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Adam G. Tattlebaum M.D.

Cosmetic Surgery

Herbal supplements and bleeding in Plastic Surgery

If you’ve ever had a cosmetic surgery consult with me, and I hope you have or will, you will see that I walk my patients through what I call “a pretend day of surgery.” Each of my procedure-related talks starts out with telling patients to be sure to avoid aspirin, Ibuprofen and herbal supplements at least 2-3 weeks before their surgery. Well, the aspirin and the Ibuprofen (Motrin, Advil) are pretty easy to remember, but many people forget about the herbal supplements, some of which are regular food products. Many are sold in health food stores and many are potent… 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

What goes together? More Than One Procedure of Plastic Surgery

When a patient comes in for a consult I never want that patient to feel as though I am trying to add additional plastic surgery, but it is my job is to point out where certain combinations are more powerful than just the one surgery alone. In plastic surgery there are certain procedures that must at least be considered together. Some classic examples: Rhinoplasty: Rhinoplasty really needs to be considered with the chin. The reshaping of the nose has a dramatic effect on the profile. If the chin is receding only half the battle is won. Chin implant may be… 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

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

Labiaplasty- reducing the size of the Labia

When I started performing Labiaplasty a number of years ago I had no idea how popular it would become. A patient once told me that she regretted not having had it done when she had her breast augmentation; she just didn’t know that I did it. Because of her I added a “while you’re at it” section to my D.C. breast webpage to point out surgeries that are commonly combined. Labial tissue comes in all shapes and sizes. Some have more, others less. Common concerns patients share with me include a self consciousness during sexual activity, difficulty wearing certain clothing… 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

Maryland Plastic Surgeon Dr. Tattelbaum on Facebook, Twitter and Social Media:

I was an early adopter of AOL when my wife and I lived in Boston and she had to telecommute with her office in New York. Maryland, D.C., and Baltimore Maryland became exponentially better when high speed cable came to my home and now FIOS—which I love. I was an early adopter of the web page to promote my practice and educate prospective patients. Now plastic surgery websites are a dime a dozen. I still like to write my own content because I hope that a personal perspective is more interesting than the canned lingo I see so often. The… Read More

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