OptimalSelf MD Wellness & Aesthetics - Greenville - Account Suspended

Thanks for your questions and photos.  Weight loss discussions come up frequently with my patients - prior to any cosmetic procedure - facelift, breast surgery, abdominal surgery, liposuction etc. 

I advise patients to get to a “maintainable” weight.  This is usually not their ideal or “perfect” body weight. We are all able to lose weight quickly with crash diets or over-exercising, but that weight rarely stays off when we return to our normal diet or exercise regiment.  

Maintainable weight is the weight that patients can REASONABLY achieve with reasonable and permanent diet and exercise changes. This varies for every patient, and it won’t be listed in a table or book or online chart!

In our practice, my wife (also an MD) has a wellness practice through which she can help and guide patients to their optimal weight and health prior to surgery with me. 

Make reasonable and lasting changes in diet and exercise for your overall health and fitness, and you’ll likely feel better and be at the best weight for your surgery.  Discuss it at length with your board-certified surgeon. And best of luck!

Patient safety is very important, especially during and after surgery.  While there is more risk with longer surgeries, anesthesia and surgical techniques are continually evolving to improve outcomes and safety.  I personally use a hospital-based operating room, with MD anesthesiology oversight of CRNAs. We offer overnight stays in the hospital for any patient who asks.  And for patients who have surgeries longer than 4 hours, I strongly recommend they stay overnight. All patients are seen either in the hospital or in my office the next day, regardless of their surgery day. I use blood thinners on patients at higher risks for DVTs (blood clots) especially if they are having abdominoplasty.  My personal limit is 5 hours of surgery for cosmetic patients, so if it would be longer, then a second surgery would be necessary.  It is important to discuss all of these issues with your surgeon prior to booking your procedure.  Good luck. 

There is a little bit of mixed terminology here, but in the end the implants are similar.

Allergan's newest line of round, cohesive silicone gel implants are called Natrelle Inspira (brand name). There are 5 profiles (or projections) from low (SRL), low plus (SRLP), SRM (moderate), SRF (full), to SRX (extra-full).

So if you have the SRX implant, it is an extra full profile of the Allergan Natrelle Inspira. Volume is 420cc.

Now, another  company, Mentor, has its own line of new round, cohesive silicone gel implants called Mentor MemoryGel Xtra (brand name).  They are currently available in 2 profiles/projections Moderate Plus and High. 

All of these profiles have a large range of implant sizes (in ccs) from 110 or 200 up to 600 or 800!. 

Getting a particular look in the breasts is much more a function of choosing the correct profile and implant base width and implant volume. While there are some technical differences between the silicone gel and silicone shells in the Natrelle vs MemoryGel, choosing the correct profile/width and volume are very critical.  Speak to your plastic surgeon about it!  Good luck.