Breast Implant Position – Over or Under the Pectoralis Muscle? Which is right for you?

“The placement of the breast implant is one of the key decisions to discuss with your plastic surgeon. While most patients in my practice have the implant placed under the muscle, there are cases where over the muscle may be beneficial,” says Dr. Paul Wigoda.

Take a moment to look at the diagram below to see the size and location of the muscles that make up your chest wall. You will notice that the pectoralis major muscle is a large fan-shaped muscle that does not cover the lower, outer aspect of your chest wall. Generally in breast augmentation surgery the pectoralis major muscle will be detached from its lower origin along the ribs and the implant will be placed under it leaving only about half the implant covered by the muscle. The bigger the implant, the less of it that is covered by the muscle.

 

The pectoralis minor muscle is much smaller and lies under the outer edge of the pectoralis major. The serratus muscle lies along the sides of your chest wall. The main sensory nerves to your breast come up between the slips of this muscle to enter the back of your breast tissue and from there to the rest of your breast. Generally surgeons place the implants on top of the pectoralis minor and serratus muscles, but below the pectoralis major muscles.

There are pro’s and con’s to having your implants placed over or below the muscle. Here are some things to consider:

Over the Muscle (Subglandular) Breast Implant Placement:

  • Pros: When textured implants are used, the capsular contracture rate is only 5–10%. If you have a moderate amount of breast tissue (a B cup or larger), this can be an excellent choice and produce very natural-looking breasts that age very well. Also, recovery is usually easier than when the implants are placed in a submuscular position.

  • Cons: The use of smooth implants in a subglandular position have an increased rate of capsular contracture compared to other options. Additionally, when textured implants are used in thinner women with small breasts rippling may be visible in the upper and inner areas. It is also easier to see the upper edges of the implants when they are placed over the muscle.

Under the Muscle (Subpectoral) Breast Implant Placement:

  • Pros: Using smooth implants under the pectoralis muscles reduces the capsular contracture rate to less than 10%. In thinner women, the added bulk of the muscle over the upper and inner aspects of the implants will make the edges less visible and the curve of the breast more natural. When textured implants are used, the rippling in the areas under the muscle is usually invisible.

  • Cons: The recovery is typically thought to be more uncomfortable. However, with Dr. Wigoda’s painless breast implant procedure, patients most often have implants placed below the muscle and have little or no pain. It can take several months to see your end results because the implant tends to start out high before it settles into its final position, lower on the chest. When the pectoralis muscle is contracted during exercise or in some daily movements, the muscle may flatten the implants and push them outward. This can change the shape of the breast. However, this does not happen in all patients. Occasionally, an indentation over the implant can be seen along the edge of the muscle but again, this is not typical. When there is a moderate amount of breast tissue that is lax or becomes lax in time, it may sag below the position of the implant that is held in place by the muscle.

Dr. Paul Wigoda’s Fort Lauderdale-based plastic surgery center offers both subglandular and subpectoral procedures and we are happy to help you decide what’s best for you during a free consultation.  Call us at 954.463.7088 to schedule your visit! www.drwigoda.com

Men’s Plastic Surgery Rate Rises, Dr. Wigoda Reports

Real men get plastic surgery and it is socially acceptable, experts say. Dr. Wigoda previously reported about the rise of plastic surgery in 2010 and the predicted uptick continuing through 2011. Now it appears that men are helping the trend, according to new data released by the American Society of Plastic Surgeons.

Men underwent more than 1.1 million cosmetic procedures in 2010, accounting for 9.9% of all cosmetic procedures, or a 2% increase from 2009. The most commonly performed procedures? Facelifts, up 14% and nose jobs, 64,000 total, saw the biggest gains.

Other top male cosmetic procedures include eyelid surgery, liposuction, breast reductions and hair transplants.

Experts attribute the increase in male plastic surgery to a few different factors; namely, the lagging job market and the increase of celebrity culture.

“Men have a new attitude toward cosmetic surgery than what we’ve seen historically,” Dr. Phil Haeck, ASPS president and a board-certified plastic surgeon, told AOL’s WalletPop. “Many stashed away some cash during the recession so they could come out of it with a younger look, ready to attack the job market.”

