why do doctors not take insurance plans?

You are not the only one who finds medical insurance difficult.
I have been around medicine my whole life.  My father was a plastic surgeon as well.  Back in his day 30 years ago when a patient had insurance, he billed insurance for x amount, and they paid x amount.
What a concept.
When I started my practice

Read More…

Breast reductions: Men vs. Women- is it the same?

Here is a shocker: men and women are different.  When it comes to breasts (and yes, some of you guys have them), the way to fix a large chest is different too.
Breast reductions reduce the size of breasts.  For men, this would be the area they consider “chest.”  When a man comes to me for

Read More…

Nipple sensation after augmentation

Catchy title, eh?
People worry a lot about change in nipple sensation after surgery.  I would love to say, “No no! don’t worry.  You’ll be exactly like you are now.”  But I can’t say that. 
Why? Because I don’t know.
Don’t go freaking out about this.  Most women end up with about the same sensation as they started with.  Trust

Read More…

Spitting a stitch

Kerplooey!
What is spitting a stitch?
I know. There are things which seem so normal to us surgeons, which the normal patient looks at and thinks, “What?!”
We surgeons sew. We stitch a lot.  When we put the breast together after a lift or do a tummy tuck, we sew you back together with sometimes hundresds of sutures

Read More…

Breast reduction- How small should I go? What do I really have?

Breast reductions and cup size.
It is a tough thing to counsel on.  I have said many times, I think the biggest issue with large breasts is not the size.  It is the droop.
First, what is your true size?

Don’t trust what the lady at Victoria’s Secret or Nordstroms measured.  There is no standard to bra sizing.  What

Read More…

what makes a breast lift last?

I have done many different kinds of lifts over the years.  The breast is made up of breast tissue and fat.  In general

the more breast tissue, less fat
the smaller the breast
the better you support the breast (ie good bras)
the less you stress the breast (pregnancy, breastfeeding, jogging)

the better and longer your lift will last. 
Your breast after

Read More…

Will I have fullness after a breast reduction?

No, this is not a ridiculous question.
Large breasted women have been blessed.  Too blessed.  I know I know. Those of us who do breast reductions should be shot, incarcerated, taken to a small island in the middle of the sea.  But large breasts are heavy, unweildy, and cause back pain.  Not to mention the bras you need look

Read More…

Breast reduction without surgery

The trend of the week this week: questions to me, the plastic surgeon, about “how can I avoid you?”  How can I do what I want without surgery?
I get it.
Surgery is a big deal. It is scars, and surgery with its risks, and recovery, and paying money.  So I get it.
So. Back to the question:

Read More…

The laser bra breast reduction

Ahhh. Marketing.
Do I sound like a broken record or what?  I am just so dismayed by all of the hype and spin out there.  It seems like everyone is trying to make a catchy new phrase for their surgery which will change the world, defy gravity, have no scars, and no downtime.
Bottom line still is when it sounds “too

Read More…

Breast reduction and weight. Can you do surgery if you are overweight?

Ah. The chicken and egg dilemma. 
Many women with large breasts are overweight.
Many overweight women have large breasts.
When you are overweight insurance will tell you your breasts are large because you are fat.  Lose the weight and your breasts will get smaller.  This is true.  Especially as you age, breasts get fattier.  Even women who when

Read More…