Cinderella Plastic Surgery Tips: The Push Up Bra Look with Breast Implants (Breast Augmentation)

The Push Up Bra Look with Breast Implants

Many women love the way their breasts look in a push-up bra. The pushed up look has always been viewed as a sexy look and often times a look that signifies youthfulness. A lot of patients who seek out breast augmentation want that same look when they rejuvenate their breasts, but is it a good thing? Board certified plastic surgeons Dr. Simeon Wall Jr. and Dr. Bruce Van Natta discuss their opposing viewpoints and give patients something to think about when it comes to breast implants and positioning.

The Push Up Bra Look

Push up bras are sold for a reason: it’s a easy way to accentuate a woman’s breasts and make them look sexy. Normally, the older you get, the less volume you have in your breasts to be pushed up. When consulting with a board certified plastic surgeon, what will they say to the notion that you would like a push up bra look with your implants?

“In my opinion, it’s not a good idea,” says Van Natta. “If you have that look, that means your implant is too big or not in the right place. Even if the patient likes that look, they’re not gonna like the long term consequences.”

“I totally disagree,” says Dr. Wall Jr. “If we took that approach on all the patients that come to see us, we probably wouldn’t be fixing many people. Of course we want to pay attention to the tissue characteristics of the patients and we don’t want to exceed the width of the breast. We want to educate our patients, but I think  if they come in and have low positioned breasts and they want more of a ‘push up bra look’, it is reasonable to be able to deliver a very predictable surgery that we can reproduce over and over with a low re-operative rate.”

Where to Place the Implant: High or Low?

When it comes to breast augmentation, board certified plastic surgeons have a lengthy consultation with a patient in order to take all of the proper measurements. Current breast size, width of the chest, strength of surrounding tissue… all of these variables come into play when it comes to choosing the right implant. Dr. Van Natta believes positioning implants higher up on the chest (in order to achieve a push up bra look) may spell disaster for future complications. ”If measurements and chest anatomy didn’t matter and they want that look, I’m not one to judge,” says Van Natta. “But that’s not the case, and I want them to have good, long-term outcomes. I don’t think you get that when you get that push up bra look.”

Dr. Wall disagrees by stating, “When they’re younger, we’re trying to position that breast a little higher, maybe even with a lift at the same time. When they get older, and it’s more age-appropriate for them to sit lower, then sure it’s going to sit a little lower as they age. If you don’t position (the implant) upwards at the beginning, then they’re going to stay low and matronly the whole time!”

Both physicians do agree that a consultation with a board certified plastic surgeon is the most important part of the entire breast augmentation process. Maybe you don’t want the ‘push up bra’ look, or maybe you do.  During the consultation you’ll get the best information available and determine which look is right for you.

Source: The Plastic Surgery Channel

Cinderella Plastic Surgery Article: The Eyes Have It! (Blepharoplasty)

The Eyes Have It!

Breast augmentation, Botox®, nose jobs, face lifts… These are the procedures that come to mind when you think of plastic surgery. What about rejuvenating the most important part of your face, the eyes? Dr. Lou Bucky of Philadelphia tells us how modern techniques in eyelid surgery can produce dramatic results in patients wanting to refresh their tired eyes.

Easy on the Eyes

We all notices imperfections from time to time on each other’s faces, but what are we looking at most of the time? The eyes!  “There’s probably no procedure that makes a bigger difference with as little amount of surgery as an upper eyelid lift, or blepharoplasty,” says Dr. Bucky. “The analysis of the upper lids is simple, you’re just talking about extra skin of the eye lid, or potentially a little droopiness of the brow that contributes to the extra skin. An upper lid blepharoplasty is a 45-minute procedure that’s just doing the true nip and tuck of the skin. The operation is fairly simple and associated with an easy recovery.”

 

Smoothing Bags Beneath the Eyes

The most blatant sign of age and/or exhaustion are bags beneath the eyes. While an eyelid surgery doesn’t necessarily mean the bags will be addressed, Dr. Bucky believes the area between the eye and the upper cheek to be of most importance. “The lowerlid on the other hand is much more complicated. The anatomy is different. Sometimes, again, it’s just extra skin, but often times there’s fat components that needs to be addressed. How you address them is vital. I like to take fat out when needed in a very conservative fashion, but not go through any muscle.

“Aesthetically, where the lower lid ends and the cheek begins is a bit arbitrary. So sometimes instead of taking the hills of the eyelid down, we’ll fill the cheek at the junction between the cheek and the eyelid.”
Surgeons like Dr. Bucky are turning to fat grafting to help resolve the hills and bumps between the cheek and eyelid. “It is very rare today for me to do a lower lid procedure and not try and blend it with the cheek and add some fat. Therefore, it’s a blending procedure,” says Bucky. “To just think of the eyelid alone and not think about the face is a bit naive. It leads to a separation of how one’s eyes look relative to their face. It’s not the goal of facial or eyelid rejuvenation.”
“The so called ‘tired eye’, often times associated with a bag or groove, it’s the junction between the eyelid and the cheek. We need to blend that. The typical lower lid patient has either a pinch of skin, maybe some fat removal, a bit of laser to improve skin quality, then use fat to blend the junction between the lid and cheek. This gives a harmonious, more natural result.”

Source: The Plastic Surgery Channel

 

Cinderella Plastic Surgery, Fillers and Botox: Look Younger Now

Fillers and Botox: Look Younger Now

It’s the new millennium and with it comes expectations to look younger. With 40 being the new 30 and 50 being the new 40, it’s no wonder we all want to keep up! However, many board certified plastic surgeons and estheticians are asking the patient to be more careful about the process. They advise checking out the injector’s skill and training while relying on their expertise to help you achieve the best result.

Consent Forms

“We discourage our patients from simply signing a document without reviewing it thoroughly,” says Beverly Breshers, LCPME, at Somatique Medical in Dallas, Texas. “We want all patients to feel comfortable with the consent form prior to any type of procedure.” Consent documents are used to

outline the procedure’s risks and explain alternative treatments.

Is there an Age Limit with Injectable Treatments?

There’s not a “legal age” for Botox or fillers. However, when used for wrinkle treatments, many board certified plastic surgeons and estheticians discourage treating anyone under the age of 21, saying it’s just not needed. The typical patient is in their 30’s, 40’s, and 50’s and beyond. For added peace of mind, patients are encouraged to receive cosmetic procedures at offices with a board certified plastic surgeon or dermatologist, who either administers the procedure or oversees the treatment plan and patient records.

Botox works best as a preventative treatment. The ideal time to start treatment is when you begin developing dynamic lines (lines that are visible when frowning) but before you have developed static lines (lines that are visible when your face is relaxed).

Map Out the Face

Ask your board certified physician or provider to illustrate where the Botox and filler will be used. The patient’s facial anatomy as well as the patient’s concerns are used to determine which filler should be used and which areas should be treated. There are a lot of options with neurotoxins and facial fillers and you need to be able to rely on your physician or trained injector to tell you which product will be best for your specific issues.

How Long it Will Last?

The length of results from Botox treatments vary from person to person, usually 3 to 4 months, due to muscle structure, the quality of the Botox and the skill level of the practitioner. Friends should comment that you look more relaxed or fresher, but treatment will not radically alter your appearance. A good treatment will still allow the patient to frown or smile as normal.  Facial fillers are a little different with each one having slightly different properties.

Source: The Plastic Surgery Channel