Dr. Brian C. Reuben is an exceptionally skilled double board-certified plastic surgeon, with advanced training in all facets of cosmetic and plastic surgery. With over 10 years of experience, he practices at 22 Plastic Surgery and Spa MD, with locations in Salt Lake City and Cottonwood Heights, Utah. Dr. Reuben specializes in breast augmentations and lifts, tummy tucks, labiaplasty, and complete mommy makeovers. He also has expertise in breast implant removal procedures, breast reconstruction, as well as a wide range of nonsurgical treatments. During patient consultations, he and his staff ensure clear communication, education, and an open forum for discussion. The ultimate goal is to understand their desires and ensure each patient fully understands the surgical and recovery process. After earning his medical degree from the Medical College of Wisconsin in Milwaukee, Dr. Reuben began his extensive postgraduate education with a general surgical residency at the University of Utah in Salt Lake City, followed by a plastic surgery residency at the University of Pittsburgh in Pennsylvania. He then traveled to Gent, Belgium to complete a fellowship in DIEP Breast Reconstruction. Dr. Reuben is known to be on the cutting edge of plastic surgery, training consistently in the latest advancement in technologies and artistic techniques in the field. He studied under the top doctors in the fields of both reconstructive and cosmetic plastic surgery. His commitment to ongoing education and extensive training mean he consistently delivers safe, natural-looking results for his patients, blending time-tested techniques with the latest innovations in plastic surgery. Dr. Reuben is board certified by the American Board of Plastic Surgery. He is also a member of the American Society of Plastic Surgeons, the American Society for Reconstructive Microsurgery, the American Society of Aesthetic Plastic Surgery, and the Mountain West Plastic Surgery Society.
A: Great question, these sutures dissolve. I’m not sure there’s a single surgeon who would use permanent sutures for this aspect of the surgery. It is rare that we use permanent sutures anymore for a TT.
A: Thank you for your question and photo. With the current shape of the breasts, a lift is necessary to provide a good outcome. A lollipop lift or anchor lift may be necessary depending on how much excess skin you have and what size implant is chosen. Using an “internal bra” mesh on a first time augmentation is typically not necessary. This adds extra costs that are typically not necessary. The internal bra is great for implant related issues if the original surgery was not done well.
A: Thank you for your question. Best way to think about a double bubble is that it’s a structural problem: the implant has slipped down under the supporting ligaments of the breast. This type of problem needs a structural fix: repairing the bottom attachments of the breast. Fat grafting does not repair this and is a mere “cover up” of the underlying problem. For small double bubbles, this can sometimes be reasonable. However, for most problems, it will fall short of a good fix.
Best wishes.
A: Thank you for your question and photos. Overall the breast has a nice shape and fullness, but the lower pole is a little “tight” or mildly “hypoplastic”. To really round this out, an implant will be best. For often a slightly lesser fullness or roundness, fat grafting can be a great tool, which allows you to avoid the use of an implant.
A: Thank you for your question. Generally saline implants above the muscle are less favorable because of the scalloping and ripples that can be see or felt. It does all depend on how much soft tissue coverage you have though (how much breast tissue). You cannot likely find many photos because it is not often done. Best advice is to go to a few consultations with board certified plastic surgeons who can examine you and determine the best plan for you.