Breast Blog

“Can you fix my tuberous breasts?”

Posted by on Jun 5, 2020 in breast asymmetry, breast implants, tuberous breast deformity | 0 comments

Dr. Ted Eisenberg Corrects Tuberous Breasts With a New Simpler, Safer, One-Stage Procedure

It’s a question that women sometimes ask when they come in to Dr. Ted Eisenberg’s office for a cosmetic breast surgery consultation. They are asking about a congenital condition in which breasts might be longer and narrower, rather than round. The areolas may be puffy, there might be a lack of skin under the nipple, and the fold under the breast (the inframammary fold, or IMF) might be higher than usual.

While plastic surgery websites and Internet forums describe a complicated approach to correcting tuberous breasts with silicone implants, Dr. Eisenberg has achieved an equally aesthetic result using saline breast implants in a one-stage operation.

“Surgeons often recommend two options, both with silicone breast implants. One is a two-stage approach, in which they place an expander to break up the constricted (narrow) breast and later replace it with a permanent implant. The other is a one-stage approach that involves radial scoring (cutting breast tissue to expand the constriction) and lowering the IMF when necessary,” he explained.

Dr. Eisenberg has unparalleled experience; he has performed more than 6,500 breast augmentations, many with saline breast implants. He observed that when he placed a saline implants through the inframammary fold, it did the work of an expander. It broke up the constriction.

“This single surgery is less invasive; there is no radial scoring, no lowering of the IMF, and no drains. I can make a smaller incision when using saline than silicone implants because silicone come prefilled while saline are inserted prior to being filled. Plus, saline implants are less expensive.”

Dr. Eisenberg’s discovery was published in an article entitled “One-Stage Correction of Tuberous Breast Deformity Using Saline Implants,” which appeared in the Dec. 2019 issues of the American Journal of Cosmetic Surgery. He also lectured on the topic at the annual meeting of the American Academy of Cosmetic Surgery earlier this year in Las Vegas.

Along with offering his surgical colleagues another option for correcting tuberous breasts, he also shared his unique perspective: “Unfortunately, surgeons created the term ‘tuberous breast deformity’ (TBD) and it has spread from surgical literature to consumer magazines. It’s become a ‘thing’ and is causing unnecessary concerns for women.

“Women’s breasts come in all shapes and sizes, and in my opinion, they shouldn’t be labeled.”

When patients come to Dr. Ted Eisenberg’s office for their free consultation, they see before and after photos of women who started out similar to them in height, weight, breast size and shape. “They see the satisfactory aesthetic results that this one-stage technique offers,” Dr. Eisenberg says, “and they are relieved and reassured.”

This article was first published on an NBC affiliated news station in Youngstown, Ohio.

After Breast Augmentation: When Can I Sleep on My Side?

Posted by on Jan 12, 2020 in breast-augmentation | 0 comments

There’s a myth that after breast augmentation surgery, you’ll need to sleep on your back for a week or longer. Many of my patients believe it, and they are worried that they won’t be able to get to sleep, because they normally sleep on their side or their stomach.

They are not alone. According to the Better Sleep Council, fewer than 15 percent of people prefer to sleep on their back.

Let’s bust this myth: You don’t have to sleep on your back after breast augmentation surgery. You don’t have to stay up all night to make sure you don’t doze off and turn over onto your stomach. You can sleep any way you want from the night of surgery on, including on your stomach if you’re comfortable enough.

[WATCH OUR VIDEO: Do I Have to Sleep on My Back?]

Saline and silicone breast implants won’t pop if you sleep on them; they are extremely durable and can withstand a lot of weight. In fact, Allergan, an implant manufacturer, tests its implants by exerting 55 pounds of force on them repeatedly, up to 6.5 million times. (That would be equivalent to sleeping on your stomach for the next 17,808 years.)

Just as your contact lens can’t slip behind your eye, your breast implants can’t disappear into your body. They are carefully positioned in a space (a pocket) behind the pectoral muscle. Just like contact lenses, the implants can’t go anywhere because they bounded by muscle and strong tissues. The normal movement in the pocket won’t disrupt your healing.

The only factor limiting your sleep position is comfort. Most women tell me that they are fully comfortable sleeping on their stomach in about three weeks on average. They are comfortable sleeping on their side much sooner.

Sweet dreams.

Find out more about breast surgery recovery. Read “What to Expect the First Week.”

