How Adjustable Saline Implants Work

by Robert N. Young, M.D.
Board Certified Plastic Surgeon

The adjustable saline implant was initially used in breast reconstruction to slowly expand the tissue after a mastectomy. It is now sometimes used for breast augmentation. The saline implant that is used has an external valve, the "fill valve", that is positioned under the skin near the incision. We usually put the incision in the armpit, but it can be made around the nipple or in the inframammary fold as well. The implant is filled up to the agreed size at surgery.



Adjustable Breast Implants
shown with fill valves



After the surgery, the patient can decide to adjust the size within about 50cc either up or down. At the office, your physician places a needle through the skin into the "fill valve" and the saline is either injected to increase the size, or withdrawn to reduce the size of the implants. After the patient is happy with the size, the valve is removed in the office under local anesthesia. At that point, no further "adjustments" can be made.

If you've heard about adjustable breast implants and want to know more about them, consider a visit to a Board Certified Plastic Surgeon who can help determine whether they are a good option for you.

Cosmetic Surgeries Increased in 2012 Despite Poor Economy

by Andrea L. Algar

The American Society of Plastic Surgeons reports that 14.6 million plastic surgery procedures were performed in the US in 2012 which is a 5% increase from the previous year. All this despite a weak national economy and people watching their purse strings a bit more than usual.

The most popular surgical procedures were breast augmentation and rhinoplasty (nose job). In addition, over 6 million wrinkle relaxer treatments such as Botox and Dysport were performed. Other treatments that are gaining in popularity include facial fillers such as Perlane, Restylane and Juvederm.

Dr. Robert Young has been performing cosmetic surgeries since he began his San Antonio private practice in 1990. To him, these trends are not new. "I've performed more breast augmentation surgeries than any other procedure, and they have been growing in popularity even more than ever over the past five to ten years," he states.

A pioneer in minimally invasive techniques in San Antonio, Dr. Young has helped thousands of women wanting to enhance their natural bustline by offering a wide range of choices in saline and silicone breast implants. He explains, "We offer choices in incision site, over or under the muscle, and in the shape and size of breast implants as well. These choices allow women to select the look they prefer, whether it is natural or intentionally enhanced, big or small or anything in-between."


REFERENCES:
dryoungforever.com - Dr. Robert N. Young, MD, FACS, Board Certified Plastic Surgeon

ABOUT DR. YOUNG
Robert N. Young, founder of Aesthetic Enhancement Cosmetic Surgery & Laser Center, is a Board Certified Plastic Surgeon with over 30 years experience. A native of San Antonio, Dr. Young graduated from the esteemed U.S. Military Academy at West Point and his medical training from Tulane University School of Medicine. Dr. Young retired from the military in 1990 after having served as Chief of Plastic Surgery at Brooke Army Medical Center. He has extensive experience both as a reconstructive plastic surgeon and a cosmetic plastic surgeon, and over the past twenty years has become known as the breast doctor of San Antonio. His practice includes a fully accredited outpatient Surgery Center staffed with qualified Registered Nurses, Anesthesiologists and surgical technicians. As a leading plastic surgeon in San Antonio, Texas, Dr. Young is a member of the following professional organizations:

- ABPS Diplomate - Board Certified by The American Board of Plastic Surgery (ABPS)
- Member, American Society for Aesthetic Plastic Surgery (ASAPS)
- Member, American Society of Plastic Surgeons (ASPS)
- Fellow, American College of Surgeons
- Member, Texas Medical Society (TMS)
- Member, San Antonio International Society of Plastic & Reconstructive Surgery (SAISPRS)
- Bexar County Medical Society (BCMS)
- Accreditation by the American Association for Ambulatory Surgical Facilities (AAAASF)

Cosmetic Procedures Grow Worldwide With Differing Favorites

Reports out of Paris by IMCAS show that the European market for cosmetic procedures is continuing to grow, and is expecting at least another 10% increase this year. Breast Augmentation and liposuction continue to be the top surgical procedures, while anti-wrinkle injections and laser treatments are strongest for non-invasive options.


Cosmetic Surgery Popularity Soars


Asia, too, reports strong growth, with demands highest in eyelid surgery and nose surgery. Growth estimates are upwards of 14% for these procedures, perhaps setting the pace for the region of strongest growth in cosmetic and plastic surgery procedures.

