Dr. Stile: Hi. I’m Dr. Stile and welcome back to my excellence in cosmetic surgery video blog series. What we’ll be discussing today is breast augmentation surgery. I’m lucky enough to have one of the busiest practices in Las Vegas and perform several hundred breast augmentations per year. What I’d like to do today is take you through a typical breast augmentation consultation. What this will do is help you have a better understanding of the procedure and educate you so that you can make choices that are better for you.
What you’re about to see is a consultation with one of my previous patients… Let’s take a look.
Harmony: My name is Harmony M. I am a professional model here in Las Vegas. I do runway, print work, atmosphere, a lot of times I do showgirl work, I do spokes modeling, everything like that, so my jobs really vary. Within the jobs, you know, I’m meeting people constantly and wearing certain outfits where your body is important. You have to have a good body and stuff like that, and those jobs can enhance that for me.
I had a consultation for breast augmentation and I’m really, really excited about it. He (Dr. stile) was very knowledgeable with everything, so, he kind of made my decision for me, he made it pretty easy, and I definitely want to do it… I’m excited about it.. I’m a little bit nervous but, I’m still excited! I’m going to move forward with it and I’m really confident in him and his abilities.
One of my friends actually referred me to him and I guess he did a wonderful job, I actually saw what he did for her, so that’s why I made the decision to come and see him, and kind of hear what he had to say. He convinced me, you know, and he knows what he is doing and it’s going to come out great.
Dr. Stile: Most of my patients are either referrals from previous patients, or friends of family members. What’s important about that is what patients visualize as being a good result should be something that I can deliver.
The line drawing that you see here demonstrates several features that are typical of a natural result. Natural meaning something nice you could have been born with, an un-operated on look. This breast is an aesthetically pleasing breast that can be found in a younger woman. What we see are three basic features. First and most importantly is a nipple that sits higher than the level of the inframammary fold . We also have a soft contour on the top and a fullness. The fullness comes from two things: fatty tissue and breast gland. The amount of these two tissues, fatty tissues and breast gland, determines what your breast volume is and therefore your breast size. The two primary groups of women I do this procedure for are either women who never had a lot of these tissues, therefore smaller breasts, and wish to have their breast volume enhanced. Or, the second group is women who may have had volume and lost it as a result of: weight loss, pregnancy, aging or a combination of any of these three. This second group wants to restore this volume, possibly add a little bit more, and additionally might want help with their breast shape.
By the time you have had your consultation with your plastic surgeon, you have undoubtably done some research online and discussed the procedure with patients who may have had it already. You’ll become familiar with the concept of breast implants being placed either above or below the muscle. The muscle we are talking about is the pectoralis major muscle (demonstrated right here). Now, placing a breast implant above breast muscle means the implant sits between the skin gland and the actual pectoral muscle. Placing the implant below the muscle simply means that the edge of this muscle is elevated and the implant is slid behind it, allowing most of the implants surface area to be covered by the muscle.
In patients starting out with minimal breast or fatty tissue prior to surgery, placing the implant above the muscle can result in implants that are detected both visually and to the touch. Most commonly what we see are ripples. In women, who do not have a lot of breast tissue to begin with, placing the implant under the muscle may be a better option.
The choice of incisions used is also an important decision. The two primary incisions that I use for breast augmentation surgery are the periareolar incision or the inframmary incision. In my practice the great majority of patients with have a periareolar incision to place their implants.
The next part of your consultation will be measurements, sizing and the choice of implants. The first measurement we’ll take is sternum notch to nipple. First right breast, then left breast. The next measurement will be nipple to inframammary fold. This is followed by base diameter of your chest which will help us select an implant width selection, and the final measurement will be of you areolar diameter.
The next part of your consultation will be sizing and choice of implants. There are three implants to choose from: high profile, moderate plus profile and moderate profile breast implant. The high profile is the narrowest with the most projection, the moderate profile is the widest with the lowest projection. Which implant we chose is based primarily on your chest diameter. Our next decision will be that of implant type. Your choices are silicone filled or saline filled implants. And quite honestly, it’s personally preference that makes a difference here.
