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The RealSelf 100

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“RealSelf is the largest online destination to get informed about elective cosmetic procedures and to find the right doctor or clinic. More than 9 million people visit RealSelf each month to find out which treatments and providers live up to their promise of being “Worth It.” RealSelf is powered by unbiased experiences shared by consumers for hundreds of treatments, ranging from simple skincare to highly considered cosmetic surgery. Offering millions of photos and medical expert answers, RealSelf has become the essential resource and service for those seeking to find the right doctor or clinic.”

“In 2016, more than 82 million people visited RealSelf to research cosmetic treatments and connect with local medical professionals. The RealSelf 100 Award, now in its seventh year, honors the top rated and most engaged board-certified aesthetic doctors who consistently demonstrated a commitment to patient education and positive patient outcomes throughout 2016. This elite group of 100 doctors have excelled at sharing their expertise, free of charge, with tens of millions of RealSelf community members actively searching for information and the right provider, and together contributed 25 percent of the half a million total answers posted on RealSelf in 2016.

The RealSelf 100 award is based on three criteria: the quantity and quality of patient reviews, engagement with the RealSelf community via questions and answers, and the sharing of before and after treatment photos.”

To view all 100 Top Influencers in Cosmetic and Aesthetic Medicine visit:

To learn more about RealSelf visit:

Or to view S. Larry Schlesinger, MD, FACS RealSelf profile visit:

Breast Implant Exchange Review from National Physique Champion, Didi Hall

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Video transcript:
Before I started competing this year, 2016, I made the decision to redo my implants, get them larger, get them more up to where they need to be for competition on a national level and I’ve placed first in every show I’ve competed in which is six shows this year. So I would have to say that it was a good choice and it brought the symmetry back to my body and has been a good look.

Being in physique competition there is definitely things that need to be different. We do get down to eight percent body fat which shows rib cage, it shows everything, veins…so any kind of rippling or any imperfection in the implant or mis-position would definitely affect competition. So I felt that Dr. Schlesinger took that into consideration and made sure that they were set even, that the implants didn’t ripple, he chose the implant that would be the smoothest when I got down to a low body fat percentage so that my overall look, when I’m on stage is smooth.

I just think that the office staff and Dr. Schlesinger are very honest, upfront, and I appreciate that. I think that he’s an artist. I think that he is proud of his work, and I think that he should be proud of his work. I think he’s a very confident, competent doctor and they’re missing out if they don’t go to him.

Everyone I’ve told to get them done I’m like go bigger than you think you’re gonna want to go. Because you get them in there and with the swelling, you’re like “Oh, I love them” and then the swelling goes down and you’re like “Oh, I wish I went bigger”. I would say 90 percent. There’s not many that I hear “Oh, perfect” or “Their too big” you never hear too big but I hear perfect or I wish I went bigger.

What Size Breast Implants Should I Choose? Advice From Our Patient, Didi

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Didi had a breast implant exchange one year ago. Today, she visited us at the Breast Implant Center of Hawaii, in Kona to share her experience.

Didi had a breast augmentation 13 years before she saw us. Since then, she became a body builder. Two years ago, she competed in 2 competitions and this year, she competed in 6 physique competitions, including national levels and won them all!

We are grateful for her story and that she is willing to share her experience. Especially when it relates to breast implant size. We agree with her advice and LOVE her results. Congratulations Didi!

Everyone I’ve told to get them done, I’m like, go bigger than you think you want to go. Because you get them in there and then the swelling, and you’re like “Oh, I love them” and then the swelling goes down and you’re like “Oh, I wish I went bigger”. I would say 90 percent. There’s not many that I hear that are like, “Oh, perfect, their too big” never hear too big but I hear perfect or I wish I went bigger.

Hard Breasts & The Dentist

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Below is a recent question from a patient 15 years post breast augmentation.  She asked a very good question and it deserves answering, but I also want to get it out to all of my patients.  It turns out that studies done by Allergan and Mentor separately show that, across the country, 7% of patients get capsular contracture (hard breasts) within the first 3 years of surgery, therefore probably related to the surgery.  Another 8% of patients get capsular contracture between 3 and 8 years post breast augmentation.  This second group of patients who get capsular contracture is related to causative situations only very indirectly associated with the breast augmentation surgical event.


