BioSpa Medical Spa
3991 MacArthur Blvd., Ste. 340, Newport Beach, California, 92660
Larry S. Nichter, MD, MS, FACS
VERIFIED
Board Certified Plastic Surgeon
Pacific Center for Plastic Surgery and BioSpa Medical Spa , 3991 MacArthur Blvd., Ste. 320, Newport Beach, California
(949) 528-4257
Website
19153 Questions Answered
AREAS OF EXPERTISE
MEET LARRY S. NICHTER, MD, MS, FACS
🩺40 YEARS OF EXPERIENCE
Dr. Nichter has an exceptional ability to understand his patients’ needs and goals for self-improvement through the art of Plastic Surgery. Dr. Nichter began his career as a professor of plastic surgery at USC. He has been triple board certified including by
Larry S. Nichter, MD, MS, FACS VIDEOS
Locations
Pacific Center For Plastic Surgery
3991 MacArthur Blvd., #320, Newport Beach, California, 92660
Before and After Photos
QUESTIONS ANSWERED
When will Bimini Serene Breast Implant be available?
Asked By:AnonymousANSWERS (1)There are quite a few women facing similar situations and likely more to come down the road. The good news is that the new Serene Breast Implants are offered by a larger company which acquired Ideal Implant, Inc. and are now available for use. These implants provide the same sought-after advantages including a natural look and feel, no risk of silent rupture, and the lowest rate of complications of all implants (both silicone and saline). With these implants, there is no need for MRI or high-resolution ultrasound monitoring to know if your implants are intact. You only simply need to look in the mirror. In contrast, we know most women are concerned about silicone gel implant ruptures, which are silent and require FDA-recommended magnetic resonance imaging or ultrasound scans for detection.
As safety and piece of mind should naturally be some of the greatest considerations when choosing a breast implant, we are proud to offer the Serene Implants for patients. Our office was among the largest users in the world of Ideal Implants and I was closely involved in the 10 year study of the Ideal Structured Breast Implants and a key FDA investigator. If you are interested, I will include a link here to the study, which was recently published by Plastic and Reconstructive Surgery, the Journal of the American Society of Plastic Surgeons.
For anyone looking to replace their Ideal implants or learn more about Serene by Bimini Health Tech, I invite you to request a consultation, either in-person or virtual with our office in California. I would be glad to speak with you and discuss your options with you, including breast augmentation, breast lift, and breast revision. Visit us online any time: ThePacificCenter.com
Dr. Larry S. Nichter, MD, MS, FACS, FAAP
Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
Is there any news about the Ideal breast implant? Is there anything regarding FDA and Ideal implants?
Asked By:AnonymousANSWERS (1)IDEAL implant company voluntarily took their implants off the market without FDA directions to do so as they found a few more ruputures than expected after changing manufacturer plants. They found that the valve assembly varied by a fraction of a millimeter which was the cause. This was corrected and due to increased demand they are back on the market as of November 2020 according to the Company's owner and inventor of the implant. With COVID they have decided to make sure that the supplies are adequate for all plastic surgeons in the US and Canada prior to its re-release.
On a personal note, as a lead FDA investigator, I think these are great implants which will likely decrease the number of surgeries in your lifetime and if ruptured do not require a removal of the capsule, capsulectomy, when replaced compared to silicone implants. It is our most popular implant in my practice.
Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
Can I successfully fix my labia while keeping sensation? (photo)
Asked By:AnonymousANSWERS (1)The short answer is yes, you can fix your labiaplasty and keep your sensation. There are different techniques for both labiaplasty and clitoral hood reduction and all most of the time will preserve your sensation. The technique chosen should be based on your specific anatomical needs and not "one technique fits all". Though an actual exam would be needed photos like yours suggest that a Central "V" resection would be the most appropriate and beneficial technique as it not just reduces redundancy but also restores a more youthful resting tone. This is the technique that seems to be the most useful and most reliable for most but not all women. An exam would be important likewise to determine the technique for clitoral hood reduction. Though gynecologists and plastic surgeons both do this technique, the many more years of training and advanced knowledge of tissue rearrangement and restoration that a Plastic Surgeon has would likely be the reason to choose a plastic surgeon. No matter the type of technique your surgeon selects the most important choice is a skilled surgeon with long and extensive experience in this technique. For example, I have more than 25 years experience in both procedures and have taught countless residents and fellows the art of labiaplasty and clitoral hood reduction. Always make sure your surgeon is a board certified surgeon to increase your chances for success.
Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
I’m getting my implants removed after 3 months. Would I be able to get en bloc capsulectomy?
Asked By:AnonymousANSWERS (1)In general if you have saline implants or intact silicone implants especially if made after 2006 (cohesive silicone gel after that date) then to date there is no data to support doing a capsulectomy which adds time and potential morbidity from the procedure and might change the shape of your breast. On the other hand if this will give you further piece of mind and you feel it is important then you will likely convince your plastic surgeon to do so but in general would not be recommended.
Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
If it is encapsulated, how soon should I have it treated?
Asked By:AnonymousANSWERS (1)In general your Surgeon most likely gave you the right answer. A capsule takes several weeks to form and a contracture longer. He is correct that your dominant hand pectoralis muscle has more tone and it is likely to be the cause of it being a bit firmer. There is a phenomena of drop and fluff which takes several weeks to a few months in most to see their final result.
Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
During the tummy tuck procedure is the fascia surrounding the abdominal muscles tighten or the muscles themselves?
Asked By:AnonymousANSWERS (1)Thanks for your question. A traditional tummy tuck typically places sutures in the surrounding fascia that encircles each rectus muscle thereby tightening both the fascia and the muscles.
Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
Are ideal implants safer than the others?
Asked By:AnonymousANSWERS (1)Both Silicone and IDEAL Saline Structured implants have their pros and cons. As a FDA investigator for the IDEAL implant, I have followed my patients for more than 9 years and have published and reported nationally on the comparison of this implant to silicone gel implants. To begin with IDEAL® implants have 3-6 times less deflation rate than silicone gel implants (2% at 8 years) and significantly lower capsular contracture rate than gel implants ( 6.5% vs 11-16%) while at the same time having the feel of silicone. It is not to be compared with, nor the same, as traditional saline implants which I do not prefer due to increased rippling and unnatural feel. IDEAL Implants® look and feel like silicone in my experience. IDEAL implant® monitoring is simple; just look in the mirror to see if your implant is intact rather than worry about silent rupture and the need, expense and hassle for repeated MRI scans. As the contents are only saline, it is absorbed. Since the shell is smooth, presently there is no risk for ALCL.
Although I recommend to my patients with silicone gel implants that they should consider replacing their implants after 10-12 years (as rupture rates are relatively high) or whenever they are told they have a rupture, with IDEAL® implants there is no need to monitor or replace them unless there is a problem which will result in significantly less surgeries in their lifetime. When a silicone gel implant rupture occurs a longer and more expensive capsulectomy procedure is required, vs when simply replacement if an IDEAL implant® ruptures.
Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
Can the fat transfer method be used after removal of 38 year old ruptured breast implants?
Asked By:AnonymousANSWERS (1)Want to enlarge or improve your breasts after explantation with your own fat?
This is so common in our office that we coined the term "California Breast Lift"
For years, Plastic Surgeons and their patients have desired to transfer unwanted fat from their tummy or thighs to their breasts. We are now are able to do this safely.
If you have been considering a Breast Lift or improving your appearance after breast augmentation or Breast Reconstruction but are not comfortable with introducing artificial material into your body, you may want to look into the benefits of breast augmentation with fat transfer. An alternative to breast implants is fat transfer also known as fat grafting or lipoinjection. This technique allows women the option of enhancing the appearance of their breasts without the potential problems of saline or silicone implants such as hardness, rippling or rupture.