Your procedure will take approximately one-hour and thirty-minutes. It’s performed here at our surgery center: Premium Surgical Services. Our center is licensed by the State of Nevada and also certified by the Joint Commission of Hospital Accreditation. We are inspected twice yearly. This ensures you the highest standards are met for both your safety and personnel. You will get general anesthesia which will be provided by the board-certified M.D. anesthesiologist. You’ll be discharged shortly after your procedure. I will follow you closely your first month and do all of your post-op care personally. I will continue to see you throughout the rest of the year to make sure that you’re progressing appropriately.
Harmony: I went out in a bikini the first time two days ago, and I felt so confident and so secure, and I just get more attention that way so obviously I love it, and I’m going to get more jobs I’m sure. I’m a big baby when it comes to needles or anything like that so everybody’s like “are you crazy, you’re going to have surgery?” but obviously it’s something that I really wanted, and I did so well through it. It was like nothing. I went to sleep and I woke up, and even the recovery process was so simple. You would never tell that I had surgery. The results day-by-day get better, and better and you can see more you know until, the finality of it. Once I saw that [the finality] I was just ecstatic through the whole process it was really, really good.
Dr. Stile: If you have any other questions regarding this procedure, would like to schedule a consultation, you can visit our website at www.DrStile.com or call our office to schedule a consultation personally at (702) 243-9555.
Until your consultation, or next time, I’m Dr. Stile saying goodbye and be well!
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A statement released on Facebook states:
“Thank you for the continued interest in Victoria’s progress. Please be advised that Dr. Stile remains committed to helping Victoria. Our focus is on this child’s well-being and her future care.
The important facts of this situation remain:
1. An innocent child was viciously attacked by dogs
2. She has serious disfiguring and life changing injuries
3. Dr. Stile and his foundation have the ability to help this little girl
4. We are making final arrangements for her to travel to Dr. Peters in Naples, Florida to get her new eye.
We are very excited to be a part of the process of helping Victoria. Our commitment to this child, and children like her remains strong. We look forward to sharing information about Victoria’s progress as it becomes available.
Victoria & Family,
I was deeply moved this morning by hearing the news of Victoria’s tragic incidents. This really hit home for me, and I was so affected by what occurred to Victoria, that I wanted to personally reach out and offer my help in any way possible.
My name is Frank Stile; I am the founder of The Frank L. Stile Foundation. This non-profit was started approximately three years ago to serve the needs of children in crisis–like Victoria. The goal of my foundation is to provide support for children that are victims of unfortunate circumstances.
I am also a Board Certified Cosmetic and Reconstructive Plastic surgeon. Coincidentally, I did my Plastic and Reconstructive Surgery training at the University of Mississippi. My experience with children allows me to know too well of how difficult these events have been and will be for Victoria in the future.
Growing up with the physical and emotional reminders of this traumatic event will be challenging. Because of this, I wish to offer my help to Victoria and her family. My Foundation will work out sponsorship to help defray the costs of her care. I am also offering you my professional services as a plastic surgeon to assist with any future procedures as she grows up.
I know this will not erase the memories of the horrific experiences Victoria has had to endure, but we can at least hope to make her future care more pleasant while trying to restore her back to a beautiful well-adjusted little girl.
Please contact me directly by calling my Las Vegas practice at (702) 243-9555 if there is any questions I can answer of how I can help Victoria in any way possible.
Frank L. Stile, MD, FACS
The Frank L. Stile Foundation
8954 Spanish Ridge Avenue
Las Vegas, NV 89148
Saline or Silicone Breast Implants – What’s The Difference?
What are the differences between saline and silicone breast implants? How about the risks of breast implants? What happens if an implant were to rupture? Get the answers to these questions and more!
If you, like many are considering breast implants, you might think how you should approach choosing between saline-filled and silicone gel implants. Below, Dr. Stile will help you evaluate your options.
What’s Better – Saline or Silicone?
