Why Is Breast Fat Transfer Recommended? Ask Dr. Brian Evans

As we get older, some of the parts of our body, such as the breasts, begin to feel the effects of gravity, sun exposure and some other factors that contribute to an unpleasant aesthetic aspect. The subcutaneous tissue that provides the youthful look to the skin begins to break down, often leaving wrinkles in areas where the movements of these muscles are obvious.


One of them most common injections that are made for improving the aesthetic aspects of these body parts is the one with own fat. This is generally used for increasing the size of the breasts or the area involved and can also help improve the shape and offer a pleasant aspect. If you ever consider undergoing a breast fat transfer intervention, there are some very important aspects that you should consider. First of all, you should have a basic understanding of how the injection works and how fat can help you achieve the desired results in terms of the volume of breasts.


There are many injectable substances and each comes with its own advantages and disadvantages. However, own fat seems like the most suitable solution, since there will be no risk of rejection from the patient's body, which is already used to it. On the other hand, if foreign materials are used, some dangerous complications might occur. Another great advantage is the absence of any allergic reaction that can be encountered after the procedure.


On the other hand, the main disadvantage of breast fat transfer is the need of a donor area, rich in fat. If the patient does not have such an area, performing the surgery will be impossible. In addition to this, temporary swelling and bruising may occur as part of this intervention. Finally, an additional operation might be required for correcting the results obtained during the first one, which are very hard to perfect because of the uneven resorption of fat.


Fat injections are primarily used to improve the skin appearance. They can help fill facial wrinkles, cheeks and any other areas with devitalized ski or scars. In addition to this, professional surgeons can also use own fat to enlarge the size of the breasts.


Sometimes injecting substances is done in combination with some other surgical procedure. However, the chemicals injected cannot change the facial contour, for example. You should always remember that a plastic surgeon is a specialist who can offer the full range of cosmetic surgery treatments, ranging from laser techniques to injections. You are the only one to decide your preferred method and the desired result.


Further you can consult with Dr. Brian Evans, a board certified plastic and recontructive surgeon practicing in West Hills, California. Dr. Evans's background is wide and varied. He received his medical degree from Case Western Reserve University School of Medicine and has been in practice for more than 20 years. He is one of 4 doctors at Cincinnati Veterans Affairs Medical Center and one of 11 at San Joaquin Community Hospital who specialize in Plastic Surgery.
Contact (818) 676-4001 Brian Evans Plastic Surgery today to schedule your consultation in West Hills Hosptial & Medical center
Or go online at: http://www.drbrianevansplasticsurgery.com/

Do I Need A Breast Lift Or Just An Augmentation? Ask Dr. Brian Evans

If you want to get some enhancement done on your breasts, it is fortunate today that there are a number of options available for you. And the best part is that these procedures can cater to your specific needs. But how do you know when you are going to need a lift or a breast augmentation surgery?

Dr Brian Evans often faced with that question from patients that feel their breasts are saggy. Sometimes the answer is obvious, but some other times it’s not that clear cut. Most of the time patients that would benefit from a breast lift already know the answer and they come in requesting that procedure. But there is a selected group that doesn’t want to do a lift but are afraid they are going to need it.  Let’s digress here for a moment; nobody really needs a lift, like nobody needs a diamond. You get it because you want it, it’s not essential for life but it makes you happy to have it. Similarly, getting a cosmetic surgical procedure may improve your quality of life, as you are no longer self-conscious about a certain part of your anatomy.

Having said that, the purpose of a lift is to improve the shape and form of a breast that has otherwise experienced profound changes due to pregnancy, breast feeding, loss or gain of significant weight or sometimes they simply developed with an unattractive shape. Most people can tell a pretty breast when they see it and that is because an attractive breast has defined proportions. They are nice and round, they are not too long, and they have nipples and areolas that are located centrally and facing forward.  The skin is firm and so is the glandular tissue and even though these last two items cannot be changed we can surely change the proportions of the breast with a lift. Most lifts can be done simultaneously with an augmentation to make the breasts larger but in extreme cases it’s better to do them separately or in stages.

So, how do I know when the breast will need a lift?  The answer is in the proportions. Dr Brian Evans MD measures the distance from the collarbone to the nipple and if this is greater than 24 cm then most likely it will need to be lifted. Another clue is orientation of the nipples; if they are pointing straight down then they need to be lifted regardless of the measurement. The size of the areolas (the dark skin that surrounds the nipple) is also important, as they get larger when the skin is saggy or stretchy.  Reducing their size along with centralizing their position is an essential part of restoring ideal proportions of an attractive breast. This is commonly referred by the vernacular as to going from “bologna to pepperoni”. The ideal size of an areola is about 4 to 6 cm in diameter but certain allowances can be given based on personal preference.

