The decision to undergo eyelid surgery can be a very difficult one. Plastic surgery has become increasingly commonplace, which has led to proliferation of plastic surgeons to choose from. This, in turn, can make it very difficult to choose the right surgeon.

Choosing the right surgeon is tremendously important, even if you are considering something as innocuous as standard liposuction. When the procedure you are interested in involves your eyes, however, your choice of surgeon takes on whole new levels of importance. While there is certainly a chance of complications in any surgical procedure, the consequences of a problem during a surgical procedure that deals with your eyes can be dire.

At a bare minimum, before undergoing eyelid surgery, it’s important that your plastic surgeon be certified by the American Society of Plastic Surgeons. Any medical doctor is legally entitled to perform most plastic surgical procedures in the US, but that doesn’t mean they are capable of doing so. Certification by the ASPS ensures that a surgeon is both qualified and competent to perform these procedures.

Another important consideration is the focus and personality of the surgeon. This is something that you can determine during a consultation. Your surgeon’s character and personality should instill trust, and you should feel that you can rely on her to have your best interests in mind. Her focus should be on your goals for your appearance rather than on this procedure, or that procedure. If you feel that this is not the case, it’s a sign that you should be looking elsewhere.

In addition to those two basic aspects, there are a few other things you can look for that make some surgeons stand out above the others. Not all medical schools are created equally, and where your surgeon got their education can make quite a bit of difference. Dr. Goldberg, for example, received her medical degree from Stanford.

Eyelid surgery, although generally performed without any major complications or issues, involves close proximity to a number of very delicate, and very important, pieces of your anatomy. In addition to your eyeball itself, there are also the tear ducts, a very high density of nerve bundles, and the cluster of very fine muscles that control the eyelids and surrounding tissue. This is where Dr. Goldberg’s specialization in reconstructive and micro-surgical techniques really comes into play.

Aging, and its effects on our appearance can be very stressful. Eyelid surgery should be a cure for that stress, not an additional cause. If you’re considering the possibility of an eye lift, book a consultation with Dr. Goldberg to discuss your options.

 

Breast reduction surgery is the opposite of what most people envision when they think of breast surgery. Breast reduction is performed to reduce the size of the breast rather than trying to increase the size of the breast, as is the goal of a breast augmentation. Women who seek breast reduction often feel self conscious or suffer self esteem issues, however these patients should keep in mind that the doctor has met with and helped hundreds of women in similar circumstances. Breasts that are too large can cause more than just body image and self esteem issues, they can cause should, neck, back, and other muscle and joint problems.

Having reached full physical maturity is one of the main prerequisites for patients seeking a breast reduction surgery and other significant factors include, the size and shape of the breasts and whether or not a woman plans to become pregnant and begin breast-feeding. Breast feeding and pregnancy can dramatically alter the shape and size of the breasts and most doctors recommend women who plan to become pregnant wait until after they have gone through with breast feeding to seek breast reduction. The most ideal patients are those who are in good health, who do not smoke and maintain a healthy diet and regular exercise. Patients who do smoke will be instructed to refrain from smoking for several months. All patients will need to refrain from the use of anti-inflammatory drugs such as Aspirin and Aleve that can cause blood thinning and lead to blood loss during surgery.

A standard breast reduction surgery involves making 3 main incisions.

The first incision is made along the base of the breast, following the natural curve of the breast. The second incision is made around the areola (nipple) in order to retain as much mammary function as possible. The third incision is made from the base of the nipple directly to the base of the breast. These three incisions allow excess skin and tissue to be trimmed away while maintaining a normal breast shape as well as allowing the nipple to be relocated to an appropriate position once the mass of the breast has been reduced. These three locations allow Dr. Goldberg to reduce the size of the breast as much as possible while limiting the amount of scars that are created.

A breast reduction can be performed in an average of 2-4 hours and the patient will remain under general anesthesia and patients will not feel any pain or remember anything. The surgery is considered an outpatient procedure and patients can return home for rest and recovery after a short observation.

There are a variety of techniques that can be used and a number of specific outcomes that can be focused on. If you are considering breast reduction surgery, contact Dr. Goldeberg for a personal consultation, tailored advice, and a first hand account of what might be possible for you with a breast reduction.

 

As breast augmentation remains one of the most common cosmetic surgical procedures administered every year, it is an unfortunate but unavoidable fact that a portion of women will experience unsatisfactory results or complications that affect the outcome of their procedure. At times patient’s expectations may be too high or simply unrealistic. It is important to carefully select your surgeon only after careful research and plenty of thought, however some patients, even after believing that they have done so find that they are not satisfied with their results.

