‘Breast Procedures’
« Older EntriesMyth or fact: Breast feeding causes sagging
Thursday, December 15th, 2011
A new study suggests apprehension about how breast-feeding will affect the appearance of their breasts may be the reason why some women with breast implants fail at nursing their babies.
Myth or fact: Breast feeding causes sagging
According to HealthDay, researchers followed 160 mothers with breast implants to gauge their success with the feeding method. They found that 86 percent of those who failed at breast-feeding thought that it would make their breasts look worse. On the other hand, among those who successfully nursed their babies, only 13 percent believed that it would affect the appearance of their breasts.
“It makes sense that breast augmentation patients would be concerned about the effect breast-feeding could have on the appearance of their breasts,” said the study’s lead author. “After all, these women have invested both time and money into them. However, available evidence tells us that although breasts sag more with each pregnancy, breast-feeding doesn’t seem to worsen these effects in women with or without breast implants.”
Doctors involved with this study say that the results prove that more education is necessary for women with breast implants who plan on having children and breast-feeding. They insist that breast-feeding alone will not negatively affect the appearance of breast implants.
Breast augmentation surgery is one of the most common plastic surgeries. In fact, according to the American Society of Aesthetic Plastic Surgery (ASAPS), it has been the most popular cosmetic surgical procedure for the past three years, with more than 318,000 surgeries performed in 2010 alone.
Breast lift surgery is a procedure commonly used to repair the appearance of sagging breasts caused by pregnancy, weight loss and aging. While this procedure lifts and firms the breasts, it will not alter their overall size.
This article was posted to the American Society for Aesthetic Plastic Surgery on November 15, 2011.
For more information on breast augmentation or breast lift procedures in West Palm Beach, Palm Beach, Palm Beach Gardens or Jupiter, please call Dr. Daniel Kapp at (561) 833-4022.
Tags: Breast Augmentation, Breast Feeding, breast implants, Breast Lift, Plastic Surgery
Posted in Breast Procedures, Dr. Kapp's Blog No Comments »
Nipple Sparing Mastectomy gives Breast Cancer Patients A Third Safe Surgery Option for Breast Reconstruction
Friday, November 4th, 2011
A new study published in the journal Plastic and Reconstructive Surgery found that some women who need a lumpectomy or mastectomy have a third, perfectly safe option for treatment. The NSM or Nipple Sparing Mastectomy.
To read the full article, click HERE.
Call Dr. Kapp today at (561) 833-4022 for more information on this surgical option for breast reconstruction.
Tags: Breast Cancer, breast reconstruction, mastectomy, nipple sparing mastectomy
Posted in Breast Procedures, Dr. Kapp's Blog, Reconstructive Surgery No Comments »
Breast Cancer Patients Seek More Information on Breast Reconstruction
Wednesday, April 27th, 2011
About ten years ago, Dr. Daniel Kapp studied the effect of the Women’s Heath and Cancer Rights Act of 1998 on the numbers of breast reconstruction surgeries being performed. This is the law that requires insurers to provide coverage for breast reconstruction. We found a tremendous increase in breast reconstruction when insurers were required to pay for the costs. While all insurers are required to cover breast reconstruction, many women are poorly informed about their needs and rights regarding the procedure. Below is more information on this topic.
It is important to understand the process of breast cancer management. There are many online resources for patients seeking information on breast reconstruction. My favorite sites are The American Cancer Society and American Society of Plastic Surgeons. It is also worthwhile to attend a public seminar on breast cancer to learn about the process by which doctors care for breast cancer patients. Of course, when ever I have an opportunity, I always like to teach my patients about breast cancer reconstruction. Better informed patients are better consumers of health care.
It is also important to me personally to show support for the breast cancer survivors who I treat and all others in our community. I am a sponsor of Fashioning A Cure, a fashion show celebrating cancer survivors by Friends 4 Cancer Research a 501c3 corporation. 100% of all proceeds from this event will directly benefit the Kristin Hoke Breast Health Center at Jupiter Medical Center. Please celebrate with us on Saturday May 14, 2011 at The Gardens Mall on PGA Blvd. at 12:30pm for a fashion show, wine, fine food, and lots of fun. For more information please visit www.f4cr.org or e-mail friends4cancer@gmail.com.
Breast Reconstruction and Patient Information
A recent survey of 762 breast cancer patients who were eligible for breast reconstruction found that 43 percent did not receive information about breast reconstruction options when making treatment decisions at diagnosis.
Kim Thiboldeaux, president and CEO of the nonprofit Cancer Support Community (CSC), which conducted the survey, said, “It is critical that women get information on breast reconstruction early on because it can be an important part of quality of life and image. I think there is a lot of attention focused on treatment and curing cancer and sometimes in the health care system, reconstruction becomes a secondary concern.”
