Tips for Deciding the Best Cosmetic Procedure for You in the New Year

This is the time of the year when most of us give some thought as to how we can improve our health, lifestyle or appearance by making new year’s resolutions. Some people want to give up smoking and others plan to lose weight. During this time of the year we often see a number of people who wish to change their appearance so their quality of life improves and they feel good about how they look.

If you’ve been contemplating having some cosmetic surgery done but aren’t sure what procedure is right for you, we’d like to provide you with some tips. Dr. Moulton-Barrett is a leading Alameda & Brentwood reconstructive and cosmetic surgeon who uses all the latest technology and procedures for breast augmentation, tummy tuck, liposuction, mastopexy, rhinoplasty, facelift and eyelid surgery. Dr. Moulton-Barrett is proud to offer the latest in cosmetic surgery to patients in Oakland and Walnut Creek in Contra Costa County, CA.

Become Informed and Determine Why You Want the Procedure Done

It’s important to do some basic research on the procedure you’re interested in. For instance, if you are thinking of having a tummy tuck, you should have a general understanding of how long the operation will last, what the recovery period is like and what results you can expect.

It’s also important to think about why you want the procedure done. It’s not recommended to have any cosmetic surgery done if your only goal is to please others. Instead, the procedure you wish to have performed should be something you truly want to do for yourself to improve your appearance, self-esteem and/or health.

Questions to Ask Yourself

Some people seek out cosmetic surgery to solve problems they’re having or choose to have procedures done during disruptive times in their life when they have low self-esteem such as when going through a rough divorce. These are not the best reasons to have a procedure done so it’s always wise to ask yourself a few questions such as:

•    How long have I been thinking of having this procedure done?

•    Did something specific trigger me to think about this?

•    Are there other ways I can achieve the results I want?

•    Do I expect the procedure to change my life in addition to my appearance?

•    Can this procedure truly provide me with the look I want?

In short, don’t assume that a cosmetic surgery procedure will make everything better if you’re struggling with a relationship, social situation or work. If, after honestly answering these questions you decide to have a cosmetic surgery procedure done remember that doing so is just one aspect of your overall well-being.

The holiday season is a great time of the year to think ahead and make positive changes in your life. Dr. Rex Moulton-Barrett enjoys being a part of this type of transition as he loves helping his patients make improvements they’re happy with.

If you have any questions about cosmetic surgery and options that may be right for you, please don’t hesitate to contact us as we’re always available to speak to you. If you’d like to schedule your consultation please give us a call or use the Contact Us form for more information. We look forward to seeing you soon!

Gummy Bear Implants Offer a Better Option for Breast Augmentation

Dr. Rex Moulton-Barrett specializes in premier plastic and cosmetic surgery for patients in Walnut Creek, Oakland, Alameda and Brentwood, CA. He uses the latest techniques for breast implant surgery including using Sientra (Gummy Bear) Implants.

Silicone and saline breast implants have been historically used for cosmetic and reconstructive purposes.  Breast implants have also been historically provided by two licensed vendors in the United States, Mentor and Allergan (also known as McGhan and Inamed, respectively).  A new type of “gummy bear” silicone gel implant was approved for use in the United States on by the FDA April 1, 2012 by a Sientra, the newest licensed breast implant vendor in the United States.

What Makes Sientra Gummy Bear Implants a Better Option

Sientra implants are not new to the medical field. These gummy bear implants have been used in Brazil for over 35 years.  The original implant was modified numerous times before it was granted FDA approval in the United States. There are two main factors that differentiate Sientra implants from the other implants currently available in the United States:

  • Superior Esthetic Results

Many patients have reported that silicone and saline implants can appear unnatural due to the round shape of the implant. Sientra TRUE Texture Implants are contoured to fit against existing chest walls and tissues for superior esthetic results. In addition, patients that have thin walled chests have reported fewer concerns about rippling.

  • Superior Warranty

Sientra offers the best warranty on the market. Sientra offers patients that receive implants up to $3,600 in replacement costs due to loss of shell integrity. As of November 1, 2013, patients that receive Sientra TRUE Texture Implants will qualify for free replacement implants in the event they undergo capsular contracture surgery within two years after the initial breast augmentation surgery through the C3 program.

