Dr. Aleksandr Shteynberg is a double board-certified plastic surgeon specializing in reconstructive and cosmetic surgery. Dr. Shteynberg has always been drawn to surgery. As an undergraduate, he attended New York University with a pre-med track and graduated with Cum Laude. He completed his medical and surgical training at SUNY Downstate Medical Center. Following the residency, Dr. Shteynberg trained at Long Island Plastic Surgery Group in plastic and reconstructive surgery and served as chief resident. Working with difficult wounds and burns, he was able to perfect reconstructive techniques that are reflected in his cosmetic work. Dr. Shteynberg has affiliations with Lenox Hill Hospital, NYU, New York-Presbyterian Brooklyn Methodist Hospital, SUNY Downstate Medical Center. Since 2015 Dr. Shteynberg has been serving as a director of Plastic Surgery Service at Kings County Hospital, where he performs a wide variety of surgeries with concentration on breast restoration for breast cancer patients. As a director of Plastic Surgery Service at Kings County Hospital and a Clinical Assistant Professor at SUNY Downstate, Dr. Shteynberg is deeply involved in teaching and writing about Plastic Surgery.
A: Hello Shwan2b4.
If one of the goals is to enlarge breasts, then implants will need to be used in the majority of cases. An exception could be cases when auto augmentation technique may be used (usually after a massive weight loss).
Considering your desired appearance, you will probably need implants and a lift.
At your consultation, you should try on different volume sizers to determine the size of the implant.
Based on your breast measurements and the size of implants - a type of reduction technique will be determined.
Best.
A. Shteynberg, M.D., F.A.C.S.
Diplomate, American Board of Plastic Surgery
New York, NY.
A: Hello alisall.
Bottomed-out implants may happen with larger implants, disrupted inframammary fold, and thinner skin flaps.
It seems that your surgeon tried to stabilize pockets with acceptable procedures twice.
At this point, I think getting a second opinion is the next reasonable step.
Additional pictures with both breasts in the view and views of the second breast are helpful to appreciate the problem. In-person consultation, especially with multiple prior surgeries is more informative and productive for both a patient and a surgeon.
Best.
A. Shteynberg, M.D., F.A.C.S.
Diplomate, American Board of Plastic Surgery
New York, NY.
A: 400 surgeries is a good number to obtain expertise in a specific surgery.
However, the number of surgeries, academic titles, ivy league names and a variety of other ways to impress patients do not necessarily convert into trustworthiness.
Nurses and some other surgical staff who work with a surgeon directly would probably be the best judges. Asking office staff if a doctor is good, while in the office, is probably not helpful.
The next best way to know would be to read surgeon's reviews and analyze theirs before and after pictures. Only perfect results and reviews are red flags for fake reviews. Very good and very bad reviews are red flags as well for fake good reviews. Good consistent results and reviews are likely true. if there are bad reviews, read those, those may have nothing to do with the surgeon's skills. Feeling overall comfortable with your surgeon is probably important as well.
Best.
A. Shteynberg, M.D., F.A.C.S.
Diplomate, American Board of Plastic Surgery
New York, NY.
A: Hello, djcacciatore123.
Tummy tuck and breast lift are commonly performed together.
A tummy tuck is a more involved procedure after which there will be a 3-4 week period when patients stand and walk in a hunched position. That position will result in significant back muscle straining. Breast lift recovery is easier, with less discomfort.
Considering your occupation, I would recommend preparing to take at least 4 weeks off and start working with a lighter schedule for the first few weeks.
Best.
A. Shteynberg, M.D., F.A.C.S.
Diplomate, American Board of Plastic Surgery
New York, NY.
A: Hello FairWanderer.
Old generations of silicone implants had a very liquid silicone which does easily spread during implant removal if the capsule ruptures.
I have removed and replaced old implants, it takes more time and requires more skills to maintain capsule integrity during dissection for as long as possible. If some silicone spills out, it needs to be meticulously washed out.
In my mind, there may be significant risks from anesthesia due to your mother's age and I would consider performing surgery under sedation with local anesthesia if it is true.
Best.
A. Shteynberg, M.D., F.A.C.S.
Diplomate, American Board of Plastic Surgery
New York, NY.