In response to the survey, the CSC is creating a program that streamlines information about breast reconstruction called Frankly Speaking about Cancer: Spotlight on Breast Reconstruction. The program will include 75 free, patient education workshops scheduled to take place throughout the U.S. in 2011 and 2012; a comprehensive patient education breast reconstruction resource guide; and multimedia education tools and online web content to engage women in discussions around breast reconstruction.
What information are women looking for about breast reconstruction? The survey found that women wished they knew more about the following:
• How they would feel after reconstruction (31%)
• How they would look after reconstruction (31%)
• Future breast health (23%)
• Details of each procedure (15%)
• Risks and benefits of reconstruction at the point of mastectomy vs. at a later point (14%)
According to the breast cancer patients surveyed, there are a variety of sources they currently use to get information about breast reconstruction, in addition to their health care team, including:
• Breast cancer patients and survivors (56%)
• Internet (50%)
• Friends and family (35%)
• Medical literature (34%)
• Online communities (29%)
Physical appearance and body image were the most influential factors in their decision to undergo reconstruction, while financial concerns and the opinions of others had the least influence, according to the survey.
The survey also found that 60 percent of respondents opted for breast reconstruction following a partial or full mastectomy and 87 percent of respondents who discussed breast reconstruction options with a plastic surgeon reported that they were mostly or extremely satisfied with their decision to undergo breast reconstruction.
Call Dr. Daniel Kapp today at (561) 833-4022 to learn more about breast reconstruction. You should feel comfortable that he will spend as much time as necessary to answer all of your questions and provide you with thorough information.
Tags: Breast Cancer, breast reconstruction
Posted in Breast Procedures, Dr. Kapp's Blog, News No Comments »
More people get breast implants today than 10 years ago; nose jobs, liposuction are on the decline
Friday, April 22nd, 2011
Kathryn Kattalia – New York Daily News
Saturday, March 26th 2011
But although more women are changing their cup size than they were 10 years ago, people are less willing to undergo other invasive surgeries. Doctors performed 43 percent fewer liposuctions than they did in 2000. Nose jobs also went down 35 percent and face-lifts declined by 16 percent.
One treatment that has taken off in the past decade? Botox. The Times reported 5.4 million people received injections in 2010, up a whopping 584 percent from 2000. Wrinkle fillers and laser hair removal also spiked in popularity.
Tags: BOTOX®, breast implants, Breast Lift, breast reduction, Facelift, Liposuction, nose job
Posted in Breast Procedures, Cosmetic Surgery, Dr. Kapp's Blog, Skin Procedures No Comments »
Breast Reduction or Breast Lift?
Thursday, February 10th, 2011
Patients are frequently dissatisfied that their breasts are both too large and too droopy. The question they want answered is, should they have a breast reduction or a breast lift? The answer depends on many factors such as how big are a patient’s breasts and how much smaller does she want them. Understanding the differences between the two surgeries will help.
BREAST REDUCTION
The primary purpose of a breast reduction is to make a woman’s breasts smaller. In doing so, most techniques also lift the breast while also elevating and reducing the size of the areola. Contrary to what most patients think, the nipple and areola are almost always left attached to the breast so sensation can be preserved as is the ability to breast-feed. How much smaller a breast gets depends on the wishes of the patient as well as their overall size.
As a general rule, for a breast reduction to be paid for by a health insurance company, about 500 grams of tissue need to be removed per breast. In rough volume terms, this is about 16 ounces, which is a substantial amount in most women. Since so much mass is removed, many women experience improvement in symptoms related to large breasts such as back, neck, and shoulder pain. Likewise, athletic activities are easy and clothing can fit better.
Breast reductions almost uniformly require incisions around the areola and down the front of the breast; frequently, there is also an incision in the fold underneath the breast, which is known as the “anchor” incision.
BREAST LIFT
The primary purpose of a breast lift is to improve the shape of a droopy (ptotic) breast. The areola and the majority of the breast are elevated above the fold under the breast. Some reduction in size is necessary with a lift, and often a patient may decide to have a significant amount of breast tissue removed at the same time. An operation is often considered a lift when less than 500 grams of tissue are removed and a reduction when more than 500 grams are removed. Breast lifts by definition are never paid for by insurance companies unless the patient is undergoing breast reconstruction.
Lifts involve a variety of incisions, depending on how much excess skin exists. A minimal lift involves an incision around the areola, a moderate lift adds an incision down the front of the breast, and significant lift also requires an incision in the fold under the breast. As with a reduction, the nipple-areola is left attached to the breast preserving nipple sensation and the ability to breast-feed.
