3855 West Chester Pike Suite 230
Newtown Square, PA 19073

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What Is the Proper Placement of Breast Implants?

In performing breast augmentation, one of the most important decisions you will discuss with Dr. David Bottger during your consultation is where the breast implants should be placed.

There are three breast implant placement options. Breast implants can be placed under the breast but over the pectoral muscle, which is called “subglandular placement.” Breast implants can be placed partially under the muscle in what is sometimes called dual-plane placement, but may also be referred to as subpectoral or even submuscular placement. Finally, breast implants can be placed fully under the breast muscle, called submuscular placement.

In most cases, Dr. Bottger prefers submuscular placement. It is especially important in women with little breast tissue to cover the implants, and for saline breast implants to reduce the risk of rippling or implant visibility. Putting the breast implants under the muscle can also reduce the risk of capsular contracture. Partly because he puts the breast implant under the muscle and partly because he has a very exacting technique, in more than 20 years of practice and thousands of procedures, Dr. Bottger has never seen one instance of either significant capsular contracture or implant rippling.

To learn more about how your breast augmentation choices can affect your procedure outcomes, please contact Dr. David Bottger today. We serve patients in the Philadelphia, Pennsylvania area.

Quiz: Are you ready for cosmetic surgery?

Most patients from Dr. David Bottger‘s Philadelphia-area practice can attest to the fact that deciding to undergo cosmetic surgery is a big step.

So before prospective patients begin shopping for specific cosmetic surgery procedures or Philadelphia-area surgeons, it may help to consider some basic details about yourself and your life to affirm whether or not cosmetic surgery is right for you.

Here’s how: Simply follow this link to take our quiz that asks: Are you ready for cosmetic surgery?

You will be asked to answer “yes” or “no” to six simple questions adapted from American Society for Aesthetic Plastic Surgery consumer research. Your answers will help determine whether or not you are ready for a cosmetic surgery procedure.

To learn more about your cosmetic surgery options, please contact the office of Dr. David Bottger today to schedule an initial consultation. We serve patients in the Philadelphia, Pennsylvania area.

The Debate over IV Sedation and General Anesthesia for Breast Augmentation

Last year the New York Times called attention to a long-simmering debate in plastic surgery: should procedures such as breast augmentation be performed with general anesthesia or with local anesthesia and IV sedation?

Really, though, the debate highlighted by the Times was actually two debates confused into one. On the one hand, there is professional disagreement among plastic surgeons about which technique is better. On the other hand, there is debate about physicians not trained in plastic surgery who perform breast augmentation and other procedures. These neophytes to plastic surgery favor IV sedation because it requires less certification and it’s cheaper for them.

Board-certified plastic surgeon Dr. David Bottger generally uses general anesthesia for most of his breast augmentation procedures. He believes – and his experience has confirmed – that it is the safest and most effective way to perform the procedure.

If you are talking to a breast surgeon who offers breast augmentation with IV sedation, make sure he or she is also capable of performing the procedure with general anesthesia. This will ensure you have every option available to you should you decide that general anesthesia is the right method for you.

To learn more about your anesthesia options and why we prefer general anesthesia, please contact Dr. David Bottger today to schedule your breast augmentation consultation. We serve patients in the Philadelphia, Pennsylvania area.

How do I Find the Best Breast Augmentation Surgeon?

Choosing the right plastic surgeon for your breast augmentation is vital for ensuring a safe, comfortable procedure and achieving pleasing, long-lasting results. But it’s also important to work with a breast augmentation surgeon with whom you’ll feel comfortable through the preoperative process, the surgery itself, and your recovery.

As breast augmentation is consistently among the most popular plastic surgery procedures, it’s possible you already know someone who has undergone the procedure. Referrals from friends, family and colleagues can be a good starting point for finding the best breast augmentation surgeon for you.

The Internet can be another valuable source for researching potential breast augmentation surgeons. Many reputable plastic surgeons will post patient testimonials and before-and-after photos of their work on their websites.

Most plastic surgeons and cosmetic surgery centers will also post information regarding surgeons’ education, certifications, specialized training and general experience on their websites. When considering any plastic surgery procedure including breast augmentation, it’s important to verify that the surgeon is certified by the American Board of Plastic Surgery (ABPS).

