Silicone versus Saline Breast Implants

By | June 16th, 2015

Silicone vs. Saline Breast Implants

By: Levi J. Young, MD

Silicone versus saline breast implants is one of the primary questions when considering a breast augmentation. I break women seeking breast implants into two main categories: the A or B cup woman seeking an augmentation and the C or D cup woman seeking an augmentation.

The A or B cup woman generally does not have a large volume of their own breast tissue to disguise an implant, and I will recommend silicone. The silicone implant in these women looks and feels more natural. The silicone implant also does a great job of providing not just added volume but also added roundness and shape to the breast. A saline implant would have more chance of visible rippling or, if overfilled, would feel more firm in the A or B cup woman. Therefore, a silicone implant is superior.

In the C or D cup women, a saline implant is a good choice. The saline implants themselves are cheaper by cost and offer a result for this category of woman that is equivalent to silicone. The C or D cup woman has plenty of native breast tissue to disguise the saline implant, and the feel of the breast is predominantly their own tissue. The saline implant serves more in this situation to provide added volume to the breast and is not affecting the breast shape to a great degree.

The discussion of which implant to use is an important one. Both the surgeon and the patient must understand the patient’s goals and objectives and choose an implant that provides the result the patient desires. The good news is that while I have my recommendations I feel provide the best outcomes, both saline and silicone implants are safe and reliable and provide excellent cosmetic results.

If you are considering a breast augmentation, contact Advanced Cosmetic Surgery to schedule a consultation. Please call (913) 299-5100 or fill out our online contact form today.

Is a Lower Body Lift Right for Me?

By | October 13th, 2014

Quick and significant weight loss can leave a person with excess skin that no skin-tightening cream or exercise can correct. For those who have worked tirelessly to reach their goal weight, this can be very discouraging. The remaining excess skin is not only unattractive, but it can hamper the simplest activities in life like walking and shopping for clothing. Most patients who visit our Overland Park practice for a lower body lift consultation can relate to these frustrations.

Lower half of the girl body lying on the beach by the sea.

Here are a few questions Dr. Hall may ask to determine if you are a candidate for the lower body lift:

What are your goals?

To get the best results with any cosmetic surgery, you must clearly communicate your goals. The lower body lift includes a full abdominoplasty (tummy tuck), an outer thigh lift, and a buttock lift. During the consultation, some patients discover that they only need part of the procedure to accomplish their goals. Identify the areas of excess skin that bother you the most, and explain to Dr. Hall what you hope to gain from the procedure. He will customize the surgery to meet your needs.

How much excess skin do you have?

The best candidates for the lower body lift are close to their ideal body weight. Typically, the skin in the area of correction is very loose without a significant layer of fat beneath it. If there is a significant amount fat in the area, Dr. Hall may recommend you lose more weight before considering lower body lift surgery. Liposuction can be performed along with a lower body lift, and it is most often used to remove fat from the lateral thigh area. The body lift and liposuction procedures do not result in a large amount of weight loss, and these should not be treated as weight-loss procedures.

Are you prepared for the procedure?

The lower body lift is one of the most extensive procedures and requires at least two weeks of recovery time. Candidates for the procedure can plan to take this time off from work and have someone assist them for the first couple of days after surgery. Patients must also abstain from smoking before the procedure to reduce complications and help ensure the best results. At your consultation, you should be familiar with your health history and tell Dr. Hall what medications you are taking, if any. This information will help him to determine the safest and most effective approach for your surgery.

If you are considering the lower body lift in the Overland Park area, please schedule a consultation with Gary Hall, M.D., a Diplomate of the American Board of Plastic Surgery. Please call (913) 299-5100 or fill out our online contact form today.

How to Get the Best Results With Liposuction

By | September 26th, 2014

woman in bathing suitLiposuction is one of the most popular and versatile cosmetic procedures because it can remove unwanted fat from virtually any area of the body. While optimal results depend highly on the skill and expertise of the surgeon, there are a few things the patient can do to get the best results with liposuction.

1. Have the right expectations

When considering liposuction to remove fat from any area of the body, it is important to have realistic expectations. Typical candidates for the procedure are not significantly overweight and have stubborn fat deposits that are resistant to exercise. Liposuction will remove fat from these areas only; it will not improve loose skin or cellulite. While patients with these concerns may still qualify for the procedure, they may not experience the best overall results of a firm and sculpted appearance. In fact, liposuction may worsen the appearance of sagging skin. Those who have excess skin will experience far better results with procedures that remove sagging skin, such as a tummy tuck or lower body lift. Dr. Hall will evaluate your skin elasticity and the thickness of the underlying fat to help determine the appropriate procedure.

