Highlands Breast Implants doctors

Robert T. Buchanan, MD Robert T. Buchanan, MD
Highlands Plastic Surgeon
209 Hospital Dr Suite 202, Highlands
110 answers

Recent Answers

How Can You Distinguish Between Rippling and Rupture?

How Can You Distinguish Between Rippling and Rupture?

A: Rippling of breast implants vs rupture

Rippling refers to a waviness that is sometimes visible after breast augmentation if the implant is underfilled or the tissue over the implant is thin. To some extent this is an exaggeration of a normal phenomenon that occurs in the breast as the breast moves and is due to the ligaments that holds the breast tissue in place. A rupture of a saline implant results in the breast losing volume and becoming small again. A rupture of a silicone implant cannot be seen or palpated. The only way to identify this is, perhaps, with an MRI (Magnetic Resonance Image). A rupture in the newer cohesive gel implants may not even be identifiable with this.

 

Robert T. Buchanan, MD
Highlands Plastic Surgeon
What Are the Advantages and Disadvantages of Subfacial and Submuscular Placement? (photo)

Which would you recommend on a thin woman to get the most natural result?

A: Breast Implant Placement

I personally find no difference whatsoever in sub-muscular and sub-fascial implant placement. In very thin people in whom pinch of the tissue over the muscle an inch or so above the nipple is less than an inch, sub-muscular placement tends to hide the implant better. In most people, however, I prefer sub-glandular placement. The implant does not move with arm movement, there is somewhat less chance of displacement of the implant and there is less risk of implant rupture. Proponents of sub-muscular implants also claim less scar around the implant and hardening, but this is not so if one uses a textured implant over the muscle. In the end, however, you just need to pick someone who consistently gets the result you desire and with whom you can discuss your wishes.

Robert T. Buchanan, MD
Highlands Plastic Surgeon
Do I Have Tuberous Breasts? (Photos)

My breasts have always been very small with a large areola. My correct bra number should be a 36AA or even a smaller cup which i can´t find in stores. Other day i was doing some research about breast augmentation and i found information about this deformity (tuberous breasts) so i realised that my breasts were very similar to those type of breasts. If they are, it is possible to correct them with implants and have a good result in the end?

A: Areolar Breast Tissue Herniation (mild Tuberous Breast)

What you appear to have is breast tissue herniation into the areolae. Although this is not what most people talk about when they discuss tuberous breast deformity, it is a form of that problem. This is easier to fix than the usual problem and can easily be done with a Breast Augmentation. See a Board Certified Plastic Surgeon with significant experience in correcting many different breast problems.
 

Robert T. Buchanan, MD
Highlands Plastic Surgeon
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