Revision breast augmentation is a procedure that aims to not only correct issues from past breast augmentations, but to create a more suitable result for the breasts, with which the patient is truly satisfied. Revision breast augmentation is often accompanied by breast implants in patients who have decided after the initial procedure that they would like to increase their cup size as well.

Revision breast augmentation can offer unique challenges for a surgeon, but an experienced and skilled surgeon can address problems such as disruption of inframmammary folds and symmastia, improperly positioned implants, surface irregularities, and irregular movement due to chest muscle contraction. Because a surgeon must deal with scarring of tissue and the altered state of the tissues of the breast, each revision breast augmentation can be extremely individualized and it is recommended that revision techniques only be attempted by trusted and experienced surgeons.

A thorough examination, including a mammogram, a physical, and a full study of a patient’s medical history will allow the surgeon to give patients a clear idea of what is possible and what the likely outcome of their procedure will be. A quality surgeon should be patient and ready to explain everything that will be attempted and also be ready to answer any questions the patient might have. Revision breast augmentation specialists should understand that patients are often already weary due to the results of their prior surgery. Revision surgeons should make themselves as available to the patients as possible and shouldn’t offer miracle cures but realistic projections. While the patient’s initial procedure may have been poorly prepared for, poorly handled and may have left a bad taste in their mouth, revision surgery should at minimum, provide results that the patient can live with confidently and renew the patient’s belief that there are surgeons who are dedicated to what they do and fully capable.

 

 

While thousands of women undergo breast lift surgery each year, it’s true that plastic surgery is not for everyone. There are all kinds of factors to take into account before deciding on a breast lift and surgery should be something that is carefully considered and not a split second decision. A breast lift may take women away from or limit the ability to work and to engage in social and family activities for several weeks like any other major surgery.

A breast augmentation, also called a mastopexy, is a cosmetic breast surgery designed to reverse the effects of aging, trauma to the breast from pregnancy and breast-feeding, and the natural effects of gravity. To affect a more natural and youthful look underlying skin can be lifted, reshaped, or removed and the areolas can be repositioned higher. Skin around the perimeter of the areolas can be removed to reduce their size. These incisions are placed around the areola, across the base of the breast and between the base and the areola to minimize scarring, but scars will remain to some degree depending on each patient’s body’s unique ability to heal.

Breast lifts are great for patients whose breasts have change shape after childbirth or have slowly begin to sag or point downward as they have aged. Patients should expect to spend at least the first several days post surgery in bed, after which they will be able to move around carefully and begin to resume normal activity over the next few weeks. Some patients are able to return to work within the first two weeks while others take slightly longer. The recovery process is critical to healing properly and patients must be careful to take things slowly as recommended by the surgeon.

A breast lift is not a cure all and if you are interested in increasing or decreasing the size of your breasts another cosmetic procedure such as a breast augmentation or a breast reduction will be better suited to meet your expectations. Contact an American Board Certified Plastic Surgeon today for a consultation and to learn if a breast lift or a similar procedure is right for you. 

When making the decision to have plastic surgery, there are so many factors that need to be considered. The largest decision, by far, is which doctor should I choose for my surgeon? Patients in the Torrance and South Bay area have a wide range of very skilled surgeons from which to choose. So why choose Dr Goldberg?

Dr Goldberg is first and foremost, a Board Certified Plastic Surgeon. This may not be significant to some, but it cannot be stressed enough that the highest percentage of complications come from doctors who perform plastic surgery when they are not actually trained in plastic surgery. It’s important to understand that any doctor with an MD can offer cosmetic procedures, however, doctors who are board certified, like Dr Goldberg, have spent years in specialized “plastic surgery” training, and have a deeper understanding of cosmetic procedures.
As a woman, Dr Goldberg has a deep understanding of women’s challenges. She listens to her patients, and talks about their overall goals. She understands that while women may choose to alter their bodies in the short term, in the long term, they are seeking to gain confidence and self esteem. Whether it’s something as simple as fitting into their clothes better, or being proud to wear a bathing suit after having children, it may also be something much deeper that involves rediscovering themselves and reclaiming their lives after surviving breast cancer. She understands that self confidence plays a large role in the reasons why people choose plastic surgery, and takes the time to make that connection with her patients. “My goal is to educate, inform, and empower my patients to make the best decisions regarding their bodies.” Dr Goldberg is dedicated to offering medical care to her patients with respect, dignity and sensitivity.
With a firm belief that the most satisfied patients are well informed patients, Dr Goldberg makes certain to take time answering all of her patient’s questions and addressing any concerns they may express along the way. She explains procedures in a forthright manner, always taking into consideration the patient’s desired results. As basic as it sounds, being thorough can often be a rare trait in a doctor. Dr Goldberg is also dedicated to offering cutting edge surgical techniques to her patients. Keeping abreast of all the latest techniques, from micro-reconstruction to fat transfers, Dr Goldberg makes sure to offer her patients the procedure that best fits their needs as well as desired results.