2. Follow your surgeon’s postoperative instructions

After liposuction, Dr. Hall will give you detailed instructions for how to care for your incisions and how to recover as quickly as possible. Postoperative instructions typically include the following:

Wear a compression garment

It is important to wear a compression garment if you’ve been instructed to do so. A compression garment will reduce swelling, encourage healing, and help the body take on its new shape.

Avoid sun exposure

Although incisions are small and hidden in inconspicuous areas, scarring can be noticeable if the incisions are exposed to the sun prematurely. Avoiding sun exposure and wearing a broad-spectrum sunscreen with an SPF of 30 or higher will help protect your scars from darkening.

Avoid aspirin and ibuprofen

You should avoid aspirin, ibuprofen, and other NSAIDS (non-steroidal anti-inflammatory drugs) for three days after surgery. These medications and can increase your risk for bleeding and slow the healing process.

3. Maintain your weight

Results with liposuction are permanent unless the patient gains a significant amount of weight. Many find that if they do gain weight after surgery, the weight distributes itself more evenly. Fat that once collected in the treated problem areas will not bulge like it did prior to liposuction. Maintaining your weight will prolong your best post-surgical results of firmer and slender body contours.

If you are considering liposuction in Kansas City, please schedule a consultation with board-certified plastic surgeon Dr. Gary Hall by calling (913) 299-5100. For your convenience, you may also fill out our online contact form.

Tummy Tuck FAQ

By | August 1st, 2014

Tummy tuck surgery, also known as “abdominoplasty,” is one of the most popular procedures at Dr. Hall’s Kansas City practice. The following are some of the most frequently asked questions about the procedure:

1. Am I a good candidate for a tummy tuck?

woman pinching stomach

Many patients who have experienced very good results with tummy tuck surgery are those who have either lost a significant amount of weight or those who have had children. Weight loss and pregnancy can cause loose skin in the abdomen, abdominal muscle separation, and stretch marks – all of which can be remedied with an abdominoplasty. Those who have excess skin and fat on their abdomen due to other reasons also experience great results with this procedure. Generally, if you are unhappy with the appearance of your abdomen and you are at or near your ideal weight, you will likely qualify.

Those who experience the best results with abdominoplasty can relate to the following:

  • Your weight has been stable over the last few months, not fluctuating significantly

  • You are within 10 to 20 pounds of your ideal weight

  • You do not smoke or you are able to quit for at least one month before and after surgery

  • You are finished having children

  • You have realistic expectations for the procedure

Some patients may be better candidates for a mini tummy tuck, which will address sagging skin and excess fat in the lower abdomen only. If you have good skin elasticity or only a small amount of loose skin, liposuction may be sufficient to get the desired results.

2. What will happen if I become pregnant after a tummy tuck?

It is best to wait until you are finished having children before choosing tummy tuck surgery. Pregnancy after tummy tuck will not cause any harm to you or the developing child, but it can “undo” your tummy tuck results to some extent. Any loose skin after pregnancy can be resolved with revisional surgery to improve your shape.

3. How long will results last?

Results with a tummy tuck are long lasting. Patients can prolong their results by maintaining a healthy diet and exercise routine and by protecting their skin from the sun.

4. How much weight will I lose from a tummy tuck?

Tummy tuck surgery is not a weight-loss procedure. In fact, the average amount of weight lost from tummy tuck surgery is only five pounds. However, as we mentioned in a previous post, a recent study has shown that some patients can experience a marginal amount of steady weight loss after the procedure – not counting the five pounds or so that were removed during surgery.

5. Will scars result from this procedure?

A scar will be present on the pelvis that spans from hipbone to hipbone. This scar can usually be hidden beneath most styles of swimsuit bottoms and will fade significantly with time. A shorter scar in the same area is associated with a mini tummy tuck.

6. Is pain associated with this procedure?

Like any other surgical procedure, there will be some amount of discomfort after tummy tuck surgery. As we mentioned previously, Dr. Hall can now perform tummy tuck surgery on an outpatient basis thanks to the use of a slow-releasing numbing medication, which continues to work for about three days. This saves you from spending money on a hospital stay. Dr. Hall will also prescribe medication that will keep you comfortable for the remainder of your recovery time.