Who is a candidate?
Any woman who is healthy
Women with sufficient body fat for the procedure
Women considering breast augmentation who wish to be one cup size larger or less
Women who have had breast augmentation or reconstruction but who lack fullness or have contour concerns. Fat transfer can further enhance and reshape your breasts while smoothing out visible or palpable edges of breast implants. This will disguise implant rippling and wrinkling.
Women with normal mammography
Dr. Nichter has successfully transplanted fat into the face, buttocks and other body areas for decades and are now using this same technology to enhance breast shape and size. Plastic surgeons have been transplanting fat to the breast since 1995 but caution and study were necessary to make sure there were not harmful effects. Furthermore, results in the past were variable, dependent on surgical equipment, technique, surgeon’s skill, and individual patients healing abilities.
Since 1995, recent advances have led to the development of special instruments made just for fat grafting. More and more qualified plastic surgeons are using this technique successfully. The advantage of this technique is its ability to create a natural augmentation without an implant. Fat grafting (also called lipoinjection or fat transfer) to the breasts is indicated for different reasons: as an alternative to implants for mild to moderate breast augmentations, to provide fullness to the upper part of the breast during a breast lift, after pregnancy, age, or weight loss, following breast reconstruction, or to minimize the visibility or rippling of existing breast implants. Typically up to one breast size enlargement is possible in most patients. Fat transfer to the breast is usually done as a single procedure resulting in approximately half a cup volume increase. In women desiring additional breast enhancement a subsequent procedure can be performed. Each surgery consists of two components:
Harvesting the fat: Fat is removed from your abdomen, hips, “love handles” or other areas using a fine cannula similar to the one used for liposuction but skinnier. This fat is rinsed with sterile saline solution and then packaged into syringes and prepared for transfer. Approximately 20% of fat removed is suitable and available for fat grafting.
Fat transfer into the breasts: The prepared fat is injected in small amounts at a time and widely distributed within the layers of the breast so that these living fat cells can pick up a healthy new blood supply.
Advantages of Fat Transfer to the breasts:
Fat cells are natural and you are using your own tissue without any foreign body or implant.
Harvesting of the fat by liposuction has the added benefit to enhance your shape by removing unwanted fatty deposits
The breast can be shaped or sculpted in more detail than is possible using implants alone.
Minimal incisions reduce the possibility and degree of scarring
No implant is used, therefore there is never a need for replacement, or any potential for capsular contracture (hardening of the implant).
Fast Recovery Time: Recovery time is about 1 week and usually less uncomfortable from implants that are placed beneath the muscle.
Although, breast augmentation performed with the lipoinjection technique takes longer than traditional breast augmentation (with implants) the benefits are substantial including no need for implant replacement in the future.
In the past, significant questions were raised about the ability of Mammograms or MRI to detect breast cancer after injecting fat into the breast. However, there is no evidence that fat transfer to the breast is less safe than any breast surgery. Large studies have begun over the last several years to study fat grafting to the breast. With or without breast surgery, calcifications and lumps can occur. Breast diagnostic studies including physical examination and mammograms should be used to monitor every patient diligently using standard guidelines.
As a general rule, surgeons with extensive experience in grafting large volumes of fat to the body are most likely to obtain the best results. We believe fat transfer should only be performed by surgeons certified by the American Board of Plastic Surgery that have experience in fat grafting. Few plastic surgeons have this experience. This ensures that your surgeon has advanced knowledge and technical familiarity, but also the subtle anatomy and aesthetics of breast augmentation.
Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
Is it possible to get the same results with Ideal Implants if the incision is under the armpit?
Asked By:AnonymousANSWERS (1)The IDEAL Structured implant can be placed from an armpit, periareolar or under the breast in the fold. As the implant is filled once inside the incision is generally less than a silicone implant.
