Recent Blog Posts from Rowley Plastic Surgery

Finding the Perfect Fit with Breast Augmentation in Lubbock

If you’re considering breast augmentation (also known as breast enhancement, breast enlargement, breast implants, or a “boob job”), you’re not alone. Breast augmentation has been the most popular plastic surgery in recent years, and continues to grow in popularity. But the decision to get breast augmentation in Lubbock, or anywhere, is not an easy one. First, you have to be sure that you really want it, and, second, you have to decide how you want to do it. Here are some things to think about as you consider whether to get a breast enhancement and which breast implants are best for you.

What is the Right Size? Its Whatever You Think is the Right Size for You.

First, if you want breast implants, you have to be sure that you are getting them for you, not for anyone else, not even your partner. It’s your body and you have to live (literally!) with the results. You must be sure that you will like what you see when you look in the mirror each day.

Second, the question of size is a very personal one that is tied closely to your reasons for wanting implants. Some women have a naturally small bust line and may wish for a curvier or more traditionally feminine figure. Some women may have an asymmetry that’s always bothered them and which they wish to correct. Some women may have lost breast tissue from breast feeding, or may wish to counteract the effects of aging and gravity. No matter what your reason, however, the size you choose will impact how dramatic of a change you achieve.

What is the Right Implant Type?

Presently, there are three implant types. All breast implants have a silicone shell, their names are describing what’s inside the silicone shell.

    1. Saline. Saline is sterilized salt water. These implants consist of a silicone shell filled with saline. Depending on which implant brand you choose, they may come either pre-filled (requiring a larger incision) or empty, in which case they can be folded and inserted through a smaller incision. If a saline implant leaks (called a “rupture”),  the saline is safely absorbed into your body, and the rupture is immediately apparent by just observing your breast. That’s the benefit of saline. The downside is that they often behave essentially as water balloons. While you have the peace of mind of a natural substance inside, the saline generally doesn’t move or feel like natural breast tissue, and the implant can fold, causing a rippling effect.
    2. Silicone gel. Silicone gel implants look and feel more like natural breast tissue. They come prefilled, so they required a larger incision. However, there are two things about silicone gel ruptures that make many women uncomfortable with these implant types. First, because of the thickness of silicone gel, when there is a rupture, the gel is a foreign substance that requires another surgery to remove, and is not safely absorbed by the body like saline. And because you cannot detect a rupture by looking at the breast, its known as a “silent rupture,” meaning it requires an MRI (typically not covered by insurance) to detect. In fact, the FDA recommends MRIs every 2-3 years for women with silicone gel implants to make sure the implant is intact, and many women don’t know this.
    3. IDEAL IMPLANT® Structured Breast Implants. The IDEAL IMPLANT combines the safety of silicone with the natural look and feel of silicone gel. It’s the only breast implant of its kind and was developed by a plastic surgeon in response to women’s concerns to have the benefits of saline and silicone gel without the drawbacks of either. Its saline-filled, however, the saline is contained within nested shells and separate chambers. This controls the movement of the saline, giving it a look and feel that is similar to a silicone gel implant. Also, because of these separate chambers, and because IDEAL IMPLANTS are never pre-filled, a surgeon can adjust the saline levels to achieve the optimal results. Plus, IDEAL IMPLANTS are only available to board-certified plastic surgeons, for greater peace of mind. For breast augmentation in Lubbock, Dr. Jane Rowley is one of the exclusive plastic surgeons offering the IDEAL IMPLANT and is one of the most experienced surgeons in the nation in the use of this implant.

Beyond the contents of a breast implant, they may also vary by shape (round or anatomical, also known as teardrop) and texture (smooth or textured). An article posted on the American Academy of Plastic Surgeons blog described these different qualities:

“Round implants give a full look to the upper pole of the breast and can potentially rotate in the envelope – though such a shift shouldn’t be visible. Anatomical implants (named because they resemble the natural teardrop-shaped slope of the breast) have a tapered top, so the fullness is more emphasized on the bottom pole of the breast. If these shift, however, the visible change can be more pronounced.

“The silicone shell itself may also be textured or smooth. A smooth implant is freer to subtly move in its pocket, which some women feel better mimics natural breast tissue. Textured implants more firmly anchor themselves once inserted, making it more difficult for them to rotate.”  However, as textured implants have recently been shown to have a correlation to a rare form of breast cancer, they are decreasing in use as a result.

How are Breast Implants Put In?

How the implant is inserted is largely dependent on what implant type and size you have selected, along with how much natural breast tissue you already have. These matters will be worked out during your pre-procedure consultations with your doctor. The methods of inserting the implant combine 1) where the incision is made and 2) where the implant is placed within the breast.

The most common incision locations are:

  • Inframammary: at the base of the breast, just below the crease
  • Periareolar: on the lower border of the areola (the dark area around your nipple)
  • Transaxillary: through the armpit

As far as placement within the breast, there are also two general locations (with certain variations based on a woman’s body and consultation with her doctor).

