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Adam G. Tattlebaum M.D.

Breast Augmentation

Correction of Inverted Nipples through Breast Surgery

Congenital inverted nipples are more common than people realize. However, this problem can easily be corrected under local anesthesia and can also be treated during breast surgery whether undergoing breast augmentation, reduction and or breast lift. To release the nipples, a minor incision is made at the bottom of the nipple and the breast ducts which bind the inverted nipple are released. Release of the nipple which requires the release of the underlying ducts may affected breastfeeding and sensation. If an inverted nipple is a new finding it must be evaluated prior to correction to make sure that there is… 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

What is ALCL?

On January 26, 2011 the FDA released an advisory notice regarding the association of Anaplastic Large Cell Lymphoma (ALCL) in women with breast implants. While ALCL is technically a type of lymphoma it appears to have a very benign course and the condition has been completely resolved by simply removing the breast implant and capsule. It is not a breast cancer. In the past 25 years only 34 cases have been reported in the world among an estimated 10 million+ implanted devices. The American society of plastic surgeons and the American society of Aesthetic plastic surgery are working with the… Read More

Breast Augmentation: Questions to Ask During your Consultation

If you are considering breast augmentation, it is important to discuss your options with a plastic surgeon. You will want to make sure your plastic surgeon is knowledgeable, certified, experienced, and to ensure all of the above it is important to ask your surgeon questions upon consultation. Additionally, a consultation will go over your desired results, medical history, etc. During this time, breast implant options will be discussed, as well as technique. Based off your desires, health and body frame one implant type may be better than another, as well as one technique may be more appropriate then another. What… Read More

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

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

Breast Augmentation Surgery: It’s About the Hips!

breast to hip ratio

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 – especially the hips. Balance is NaturalProspective 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… Read More

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