969 Park Avenue New York, NY 10028

Breast Implants: Over or Under the Muscle?

One of the most common questions women have, when they come to see me about breast augmentation, is: “Should I have my breast implants placed over or under the muscle?” I think most women feel that there is one “right” answer, and usually they think the implant should be under the muscle (this is usually a result of having done some research on the Internet and speaking with friends beforehand). I love that women are getting involved in the decisions about their bodies; this is important, but as I say to every patient: keep an open mind about what’s best for you until I examine you and understand your goals. But know this: under the muscle placement is not the necessarily the best for each and every woman. There are many factors I take into account when making a decision for my patients: implant type (saline or silicone), implant shape (round or tear drop), implant size, and the patient’s body type, especially how much breast tissue she has to cover the implant. Breast augmentation is an incredibly individualized surgery. This is why I spend a great deal of time with each patient pre-surgery explaining the best implant, the best size, and the best implant position: over or under the muscle. What’s important to know: there are pros and cons to both over the muscle implants and under the muscle implants. UNDER THE MUSCLE IMPLANTS: PROS & CONS Surgeons began placing breast implants under the chest or pectoral muscle (also called submuscular or dual-plane implants) when it was discovered that doing so helped to reduce the rate of capsular contracture—particularly when smooth implants are used....

The Truth About Kim Kardashian’s Vampire Lift

As a New York City plastic surgeon who specializes in cosmetic breast surgery, I just about hear it all when it comes to fast and “easy” ways to get bigger and perkier breasts. But I can tell you that the so-called “Vampire” Breast Lift, getting so much hype in the media today, is not worth your time or money. What is the “Vampire” Lift? The “Vampire” lift is a treatment in which platelets from your own blood are injected into areas of your body where you want to boost collagen and plump up the area. It’s being used in the face in the “Vampire” Face Lift—and now in the breasts in what’s being called the “Vampire” Breast Lift. Kim Kardashian Tried the Vampire Lift—On Her Face Kim Kardashian and the Vampire Face Lift The hype started when Kim Kardashian famously tried the so-called “Vampire” Face Lift—where the doctor injects something called PRP, or Platelet-Rich Plasma, from the patient’s own blood into the face to grow new tissue, including skin-firming collagen, fatty tissue, and blood vessels. Could the Vampire Lift Cause Cancer? It’s known that platelets play an important role in wound healing. So treatment with platelets for patients who have healing issues can be helpful and is used, for example, in orthopaedics. However, one of the ways that platelets work is by releasing growth factors. “The concern with the “Vampire” procedure is that the growth factors that are released could have a stimulatory effect on the breast and possibly affect cells that may become cancerous.” In other words, before injecting stimulatory growth factors into the breast, we need to know...

Teenage Breast Reduction à la Ariel Winter

As a plastic surgeon specializing in breast surgery, patients come to me to discuss issues they have with their breasts. One thing is loud and clear: breast reduction isn’t just for adults. More and more teen girls are having the procedure done—as teens, doctors, and parents are realizing that too-large breasts can trigger long-term pain and discomfort, and lower self-esteem, now…and for years to come.

3D Mammogram-The New Standard of Care

New Type of Mammogram Offers Benefits At Pfeifer Aesthetic Surgery many of our patients need mammograms for routine screening and/or prior to their cosmetic breast surgery. I am very pleased to tell you about mammogram technology that is even better than traditional mammogram. The new mammogram is called 3D Mammogram. Whether you are having a your annual screening mammogram or need a mammogram prior to breast reduction, breast augmentation, breast lift or revision of previous cosmetic surgery , please read on to learn more about this potentially life-saving technology. The Benefit of 3D Mammogram So why should you ask for a 3D mammogram? Because there are benefits to us as patients.  The 3D mammogram can increase cancer detection rates by 41%. Early detection and treatment of breast cancer increases the chance of survival.   3D mammogram also reduces the incidence of false positive readings. In addition, with 2D mammograms normal breast tissue may appear abnormal and sometimes the patient needs to come back for additional imaging to evaluate this area. With 3D imaging the breast tissue can be visualized more clearly.  Fewer return visits for additional imaging means less stress and hassle for you.  Fewer false positive readings means less patient biopsies. 3D Mammogram Benefits **Earlier detection of small breast cancers compared to traditional 2D mammogram **Greater accuracy in pinpointing size, shape and location of abnormality **Fewer unnecessary biopsies **Fewer additional tests Paying for 3D Mammogram In some cases insurance companies will not cover the cost of 3D imaging, so be sure to check with your insurance carrier. If you are paying out of pocket, some imaging centers on...

Why Are Illegal Butt Augmentations On The Rise?

The story of a 34-year-old woman who recently died after getting injections to enlarge her butt is alarming on many levels. Reportedly, Kelly Mayhew travelled with her mother all the way from Maryland to Far Rockaway, Queens to get a butt augmentation procedure. She wound up getting injected with something that isn’t legal by an injector who is not a doctor in a basement apartment—and Mayhew paid for it with her life. This is a very scary story—and not the only one of its kind in the United States. There’s also Natalie Johnson, an exotic dancer in Miami who was proposed a discounted butt augmentation by an “official” looking man, only to be left bruised, disfigured and indefinitely damaged as a result. She can’t even sit down for long periods of time. While we’ve been hearing a lot about botched butt jobs from Brazil and other parts of South America, the birthplace of butt enhancements, the alarming rise of illegal butt augmentations stateside is scary. These days, we hear stories of emergency doctors pulling all sorts of things out of botched butt jobs—crazy glue, cement, olive oil, tire sealant and even super glue. BBC News has reported that The Federal Bureau of Investigations says the number of cases of people posing as fake doctors to perform butt augmentation procedures is on the rise, especially in Florida, New York, California and Texas. In the last two years, butt augmentations have been some of the fastest-growing aesthetic procedures, according to the American Society for Aesthetic Plastic Surgery. Obviously, we know where the inspiration is coming from. 2014 was officially named “The Year Of The Booty”...

