In my previous blog, I discussed the pros and cons of over the muscle breast augmentation.  Below, I will discuss under the muscle breast augmentation.

One of the determining factors in deciding where to place a breast implant is the shape desired by the patient.  The relationship of the implant to the pectoralis muscle causes varying degrees of shapes.

Advantages of placing a breast implant completely behind the muscle include a more natural breast shape (as opposed to a rounder shape achieved by placing the implant over the muscle), low interference with mammograms, little to no implant visibility, a reduced risk of capsule contracture, little to no rippling, and no visible scars on the breast (the incisions are made at the anterior axillary fold- under the breast).

Disadvantages of under the muscle breast augmentation include slightly more post-op discomfort and difficulty finding a surgeon completely competent in this procedure.  Not all cosmetic surgeons have mastered this delicate skill of placing the implant totally behind the pectoralis muscle of the chest wall.

Because of the natural shape achieved and the reduction in interference with mammograms, this is a preferred method of breast augmentation of many cosmetic surgeons.

As with any surgical procedure, careful thought and consideration must be placed on your lifestyle, level of activity and aesthetic preferences.  Be sure to thoroughly review all of your options with your plastic surgeon.

About Dr Anthony Lombardi

Dr. Lombardi, a Board Certified Plastic Surgeon, received his medical degree from the University of Medicine and Dentistry of New Jersey–New Jersey Medical School. He completed his General Surgery Residency locally, at Monmouth Medical Center in Long Branch, New Jersey and his Plastic Surgery Residency at the University of Medicine and Dentistry of New Jersey–New Jersey Medical School.

Dr. Lombardi has been in practice in Monmouth County his entire career and is the founding surgeon of The Plastic & Cosmetic Surgery Center in Eatontown, New Jersey. He is Board Certified by the American Board of Surgery and the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons.

Dr. Lombardi has received highly specialized training in all aspects of cosmetic surgery including Breast Augmentation, Facial Rejuvenation, and Body Contouring procedures. He is trained in the latest cutting edge techniques of cosmetic surgery including laser surgery, Botox, Restylane, and all of the newest facial fillers. In addition, Dr. Lombardi is the first plastic surgeon in Monmouth County to perform Thermage, or the non-surgical Facelift.

To learn more about Dr. Lombardi, visit http://www.doctorsofcosmeticsurgery.com

A: A mid facelift is also known as a cheek lift. Other names: Midface suspension, SOOF lift (a less comprehensive but related procedure), meloplication. It focuses on improving the area around the cheeks when there is no sagging in the neck. It lifts the lower eyelid to the upper lift. If a patient has lines around the mouth also known as marionette line, mid facelift can correct this. It can also help smooth out the area under the lower brow and restore fat in the cheeks so they down sag. A facelift is a combination of a face lift and a brow lift.

Advantages: Midface lift may produce a more natural appearance (less pulled) around the cheek and mouth than with a “classical” face lift, which pulls tissue more towards the ear.

Q: Rather than get a face lift I would prefer a nonsurgical treatment. What do the doctors say works best for sag in jowls and loose neck skin?”

A: There is no substitute for a face lift.

Depending on the tone and condition of  the patient’s skin and age a total face lift may not be required.

In the thirties to mid forties to reduce and fill wrinkles fillers like Botox,  Restylane, and Radiesse, can be used. Laser resurfacing is also a way to smooth the skin and reduce lines.  In the mid to late forties and beyond fillers will most likely not be enough to reduce significant folds or lines in the skin.

For significant sagging jowls, deep wrinkles, and loose neck skin a surgical lower lift is recommended.

Most patients who decide to have this surgery are age forty five to fifty five.

During a lower face lift, underlying connective and muscle tissue known as the SMAS are lifted, the facial skin is tightened and the excess skin is removed.  The procedure usually takes about three hours and can be performed under general or local anesthesia.

Patients are back  to work in the swing of their normal activities in one to two weeks.
Your doctor may also suggest a neck lift, a forehead lift or a mid face lift if needed.

A: Saline implants require a smaller incision, this can make your final scar less conspicuous, also because the implant is filled with salt water when it deflates the body absorbs the fluid and it is excreted naturally.  Also, some saline implants, with higher profiles can make the breast look more augmented.

Q: What are the advantages of silicone implants?

A: Silicone implants usually give you a more natural look, because the gel conforms to the overlying tissue better than a saline implant.  It also can give a more natural feel and has a less likely chance of creating rippling (a palpable or visible implant shell)

Know your Doctor:

Anthony S. Lombardi, M.D., F.A.C.S., P.C., who is board certified in plastic and reconstructive surgery as well as general surgery, performs laser rejuvenation techniques, including botox and other wrinkle reduction therapies, microdermabrasion, hair removal, vein removal, pigmentation reduction, and acne treatments, including laser treatments, topical and oral medications, vitamin therapy, and nutritional counseling.