Breast Implants are a Lifelong Investment

Patients that undergo breast augmentation surgery should consider the operation as a lifelong investment. Sientra breast implants are filled with a textured, medical-grade “gummy bear” silicone gel.  It is important to note that Sientra TRUE Texture Implants are not experimental, and they have been used for decades in Brazil. This type of implant offers better aesthetic results coupled with the best warranty on the market. Invest in your appearance with the best gummy bear implants from Sientra. Enjoy the way you look and feel for a lifetime.

Dr. Moulton-Barrett Won a Recent Customer Satisfaction Award

Are You Looking For The Best Cosmetic Surgeon in Oakland, Walnut Creek or Alameda?

Dr. Rex Moulton-Barrett is a highly respected and gifted plastic surgeon who uses the latest procedures to help patients in Brentwood, Alameda, Oakland and Walnut Creek, CA improve their lives by providing them with cosmetic surgery or reconstructive plastic surgery. Dr. Moulton-Barrett has been dedicating his life to helping scores of men and women look and feel better about themselves since 1989.

We’re very proud to announce that our doctor recently won a Celebration Media US (CMUS) Talk of the Town Customer Satisfaction Award. Celebration Media’s Rating Division reviews businesses and awards a star rating to each based on online customer reviews, blogs, social networks, business rating services and other honors and accolades. Dr. Moulton-Barrett earned a stellar 5-star rating which helps prove that he is indeed a very talented and gifted board-certified plastic surgeon.

Our doctor is an internationally known and acknowledged surgeon who has the rare distinction of being board certified in two surgical specialties: The American Board of Plastic and Reconstructive Surgery and The American Board of Otolaryngology – Head and Neck Surgery.

Among the many treatments and procedures Dr. Moulton-Barrett provides to his patients include breast implants, tummy tuck, otoplasty and facelifts. Our doctor puts an emphasis on the importance of patient education so that each of his patients can make an informed decision about their treatment options. He takes the time to patiently guide each patient through the process of selecting an appropriate treatment option that will enhance and optimize facial and body architecture so that balance, proportion and harmony are acknowledged.

If you’d like to schedule a free consultation with Dr. Moulton-Barrett please give us a call at our Alameda Clinic (510) 864-1800, our Brentwood Clinic (925) 240-8775 or by using the Contact Us form on our website.

Research Shows A Tummy Tuck Can Help Sustain Long-Term Weight Loss

Lizanne Haddadin, a patient of Dr. Rex Moulton-Barrett MD, is extremely proud of herself, as she should be. She accomplished something millions of Americans set out to accomplish every single day: lose weight. It wasn’t a small amount of weight, either. She dropped 120 pounds over the course of eight years. That breaks down to be about 15 pounds per year, which should be a healthy weight-loss goal for people who are considered to be overweight or moderately obese.

In America, a country plagued by obesity and the subsequent health problems obesity produces – high blood pressure, diabetes, swollen joints and more, Haddadin is now a model citizen for dedication to the goal of weight loss. But, like many people in her position, Haddadin was still displeased with her body after losing all the weight. What remained was unflattering, excess, stretched-out skin.

Enter the Tummy Tuck, Otherwise Known as Abdominoplasty

Dr. Moulton-Barrett felt Haddadin to be a perfect candidate to undergo the procedure, which removes excess fat tissue from the abdomen to tighten the muscle structure, reduce food intake and ultimately keep the weight off for the long haul.

Why Dr. Moulton-Barrett is the Best

Dr. Moulton-Barrett has years of experience in cosmetic procedures, and with offices in Alameda, Oakland and Brentwood, California, he’s performed countless abdominoplasty procedures in the Bay Area. He’s also gone a step further by chronicling the progress of more than 20 of his patients, including Haddadin, for a year or more after the procedure to document their initial weight loss and their progress down the road.

His findings were published in the February 2013 issue of Plastic And Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons.

His experience and research suggests that the tummy tuck, beyond removing the initial excess fat tissue, actually contributes to long-term weight loss by increasing satiety, which is the feeling of being full and satisfied after eating.

In October, The Wall Street Journal published an article about Dr. Moulton-Barrett’s study, and Haddadin’s story, which expounds on his research.

According to the article, Moulton-Barrett says removing the extra fat cells in the abdomen may lead to decreased levels of appetite-affecting hormones, which are secreted by fatty tissues.

