After Breast Augmentation, Do I Have to Sleep On My Back?

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 lie on their side or their stomach.

read more

Changing Your Breast Implant Size: What to Expect

Times change. And so may your breast size if you’ve have had a child or a significant change in your weight.

About 10 percent of my patients come in for a consultation to get information about making a change: bigger breast implants, smaller breast implants, or a breast lift.  The average time elapsed since their first surgery is about 10 years, although it varies greatly.

They tell me, “I’ve gained a lot of weight, and I’m much bigger than I want to be. I’d like to go a little smaller.”

Or, “After my two children, my breasts got smaller. I just want to get my pre-pregnancy size back – and maybe a little extra.”

Others say, “I went for the gusto 15 years ago. I’ve enjoyed them and they served their purpose, but now that I’m 50something, I just want them a little smaller.”

Like the first time, we look at before and after photographs of women who started out similar to them in height, weight, frame size and breast volume. They tell me, “too big,” too small” or “just right” so I know what size implants to order.

Breast augmentation surgery is easier the second time around. Here’s what’s involved in upsizing or downsizing.

read more

How to Choose Your Breast Implant Size

Through the years, I’ve answered hundreds of questions from women who come into my office for a breast augmentation consultation.  I’ve also answered more than 3,000 questions about breast implants posed by women on RealSelf, an online cosmetic surgery forum.

Although women say it in different ways, their most burning question before surgery is this: How do I know what size breast implants to get?

read more

Breast Implants: Saline vs. Silicone

There’s an opinion asserted by breast implant manufacturers and by many plastic surgeons that silicone gel breast implants are better than saline breast implants. In my opinion, “It ain’t necessarily so.” I’ve performed more than 6,600 breast augmentation surgeries, many of them with saline implants. My patients who chose saline have reported a high degree of satisfaction; it’s been rare for a woman to request that I change her saline implants to silicone. Silicone gel implants may be stealing the spotlight, but saline breast implants still have much to offer. Here are seven...

read more

Do Breast Implants Need to Be Replaced Every 10 Years?

Several times a week in consultation, I answer questions like these:

“I need to replace my breast implants after 10 years, right?” Wrong.

“You did my breast implants 14 years ago and I’m still happy with their appearance, but a friend just had her 10-year-old implants redone because her doctor said she had to. Is that true?” False.

Breast implants don’t have an expiration date. They only need to be replaced if they deflate (saline) or rupture (silicone), and they’re not fragile.

read more

Am I Too Old for Breast Implants?

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.

read more