Join Our Newsletter
Schedule a Consultation

Archive for the ‘Breast Augmentation’ Category

How Long Is Recovery for Breast Augmentation Revision for Capsular Contracture?

Posted on by

How Long Is Recovery for Breast Augmentation

Video transcript:
Hi, I’m Larry Schlesinger and I’m a board-certified plastic surgeon from Honolulu, Hawaii.

Today’s question is What is the length of time of recovery after a capsular contracture breast implant revision?

In a capsular contracture situation, you have this capsule completely surrounding the implant and it makes the implant hard. So what you need to do, these are best perhaps only operated on through a peri-areolar incision, the bottom of the areolar complex. You go in, you take out the capsule, you take out the implant, and then at least at the Breast Implant Center of Hawaii, we put in a drain. And that drain stays for a minimum of three days.

Usually we keep an ace wrap on for a couple more days. You decrease the chance of blood around the implant which could lead to a second capsular contracture.

So the answer to the question of “How long is the recovery?” The recovery is three days for the drain, the recovery is about five to six days to start to go back to work, driving the car, etc. And how soon before you feel completely normal, and you can do anything? Usually it takes about two weeks, perhaps three but that’s about it. It’s not a huge recovery but you do have to decrease the chance of bleeding again and that would add more time to the drain and to the recovery.

I’m Larry Schlesinger from Honolulu, Hawaii and thank you very much for listening. Aloha.

Breast Augmentation Revision – What if I get The Wrong Size Implant?

Posted on by

Breast Augmentation Revision – What if I get The Wrong Size Implant?

Video transcript:
Hi, I’m Larry Schlesinger and I’m a board-certified plastic surgeon from Honolulu, Hawaii.

Today’s question is what if I get a breast augmentation and choose the wrong size implants? What happens next?

Well, the answer to that question is something you should have done beforehand. Sit down with your plastic surgeon, go over the size, determine that it’s exactly what you want, try on implants and bras which we do, bring in a wish picture so the plastic surgeon understands where you want to go to and be sure you understand where you want to go to.

However, if your plastic surgeon has put in breast implants and they’re not the size that you wanted then I would call my plastic surgeon and have a heart-to-heart about what is the next step. Also, to kind of obviate this problem, whatever your plastic surgeon’s policy is, you should know it before surgery not after surgery.

Thank you very much for listening to me. Aloha.

What Was Surgery Like?

Posted on by

Gina shares what the day of breast augmentation surgery was like for her.

Video transcript:
I felt really prepared which was a big deal for me. I think if I hadn’t had all my ducks in a line I would have been going insane. But it was nice we were ready, packed, my friend came, picked me up drove me over there. I really didn’t get nervous until they went to put me on the table and kind of started the process and I think it sort of hit me like a ton of bricks like oh my goodness am I really doing this right now, my husbands gone, am I crazy, did I make the right decision. All those things started going through my head. I sort of just relaxed into it. We were making jokes and laughing with the staff and everybody and Dr. came in and talked to me and we went over what we needed to and I was just like, OK let’s do this and ready to go and the next thing I know I woke up. I woke up I don’t remember too much and then the next thing I remember is going up the stairs at my house to my bed. My friend did take care of me and I did take the pain medication as I was supposed to. I didn’t see them so I was almost wishing I could see my breasts but at the same time I was resting and the time passed and it was so quick when you go back in to see the doctor when you actually do get to see your results and outcome.

What Was The Day After Surgery Like?

Posted on by

Gina shares what the day after surgery was like as well as her follow-up appointments.

I was overwhelmed with joy. I was like, “Oh my gosh I have boobs!” I was so excited and he would not let me look until after a few after he did a few things first and kind of made sure everything was cleaned up then he let me look and I was in shock. But I also didn’t realize the complete process of how it takes time for everything to settle into place. You don’t just wake up and have perfect boobs you have interesting boobs and you have breasts that you didn’t realize you could ever have but I felt so happy and so thankful like this is exactly what I came her to do. When I tell my friends or my family even my own parents about my experiences in this process I tell them how shocked I am that I come in multiple times a week. I get to see my Dr. and he answers my questions, he takes as much time as you need and truly makes me feel comfortable or reassured depending on whatever the situation may be. The only thing I didn’t really realize was the process of the breasts dropping themselves. I knew of it and I was told about it I just didn’t understand it until going through the process. But having all of you here at the office and answering questions and phone calls, constant appointments was just a really wonderful experience.

Advice for A Friend Considering A Breast Augmentation

Posted on by

Now that Gina has had a breast augmentation, she tells us what she would tell a friend considering a similar surgery.

Video Transcript:
Just go in, talk to the Dr. I actually have a friend I was talking with the other day and she was like, “would you be willing to come with me”? And I said, “Absolutely.” Because that’s what I had and just having someone who has been there and gone through the same thing really makes you feel so much more comfortable but it kind of allows for those doors to open and flow in just the right way that is right for that person and what their needs are. I tell everybody about Dr. S and I tell them to call the office and how you can get a consultation. He takes so much time with you and even if you are waiting for awhile in the waiting room it’s so worth it because he takes that same amount of time and quality of care with every single one of his patients and I truly believe that he really cares about every single one of us. That he knows he’s making a huge difference in our lives and I can speak for myself with that. I absolutely adore him, I’m so glad I came here.

Breast Augmentation Consultation Experience

Posted on by

Gina shares her consultation experience with Dr. S. Larry Schesinger. A board certified plastic surgeon in Honolulu, Hawaii.