Studies have shown that the risk for capsular contracture is less frequent when the inframammary incision is used.
Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
What are your experiences with the Ideal implant?
Asked By:AnonymousANSWERS (1)I am one of the largest users of the IDEAL Structured implant and as a FDA investigator of this device have more than a 9 year experience. To date I have placed these implants in almost 300 patients with almost all thrilled with their choice. I am not alone and patients have given them to date a RealSelf 99% "Worth it" rating, higher than all other implants available in the USA. See the below Web Reference and Video link to learn more.
Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
Larry S. Nichter, MD, MS, FACS reviews
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Bikergirl5
Lift and implant replacement
24 years ago I went to Dr Nichter for a mastectomy on 1 breast and reconstruction. He did implants on both breasts which is hard to make look even and natural and he did a wonderful job. One of my implants had ruptured (which is very common after 24 years). I came back to him to replace the implants and do a lift on the natural breast. He once again did an amazing job. They look beautiful! He is a highly skilled plastic surgeon who is also so knowledgeable and respected in his field and is triple board certified! He is also extremely compassionate and very honest. You are in excellent hands with Dr Nichter and his excellent staff. I cannot recommend him enough. Just to read his resume you know you are going to one of the best!
Neat99078
Very pleased with the results - highly recommend Dr. Nichter
I am extremely happy with the LiteLift procedure that Dr.Nichter performed on me last November. He prepared me quite well by providing detailed description of the before, day of and after surgery steps. My recovery was timely according to the projected schedule and I am very pleased with the results. I highly recommend Dr.Nichter as a highly skilled, compassionate, warm and caring plastic surgeon who will deliver high quality cosmetic surgery results as promised.
Response from Dr.Larry S. Nichter, MD, MS, FACSWow! Thank you for your wonderful review. The LiteLift is our signature procedure at the Pacific Center for Plastic Surgery, uniquely offered by our practice. I'm grateful for the trust you placed in me to deliver beautiful, natural-looking results. I appreciate your feedback and am glad that you are happy with the outcome. I look forward to seeing you again soon!
Passionate537332
Pre op - I have my breast augmentation surgery scheduled for this Thursday
After doing extensive research and meeting with many different doctors in Newport and Beverly Hills, I decided to book my surgery with Dr. Nichter. I felt that he made me feel the most comfortable and his experience in this industry and how much he cares about giving back to the community really stood out to me. I have my breast augmentation surgery scheduled for this Thursday and I've been very anxious/nervous but I fully trust that I'm in good hands. I found Dr. Nichter on this app and found the reviews so helpful so I will be posting a full review post surgery !
Response from Dr.Larry S. Nichter, MD, MS, FACSThank you for sharing your review! I genuinely appreciate you taking the time to write about your experience. Choosing a surgeon is a highly personal and significant decision, and as you mentioned, conducting thorough research is crucial. I am grateful for your feedback and look forward to seeing you back soon!
flewis2244
Everyone at the office was so kind and made sure I felt comfortable
Dr. Nichter is truly an incredible surgeon. He is one of the most meticulous surgeons that I’ve met. Like the attention to detail is incredible, especially when he explains things. I don’t know about you, but that’s what I look for in a doctor! I want to understand everything and he really took the time to answer all my questions. Not only that, but I felt like it was clear from the start that he cares so much. If you ever watch a staff and how they interact with the doctor, it can be really telling. I pay attention to these things! Everyone at the office was so kind and made sure that I felt comfortable with the process. I could go on and on… but let me just say this: if you not sure where to begin like I was, go see Dr. Nichter!! I’m rarely one to give advice or write reviews but I felt compelled after this whole experience. Only other thing I want to say is THANK YOU Dr. Nichter! You are amazing and I am forever grateful.
