before and after breast implants celebrities

my name is thomas p. trevisani, sr. i'm aboard-certified plastic surgeon, been board-certified since 1983. i've been practicing in winterpark florida since 1981, and have had the pleasure and honor of treating over 10,000patients. over the years at celebrities choice an additional category of breast surgery hasdeveloped: correction of previously unsatisfactory results, breast augmentation, breast lift,breast reduction all have inherent complications. a variety of problems can occur even in thebest of hands, with the best intention surgeon in patient. it takes a plastic surgeon whohas seen many types of outcomes, feels confident in his skills to address the evaluation ofthose less than optimal outcomes, and also has acquired over the years the confidenceto correct them as best possible. this patient

had had a breast augmentation many years ago.she then subsequently made a less than optimal decision to go larger, and in this case, insomeone else's hands, she was over augmented, so her breast implants were above 600cc, whichfor her height and weight was excessive. what that does, is sets the patient up for breasttissue loss, because these large implants apply an internal pressure to the surroundingtissue, and she developed a very severe capsular contracture, which deterred her from feelinggood about herself. so first of all i urged her to give her my opinion as to what neededto be done, urged her to return to her original surgeon, she felt that was completely impossibleto do, then outlined a plan of action to restore her to her optimal anatomy and her best lookingbreasts, which included: step one, remove

these implants, get them out and leave itthere for two, three, four months, whatever it took for her tissue to regain as much ofa normalcy as was available under the present circumstances. now that's a very traumaticdecision for a women to make; to have implants for quite some time, and then to be told they'llhave to come out. the feelings of loss that are associated with that are very profound,so it's not taken lightly. "feet together, shoulder's back. perfect,just relax..." on the day of surgery we see her in the pre-operativeholding area where any last minute questions are addressed, and i usually have the patientstandup with the nurse in attendance, and i go through the markings and the exact measurementsand drawings that need to be done in order

to guide us during the operative procedure.whenever a patient presents with this type of situation, they may likely have had a parietalareola, or an incision around the areola, which is a member - the dark tissue aroundthe nipple, or they may have had an inframammary incision from a previous procedure, so withthis lift and reinsertion of implants, we can remove all those other scars, get ridof all the existing scars, provided they fall within the new operative site. then what ido is inject the area with local anesthesia that's long lasting, in conjunction with avasoconstricting agent, this gives us an opportunity to then have a patient free of pain upon awaking,and also give us a minimal bleeding during surgery. so the next stage was then to removethe excess skin, so mastopexy after removal

then gets us the opportunity to assess whatvolume is there, in her case the volume was inadequate, which is often the case with womenwith lifts who may want to be larger, and to exceed the volume they have intrinsically.and now we insert the optimally determined, pre-operatively determined silicone gel implantunder the muscle, close the wound, and give her the best size, the best shape that shecould possibly achieve under these circumstances. i use exclusively allergan implants, the naturalline of breast products by allergan is the best, and that's what i recommend exclusivelyfor my patients. i think everyone felt very fulfilled that we've been able to take thiswomen through a very difficult phase in her life, very emotional, i mean there were alot of tears along the way with this particular

patient, to get her to place where she's nowcomfortable, and happy, and fulfilled with her plastic surgery procedure.