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Adam G. Tattlebaum M.D.

Plastic Surgery

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 fleur de lis tummy tuck (Abdominoplastly)?

A few months ago I saw a woman who had lost over 100 pounds through diet and exercise. She was, without a doubt ready to get rid of all the loose skin hanging from her lower belly. She had seen another doctor who recommended liposuction and a standard tummy tuck, but because of her significant laxity I asked her if she had considered a fleur de lis tummy tuck. She looked at me as though I were crazy, not because she didn’t want the tummy tuck, but because she had never even heard of this procedure. So what’s a fleur… Read More

Herbal supplements and bleeding in Plastic Surgery

If you’ve ever had a cosmetic surgery consult with me, and I hope you have or will, you will see that I walk my patients through what I call “a pretend day of surgery.” Each of my procedure-related talks starts out with telling patients to be sure to avoid aspirin, Ibuprofen and herbal supplements at least 2-3 weeks before their surgery. Well, the aspirin and the Ibuprofen (Motrin, Advil) are pretty easy to remember, but many people forget about the herbal supplements, some of which are regular food products. Many are sold in health food stores and many are potent… 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

Hair on, Hair off

The grass is always greener on the other side of the fence. In one room in our facility we spend our days putting in hair, and in another room just down the hall we take it off. Who’d of thunk? Hair transplantation has become ever increasingly popular. So why don’t you see more people who have had it done? You probably do but you just don’t know it, both men and women. It looks that good. The days of big hair plugs, dolls head results and grand surgeries are largely gone. The state of the art is called microfollulicular grafting,… Read More

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

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

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