Video Transcript:
I was extremely nervous. My friend had gone through this before and she was very encouraging and reminded me that this is what you want. You have to start somewhere, and don’t be embarrassed. Never once did I feel like I was being judged or pressured into anything and for me that’s a really big deal. I honestly feel like I was so embarrassed of my own body that I was afraid for the consultation because I didn’t even want to take my shirt off for the consultation. I feel like the consultation went really well. Dr. S spent so much time with me going over everything that I was worried about, every question I could possibly think of, how this was done all the million different ways. I felt like complete honesty and that was exactly what I wanted and exactly what I needed and he was absolutely able to confidently explain, answer and basically just make me feel really good about being there. I knew that he was who I was going with and I am so, so happy with my decision.

Why a Breast Augmentation Changed My Life

Posted on by

Gina had heard people say that plastic surgery changed their life but she was always skeptical. Now two months post op, she shares how her surgery changed her life and why she gets it now.

Video transcript:
I can honestly say when I would read things like that online, “this breast augmentation changed my life”, or this tummy tuck changed my life”, or any of that I kind of thought, really? I’m not sure. But I totally get it. It has one hundred percent changed my view of myself which has in turn made me a happier person, a more confident person. I feel like I am now able to be a better wife and mother which is exactly what I wanted.

Military Wife Shares Her Story. Hawaii Plastic Surgery

Posted on by

Gina explains why she chose to get a breast augmentation, what her experience was like and how her husband reacted when he got home from deployment.

Video Transcript
From the beginning he was like, “I love you the way you are, you don’t need to do anything to yourself” and I’m like, “but you know, this isn’t about you it’s about me and what I think that I need.” And he is so thrilled with the outcome and when he got home from deployment he could not wait to come in here and shake Dr. Schlesinger’s hand and meet him personally. It went fantastic and way too long. When I had my daughters pretty much everything got really stretched out and I was really disappointed and kind of embarrassed of my body afterwards but I was so grateful to have my children that I almost felt guilty for feeling that way about my body. We came and met Dr. S and I knew from the first second I walked in with him that he was the one I wanted to do my surgery. I felt like he understood where I was coming from as a person and not just another patient or more money to come in. I felt like I had a hundred thousand percent knowledge of what I was getting into, what could happen, what can happen. We talked about my recovery because that was a big issue is would I be able to do this while my husband is deployed. And I was. One friend watched the children and the other friend helped a little bit take care of me. I was overwhelmed with joy. I was like, ” Oh my gosh, I have boobs!” And I was so excited. He gave me that hope, he gave me the realistic expectations of everything I ever wanted and my outcome is so far above and beyond what I ever expected. I just wanted to feel the way that I truly believe and know that I am on the inside and I’m so grateful I could never repay him with how grateful I am. It takes a village but it’s so worth it.

Why Phyllis Had Breast Augmentation – Dr. S. Larry Schlesinger

Posted on by

Phyllis had small breasts for most of her life. She finally made the appointment to change her body and her confidence.

Video Transcript:
My name is Phyllis and I had breast augmentation. All my life, I had had very small breasts. I had been self-conscious. My second marriage, my husband, it was very obvious, he liked to look at other women. These two young ladies who were down there, and it was very obvious they were well-endowed in their bikini bathing suits. And he just about broke his neck trying to follow them around the pool. I thought, “You like what you see don’t you?” He said, “Of course. I’m a man.” I said, ok, that does it.
The next day, without telling him, I made an appointment, went right into Dr. Schlesinger’s office. He answered every question I had. I first thought about what’s people going to say? Well, what are people going to say if you don’t have it done?
It makes me slender here so it gives you the appearance that you’ve lost weight which I actually have not. It gives you a better outlook on life. It makes you feel better and it gives you confidence that you didn’t have before. And now my husband looks at me instead of other women.

Part Two: Breast Augmentation Revision Surgery – Capsulopexy

Posted on by

In part one, Dr. Schlesinger explained the steps of the surgery, he removed the original implant, cut and raised the capsule and sized the lift. Now that the capsule is raised to the correct level, it’s time to reinforce the capsule with Seri, replace the implant, and then stitch her up.

So we’re using Seri scaffolding to augment the bottom and the side. Augment the lift and the lateral lift. And what we do is we take it and we’re going to have a piece that goes this way and a piece that goes that way. The Seri scaffolding is made out of silk, raw silk from silkworms so it’s considered biologic and it lasts about 28 months. It takes a long time to go away. In the meantime, it’s replaced by scar.

And now we just put a little Seri here and we’re good. So we’re imbricating the capsule here. We’re sewing it on itself and we use the Seri more for the stability because we can’t sew into the ribs too well here because unfortunately the capsule is very thin and if we sew into the ribs too well, what will happen often is she will be in a lot of pain continuously.

OK, time for Seri. Let’ overlap here at the corner. Now we’re anchoring it to the lowest possible point. OK, so here it is on the ribs. Here it is up the sidewall. We sew those in after we get the implant in. Back down…perfect, right there.

We’re diluting all the bad bacteria out…one more…there. Drain. Alright, now that looks wonderful. See the pectoralis muscle comes right down there. And so what we’re going to do is we’re going to move it back a little bit, so if this all gets scarred in…you probably haven’t seen this before but patients complain that every time they flex their muscles it indents their nipple so we grab the muscle there, and we just release it right under the fascia or on top of the fascia and we move it back just a little bit and then it will no longer be in a position to be bound down. So any indenting you see up there will vanish when this stitch dissolves which is about six months. Also, we don’t grab the muscle. Just grabbing deep tissue.