Saturday, October 16, 2010

Crazy Eyes: Adventures in Eye doctors doing breast surgery part deux

While it's hard to top the debacle I wrote about in Atlanta where an eye surgeon nearly boxed someone trying to do a breast augmentation surgery in his office, I came across this other article by another opthomolgist turned "breast expert". I don't know whether he's trying to be clever marketing a procedure or is just ignorant about breast surgery in general, but I came away from this article shaking my head.

The doctor is proposing a breast lift (mastopexy) surgery performed thru the armpit by suturing the breast to the pectoralis muscle and then placing an implant. He describes the surgery appropriate for women with little ptosis. Looking at his picture, you can see that whatever effect he's proposing is nonexistent as the patient doesn't even have ptosis (droop) of the breast. Any illusion of a "lift" is by placing an overly large implant for her frame and actually lowering her breast position to centralize the implant. There is clearly no "lift" going on whatsoever, but rather he's stretched out her lower breast.

I do not predict a good long-term result from this as that skin will frequently continue to stretch unless she develops hardening of her implant. I also would be reluctant to have suggested such a large implant for this patient as you had to violate her native breast boundaries to place it, again a poor strategy for long term results. These are elementary principles of modern breast augmentation.

It's been pretty well established thru collective world-wide experience among plastic surgeons that the maneuver of trying to sew the breast to a higher position to exaggerate the upper pole does not work, which has been demonstrated on a number of follow up studies when this has been attempted.

Rob

13 comments:

Cosmetic Surgery Las Vegas said...

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Carpet Cleaners said...

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Plastic surgeon Los Angeles said...

Surgeries like breast surgery are very delicate and need to be handled by expert surgeons.I propose that who ever wants to do the same need research on the subject learn about the pros and cons and then look for the best surgeon in the field.

Plastic surgeon Los Angeles said...

I can not comment on this matter without knowing it from the depth of it but all I can advice is that be careful when you choose your cosmetic surgeon.After all it is not a play game but a serious operation and needs intensive care and expert hands in the process.

Ashley said...

Good Article. :-) I enjoyed it!

plastic surgeon scottsdale said...

Breast augmentation illusion. That's the proper term to it.

Atlanta Plastic Surgeons said...

Opthomolgist doing breast surgery could be dangerous!!!Actually any surgery needs specialized hands and knowledge to survive a success story.

bnla said...

That really frustrates me to see such an unqualified individual essentially toying with the boundaries of a woman's natural figure. I mean, if a woman wants to undergo a breast augmentation, more power to her. But if her results are just going to ruin her breasts in the long run, why bother? It's almost cruel.

I mean, I'd only want to undergo breast augmentation if my surgeon had years of experience specifically with my procedure - not if he started off as an ophthalmologist. What's more, the results in the article you provided just look...off. If you're going to undergo breast augmentation, it should result in a something close to natural (I found a good example of this here: http://bodynew.com/results/breast.html ).

And that's my two cents. Thanks for the post, Dr. Oliver!

beautytipshub said...

really like this post..Want to hear more from you in future @beautytipshub Thanks for this one:)

Atlanta Plastic Surgeon said...

This is scary if any person without the necessary specialization steps into the surgery grounds.I think there should be legal action against such quacks.

Mary said...

Wow! What an adventure. Thanks for the post!

Gold Dallas said...

your article is so informative and interesting. nice shared.

Arash said...

Dear Double Boarded Plastic Surgeon Armed with useless trivia,

A bit of useful trivia for you: the correct spelling is Ophthalmologist, not Opthomolgist.

But point taken. Surgeons should stay on top of their game and continue to improve their techniques with evidenced based medicine when possible.