In the United States, growth continues despite the sluggish economic recovery. Some speculate that the continued interest in cosmetic procedures is lead by the need to remain competitive in today's tough job market. Whatever the reason, it certainly appears that cosmetic plastic surgery is no longer considered a taboo topic. We've noticed that more and more patients are openly discussing their surgeries with friends, family and acquaintances, and that it's being talked about as a positive, enhancing life experience.

If your're considering a cosmetic procedure, we encourage you to seek out services from a qualified professional who is Board Certified in Plastic Surgery. For more information on what Board Certification means, visit The American Board of Plastic Surgery or the American Board of Medical Specialties.

ABOUT DR. YOUNG

Robert N. Young, MD, FACS - View Dr. Young's Credentials
Dr. Young is a Board Certified Plastic Surgeon with an active practice and Surgical Center in San Antonio, Texas. He has over 30 years experience in plastic surgery, with a specialty in Breast Enhancement surgeries.

Ask For Natrelle Breast Implants And Receive Free Product

Ask for Natrelle silicone gel implants by Allergan when you have your breast augmentation with Dr. Young and you can receive your choice of 1 Botox treatment or 1 Latiesse eyelash solution.

Schedule your consultation with Dr. Young and ask about the Natrelle silicone gel implants. If you select these implants for your breast augmentation procedure, you'll receive a coupon for your choice of Allergan products following your surgery. Call Jennifer at 210-496-2639 to schedule your FREE consultation.

Dr. Robert Young uses quality saline and silicone gel breast implants when performing breast augmentation surgery in his San Antonio Surgery Center. His patients have choice of Mentor, Allergan and Sientra breast implants, which provide the best options in order to achieve the look, feel, and fit they want. For more information about Natrelle silicone breast implants, or the difference between saline and silicone breast implants, visit Allergan's website.

Breast Implant Size Best Determined By Patient

Selecting the "right size" breast implant is a very personal decision when considering breast augmentation, and is one that many women agonize over. No one wants to feel that they've chosen a size that is too small or too big. So what is the best way to decide?

One thing we hear a lot is, "My friend looks great and she got 425cc implants. That's the size I want." Others, after reading materials on-line are influenced by what is perceived as the right size by others. Some have no idea where to start.

We find it helpful to let our patients explore a range of sizes by trying on "sizers", which are breast shaped firm silicone. Wearing an elastic bra that keeps the sizers in place, you are able to get a good idea of what different size implants would look like on your own body. You're free to view yourself from the front, as well as the side, and even put on a shirt to see if it creates the look you desire.


It takes approximately 350cc in order to increase your cup size two sizes. But, to keep things in perspective, remember that 50 cc is the equivalent of only 3.38 tablespoons, so agonizing whether to get 350cc vs. 370cc implants is a very small difference.
Our skilled staff are here to help you make decisions you'll feel happy about. Dr. Robert Young has been performing breast augmentations in San Antonio for over 25 years and uses both saline and silicone gel implants, and the skilled nurses on our staff have helped thousands of women in selecting implant sizes that they are happy with following surgery. We hope you'll see Dr. Young in a complimentary consultation visit to discuss your choices.

Patient's Touching Surgical Story

It's rare when someone reveals themselves openly and honestly. Even more so when it's done publicly. Yet, this is exactly what one of Dr. Young's patients decided to do when she shared her story on an Internet site designed to give helpful information to those interested in breast implants.

"Anonymous" has been making news with her detailed account of why she decided to get breast implants at 49 years of age, and what her experiences were in selecting a surgeon, having the surgery, and her recovery experience. 

We're asked all the time, "What should I expect?", and it's a great question. Women wanting breast augmentation, whether they're 25 or 55 need answers that will help them make an informed decision that they will be happy with. It's something we strive to deliver to patients when they come to see Dr. Young for a consultation visit. Decisions go beyond selecting the right size, what recovery is like or when you can return to work, and some, in fact, wrestle with whether the procedure is "okay" to have at all.

I think "Anonymous" explains it well, and can serve as a good resource to anyone considering a breast augmentation or other cosmetic plastic surgery procedure. "Anonymous" gave an incredibly candid and frank account of her very personal and moving story of her decision to pursue Breast Augmentation following a battle with lymphoma. Her message is inspiring, and we thank her for sharing her heart-felt story with others.

Read the entire story of Dr. Young's patient at ImplantInfo.com.