If there was truly an implant that was better than the other, there would only be one implant available. Each implant has pro’s and con’s. Silicone implants feels and looks more natural, ripples less and has a lower risk of rupture. Saline implants look a little less natural and ripples a bit more. The incision it quite smaller with saline in comparison to silicone. If a saline breast implant ruptures, you will know because your breast becomes smaller. If a silicone implant ruptures, it’s difficult to tell because there are typically no signs. An MRI is recommended to determine if the implant is ruptured.
What’s the difference between saline and silicone?
Saline Breast Implants
Saline implants are filled with sterile salt water. When they are first inserted, the implant is empty, and then filled once in place.
Saline implants are available to women aged 18 and older for breast augmentation and to women of any age for breast reconstruction.
Silicone Breast Implants
Silicone implants are pre-filled with silicone gel. This gel is a thick, sticky fluid that closely resembles the feel of human fat. Most of our patients feel that silicone breast implants look and feel like a more natural breast.
Silicone implants are available to women as early 18, but at the discretion of the physician, and for women of any age for breast reconstruction.
What are the risks of Breast Implants?
Both saline and silicone breast implants pose similar risks:
Having to correct any of these complications may require additional surgery, either to replace or remove the implant(s).
What happens if an implant ruptures?
If an implant were to rupture, the approach may vary depending whether it’s a saline or silicone implant.
Silicone gel that leaks isn’t known to cause systemic or long-term health problems – such as connective tissue disease (rheumatoid arthritis), reproductive problems or breast cancer. Regardless, a ruptured silicone breast implant may eventually cause breast pain, or change the contour or shape of the breast. If this rupture would occur, your surgeon will likely recommend removing it surgically.
If an MRI scan detects a rupture in the implant but you have do not have signs or symptoms, it may be up to you and your doctor to weight the options our of keeping the implant intact or removing it.
Is breast implant safety actively monitored?
Both implants, saline and silicone are considering safe for breast augmentation and reconstruction. Research is ongoing in which researchers look for evidence of continued safety and effectiveness of both saline and silicone implants.
What should I consider before breast implant (augmentation) surgery?
If you’re considering breast augmentation, it’s important to understand what it’s going to mean to have breast implants. In addition to altering your appearance, remember:
To correct sagging breasts, you might consider a breast lift (mammoplasty) in addition to breast augmentation.
You know that an implant rupture is a possibility. Additionally, your breasts will continue to age after breast augmentation – and various factors such as weight loss and gain may further change the way your breasts appear. Any of these issues may lead to additional surgical procedures.
The FDA recommends checking up on silicone breasts ever two years, beginning three years are the initial surgery. However, debates continue on the benefit of routine MRI scans due to costs and having potential risk to lead to unnecessary surgery.
If you’ve had breast implants, routine mammograms may require specialized views.
While most women are able to breast-feed after breast augmentation surgery, a small percentage cannot.
What’s the final word breast augmentation surgery consideration?
Based on the patient’s breast anatomy, body type and various other factors, Dr. Stile may recommend one type of implant over the other for optimal, realistic results. The ultimate choice of saline or silicone implants is up to you!
About Frank L. Stile, M.D., F.A.C.S.
Dr. Frank Stile is a plastic cosmetic surgeon, board certified by The American Board of Plastic Surgery and a Fellow of the American College of Surgeons. Originally from New York City, Dr. Stile began his medical training at the age of 15 at The City University of New York’s accelerated seven year combined undergraduate and medical school program. He completed his clinical training at the State University of New York Health & Science Center at Brooklyn. His post doctorate training included 12 years of residency. During that time, Dr. Stile received specialized surgical training at five academic institutions of excellence. Dr. Stile has been featured in numerous media outlets including national television networks, local broadcasting companies, and national magazines.
Dr. Stile discusses an important decision about your procedure that you might not have thought of.
Your Ambulatory Surgery Center
You’ve thought about your procedure for a long time. You’ve researched your doctor’s credentials and had your consultation. But, have you thought about the center or the operating room that your surgeon has selected for you? Have you researched this critical choice?
