The surgical options for breast cancer depend in large part on the tumor size and location of the tumor. Your breast surgeon will help guide in making a decision as to which option is best for you.
The timing of the breast reconstruction will be discussed with your plastic reconstructive surgeon. We will guide you through the process that will yield the best aesthetic result. The benefits of immediate breast reconstructions are two folds. One, it avoids the trauma of missing a breast. Furthermore, it gives a superior aesthetic result especially when it is performed with nipple sparing mastectomy.
Delayed breast reconstruction is performed as a separate procedure after mastectomy. It yields an inferior aesthetic result and more scar. However, it is delayed it a patient requires post mastectomy radiation and chemotherapy. I hope this information is helpful.
Dr. G

Dr. Goldberg is a breasts reconstructive plastic surgeon in Beverly Hills, California specializing in the DIEP flap and other state-of-the-art breast reconstruction procedures. Our office will work with different insurance plan and our patients across and outside the US. Please call (310) 325-0310 to learn more about your breast reconstruction options.

The breast implant is one of the most important device ever developed in the field of plastic and reconstructive surgery. Despite more than 60 years of technological advances in breast implants, the revision rate for breast augmentation is still high at a rate of 24% at 4 years and 36 % at 10 years. The reasons for revision are often due to soft tissue related problems which include capsular contracture and inadequate overlying tissue causing visibility of the implants, a condition plastic surgeons called “soft tissue failure”. Simply put, one of the major drawbacks of breast implants is their unnatural appearance when the overlying soft tissue volume is out of balance with implant volume. This often occurs in thin woman with minimal breast tissue who chooses large implant sizes. For these patients, the early breast augmentation result often have unnaturally tight, high and rounded breasts. Overtime, the pressure of the large implant causes atrophy of an already thin breast tissue leading to ptosis (saggy breasts) and rippling deformity (visibility of the implants). These deformities are extremity difficult to correct due to inadequate soft tissue envelope.

Fat grafting to the breast has seen significant rise in popularity since 2008. Therefore, fat grafting as an adjunct to breast augmentation – also known as composite breast augmentation, is a natural evolution in aesthetic breast surgery over the past 3 years. Now women with thin soft tissue who desires large breast implants, are perfect candidate for composite breast augmentation. In the composite breast augmentation surgery, the implants are placed in the either submuscular, subfascial or subglandular plane, and the fat is grafted throughout the upper and lower poles of the breasts to provide additional soft tissue coverage to the implant. A precise examination is performed on each patient by Dr. Goldberg. Dr. Goldberg will note symmetry of the breasts and chest, breast tissue density, and the thickness of the breast tissue. The patients selected for composite breast augmentation are thin with body mass index under 20. The fat is often harvested from the hip and flank region in these thin patients. The fat is harvested using 3mm diameter cannulas. The average amount of fat harvested from the thigh is 320 cc (ranges from 150 cc to 2000cc). For the implant devices, Dr. Goldberg often uses textured cohesive gel implants. The implants are placed through a small 4cm incision in the breast crease. The fat is then layered in the subcutaneous tissue plane using a small blunted cannula, also known as lipofilling. On average, about 50 to 100 cc of fat is used in each breast to cover the implant in the superomedial transitional zones also known as the cleavage area of the breasts. The smaller amount of fat is placed in the lower pole of the breasts. Implants and fat, working together, provide the best attributes each as to offer: the core volume projection of implants and the natural look and feel of fat. Dr. Goldberg named composite breast augmentation as the “Brazillian breast augmentation” and she believes that this is the new cutting edge in breast augmentation.

In recent years, plastic surgeons have come to understand that facial aging is not attributable to gravity induced droopiness alone, but it is also a consequence of volume loss caused by soft tissue and bony atrophy. Over the past 10 years, fat grafting or fat transfer to the face has become popular technique in facial rejuvenation. Fat grafting is a popular method for facial rejuvenation because it is an ideal filler. The following qualities make fat an ideal filler: It is your own tissue and naturally biocompatible. It is available sufficient quantities in most patient. It is naturally integrated into your own tissue and can potentially become permanent. It could be removed if necessary.