ABOUT DR. YOUNG:
Dr. Robert N. Young is a Board Certified Plastic Surgeon whose specialty is Breast Augmentation surgery. Dr. Young has been performing breast surgeries for over 30 years, and was a pioneer in utilizing minimally invasive techniques for his breast implant patients. He offers saline implants, adjustable implants, and silicone gel implants, in a variety of shapes and sizes designed to give options for women of all ages, body types, and personal preferences. Dr. Young performs surgeries in his own AAAASF certified outpatient surgery center located in San Antonio, Texas. He can be reached at his practice, Aesthetic Enhancement Cosmetic Surgery & Laser Center, which he founded in 1990.

Are Adjustable Breast Implants A Good Option?

We receive a substantial number of calls about "adjustable breast implants".  Dr. Robert N. Young does do the adjustable breast implants and has always had them, but they may not be the best choice for everyone.  Many people think that this is a new type of implant that is somehow superior to traditional saline or silicone breast implants, but let's look at what they are, as well as the pros and cons of selecting them.

Adjustable breast implants originated in the mid 1980's by Becker, in conjunction with the breast implant manufacturer Mentor.  They were developed as a tissue expander used in breast reconstruction surgeries following mastectomy.  By the late 1980's, surgeons began using the Becker tissue expander in breast augmentation. It was thought of as a solution to achieve the ideal size. While the Becker expanders are still available, many no longer find it suitable due to cost and FDA restrictions.  A new implant called the Spectrum implant, also available by Mentor, is a permanent saline expander that uses the same Becker fill system.

According to Mentor, their "innovative line of SPECTRUM® Breast Implants makes the decision-making process easier because the size can be adjusted after surgery."  These implants allow the surgeon to adjust the size of your implant for up to six months after your procedure.

The ability to go back and change the size to be larger or smaller at a later time is seen as a plus for some. After inserting the implants, the surgeon leaves the filling tube between the stitches of the closed incision and within 3-6 months following the initial surgery (after the swelling has subsided), the surgeon is able to go back and change the size of the implants by taking saline out or putting more in. After the 6 months, the port is removed by the surgeon, and you can no longer change the size of the implants.

The actual Breast Augmentation surgery with adjustable implants is the same as when you use standard saline or silicone implants. The adjustable implants are more expensive, and with Dr. Young you must still undergo general anesthesia, so it can be a more expensive option. You are also limited in the amount of saline that you are able to put in or take out depending on the size of the implant that was chosen from the beginning. This is true whether you use the adjustable implants or standard saline breast implants. In using standard saline implants, we still have the option of adjusting the size up or down during the surgery, and adjustments can be made any time in the future through the fill port with standard implants. Unlike standard implants, with the "adjustable" implants, once the special filling tube is removed, you can never use it again to remove or add saline.

Be careful of media hype about adjustable implants, TUBA breast augmentation (transumbilical), and other promotions that are not always the best solution. Even though adjustable breast implants may be suitable for one woman, it is not the best answer for all. Read more about Breast Augmentation surgery.

Quality Breast Implants Made in USA

You may have noticed an article which has hit the web on France's scandal involving silicone breast implants.  The huffingtonpost.com reported that more than 30,000 women in Europe have received silicone implants which were produced by the French implant company Poly Implant Prosthesis (PIP) using industrial grade silicone rather than the medical grade silicone which is used here in the United States.

Medical grade silicone is medically sterilized and safe, and is used in a variety of medical applications. The majority of breast implants we use are Mentor's MemoryGel silicone cohesive gel-filled implants which are made in the United States. Because they are manufactured here, they must adhere to strict FDA guidelines.  In fact, the FDA has a consistent presence in Mentor's manufacturing facility. This, and Mentor's ongoing commitment to quality and safety, helps to ensure the safety of their breast implants for breast augmentation. 

Silicone breast implants continue to be the desired choice by most women around the country due to the more natural feel they offer. With the latest advances to cohesive gel implants, the risks from rupture have been minimized because the gelatin-like substance retains its shape and does not seep like a liquid. If you have questions or concerns about silicone implants, consult with your surgeon.

Best Breast Augmentation Prices of the Year!

We wish you, your family, and friends the very best for the holidays, and extend our thanks for your support and continued interest in our Cosmetic Plastic Surgery and Medical Day Spa services.  In appreciation, we're closing 2011 with great prices on Breast Augmentation!

Breast Augmentation, usually $4700 for saline implants, $3950 now thru 12-30-11
Silicone implants usually $6000 are just $4950 thru 12-30-11

We've also got great specials on other surgery procedures performed by Dr. Robert N. Young, such as Tummy Tuck, Liposuction, Face Lift, Rhinoplasty and others.  Contact us at 210-496-BODY  to schedule a consultation with Dr. Young to see if you are a good candidate for these surgical procedures.  Special pricing is available only while openings are available.  Be sure to mention you read about Dr. Young's holiday specials so we can check availability.

