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There are four steps to your breast consultation with Dr. Teitelbaum:
1. Communicate to Dr. Teitelbaum exactly how you want to look. Think about overall size, shape, and proportion. Natural or fake? Large, balanced, or small relative to your shoulders and hips? Do you want the implant to be visible through your skin or do you want it to blend imperceptibly into your body? Do you like an upper bulge or do you prefer a straight or even empty upper breast? A look that's just enough to fill out your breast so you look womanly and feminine or something that even without a bra "pops" and is eye-catching? Whatever it is you want, don't hesitate to tell Dr. Teitelbaum your wishes-there are no wrong wishes.
2. Dr. Teitelbaum will examine and measure you in order to determine if your wishes can be fulfilled exactly as you hope. Every woman's breast skin has a certain volume that it can hold. If you fill it up beyond that point, the edges of the implant will be visible through your skin and the top will bulge. In time, the pressure will stretch your skin and may cause sagging. If you underfill the breasts, they will not look full, the upper part may be concave, and they may not be proportionally shaped. A breast that is already full, firm, and tight will have less capacity to be enlarged without looking augmented. A breast that is loose, empty, and soft has a greater capacity to be augmented while still looking natural. The thinner you are, the more likely it is that your implant could be seen or felt, while the thicker your tissue, the more your body will hide the implant.
3. This is the critical step, in which together you and Dr. Teitelbaum reconcile your "wishes" with your "tissues." Most of the time, women intuitively know what will work on their body. But sometimes there are conflicts: there are patients that want to be a lot bigger and still look natural, yet an implant large enough to achieve that breast size would overfill their tight breasts, rendering them looking round and fake. They must choose: they can go larger and look less natural, or go smaller and look more natural. So too are there patients that just want to be full and only a little larger, yet an implant of adequate size to fill their loose breasts would make them much larger than they hoped to be. These women must choose between being the size they want and accepting being less filled, or being filled but larger than they ideally want. Dr. Teitelbaum has very specific expertise in this type of evaluation, and he excels at helping patients wade through these difficult decisions. He will never mislead you about your outcome; he will always tell you the truth about what your tissues will allow you to achieve.
4. In the final step, he will help you to visualize what you will look like after surgery. Dr. Teitelbaum wants you to know ahead of time how you will look with the implants you have selected; he doesn't want a patient to ever wake up bigger or smaller than they were expecting. The doctor will take a 3D photo of you, then use his state-of-the-art breast-imaging system to simulate the size that you've decided on-so you can see on a computer screen how it would look in your body. (You can do this undressed or with a bra on.) Second, he will give you a "sizer implant' to put inside an unpadded bra-so you can assess how your new breast size will appear under different clothes. Third, he will show you photos of patients of similar size and weight to yourself. None of these methods is precise, but taken in combination, they will help to give you some indication of how various implant sizes will look on your body.
For breast augmentation in Los Angeles contact Southern California Board Certified Plastic Surgeon Steven Teitelbaum today.
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