Fat grafting to the face is an art that requires meticulous technique and expertise. Good retention of the harvested fat requires proper harvesting technique and atraumatic handling of the fat during the purification process. Lastly, the technique of transferring the fat requires small layering of fat into different tissue planes in a refine fashion. All three steps of harvesting, fat purification, and transfer technique lead to good retention of the transferred fat and aesthetic result.

Therefore, fat grafting is a technique in the correction of aging deformity of the 21st century. It is used to correct hollow eyes, sunken cheeks, deepening nasolabial folds, and marrionnette lines. Fat grafting has been shown to improve the quality of the skin where the fat was injected. The wrinkles seems to soften, the pore size decreases, and the pigmentation also improves with time. The best part of the fat grafting is that it could be done as an in office procedure under local anesthesia.


Schedule your consultation with Dr. Goldberg for a new youthful and natural you.

Plastic surgery is a very personal experience, much more so than even the most intimate aspects of routine medical care. While a woman may be quite uncomfortable when she must bare all for a gynecological exam, a consultation with a plastic surgeon can be, for many, an infinitely more invasive experience. Often, women see a plastic surgeon in order to correct body issues they have been self-conscious about for years, placing them in the position of baring not just their bodies, but long-held and very private insecurities as well. With a female plastic surgeon, South Bay women often find the experience much more comfortable, enabling the open communication and cooperation necessary for optimal treatment results.

Exceptional results in any type of cosmetic procedure depends on a feeling of trust and partnership between surgeon and patient. The patient must feel comfortable enough to openly express her desires and goals, a process that often involves disclosing a great deal of very personal information. A woman interested in enlarging breasts that have been a source of embarrassment for her, or perhaps reducing disproportionately large ones that have caused both physical and emotional pain, may not be able to express her needs as freely as she should with a male surgeon. While it’s certainly true that not all women feel awkward or uncomfortable baring their souls to male surgeons, with a female plastic surgeon, South Bay women who do often feel more secure throughout the process, confident that their surgeon understands their issues from a woman’s perspective.

Even for the most confident patient, there are advantages to be had from the unique perspective and insight of a female plastic surgeon. South Bay patients who consult with a number of surgeons before choosing one – as all well-informed medical consumers should – often find that the office and manner of a skilled and talented female surgeon offers a distinctly different atmosphere than male-run practices. The differences noted have included a warmer, more welcoming atmosphere, greater attention to detail, more thorough explanations of possibilities and procedures, a female perspective on beauty, and the unique insight a woman brings to the table in discussing, understanding and resolving women’s appearance concerns.

If you prefer to discuss your particular appearance issues with a female plastic surgeon, South Bay area patients will find none more skilled and talented – male or female – than Dr. Goldberg of Goldberg Plastic Surgery. A highly-trained and board-certified plastic surgeon, Dr. Goldberg is a premier provider of cosmetic and reconstructive services, offering variety of specialized procedures including breast, body, face, hand, and skin procedures to patients in the in Long Beach, as well as the Manhattan Beach, Palos Verdes, Redondo Beach, and Torrance areas.

Often, at the mention of cosmetic breast surgery, Manhattan Beach residents’ thoughts turn to very young women with the goal of creating the perfect beach body. However, the reality is that plastic surgeons see women of all ages and walks of life in their offices, inquiring about available methods to achieve a well-proportioned and attractive figure, correcting body issues that cause them to be less than satisfied with their personal or professional image. More mature women make up a significant proportion of those inquiries. In fact, according the the American Society of Plastic Surgeons, the average age of women who had breast augmentation procedures performed in 2012 was 34.

Many of these women have been satisfied with their figures in the past, but are distressed about the toll that aging or motherhood has taken on them. With cosmetic breast surgery, Manhattan Beach plastic surgeons can restore a woman’s shapely, youthful figure. Women who experience breast sagging due to pregnancy, breast feeding or gravity can often be helped with a breast lift procedure. Women who have lost breast volume over time or would simply prefer a bit more curve in their figures may find that a breast lift with implants better suits their needs.

Others have never quite been satisfied with their figures, but are just reaching a level of self-confidence and financial security that allows them to make their personal needs a priority. Often, these women have spent decades camouflaging a disproportionate bustline, whether it is smaller than they would like or larger. With cosmetic breast surgery, Manhattan Beach women can finally correct this situation to their personal satisfaction.