Is Dissatisfaction With Your Body a Problem?

I came across an interesting article published recently in a professional journal discussing the possibility that people who are very unhappy about the size or shape of their nose could mean that they suffer from a psychiatric disorder called Body Dysmorphic Disorder.  A trained and Board Certified Plastic Surgeon is trained to look for patients who may suffer from Body Dysmorphic Disorder (BDD) for a variety of reasons.  Those with severe BDD can have an inaccurate perception of the way their body actual appears, and this can disrupt their everyday quality of life.  The most common conditions associated with severe BDD is eating disorders such as Bulemia or Anorexia, where the patient may actually see themselves as "fat", when in reality they are extremely thin or emaciated. BDD could conceivably make one obsess about their nose, their legs, breasts, stomach, or other body area to the point where no amount of "correction" would prove satisfying.

Cosmetic Plastic Surgery can provide an increase in one's self esteem, help clothes fit better, and give one confidence. For those with BDD, cosmetic surgery usually does not "solve" the issues they have with their body, and they may be more apt to seek out revisional surgeries to the same area. Making sure that a patient has reasonable and obtainable expectations is key to successful outcomes in cosmetic plastic surgery, and most cosmetic surgeons want to know so they can deliver the results you want. Be sure to discuss your expectations clearly with the Board Certified Plastic Surgeons you consult with, and listen carefully if they advise that the surgery may not provide quite what you expect. No one wants to find themselves caught in an endless cycle of revisional surgery, whether you have had rhinoplasty, liposuction or breast augmentation.

On a good note, we find that patients who have taken time to research their procedure and their surgeon are often the most satisfied.  While the internet can be a great tool for information, not all information is accurate, so ask questions from your surgeon if something doesn't sound right, or if there is something of particular importance to you.  Take time to think over your reasons for wanting the surgery, and what you feel it will do for you.  If you feel your expectations are reasonable, then plastic surgery can quite possibly be a good choice for you.

Use Breast Implants From Reputable Manufacturers

Another story which appeared in the news today about breast implants sounds shocking on the surface. Claims are that large implants rupture at a much higher rate. The article also references "Jordan Syndrome", where women who get implants continually want to go bigger and bigger, often leading to the use of much oversized and potentially dangerous or disfiguring breast implants.  See article:  http://www.huffingtonpost.co.uk/2011/12/02/bursting-breast-implants-trebles-in-four-years_n_1125828.html?ref=uk-lifestyle

While this condition may exist, and rupture and other problems can be more prevalent in larger implants, in the United States, the leading manufacturers of saline and silicone breast implants provide implants in sizes that have proven to be safe. These are strictly regulated.  In addition, Board Certified Plastic Surgeons who specialize in Breast Augmentations receive training in the appropriate use and sizing of breast implants.

The very large sizes mentioned in the article (G-Cup, FF-Cup etc) are no longer used in this country.  We also have very strict manufacturing standards which must be met in making breast implants, and there have been many advances over the years to ensure safety. In our experience, most women select implants from 350cc up to 800cc, which can increase your breast size from one to a few bra cup sizes.  Most women don't want to look abnormal, clownish or "over-the-top".  Keeping in proportion to the rest of your body will almost always give the most pleasing result.

We recommend that if you are considering breast implants, go to a Board Certified Plastic Surgeon who is trained and experienced in Breast Augmentation, and who uses quality saline or silicone gel implants.  He or she will be able to advise you on the risks associated with the type and size implant you desire, and will have your health, safety and goals in mind when helping with this important decision.

Choose Credentialled, Qualified and Experienced Specialists

Stories pop up over and over again about patients who willingly select doctors without appropriate credentials, or those who practice out of uncertified facilities. The outcomes of these are often tragic for the patients involved.  What sometimes saves a bit of money ends up putting their health or life in jeopardy.

The most recent story appeared this week about a woman who received cheek injections which turned out to be a mixture of ingredients including concrete!  Another patient who went to the same "doctor" sealed her incisions with superglue!  Unqualified doctors have performed procedures from Breast Augmentation to Brazilian Butt Lifts using products which are not medical grade, nor approved for use in cosmetic surgery.  Others perform "awake" procedures under local anesthesia in their office.  These can be very dangerous.

