What to Bring to Your Breast Implant Consultation

Breast Augmentation Consultation

If you’ve been interested in enlarging your breasts for a while now, and recently decided to book a consultation with a board-certified plastic surgeon, congratulations! The breast augmentation consultation is an exciting opportunity to discuss implant options and learn more about the procedure and aftercare. According to Bay Area breast augmentation surgeons Dr. Samuel Pearl and Dr. Alexander Ereso, bringing a few key items can help your consultation go smoothly and make your experience more productive.

A List of Questions for the Surgeon

You might have a general idea of what you want to ask your surgeon, but take a few minutes before the consult to jot down specific questions. This can be especially helpful if you draw a blank during the appointment and can’t remember what you wanted to ask. If you need ideas of questions to ask your surgeon, the American Society of Plastic Surgeons has a great list on their website.

A List of Medications and Allergies

During your consultation you will be asked about your health, medical history, previous surgeries, medications you take and allergies you have. Some women find it helpful to prepare a list of medications and allergies so they don’t forget anything. In your list of medications, be sure to include any vitamins or herbal supplements you take on a regular basis.

A Few Tops or Bras

You may have the opportunity to try on breast implant sizers or use the Crisalix digital imaging system to help narrow down your implant options. It’s a good idea to bring a few blouses, bras or even bathing suit tops to wear with the sizers or Crisalix system.

A Spouse, Family Member or Friend

Many women considering implants find it helpful to bring a significant other, family member or friend to the consultation for two reasons. Firstly, it is useful to have a second pair of ears to absorb all of the information that comes your way. Secondly, if you try on implant sizers during the consult, you might value a second opinion of someone that knows your taste and preferences. That being said, some women prefer privacy during the consult and opt not to bring anyone else. It’s up to you!

Your Calendar

At the end of the consultation, you may want to move forward and schedule your breast augmentation surgery. Have your calendar accessible so you can schedule your operation around any upcoming work, social or travel obligations.

Book a Breast Implant Consultation Today

To schedule a breast implant consultation with Dr. Pearl or Dr. Ereso, please contact Pearl-Ereso Plastic Surgery Center today.

Common Questions about Gynecomastia

Common Gynecomastia Questions

Gynecomastia, or a swelling of the breast tissue in males, can be very difficult to cope with. Many men with excessively large, woman-like breasts feel self-conscious of their appearance and may withdraw from friends, work or the activities that they normally enjoy because of embarrassment or shame.

As trusted Bay Area gynecomastia surgeons, Dr. Samuel Pearl and Dr. Alexander Ereso have helped a number of men enjoy a flatter, firmer chest and enhanced confidence. Below, our doctors answer the most commonly asked questions about gynecomastia and how we can help men affected by it.

What causes gynecomastia?

Gynecomastia can be caused by a variety of factors, including hormonal irregularities, certain medical conditions, the use of marijuana, use of certain medications (e.g., anti-androgens, AIDS medications, anti-anxiety or anti-depressant medications), excessive consumption of alcohol and the use of steroids. Doctors also believe there may be genetic factors to blame for some cases of gynecomastia.

Are there any symptoms of gynecomastia?

Besides a noticeable increase in breast size and fullness, some men with gynecomastia may experience breast tenderness or pain. Skin irritation, chafing and even infection can occur due to excess breast tissue and skin. Less commonly, there may be nipple discharge in one or both breasts.

Can gynecomastia be prevented?

Although there is no definite way to prevent gynecomastia, our gynecomastia surgeons recommend avoiding excessive alcohol consumption, avoiding steroids and illegal drugs and discussing any medications known to cause gynecomastia with a doctor.

How is gynecomastia treated?

There is no non-surgical way to treat gynecomastia or reduce oversized breasts with diet and exercise. Although fat responds to diet and exercise, glandular tissue does not. The only way to flatten an excessively large male chest is with male breast reduction surgery.

During the procedure, excess fat, glandular tissue and skin is removed. Oversized areolas can be reduced if necessary. The remaining skin is tightened over the chest to create a flatter and firmer contour.

Where are the surgical incisions created for male breast reduction?

The incisions for male breast reduction are created around the lower edge of the areola. This location makes the scar very inconspicuous.

Is liposuction used to treat gynecomastia?

Liposuction is usually incorporated into male breast reduction surgery if the patient has an excessive amount of fat. However, liposuction alone will not help someone with gynecomastia, as it cannot eliminate excess glandular tissue or skin.

Am I a good candidate for male breast reduction?

Suitable candidates for male breast reduction are physically and emotionally healthy and stable, with firm, elastic skin that can contract over the smaller breasts. Candidates are asked not to drink in excess, smoke marijuana or use steroid medications.

The best way to determine whether you are a suitable candidate for gynecomastia surgery is to schedule a consultation with Dr. Pearl or Dr. Ereso. Please call or email Pearl-Ereso Plastic Surgery Center today to make an appointment.