Several types of breast augmentation procedures can provide a remedy for the woman who would prefer an hourglass figure to her current pear shaped one, while breast reduction can offer relief to women who are self-conscious about breasts they feel are too large or suffer back and shoulder pain due to pendulous breasts. Both offer women the opportunity to finally free themselves of those cumbersome camouflage garments, finally able to choose their wardrobes according to what they want to wear, rather than what they need to hide body issues they perceive as flaws.

Of course, there are as many reasons for cosmetic surgery as there are unique individuals in this world. The point is that looking great is not a privilege reserved for people aged 18 to 25. Women in their mid 30, 40s, 50s and beyond have benefited from cosmetic breast surgery. Manhattan Beach plastic surgeons have helped a great many mature women achieve a figure that they are pleased with as they look in the mirror, a feeling of satisfaction that typically enhances self-assurance and quality of life.

Many women who are deeply unhappy with the size and/or appearance of their breasts hesitate to take the step that could resolve the issue; Breast augmentation. Long Beach area women often have doubts about the long-term outcome of augmentation, many of them fueled by exaggerations and myths about the possible short and long term effects of these procedures. Here are some facts, as outlined by a recent study, that should clear the air and dispel some of those myths, allowing women to make solid, informed decisions on breast augmentation.

In a prospective outcome study published in the May, 2013 issue of the journal “Plastic and Reconstructive Surgery,” researchers evaluated 225 women over a five year period who had undergone breast augmentation. Long Beach women who have been put off by misinformation about these procedures might be relieved to learn that, according the the results of that study, 98 percent of women reported satisfaction with outcome of their breast augmentation procedure in interviews that included questions about complications, recovery, results and psychological effects.

Among the common misconceptions about breast augmentation is that patients suffer extreme pain and long, drawn-out recoveries. However, the facts say otherwise, according to study findings, with the average patient reporting a pain score of 5.9 on a 10 point scale during recovery, using prescription pain medications for an average of 5 days, and able to return to work or other daily activities in 7 days. On average, patients felt fully recovered, or “back to normal,” 25 days after breast augmentation.

As for those rumors of widespread side effects, complications and patient dissatisfaction with the appearance of their breasts after breast augmentation, Long Beach women interested in enhancing their figures will be happy to hear that study results debunk them as well. Complication rates among the surveyed patients was 10 percent. Almost 40 percent reported nipple numbness after surgery, but in all but 2 percent, this fairly common side-effect resolved on its own. Improved self esteem after breast augmentation was reported by 92 percent of subjects, and 64 percent felt that their quality of life was enhanced by the procedure. Overall, 98 percent of the women in this study reported a that breast augmentation results met or exceeded their expectations.

Although cosmetic breast surgery, despite popular misinformation, is generally safe and effective, as with any surgical procedure, there is some risk of complications with breast augmentation. Long Beach patients can minimize those risks by carefully examining the credentials, skill and reputation of any plastic surgeon they are considering for their procedure before committing to surgery.

So there you have it, the real facts of the matter. Don’t let misinformation stand between you and a more attractive figure.

Most of us wouldn’t trade the experience of raising a family for anything in the world, but we could certainly do without the changes bearing those children can cause in our bodies. Fortunately, these days, doing without them is very possible with the help of a talented plastic surgeon. Torrance mothers can rejuvenate their figures quite nicely today once they’ve finished having children with Mommy Makeover procedures, restoring a firm, smooth and youthful silhouette.

With a Great Plastic Surgeon, Torrance Moms Need Not Look Motherly

While every woman’s body responds in a very individual way to pregnancy and childbirth, there are some very common physical changes that many women find undesirable. The size, shape and volume of breasts often changes with childbirth, altering her overall appearance. The abdominal area often proves to be a trouble spot as well, with some bulging remaining long after a woman has returned to her pre-pregnancy weight. Some women may have a genetic predisposition to difficulty in reducing pockets of body fat that accumulate during pregnancy in areas like the hips, thighs, and abdomen, and stretch marks are a problem to some degree in the vast majority of women who have given birth.