“In our culture, younger is better,” says Ann McMahon, a clinical psychologist based in New York City. “The ‘man’s man’ is also seeing celebrities undergo various procedures, so it’s become more socially acceptable.”

First 7 Days After Painless Breast Implant Plastic Surgery with Dr. Wigoda

So I had my painless breast implant surgery last Friday, took the weekend to rest and recover, by Monday I was back at work full force and more.

Dr Wigoda Painless Breast Implant Patient Doing Sit Ups

Can you believe it's only been 7 days?

I went for my follow-up visit with Dr. Wigoda Monday morning for a clear check up. Then a three-hour drive back to my new hometown of Celebration, Florida, so no painkillers or muscle relaxers for Lisa in the driver’s seat.  I did fine and really did not need them!

I also found out I have no stitches to remove, they dissolve! Wow, pretty cool and an added bonus, thanks Dr. Wigoda!

The first week my “new additions” seem to be settling into my body, but it s still a little weird looking in the mirror. Getting dressed each day is a challenge only because nothing fits the same and I’m not fashionably prepared with all the style necessities.

Some tips

  1. Sports Bra – pre-surgery! – Go to a Sears or Target and buy a whole bunch of sports bras in all colors and styles. Sears had the best selection (believe it or not) and let me just clarify; I have not shopped at Sears for anything but electronics since I was in 7th grade. But I must admit, they had cool stuff and the price and selection were a definite plus.
  2. T-shirts (James Perse, Spendid, Vixon) that are comfy and form fitting – this has been my most worn item; a cool crew neck form fitting T with a good sports bra. So while I am swollen, I still feel good and underexposed but flattering to my new shape
  3. Juicy Couture – type track jackets – these work well and help support you through the first couple weeks of transition.
  4. Go get a facial the first week– it made me feel even better, like a new you is starting and you are cleansing for a new beginning!
  5. Stay as active as you were – I started back on the treadmill one week after surgery, slowly but at least getting that mental and physical stimulation

I wouldn’t say to exactly follow my lead; I think I over did it. We left for a family vacation on Thursday (6 days after surgery) and carrying luggage and weaving through an airport is probably pushing it.

I went to the gym and did the treadmill, walked slowly and did some abs! Not bad for one week later!

I will be spending the next few days on the beach in Hatterass North Carolina – a little premature 7 days after Dr. Wigoda’s painless breast implant surgery, but here I am writing this post.

Stay connected with Dr. Wigoda on @DrWigoda, “Like” Dr Wigoda and Watch Dr Wigoda’s YouTube channel. Follow me through my painless breast implant surgery on Dr. Wigoda’s Blog and leave comments or questions!

Father’s Day Shots from Dr. Wigoda!

We’re not just talking drinks, we’re talking Botox! The men in our life could use a dose of wrinkle smoothing, frown erasing and sag relieving innovation.

In celebration of father time, Dr. Wigoda invites men to get more for less on Father’s Day!

Double Shots

Treat Dad to Dr. Wigoda’s Father’s Day Botox Special. Buy one Botox zone, get a second zone half off. Try Radiesse or Juvederm injectibles at the same Dad’s Day Discount!

Massage Deals

Help Dad rejuvenate with our L’ Pour Homme Special Mini-facial with scalp massage: 30 minutes for $50. Or relax with a 45-minute Deep Tissue and Hot Stone Massage for the same great price.

Dial us up for details on anti-aging cocktails designed just for men in mind. Get dad looking great and feeling fresh at either of our two locations!

The Aesthetics Institute South Beach

1439B Alton Road

Miami Beach, FL 33139

305-534-MeMe (6363)

The Aesthetics Institute Fort Lauderdale

1404 E Broward Blvd.

Fort Lauderdale, Florida 33301

(954) 463-7088

Stay up-to-date on the latest news and offers from Dr. Wigoda through our Facebook Fan Page and through Twitter @DrWigoda.