Response from Dr.Larry S. Nichter, MD, MS, FACSThank you so much for sharing about your experience with me and my wonderful team! I truly appreciate the feedback and take pride in helping patients not only meet, but exceed their goals. Our entire team in Newport Beach is integral to your satisfaction and I’m so glad you took note of the fabulous synergy we have. Again, I appreciate you sharing your feedback and we look forward to seeing you again soon!
jinglebells0909
Much More Than my Plastic Surgeon.
Dr. Nichter went above and beyond my expectations. As a nurse and someone who is extremely observant, I am aware of even the slightest subtleties in demeanor, bedside manner, and especially the way that physicians explain procedures and answer questions. Dr. Nichter explained everything extensively and even offered to show me the research article he published on the data behind the safety of Ideal implant use. In the scientific community, this is a highly respected accomplishment and Dr. Nichter has numerous publications which is wildly impressive. He is wicked smart, yet incredibly humble. I could not believe how humble he was! He is quite literally one of the most qualified and experienced surgeons in not just plastic surgery, but reconstructive surgery (among many other talents) that he even does pro-bono for people in third world countries who suffer from genetic or accidental bodily malformations. Like seriously, could this man be any more of a gift to society? Lol. It has been almost 12 months from my breast augmentation with Ideal implants and I could not be any happier. The pre-op, surgery, and post-op appointments could not have been more pleasant and enjoyable with Dr. Nichter and his awesome staff like Mary Anne and Lauren. These girls are great at making people feel welcome and comfortable which is so important for me as a patient. My results are amazing. The Ideal implants do not make my breasts feel hard or unnatural looking at all. All I did was show Dr. Nichter a photo of my wish pic and told him I wanted my breasts to be proportional to my body size and he did exactly that. He is a perfectionist so he definitely makes sure the size is just perfect in relation to the wish pic. I was worried about scarring and have had surgery before with horrible scars but Dr. Nichter has such a steady hand that my scars are barely noticeable. I am prone to poor scarring so they are still a little red but that's my own body's fault! Such a clean and small incision line though, I love it. Dr. Nichter, if you are reading this thank you so much for your impeccable work, compassion to help and to educate your patients, and for being more than just our plastic surgeon. You have made your mark on this society in more ways than one, yet you continue to treat your patients with respect and go above and beyond to care for us. I'm sorry this review is long overdue! For potential patients: If you are on the fence, do yourself the biggest favor and make this search for your plastic surgeon much easier by going with Dr. Nichter.
Response from Dr.Larry S. Nichter, MD, MS, FACSThank you very much for your wonderful review. Dr. Nichter was touched to read this and we appreciate you taking the time to share about your experience with the RealSelf community. Knowing your background in healthcare, it means a lot to have exceeded your expectations. As always, we are here for you anytime you need us or if you would like to explore other aesthetic options. Thank you again. We are lucky to have amazing patients like you!
Patcharin S
Dr. Nichter is a world class surgeon
I had the the most AMAZING experience with Dr. Nichter. I first got breast implants with him back in 2006 and it was perfect. May 2021, I went back to get a full mommy make over with him (breast lift, tummy tuck, liposuction of arms, chin & things). Dr. Nichter and his staffs are amazing from the beginning to end. It has been truly a life changing experience for me. I absolutely love my results. Dr. Nichter is a world class surgeon. I even got less scaring on my breast than I thought I would get with a breast lift. He calls you after surgery and takes very good care of you. The results speak for itself. I can not be happier. He is the best!!
Response from Dr.Larry S. Nichter, MD, MS, FACSWow! Thank you so much for sharing about your experience. We are very happy and honored that you have continued to put your trust in our team. Having longstanding relationships with our patients is truly incredible. We’ve enjoyed the journey together and look forward to seeing you back soon!
