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Adam G. Tattlebaum M.D.

Recent Posts

Breast Implants Over or Under The Muscle

If you are considering breast augmentation Maryland it is likely that you would like more beautiful breasts. I have always prided myself on creating beautiful natural results for my patients. I’m able to create these natural results through my years of experience, skills, and judgment. Often clients will ask whether they should go over or under the muscle with respect to implant placement. Breast Implants placed below the muscle submuscular, or subpectoral, plane or position. Breast Implants placed above the muscle are in the subglandular position under the breast gland but over the muscle. Most women considering breast augmentation are usually fairly informed… Read More

Breast Implant Manufacturer Reviews by Dr Tattelbaum

Breast Implant Review from Dr. Adam Tattelbaum: Allergan, Mentor or Sientra? Saline or silicone gel? Textured or smooth? Shaped or round, cohesive or gummy bear? And that’s just the beginning. In this brief blog, I will try to share some thinking and philosophy about the “too many” options we now have with breast implants. If you read my last breast blog (silicone or saline) you know that I prefer silicone gel, provided the patient is comfortable with it. If you have a B-ish or C-ish breast you will hide a saline well, but silicone will usually look and feel more… Read More

The Best Tummy Tuck Scar: The Belly Button

belly button

The Best Belly Button. I know it may seem silly, but to me perhaps the most important part of a tummy tuck is that little crease, no more than a centimeter, that is the belly button.  Why so important?  Well a tummy tuck by definition is a scar operation. We pull down loose abdominal skin creating a scar in the lower abdomen. While every effort is made to minimize this scar, it is real and permanent, but fortunately well hidden. Good scar or not, the bikini or underwear will usually hide it. The belly button is another story. It is an unhidden… Read More

Tummy Tuck or Liposuction, Which Should I Have Done?

Do I need a Tummy Tuck or Liposuction? Which do I need, liposuction or a tummy tuck, patients frequently ask this question when they visit their plastic surgeon. Patients can try to answer this question for themselves before they visit the plastic surgeon to understand the difference between the two procedures, figuring out what bothers them most about their body, and what they want to accomplish. Liposuction Liposuction reduces the fat volume in problem areas that make patients uncomfortable about the way they look. This is a more intense procedure as it takes more fat from different areas of the body and… Read More

Dr. Adam Tattelbaum Reviews Silicone vs Saline Breast Implants

Rather than comparing and contrasting silicone implants Maryland and saline implants Maryland, which has already been done many times, I thought it would be more helpful to give my opinion on the subject. At this stage, about five years after the FDA allowed silicone gel implants back on the market and hundreds of implants later, here is my opinion- I like silicone gel implants. As I strive to give my patients the most natural results, silicone wins hands down. Silicone implants have a softer and more natural feel. The gel in the implants gravitates toward the bottom of the breast… Read More

What’s a Breast Augmentation Refund Gap?

refund gap

What’s a breast augmentation “refund gap”? In a Q&A chat room, I was asked the question, “How do I avoid a refund gap?” I had never heard this term before so I Googled it. I learned that a refund gap is a situation in which the breast implants have migrated so far apart that there is a large gap between the implants – so the patients request a refund. After 18 years in practice, I thought I should post a blog and tell you how I avoid this. The Best Breast Implant PlacementAs you may know, I prefer breast implants… Read More

Would you let your wife do this?

I answer a lot of questions in my surgical consultations and even pose some for my patients to consider. One of the questions I get asked periodically is “would you let your wife do this?” Now of course as an adult, she makes her own decisions. I guess the question really is… would I support her choices? Each day as I sit across the desk from my patients, I often imagine I am talking to my wife. My wife, my family and friends are the benchmark by which I treat my patients. If a surgery or procedure is something I… Read More

When should I change my breast implants?

Many patients have confusion about when a breast implant exchange is necessary. Some of the confusion is because plastic surgeons have differing opinions. Here I share my thoughts. If you have a saline implant and you are doing well, look good and are happy, then I see no need to replace it. Basically, if it’s not broke don’t fix it. While the leakage rate of saline implants starts to climb after 10 years, I have seen patients with saline implants placed more than 20 years ago who are doing just fine, having no problems. If a saline implant leaks, it… Read More

Men and plastic surgery

Check out the headline for this recent study: Dallas — Certain types of wound complications are more frequent in men than in women who undergo body contouring procedures after weight loss surgeries, according to new research results. The researchers go on to explain that men have about a four-fold risk of hematoma (blood collection under the skin) and about a twofold risk of seroma formation (fluid trapped under the skin). The authors conclude that they will need more study to understand why men have these increased risks. Now, I wasn’t a part of the study, but after 18 years in… Read More

Which incision for a breast implant?

I saw a young woman last week, and I have seen quite a few like her over the years. She had breast augmentation done elsewhere about 4 months ago. She was concerned that her breast implants were too high. Everyone starts out big, tight and high, but by 4 months most people are dropping nicely, and she wasn’t. It turns out that she had her breast implants placed through the armpit. While it sounds cool and sexy implants that are too high or don’t drop are a common consequence in this approach. During breast augmentation the lower insertion of the… Read More

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