Hurting Less: Dr. Paul Wigoda’s Breast Implants are Painless, Patients Say

Bargain basement-priced breast implants can be painful, dangerous and in the long run cost more time, money and risk, says Board certified plastic surgeon Dr. Paul Wigoda. Dr. Wigoda blends surgical technique, experience and precision to eliminate pain, promote recovery and produce lasting Fort Lauderdale breast augmentation results

 

Fort Lauderdale, FL – March 16, 2010 – Dr. Paul Wigoda’s plastic surgery patients are hurting less. Even as plastic surgery spending slumped again in 2009, breast augmentation remained the most popular surgical procedure for American women with over 300,000 procedures nationwide.

And as the tough economic times persist, price conscious consumers and patients are shopping for the best surgical techniques and least amount of pain, according to board certified plastic surgeon Dr. Wigoda.

“Combining knowledge, skill and personal care is vital to reducing post-surgical inflammation, promoting fast recovery and ensuring patients’ happiness with every Fort Lauderdale breast augmentation procedure,” Dr. Wigoda said.

In a market where many other surgeons are offering bargain breast augmentation procedures, these surgeries are often accompanied by a prolonged and painful recovery, additional missed time from work and poor results.

“Patients who choose a surgeon based purely on price without considering certification, training and experience may be making a costly mistake,” Wigoda said. “The first operation is the patient’s best opportunity for a quality result. Placing yourself in the capable hands of an experienced, board certified plastic surgeon is the first step to the quality you deserve.”

The Aesthetics Institute continues to give South Florida patients what they are looking for as Dr. Wigoda has developed a technique to eliminate pain from breast augmentation procedures.

“Breast augmentation was a dream that I always had,” said recent Dr. Wigoda patient Karen Vidal. “The same day of the procedure I was able to go home and move around without pain. On a scale of one to ten, I rate my level of pain at one and Dr. Wigoda at ten and a half!”

Dr. Wigoda uses over a decade of South Florida plastic surgery experience to blend the methods of other top cosmetic surgeons, perfect his own technique and match the correct incision, implant and procedure to every individual patient.

“The most uncomfortable experience of my procedure was having to sleep on my back for a couple of days,”  Vidal said. “Other than that, I was pain free.”

To learn more about Fort Lauderdale breast augmentation from Dr. Wigoda and The Aesthetics Institute visit: www.doctorwigoda.com or http://blog.drwigoda.com.

About Dr. Wigoda
Dr. Paul Wigoda is a Fort Lauderdale plastic surgeon and owner of The Aesthetics Institute. He is a board certified plastic surgeon and is a member of the American Society of Plastic Surgeons, the Florida Medical Association, and the Broward County Medical Association. Dr. Wigoda specializes in Fort Lauderdale breast augmentation, breast reduction, breast lift, liposuction, rhinoplasty, tummy tuck, facelift, brow lift, eyelid surgery, Juvederm, Radiesse, Restylane, Botox, laser hair removal, and spider vein treatments.

The Aesthetics Institute Location:
1404 E Broward Blvd.
Fort Lauderdale, Florida 33301
(954) 463-7088

You + Dr. Wigoda + Me Day Spa = True LOVE Deals

Valentine’s Day has passed, but Me Day Spa has special offers you will fall in love with.

Me Day Spa – It’s All About Me

Kick dermal lines and wrinkles to the curb and receive $50 Off Botox for each treatment area OR $100 Off Radiesse or Juvederm injections.

Get the smooth moves bikini line and ditch the hassle (and stubble) of shaving with South Beach laser hair removal. Receive 50% Off one area when you book a second area at regular price.

Resurface with a FREE Microdermabrasion Treatment with any 60 Minute Facial.

Nail it for Spring! Manicure and Pedicure Special: Miami Beach Manis and Pedis Only $30 each when you purchase a package of 5.

Same Rub, Half the Price – Enjoy one hour or more of one of our fabulous rejuvenating massages and receive a second for ½ Price.

Good Hair Days!  Receive FREE Deep Conditioning Treatment with any Cut or Color.

Dr. Wigoda dishes out some love too!

Size up. Reserve a consultation today and receive Breast Augmentation with general anesthesia from $3900!