Dr. Lombardi is a member of the American College of Surgeons and the American Society of Plastic Surgeons.
Dr. Lombardi received his medical degree from the University of Medicine and Dentistry of New Jersey and completed his residency in general surgery at Monmouth Medical Center in Long Branch, NJ.

He also completed a residency in plastic and reconstructive surgery at the University of Medicine and Dentistry of New Jersey.

Dr. Lombardi frequently lectures on the psycho-social aspects of plastic surgery, as well as on body dismorphic disorders.

Visit Dr.Anthony Lombardi website

Silicone implants come prefilled from the manufacturer with cohesive gel silicone.

Silicone implants require a larger incision and cannot be adjusted in volume intra-operatively.

Come to this blog and learn about the new procedures and techniques in plastic surgery and the benefits and risks plastic surgery presents.

Know your Doctor:

Anthony S. Lombardi, M.D., F.A.C.S., P.C., who is board certified in plastic and reconstructive surgery as well as general surgery, performs laser rejuvenation techniques, including botox and other wrinkle reduction therapies, microdermabrasion, hair removal, vein removal, pigmentation reduction, and acne treatments, including laser treatments, topical and oral medications, vitamin therapy, and nutritional counseling.

Dr. Lombardi is a member of the American College of Surgeons and the American Society of Plastic Surgeons.
Dr. Lombardi received his medical degree from the University of Medicine and Dentistry of New Jersey and completed his residency in general surgery at Monmouth Medical Center in Long Branch, NJ.

He also completed a residency in plastic and reconstructive surgery at the University of Medicine and Dentistry of New Jersey.

He received a B.A. degree from Seton Hall University and completed medical school at St. George’s University School of Medicine in Grenada, West Indies.

Dr. Lombardi frequently lectures on the psycho-social aspects of plastic surgery, as well as on body dismorphic disorders.

Working out, and a proper diet can help a person live a healthy life, but eventually genetics, time and gravity get in the way of achieving the best possible results. Dr. Lombardi can help get rid of excess sagging, fat deposits, unwanted hair and brighten features on the face for a more vital appearance.  Some of the services offered to male clients are; facial enhancement procedures to rejuvenate their appearance include botox® to soften wrinkles and make your appearance more pleasing, Fraxel Re:pair and Fraxel SR to soften deep wrinkles and to create a youthful appearance, Smartlipo for love handles, tummy tucks and body contouring to provide a trimmer waistline, and hair reduction. Also eyelid procedures can help to turn back the hands of time.  Thermage for facial lifting and tightening is a great procedure for males since there is no incision and no downtime.

Know your Doctor:

Anthony S. Lombardi, M.D., F.A.C.S., P.C., who is board certified in plastic and reconstructive surgery as well as general surgery, performs laser rejuvenation techniques, including botox and other wrinkle reduction therapies, microdermabrasion, hair removal, vein removal, pigmentation reduction, and acne treatments, including laser treatments, topical and oral medications, vitamin therapy, and nutritional counseling.

Dr. Lombardi is a member of the American College of Surgeons and the American Society of Plastic Surgeons.
Dr. Lombardi received his medical degree from the University of Medicine and Dentistry of New Jersey and completed his residency in general surgery at Monmouth Medical Center in Long Branch, NJ.

He also completed a residency in plastic and reconstructive surgery at the University of Medicine and Dentistry of New Jersey.

Dr. Lombardi frequently lectures on the psycho-social aspects of plastic surgery, as well as on body dismorphic disorders.

Some questions a perspective patient should ask are:

What type of anesthesia will you be using and do you have a board certified anesthesiologist.

How many years have you been in practice?

What is my recovery time?

Do you have your own facility where procedures are performed?

How many of these procedures have you personally performed?

What are the common complications?

Know your Doctor:

Anthony S. Lombardi, M.D., F.A.C.S., P.C., who is board certified in plastic and reconstructive surgery as well as general surgery, performs laser rejuvenation techniques, including botox and other wrinkle reduction therapies, microdermabrasion, hair removal, vein removal, pigmentation reduction, and acne treatments, including laser treatments, topical and oral medications, vitamin therapy, and nutritional counseling.

Dr. Lombardi is a member of the American College of Surgeons and the American Society of Plastic Surgeons.
Dr. Lombardi received his medical degree from the University of Medicine and Dentistry of New Jersey and completed his residency in general surgery at Monmouth Medical Center in Long Branch, NJ.

He also completed a residency in plastic and reconstructive surgery at the University of Medicine and Dentistry of New Jersey.

Dr. Lombardi frequently lectures on the psycho-social aspects of plastic surgery, as well as on body dismorphic disorders.