Vacation Breasts—Profiting Off Of Women’s Insecurities

It’s understandable that “Vacation Breasts” are getting a lot of attention. The idea of getting breasts that are a full cup size bigger in just minutes, without having to breast augmentation and with no downtime—even if they are only temporary—is attracting to any woman who is unhappy with her small breast size, especially when she’s in a bikini on vacation.  But don’t be fooled. This procedure is just like all those fat-burning supplements that promise to melt off unwanted weight—bogus. Patient satisfaction and safety are my top concerns, so it is important to clear up all the hype buzzing around “Vacation Breasts.” What exactly are Vacation Breasts? Vacation Breasts refers to a new procedure, developed by New York City plastic surgeon, that temporarily enlarges your breasts by injecting saline directly into the breast tissue. Initially, the doctor stated he was using the technique to demonstrate to patients what their breasts would look like after breast augmentation with an implant. He felt patients couldn’t fully visualize their new size or comprehend how they would feel, so giving their breasts a booster shot of saline would help them. But now, the procedure is marketed as a quick way to give your breasts a boost for a special occasion, such as a vacation, wedding, or even college reunion where you feel the pressure to look your best. Do Vacation Breasts look real and how long do they really last? In terms of seeing a temporary size change, yes, Vacation Breasts do give a boost, but they really only last for about 24 hours, at the most. In terms of simulating the results you’d get from a full breast...

How To Verify The Credentials of Your Board Certified Plastic Surgeon

Is your surgeon Board Certified? Cosmetic surgery, or aesthetic surgery, is an elective procedure to improve one’s appearance. There is no denying the many rewarding benefits such as-improved self-esteem and confidence. It is important to remember that cosmetic surgery is still surgery and patients are cautioned to learn about the procedure they are considering. Just as important is to ensure that the plastic surgeon you select is properly trained and credentialed to perform cosmetic surgery. Unfortunately, there have been cases of imposters posing as plastic surgeons and doctors performing procedures outside of their expertise. The following guidelines will help you verify the credentials and qualifications of your plastic surgeon. Ensure your doctor is licensed to practice medicine in your state. In NY state go to: nydoctorprofile.com. On this website you can confirm your doctor is licensed to practice in New York State. It will also list the Board Certification of your surgeon. Your plastic surgeon should be Board Certified by the American Board of Plastic Surgery (ABPS). This is the only Board overseen by the American Board of Medical Specialties that credentials plastic surgeons for both body and face procedures. Plastic Surgeons certified by the ABPS have undergone rigorous training and examinations. Any board entitled “cosmetic” is not the same as the American Board of Plastic Surgery. If you are considering a face procedure, some surgeons Board Certified by the American Board of Otolaryngology are properly trained. Plastic surgeons who value their professionalism generally participate in the professional societies. The major plastic surgery societies are The American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery....

The Health Impacts of Breast Implants

Melissa Gilbert recently appeared on the Dr. Oz show discussing her breast enhancement surgeries, specifically the replacement and revisions she experienced. At one time her breasts were a 34 EE which eventually led to a breast lift and exchange for smaller implants. Ms. Gilbert said she felt compelled to have plastic surgery to advance in her profession. In time she had the implants removed altogether so she could “be there for her grandchildren.” Her message to the audience: “…having implants…something foreign in my body, was not a healthy decision.” Also that the one thing the medical community keeps from patients is “…that breast implants will not last forever in your body…They have to be replaced.” Breast augmentation expert Dr. Tracy Pfeifer, and clinical investigator for the FDA responds: “Breast implants do not impose a health risk. Many studies conducted by both plastic surgeons and others in the medical community have shown both silicone and saline implants to be perfectly safe. It is misleading to say that breast implants always need to be removed. While some revisions or removals might be necessary, they are not inevitable. In the case of Melissa Gilbert her 34EE breasts clearly point to over-sized implants which were not appropriate for her frame, vs. a more proportionate size. No woman should undergo elective surgery because of outside pressure including a profession, a spouse or being under the assumption it will change her life. It is a personal decision that enhances not only one’s body image, but a woman’s confidence, self-esteem and overall well-being. Melissa Gilbert’s experience points to the importance of choosing one’s surgeon wisely and...

How To Get Natural Results From A Breast Augmentation

Today, modern women want natural results from a breast augmentation. These mommies, professional women and students seek to restore their breast volume or enhance their breast size but are scared off by fear of an unnatural, obvious result. They see celebrities and people at the beach who look totally unnatural and sometimes assume this is an inevitable result after breast implant surgery. Women want to look pretty and proportional, not obvious or tacky. The good news is that this is possible. A plastic surgeon using state of the art breast augmentation techniques will measure your breast during your consultation. The width and height of the breast are then used to select an implant that is the correct dimension for your breast. Customized implant selection and using an implant that the right width for your breast creates a natural result. An unnatural result occurs if an implant is used that is wider and/or taller than the width and height of the patient’s own breast. A properly sized implant “fits” the breast. Within a given width, different volumes are possible. When it comes to volume, this is a question of proportion. We want to balance the breast and hips to create a proportional figure. A figure that is proportional looks natural. To see how this works, try on breast implant sizers in front of a full size mirror in your plastic surgeon’s office. The proper sized implant has a width fits your breast width and a volume that matches your frame and hips. The biggest advancement recently that helps plastic surgeons create a natural result is the FDA approval of shaped...