If you are interested in tummy tuck surgery in the Kansas City area, please contact board-certified plastic surgeon Dr. Gary Hall by calling (913) 299-5100 today. For your convenience, you may also fill out our online contact form.

What to Expect With a Breast Lift

By | July 9th, 2014

A woman in a black bra with her hands lifting up her breasts on a white backgroundThe breasts change as the skin loses elasticity from circumstances such as pregnancy, breastfeeding, weight fluctuations, aging, and heredity. As the skin loses its ability to stretch and return to normal, the breasts do not retain their shape and begin to sag. The breasts lose their youthful shape and firmness as loose breast skin, stretched areolas, and drooping breasts develop.

Breast lift surgery (mastopexy) removes excess skin and tightens the surrounding tissues to achieve the following:

  • Elevated breast position

  • Improved breast shape

  • Increased breast firmness

  • Reduced areolas, if necessary

It is important to understand that mastopexy cannot increase the size or add fullness to the breasts. Patients often combine breast augmentation surgery and breast lift surgery to attain more youthful breasts that are both larger and uplifted.

What Recovery Looks Like

After breast reduction surgery, the breasts will be bandaged and wrapped with a compression garment to support them. This compression garment should be worn the majority of the time during recovery to reduce swelling and bruising and help the breasts take on their new and improved shape. Dr. Hall will give you specific instructions to follow to ensure you have the safest recovery possible.

General Recovery Timeline Table - Breast lift

The enhanced shape and position of the breasts will be noticeable immediately and will continue to improve over the next few months. Incision lines will fade and will be hardly noticeable over time. Results will be long lasting as long as the patient maintains a healthy lifestyle. Most patients experience a boost in confidence with their more youthful and uplifted breasts after the procedure.

If you are considering breast lift surgery or any other breast enhancement procedure, please call (913) 299-5100 to schedule your consultation with Dr. Hall. For your convenience, you may also fill out our online contact form. Dr. Gary D. Hall is a board-certified plastic surgeon and has extensive experience performing breast enhancement surgeries.

When Bigger Isn’t Better (Breast Reduction)

By | June 18th, 2014

Rear view photo of a woman wearing a sports bra with one hand on her lower back and the other hand on her neckBreast reduction is arguably one of the most rewarding cosmetic surgeries available. When women can play sports, exercise, and simply go about everyday life without the pain caused by their excessively large breasts, their confidence and overall quality of life improves.

Those who consider breast reduction surgery typically have one or more of the following complaints:

  • Pain in the neck, back, and/or shoulders
  • Heavy, pendulous breasts
  • Skin irritation beneath the breasts
  • Indentations on the shoulders from bra straps
  • Breasts that are too large in proportion to the body
  • Difficulty with exercise and physical activities
  • Difficulty finding clothing and bras that fit well
  • Breast asymmetry

Surgery is performed under general anesthesia in a hospital or outpatient surgery center. From the initial consultation to the final result, Dr. Hall seeks to provide his patients with all the necessary information so that no question is unanswered.

Dr. Hall employs different surgical techniques for breast reduction based on the patient’s desires and the degree of correction needed. He can preserve the breast tissue and milk ducts necessary for future breastfeeding. If needed, he can also reduce the size of the areolas (the darker colored skin around the nipples). For those who require only a slight reduction, an incision is made around the areola and vertically from the areola to the breast crease. Women who need a large amount of tissue removed may require another incision beneath the breast that follows the crease. Recovery time is about two weeks, and patients are able to resume exercise after about six weeks.

This procedure results in firmer breasts that have an improved, more youthful-looking shape. Women are very satisfied with their ability to move freely without the excessively heavy weight on their chest.

If you are interested in the breast reduction procedure, please schedule a consultation with board-certified plastic surgeon Dr. Gary Hall. With years of experience performing this procedure, Dr. Hall can provide the recommendations that will give you excellent results. Please call (913) 299-5100 to schedule an appointment. For your convenience, you may also fill out our online contact form.

Above or Below the Muscle: Which Is Better?

By | May 20th, 2014

woman's bustAdvances in surgical techniques with breast augmentation have given patients more options than ever. You can choose the type of implant (silicone or saline; round or shaped), you can choose the incision location (around the areola, under the breast, or in the armpit), and you can choose the implant placement (above or below the pectoral muscle). Every option provides certain advantages and disadvantages with regard to scarring, healing time, and appearance. In this blog, we can help you begin your decision-making process by discussing the general advantages and disadvantages of the two implant placement options.