Top 10 Questions to Ask Your Tummy Tuck Surgeon

As a tummy tuck candidate, you have a responsibility to yourself to do your homework about the procedure and your choice of surgeon, and come up with a list of questions to ask during your consultation. According to tummy tuck surgeons Samuel Pearl and Alexander Ereso, some of the essential questions to ask your surgeon include the following: Continue reading “Top 10 Questions to Ask Your Tummy Tuck Surgeon”

Correcting Breast Asymmetry with Surgery

No woman’s breasts are identical. In many cases, the differences in size or shape are hardly noticeable. However, to some women the asymmetry is not only noticeable but upsetting. If you have uneven breasts, you may feel extremely self-conscious to the point where you don’t like going out in public or wearing certain styles of clothing because of the asymmetry.

Breast asymmetry can be corrected with the help of a trusted, experienced plastic surgeon like Dr. Samuel Pearl or Dr. Alexander Ereso. Read on as the plastic surgeons discuss how they commonly fix breast asymmetry. Continue reading “Correcting Breast Asymmetry with Surgery”

What to Do about a Small or Recessed Chin

A strong, defined chin is an attractive facial feature. It balances out the nose and creates a beautiful profile. Ideally, the chin should align vertically through the philtrum, which is the junction between the nose and upper lip. Unfortunately due to genetics, not everyone is born with a strong and well-defined chin.

If you have a weak or recessed chin that you feel doesn’t match who you are on the inside, cosmetic surgery can help. Read on as Drs. Samuel Pearl and Alexander Eresoexplain how they can improve the look of a small or recessed chin. Continue reading “What to Do about a Small or Recessed Chin”

What to Do If Your Teenager Wants to Have Cosmetic Plastic Surgery

During the teenage years, it is quite common for teens to feel self-conscious of their bodies, especially because so many physical and emotional changes happen simultaneously. But what if your teenager feels ashamed or embarrassed by an area of their body and expresses the desire for plastic surgery? As a parent, you want what’s best for your child. But is it ever appropriate for teenagers to have cosmetic surgery? Read on as Dr. Samuel Pearl and Dr. Alexander Ereso weigh in with their thoughts. Continue reading “What to Do If Your Teenager Wants to Have Cosmetic Plastic Surgery”

What You Should Know about ALCL

As board-certified plastic surgeons, there is nothing Dr. Samuel Pearl and Dr. Alexander Ereso take more seriously than the safety and well-being of their patients. One issue that has recently emerged and could put a small number of their breast augmentation patients at risk is a disease known as ALCL. Read on as Dr. Pearl and Dr. Ereso explain what you should know about ALCL.

What is ALCL?

ALCL is anaplastic large cell lymphoma. It is a rare and treatable type of T cell lymphoma that can develop around breast implants. ALCL is not a cancer of the breast tissue itself. The time between implant insertion to diagnosis is reported to be between 2 and 28 years with a median of 8 years. The current reported incidence of ALCL is approximately 1 in 30,000. No cases to date have been reported in patients that have received smooth walled implants. The association of ALCL and textured implants may be related to increased surface area of the texturing, the chronic presence of fluid around the implants, the presence of bacteria around the implants and genetic factors. The disease has been associated with both silicone and saline implants in cosmetic as well as reconstructive patients.

The exact cause of ALCL has not yet been determined. A coalition of experts from the American Society of Plastic Surgeons, the U.S. Food and Drug Administration and breast implant manufacturers are currently conducting research to work toward identifying the cause. They have also established the PROFILE Registry to collect data about reported cases of BIA-ALCL (breast implant-associated ALCL).

How Do Patients Present with ALCL?

The majority of patients present as a delayed seroma or collection of fluid around the implant. This usually presents as an enlarging breast without any other cardinal signs like infection. Diagnosis is made by examining the fluid collection for tumor markers. If a positive diagnosis is made, PET-CT and MRI scans are obtained to determine the extent of spread. Mammograms have not been found to be helpful.

Treating ALCL

The majority of patients can be cured of this disease by undergoing a procedure to remove the implant itself along with the complete removal of the capsular tissue surrounding the implant. This is to prevent recurrence. In rare instances where distant spread was found, patients required chemotherapy and possible radiation therapy.

What Should Patients Do?

If you are a prospective breast implant patient, the FDA encourages you to research your options before committing to surgery, and talk to your plastic surgeon about the benefits and risks.

If you have implants, you should follow your doctor’s instructions regarding monitoring your implants and having routine mammography screenings. If you notice a change in the way your breast looks or feels, you should alert your primary doctor or plastic surgeon.

For more information regarding ALCL you may find www.plasticsurgery.org/alcl to be most helpful.

Please remember that Dr. Pearl, Dr. Ereso and their staff are available to help you! Feel free to contact our office if you have questions or need assistance.

How Long Do the Results of Facelift Last?

Facelift is one of the most popular procedures Dr. Samuel Pearl and Dr. Alexander Ereso perform at Pearl-Ereso Plastic Surgery Center. The procedure has the ability to turn back the clock and help you look as youthful and vibrant as you feel on the inside. If you are contemplating having a facelift, you may be curious how long the results generally last. Read on for the answer. Continue reading “How Long Do the Results of Facelift Last?”