Dr. David Bottger is ABPS certified and has extensive experience performing breast augmentation surgery. As a member of the American Society for Aesthetic Plastic Surgery (ASAPS), Dr. Bottger is a proven leader in the field of plastic surgery and is dedicated to offering the highest level of patient care using the most advanced surgical techniques and state-of-the-art technology.

If you’re interested in breast augmentation, please contact Dr. David Bottger today to schedule a consultation. Dr. Bottger serves patients in the Philadelphia, Pennsylvania area.

Am I Candidate for Breast Augmentation?

With more than 20 years of experience as a cosmetic surgeon, Dr. David A. Bottger offers expert advice to patients seeking breast augmentation in Philadelphia, Pennsylvania. According to Dr. Bottger, a good breast augmentation candidate is a healthy woman who is at least 18 years of age.

When making the choice to undergo breast augmentation, it should always be for personal reasons and not for the approval of anyone else. Some reasons women decide to consider breast augmentation include:

  • Being uncomfortable with the shape of one or both breasts to due to asymmetry or abnormal development
  • Feeling dissatisfied with breasts that have lost shape and/or volume after pregnancy, weight loss or aging
  • Being self-conscious or unhappy about breasts that feel too small

Ideal candidates will have realistic expectations about what the procedure will accomplish and how it will affect their lives. Many patients find it helpful to review breast augmentation before and after photos during the decision-making process.

You might not be a good candidate if:

  • Your breasts are still developing
  • You have an active infection anywhere in your body
  • You are currently pregnant or breast-feeding
  • You have existing cancer or pre-cancer conditions that have not yet been adequately treated

To talk to Dr. Bottger about your breast augmentation candidacy, contact the David A. Bottger Breast Augmentation office serving Philadelphia, Pennsylvania.

How Do I Prepare for Breast Augmentation?

Planning ahead for a breast augmentation procedure can help patients experience a smoother surgery and a faster, safer and easier recovery. When preparing for your breast augmentation procedure, patients should consider the following:

  • You will need to arrange for someone to drive you to and from your procedure, and for the first 24 hours of your recovery, you’ll need to have a friend or relative stay with you.
  • To ensure a smooth recovery, plan ahead to minimize your responsibilities at home and at work by having a strategy in place before you undergo surgery. Prepare extra food ahead of time, reschedule meetings, and arrange for help to take care of children or pets. You will also want to ask your physician when you can resume driving a car, having sex and exercising.
  • Be sure to fill any medications you are prescribed ahead of time and keep them in a convenient location for your recovery.
  • In the days preceding your surgery, eat a healthy diet and avoid drinking alcohol.

Within 24 hours of your procedure:

  • Refrain from extremely vigorous exercise.
  • Do not eat or drink anything, including water, after midnight the night prior to your procedure. If your physician permits you to take any prescribed medication the morning of the procedure, take it with a minimal amount of water.
  • Try to shower the night before your breast augmentation. Wash surgical areas with antimicrobial soap and refrain from applying any makeup, moisturizers, lotions, oils, or creams,  including deodorant.
  • Wear loose-fitting clothing to your appointment. Clothing that opens in the front and comfortable flat, slip-on shoes are best.

In addition to your personal preparation, our plastic surgeon may also ask you to:

  • Get a blood test
  • Take certain medications or adjust your current medications
  • Stop smoking
  • Avoid taking aspirin and certain anti-inflammatory drugs that may increase bleeding

If you have any questions about breast augmentation surgery, or you would like to schedule a consultation, contact David A. Bottger at his Pennsylvania office.

Pregnancy Considerations and Breast Augmentation

If you are considering breast augmentation but have not ruled out future pregnancies, there are some things you will want to keep in mind. First and foremost, the size and shape of your breasts will change during pregnancy. While this process should not impact the integrity of your breast implants, it can cause permanent changes to the appearance of your chest. Depending on the amount of stretching that takes place during your pregnancy, a breast lift may be required to maintain your results. This is something best determined by board-certified Philadelphia breast augmentation surgeon Dr. David Bottger.

One of the largest concerns future mothers share about breast augmentation is how it will impact breastfeeding. The truth is, there is no reason breastfeeding with implants should be difficult, but certain steps can be taken to greatly reduce potential complications.