The center where you will be having your procedure performed is as important as the surgeon you choose to do the actual surgery. My center, premium surgical services, is a free standing ambulatory surgery center. The center is licensed by the state of Nevada for outpatient surgical procedures.
Premium is simultaneously accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO, sometime referred to as “Jay-co”).
The Joint Commission was created with the primary goals of promoting optimal hospital outcomes and safety in delivering patient care by the Standardization of accreditation requirements nationally.
The accreditation and licensing process is complex, expensive and extremely demanding. Our commitment to duel accreditation means that our center is inspected yearly by these independent agencies assuring our patients that the highest standards are maintained in the delivery of their care.
Our experienced professional staff of doctors, nurses and surgical technicians care for our patients every step of the way. All of our equipment is new and state of the art.
Your anesthesia will be administered by a medical doctor who is board certified in good standing by the American board of anesthesiologists.
Our continued compliance with both strict state and federal requirements makes our patients more comfortable and confident on surgery day. Premium is one of the few centers in which cosmetic surgery is exclusively performed that can boast these two very special achievements.
I am proud and honored every time a patient trusts me with their care. My unfaltering dedication to your excellent results and safety is what makes me worthy of your confidence.
If you would like more information about our facility or my practice you can either arrange to visit our center or go to our web sites:
I look forward to answering your questions online or meeting you in person during your consultation.
“Mommy Makeover” is used to describe rejuvenation of the breasts and abdomen. The goal is to address some of the common physical changes that can occur after pregnancy. Procedures on the breast most commonly include sagging and deflation. On the abdomen, it is most often excess skin with stretch marks and bulging.
The best way to assess if you are a good candidate is to come in for a complimentary consultation. Each area of your body will need to be evaluated on its own. For example, you may only need breast implants and not a lift, or you may need so much lift that implants will have to go in three months later to allow the breast to heal between procedures. The abdomen procedures (liposuction and/or tummy tuck) is more related to the amount of excess skin and the laxity of the abdominal muscle wall.
Dr. Stile will ask about your general medical history followed by examining your areas of concern. This is an ideal opportunity for you to discuss what bothers you and to have all of your questions answered. Together you will devise a treatment plan that focuses on your concerns and is surgically viable.
Combining all the procedures will minimize your recovery time. It’s not that you will heal more quickly, but it’s that you only go through the recovery process once. A tummy tuck, breast lift and breast implants each require 10-14 days to manageably get back to a desk job and longer for more demanding, physical work. Having the procedures separately will require 30-42 days of time off from your life, compared to 10-14 days when combined.
The second reason is anesthesia risk. The riskiest time of anesthesia is the going to sleep and the waking up. The period while you’re under is the most stable. Having one anesthetic (one sleep one wake up) is better than doing them all separate (three sleeps, three wake ups).
Women should be precise about their post-baby body goals so that
Dr. Stile can recommend the most appropriate procedures.
In regards to the breasts, they are lifted. If there is a loss of volume from pregnancy and/or breast feeding, this can be remedied with breast implants. Alternatively, if the breasts are too large and causing you discomfort, the size may be reduced. During abdominoplasty, the abdominal muscles are tightened to strengthen the midsection and narrow the waist. Lastly, excess skin with stretch marks on the lower abdomen is removed.
If you are planning on having more children in the near future, it is better to wait, especially for the abdominoplasty procedure. Pregnancies are possible following abdominoplasty, however, the final result may not be what you are seeking if the tissues stretch again due to another pregnancy.
The best time for a Mommy Makeover is when childbearing is complete and you have achieved a stable weight. Profound weight gain or loss after surgery may diminish the final result.
Hernias at the belly button are quite common in women who have had multiple pregnancies or gave birth to twins or triplets. These hernias can be addressed by a general surgeon during the mommy makeover operation. Combining this procedure will allow the patient to have a single recovery.
Like most major operations, the risks are similar. These risks include healing of the wound, bleeding, infections and fluid collection (seroma) formation.