See the full story at:  http://www.huffingtonpost.co.uk/2011/11/30/cement-cheek-implants-fake-doctor-oneal-ron-morris_n_1120041.html?view=screen

The woman "doctor" in question was not Board Certified, was not a plastic surgeon, nor a licensed physician of any kind.  She did not perform the surgeries at a hospital or in a certified or licensed outpatient surgery center.

We hope that this serves as a warning to patients wanting to have cosmetic surgery procedures.  Prices which seem to good to be true usually always are.  Make sure that the plastic surgeon you choose is properly credentialed and practices in a licensed or AAAASF certified facility (and not a back room office) where essential safety equipment and procedures are in place for your well-being.  Remember, a Board Certified Plastic Surgeon has received extra training beyond his or her designation as a physician.  They have proven expertise in cosmetic and plastic surgery.  For more information about Licensure & Certification, visit http://www.dr-youngforever.com/DrYoung.php. 

What is the Most Effective Liposuction Technique?

To try and answer this question, the American Society for Aesthetic Plastic Surgery (ASAPS) went to those who perform liposuction most - Board Certified Plastic Surgeons. The professional association's members were surveyed recently, and asked which methods they prefer most, and which ones they perceive as the safest.

The results are in! Overwhelmingly (at 51.4%), they preferred suction-assisted liposuction (or commonly called "traditional" liposuction, which includes tumescent liposuction). Second and third most preferred (23% and 20.9% respectively) were PAL (power-assisted liposuction) and UAL (ultrasound-assisted liposuction).
LAL or "laser-assisted liposuction" accounted for only 3.9% of plastic surgeons preferring this procedure. LAL methods go by many trendy names, but all are assisted by the use of a laser. Many manufacturers claim that the procedure can be performed under local anesthesia, however, in our experience, most patients cannot tolerate liposuction under local anesthesia, especially for large areas. Patient discomfort can lead to the procedure being aborted earlier than desired.

Dr. Young prefers traditional tumescent liposuction techniques and the use of our own PAL "Tickle Lipo". It seems that Dr. Young is not alone in his perception of what works best!

Dr. Young has been performing liposuction in his private cosmetic surgery practice for over twenty years, and has this information to share: When considering your need for fat removal, realize that problem areas are identified by "area", such as abdomen, hips, thighs, or "love-handles" for men! Liposuction is also very effective for arms, neck or chin, and for reducing large breasts on men. When considering liposuction, consult with a Board Certified Plastic Surgeon, as they are the physicians who have received the highest levels of appropriate cosmetic surgery training.

In recent years, Dr. Young has perfected his technique of Brazilian Butt Lift, where fat is suctioned from one or more areas of the body is transferred into the buttocks, creating a shapely, voluptuously full figure that is so in fashion. Fat transfer techniques are also effectively used on the face, where loss of volume naturally occurs as we age. While fat transfer to the breast is once again being talked about as a viable alternative to traditional Breast Augmentation with either silicone or saline breast implants, the use of fat in the breasts often requires multiple procedures to end up with the volume you desire. This is because not all of the fat injected survives. Many prefer the tried-and-true methods that have been perfected in Breast Augmentation with advent of endoscopic technologies which allow for minimal incisions, good placement of implants, and beautiful, lasting outcomes. Liposuction is suitable for both men and women, and Dr. Young has seen a steady rise in the number of men who are electing to have liposuction surgery performed. In experienced, skilled hands, liposuction has evolved into an extremely safe and effective surgery for those wanting to reduce problem areas, sculpt the body, and even to add volume to areas lacking shape.


Robert N. Young, MD, FACS is a Board Certified Plastic Surgeon with his own private Surgery Center in San Antonio, Texas. For more information on Dr. Young, visit his website at www.dryoungforever.com.

Keller Funnel Makes Breast Implant Insertion Easier and Less Painful

by Robert N. Young, MD, FACS

Board Certified Plastic Surgeon

Having just returned from the cosmetic meeting in Miami, it was exciting to have a first-hand introduction of a new device that makes breast augmentation easier.

The Keller Funnel is a cone shaped device which aides in the placement of silicone breast implants, allowing for smaller incisions and less rubbing as the implant is being inserted. The funnel minimizes trauma to breast tissue, and puts less stress on the implant itself. Because the cone is lined with a special lubricant coating that when moistened makes the funnel extremely slippery, silicone implants (which are pre-filled at the desired size) can easily be inserted without the surgeon ever having to touch the implant. 

