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Are you in Need of a little Spring Cleaning for your Skin?
May 21st, 2012
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In 20 Years as a Plastic Surgeon, I’ve never seen this!
May 15th, 2012
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I had a patient today with a situation I have never seen in my 20 years as a plastic surgeon. A 31-year-old female was referred to my office by the local hospital because of an oily discharge from her breast. The female had solicited a breast augmentation in Mexico in 2009, believing it to be the cheaper option.
Fast forward three years.
She’s sitting at work and noticed a spot on her shirt near her breast. As the day goes on the spot gets bigger. She went to the bathroom once the spot on her shirt became quite wet. Her breast, as well, was covered in an oily liquid.
She immediately went to the hospital, but they could not diagnose as a problem. The hospital placed a call to our office, requesting a consult.
She showed up at our office a short time later, and I examined her to quite a puzzlement.
I did all the routine checks that I preform on my breast augmentation patients; politely informed her that she could have spent the same to have a procedure here in the states; but could not find the cause of the problem.
Although her breast was still covered in an unknown oily liquid, it was not coming from her breast as far as I could tell.
After talking for a few more minutes about her symptoms, I asked to see her bra. She had told me earlier that it was not a push-up, but upon inspection I noticed that while one cup had a puffy sack at the bottom to gently boost the breast, the side of the unsolved leaky breast, was deflated.
It only took a second to solve the oily mystery, as I looked up at her and said, “well your implant did leak … but it wasn’t the one you were expecting!”
She took her bra in embarrassed amazement, and I told her that I couldn’t accept payment for my astute investigation skills. I did ask to use her story as a moral to pass on …
… before you freak, check your bra for the leak!
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Symmastia is a Rare, but Fixable Complication of Breast Augmentation
May 11th, 2012
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In very rare instances, Symmastia can occur as a defect of breast augmentation surgery. When implants are inserted too close to the midline of the body, it causes a lifting of the skin away from the chest, creating an unattractive connected appearance sometimes referred to as “breadloafing.”
Symmastia can also occur as a rare congenital defect in which soft tissue connects, or webs, both breasts together at the sternum (breast bone). Symmastia seems to be more prevalent among thin women, mostly due to the minimal tissue and/or fat covering the sternum.
In our experience, Symmastia generally occurs due to aggressively cutting open the chest muscle during an implant operation. In the early years of breast augmentation, surgeons would attempt to release some of the chest tissue in order to get the implants closer together, which can cause the defect as well.
I must give a kind word of caution to everyone reading this and having second thoughts about getting a breast procedure done. Symmastia is the least common of all cosmetic breast augmentation complications.
Today we take a much less invasive approach to altering the body. Our goal is to nip and tuck, not cut and stretch.
Symmastia can be due to malposision of the breast implant alone. In these cases one or both implants migrate across the midline lifting up the skin of the sternum. Or it can be a lifting of the skin only. Or symmastia can be both a lifting of the skin and shifting of the implant. After carefully examining the patient to determine the caus eof the symmastia a plan is developed specific for that patient. These days I often use either Belladerm or Strattice for repair of implant malposition or symmastia.
In the following video, Dr. Moliver walks you through a procedure to fix a Symmastia case.
WARNING: The following video contains graphic surgical footage, and may not be suitable for all audiences. Viewer discretion is advised.
VIDEO: Let us Introduce you to the Smiling Faces of Dr. Moliver’s Office
May 2nd, 2012
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When it comes to choosing the right doctor for your cosmetic procedure, of course the focus is on the doctor. We do a lot of messaging on the qualifications, training, certification, beliefs, lifestyle and even diet choices of Dr. Moliver because it is important to know that he is one of the good guys here to help. The Plastic Surgeon is justly placed in the hot seat because he or she will be the one wielding the knife, but what about everyone else involved in the process?
You can go to the best doctor in the world, but if your interaction with the receptionists, nurses, coordinators, Anesthesiologists and assistants is horrible, then your experience will most likely be remembered as horrible. To us, this is unacceptable.
We put as much focus into cultivating a knowledgeable, pleasant, dedicated staff as we do in promoting the talents of our doctor. That’s why we had Dr. Moliver walk around his office to introduce you to the wonderful faces that will be with you from consultation, to pre-op, to surgery, to the recovery room, to post-op care. These are the people that will get you back to feeling good after Dr. Moliver gets you back to looking good!
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