To help guard against difficulties, Dr. Bottger may recommend placing your breast implants underneath the muscles in the chest. This placement helps prevent compression of milk ducts and protect proper flow between ductal tissue and the nipple. Dr. Bottger may also recommend avoiding periareolar incisions as these can, in some instances, diminish nipple sensitivity.

If you have future plans for pregnancy or have simply not ruled the option out, discuss the possibility openly with Dr. Bottger during your initial consultation. This will ensure your procedure is customized to meet your specific needs.

If you are considering breast augmentation in Philadelphia or surrounding areas of Pennsylvania, please contact Dr. David Bottger today to schedule a consultation.

What is the Best Age for Breast Augmentation?

Breast augmentation is an ideal way to improve the size, shape, symmetry, and profile of your chest. If you are over the age of 18 and unhappy with the appearance of your breasts, now may very well be the best age for you to consider breast augmentation. This is something that can be determined during a one-on-one consultation with board-certified Philadelphia plastic surgeon Dr. David Bottger.

Silicone breast implants cannot be placed in women under the age of 22. If you are considering breast augmentation before that age, your breast implant options will be limited. This is not to suggest that women under the age of 22 are not good candidates for breast augmentation, but those who would benefit more from silicone implants might find waiting a better option.

Another important consideration to make before committing to breast augmentation is your future plans for pregnancy. If you plan to have children in the future, Dr. Bottger can design your procedure to help prevent interference with breastfeeding, though changes to the appearance of your breasts may be unavoidable during pregnancy and while nursing.

The best way to learn if breast augmentation is right for you at your current age is by having a frank discussion with our board-certified plastic surgeon. Your comprehensive initial consultation will allow Dr. Bottger to answer your questions, discuss your options, and assist you in choosing what can best help you reach your goals.

To schedule your breast augmentation consultation, please contact Dr. David Bottger today. Dr. Bottger serves Philadelphia and surrounding areas from our convenient Newtown Square, Pennsylvania location.

New Study Finds Bacteria More Likely to Grow on Textured Breast Implants

A recent study that has been accepted for publication in the journal Plastic and Reconstructive Surgery has found that breast implants with a textured surface are approximately 70 times more likely to develop bacteria than smooth implants. This bacterial growth can potentially lead to infection, increasing the chances that the breast implant will cause hardening around the tissue. Ultimately, this may lead to chronic discomfort and implant deformity.

The study evaluated breast implants in vitro. After 24 hours, textured breast implants had 72 times as much bacteria attached to their surface as smooth breast implants. These findings are particularly important to keep in mind when deciding which type of breast implant to choose for your breast augmentation procedure.

Textured implants are more popular than smooth implants since they grip to natural breast tissue better than smooth implants do. However, this benefit must be balanced against the risks associated with increased bacterial growth.

During your initial consultation, Dr. David Bottger will discuss all of your breast implant options with you in great detail. This will include an explanation of all risks and benefits associated with each option. By providing you with this information, you will have all the tools necessary to make a fully informed decision about your breast implant options.

If you are interested in breast augmentation, please contact Dr. David Bottger today to schedule your initial consultation. Dr. Bottger serves patients in the Philadelphia, Pennsylvania area.

Breast Augmentation and Gender Reassignment

Many transgendered patients who have undergone sex reassignment therapy consider a breast augmentation to enhance their body’s figure. While the hormones taken during hormone replacement therapy (HRT) provide some transgender women with the physical characteristics they desire, others seek a breast augmentation to supplement the effects of the transition process.

Surgically, the breast augmentation process for transgender patients is no different than it is for other patients. The same types of breast implants and incision options are offered. As is the case with other women, the amount of pre-existing breast tissue you have will determine how large your breast implants can be.

Breasts are an iconic and essential representation of womanhood. For many transgender patients, breast augmentation is a significant step during the transition process. The procedure can provide you with a more proportionate female figure, while at the same time improving your self-confidence and sense of identity.

If you have further questions about breast augmentation and gender reassignment, please contact Dr. David Bottger today to schedule a consultation. We serve patients in the Philadelphia, Pennsylvania area.