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Adam G. Tattlebaum M.D.

Breast

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

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

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

Male Breast Reduction

Gynecomastia means enlargement of the male breast tissue. There are a number of options in Male breast reduction and I just wanted to try to clear up a few things here in this blog. The most common reason for men to have enlarged breasts is unknown. While a very few patients will have a hormonal abnormality it is quite rare and does not change the surgical solutions. Rule of thumb: Gynecomastia surgery should be performed after puberty and is best performed at younger ages when the skin is more elastic and likely to shrink up when the tissue underneath is… Read More

Exchange Saline Implants for Silicone gel breast implants?

I recently put a special on my website offering patients with saline breast implants the opportunity to switch to silicone breast implants. I think it’s a wonderful opportunity for patients who have considered switching. So why switch to silicone breast implants? A silicone gel implant is softer than saline, mushier and generally more natural looking. A gel implant softens the transition from the chest wall to the upper portion of the breast. So who might make the switch? – If you wanted silicone in the first place but had your breast augmentation surgery back when silicone was not available in… Read More

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

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

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