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Archive for May, 2014

ASK OUR EXPERT – Can the general mass of my nose be made smaller?

Wednesday, May 28th, 2014

Q:  Can you tell me if the general mass of my nose be made smaller by the photos I have enclosed?

 

A: There seem to be two things that are quite obvious, the first one is that there is a greater width at the base of the nose (the radix) and the second one is that there is an obvious disconnect between the bony nose and the cartilaginous nose, that is between the top and the bottom half of the nose.  When the transition between the cartilaginous and bony nose is quite sharp, there is an unsettling disconnect of the nose that nasal surgery can correct by narrowing the bony pyramid of the nose.  The cartilaginous portion of the nose can be tailored at the same time to fit onto the bony nasal dorsum.

Rhinoplasty is one of the most popular procedures performed in my champaign, cosmetic plastic surgery facility today and is one of the most rewarding for our patients. Should you choose to have a consultation for further assessment, we can review before and after photos of real patients with issues similar to yours to give you some idea of the type of results that are generally achieved with a rhinoplasty.

Sincerely,

 

 

 

 

 

G.D. Castillo, M.D. FACS

Director of Cosmetic Plastic Surgery Center

www.cosmeticplasticsurgery.com

 

 

ASK OUR EXPERT: Why is breast fat transplantation more expensive than implants?

Friday, May 16th, 2014

QUESTION:  Why is it that breast augmentation through fat transplantation is more expensive than breast augmentation done with implants? 

ASWER:  In order to augment the breast with implants, one needs only to select a desired volume for the implant, place the implant in a pocket, typically created behind the pectoral muscle and…voila…there is a new breast in the size the person always dreamed of. 

In contrast, augmentation of breasts with fat transplantation is quite laborious.  The surgeon needs to first harvest the fat via liposuction.  Then the harvested fat must be prepared for transplantation.  Once prepared, the fatty tissue is carefully and strategically placed in many areas throughout the whole breast in order to accomplish a relatively small increase in breast size of approximately 3-4 ounces.  This procedure is time consuming for the surgeon because he/she needs to place this fat through many repetitious passes with a special instrument that deposits the fat within the tissue in small amounts and allows it to be able to be incorporated by the breast into living tissue. 

Therefore, the operative time for a regular augmentation through implants is approximately 1-1/2 hours, while to do a breast augmentation through fat transplantation, the operative time required is approximately 3-1/2 hours.  So the procedure becomes longer and more expensive for both the surgeon and the patient.  In addition, for a patient looking for larger volume improvement like that produced by breast implants, https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm  the procedure would need to be repeated several times in order to accomplish a larger volume.

 G. D. Castillo, MD, FACS

Director of Cosmetic Plastic Surgery

Ask Our Expert: Why are more breast augmentations done with implants rather than fat transplantation?

Friday, May 16th, 2014

 

QUESTION:  If fat transplantation can be used for breast augmentation, why is it that its done only in a few cases and most cases of breast augmentation are done with implants?

 

ANSWER:  Breast augmentation with fat transplantation has some limitations and those limitations have to do with:

 

  1. Availability of fat – one needs to have a fair amount of fatty tissue in order to harvest it from the area, while at the same time, contouring that area and creating  a pleasing shape.  Then the harvested fat needs to be transplanted into the breast tissue and incorporated into the breast tissue.  Fat is incorporated into the breast tissue at a slow rate (see #2).
  2. Large volume increase – the idea that during a single procedure of fat transplantation one can change the breast shape to be much larger is not quite possible.  It is not possible because fat needs to be incorporated as living tissue in the breast.  In order for this to happen, it needs to be placed in small amounts in multiple places so that the existing tissue develops new blood vessel circulation and incorporates this fatty tissue as normal living tissue.  For practical purposes, the breast can only be augmented by approximately 4 ounces per breast.  This is a smaller change than most people would like to have. 
  3. Cost – while one can increase the size of the breast in a very significant way with a single trip to surgery and the placement of saline or silicone implants, in order to accomplish the same thing with fat one would need to have several sessions of fat transplantation over a period of time in order to accomplish the same volume.

 

G.D. Castillo, M.D. FACS
Breast Augmentation Expert

 

 

 

 

 

G. D. Castillo, MD, FACS

Director of Cosmetic Plastic Surgery

https://www.cosmeticplasticsurgery.com/cosmetic-surgeon/