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Newport Beach, Orange County: 949.759.9551
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Archives: Los Angeles / Orange County Plastic Surgery Blog

Orange County Cosmetic Surgeon Q & A

July 31st, 2009

Ask Doctor Grover – Which Breast Implant is right for me?

Many factors are involved in deciding the best size for a given patient.  First of all there is no one size that only fits a patient. I prefer to use a number of factors in deciding which size is best. First of all, I like to know if my patient is trying to achieve a conservative B cup or a large DD size. Body proportions, chest dimensions, breast dimensions, amount of breast tissue present, ‘looseness’ of the skin etc are all important factors.  Have faith in your Board-Certified plastic surgeon. Good luck.

For more information, contact Orange County Plastic Surgeon Dr. Sanjay Grover.


Newport Beach Plastic Surgeon Q & A

July 31st, 2009

Ask Doctor Grover – Cohesive Gel Silicone Implants and Gummy Bear Implants

This is a confusing topic for many. Gummy bear is a marketing term that has developed along the way. It refers to a ‘form-stable’ cohesive gel breast implant that is available in some places outside of the United States (in Canada and Europe).

Currently, in the United States, the FDA has approved a ‘cohesive gel’ silicone implant; however, this implant is not as ‘cohesive’ as the ‘Gummy Bear, form-stable’ implant. This implant will likely be available in the U.S. in the upcoming future. At the moment, there are a few sites in the U.S. that are offering these implants as part of a research study.

For more information, contact Orange County Plastic Surgeon Dr. Sanjay Grover.


Orange County Plastic Surgeon Q & A

July 31st, 2009

Ask Doctor Grover – Breast Implants Settling – How Long?

It takes 4-6 weeks for your breast implants to ‘settle’. There are many factors involved, including the tightness of your breast skin, envelope, the size and profile of your implant, the surface of the implant, and whether your implants were placed entirely under the muscle or partially under the muscle.

In reality, it is not that the implants have to ‘move’ down or ‘settle’, it’s just that the lower pole of the breast tissue and skin needs to expand. Be patient.

For more information, contact Orange County Plastic Surgeon Dr. Sanjay Grover.


Newport Beach Plastic Surgeon Q & A

July 30th, 2009

Ask Doctor Grover – What causes Capsular Contracture

Replacing your implant with a smaller one in the same pocket should be fine if using a gel implant.  If you are thin with little breast tissue, you will want to avoid a saline implant in the subglandular position to avoid rippling.  With regards to capsular contracture, you should be fine keeping your implants in the same pocket if you currently have soft breasts.

Realize, however, that anyone with silicone implants can at some point develop a capsular contracture.  There is evidence to show that the submuscular position has a decreased incidence of capsular contractures but this may not be your best option at this point and given that you are a personal trainer.

For more information, contact Orange County Plastic Surgeon Dr. Sanjay Grover.


Orange County Cosmetic Surgeon Q & A

July 30th, 2009

Ask Doctor Grover – Some Swelling And Tightness Normal

Some swelling and tightness following breast augmentation is not uncommon. This will depend on how tight the skin envelope is prior to augmentation, whether the implant is on top of the muscle, completely under the muscle, or partially under the muscle and the size of the implants used and your chest wall dimensions.

It may several weeks before you feel more relaxed and may be two to three months before the implants feel completely ‘settled’.  Having said this, some patients have very soft breasts one week following surgery.

For more information, contact Orange County Plastic Surgeon Dr. Sanjay Grover.


Orange County Plastic Surgeon Q & A

July 30th, 2009

Ask Doctor Grover – Capsular Contracture

It is likely you may have a capsular contracture if you feel that your breasts are quite hard and do not appear as though they have ‘settled’.  The other possibility is that your saline implants were overfilled significantly more than is recommended.  This would also cause your implants to feel quite hard.

For more information, contact Orange County Plastic Surgeon Dr. Sanjay Grover.


Orange County Plastic Surgeon Q & A

July 29th, 2009

Ask Doctor Grover – Mentor and Allergan Quality Breast Implants

Both Allergan and Mentor make quality implants today, whether it is silicone or saline.  There are slight differences in the dimensions of each profile.  They both have low deflation and rupture rates with slight differences.  You can discuss this with your surgeon.

Both companies stick behind their products and offer excellent warranties.

For more information, contact Orange County Plastic Surgeon Dr. Sanjay Grover.


Newport Beach Plastic Surgeon Q & A

July 29th, 2009

Ask Doctor Grover – Choosing a Breast Implant that’s right for me.

There are many factors in deciding which implant type or size is best for you and which technique or position.  You should seek several opinions from Board-Certified plastic surgeons to help you determine what is best and why.  An easy place to start is at www.surgery.org, the website for The American Society for Aesthetic Plastic Surgery.   Members of this society focus on aesthetic plastic surgery. Good luck.

For more information, contact Orange County Plastic Surgeon Dr. Sanjay Grover.


Newport Beach Plastic Surgeon Q & A

July 29th, 2009

Ask Doctor Grover – What is Best Placement for Breast Implants?

Breast implants are placed either on top of the muscle, entirely below the muscle, or partially under the muscle in a dual plane approach.   I generally prefer the dual plane, partial retropectoral approach because, in my hands, I am able to achieve a more natural, tear drop shape with this technique because it prevents the implant from being too high in position on the chest wall in a unnatural position.  Best advice is to seek a board certified plastic surgeon at surgery.org to set up a consultation to determine what is the best option for you.  Good luck!

For more information, contact Orange County Plastic Surgeon Dr. Sanjay Grover.


Orange County Cosmetic Surgeon Q & A

July 28th, 2009

Ask Doctor Grover – Tips for Finding the Best Plastic Surgeons

Prepare yourself prior to going in for a consultation.  You will want to ask yourself many questions before going in for a consultation and upon your search for your plastic surgeon.  Three questions to start with include:

(1) Is your surgeon certified by The American Board of Plastic Surgery (go to ABMS.org to find out);

(2) Is your surgeon a member of ASPS (plasticsurgery.org) and ASAPS (surgery.org), and;

(3) does my surgeon have a valid license to practice medicine/any actions taken against my surgeon (check your state’s medical board’s website). Good luck.

For more information, contact Orange County Plastic Surgeon Dr. Sanjay Grover.


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