Subglandular Placement: Above the Pectoral Muscle

Many surgeons agree that when a patient has an adequate amount of breast tissue to cover the implant, placement above the pectoral muscle is not a bad option. Although breast augmentation in this plane does have a faster recovery, this placement is associated with a higher risk of capsule contracture and visible rippling, and it can give a less natural appearance.

Submuscular Placement: Below the Pectoral Muscle

Dr. Hall performs submuscular placement most often as his practice. This placement works best for patients who are thin, who have thin skin, or who do not have much breast tissue to cover the implant. This reduces the risk for implant wrinkling or “rippling,” which occurs when wrinkles in saline implants show through the skin. Studies have shown that capsular contracture occurs less often with submuscular placement as well. Recovery time with submuscular placement may also be a bit longer than subglandular placement. The choice between the two will depend on the outcome you desire as well as your unique physical anatomy.

Dr. Gary Hall has been practicing for many years and knows that all the choices involved with breast augmentation can be overwhelming. During your consultation, Dr. Hall will help you sort through your options and provide his recommendations that will give you the best results.

If you are interested in the breast augmentation procedure, please schedule a consultation with board-certified plastic surgeon Dr. Gary Hall. With years of experience performing this procedure, Dr. Hall can provide the recommendations that will give you unparalleled results. Please call (913) 299-5100 to schedule an appointment. For your convenience, you may also fill out our online contact form.

Weight loss after tummy tuck

By | May 3rd, 2013

Many patients in my practice talk about how they keep losing weight after an abdominoplasty (tummy tuck) procedure. Many think that it is related to early satiety, possibly secondary to the abdominal wall tightening. There was an article just published, Plastic and Reconstructive Surgery 131:2 2013, showing that many patients had sustained weight loss at 1 year after abdominoplasty even after accounting for the weight of the tissue removed. These authors felt that part of the continued weight loss was related to neuroendocrine changes from the bulk of fat cells removed with the abdominoplasty procedure.
Even though I like patients to have already lost weight and be at a stable weight before having a tummy tuck, I know that many patients will use this procedure as a way to get through a barrier when they can’t seem to lose any more weight. It is nice that science is starting to show us why this works. Please visit my website at www.hallmd.com if you would like more information on abdominoplasty.
Gary Hall,MD

Allergan Gummy Bear Implant Approved and Available in Kansas City

By | February 23rd, 2013

Finally, after being available in Europe for about 15 years the highly cohesive form stable silicone gel breast implant was just approved for use in the United States. This will be the first highly cohesive gel implant on the market in the United States from a long term established implant company. Allergan is a well respected medical company that brings a lot of security with it. The term “gummy bear” of course is not it’s real name but has been popularized in the press.

This implant has the ability to give more control over the shape of the breast than the current silicone gel implant that is available. The more cohesive nature of the silicone gel should alleviate any fears a patient should have regarding silicone migration and it seems to have less risk of capsule formation and rippling in current studies.

Of course it seems that every good thing always has some negatives. With this implant the negatives are that it will take at least a 1/2 inch larger incision than the current gel implant and will feel just a little firmer with the more cohesive gel. Also, since it has shape to it, if the implant should rotate in the breast pocket after placement it could give some deformity to the breast. As it seems with all new things on the market the manufacturer is charging more for the implant also.

As I am now certified by Allergan in the use of this new implant I would be happy to discuss this new augmentation option that we now have available. Please visit my website at www.hallmd.com and call my office at 913-341-2188 for a free consultation.

Breast Implant Device Identification Card

By | November 16th, 2012

I frequently have breast augmentation patients ask me what they are supposed to do with the implant ID card that we give them and what if they lose it.

Every breast implant box comes with an ID card that the nurse in the operating room then puts a patient identification label as well as stickers with implant information on.  There is also a place to mark left and right so we will know what implant is on a particular side.  This implant sticker has the serial number of the implant so that information is readily available if needed.

Some patients worry that if they lose the card their warranty is not good anymore.   No problem there, the card is not necessary,  it just makes it easier if your medical record is not readily available.

I always recommend putting the card in your files at home where you can always find it.  Then many years down the road if there is a need for information on your implants it is readily available.  This information is also recorded at the place of your surgery but sometimes may not be readily available.