The information above  is what I tell my patients to do and to expect after breast augmentation surgery: Each doctor has his or her specific postoperative protocol, and it might vary greatly from what you read here. It’s imperative that you follow your doctor’s instructions.

Am I Too Old for Breast Implants?

Posted by on Oct 31, 2019 in breast-implants | 0 comments

Absolutely not. There’s nothing wrong with wanting to look as good on the outside as you feel on the inside, no matter how old you are. If cosmetic breast surgery would make you feel better about how you look – in clothes or out – there’s no reason to rule it out.

To date, my oldest patient was 72. She had small breasts and had been thinking about getting breast implants for a very long time. She had a new boyfriend, and the time was right for her.

She’s not alone. According to the American Society for Aesthetic Plastic Surgery, more than 50 percent of breast augmentation patients are over age 35.

In my experience, older patients are highly motivated; they’re ready to make a change. They tell me that they’re fit and they feel good – younger than their age. Their kids are older and they have more time to take care of themselves.

What women want to know when they come in for a free consultation is if breast augmentation surgery can accomplish their goal. We answer that question by looking at before-and-after photographs of actual patients who started out similar to them in height, weight, frame size and breast volume. Read: Can You Make Me a Full C Cup?

No matter what you’re age, you’re never too old to look at before and after photos!

No matter how old you are, your general health will be evaluated to make sure that you can tolerate surgery, that you will heal well, and that surgery won’t make your condition worse. If it’s appropriate, your doctors will be contacted for medical clearance.

Depending on your age and family history, you may be asked to get a mammogram before surgery. The American Cancer Society recommends mammography screenings for women 40 and over and for any woman whose mother or sister has a history of breast cancer.

After surgery, at their post-op visits, older women have told me: “The process was so much smoother than I expected.” “Your staff and the hospital were terrific.” It was much easier than childbirth!” And “I can’t believe I waited so long.”

In her thank you note, a recent patient wrote: “Imagine: I never shopped for a bra in my life, never knew what it was like to have breasts, so to speak, and I was 43! I remember feeling unsure about my decision to have a breast augmentation, doubting whether I should invest so much in my physical appearance. But it has proven to be incredible; the breast augmentation surgery shifted my whole sense of myself as a woman as I gained unexpected confidence, pride and sensuality.”

Another patient wrote this: “Why didn’t I do this sooner? Finally, at age 58 I feel like a woman. I used to think my very flat chest was just me. But I found a whole new me – a new and improved version of the old me. I should wear a T-shirt that says: I waited 58 years for these and thanks to Dr. Eisenberg I have them!

Can I Get a Mammogram If I Have Breast Implants?

More than one-third of a million women in the United States have breast augmentation surgery each year, which means that radiologists are likely to have experience evaluating breasts with implants. When you register for your mammogram, the staff will likely ask you if you have breast implants. If they don’t, you can let them know. To maximize the amount of breast tissue that can be seen, the technician will gently displace (push up) the implants and will take extra views of each breast. Watch: “Can a Mammogram Break a Breast Implant?”

World Record Holding Plastic Surgeon Remains Top Cosmetic Breast Surgeon in Philadelphia

Posted by on Sep 26, 2019 in breast-augmentation | 0 comments

Philadelphia, PA – Dr. Ted Eisenberg  is the first and only surgeon in the Philadelphia region to dedicate his practice entirely to cosmetic breast surgery. After performing more than 6,600 breast augmentation surgery procedures in his lifetime, Dr. Eisenberg has become recognized as a leading authority in his industry.

Despite his practice’s record-breaking procedures, Dr. Eisenberg attributes his success to his caring and knowledgeable staff. He promises that women will leave his office with accurate and honest information, happy that they took time to get their questions answered.

As a result, the practice has benefited from years of word-of-mouth advertising.

Silicone gel implants are recommended by the FDA and the manufacturers for women 22 and older. Saline implants are available to women ages 18 and up. Although the majority of Dr. Eisenberg’s patients fall in the latter range, young women who have not developed often tell him that they feel self-conscious when they are on the beach and that they can’t find clothing or swimsuits that fit. They don’t want to wait several years for surgery.

Dr. Ted Eisenberg stresses that saline implants provide a natural feel and appearance, despite the perception that silicone offers a more natural look. Another important benefit of saline implants is that they are inserted prior to being filled, which means the incision made in the crease beneath the breast is smaller in comparison to the one required for silicone implants. 