Mommy Makeover is a term used to describe a range of cosmetic procedures that can be used in combination to address the rejuvenation goals of each patient. Rejuvenation of the breasts can be done with one of several breast procedures, depending upon your goals and the expert judgment of your plastic surgeon. Torrance mothers can choose a breast lift, which tightens skin stretched during pregnancy and breast feeding, removes stretch marks and eliminates sagging. For women who have lost breast volume, breast augmentation may be best. Women who experience combined sagging and volume issues may be best served by a breast lift with implants.

Women who have been left with a belly bulge after childbirth may have one or a combination of several issues standing in the way of a flat, firm tummy. Determining exactly where the problem lies will require an evaluation by your plastic surgeon. Torrance mothers may have that bulge due to stretched or damaged abdominal muscles, loose, stretched abdominal skin or a stubborn layer of fat left over from pregnancy weight gain. A tummy-tuck can correct loose skin or stretched muscles, while liposuction is commonly used to remove stubborn fat accumulations, not only in the tummy, but also in the hips, thighs or other problem areas.

So if the image you see in the mirror every morning looks more motherly than you’d like, make an appointment for a consultation at Goldberg Plastic Surgery. With the help of Dr. Goldberg, a skilled, experienced and board certified plastic surgeon, Torrance mothers have taken charge and reclaimed their figures, and you can too.

If you’re frustrated by stubborn areas of body fat and are considering liposuction, Torrance plastic surgeons, you’ll be happy to know, have options that can help you resolve your problem. It is a rather common issue, by the way, even for individuals who work hard to stay fit. Of course, liposuction is no substitute for that hard work, but when diet and exercise have done all they can, it can help you clear that last hurdle to the slim, trim physique you’d like to see in the mirror.

Have you been struggling with a spare tire, love handles or a bit of a bulge in the hips, backside or tummy that just refuses to be worked off with exercise or reduced by dieting? Many of us have areas that are genetically predisposed to fat accumulation, stubborn pockets of fat that will remain even after all other areas of the body are slim, trim and toned. Typically, looking through the family picture album with an attentive eye will reveal similar issues in your parents, grandparents or perhaps and aunt or uncle. Sometimes these areas will appear early in life, presenting a lifelong challenge, or they may arrive on the scene as a person approaches middle-age, body fat accumulating in these areas mysteriously, with no changes in diet or exercise to account for it.

If this is the sort of issue you are experiencing, you’re just the type of person that can be helped by liposuction. Torrance patients who are in good general health and at or near their ideal body weight are the best candidates for both traditional liposuction procedures or newer, laser assisted options, like SmartLipo. Both offer permanent removal of fat and can target specific areas of fat accumulation. Traditional liposuction, which is the more invasive of the two, may be the best option under some circumstances. SmartLipo, however, can often offer comparable results with smaller incisions and less downtime, and as an added benefit, can offer some skin tightening benefits. Which of the two is the best means of meeting your body sculpting goals is a decision best made with your plastic surgeon, after a thorough evaluation of your individual circumstances.

With the help of liposuction, Torrance patients can finally win the battle of the bulge, even those particularly persistent and previously undefeatable love handles or saddle bags passed down through the family, plaguing one generation after another. However, it is important to remember that while it is a safe and effective procedure, liposuction is surgery. To minimize risk of complications, only an experienced, board-certified plastic surgeon should perform liposuction. Torrance patients should also be sure to provide surgeons with accurate health information to ensure a thorough evaluation of risk factors.

If you’re starting to see signs of premature aging, the consequences of taking less than optimal care of yourself in your youth, there is help available to mitigate many of those unwelcome changes. While our grandparents and parents had little choice but to live with such changes, with today’s advanced options in cosmetic surgery, Torrance plastic surgeons can minimize or even erase many of them, helping you look as young and vibrant as you feel.

Most people in their teens and 20s don’t spend much time worrying about how things they do and things they don’t might affect them as they reach their 30s and 40s. After all, midlife seems so far in the distance. Additionally, even he most fastidious guardians of health and well-being among those now reaching the age of 40 or beyond did not have the benefit of today’s knowledge on the mechanics of the aging process to aid in prevention.

