Portland Doctors

I Cant Decide Between 300-350cc Silicone, Or Which Profile to Get. I Want Natural Looking (photo)

I am 29 years old. I have a 32B currently. My rib is 28". I wanted to get teardrop but my dr only does round. I want them to look natural. I dont want them to be too round up top giving the "fake" look. Because im quite small I was going to go 300-350 but I dont know which profile is better for my size I think my chest size across is 11.2. I have breast fed one child and one breast seems larger and sags a bit more. I was also wondering if I would have to get a different size in one? THX!

There has been a lot of confusing hype over teardrop shaped implants. Years ago, a very nice study with CT scanning demonstrated clearly that all implants assume a teardrop shape when the individual is upright. The key to a natural shape is to stay within the boundaries of the breast itself,based on measurements. The round upper pole shape about which you are worried occurs when too large an implant is placed, with inadequate "padding" of natural breast tissue over it. The pressure on the overlying skin and breast by the lare implant causes thinning of the tissues which then drape around the contour of the implant. And over versus under the muscle does not really matter if the technique is chosen to fit the patients anatomy.

I hope that helps

Verne Weisberg, MD

Portland Plastic Surgeon

When You Make the Osteotomies and You Realign the Nasal Bones Does the Cartilage Part Follow As Well ?

Hello, i had an accident (7 months ago) that left me with a crooked nose so I'm considering rhinoplasty . I think it's in the bony section but my ENT doctor said it might be cartilage as well .So , when you straighten the bones will the cartilage follow the movement (and come to a straighter mode as well) or there is another technique for that ? (like rasping or cut it) (sorry for my english) (i want the less possible work in my nose cause im really scared)

Sometimes the cartilage moves back with the bone, but usually it needs to be freed as well in order to go back to the center. This is usually pretty straightforward, but may require what's called a septoplasty in order to allow it to move and to stay where it is moved.

Verne Weisberg, MD

Portland Plastic Surgeon

Excess Cartilage on Only One Side of Nose, Is this a Simple Procedure to Have Done?

Hi, I have what I believe to be excess cartilage on one side of my nose near the tip and it makes it look like I have a crooked nose. It wasn't there when I was really young, it grew when I was about 12 or so and it has been there ever since. I was wondering if this would be a very simple procedure to have done because it seems like a doctor could almost just 'shave' off an extra piece of my nose. Has anyone ever dealt with something like this? Is it a simple procedure to have done?

Although this looks pretty simple to you, the nose is complex. I would have to see what exactly you are talking about to give you a recommendation. While just shaving down is sometimes all that's needed, more often than not, it's more complicated than that. a complete examination of your nose and assessment of the airway would be necessary. You may only need minor septal work (the septum is the "wall" that runs down the middle of the inside of the nose, separating it into two sides), or you could need a complete rhinoplasty. It would be important to have an appointment with a surgeon trained in both the esthetic as well as the functional surgery of the nose. Hope that was helpful.

Verne Weisberg, MD

Portland Plastic Surgeon