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Adam G. Tattlebaum M.D.

Breast Augmentation

Wear your Bikini to the Mommy Makeover?

When I plan my mommy makeovers I like my patients to bring in their favorite underwear or even bathing suit with them. No string bikinis please, no lacy panties and no granny panties. Something about an inch or two wide around the hips for a tummy tuck or similar width for a bra under the arms, something not too valuable, in case I get some marker on it. I draw the outline of your garment on your body before plastic surgery and I use the outline as a target in which to hide scars. My incisions are individualized. For example, for… Read More

What’s a breast implant funnel?

I’m not a big one to jump on brand new items that come out for plastic surgeons. It seems to me that manufacturers’ want to sell me something that will “revolutionize” my practice on a monthly basis. Most of these things are short lived because they aren’t so revolutionary or just don’t work. In fact, the hype usually far exceeds the science. I feel differently about the breast implant funnel. A plastic surgical colleague was looking for a way to make it easier to insert silicone gel breast implants. Putting in a large silicone gel implant can require a lot… Read More

Correction of Inverted Nipples through Breast Surgery

Congenital inverted nipples are more common than people realize. However, this problem can easily be corrected under local anesthesia and can also be treated during breast surgery whether undergoing breast augmentation, reduction and or breast lift. To release the nipples, a minor incision is made at the bottom of the nipple and the breast ducts which bind the inverted nipple are released. Release of the nipple which requires the release of the underlying ducts may affected breastfeeding and sensation. If an inverted nipple is a new finding it must be evaluated prior to correction to make sure that there is… Read More

Postpartum Restoration A.K.A. The Mommy Makeover

As the proud father of two beautiful children and a plastic surgeon, I have had the first hand opportunity to see how such a magnificent miracle can dramatically alter the female body. Hereditary, unpredictable, and often unfair, pregnancy is a body-altering experience. The body is incredibly intelligent and throughout pregnancy has the ability to change dramatically in response to the hormones associated with it. The breast become fuller, skin stretches and abdominal wall and pelvic muscles loosen, among other things. Unfortunately, the body does not always do as good of a job restoring itself. Following child-birth skin loses elasticity and… Read More

Plastic Surgery after Dramatic Weight Loss in Maryland

Weight loss is not easy as most of us know. If done through diet and exercise healthy weight loss can take months to years. Because of improved techniques for gastric bypass and the lap band procedure, we are seeing more and more patients after dramatic weight loss hoping to look normal again. Tightening all the areas of concern in the weight loss patient covers almost every aspect of cosmetic plastic surgery. Rather than going over every option, I hope to give some guiding principles. It is best to consider cosmetic surgery for weight loss when you achieve your goal weight… Read More

What is ALCL?

On January 26, 2011 the FDA released an advisory notice regarding the association of Anaplastic Large Cell Lymphoma (ALCL) in women with breast implants. While ALCL is technically a type of lymphoma it appears to have a very benign course and the condition has been completely resolved by simply removing the breast implant and capsule. It is not a breast cancer. In the past 25 years only 34 cases have been reported in the world among an estimated 10 million+ implanted devices. The American society of plastic surgeons and the American society of Aesthetic plastic surgery are working with the… Read More

Breast Augmentation: Questions to Ask During your Consultation

If you are considering breast augmentation, it is important to discuss your options with a plastic surgeon. You will want to make sure your plastic surgeon is knowledgeable, certified, experienced, and to ensure all of the above it is important to ask your surgeon questions upon consultation. Additionally, a consultation will go over your desired results, medical history, etc. During this time, breast implant options will be discussed, as well as technique. Based off your desires, health and body frame one implant type may be better than another, as well as one technique may be more appropriate then another. What… Read More

Balancing Breasts With Breast Augmentation

breast augmentation

I think there are a lot of subtleties about breast augmentation that the public is not aware of. The operation is not just about increasing the size or scale of the breasts. It’s also about balancing each breast so that they look full and naturally equal. Breasts, by their very nature, are never exactly the same before or after breast implant surgery. It is common for patients to have natural asymmetric breast volume and shape. It is also common to have different degrees of droop in individual breasts.  For example, many women have one breast that is slightly higher on the chest wall than… Read More

The “Bigger” Disease: Preventing It Prior to Breast Enhancement Surgery

breast enhancement surgery

What I like to call the “Bigger disease” is highly contagious and usually sets in about anywhere within the first six months after breast enhancement surgery When breast implants are first put in most patients look too big, tight, and high before the skin and muscles relax to a more natural-looking size. I prepare my patients extensively for this time so they don’t panic or think it is uncommon and dangerous. It is neither. Next comes what I call the “honeymoon period”. As about three weeks roll around, the implants start to settle but still have that push-up bra look… Read More

Breast Augmentation Surgery: It’s About the Hips!

breast to hip ratio

Breast Augmentation is without a doubt the most popular procedure that I perform. While the breasts certainly play an important part, to me, the key is a sense of balance when I look at the person’s bodily makeup – especially the hips. Balance is Natural Prospective breast implant patients are first taken to an implant sizing room in my office where we keep implants to try on in all sizes and shapes. Before I even walk into the consultation, the breast augmentation patient has often already chosen and is trying on the smallest breast implant in our sample drawer. I… Read More

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