  • Subglandular or submammary (in front of the pectoral muscle, immediately behind the breast tissue): this used to be the standard placement of implants, however, it is less common because the implant is easier to feel, and it’s closer to the surface. It’s also not advisable for women with little or no natural breast tissue as it will general result in a less natural result. This is now primarily used for women who are very physically active in sports that impact the pectoral muscle, such as body builders.
  • Submuscular (beneath the pectoral muscle): this is now the more common method and generally provides a more natural result. Despite its name, with this method, the upper part of the implant is generally placed under the muscle, while the lower part may be over the muscle.

Get the Results you Want with Your Breast Augmentation in Lubbock

Are you considering breast augmentation in Lubbock? If so, you’re lucky to have a nationally-recognized, world-class surgeon right here in West Texas.  Dr. Jane Rowley offers her patients an unmatched depth of experience and a woman’s perspective. With over two decades of practice, there is no plastic surgeon in Lubbock with more experience, training, and skill, than Dr. Rowley. Call today for your no-obligation consultation.

Making the Most of Your Lubbock Plastic Surgery Experience

By its very nature, the decision to get plastic surgery is a very personal one. Just as no two people look exactly alike, each of us has our own reasons for why we want to change certain things about ourselves. Whether it’s something we’re born with we’d like to improve upon, or simply the result of life and aging, we each have a vision of our ideal selves. Plastic surgery can be a great tool to help us achieve the results we want, however, a little planning and some lifestyle changes will go a long way to making sure you get what you want out of your Lubbock plastic surgery experience.

Pick the Right Plastic Surgeon

First things first: before you make any final decisions, make sure you have a plastic surgeon that you can trust. Unfortunately, as in any industry, some doctors are more concerned about making money than caring for patients. The American Society of Plastic Surgeons has a good guide on what to look out for when selecting a doctor. Some of the key points they make are:

  • Make sure the doctor you consult with is the one who will perform your surgery. While that might seem like a strange thing to say, some practices are like conveyor belts: you consult with whomever is available, but then ultimately are operated on by whomever is on call that day. You are trusting your your plastic surgeon with your appearance and well-being, so make sure you know exactly who that person will be.
  • Don’t be persuaded. It’s your body, you should decide what you want. Beware of anyone you think is trying to upsell you on other procedures or products that don’t really get you what you want, or who may get benefits for pushing certain products that may not be in your best interest.
  • Look at the doctor’s before and after images. Do you like what you see? Is your doctor’s definition of beauty in line with yours? If not, find another plastic surgeon.

Remember that “Plastic surgery is real surgery, and the least-expensive operation is the one performed correctly the first time.” You don’t want to cut corners, because the results are permanent. Put simply, be sure that you can trust your plastic surgeon.

How to Reduce the Appearance of Scars

Once you’ve selected a plastic surgeon you trust and worked together on a plan, it’s time for the procedure itself. As stated above, plastic surgery is real surgery, and that means you’ll have some scarring. When the bandages first come off, that’s when the scars will look the worst. Don’t worry! You can be sure that as time goes on, the wounds heal and the scars fade, and plastic surgeons are specifically trained in suturing techniques and other methods of reducing scars.

But, there are definitely some things you can do to help this process go smoother, faster, and ensure you get better results from your Lubbock plastic surgery experience. Here are three tips:

  1. Don’t smoke. If you are a smoker, this is certainly something that’s easier said than done, but it is very important for your recovery. Your doctor should recommend that you quit smoking several weeks before your surgery, and many won’t even perform certain procedures on active smokers at all due to the impact of nicotine on the vascular system. If you’ve followed that advice, then not smoking during your recovery will be much easier. Its recommended because smoking reduces the amount of oxygen in your blood, replacing it with carbon monoxide. Oxygen-rich blood is essential to proper healing after surgery. Smoking and insufficient levels of oxygen can result in unnecessary complications in your recovery. Plus, if you’re able to stop smoking for a few months before and after your procedure, perhaps you won’t need to start up again.
  2. Drink water and each a diet rich with fruits and vegetables. Part of recovery is fighting off infections. Getting an infection can leave you with worse scarring. The healthier you are, the stronger your immune system will be, and the better equipped you will be to have a smooth recovery. The water in coffee, alcohol, or soda doesn’t count towards the water you need to be drinking, as those beverages have other chemicals that counteract the benefits of water and can actually be dehydrating.
  3. Follow all of the wound care instructions. To heal properly, wounds need to be clean and hydrated, but otherwise left alone. Listen carefully when you are shown how to clean and care for your wound. Avoid bathing and follow all the instructions you are given carefully and diligently.

Other optional steps you can take include using certain skin creams, or flat silicone sheeting that restrict scarring from extending too far above your skin. Some things, however, we just can’t do anything about. Factors such as aging, fair skin, genetic tendencies, and the location, size, and depth of the incision may make healing more difficult. But remember, a little bit of love and a lot of patience can help you gently care for your wound as it heals.