Finding an excellent Board Certified Plastic Surgeon in Torrance may seem like a challenge, but a consultation with Dr Goldberg can change that.

When arriving at the surgeon’s office or surgical center, photographs may be taken for a patient’s medical record. The surgeon will likely go over post surgical procedures one final time and make sure you are prepared for the healing and recovery process. The doctor will examine your breasts, skin and nipples and take detailed measurements. Because the surgery is performed while the patient is laying flat, the doctor will draw reference lines with a marker while the patient is sitting uprigt that will help determine how the breasts will sit when the patient is upright.

Patients will be connected to an IV, heart rate monitor and once the doctor and nurses have checked to make sure all is working properly, the anesthetist will begin administering general anesthesia or intravenous sedation depending on what the patient and doctor have decided on as the best option.

It is important for patients to be completely honest with the surgeon when discussing the size and shape of breasts they hope to achieve. The size of the implants, as well as how the surgery will be performed will be determined in no small part by what patients relate to the surgeon as well as their anatomy, skin type, and current breast size. Incisions are made as inconspicuously as possible and depending on the size and type of implant desired, can be made under the arms, in the breast folds, or through the areolas.

Implants can be inserted either under the pectoral muscle (submuscular placement) or over the pectoral muscle directly behind the breast tissue itself (submammary placement). The placement will depend on the both the size and type of the implant as well as the surgeon’s recommendations.

After the implants have been inserted and properly positioned the surgeon will close all of the incisions with layered sutures as well as surgical tape. Immediately following surgery the incisions will be very visible but will begin to fade over time as the body recovers. It will take time before the full results of the procedure are visible.

Patients should expect some postoperative swelling and bruising which will resolve within 4 weeks. Most patients should expect to return to work within 4-5 days and resume vigorous heavy lifting and excercise in 4 weeks.

All medications should be taken as prescribed including painkillers and antibiotic treatments and medicines not prescribed by the surgeon should be avoided unless you have spoken with the surgeon about taking them during your recovery. Patients should slowly ease back into normal activity over then next several months and should refrain from rigorous activity until they are given the OK from their surgeon.

 

Shortly after the time when we were little girls playing with our dolls, we all hit puberty and realized that our bodies and our breasts were somehow linked to the concept of our own femininity. For those of us who felt that we came up short during our developing years it can often feel like an endless struggle to find the right push-up bras and the right swimsuits and tank tops to keep our bodies looking in proportion.

The prospect of breast augmentation with use of breast implants has always been in the back of my mind, but I have tried all kinds of alternatives in attempts to get my breasts to grow naturally. I have tried supplements, vacuum bras, creams and even falsies. They all have their strengths and some ability to enhance my figure but they all come with shortcomings as well.

The vacuum bra I used is sold with instructions to be worn for more than half a day, everyday for two and a half months, after which the bra makers claim women might see results. I will be honest and say that I did not make it to the two and a half month mark. I did wear it daily only missing 1-3 days for more than a month. I felt that at that point there should be some indication that my breasts were changing but my breasts felt the same. I was tired of wearing the stupid device and staying home every day, although I do work from home, and I felt cheated for having tried such a ridiculous approach and having worn the thing for so many days, with my husband smirking at me.

I have tried creams (including Retin-A and phytoestrogens) and supplements (Wild Yam, Kava Kava, Motherwart, Sabal, etc.) on multiple occasions for months at a time with no verifiable results. I still wear a 32-B and after measuring regularly during my various trials I have come to the conclusion that there is no quick non-surgical fix.

Indeed, in talking with a local plastic surgeon near my home in Torrance, she confirmed that short of fat injection, which is not offered by most plastic surgeons, the only true method of increasing breast size for any long-term effect is the breast augmentation procedure. During a consultation we talked about my goals for the procedure and what I realistically wanted to achieve. After more than fourteen years of feeling unsatisfied with my cup size, I have decided to have a breast augmentation and I am ecstatic about seeing my body for the first time after recovering. I simply cannot wait.