What is exciting is that in addition to the standard nipple incision long used for silicone implants, it now allows silicone implants to more easily be inserted through the armpit, which is exciting news for patients who are concerned about scarring on their breasts.  Many of my patients have avoided silicone implants because they did not want incision scars that would be visible on their breasts.  Patients who want no breast scarring often choose the transaxillary incision, which is made in the armpit and leaves a tiny scar that is virtually impossible to see once healed. The transaxillary procedure can be preformed with or without the help of an endoscope (a tube with a small surgical camera on the end). Up to now, saline implants were the primary choice for the armpit incision, because of the distance from the incision to the breast pocket. With the Keller Funnel, silicone implants can more easily be inserted through the armpit.

Even more exciting is that with use of the Keller Funnel, silicone breast implants can be placed  either below the muscle or subfascially.  The subfascial insertion allows for faster recovery times and much less pain, which is the primary post-op complaint.  I am able to achieve outstanding results with an armpit incision using the Keller Funnel and placing the implants below the fascia.  My patients now have even more reason to consider the choice of silicone breast implants with the introduction of this great new invention.

For more information about the Keller Funnel, visit the following links:
1) theplasticsurgerychannel.com
2) http://www.kellerfunnel.com/

I'm happy to discuss how this new procedure can benefit your Breast Augmentation surgery with me.  If you would like to contact me, please visit my website dr-youngforever.com  or  e-mail Dr. Young.

I'm afraid of anesthesia...is the "awake" method good for me?

by Robert N. Young, M.D.

Board Certified Plastic Surgeon

We've seen a new trend in Cosmetic Plastic Surgery...promotions of "Awake Breast Augmentations".  It is talked about as something new, but in actuality, surgeries performed under "local anesthesia", or "twilight anesthesia" have been around for many years.  Whether it is a good choice for patients is being hotly debated.

Because Breast Augmentation has become such a popular procedure, and is more readily talked about by society, some feel it has become somewhat frivolized.  It is easy to forget that this is still a major surgical procedure. While endoscopic (minimal incision) techniques have made the surgery less invasive and easier to recover from, the procedure is best done under general anesthesia with a Board Certified Anesthesiologist. "Twilight anesthesia" can be dangerous without an anesthesiologist present.

There is quite a bit of debate recently about practitioners who are advertising "awake" surgeries.  These are usually performed by physicians who are not Board Certified Plastic Surgeons, and may not even be Plastic Surgeons at all.  Sometimes they are Dermatologists, General Surgeons, or even Family Practitioners who elect to perform the surgery under local anesthesia because they do not have  privileges in a hospital or certified surgery center to perform those procedures. In my Surgery Center, all anesthesia is administered and monitored by Board Certified Anesthesiologists who are experienced in Cosmetic Plastic Surgery.  I feel this is best for my patients, and myself, as it allows me to concentrate on my area of expertise, which is the surgery itself.

My Surgery Center is fully certified by the AAAASF and meets strict standards to perform surgical procedures. Sure, the surgery costs a little more, but it is worth having the extra standards and safety factors. That's why doctors are credentialed and surgery centers are certified. If we didn't adhere to these standards we would be cheaper also. So when you get a fee quote that is cheaper because it is under local anesthesia in an office back room, be careful of what you are asking for.

Board certification by an ABMS member board provides assurance of a physician’s expertise in a particular specialty and/or subspecialty of practice. Professional organizations, such as the American Society of Plastic Surgeons (ASPS), the American Society for Aesthetic Plastic Surgery (ASAPS) require that members be Board Certified within their specialty.

Some advertisements even go so far as to state that you'll be awake enough during your procedure to pick the size of your breast implants (this would only be possible with saline implants which are inserted and then filled to the desired size) during your surgical procedure itself!  If you have had sedation you are going to feel woozy and wobbly.  I don't think you would be coherent enough to make this selection during surgery!

We recommend that you ask questions that will ensure that you are well informed concerning the qualifications and experience of your surgeon and the types of anesthesia that you are offered.  Here are questions generally recommended:

• Are you Board Certified? 
• If so, what specialty board?
• Are you licensed to practice surgery in this state?
• How many breast augmentation surgeries do you perform each year?
• How many years have you performed breast implant procedures?
• Where is my procedure performed?  
• Is the surgical facility accredited?
  
• Who administers anesthesia during my surgery?
• Is the person who administers my anesthesia Board Certified in this specialty? 
  
• What are my options for anesthesia?
  