How to Maintain the Best Results from Your Lubbock Plastic Surgery Experience

Basically, maintaining your results comes down to diet and exercise. While that might sound like what every doctor says, there is a reason for that. If you’ve gotten a tummy tuck, liposuction, or other body-contouring procedures, the results of those procedures are going to last longer if you aren’t counteracting them by your lifestyle. While you will have a brief recovery period, once your doctor has cleared you fully for physical activity, you should resume (or begin) an exercise regimen. Coupled with a more balanced diet, your plastic surgery results will be better and longer-lasting. You will also feel better, both physically and mentally. Think of it this way, you are pairing your new self with a new lifestyle.

If you are specifically looking to maintain the results of plastic surgery for your skin, avoiding sun-tanning and smoking will ensure long-term benefits for skin and facial plastic surgery.

Dr. Jane Rowley is a leading surgeon in Lubbock plastic surgery with over 20 years experience in getting her patients exceptional results. If you are ready for a “new you,” give her a call today for a no-obligation consultation.

What to Know When Considering Breast Augmentation in Lubbock

For women in Lubbock, plastic surgery options can vary from a tummy tuck to a facelift. But the top requested plastic surgery across the nation is breast enhancement. As women age, and after having children, breasts can lose volume and their youthful shape. Perhaps you were born with smaller breasts that feel out of proportion with your body or otherwise cause self-consciousness. Before making a final decision about getting a breast augmentation in Lubbock, you will need to make several important choices. One choice with breast implants is which implant material you will choose.

Breast Augmentation in Lubbock: Silicone or Saline?

First, it’s important to note that all breast implants approved by the FDA for use are constructed of a silicone shell.  The difference, then, between silicone or saline implants is what the silicone shell is filled with, either silicone gel or saline (sterilized water and salt). We’ll discuss the basic pros and cons of each below.

The Pros and Cons of Silicone Gel Implants

Silicone gel is more similar to breast tissue that traditional saline implants in terms of its feel and viscosity.  This means a silicone gel implant will sit, feel, and move more like a natural breast than the typical saline implants. Because of this, these implants have a lower risk of showing rippling in the tissue around the implant.

Silicone implants, however, come pre-filled, meaning they require a larger incision than saline. Also, they have a risk of “silent rupture.” This is when the implant fails and silicone gel leaks into the surrounding tissue. These ruptures can only be detected by a costly MRI (typically not covered by insurance) and the FDA recommends a woman with silicone implants have an MRI every few years. If a rupture occurs, the implant and silicone gel must be surgically removed. This greatly increases the long term cost.

Why Women Choose Saline

Where silicone implants come pre-filled, saline implants are filled and adjusted during surgery. Since the implant is inserted empty, it requires a smaller incision. If there is a rupture with a saline implant, you can tell just by looking in the mirror and seeing the decrease in breast size. The saline, however, is harmless and will be absorbed by your body, posing no health risk. Typical saline implants have a tendency ripple, which can be visible in the enhanced breast. Also, as said above, they do not generally feel as natural as silicone gel implants.

The Best of Both Worlds: Structured Implants and the IDEAL IMPLANT

Dr. Jane Rowley is proud to offer her patients the IDEAL IMPLANT® Structured Breast Implant that gives the benefit of a more natural appearing implant without the concerns of the possibility of a silicone leak. While the IDEAL IMPLANT is filled with saline, the implant is structured with chambers to control the movement of the saline. The result is a saline-filled implant that has a look and feel that is more like a natural breast or silicone implant.

Patients benefit from smaller incisions, no silicone risk, and a lower rate of rupture.  This choice is increasingly living up to its name for more and more women and surgeons around the country, in some practices now making up over 95% of the implants they use.

Whether you choose a silicone gel or saline breast implant, the decision is personal. It should be carefully made after a thorough discussion with your doctor. If you are looking for the best of both worlds when it comes to breast augmentation in Lubbock, plastic surgeon Dr. Jane Rowley is the only surgeon in Lubbock that offers her patients the IDEAL IMPLANT option.

What About a Breast Lift?

As noted, breast procedures are among the most requested plastic surgery options. Women want to feel good about how they look. And, when you feel confidence in your appearance, you can have feel confidence in you. But plastic surgery isn’t just to give you a bigger bust size. If you are happy with your breast size but not with the effects of pregnancy, nursing, or aging, you may want to consider a procedure that will simply give you a more shapely appearance.

A breast lift will take a sagging breast and raise it to a more youthful position. Your breast lift will not change your size, but will firm up the breast tissue, reposition the nipple, and give your breast a symmetrical shape. In effect, it can reverse some of the toll taken on your body by time, gravity, and possibly motherhood.

Can I Do Both?

A breast augmentation and a breast lift can work very well in tandem with each other in a single surgery. Excess skin is removed in the lift, repositioning your breast tissue and nipple for a more youthful shape, while an implant then adds volume and size. The results of the two procedures can be dramatic on the right patient. Ask your doctor what your options are for a combined procedure.

For breast lifts and breast augmentation in Lubbock, the leading plastic surgeon with extensive breast plastic surgery experience is Dr. Jane Rowley. She carefully and thoroughly talks with her patients to know their expectations and cosmetic goals as she makes an individual surgical plan for each person.  Schedule your no-obligation consultation today.