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Archive for September 2016

Ptosis – Breast Lift? Or Implants Needed Too?

“My breasts are quite droopy. Can you just do a breast lift on me? Or do I need an implant too?”

Women who have breast sagginess (ptosis) often ask this question. They think that they have enough breast volume, it’s just in the wrong the place! They demonstrate that by taking their breasts and lifting them up to where they would like them to be!

After pregnancies or weight loss, or just from aging, the breasts tend to stretch and fill out the bottom part of the breast less than the top. Overall, the breast tissue can change and shrink, as well as become less elastic. This can be very apparent from the “ski slope” appearance of the upper portion of the breast between the collar bone and the nipple. Sometimes bras can “push-up” the lower part of the breast to fill this more.

The typical surgical correction for ptosis is to do a breast lift, or mastopexy. There are many ways to do a mastopexies, that all involve different technical aspects. The resulting scar pattern, size and locations are the tradeoffs for varying amounts of “lift” – the more lift needed, typically the more extension the scars have to be to achieve a particular aesthetic look to the breast.

There are times when I recommend an implant to help fill in the top, or upper pole, of the breast. Even with a significant lift, this upper area can be difficult to round out or fill in sufficiently. Placing the implant behind the muscle can give even more boost to this upper pole. Also, the size, shape, and volume of the implant will influence this area. If patients want a more rounded upper pole shape, then an implant is typically needed.

The best way to find out is to call and make a consultation appointment! I’ll discuss your options with you, tailored to your particular anatomy and expectations. See you soon.

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Dr Shawn Birchenough Men Body Specialties and Surgeries

Early 50’s Male: “Anything I Can Do to Keep from Looking Older Than I Am?”

“I’m a guy in my early 50’s, and I’m wondering if there’s anything I can do to keep from looking older than I am?”


I am glad to hear from and treat male patients! Men of all ages are asking about plastic surgery, to the point where men represent the fastest growing population of those receiving plastic surgery over the past 5 years!


Men want to look younger (just like our female companions!) and have more confidence in our lives. Many men work hard to stay in shape physically, and eat healthfully, but have areas of concern.


I want men to know that I will discuss their issues with them personally, professionally, and discretely.


Here are a few things to think about…

Men are prone to lines and wrinkles in the forehead and between the eyebrows because of the strong action of the muscles in this area. Botox is a great way to soften some of that “mean” or “scowling” look.


For further facial rejuvenation, upper eyelid surgery is a common procedure that can significantly improve the “tired” or “droopy” eyelid look. This surgery could possibly be done in the office with oral sedation only. Lower eyelid rejuvenation is a bit more difficult, but there are ways to treat that too.


“Love handles” are a guy’s nemesis! Especially if you have been working out at the gym and watching what you eat, this can be a frustrating area that stays after other fat deposits go away! These areas of fat deposit are more prominent on men than women, typically. Liposuction can contour these areas to help you match the rest of your abdomen.


Similarly, male breasts can be treated with liposuction if diet and exercise just aren’t doing it. For men that have undergone significant weight loss through diet or surgery, and have significant excess skin, this needs to be removed in the OR with procedures like abdominoplasty, thigh-plasty, or brachioplasty (upper arm skin excision). While more involved, these surgeries greatly improve the fit of clothes, and the overall body contour.


So come in to discuss what Dr. Birchenough can do for you guys too!

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