Haddadin’s experience backs Moulton-Barrett’s hypothesis. She says that she feels fuller faster when she eats now. So, the tummy-tuck may be a great route for those people who are overweight or slightly obese and looking to jump start a lifelong battle with weight loss, or for those who have mostly won the battle, but now need to take it that extra step.

The Proven Way to Help Keep Off the Weight

Of course, the tummy tuck is not a fix all procedure. Moulton-Barrett recommends a diet and exercise regimen of low carbs, high protein, no sugars and riding a stationary bike for at least 45 minutes three days per week. He calls it “The 3 S’s” Diet – South Beach Diet, Sugarless Home, stationary bike.

If you’re curious or concerned about your weight, a great indicator of your overall body health is the Body Mass Index – BMI. If you believe you are overweight or obese, Dr. Moulton-Barrett has a BMI calculator on his site. Check your status. Perhaps a tummy tuck could help you achieve your weight-loss goals.

Dr. Moulton-Barrett’s Tummy Tuck Before & After Patient Photo:

Tummy Tuck Before and After Front

Tummy Tuck Before and After Patient Photo

Click here to see more before and after photos of Dr. Rex Moulton-Barrett’s tummy tuck patients.

If you have any questions about tummy tucks or to schedule your free consultation- call our office today!

Long lasting weight loss after abdominoplasty

Abdominoplasty Before and After Front

Abdominoplasty Before and After Front

Arlington Heights, Ill.  – Undergoing abdominoplasty (“tummy tuck”) may lead to significant and lasting weight loss for many patients-especially those who were overweight or obese before surgery, reports a pilot study in the February issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

Long-term weight loss after abdominoplasty may be related to increased satiety-feeling full after eating-according to the study by ASPS Member Surgeon Dr. Rex Edward Moulton-Barrett of Alameda Hospital and colleagues. The researchers discuss possible “neuroendocrine mechanisms” that may promote weight loss after abdominoplasty.

High Rate of Sustained Weight Loss after ‘Tummy Tuck’

The researchers evaluated short- and long-term weight loss after abdominoplasty in 20 women. Popularly known as “tummy tuck,” abdominoplasty is a cosmetic surgical procedure to eliminate excess abdominal fat and skin. For the 20 women, the average amount of abdominal tissue resected was approximately five pounds.

One year later, 14 of the women had sustained weight loss-greater than the weight of the tissue resected. For these women, the average body mass index (BMI) was reduced by 4.5% or approximately 15 pounds, one year later. A normal BMI is between 18.5 and 25, overweight is between 25 and 30, and obese is 30 or higher. Thus, on average, the women moved from obesity into the normal-weight range.

The other six women also had some degree of weight loss after abdominoplasty. However, one year later, they had regained weight and increased BMI.

Long-term weight loss was more likely for women whose initial BMI was 24.5-just under the borderline for overweight. Of the 14 women with sustained weight loss, just one had an initial BMI of less than 24.5.

Sustained weight loss was also more likely for women with a greater amount of excess abdominal tissue removed at abdominoplasty. Twelve of the 14 women with long-term weight loss had more than 4.5 pounds of tissue resected.

Can a ‘Cosmetic’ Procedure Help Patients Lose Weight?

Increased satiety seemed to be an important contributor to long-term weight loss in 70% of the woman in the study. Three-fourths of women reported an increased feeling of satiety, either after eating or throughout the day, after undergoing abdominoplasty and it was from this group who experienced long term weight loss.

As obesity rates continue to increase in the United States, new treatments are needed to achieve and maintain weight loss. Gastric bypass and other bariatric surgical procedures are among the few treatments to produce permanent weight loss, but are generally limited to patients with morbid obesity-BMI 40 or greater.

In contrast, abdominoplasty is available to a wider range of patients seeking to reduce the size and improve the appearance of their abdomen. “Whether or not long-term weight reduction is associated with abdominoplasty has been little investigated and remained controversial,” according to Dr. Moulton-Barrett and colleagues.

The new study provides preliminary evidence that many patients have lasting weight loss after abdominoplasty-especially those who are overweight or obese before abdominoplasty. “Satiety appears to be a prominent contributing factor, as does the amount of fat resected,” the researchers conclude.

