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Adam G. Tattlebaum M.D.

Recent Posts

PIP and safety of Breast implants

Recently a French manufacturer of silicone breast implants, Poly Implant Prothèse or PIP, came under Investigation by the French government for using low grade silicone in their silicone gel breast implants. The French have recommended that patients with these implants have them removed and replaced as a preventive, but not urgent matter. These breast implants are not approved for use in the United States and I have never used them in my practice. The concern is only relevant for patients who have had breast augmentation outside the United States. The only gel breast implants approved for use in the United… Read More

What goes together? More Than One Procedure of Plastic Surgery

When a patient comes in for a consult I never want that patient to feel as though I am trying to add additional plastic surgery, but it is my job is to point out where certain combinations are more powerful than just the one surgery alone. In plastic surgery there are certain procedures that must at least be considered together. Some classic examples: Rhinoplasty: Rhinoplasty really needs to be considered with the chin. The reshaping of the nose has a dramatic effect on the profile. If the chin is receding only half the battle is won. Chin implant may be… Read More

Temporary Rhinoplasty?

A number of people have seen us over the past few years asking about the liquid or temporary rhinoplasty. Popularized by a dermatologist in California, it is essentially a technique of using injectable fillers to alter the shape of the nose. If a patient has a bump on top of the nose the bump can be camouflaged by adding filler just above it. In some cases mild asymmetry can be improved. Eventually, fillers will reabsorb and the procedure will have to be repeated. I think it is a good option for people who are not ready to or healthy enough… Read More

Don’t try this at home

This is a follow up to a blog I posed a few weeks ago about the pencil test. I am going to describe a sequence of operations that I really do not advocate but I hope makes sense when I describe it. Every month or two, I will see a woman with a double D or more breasts who wants me to do a breast lift and give them gravity defying breasts. Now I can do a breast lift on just about any size breast. The problem is that if I lift a large and heavy breast that breast will… Read More

Labiaplasty- reducing the size of the Labia

When I started performing Labiaplasty a number of years ago I had no idea how popular it would become. A patient once told me that she regretted not having had it done when she had her breast augmentation; she just didn’t know that I did it. Because of her I added a “while you’re at it” section to my D.C. breast webpage to point out surgeries that are commonly combined. Labial tissue comes in all shapes and sizes. Some have more, others less. Common concerns patients share with me include a self consciousness during sexual activity, difficulty wearing certain clothing… Read More

Male Breast Reduction

Gynecomastia means enlargement of the male breast tissue. There are a number of options in Male breast reduction and I just wanted to try to clear up a few things here in this blog. The most common reason for men to have enlarged breasts is unknown. While a very few patients will have a hormonal abnormality it is quite rare and does not change the surgical solutions. Rule of thumb: Gynecomastia surgery should be performed after puberty and is best performed at younger ages when the skin is more elastic and likely to shrink up when the tissue underneath is… Read More

Adam and Eve do Plastic Surgery!

I wasn’t looking for it and I didn’t even really think about it until a few weeks after Eve Pandit joined our team. A patient brought the irony to my attention. Yes, together with my Physician’s Assistant we have become Adam and Eve. So who is Eve? I could tell you about her amazing credentials and her extensive experience in the field of plastic surgery, but she is so very much more than that to me. She is a good person, a fine and kind and gentle human being with a soul a mile wide. She is my right arm,… Read More

Exchange Saline Implants for Silicone gel breast implants?

I recently put a special on my website offering patients with saline breast implants the opportunity to switch to silicone breast implants. I think it’s a wonderful opportunity for patients who have considered switching. So why switch to silicone breast implants? A silicone gel implant is softer than saline, mushier and generally more natural looking. A gel implant softens the transition from the chest wall to the upper portion of the breast. So who might make the switch? – If you wanted silicone in the first place but had your breast augmentation surgery back when silicone was not available in… Read More

The Joys of a go Kart

So this plastic surgeon, thanks to the urging of my 13 year old son, is finally building his first go kart. There is no plastic surgery message in this blog post other than for those of you who know me I love creating things with my hands in the operating room or at home in my garage. This summer, I attended two macramé classes with my daughter, and now the go kart. Just before the summer my son got the urge to have a go kart as he watched a friend in the neighborhood tool around on one his father… Read More

The Pencil Test

The internet has a lot of confusing and conflicting information and for those of you reading my blogs (and I hope you do) I try to clarify concept and give my personal experience. The pencil test is one of those topics. Somewhere, sometime, someone on the internet declared that if you could hold a pencil under the fold of your breast your breast was too droopy, your implant too saggy or your breast lift was not good enough. If you can’t hold a pencil under the fold then you have what I call “gravity defying breasts”. There are two groups of… Read More

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