 

In the US, there are three FDA approved breast implants manufacturer. They are Allergan Inc., Mentor I, and recently Sientra Inc. There are two main breast implant types approved by FDA for cosmetic and reconstructive surgery. They are saline and silicone gel implants. The implant shells over outer covers are the same for both the saline and silicone type implants. The shell is made up of silicone elastomer (silicone rubber). For saline implants, the implant is filled with sterile saline.

For silicone gel implants, the implants are filled with silicone gel, which are cross linked silicone particles. Silicone implants are more expensive than saline implants. Silicone implants run on average around $900 per implant and saline implants are approximately $500 per implant. While many women may feel influenced by the price of implants, it is best to look at the results of using different types of implants, as they can give a completely different look.  Saline implants have a higher risk of rippling, and can have a harder feel when compared to a silicone implant. 

You should have a thorough discussion with your Board Certified Plastic Surgeon as to which implants best suit your need.

 

Because breast implants are not life time devices, the longer you have your implants, the more likely it will be for you to have them removed for many of the following reasons

  1. Dissatisfaction with size
  2. Unacceptable cosmetic result
  3. Complication such as severe capsular contracture.

Having you implants removed and replaced will increase your chances of getting future complications. In Mentor’s Core study, 5% of patients who underwent primary augmentation (first time breast augmentation) had their implants removed in the first 3 years of surgery. The most common reasons cited for removal of implant were capsular contracture and patient’s decision. For patients who underwent revision augmentation surgery (revised breast surgery), implant removal rate is higher at 12% in the first 3 years after surgery.

Most women who have their implants removed have them replaced with new implants but some do not. If you do not choose to have your implant replaced, you may have cosmetically unacceptable results such as dimpling, wrinkling, puckering, and sagging of the breast.

After removal of implants, you may be in need of additional procedures such as a breast lift to minimize the undesirable effects of implant removal.  For example, one of my patients had very large breast augmentation and periareolar mastopexy (or breast lifts around the nipple) when she was in her twenties. Later in her thirties, the patient presented to me desiring smaller breasts. On exam, the patient had enlarged ptotic breasts and nipple areolar complex due to the weight of the breasts implants. Given the patient’s good native breast tissues, I determined that the patient is a candidate for removal of implants and breast lift procedure to give her natural and yourthful breasts.

Therefore implant removal and additional procedures, in most cases, can restore a natural shape breast.  It can restore a woman’s natural breasts.  This is best discussed

 


Women who are considering breast implants are always faced with the question of which type of implants to choose. In the US there are only two types of breast implants approved by the FDA. Patients are asked to make a decision between the two types of implants although they may have very little information regarding the differences. Both silicone and saline breast implants are housed in an outer silicone shell, but what’s inside that silicone shell can affect the way the implants sit, how they move, how long they last, and can even alter the overall price, even if only slightly.

 

Both saline and silicone breast implants are considered safe, and there are ongoing studies that continue to monitor the long-term effects of breast implants in order to maintain the highest level of safety. The silicone shell of saline breast implants is filled with a saline solution that some proponents argue is safer than silicone in the event of a rupture. However, the FDA has determined that there is insufficient evidence to link silicone to any hazardous effects. In the event of a ruptured saline implant the saline solution is generally absorbed into the body without incident, but the breast will rapidly lose volume and begin to change shape. The shell of silicone breast implants can be filled in several ways. One common silicone implant is filled with silicone gel while the alternative silicone implant has layers of softer silicone that is not gel but is quite soft and natural. The different fillers give each implant a unique feel and consistency. While each implant is safe, many women prefer the texture and consistency of silicone implants and silicone’s ability to create a more natural feeling breast. In the event that a silicone implant ruptures, the silicone will generally leak into the body much more slowly than a saline implant. The symptoms, if any, are usually mild discomfort around the breast as well as a similar loss in volume and change in shape to saline implants, but that will occur far slower.

 

While breast implants are now considered safe, it is important to realize that breast implants do have a shelf life and are expected to wear down after a number of years. For this reason regular scans are recommended and women should expect to encounter necessary maintenance down the road. Women who are seeking breast implants for aesthetic repair from breast cancer surgery should be aware that breast implants can make subsequent operations on tumors more complicated as the surgeon will be faced with maneuvering around the implant itself. It is best to speak with a doctor before making the final decision. Based on your body type and goals, your surgeon may recommend one breast implant over the other, but the final say will be yours.

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