There is a limit to how large an implant can fit behind the chest muscle, and it’s dependent on the width of each breast. A saline implant acts as a tissue expander, which means a woman can sometimes get a slightly larger size than she could with a silicone gel implant.

Dr. Ted Eisenberg and his team at the East Coast Center for Cosmetic Breast Surgerypride themselves on the care they give their patients. Those interested in silicone or saline implants are encouraged to make an appointment with Dr. Eisenberg at his Philadelphia office to get more information about breast augmentation surgery and their options.

This article originally appeared in the publication Morning Release.

Breast Surgery in the Hospital: It’s a Smooth Operation

Posted by on Jul 19, 2019 in breast asymmetry | 0 comments

While some doctors choose to perform breast augmentation and breast lift surgery in an outpatient surgicenter, I’ve chosen to do all of my surgeries in the operating room at Nazareth Hospital in Northeast Philadelphia. Here are a few of my favorite things about working in the operating room there.

When I joined the Nazareth Hospital staff 20 years ago, I felt like I had found my surgical home. It’s a little bit like the bar in Cheers, the ’80s sitcom, “where everybody knows your name.”

Through the years, I’ve gotten to know scores of people who work in the OR – anesthesiologists, nurses, technicians, etc. It feels like a family; some people have worked together for as long as 30 years. We celebrate birthdays, marriages, and retirements. I’ve seen that the concern for each other translates into concern for each patient.

cosmetic surgery

Sterling Gray and his watercolor, “The Color of Love.”

I’ve worked with people from Korea, India, Italy, the Philippines, Russia and Peru and learned about their cultures – along with several words in their languages. (You might not be surprised to know that one of the words I learned is “breasts”!) One of my co-workers is an accomplished painter; his paintings are hanging in my office and in my home.

I appreciate the hospital’s high standards. The administration reviews each surgeon’s credentials and training and requires board certification as a prerequisite for joining the staff. Nurses and staff participate in weekly in-service trainings and must earn continuing medical education credits to maintain their licensure.

I work with talented, competent and sensitive colleagues, and we enjoy exchanging ideas, discussing the latest medical research, and sharing suggestions to improve the patient experience. Every nurse and assistant in the OR is cross-trained and experienced with cosmetic breast surgery, so they can fill in and support each other.

I get to do breast augmentation surgery near me! Nazareth hospital is just 8 blocks south of my office on Route 1 (Roosevelt Boulevard), which means it’s easy for me to go back and forth and for patients to go from my office to the hospital for pre-surgical testing.

About The Hospital That We Perform Our Breast Surgeries In

The hospital offers great support – like a good bra! Patients get a blood test for pregnancy as part of their pre-surgical testing, but if the test needs to be repeated the morning of surgery, we can get it done and have the results back in minutes.

Dr. Eisenberg in the OR at Nazareth Hospital.

If a patient tells me she smoked weed before she came in for surgery, the anesthesiologist is on hand to decide whether or not it’s safe to have breast implant surgery. There is ample staff, and they will sleep over in bad weather if necessary. The hospital never closes; in the event of a power failure, they have generators. The hospital is located just a mile from my office, which makes it convenient for me and for my patients.

Although complications are rare, surgicenters must have a plan in place to transfer patients to a hospital in the event of unanticipated medical complications. It’s comforting for me to know that the hospital’s emergency room is just an elevator ride away. I think of it like homeowner’s insurance. You hope there’s no emergency, like a fire or a flood, but if there is, you’re glad you have protection.

Breast augmentation and breast lift surgery, with or without implants, do not require an overnight stay; patients go from the short-procedure unit to the OR to the recovery room to the post-op lounge – all on the same floor. My patients confirm my feelings about Nazareth Hospital. We conduct a survey post-op in which the patients get a chance to evaluate the hospital staff. They consistently rate them 10 out of 10. Likewise, a number of patients have been nurses who are employed at other hospitals; they routinely comment that their experience exceeded their expectations. Read More: “Can You Make Me a Full C Cup?”

One woman wrote, “I’ve had surgery at other hospitals and have never quite received the care, thoughtfulness and cooperation as I did from the members of your staff. Several people were there to help me, and someone was constantly at my side asking if I needed or wanted anything. They strived to keep me as comfortable and happy as they could. I’m sure their job sometimes goes unrecognized by others, but I couldn’t let this experience go by without giving recognition where it is due. Thank you again for all your support.”