A shortcoming of a breast lift is that it does not reliably restore fullness in the upper part of a woman’s breast. Women who want this fullness may choose to have a breast implant placed either at the time of their lift or at a second operation.
SUMMARY
When carefully chosen to meet the individual patient’s needs, both breast reductions and breast lifts can result in significant patient satisfaction. Dr. Kapp can help you decide which is best for you.
Tags: Breast Lift, breast reconstruction
Posted in Breast Procedures, Dr. Kapp's Blog No Comments »
Dr. Kapp’s Mommy Makeover
Wednesday, February 2nd, 2011
If you are a mom, you may benefit from a “Mommy Makeover.” Being a mom is wonderful, but losing your figure isn’t. Even my own wife declared after our children we born “I gave my body for you!” Not only does pregnancy alter your figure, it also can negatively affect a woman’s self-esteem and body image.
A “Mommy Makeover” is all about addressing the areas that have been affected by childbirth—deflated breasts, a loose abdomen, and fatty deposits around your waist and hips.
Women looking to restore their figures to their pre-pregnancy state should consider these four steps: abdominoplasty, breast augmentation, liposuction and exercise. Abdominoplasty or tummy tuck will tighten the loose skin and fascia that has been stretched by your baby belly, breast augmentation will fill out deflated breasts, liposuction will contour fatty deposits, and exercise will help tone and shape your figure.
A “Mommy Makeover” can help restore your body and your self esteem! Be the best you for you and your kids! Call me today at (561) 833-4022 for a free consultation on your very own “Mommy Makeover.
Tags: Abdominoplasty, Breast Augmentation, Liposuction, Mommy Makeover, Tummy Tuck
Posted in Breast Procedures, Cosmetic Surgery, Dr. Kapp's Blog No Comments »
How Soon Will I See My Plastic Surgery Results?
Monday, January 17th, 2011
How soon will my ______ be healed? Fill in the blank with breast augmentation, tummy tuck, liposuction, facelift or most any other cosmetic surgery procedure and you get one of the all-time most popular consultation questions.
Here is my rule of thumb for plastic surgery results:
• You’ll see 75% of your result one month after surgery
• You’ll see 90% of your result two months after surgery
• You’ll see your absolute, complete, finished result 6-12 months after surgery
As an example, here’s how this would work for a tummy tuck:
1 Month – Most of your swelling is gone. You can clearly see a flatter, firmer abdomen but everything still feels a little tight and a little stiff.
2 Months – Virtually all the swelling is gone. Your skin and deeper tissues have softened too so the result doesn’t just look more natural – it feels more natural too. Typically, you have results you can show off at this point.
6-12 Months – The complete result is in. It’s not wildly different from what you saw at two months but it is noticeably better. Your abdomen feels normal to the touch. That last little bit of swelling is gone. Your scars have faded significantly, too.
Of course, each of us is unique and is going to heal somewhat differently. Still, I’ve found that these guidelines are usually fairly accurate with my patients.
Tags: Breast Augmentation, Cosmetic Surgery, Facelift, Liposuction, Plastic Surgery, Tummy Tuck
Posted in Breast Procedures, Cosmetic Surgery, Dr. Kapp's Blog No Comments »
The Best Breast Augmentation Incision
Monday, January 10th, 2011
When I read Internet discussions about breast augmentation incisions, the focus is always on the scar. “Which incision will give the best scar?” “Where’s the best place to have the scar?” “Which is the easiest scar to hide?” All of these are reasonable concerns but, in truth, these are rarely the issues in choosing the incision.
There are 4 incisions that are currently used:
1. Under the breast (inframammary)
2. Through the nipple (periareolar)
3. Through the underarm (transaxillary)
4. Through the belly button (transumbilical or TUBA)
In most women, any of these incisions will leave a good scar. If the surgeon keeps the incision reasonably short and closes it meticulously, most will fade to a scar that is thin and relatively hard to see. Having done around a thousand breast augmentations, I can tell you that the scar is almost never an issue after this operation. Regardless of which incision I use.
So if the scar isn’t the issue in choosing the incision, what is?
The real issue is access and, specifically, access to the bottom of the breast. What we do in the lower breast (muscle fiber division, release of fibrous bands in the breast tissue) affects the roundness of the breasts, their perkiness, and the implant position. The closer the incision is to the bottom of the breast, the more fine control I have to execute these advanced maneuvers to shape the breast.
So when I make the incision under the breast or through the nipple, I have excellent access to the bottom of the breast. I can see the area directly. I can touch it to feel for tight spots that need to be released. I can do the most precise work to shape the best breast augmentation results. That’s why the best incisions are under the breast or through the nipple.