The best way to prepare for an op is to understand completely why you are having the operation, what exactly is going to be performed, and what your results are realistically likely to be. If medical issues arise such as high blood pressure or diabetes, these should be well controlled before the surgery.
If you smoke, you will need to stop to decrease the risk of wound healing problems. All patients should be free of nicotine for at least six weeks before and after surgery.
Depending on the types of surgeries, recovery times will vary. You may go home the same day – or your plastic surgeon may recommend an overnight stay if extensive surgery was performed or if you have other medical conditions. Recovery generally ranges from two to four weeks.
It’s beneficial to have family and friends available to assist you in caring for children for the first week after surgery. In most cases, recovery ranges from one to four weeks.
The average time off is two to four weeks. Some women feel better more quickly and choose to return to work one week post-surgery. Patients are asked to resist lifting heavy objects for one month.
Cost for the mommy makeover varies and consists of three major components: professional fee for the surgeon, professional fee for anesthesia and the cost of the operating room. Due to the mommy makeover being a cosmetic procedure, insurance companies will not cover the costs associated with these operations. Dr. Stile has have financing plans available, such as CareCredit. Consult with your plastic surgeon.
Dr. Frank L. Stile is a board certified plastic surgeon with an on-site, state licensed ambulatory surgical center. These certifications are relevant because many physicians who are not trained or properly qualified in plastic surgery are not performing “cosmetic surgery.” These physicians have not received the approved education, or have completed a rigorous examination process designed to assess the knowledge, experience and the skills that are required to provide high-quality patient care in plastic surgery.
Women may put themselves at a greater risk when electing surgery with non-certified physicians – many who are not even surgeons. The results of their work may be disappointing, possibly disfiguring, or lethal.
Another factor that distinguishes Dr. Stile is the care provides is that he is a true leader in the field of plastic surgery. Not only does Dr. Stile provide cosmetic and reconstructive services, but conducts research to advance the art of plastic surgery. This research focuses on patient safety and surgical outcomes. What he has discovered allowing him to incorporate the most modern surgical techniques with a sage surgical environment to provide his patients with the best possible surgical outcomes.
To schedule your complimentary consultation with Dr. Frank Stile, contact our Las Vegas practice at (702) 243-9555.
Liposuction, also known as Lipoplasty, is a cosmetic surgery procedure which allows individuals to the option to address and get rid of excess fat. Most patients not online enjoy an improved appearance after the surgery, but they also gain higher self-esteem and confidence. Dr. Stile receives many questions about Liposuction, and we have answered some of the most common and frequently asked questions about this popular procedure:
Q) Who is an ideal Liposuction candidate?
A) This procedure is generally recommended for moderate to very fit individuals who have trouble trying to riddance “trouble” spots. For example, a healthy individual who routinely works out would be an ideal candidate. For some who are significantly overweight, there are other options you might want to consider to get the results you are looking for.
Q) Is Liposuction only used on the stomach area?
A) No! This procedure is commonly used to treat trouble areas throughout the human body. Popular locations for liposuction include: thighs, hips, arms, neck, buttocks, chest, back and ankles amongst other areas.
Q) Can’t excess fat be lost through exercise?
A) Sometimes, fat deposits can be extremely stubborn no matter how proper your health, diet and fitness may be. These deposits can result from genetics and does not indicate if an individual is unhealthy or not as active as they should be.
Q) Is it only for women?
A) This procedure is popular amongst men and women. The most common areas men are treated for are the stomach, flanks and chest.
Q) Does Liposuction help rid of cellulite?
A) Liposuction is generally not considered an effective treatment for cellulite.
Q) Can Liposuction be performed with other plastic surgery procedures?
A) It is quite common for liposuction to be combined with other cosmetic procedures such as abdominoplasty (tummy tuck), facelift, or breast reduction surgery.
Dr. Frank L. Stile has the experience, knowledge and board certification you are seeking when making changes to your physical appearance. Call Dr. Stile’s office at (702) 243-9555 to schedule your complimentary consultation.