Breast Augmentation is still a hot topic. Our recent American Society of Plastic Surgery meeting in Seattle was attended by board-certified plastic surgeons from around the world. Multiple panels, courses and scientific presentations covered various aspects of breast implants and techniques. The infra-mammary incision is still the most popular. The incision through the umbilicus has fallen out of favor. A 3 cm. incision for saline implants and a 6 cm. incision for silicone implants is typical. To reduce scar tightening around the implants (capsular contracture) and to improve mammographic visualization, the submuscular position is preferred. The one exception would be a patient with early breast ptosis -a better shape and contour can be obtained if the implants are placed above the muscles (submammary position). Saline filled and Silicone gel filled implants are both popular options. Silicone implants have the advantage of a softer feel and a more natural look. There is also less chance of wrinkling with silicone. In very thin patients with minimal breast tissue, the silicone implants give a better result. The cohesive gel implant is not yet approved by the F.D.A. for general use in the U.S.A. I will keep you up-to-date on this exciting breast implant. Breasts implants come in different sizes, shapes and projections, as well as textured vs. smooth surfaces. In order to achieve a "custom fit" for a natural result, the pre-operative and intra-operative sizing process is critical. This involves the patient's individual anatomy, chest wall dimensions, skin elasticity, and patient desires. In summary, breast augmentation is still a "hot commodity" with a high patient satisfaction level, minimal "down-time" and few complications.
I was born in New Orleans. I obtained my B.A. degree with Distinction and Phi Beta Kappa Honors from the University of Colorado. I obtained my M.D. degree from L.S.U. Medical Center. I completed a 5 year surgery residency specializing in Otolaryngology and Head and Neck Surgery in Denver Colorado. I served in the military and spent two years in Germany at Landstuhl Army Medical Center. From 1983-1985, I trained in Plastic and Reconstructive Surgery in Miami, Florida under world renowned plastic surgeon, Dr. Ralph Millard. I have been in solo practice for over 20 years performing cosmetic and reconstructive surgery. I have obtained Board Certification by two boards recognized by the American Board of Medical Specialities: The Amercian Board of Plastic Surgery and the American Board of Otolaryngology/Head & Neck Surgery. I have served as President of the Tulsa County Medical Society and Chief of Surgery at St. John Medical Center. It has been an honor and priviledge to provide surgical care to my patients.