“We hypothesize that the increased satiety seen in our patients is related to changes in the neuroendocrine system,” Dr. Moulton-Barrett and coauthors add. Removing fat cells from the abdomen and or the tightening of the rectus abdominus musculature may lead to reduced levels of hormones affecting appetite, which are secreted by fatty tissues. However, further studies would be needed to confirm this hypothesis.

Published Plastic and Reconstructive Surgery: Feb 2013

 

 

Breast Reduction

Women with large breast experience more than dissatisfaction with body image. Breast size may impair a woman’s ability to lead an active lifestyle and may cause physical discomfort and pain. An equally important issue is the self-consciousness on woman with overly large breast may feel about her body image. Breast reduction is a plastic surgery to reduce breast size and enhance breast shape and position. Breast reduction brings better proportion to a woman’s body and can alleviate the physical discomfort associated with large pendulous breasts. Where breast reduction is performed to relieve medical symptoms, the procedure is considered reconstructive. Contributing conditions include back neck and shoulder pain, physical indentations from bra straps and skin irritation. You may be eligible for insurance coverage, pre-certification is always required. In addition, breast reduction can reduce and enlarge areola, the dark skins surrounding the nipple and correct soggy and stretched breast skin and a low breast profile. This program presents an overview of breast reduction. It is not a substitute for a complete consultation with the plastic surgeon certified by the American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada.

Good candidates for breast reduction are healthy women who do not have life threatening illnesses or medical conditions that can impair healing. Breast reduction surgery is generally performed at an age when the breasts are fully developed. If it is performed at an age before the breasts are fully developed, the outcomes can change. Outcomes can also change following significant weight fluctuations and as a result of changes in the breast during pregnancy. Breast reduction can impair the ability to breast feed relative to the amount of breast tissue that is removed. A consultation with a board certified plastic surgeon, a member of The American Society of Plastic Surgeons who may also be a member of The American Society for Aesthetic Plastic Surgery is the first step to learn how breast reduction can alleviate the physical symptoms of overly large breasts and improve your body image. A consultation is designed to fully educate you about breast reduction with the discussion of your goals, the options available in breast reduction surgery, the likely outcomes of breast reduction surgery, and potential risks and complications. Your surgeon will also describe the course of treatment recommended for you and answer your questions. During a consultation you will be asked to share your expectations for breast reduction and your personal health history. Full disclosure of your health history is important to your safety. This includes any history of breast cancer in your family and your personal breast health. You must also be candid about current medications you may be taking, the use of vitamins and herbal supplements, and alcohol, tobacco and drug use.

By making the decision to consult with a board certified plastic surgeon and following all of the instructions you were given, you were taking an important step in helping to assure your safety. A board certified plastic surgeon is a physician who is specifically trained in plastic surgery of the face and entire body. Prior to your procedure you will be asked to sign informed consent documents. These documents assure your plastic surgeon that you fully understand the procedure you will undergo and any potential risks and complications. In addition, you must commit to precisely following all of the instructions you were given. These instructions include presurgical considerations such as testing and medications, day of surgery instructions and medications, and specific information related to the use of anesthesia. A mammogram may be recommended prior to your procedure to ensure breast health and service of baseline for future comparison. Breast reduction is generally performed on an outpatient basis, in an office based surgical facility, an ambulatory surgical center, or a hospital setting. Members of the American Society of Plastic Surgeons and The American Society for Aesthetic Plastic Surgery are required to use only accredited surgical facilities. Local anesthesia with sedation or general anesthesia is required.

Breast Reduction Procedure

Breast reduction is performed by a surgically removing excess breast tissue, fat, and skin. Incision patterns vary based on the amount of tissue and skin to be removed, the quality of skin elasticity, patient anatomy, and patient and surgeon preference. A keyhole incision pattern is one of many techniques for breast reduction. It begins with an incision around the areola continuing vertically down to the breast crease, then horizontally near the breast crease. In alternative, is a circular incision pattern around the areola, a rocked or oval pattern incision is another alternative that extends the circular incision with the line vertically down the lower breast. Through the incision excess fat and tissue is removed and the nipple is repositioned. The nipple generally remains tethered to its original blood supply when repositioned. However, in some cases, the nipple and areola may need to be removed and transplanted to a higher position on the breast. The underlying breast tissue is then lifted and shaped with absorbable or permanent sutures below the skin surface. Surface incisions are then closed with sutures, skin adhesives, and or surgical tape. Liposuction techniques maybe used in conjunction with excision techniques to reduce breast size. In cases where breast size is largely due to fatty tissue and excess skin is not a factor liposuction alone may be used for breast reduction.


