Breast Augmentation in South Jersey and Voorhees

Four Top Plastic Surgery Trends for 2018

Example of female patient of William Franckle, MD, FACS who had a cosmetic procedure

Cosmetic surgery is more popular than ever in the United States. According to an annual statistics report by the American Society of Plastic Surgeons (ASPS), more than 17.5 million procedures were performed in 2017, a 2 percent increase over 2016 numbers. Those considering a cosmetic procedure should know about these 2018 plastic surgery trends. Here are some procedures that are showing a surge in popularity.

1. Breast Reductions 

While breast reduction is not a new procedure, it increased in prevalence by 11 percent last year according to the ASPS. With this surgery, excess breast tissue and fat are removed to reduce the size of the breasts and bring them in proportion to the rest of the body. Breast reduction has a high patient satisfaction rating both with the aesthetic results and the improved quality of life.

2. Non-Invasive Body Sculpting Procedures

This year, plastic surgery trends go beyond traditional surgery, with a dramatic increase in ultrasound, laser, and other technical procedures that tighten skin and eliminate fat. One of the most popular options in this category includes injectable medications like  Kybella, which is approved by the FDA to destroy fat cells in the chin or other areas of the body. These non-invasive procedures can create a slimmer, more youthful appearance with no recovery time, accounting for their skyrocketing popularity.

3. Botox® Injections

This injectable medication is the most popular minimally invasive cosmetic procedure in the U.S. Its diverse applications are part of the reason why Botox® is so widely used; it can effectively smooth the skin and reduce the appearance of fine lines and wrinkles, as well as treat excessive sweating when injected in the underarm area. In 2017, 7.23 million Botox® procedures were performed, with an even greater increase projected for 2018. In fact, Botox® was the leading cosmetic minimally invasive procedure performed, just beating out dermal fillers like Juvéderm.

4. Tummy Tucks

After a decrease in 2016, tummy tucks have joined the list of top plastic surgery trends, with an increase of more than 2,000 procedures in 2017 when compared to the previous year. A tummy tuck can create the flat stomach contour that may not be achievable with diet and exercise alone due to the effects of age, weight changes, and pregnancy. This procedure removes excess fat and skin and tightens muscles to achieve the patient’s desired aesthetic goal.

If you live in the Voorhees, NJ area and are considering one of these procedures or another cosmetic surgery procedure, turn to the expertise of William Franckle, MD, FACS. Dr. Franckle is board certified by the American Board of Plastic Surgery. Fill out our convenient online form to schedule a free consultation.

 

Man Boobs? Consider Male Breast Reduction

The term ‘man boobs’ has come to negatively refer to excess breast tissue on a man. For some men, this is not caused by excessive weight gain, but instead by a medical condition known as gynecomastia. Gynecomastia occurs when a hormone imbalance causes a man to develop enlarged breasts. This can be uncomfortable and embarrassing and many men are reluctant to discuss this sensitive issue with their doctor. However, a breast reduction surgery may help you feel confident again. Here’s what you need to know about male breast reduction. A man before and after male breast reduction surgery

What Happens During a Male Breast Reduction?

Dr. Franckle will begin by making an incision around the nipple or in the creases of the chest, through which fat and glandular tissue can be removed. This is an outpatient procedure done either under local anesthesia with sedation or general anesthesia. After the procedure, most patients experience some soreness and swelling but can return to normal activities in about a week and exercise within two weeks. A compression garment is worn for two to three weeks post-procedure to help reduce swelling and facilitate healing.

Gynecomastia Surgery Results

The removal of excess breast tissue can help create a more masculine chest with a more sculpted appearance. While weight gain can cause a recurrence of the enlargement, in most cases surgical results are permanent when a healthy weight is maintained.

Am I a Candidate for Male Breast Reduction?

Male breast reduction is safe for most people who experience gynecomastia. Unless breast growth is severe, this procedure is not typically used for adolescents. You should be in good health and at a healthy weight before undergoing this surgery. Weight gain, steroid use, and medication that contains testosterone can cause gynecomastia to recur.

Up to 50 percent of men experience gynecomastia at some point, and it’s typically not a serious health concern. However, if you’re bothered by the appearance of ‘man boobs’ or large breast tissue and avoid activities where your bare chest is shown, consult with Dr. Franckle, an experienced plastic surgeon who can determine whether you are a candidate for male breast reduction.

 

Which Breast Implant Is Right for You?

When you’re considering a breast augmentation, it’s important to understand your implant options. Here’s what you need to know about saline, silicone, gummy bear, and fat grafting breast augmentation.

Saline Breast Implants

Saline implants are filled with a sterile saltwater solution and have a uniform shape and firmness. Many saline breast implants have a structured interior that helps them keep their shape, giving them a more natural appearance. If and when a saline implant ruptures, the loss of volume in the breast is immediate and usually quite noticeable. Because the filler is simply salt water, when a rupture occurs it is simply absorbed by the body and disposed of naturally. They are FDA-approved for use in women 18 and older.