When you come in for a consultation visit with me, I will make recommendations based on my extensive experience as first a reconstructive and then cosmetic plastic surgeon. I invite you to ask questions regarding various surgical methods, anesthesia, recovery and any other questions you may have so that you can make an informed decision about your surgery.  You may contact my office at 210-496-BODY (496-2639) or e-mail me at nubody@dr-youngforever.com.

How do I get started?

We receive many e-mails.  As you might imagine, some are routine inquiries about cost of Cosmetic Plastic Surgery procedures or how long one would need to take off of work.  At other times, however, we receive really great questions.  We'd like to share these, and we will publish ones we feel that our patients and friends will benefit from. To get things started, we'll share a very common one.

This was an e-mail received from Andrea in September 2009:

"Hello. I am very interested in getting my breasts done.  I've heard good things about Dr. Young and have seen many women who've had their procedure done by him.  How do I begin the process?"

We always encourage you to schedule a consultation visit with Dr. Young so that he has an opportunity to examine you answer questions you have, and make recommendations.  There are things you can do ahead of time to ensure that your consultation visit is as helpful to you as possible.

I always recommend that you make a list of all your questions.  And, add to the list as you think of other concerns or questions...no matter how silly they may seem.  Some information you'll be able to obtain from quality internet sites.  I prefer to lean towards information sites rather than "locate-a-doctor" referral sites. Information sites include plastic surgery association sites, implant manufacturer sites, and encyclopedia style sites such as:

American Society of Plastic Surgeons
http://www.plasticsurgery.org/

The American Society for Aesthetic Plastic Surgery

http://www.surgery.org/

Good encyclopedia style sites include:  howstuffworks.com, webmd.com, wikipedia.org, medicinenet.com, ezinearticles.com, and ehow.com.  You can look up your specific interests and learn about the procedures. Here are some sample links that would be helpful for Breast Augmentation research:

http://health.howstuffworks.com/breast-implant.htm/printable

http://www.plasticsurgery.org/Patients_and_Consumers/Procedures/Cosmetic_Procedures/Breast_Augmentation.html

http://www.implantinfo.com/

http://www.loveyourlook.com/

http://www.webmd.com/skin-beauty/cosmetic-procedures-breast-augmentation

http://en.wikipedia.org/wiki/Breast_implant

http://www.medicinenet.com/breast_augmentation/article.htm

http://ezinearticles.com/?Various-Views-on-Breast-Augmentation&id=3212987

http://www.ehow.com/about_5402302_breast-augmentation-information.html

Once you've had a chance to read through the information you'll undoubtedly have questions in how this information relates to YOU!  This is what is especially helpful in a consultation visit with Dr. Young.  There are many choices then it comes to surgical procedures.  An experienced, qualified surgeon like Dr. Young can help you make choices that are most appropriate for YOU, and not just what is popular at the moment.  (It is widely recommended that you seek out an experienced surgeon who is a Board Certified Plastic Surgeon, as they are physicians who have undergone years of additional training in this specialty.  They must pass strict criteria once completing this training, as well as show documented experience to demonstrate their abilities. I've been told that only 30% of those applying for this designation pass.) Great results and your satisfaction are what we want most.  We can help sort through the sometimes confusion array of surgical methods, incision locations, type of anesthesia etc.

You will have an opportunity to meet with Dr. Young, as well as his nurse(s) in your consultation.  Dr. Young's nurses are very familiar with the procedures he performs and not only assist Dr. Young in clinic for new patient consultations and follow up visits, but have regular duties in the Operating Suite as well.  Most of our nurses have been with Dr. Young for five years or more, and several over ten.  They can be instrumental in helping you understand the surgical procedure, coordinate after-surgery care, etc.

Your Consultation Visit is an exciting time because the possibilities are quickly seen as a reality. It is easy to overlook an important question or even feel too embarrassed to ask a question that seems silly or awkward. Making a list of your questions or concerns helps keep you focused, and ensures you'll be more ready to make a decision on whether the procedure is right for you. 

In Andrea's case of wanting to prepare for a Breast Augmentation, she would begin by scheduling her consultation appointment.  At her consultation, she will meet with Dr. Young, and one or more of his nurses for an examination, discussion of the procedure, recommendations, and a "sizing" prior to speaking with her surgery coordinator. 