Size down. Plus, The Aesthetics Institute is offering Smart or Ultrasonic Liposuction Up to 60% Off.

These deals are too good to lust, I mean last, forever! So call today at 305.534.6363 to make your reservation or to schedule a consultation with South Florida’s favorite plastic surgeon, Dr. Paul Wigoda.

All you have to do is mention “LOVE” when reserving your appointment to receive any of the “lovely” offers.

Dr. Paul Wigoda

The Aesthetics Institute & Me Day Spa

 

Learn: http://www.medayspa.com

Fan: www.facebook.com/medayspa

 

Follow: http://twitter.com/drwigoda

Subscribe: http://blog.drwigoda.com

Watch: http://www.youtube.com/user/drwigoda

Dr. Wigoda Looks at the Past 10 Years of Plastic Surgery

Board certified plastic surgeon Dr. Paul Wigoda has been practicing Fort Lauderdale plastic surgery for over 10 years. As we roll into a new decade, Dr. Wigoda is taking a look back at the development of South Florida plastic suregery over the past 10 years.

Check out the video below to hear his thoughts on how liposuction, Botox, breast augmentation and dermal fillers have changed since 2000.

To hear where Dr. Wigoda believes plastic surgery is heading in the next decade, visit The Aesthetics Institute Youtube Channel.

For more information on Fort Lauderdale plastic surgery or to contact board certified plastic surgeon Dr. Paul Wigoda, visit www.doctorwigoda.com, become a Fan on Facebook, or follow South Florida’s favorite plastic surgeon on Twitter.

Become a Perfect 10 this Holiday Season

Affordable and beautiful breast augmentation from Dr. Paul Wigoda and The Aesthetics Institute may seem too good to be true, but we’re making it happen for the holidays!

•    Affordable and Excellent Results
•    Qualified, Board Certified Surgeon
•    Before and After pictures with authentic patient review

Call The Aesthetics Institute today at (954) 463-7088 or e-mail [email protected] for more information on Dr. Wigoda’s Special Holiday Pricing and to schedule a personal consultation with South Florida’s premier board certified plastic surgeon!

For even more information on South Florida plastic surgery, find testimonials on Dr. Wigoda’s YouTube Channel and see “Before and After” pictures on doctorwigoda.com.

Limited time offer on holiday pricing. Consult must be booked before December 31, 2009 and appointment must be within the month of January 2010.

Dr. Paul Wigoda Offers Med Spa Services on South Beach

Customers continue to rave about Dr. Wigoda’s Me Day Spa.

But South Beach’s premier physician-owned med spa is giving clients something new to talk about as it announces the addition of new medical services like BOTOX, JUVEDERM and RADIESSE injectibles, laser hair removal and spider vein treatment.

“Now you can get your hair extensions, manicure, massage and BOTOX injections all at one place,” said Dr. Wigoda, owner of Me Day Spa on South Beach and The Aesthetics Institute in Fort Lauderdale.

While most med spas offering these services have nurse practitioners or physicians assistants performing the procedures, Dr. Wigoda, a board certified plastic surgeon, will perform all injections.

Check out Me Day Spa’s YouTube Channel to hear Dr. Wigoda talk about this exciting new offer.

For more information on Dr. Wigoda, Me Day Spa or The Aesthetics Institute, become a Fan on Facebook or follow the conversation on Twitter.

Become a Fan of Dr. Paul Wigoda

Dr. Wigoda Launches Facebook Fan Page

Connecting with Dr. Wigoda to receive the latest information from The Aesthetics Institute and Me Day Spa just got easier with the launch of Dr. Wigoda’s Facebook Fan Page.

You can already read his thoughts on beauty and health on the South Florida Plastic Surgery and Beauty Blog, see what he thinks about plastic surgery trends and new product releases on the Dr. Wigoda YouTube Channel, and get instant updates on everything spa related from Twitter.

Now you can show your support and interact with Dr. Wigoda even more through his Fan Page and get all that great content right from one source! So log on today to ask questions, get answers and stay in touch with South Florida’s favorite plastic surgeon!

See you online!