Breast Reduction Complications

In general, complications from plastic surgery of the breast include bleeding, poor healing at the incision sites, thick discolored or raised scars, changes in nipple sensation and infection. Women who smoke are at increased risk of poor healing and are therefore advised to stop smoking for several weeks before and after surgery. In addition, there are risks related to the use of anesthesia. Immediately following your breast reduction surgery, dressings will be applied to the incisions and an elastic bandage or support bra will minimize swelling and support the breasts as they heal. A small thin tube maybe temporarily placed under the skin to drain any excess fluid that may accumulate. Before being released you and an accompanying family member, a friend, or a caregiver will be given specific instructions that may include how to care for the breast following surgery, medications to apply or to take orally to aid healing and to reduce the risk of infection, specific changes to watch for at the surgical site or in overall health, and when to follow up with your plastic surgeon.

Recovery from breast reduction surgery


In general, your recovery from plastic surgery of the breast may include swelling and discomfort at the incision sites and in breast tissue overall. Discomfort is common and can be controlled with medication. You should begin light walking as soon as possible following your breast surgery. In addition, a support bra maybe recommended for the first few weeks following breast surgery. Initial wound healing may take one to two weeks at which time sutures will be removed if necessary. The initial results of breast reduction are visible immediately. You should be ready to return to work or normal activity within a week or two following breast reduction if you feel ready, but do not engage in any heavy lifting or vigorous exercise until your plastic surgeon gives you clearance to do so. Intimate contact with the breast and more vigorous exercise may resume when healing is more fully completed usually within four to six weeks following breast reduction surgery. Healing will continue for several weeks as swelling resolves and breast position and shape settles. Your incision lines will continue to fade over the next year or more. Even though incisions are placed inconspicuously, incision lines will result in permanent scars.

Breast reduction is a highly satisfying plastic surgery procedure. Your new more proportionate breast size and body contour will free you from the discomfort of overly large breasts. You will find few limitations due to your breast size both in physical activities and your fashion choices. While the results generally are permanent, your breast can change and do you aging, weight fluctuations, hormonal factors, and gravity. Choosing to undergo breast reduction or any plastic surgery procedure whether cosmetic or reconstructive is an important decision so as selecting a plastic surgeon. The American Society of Plastic Surgeons and The American Society for Aesthetic Plastic Surgery have prepared this educational program to supplement your personal consultation with the plastic surgeon who is certified by the American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada. Plastic surgeons with this certification have completed approved surgical training and rigorous examinations in plastic surgery including both cosmetic and reconstructive procedures of the face and entire body.

Before and after images of breast reduction surgery by Dr Rex Moulton Barrett.

Breast Reduction

Breast Reduction

Breast Reduction

Breast Reduction

Breast Reduction

Breast Reduction

Breast Reduction

Breast Reduction

For more information about your breast reduction contact the Plastic Surgery Offices of Rex Moulton-Barrett, MD.

Alameda: Phone 510.864.1800
Brentwood: Phone 925.240.8775

Or use the contact form below:

Name:

Email:

Phone:

Address:

Your Inquiry:

Breast Augmentation in California – Walnut Creek

Breast size is important to many women, a woman with small breast or whose breast size has diminished may desire an increase in the projection and fullness of the breast to improve the balance in her figure and to enhance self-image and confidence. Breast augmentation is plastic surgery that increases breast size and enhances breast shape through the surgical placement of breast implants. In many cases, women who undergo breast augmentation do so to enhance small breast size or to restore breast volume that can diminish following pregnancy or weight loss. However, breast augmentation does not correct sagging breasts. Breast augmentation can also achieve symmetry in breasts that are moderately disproportionate or with a difference in size. This program presents an overview of breast augmentation plastic surgeon certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada. Breast augmentation is a highly individualized procedure. Permanent breast enhancement can only be achieved surgically. There is currently no medical treatment of any kind for breast enhancement with the proven results and satisfaction of breast augmentation.

