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David A. Hidalgo, M.D.
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New York, NY 10065 - Tel: Click for phone number
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Answered Questions
Q:
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I will be having breast augmentation within the next few months. Which implants are more natural looking and natural feeling – silicone or saline?
A:
Both implants will look exactly the same. The primary difference is that silicone implants have a more natural feel than the saline implants. Saline implants can exhibit ripples but usually only in very thin women with little natural breast tissue. Saline implants can deflate prematurely but silicone implants probably have a higher incidence of capsular contracture over time.
Q:
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Women have asked most of the questions about procedures that reduce the mid-section and love handles. What kind of results can men get with this kind of surgery?
A:
Men are often ideal candidates for lipoplasty (liposuction) of the lower abdomen and "love handles." The best candidates are in generally good physical shape, and the love handles are usually very responsive to treatment. The overall protrusion of the stomach in heavier men is due to excess fat inside the abdomen and lipoplasty is not effective in treating this condition. Lipoplasty is not intended as a substitute for weight reduction. In older men, there is often excess skin that may require a more involved procedure such as an abdominoplasty (tummy tuck).
Q:
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How long is the recovery period after breast augmentation surgery?
A:
Six weeks for complete recovery with unrestricted activity.
Q:
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I have one breast that is three times the size of the other. What procedure would be best to have in order to correct this?
A:
Having two different size breasts gives you the unique opportunity to see which size you like better. You could need an augmentation on the small side, a reduction on the large side, or both to arrive somewhere in the middle with respect to size. Often the best procedure is determined as much by shape issues as they are by size. Usually the best results are achieved with surgery on both breasts.
Q:
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My areolas are way too large. Can the size of the areolas be changed; if so, can it be done during the breast augmentation procedure?
A:
Yes, the areolar diameter can be made smaller at the time of augmentation by removing a doughnut shape of the dark skin from the outside of the areola. This does not affect sensation. While the size will be smaller the areola has more of a stuck-on look because the edge no longer blends softly with the surrounding skin but instead there is a sharp demarcation at the junction between the dark and light skin. Because of this, diameters up to 5 centimeters are acceptable and should probably not be made smaller. A portion of the incision around the areola is used to put the implant in.