Who knew twenty years ago that sunshine could wreak havoc on deep skin structure, breaking down collagen and elastin, altering skin cell DNA, stripping the skin of antioxidant protection and inhibiting natural skin cell renewal? Much of the research available today on the connections between poor dietary habits or chronic stress and aging wasn’t available then, nor were the effects of weight fluctuations on skin health, appearance and elasticity as commonly known as they are today.

While all that research into the aging process might not have been available in time to prevent premature aging, it can be of benefit to you in mitigating the damage. Skin sagging, for instance, caused by sun damage to deep skin layers, can be addressed in a number of ways by cosmetic surgery. Torrance surgeons can use dermal fillers to restore lost facial volume, plumping and smoothing the skin. Brow lifts and/or eyelid surgery can be used to correct sagging in the eye area that lends an aged or tired appearance. Performed by a talented surgeon, facelift or mini facelift procedures can smooth, tighten and contour the skin, providing dramatic, natural looking anti-aging results.

Of course, premature aging often shows in the body too, and there are many options available for correcting these issues. With cosmetic surgery, Torrance plastic surgeons can correct flabby, sagging upper arms, or lift and tighten sagging skin in the abdominal area, breasts, back, thighs or buttocks.

This is by no means an exhaustive list of the options available to reduce the signs of premature aging. From non-surgical procedures to cosmetic surgery, Torrance residents will find a wide range of effective anti-aging treatments offered at Goldberg Plastic Surgery. If you are unhappy with the toll time has taken on your face and body, don’t settle, schedule a consultation today.

The eyes are the defining feature of the face and the one that many people consider their most attractive. Unfortunately, the eye area is also among the most vulnerable to the affects of aging. Often, wrinkles or bulging develop in the lower eyelid as one of the earliest signs of aging, as well as drooping, loose skin on upper eyelids, issues that can lend a worn, tired and aged appearance to the face. With eyelid surgery, or blepharoplasty, Torrance plastic surgeons can renew the eye area, restoring a fresh, youthful look.

In response to chronological aging or photo-aging, which is premature aging caused by damaging UV radiation, the skin gradually becomes thinner and loses its elasticity. The face is generally among the first areas to show these changes, since it is much more frequently exposed to damaging environmental factors, such as sun, extreme temperatures and pollution. The eyelids, both upper and lower, have skin that is thinner and more delicate than other areas of the face, making them more prone to damage.

Often, changes in the eye area are the first noticeable signs of aging to appear, as eyelids stretch and their supporting muscles weaken. This can lead to an accumulation of excess fat above and below the eyelids, causing eyebrows to sag, upper lids to droop and appear hooded, lower lids to appear loose or saggy, or puffy or wrinkly bags to appear under the eyes. Individuals may develop just one of these symptoms as an early sign of aging, a combination of several, or all of them, and while primarily a cosmetic issue, eyelid drooping can often become prominent enough to impair a person’s vision. Fortunately, with blepharoplasty, Torrance plastic surgeons can correct these issues.

Eyelid surgery can be done in just the upper or lower lid, or in both, depending upon the individual needs of each patient. In upper blepharoplasty, Torrance plastic surgeons repair loose, sagging skin and remove fatty deposits that appear as puffiness in the upper eyelid, restoring a natural, youthful contour. Lower blepharoplasty removes excess skin and fine lines in the lower eyelid, corrects bags under the eyes and tightens droopy lower lids when they have fallen to the point of showing white below the iris. In cases where brow drooping is severe, your surgeon my recommend combining blepharoplasty with a brow lift procedure for enhanced results.

For a delicate procedure like blepharoplasty, Torrance patients should be particularly vigilant in reviewing the credentials, skill and experience of the plastic surgeon who will perform the procedure. In the Torrance area, you’ll find none better qualified than Goldberg Plastic Surgery, a premier provider of blepharoplasty and a wide range of other cosmetic procedures and solutions to meet your anti-aging needs.

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Torrance Office:
21250 Hawthorne Blvd.,
Suite 430
Torrance, CA 90503

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416 N. Bedford Dr.
Suite 206
Beverly Hills, CA 90210

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