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Adam G. Tattlebaum M.D.

Plastic Surgery

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

The Joys of a go Kart

So this plastic surgeon, thanks to the urging of my 13 year old son, is finally building his first go kart. There is no plastic surgery message in this blog post other than for those of you who know me I love creating things with my hands in the operating room or at home in my garage. This summer, I attended two macramé classes with my daughter, and now the go kart. Just before the summer my son got the urge to have a go kart as he watched a friend in the neighborhood tool around on one his father… 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

Men, Liposuction, and the Military

Men tend to be more shy when it comes to cosmetic plastic surgery. While my practice is about 80% women here in the Washington D.C area the U.S. Military unknowingly sends me a steady stream of male patients. Military doctors have decided that one way to evaluate “fitness for duty” is to have a specific ratio of neck diameter to waist diameter. If this ratio is off a discharge could ensue. While I can’t really change the diameter of the neck, I have liposuctioned liters of abdominal and flank fat from servicemen (and women) at bases all over the Maryland,… 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

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

The Dreaded Tummy Tuck

I would have to say that that the largest group of patients I see in my daily office life are post partum moms. It is a very consistent group of people with similar requests. The post partum moms usually have very realistic goals. They want to restore the breasts that fell or flattened after child bearing and tighten the tummy that now jiggles, bulges or droops. For purposes of this article I will focus on the tummy. The group of people described above is usually well read, well researched and in good physical shape. So into my office walk a… Read More

Obesity is Costly – Especially for Women

General speaking women have higher living expenses then men- makeup, hair products, skin care products, waxing, weekly manicure and pedicures, monthly facials, quarterly microdermabrasion, feminine products, etc. So, it shouldn’t surprise us to hear obese women have higher living expenses than obese men and non-obese women. ¹Adult women who are obese often spend as much as $4,879 extra towards living expenses, while men often rack up about $2,646 in additional expenses incurred for being obese. Obesity can have an affect on individual’s personal life, as it can cause people to feel self-conscious about their bodies. However, many people don’t realize… Read More

The American Society for Aesthetic Plastic Surgery Meeting

This week I attended the annual meeting of The American Society for Aesthetic Plastic Surgery here in D.C. at the National Harbor.  This meeting brings together plastic surgeons from all over the United States and the world. While it would seem to the outside observer that this meeting is all about the plastic surgeons and the innovations in the exhibit halls, in reality this meeting is about safety, consistency and predictability for our patients. Early in its evolution cosmetic plastic surgery was an offshoot and little publicized branch of plastic and reconstructive surgery.  Surgeons had different approaches and techniques that… Read More

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