The sizing is her opportunity to "try on" many different size implants in a special bra.  Andrea can then get a sense of what style and size implant is most appropriate for her.  Every woman's body type is different, and one's taste in size is different.  We encourage you to select your size based on what feels best to YOU.  You might hear from a friend that she had 450cc implants, and you think that you'd like to be that size, or maybe even a bit bigger.  Keep in mind that 500cc implants in someone who is 5'7" tall and weighs 135 pounds will look quite different on someone who is 5'2" tall and weighs 110!  Are you broad shouldered, narrow chested, pear shaped, tall or petite?  Your body type will play a big part if you're trying to achieve a more balanced, proportional look.

After the consultation visit, if a surgery date is selected, Andrea will also schedule a "pre-op" (pre-operative) visit which is usually two weeks prior to the surgery, but may be closer to the date of surgery if you schedule for a more immediate surgery (surgeries can be scheduled as soon as the following day in some cases).  At this visit she will go over her medical history with one of Dr. Young's nurses, have a physical exam with vitals and labwork performed, discuss risks, how to prepare for surgery and recovery, among other things. It is Andrea's chance to ask any other questions she's thought of as well, and to finalize the size of her implants.  The next time we see Andrea will be the day of her surgery, which is performed in Dr. Young's fully accredited in-office Surgery Center.  Our OR staff will be there for each stage of her procedure, including instructions for Andrea's friend or family member who will drive her home following her recovery.

I hope this information gives you an idea of how things can proceed once you've decided you'd like to look into cosmetic plastic surgery.  I'd like to thank Andrea, and everyone who sends us great e-mail questions.  Please continue to do so.  You can e-mail me directly at:  busmgr@dr-youngforever.com.

What's New in Breast Implants!

by Robert N. Young, MD, FACS
Board Certified Plastic Surgeon

It's been over a year since their re-launch and it appears that the new silicone implants are taking off. The softness, safety and durability of the cohesive gel is attracting a lot of patients to select silicone despite their increased cost. For a little more money than the standard cohesive gel implant, there is also a silicone implant with a saline center (the Becker implant) that can be adjusted after the surgery via a valve under the armpit. When the patient is happy with one size, the valve is then removed.

Many people still feel more comfortable with the saline implants which have been the standard for the past 15 years. At Aesthetic Enhancement Cosmetic Surgery Center, I offer all options in terms of implant type, size and shape, as well as placement of the incision. We have our own fully accredited in-office surgery center to perform the surgery. Our patients find that this provides them with the privacy and convenience they desire, while also affording the best in patient care and safety.

With the advances made in quality and selection of Breast Implants, now truly is the best time for Breast Augmentation. The new style implants can create beautiful, natural looking breasts which will enhance your figure and bring a new sense of self-confidence and beauty to you. I'd be happy to see you in a consultation appointment to see if Breast Augmentation is right for you. Contact me by calling my office at 210-496-BODY (2639) or e-mail nubody@dr-youngforever.com.

About Dr. Young

Dr. Young is a well-known Plastic Surgeon in the San Antonio area, and has a reputation as one of the leading Breast Augmentation specialists. He is a Board Certified Plastic Surgeon, and has been specializing in Cosmetic Plastic Surgery for over 19 years.

Dr. Young earned his undergraduate degree from the esteemed United States Military Academy at West Point, and completed his medical degree at Tulane Medical School in 1975. Dr. Young finished his general surgery residency at Brooke Army Medical Center in 1980, and went on to serve as Chief of Plastic Surgery, where he performed all types of major reconstructive procedures.

Following Dr. Young's accomplished military career, he went into private practice, founding Aesthetic Enhancement Cosmetic Surgery & Laser Center in 1990. His vision was to bring the most innovative cosmetic surgery procedures to his patients in a comfortable and professional environment. Dr. Young pioneered one of the first in-office Outpatient Surgery Centers which specialized in cosmetic plastic surgery here in San Antonio. His surgical facility is accredited by the AAAASF (American Association for Accreditation of Ambulatory Surgery Facilities), and is designed to provide cost effectiveness for the patient, while allowing total discretion, comfort and safety.

Dr. Young has limited his practice to cosmetic surgery to concentrate his skills on the aesthetic improvement of his patients' beauty. Incorporating the latest technological procedures, Dr. Young specializes in endoscopic (minimal incision) axillary breast augmentation, and remains a leader in the field of liposuction. Providing cosmetic surgery for total body enhancement, he offers all types of breast surgery, tummy tuck, body sculpting, and facial surgeries such as face lift, eyelid surgery and laser resurfacing with state-of-the art lasers including the Sciton.

Dr. Young is an accomplished athlete, having competed in many local and national tri-athlete competitions, marathons and biking events. When not working, training or competing, he spends time at home with his wife, three wonderful dogs and two cats.