary rhinoplasty. Popularized by a dermatologist in California, it is essentially a technique of using injectable fillers to alter the shape of the nose. If a patient has a bump on top of the nose the bump can be camouflaged by adding filler just above it. In some cases mild asymmetry can be improved. Eventually, fillers will reabsorb and the procedure will have to be repeated. I think it is a good option for people who are not ready to or healthy enough… Read More

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