November 7th, 2008 Robert Wald M.D.
Everyday I spend a lot of time discussing implant size with patients. Bra cup sizes vary according to the manufacture. Patients need to know that implant size that they see on the Internet or on another patient may not achieve the same result for them. There are many variables including preexisting breast volume, chest wall shape and tissue elasticity. I use a dimensional method to determine optimal implant size which considers the patients height, weight and body frame. I measure the diameter of the breasts, thickness of the tissue and the tissue mobility. By doing this properative analysis, I am able to achieve the most optimal results.
Robert M Wald Jr. MD
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November 6th, 2008 Robert Wald M.D.
Following breast augmentation or breast mastopexies (breast lift), revisional surgery may be necessary in a few cases. The patients tissue elasticity and the amount of stretching that can occur after these procedures is variable and may necessitate a minor revision. A period of six months is required for all the swelling and tissue stretching to occur. At this time, further adjustments to the breast can be performed. Sometimes the infra mammary crease may need to be elevated in order to correct a double bubble appearance. This occurs when the infra mammary crease is too low allowing the implant to fall and cause distortion of the breast. In mastopexies, the scars may need to be revised and the tissue envelope tightened. Even though these complications occur infrequently, the patient must realize that these problems can occur and may need to be corrected.
In my practice, I spend a lot of time with the patient showing photographs of patients with the types of scars following mastopexies. I also show surgical results following revisions. In almost all cases, revisional breast surgery is met with satisfaction and the scars and shape of the breasts are markedly improved.
Come in to my practice I would love to talk with you.
Dr. Robert M. Wald Jr.
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