Flipfloparound
So Thankful I Decided to Get BA Revision with Dr Nitcher
I had my BA revision (capsular contracture on my left breast & 4 inch lift on my right breast) done with Dr Nitcher in mid Jan 2021. It's been over 3 months, million thanks to his meticulous work that the scar tissues doesn't (hopefully will never) recur. The surgery went over 3 hours, he spent lots of time getting rid of the scar-tissues in my left breast and replacing both implants symmetrically, the previous surgery had not done well, my left breast was pulled left & higher than the right one. He put me on Singulair & lots of recovery supplements for pre & post ops, my recovery went so painlessly & quickly. I'M SUPER HAPPY with the result. Thank you Dr Nitcher for such a magical work!
Glorious945
5'6 105lbs Sientra 255cc silicone moderate plus under the muscle
Hi everyone, I decided to write a review and document my breast augmentation journey for those who are interested in having breast implants in the future or are just curious about what size 255cc implants would look like on them. I had my ready augmentation on January 27, 2021, during COVID with Dr. Larry Nichter in Newport Beach. I chose Dr. Nichter while looking through RealSelf and found that he had the most experience out of all the surgeons in my area and he had a lot of positive reviews. My goal initially was to have implants that looked natural and fit my body proportions. I was debating between 215-255cc and ultimately let my surgeon chose what looked best on me and what looked most like the picture instead. Updated on 2 Feb 2021: Went to see Dr. Nichter for a post op checkup. He said everything is healing perfectly and that my implants are already dropped and now I have to wait for the fluffing to happen. Overall I felt little to no pain and I stopped all of my medication on day 3. I did not even have to use my prescribed painkillers and just used Tylenol to manage the little pain I had. I can do almost everything by myself without assistance. The doctor told me that I can sleep however way I want if I feel comfortable to and I can go without a sports bra. Overall I just feel some tightness and some numbness near the incision site. My breasts feels firm but it should soften up soon. My nipples are half sensitive and half numb which is kind of weird but the doctor says that it’s completely normal and that feeling should return in the following months. Updated on 8 Feb 2021: Updated on 12 Apr 2021: So far I love my new boobs. They have softened up a lot and the scars are slowly turning pink. Since I live in Southern California I have been taping up my scars with Hy tape with spf 50 to protect the scars from the sun. All of my friends and family barely noticed I got a boob job but they do say that it’s very natural looking and it fits my frame perfectly. I am glad that I let my surgeon operate and choose my size for me and I am very happy with the end result. Still waiting for my boobs to fluff out a little bit but overall my surgeon says that this is how it’s going to look like from now on. Updated on 17 May 2021: After about 5 months, I have noticed that my left implant is clearly lower than my right. When my arms are raised I see that the scar is not where it’s supposed to sit and my nipples are pointed upwards which is a tell tale sign of bottoming out. I’m going to revisit doctor Nichter to see what he says.
ssgurl38
Perfect from Start to Finish!
This is my second time getting surgery with Dr Nichter and another wonderfully positive experience! He is a very experienced & meticulous surgeon (He's on the board of plastic surgeons so in charge of reviewing other surgeons certifications.) He is VERY good at what he does and truly ultimately wants the best for his patient. I have healed slowly due to a medical condition & he has called me several times to personally feed back on concerns I had. He's also over just a nice day & unsurprisingly does pro-bono work overseas. My result from a lift and augmentation is gorgeous! And I'm only a few weeks in. So so impressed, please stop looking and get signed with Dr N :)))
Ange00
I healed so fast than I imagine it would have been, my boobs look so natural and beautiful
I heard Dr. Nichter from online the reviews, before meeting him, I also went to a few other places to consult. When I met with Dr. Nichter, and after talked to him, I decided to choose him as my surgeon, he performed a wonderful job, and also very caring and called me the evening after surgery to care about how it goes. I really appreciated his caring and help. I healed so fast than I imagine it would have been, my boobs look so natural and beautiful. I can't express how happy and lucky I am to have Dr. Nichter as my surgeon, and really appreciate him and his work team have done for me. If anyone who considering do it , I highly recommed Dr. Nicther.
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