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Dr. Steven Teitelbaum is highly regarded for his expertise in a variety of cosmetic procedures including

Board Certified Plastic Surgeon
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Steven Teitelbaum is an Associate Clinical Professor of Plastic Surgery at the UCLA School of Medicine, past President of the California Society of Plastic Surgeons (2015-2016), and has been in private practice in Santa Monica since 1995. He specializes exclus
Asked By: globetrotter1000
ANSWER
These implants are so different that there is little reason to compare them. Motiva is not FDA approved and was available for a short time on a study, though more spots may open up later this year. Ideal was removed from the market for manufacturing shortcomings and was only made available again yesterday. While Ideal claims to have the feel of silicone in a saline implant it does not feel nearly as good as silicone and is very expensive. It is only something to consider for patients who are scared of silicone and prefer it to a standard saline implant. But such fears are ill-founded; silicone is safe and and is a much better choice than any saline implant. Rather than comparing Motiva to Ideal, it should be compared to other silicone implants. Your question repeats the manufacturer's claims about Motiva's advantages, but we will not know the truth until the data is matured. In the meantime they are not FDA approved so unless you are writing from outside of the USA your choice is between Ideal and other silicone implants, and it is rather obvious that silicone is the better choice.
Asked By: CorinneB100
ANSWER
It is impossible to answer your question without showing a photograph. You would have to have an extremely unusual situation to be able to have just a scar underneath the breast and accomplish a lift. It is rare for the issue to just be breast tissue that needs to be raised; almost always there is redundant skin that needs to be removed, an areola that needs to be raised or reduced in diameter, etc. But maybe you're the lucking one and needs something very subtle.
Asked By: bebemodo
ANSWER
I don't know anyone that specifically uses the technique you described. If anyone does it that way then you should be able to find them on Google. You can certainly search "plastic surgeon koreatown," "korean plastic surgery" etc, and i'm sure you'll come up with some great doctors. And I bet you'd come up with experienced Korean surgeons if you just Googled, "Dr. Kim plastic surgeon."On the other hand there are many Asian-American plastic surgeons who see a large number of Asian patients. Indeed many Caucasian plastic surgeons treat many Asian-American patients. So before you get dead set on the specific technique, learn what American surgeons are doing for patient such as yourself and why they are doing it.
Asked By: ekaterinast
ANSWER
The development of capsular contracture is fairly well understood today. When proper techniques are followed the rate should be very low. YOU SHOULD BE FOCUSED on finding the surgeon who demonstrates an understanding of these issues. Then let that surgeon describe to you the implant choices he or she feels is best for your situation.Your important choice is your surgeon and not the implant.You deserve credit for already understanding the importance of the inframammary incision and the behind-the-muscle placement of the implant. Those are probably two of the most important decisions.Having looked carefully at the data, there is no study that compares any of the different implants in a valid manner. The warranties are all good, the patient satisfaction rates are all very high, and the only real differences are related to how the implants were selected and used.The link below is to an important website that lists 14 critical points for reducing capsular contracture. Print that out with you and if the surgeons you see in consultation don't seem to grasp the importance of each of them then you should look for another surgeon.saferbreastimplants
Asked By: montielv
ANSWER
Your cup size is your tissue + your implants.There are people who have a lot of breast tissue and no implants who are a D.There are people with little breast tissue and big implants who are a D.And there is no standard unit of measurement for a cup size.Plastic surgeons do not speak in terms of cup size but rather in terms of what ideally fills a woman's breasts. If it is too big it looks round and stuffed. If the implant is too small the breast is empty. You make the breast pretty, and then the patient buys the bra that fits the most comfortably.
Asked By: ToddlerMom1972
ANSWER
The most common reasons for needing a revision of a breast implant are drooping, size change, and capsular contracture. You have the first two of the problems.Your implants are way too large. While i understand size is a matter of opinion and patients should be given what they want, breasts of your size will always go south. It doesn't matter whether they are natural or augmented. If you left the implants the same size and did a lift, it would still stretch again.The error was in your initial assessment and decision making: without seeing your preoperative pictures, i can be fairly certain that you had some degree of droopiness before surgery and you were given very large implants to fill them up.They sure got filled up, but gravity always wins and they have gone south.There is certainly not an urgency to do your revision, though the sooner you do it the less your skin will be stretched and damaged.