If a surgeon uses the underarm approach, he can no longer feel the bottom of the breast. It’s too far away. And unless he uses an endoscopic camera, he can’t even see what he’s doing. This really limits some of the fine control for shaping the lower breast.
The umbilical approach (TUBA) is even worse. This incision is so far away from the breasts that the surgeon has to pass a balloon on a stick up behind the breast and inflate it to make the pocket. Not very precise at all.
Our goal is to create the absolute prettiest breasts possible for you. The inframammary and periareolar are the best incisions for doing that.
Tags: Breast Augmentation, Incision
Posted in Breast Procedures, Cosmetic Surgery, Dr. Kapp's Blog, Plastic Surgery Procedures No Comments »
Breast Augmentation: Not nearly as Painful as you think…
Monday, January 3rd, 2011
I’m sure you’ve heard women who have had breast augmentation describing their painful, awful recoveries in graphic detail. “I felt like a truck backed over me.” “It feels like an elephant sitting on my chest.” I hear these same comments when I’m consulting with new patients about breast implants. “My friend had implants and she couldn’t get out of bed for a week and her breasts were black and blue and purple.”
I wonder how many women who would want and benefit from breast augmentation have balked because of stories like these. Probably a lot. Perhaps you’re one of them. It’s sad. Because though I believe those stories and experiences, it doesn’t have to be that way at all.
Here is how my typical patient describes her pain the day after surgery:
“It feels like I worked out too hard yesterday.” Ok, not a pleasant sensation. Tight, sore, uncomfortable. But nothing like an elephant, truck or bowling ball crushing your chest. A discomfort that most of us have experienced and made it through just fine.
Why do some breast augmentation patients have so much less pain than others?
The pain level you experience after breast augmentation depends mostly on what your surgeon does in the operating room. If he or she handles the tissues delicately, you will recover with less pain.
Unfortunately, most breast augmentations are done in a manner that is far from delicate. In most cases, the implant pocket is still made using something called, “blunt dissection.” That means that the surgeon tears the pec muscles off the rib cage. That really hurts. And it bleeds. And it’s not very precise.
The better way to do this is with electrocautery dissection. You can think of the electrocautery as an electric scalpel. The cautery gently divides the attachments between the muscle and the ribs. The current seals the blood vessels so bleeding is minimal. The pocket is opened up gently and precisely.
Electrocautery dissection is why my patients have much less pain after surgery. It’s also why most of them don’t even bruise. The recovery is quicker and easier and the results are prettier and more predictable.
Don’t let fear of pain keep you from breast augmentation. Your recovery won’t be painless but it will be a lot easier than you think.
Tags: Breast Augmentation
Posted in Breast Procedures, Cosmetic Surgery, Dr. Kapp's Blog, Plastic Surgery Procedures No Comments »
Dr. Daniel Kapp Now Offering LifeCell Tissue Matrices for Breast Reconstruction
Thursday, August 5th, 2010
LifeCell Tissue Matrices: advantages for women considering device (implant) breast reconstruction after mastectomy.
Over the last several decades, in an effort to achieve better aesthetic results for their patients, surgeons have increasingly switched from full muscle coverage to partial muscle coverage techniques for breast reconstruction procedures. Full muscle coverage has a number of benefits, but it also has numerous limitations. Over time, some surgeons migrated to partial muscle coverage for many of their patients because it provided a number of benefits that directly answered the limitations of full muscle coverage. Although partial muscle coverage provided many new benefits, it came with a host of limitations all its own.
LifeCell Tissue Matrices help Dr. Kapp attain optimum aesthetic outcomes for his patients without an increased risk of complications.
LifeCell Tissue Matrices:
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Provide an additional layer of tissue that may help hide implant visibility
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Provide additional tissue creating a hammock that allows for a natural looking breast
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Help control the location of the implant and to define the breast fold
For more information about LifeCell Tissue Matrices call Dr. Daniel Kapp today at (561) 833-4022 to schedule your consultation.
*This blog post contains content directly from www.lifecell.com.
Tags: breast reconstruction, LifeCell Tissue Matrices, mastectomy, reconstruction
Posted in Breast Procedures, Dr. Kapp's Blog No Comments »
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Plastic Surgeon Dr. Daniel L. Kapp, M.D., serving West Palm Beach, Palm Beach Gardens, Palm Beach, Jupiter,
Wellington, Lake Worth, North Palm Beach, Juno Beach, Tequesta, Stuart, Riviera Beach and the surrounding area.
1500 North Dixie Highway | Suite 304 | West Palm Beach, FL 33401 | Tel: 561-833-4022 | www.drdanielkapp.com
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