Adult women of any age make good candidates for breast augmentation. However, it is recommended that a woman’s breast be fully developed prior to breast augmentation. Good candidates for breast augmentation are also healthy individuals who do not have life threatening illnesses or medical conditions that can impair healing. Breast augmentation can be performed in conjunction with a breast lift to improve the position and shape of sagging breasts in addition to enhancing breast size. A consultation with a board certified plastic surgeon, a member of The American Society of Plastic Surgeons who may also be a member of The American Society for Aesthetic Plastic Surgery is the first step to learn how breast augmentation can enhance breast appearance and improve your body image. A consultation is designed to fully educate you about breast augmentation with the discussion of your goals, the options available in breast augmentation surgery, the likely outcomes of breast augmentation surgery, and any potential risks and complications. Your surgeon will also describe the course of treatment recommended for you and answer your questions.

During a consultation you will be asked to share your expectations for breast augmentation and your personal health history. Full disclosure of your health history is important to your safety. This includes any history of breast cancer in your family and your personal breast health. You must also be candid about current medications you may be taking, the use of vitamins and herbal supplements, and alcohol, tobacco, and drug use. By making the decision to consult with a board certified plastic surgeon and following all the instructions you were given you were taking an important step in helping to assure your safety. A board certified plastic surgeon is a physician who is specifically trained in plastic surgery of the face and entire body. Prior to your procedure you will be asked to sign informed consent documents. These documents assure your plastic surgeon that you fully understand the procedure you will undergo and potential risks and complications. In addition, you must commit to precisely following all of the instructions you were given. Instructions include presurgical considerations such as testing and medications, day of surgery instructions and medications, and specific information related to the use of anesthesia. A mammogram may be recommended prior to your procedure to ensure breast health and serve as baseline for future comparison.

Breast augmentation in California is generally performed on an out-patient basis in an office base surgical facility, an ambulatory surgical center or a hospital setting. Members of the American Society of Plastic Surgeons and The American Society for Aesthetic Plastic Surgery are required to use only accredited surgical facilities. Local anesthesia with sedation or general anesthesia is required. Breast augmentation enhances breast size and shape by surgically placing a breast implant into the body through an inframammary incision near the breast crease, through a periareolar incision at the edge of the pigmented skin surrounding the nipple or through an axillary incision in the underarm area. Incision patterns vary based on the type of implant, degree of enlargement desired, patient anatomy and patient and surgeon preference. Through the incision a pocket is created in which to place the breast implant. This pocket is located either directly behind the breast tissue called submammary or subglandular placement or beneath the pectoral muscle and on the top of the chest wall called submuscular placement. Once the implant is positioned, incisions are closed with layered absorbable sutures in the breast tissue and with sutures skin adhesives or surgical tape closing the incision on the skin surface.

A breast implant is a medical device, a medical grade bio compatible textured or smooth silicone gel filled with sterile saline solution. Should the implant rupture or leak, the saline is safely absorbed by the body. Implants may be pre-filled prior to placement or slowly filled at the time of surgery through a self-sealing valve. Implant type, placement and size, and the incision pattern used in breast augmentation will be determined based on your breast anatomy and body type, your desired enhancement and breast size, and your plastic surgeon’s surgical judgment. Implant manufacturers occasionally introduce new styles and types of implants. There may be additional options available to you. Saline filled breast implants are medical devices approved by the US Food and Drug Administration for safety. Careful reviews of scientific research by independent groups such as the National Academy of Sciences, Institutes of Medicine have found no proven length between breast implant and autoimmune or other systemic diseases in women. In addition, breast augmentation with breast implants does not generally interfere with a woman’s ability to breastfeed.

In general, complications from plastic surgery of the breast include bleeding, poor healing at the incision sites, thick discolored or raised scars, changes in nipple sensation and infection. Women who smoke are at increased risk of poor healing and are therefore advised to stop smoking for several weeks before and after surgery. In addition, breast augmentation may result in visible wrinkling of the skin over the implant or the development of a condition called capsular contracture. Capsular contracture causes the naturally forming scar tissue around the breast implant to contract. This occurs in a variable percentage of patients and can make the breast feel firmer than normal. The condition can be addressed and sometimes requires revisional surgery although correction is not always permanent. You should also understand that breast implants are not guaranteed to be lifetime devices. Implants can leak or rapture and future surgery will likely be required to replace one or both implants. Immediately following your breast augmentation surgery, dressings or bandages may be applied to your incisions and an elastic bandage or support bra will minimize swelling and support the breasts as they heal.