Asked By: Lauryen828
ANSWER
I operate on a lot of patients from out of town. But I warn patients that a tummy tuck has a long and very involved recovery so it is not an operation that lends itself to out-of-town surgery as well as, for instance, a breast augmentation. The follow-up care is a big part of it. You need to take that into consideration because though there is sense to your logic, there are other things to consider.Plastic surgeons will often gladly take care of the patients of their colleagues. The way you shouldask your operating surgeon to call someone they trust in Los Angeles to do the follow-up. Guys in other cities who only know me by reputation have reached out to me and I've always said yes. It should not be for you to work that out. If your surgeon isn't eager to help out in this regard, or if they say they don't know someone in a city as big as Los Angeles, it should make you reconsider your decision to have this person do your surgery. To me it would imply an unfamiliarity with the issues of out-of-town major surgery and make me question their background and credentials if they have never overlapped in their training with any of the great plastic surgeons in Los Angeles.
Asked By: Chicagogirl60025
ANSWER
The manufacturer of Motiva Implants hopes to have a US clinical trial enroll patients in 2017. The FDA takes every step to assure patient safety in these trials so as of the time I am writing this the trial is not yet approved or confirmed.Your question cut off, but asks about them being "safer in terms of their texturing..."The very reason to do the trial is to answer that sort of a question. Trials like this are for patients who feel highly motivated to participate in a trial for the benefit of all. Of course they should also have some belief that it will be a better choice for them.You can check the clinical trials/gov website and it will let you know if and when the trial is approved. If it is you will undoubtedly see discussion of it on this website.I included a link below to the Motiva website that is to provide information to patients outside of the US. Like any website, it is promotional. Remember that so far as US surgeons and patients are concerned, any beliefs of superiority or inferiority of these implants is a blank slate at this time.
Asked By: sometimessortofaBcup
ANSWER
It's been over fifteen years since I routinely needed to give narcotics for a breast augmentation. I've taught surgeons all around the world how to do a breast augmentation with minimal pain and a fast recovery, and have received many emails from them about how this has transformed the experiences of their patients.Credit for this technique goes to Dr. John Tebbetts of Dallas. He published this technique in plastic surgery's most widely read journal in 2001! So there is little excuse for all patients not to have this level of comfort.Why doesn't every surgeon do it? Probably it is that patients aren't demanding more, surgeons feel confident with what they are already doing, and many don't want to relearn techniques with which they are already so familiar. Most likely is that many do not believe that it is possible.The method requires a refinement of every step of the operation: good preoperative planning; detailed understanding of anatomy; sequenced operative sequence to minimize bleeding and tissue trauma; and early motion after the surgery to prevent stiffness and spasm. Patients say that it feels like their milk coming in, as if they had a hard workout, or that there is a pressure on their chest.Recently we purchased an ultrasound machine and our anesthesiologist has been giving concerned patients nerve blocks after they have been put to sleep. Objectively speaking this is not necessary for giving a recovery with minimal pain but it is helpful for alleviating anxiety in some.6
Asked By: evakristineg
ANSWER
I usually do a case like yours in one stage with a "circumareolar" lift aka "donut" lift aka "Benelli" (though the latter term is misused by almost everyone) and an implant.If you like your surgeon and if your surgeon prefers two stages then you should feel comfortable doing that. It is not something to be criticized. There is no meaningfully increased risk to a second anesthetic and the recovery for each procedure is fairly easy.And in fact there are a few very real advantages to two stages and I urge you to think about them: 1) you can more accurately do the lift and then more accurately position the implants in a second stage because each part affects the positioning of the other and the most beautiful breasts have the nipples most ideally located on the breasts and most symmetrically positioned ; 2) there is less stretch on the healing lift scar so that the scar is better; 3) there is probably a lower chance of needing an earlier reoperation for implant malposition or tweaking the lift; 4) you have a lot of breast volume and there is a reasonable chance you'd be happy after the one surgery without an implant 5) over a period of time a firm, tuberous breast like yours tends to slide off of an implant and would be more likely to require an implant revision or lift revision than if you just did the lift and not an implant. Giving yourself a chance to see if you like it without an implant is actually a very sound and mature thing to do.
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Dr. Steven Teitelbaum is highly regarded for his expertise in a variety of cosmetic procedures including