Silicone Breast Implants

Silicone implants are filled with a soft, silicone gel and are available in a range of shapes, allowing for a more natural look and feel, depending on the patient’s body type. Silicone implants do require regular follow-up visits, and they are FDA-approved for use in women ages 22 and older.

“Gummy Bear” Implants

Photo of a woman who has received Gummy Bear Implants from William C. Franckle, MD, FACS

The 410 cohesive silicone gel implants, commonly referred to as ‘gummy bear implants’ feature a silicone gel that is thicker and firmer than that in traditional silicone implants. This allows them to maintain their shape even if the shell breaks. It has been said that these are most natural feeling implant available at this time. The use of gummy bear implants is relatively new in the U.S., but they have been used internationally since the early 1990s.

Autologous Fat Transfer

A fat transfer procedure involves injecting the breasts with fat cells removed from another area of the body through liposuction (commonly the abdomen, thighs, or hips). Women looking for a relatively small change in breast size (within one cup size) have been seeing great results from this procedure. It is a relatively new procedure, and experts aren’t sure exactly how long the results will last. However, many women prefer this option because it removes a small amount of unwanted fat while enlarging the breasts, uses their own tissue instead placing a foreign object (implant) into the body, and results in a very natural-feeling result.

To learn more about the types of breast implants and consider which is your best option, consult William Franckle, MD at Premier Plastic Surgery Arts. With 3D imaging technology available at the practice, you can truly experience a before and after view of the results to assist in your decision.

 

Timing Is Everything When Getting Plastic Surgery

No matter what type of plastic surgery you are considering, timing is a big consideration. How far ahead should surgery be scheduled? Are some procedures better undergone during certain seasons?

Here are a few tips for choosing the right time for your cosmetic surgery procedure, taking into account recovery time, maximizing comfort, and common schedule constraints.

Autumn and Winter

The cooler weather and more overcast conditions make autumn and winter ideal times for scheduling more intensive procedures. Not only is recovery more comfortable during this time, but the weather also calls for bulkier clothing—big sweaters, scarves, hats—that can more effectively hide the signs of recent breast procedures and other body contouring surgeries.

You may be surprised by some of the other benefits of scheduling during autumn and winter months. There are a handful of holidays like Thanksgiving and Christmas that provide ample vacation time, perfect for recovery from a procedure. Also, consider the “wow” factor of getting a procedure done toward the end of the year. Who wouldn’t want to start a new year off right?

Spring and Summer

A woman on a beach after plastic surgery

The warmer months are often a popular time for cosmetic procedures because it’s the time of year when “beach bodies” are on our minds. Spring breaks and long summer vacations can provide the time needed for healing from major procedures without raising questions from friends or co-workers. If summertime is ideal for your situation, keep in mind the hot, humid weather. Be prepared to resist going out into the heat and limiting your sun exposure for the entire recovery period.

Timing a plastic surgery procedure is ultimately left up to you. Consider our suggestions above and take a close look at your day-to-day life. The most important thing to consider is finding enough time for healing and recovery, a topic best discussed with a board-certified physician, like Dr. Franckle, at a consultation.

 

How to Recognize Capsular Contracture

Results from capsular contracture by William Franckle, MD, FACS in Voorhees, NJFor most patients, a breast implant surgery involves minimal complications. A common occurrence (which is becoming less common with advanced techniques and modern technology) is a capsular contracture, which is when scar tissue forms in and around the implant. The feeling of a hardened breast, with or without pain, is a reason to further investigate for a capsular contracture.

What Causes a Capsular Contracture?

Currently, there is no hard evidence as to why a capsular contracture happens, but it is believed to be an immune response. When a foreign object is placed in the body (i.e. an implant), a capsule is formed around that object. For most, this capsule remains thin and does not affect the implant. For some, this capsule tightens around the implant, causing it to feel very firm and look distorted.

Identifying a Capsular Contracture

As mentioned earlier, the most obvious sign of a capsular contracture is a tight-feeling breast. This can occur in one breast or both, and can happen soon following the procedure or 10 years after the surgery. Universally, plastic surgeons use a grading scale to determine the condition of the implant.

– Grade I: The breast is of natural shape, size, and softness.

– Grade II: Slight firmness in the breast, however it appears normal in shape.

– Grade III: The breast is firm and there are abnormalities.

– Grade IV: The breast is hardened, may be painful, and has obvious abnormalities.

For patients that have had a breast augmentation, it’s important to pay attention to your body. Self-checks for firmness and symmetry in the breasts should be added to your routine following the operation.

Preventing Capsular Contracture

Modern advancements in plastic surgery, including sub-muscular positioning of the implants, higher quality implants, and a better understanding of capsular contracture, help surgeons take steps toward preventing capsular contracture.

Treating Capsular Contracture

The most common reason for a breast revision procedure is capsular contracture. There are non-surgical options available, depending on the ‘grade’ of the situation and the patient. An in-person consultation is needed to determine the best solution. If a breast revision surgery is recommended, both the capsular contracture and the affected implant are removed and a new implant is placed in the body.