Before being released, you and an accompanying family member, a friend, or a caregiver will be given specific instructions that may include how to care for the breast following surgery, medications to apply or take orally to aid healing and reduce the risk of an infection, specific changes to watch for at the surgical site or in overall health, and when to follow up with your plastic surgeon. You will also be given specific information identifying the manufacturer, style, and serial number of the breast implants placed during your breast augmentation for your record and as a part of the breast implant manufacturer’s warranty. In general, your recovery from plastic surgery of the breast may include swelling and discomfort at the incision sites and in breast tissue overall. The discomfort is common and can be controlled with medication. You should begin light walking as soon as possible following your breast surgery. In addition, a support bra may be recommended for the first week or two following breast surgery. Initial wound healing may take one to two weeks at which time sutures will be removed if necessary. The initial results of breast augmentation are visible immediately. You should be ready to return to work or a normal activity within a week following breast augmentation if you feel ready but do not engage in any heavy lifting or vigorous exercise until your plastic surgeon gives you clearance to do so. Intimate contact with the breast and more vigorous exercise may resume when healing is more fully completed usually within four to six weeks following breast augmentation surgery.

Healing will continue for several weeks as swelling resolves and the implant settles. Your incision lines will continue to fade over the next year or more. Even though incisions are placed inconspicuously, incision lines will result in permanent scars. Breast augmentation is a highly satisfying plastic surgery procedure to enhance the size and shape of the woman’s breasts. While the results generally are permanent, your breast can change due to aging, weight fluctuations, hormonal factors and gravity. Your new enhanced breast size and body contour will give you the confidence and freedom to wear certain clothing styles without the need for padded bras and bring added self-confidence whether at the beach or in the bedroom. Choosing to undergo breast augmentation or any plastic surgery procedure, whether cosmetic or reconstructive is an important decision so as selecting a plastic surgeon. The American Society of Plastic Surgeons and The American Society for Aesthetic Plastic Surgery have prepared this educational program to supplement your personal consultation with a plastic surgeon who is certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada. Plastic surgeons with this certification have completed approved surgical training and rigorous examinations in plastic surgery including both cosmetic and reconstructive procedures of the face and entire body.

Breast Augmentation before and after by Dr Rex Moulton Barrett

Breast Augmentation

Breast Augmentation

Breast Augmentation

Breast Augmentation

Breast Augmentation

Breast Augmentation

Breast Augmentation

Breast Augmentation

For more information regarding breast augmentation contact the Plastic Surgery Offices of Rex Moulton-Barrett, MD

Alameda: Phone 510.864.1800
Brentwood: Phone 925.240.8775

Or use the contact form below:

Name:

Email:

Phone:

Address:

Your Inquiry:

The Re-Invention of In Office Face Lift

For better or worse, the advent of medicare in 1965, led to the death of many in office procedures. In fact, many insurance carriers from that point onwards demanded surgery be performed in an expensive hospital and operating room environment.

Recent economic events, specifically the banking crash related to sub-prime lending, the loss of retirement savings and the California specific 12% unemployment rate with 25% reduction from full the part time employment in the existing work force has led to a rethink in the way that cosmetic surgery should be performed.

Without a question the surgical facility and anesthesia fees have increased by over 20% in the last 3 years despite the economic downturn. Yet, fellow baby boomers want surgery in our look – good – feel – good generation. So in office self – pay procedures are staging a come back.

The question is, can an in office face lift be performed safely and comfortably under local anesthesia and without intravenous anesthesia? And the answer is absolutely yes! Why is this, simply stated, a facelift is a skin operation, in which the thin underlying facial musculature support and facial fat a made readily asensate during the procedure using a dilute subcutaneous anesthetic solution, called tumescent solution. The same anesthesia technique has been previously championed for in office liposuction and laser varicose veinous vein ablation.

