bottoming out

James D. Namnoum, MD, FACS

Which Breast Surgery Procedure is Right for Me?

According to recent statistics by the American Society for Aesthetic Plastic Surgery, breast augmentation and breast lift surgery have both remained in the top five most popular cosmetic procedure for the past couple years. Many patients who are seeking breast surgery do not know the differences between the two procedures.  Atlanta breast surgery patients frequently come into consultations with one procedure in mind when they actually need the other, or even both. As a plastic surgeon specializing in breast procedures, Dr. James Namnoum has discovered many patients might be interested in learning more about each procedure that will better meet their aesthetic goals.atlanta breast surgery

Breast augmentation involves the insertion of breast implants to augment the shape and size of the breasts. Patients have several choices about implants like type, size, shape, and texture. Implants come in a wide variety of choices customizable for each patient’s desired look. Breast augmentation is not only a cosmetic procedure, but it may also be used in breast reconstruction after breast cancer removal surgery when there is enough healthy tissue to support implants.

Many patients assume breast augmentation will resolve excess skin and sagging breast tissue that can develop with age and child birth; however, this is typically better accomplished through breast lift surgery. The breast lift, also known as mastopexy, is a procedure that augments the position of a woman’s breasts that have shifted downward due to aging, pregnancy, or substantial weight loss. During a breast lift, Dr. Namnoum utilizes techniques to tighten existing breast tissue and remove excess skin, fat and glandular tissue for a more youthful appearance.

Often, breast lifts are performed in conjunction with breast augmentation to enhance the size or volume of the breasts. They can also be combined with other procedures such as breast revision or breast reduction surgery. Breast augmentation alone can increase breast size but not exactly the shape and position of the breasts.

Dr. Namnoum reminds Atlanta breast surgery patients to thoroughly research their prospective surgeon and procedures to determine which options will best fulfill their needs. To learn more about the breast procedures that Dr. Namnoum offers or if you’re interested in a particular procedure, visit our website to schedule a consultation today.  Also follow him on Facebook, Twitter, and Google+ for the latest plastic surgery news and information.

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Trends Show More Women Are Opting for Smaller Breast Implants

The phrase “go big or go home” doesn’t always ring true, especially in the world of plastic surgery. Although there are some women who wish to greatly increase their breast size with breast enhancement surgery, there are many who opt for smaller and more conservatively sized breast implants. In fact, according to an article recently released on NBC2, women who have had breast augmentation surgery in the past are beginning to exchange their larger breast implants with smaller ones more often than before.

Breast revision surgery is a procedure for women who have had breast augmentation surgery, but are not satisfied with their results, experience complications, or just want a smaller size breast implant. Although breast implants are not lifetime devices, it is best to have a good idea of what you wish to achieve initially through breast surgery and to pursue cosmetic enhancement with a board certified plastic surgeon to avoid breast revision surgery. However, if you do experience complications (i.e., capsule contracture, bottoming out, or implant rupture), I can perform breast revision surgery to try and repair the issue and address concerns.

For instance, using surgery techniques borrowed from my reconstructive breast procedures, I perform revisionary breast surgery to treat complications that occasionally arise. In additions to the complications listed above, revisionary breast surgery may be warranted by improper breast shape, improper positioning, and asymmetry.  With breast surgery technology and techniques like capsule flaps, acellular dermal matrix, pocket reshaping, and fat transfer, I am able to meet my patients’ needs and yield the surgical results they’re after.

I can also exchange breast implants for women who aren’t happy with their previous physician’s results. Whether it’s due to the breast implant type, texture, shape or size, I will work to revise the breasts based on the patient’s desires. I find it most important to spend time discussing the patient’s goals during a plastic surgery consultation so that I can meet their needs the first time around.

I can identify with the article on women exchanging their implants for smaller ones as I have also seen this trend in Atlanta. Whether they’re aiming for a more conservative look, trying to accommodate their active lifestyle, or are experiencing back pain due to large breasts, more women than before are choosing smaller-sized implants. Depending on the size of the previous implants, patient’s age, and how long the implants have been in place, a breast lift procedure may be combined with breast revision when smaller implants are inserted to improve aesthetics.

To learn more about different types of breast surgery or to find out more about other procedures I offer my Atlanta patients, view the rest of my website. Be sure to connect with me on Facebook  and Twitter if you haven’t already to stay up to date on plastic surgery news.

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Part 2 of Dr. Namnoums Breast Revision Surgery Blog: Why Your Surgeon Should Get to Know You

As you may have read in part 1 of our series on Breast Revision Surgery, there are many factors that can drive individuals to pursue breast revision surgery.  One of those factors is improper pre-surgery analysis by the original surgeon.  Improper analysis can result in unrealistic expectations by the patient, or worse, pursuing a procedure that won’t fully correct the patient’s problems.

While there is no way for a surgeon to predict exactly what the outcome of a surgery will be, there are some telling variables that can dictate a good bit about surgical results (i.e.- skin elasticity will tell how skin might appear post-surgery,  genetics will dictate how skin is likely to appear as it ages, and any future plans for pregnancy could potentially dictate the type of breast procedure recommended.)  The mood of your consultation should be your first indicator as to whether a Plastic Surgeon does a satisfactory job of examining you and addressing your needs- an interview for a Surgeon if you will.

The consultation should act as a planning session.  Dr. Namnoum spends time with every patient to address any concerns or reservations about a procedure.  He also takes the time to discuss proper aftercare measures in an effort to avoid any complications (i.e.- capsular contracture, bottoming out, etc.)  You should feel comfortable asking your surgeon questions.  Any surgical procedure is just that, surgery, and should not be taken without due consideration.  If you would like to schedule a consultation or wish to learn more about the Breast procedures offered by Dr. Namnoum call (404) 256-1311 or visit his website.

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Part 1 of Dr. Namnoum’s series on Breast Revision Surgery: Revise and Repair

If actress Pamela Anderson’s forever-fluctuating bust size is any evidence, Plastic Surgery patients sometimes change their minds when they see the actual result of cosmetic procedures like breast augmentation.  For these patients, surgeons like Dr. Jim Namnoum of Atlanta Plastic Surgery offer Breast Revision Procedures.

While the factors that create a desire for breast revision surgery vary from patient to patient, some of the common complaints include:  drastic weight gain and/or weight loss following the original procedure, effects of pregnancy, ill-proportioned implant sizing by another surgeon, or a desire to switch implant type from saline to silicone (or vice versa.)

Breast Revision Surgery entails just what the name suggests:  surgically modifying the effects of a previous breast procedure (i.e.- breast augmentation, breast reduction, male breast reduction, breast lift, etc.) Occasionally, patients experience complications as a result of their original procedures.  This can include wrinkling, bottoming out (where the implant location drops), capsular contracture (where the implant hardens to an undesirable feel.), or implant rupture (deflation.)

Breast Revision can often be avoided with adequate research and proper surgeon selection initially.  That’s why it is imperative that you always approach any cosmetic procedure seriously. Breast Revision Surgery requires a great deal of sophisticated analysis and execution to repair the problem; and avoid any additional revisions.  Only entrust properly certified surgeons, like Dr. Namnoum who is Board Certified in Plastic and Reconstructive Surgery.  Be sure to continue reading our blog for the next portion of our Breast Revision series discussing topics such as:  proper pre-surgery analysis, how to choose the right surgeon, and ensuring proper procedure selection.  To find more information on Dr. Namnoum or schedule a consultation, visit his website or call (404) 256-1311.

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