The #1 cause of capsular contractures in this group was the dental visit.  Individuals who care enough about themselves and their appearance to get breast augmentations also care about their oral health as well.  Therefore, these individuals are the ones who get their teeth cleaned on a regular basis and their cavities taken care of immediately when they arise.  The human mouth has some of the nastiest bacteria in the world and I have heard it said that a human bite is much more dangerous than an animal bite.  Therefore, when one gets blood in his or her mouth during a dental visit, there is a route of entry for oral bacteria to get into one’s system.  Our immune system has basically one way to deal with invaders into our bodies, and that mechanism is to wall off the invader.  That happens around artificial hips, pacemakers, breast implants, etc.  The walls around these foreign bodies are called capsules.  If these capsules are thin and pliable, there is no pain on walking if you have an artificial hip or knee and there are no hard breasts if you had a breast augmentation.  However, if after these capsules form, there is a second invader such as oral flora, the body may depending on several factors start walling off your breast implants more, leading to a hard breast or pain on ambulation if an artificial hips is present.


The way to inhibit this second and thicker capsule around a breast implant is to eliminate for a very short period time the oral flora from your mouth by taking antibiotics one hour before the dental visit.  This wipes out all oral flora for several hours, and when you get your teeth cleaned and/or a tooth drilled with a rubber dam in your mouth and you get blood in your mouth, there is no bacteria to get into your system, and therefore your immune system is not triggered to wall off foreign bodies (i.e. to turn your breasts hard).


My patient’s question was, “since it has been 15 years since my breast augmentation, can I stop taking antibiotics before the dentist”.  My answer to this would be, I don’t think the problem ever goes away, and it is such a small amount of antibiotic and one goes to the dentist routinely but sporatically, and therefore the antibiotic is cheap insurance to decrease the chance of uncomfortable hard breasts and/or a second surgery which can be avoided.


I am not an infectious disease doctor, nor am I an immunologist, nor am I a researcher.  I am merely a “boots on the ground” every day sort of cosmetic plastic surgeon, and I can tell you from my own 36 years of experience that my patients who follow the above recommendations have much fewer redo surgeries and many few

Breast Augmentation Surgery (GRAPHIC) for Patient with Minimal Pectoralis Muscle

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Watch a breast augmentation surgery being performed by Dr. S. Larry Schlesinger in Honolulu, Hawaii. Dr. Schlesinger is a board certified plastic surgeon at The Breast Implant Center of Hawaii. His patient was born with what we believe was Poland Syndrome but when he goes into surgery, he finds there is a small amount of pectoralis muscle, making implants easier to place.

This breast augmentation surgery is unique in that both sides require two separate sizes in order to make them symmetrical. Dr. Schlesinger walks us through liposuction of the bra bulge, removing the pectoralis major muscle from the fifth rib, inserting saline sizers to ensure implants are symmetrical, using a no-touch technique for silicone breast implant insertion, and then suturing the transaxillary incisions.

Breast Augmentation – Tasha’s Video Story

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I feel blessed, I feel adored, and I feel very excited.

My doctor was Larry Schlesinger and I had my procedure done at The Breast Implant Center of Hawaii.

I was a new mommy and I think after I had had my daughter, I was feeling not so secure about my body and the way things fit, the way that they used to and I wanted to do it for myself.

It just so happened that one of my girlfriends had had a procedure done and I had seen breast augmentations done before but when I saw hers I just knew I had to see Dr. Schlesinger.

I feel confident. And I think that it contributed with the entire staff.

I would tell a friend that is thinking if they should jump in and do the procedure or not to do it, and to actually see Dr. Schlesinger because he will make sure that everything, all of your worries that you may have, you’re going to feel amazing about yourself afterwards and you know that you’re going to be getting the best, most luxurious experience you can possibly get.

I don’t feel like it’s just a doctor. I feel like I’m going to come see my friend. And he’s going to look out for my best interest.

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