In my office, the patients are operated on in the semi – sitting position, looking out the window: across the San Francisco Bay, listening to their favorite music and we make conversation, mean while the face is being operated on, the neck is defatted, the neck muscles corseted, the cheeks suspended, the facial muscle tightened and the excess skin removed through a small ‘S’ shaped, so – called ‘short scar technique’. What is remarkable, is how much happier patients feel and how well they look on their first post operative visit, 2 days after surgery, as compared to patients who have had 4 to 5 hours of general anesthesia. Not to mention, the cost for general anesthesia in a surgical facility more than doubled the overall cost for surgery.

I believe the modern and safe in office face lift supports the concept of “financial necessity is the mother of safe plastic surgical re – invention”.

Laser Hair Removal

Laser hair removal is an alternative to shaving, waxing, and tweezing that can eliminate nicks, bumps, and burns. In this hair removal procedure, beams of light penetrate your hair follicle, which destroys the hair at its follicle. There are advantages of laser hair removal over treatment methods. Side effects of the procedure are generally mild or rare.

Advantages of Laser Hair Removal

One of the biggest benefits of laser hair removal is in its predictability. Approximately 90 percent of patients experience permanent hair loss in five or less sessions. The procedure is also quick. It takes but a fraction of a second for each laser pulse, while treating multiple hairs at the same time. For example, small areas, such as the upper lip, can be treated in under a minute. Lastly, lasers can pinpoint specific dark, course hairs, resulting in fine precision; the surrounding skin area is left undamaged.

Side Effects and Risks

After your Brentwood laser hair removal treatment, the treated area may feel and look like it has been sunburned, which will last about one to two days. You may experience temporary redness or swelling. During the next 30 days, the treated hair will fall out. Wearing sunscreen on the treated area for 30 days post-treatment will prevent temporary skin color changes. Blisters, changes in skin color, or permanent scaring are rare. Overall, most people who opt for laser hair removal in the San Francisco area find that the benefits and convenience of the procedure far outweighs any temporary irritation that follows the procedure.

What to Do Before the Procedure

You will need to refrain from waxing, plucking, or electrolysis for six weeks prior to your treatment. Waxing and plucking temporarily removes the root of the hair, which will reduce the successfulness of the laser. Because sun exposure reduces the effectiveness of laser hair removal, you should also avoid the sun for six weeks before and after your treatment. Sun exposure can also increase complications after treatment.

Request a consultation.

To find out more about available treatments and procedures, request a consultation with Dr. Moulton-Barrett at one of his Bay Area offices. Board certified plastic surgeon Rex Moulton-Barrett, M.D., offers advanced care and procedures for Bay Area residents. He has offices in Oakland, San Leandro, Alameda and Brentwood, CA.

Gynecomastia and Male Breast Reduction Surgery

Men who suffer from gynecomastia, an abnormal growth of breast tissue, may consider male breast reduction surgery. This is a surgical procedure that removes the excess breast tissue that makes many men uncomfortable. Gynecomastia is relatively unknown, but it is very common. Some statistics report that up to half the men in the United States suffer from some degree of gynecomastia.

Male breast reduction surgery takes about one and one half to two hours. It is generally performed under general anesthetic, though minimal amounts of tissue may be removed under a local anesthetic or sedation. An incision is typically made on the upper edge of the areola. Large amounts of excess skin may require a larger circular incision around the areola. Once the incision is created, your surgeon will then remove excess skin, fat, and tissue, and will sculpt the chest into a more masculine representation. Significant volumes of fat may be removed via liposuction. The incision is then closed.

If you are a male with gynecomastia, then you may be a candidate for breast reduction surgery as long as you are over the age of 18, are healthy and feel self-conscious about your condition. If you find yourself hiding behind baggy shirts and won’t go topless in public, then you should consider this procedure.

Being overweight can give the appearance of larger breasts because of the fat deposits. If you’re overweight, you should try to lose weight to see if that corrects the problem, before resorting to surgery. Alcohol and drug use can also cause a man’s breast to enlarge. Consider living a healthier lifestyle first to see if that reduces the size of your breasts first, before surgery.

Always carefully consider your options before opting for surgery. There are always risks associated with surgery; carefully discuss these with your surgeon in San Leandro, Walnut Creek or Brentwood before commencing the surgery.