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Helpful Explanation on Why You Want to Massage After Breast Augmentation

Thursday, October 15th, 2015

My thoughts on the value of massaging breast implants.

There is a controversy following breast surgery as to should breast implants be massaged or not, and in order to answer this question we need to go into just what happens during a breast augmentation.

CPS Blog Photo 5042 A breast augmentation typically done below the pectoral muscle (submuscular) is one in which a pocket is developed beneath the breast, above the thorax (chest cage), and in between the midline (the sternum), and the lateral border of the pectoral muscle just before the armpit (axilla).  This pocket needs to be large enough to accept and contain a breast implant.  We need to remember that a breast implant is typically an envelope filled with saline solution or an envelope filled with silicone gel.

In my Champaign cosmetic surgery practices, typically we use saline prostheses; however, these thoughts are applicable to both silicone and saline prostheses.  Neither saline solution or silicone gel can get hard; however, certain implants (breasts) become firm or hard.  So, how does this happen?  In order for an implant to feel firm or hard your body needs to make a capsule, that is, a cover over the implant that is tight.  This can happen even if it is not very thick.  We actually can make a good example by putting a piece of Kleenex on top of an implant and putting some pressure with that Kleenex over the implant, this will make the implant feel pretty hard.  So, it is not difficult to make an implant feel firm or hard if even a thin capsule becomes snug or tight over an implant.

Massaging will prevent this capsule over the implant from becoming “tight” over the implant.  This is done by moving the prosthesis up, down, towards the sternum and towards the axilla.  When one does this, there is more room inside of the pocket for the implant to fit in.  This keeps the implant feeling soft.  This is important not only because implant will feel soft but it is also important in the sense that an implant which moves freely inside of the pocket is one that allows the breast to move normally and behave as a natural breast.  A natural breast moves with normal chest movements so we could even say that there is a certain wiggle of the breast when one moves.  This is desirable and relates to the normality of a breast as compared to a breast that is fixed to the chest wall and it looks fake or unnatural which is typically the case when a prosthesis feels firm.

While we don’t know why some implants become firm in some people and do not in others, we do know that through massage, we can create a wide pocket for the implant to  “live” in.  This allows the implant to feel softer than it would if the pocket was tighter.  It is this simple reasoning that is the answer as to why it is not only desirable but also necessary to massage an implant after breast augmentation surgery.  There really are no drawbacks to massaging an implant.

We also need to remember that in order for an implant to be able to be massaged, it needs to be a prosthesis that is smooth.  Textured prostheses do not lend themselves to movement and so they should not be massaged.  By in large most Breast enhancement surgeries today in the United States are carried out with smooth prostheses, so the argument that all prostheses should be massaged is a good one.

G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

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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 – Rhinoplasty (Nasal Surgery)

Wednesday, January 13th, 2010

 

G.D. Castillo, M.D., Expert in Rhinoplasty Surgery

Q: Which surgical procedure does Dr. Castillo most like to perform?

 

A: Before beginning to write this piece, I consulted with Dr. Castillo.  Of course, working closely with him, I already knew the answer.  Rhinoplasty (cosmetic nose surgery; nose job) definitely gives Dr. Castillo the most personal satisfaction.  Judging from the beaming smiles on the faces of our patients following rhinoplasty, I would have to say it is one of our patient’s most rewarding surgeries as well.

It has been said that there are only two kinds of rhinoplasties; the difficult ones and the very difficult ones. Imagine the challenge of working with instruments in a tiny surgical space with little room for maneuvering, adjusting the nasal structure by just millimeters as your view is obstructed by blood, all the while knowing that you only have one chance to “get it right.” And get it right, he does!

I have had the pleasure of working for Dr. Castillo for several years now.  Watching the changes in both the patient’s appearance and their emotional outlook after rhinoplasty is a remarkable process to witness.  I still find myself anticipating each post-op visit of our rhinoplasty patients. It is truly amazing to see how even a minor adjustment of a hump or the refining of a tip can change a face from appearing unfriendly or closed off to the world to appearing warm and welcoming. Suddenly, that is face of someone you want to get to know.

Because Dr. Castillo is so gifted in knowing exactly what shape the nose needs to be to highlight the rest of the facial contours, the end result is that the patient’s nose looks so natural, it’s as if they were born with it. In fact, it becomes difficult to imagine the patient with his or her pre-surgical nasal shape.

This procedure allows him to use his true artistic skill.  A good surgeon always creates a nose that compliments the beauty and contour of the face, avoiding crafting the same ole’ cookie cutter nose on every face that comes through the office as many surgeons do.  This means that each nasal surgery is different than the last.  Rhinoplasty is most challenging of cosmetic procedures and is  by far the true measure of a surgeon’s skill.

Roxanne Grace
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

LIKE US ON FACEBOOK and INSTAGRAM

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)