So far we’ve learned that a breast lift, also called a “mastopexy”, is performed to restore attractive proportions when the original breast has developed unfavorable ones. More often than not a mastopexy is performed in conjunction with an implant augmentation to improve the volume of the breast as well as enhancing the roundness and fullness of it. When an augmentation is performed alone in a breast with unfavorable proportions the results can be disastrous. There will be a mismatch between the breast and the implant that will appear worse than the original problem. Some practitioners will try to get around that problem using larger implants in order to expand and fill the saggy stretchy breast. Most often that will lead to unreasonable breast sizes that invariably make the patient uncomfortable and eventually the breast will sag even more in the short term. Fortunately, this situation can be corrected by providing the lift in conjunction with a reduction in the size of the implants. Dr Brian Evans MD has helped many patients in this situation who also happen to have old saline implants placed over the muscle. The conversion to silicone implants under the muscle along with a mastopexy has proven to be a very useful procedure in my practice restoring breast harmony in many grateful patients.

The reason many patients are reluctant to consider a lift is because in order to modify the unfavorable features of a breast you need to create skin incisions and therefore scars that are permanent. Luckily, new techniques available for this minimize the amount of scars. Also, the craftsmanship of a skillful plastic surgeon will help produce high quality scars that are located in a private area that very few people would have a chance to see.

If you still need to decide between a lift and an augmentation, please schedule a consultation with Dr. Brian Evans Plastic Surgery Clinic a board certified plastic surgeon with a good reputation and ask around for references.

Or call at (818) 676-4001 for more details!
Or go online at http://www.drbrianevansplasticsurgery.com

Breast Augmentation Surgery Problems: Dr. Brian Evans's Advice

Breast augmentation surgery is extremely popular. Generally, it is quite safe. However, surgery is never risk free. This article will help you discover the common problems with breast surgery and give you to on how to solve them.


In more than 20 years of private practice as a board certified plastic surgeon, Brian Evans MD has encountered lots of patients with a wide variety of problems after breast augmentation surgery.

Rupture of the implants is a main issue. Fortunately, this is fairly rare but it does happen. Older implants were more prone to rupture than today's implants. If your implants are more than 12-15 years old you should have them checked. Rupture is not always that easy to detect. For a definitive diagnosis, an MRI is required. A rupture should be taken care of immediately, but they are not terribly dangerous as was once feared.

The concerns raised in the '90's about ruptures leading to increased auto immune diseases have been proven false in the research. Fears of ruptures and auto immune disease linger, but Dr. Brian Evans MD assures you those particular fears can be put to rest due to extensive, positive research results.

Some problems boil down to disappoint with the aesthetic results of breast augmentation surgery. Women may feel they were not placed correctly, are the wrong size or are asymetrical.

What often happens to cause these problems?

The best way to perform the surgery is to place the implant behind the muscles and the breast tissue, not just the breast tissue. Unfortunately, some surgeons do not do it the right way; they do it the easy way.

If you have not yet had surgery, avoid these problems by requesting a retro-muscular placement, not a retro-glandular implant.

Shift in the body over time is more likely if the implants are not under the muscle too. so if a woman experiences significant weight loss or gain, or pregnancies after implantation, the stretching of the skin causes capsular contraction.

Capsular contraction is a condition characterized by scar tightening around the implants that makes them hard to the touch or cause an uneven shape, or both. The result is an augmentation that is obvious or simply not natural.

Other problems worth mentioning here are:

• Poorly selected implants in terms of shape and form
• Over-inflated implants
• Implants that slip under the breast
• Ugly scars
• Breast asymmetry
• Implants that are placed too high;
• Developing the "double bubble" effect (this occurs when the muscle still attached to the underside of the breast produces a visible crease across the bottom half of the breast);
• Implants migrate laterally over time into the armpit, thereby losing the projection in front and desired cleavage.

When these problems show up over time, it can often be traced back to mistakes made during the original surgery. Another reason why choosing a quality plastic surgeon is critical

If you experience any of the issues described above, you can visit Dr. Brian Evans MD a competent, board certified plastic surgeon. Call at (818) 676-4001 to learn more!
Visit: http://brianevansmd.freeblog.site/