Recent Posts

Pages: 1 ... 8 9 [10]
91
Quote
Dear Dr. Bermant,

I should have realized it was too good to be true...

I had found an artist, who would be able to offer that breast lift, without implants....

Ah then I noted retired.   

Well, I probably should have done this years back, but after two consults saying that my small C's needed implants if skin were removed (to avoid being A cup  afterwards... waved me away.

My question is to you:  Do you know of any surgeons that are of similar skill in breast lifts, in the Philadelphia, or surrounding areas. 

I am petite, 5 ft 2, 120 pounds and the sagging has  created an ugly rash which turns brown and is frozen off to keep it in check.  I am only 55, and have tried every harness of a bra to avoid irritation.  I would like to have a comfortable later chapter in life, without  compromising the sensual appearance of the breasts.

Thank you so much for your website, I am still viewing your work which is so skilled and artistic.  I am truly
amazed.. best work I have seen to date and I have  been scanning the web for the past 5 years. Too bad I missed your website way back when, or I would have traveled to Virginia.

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Thank you for your kind words. I take great pride in my problem analysis, surgical sculpture, and public education. I used breast implants early in my career, but became concerned about how tissues moved. For me I was looking at real living patients, not just pages off of journal articles.

That is how I came to develop my Standard Breast Lift Pictures and eventually what you see in my Breast Lift Mastopexy - Movie Gallery. I also documented how breasts looked when bending over, but only put on the web the male version same view: Standard Male Mastopexy Chest Lift Pictures and Male Chest Lift Videos. It was how a female breast looks bending over good or bad that was my concern for public showing vs still documenting to understand how tissues moved.

A Breast Lift Without Implant is compromise surgery. Sculpture is dependent on remaining tissues. Not enough, and breasts can look too small. Add the implant, and how will it look with animation, living life? That is the problem, something not typically shown that I have seen. For some adding that implant is an acceptable option. But I would rather that be one of an informed public seeing the powers and limitations of that particular technique. That goes beyond risks of living with an implant and foreign material. Sculpture scars, lumps of tissue of natural healing or scarred fat grafts are all issues I would like to see shown using at least my Standard Photos and even better videos. I would like to see my critical analysis documentation even made more powerful and further evolve.

Sorry, retired I no longer can offer specific medical advice such as a specific doctor's name. But I can share my knowledge and experience here in the forum. This forum is set up as  tool for the public to use. You are welcome to post your own pictures and see if others have similar methods. You are welcome to use and suggest improvements to our resources such as How to Pick Your Plastic Surgeon and make it specific for the Breast Lift question involving how tissues move with or without implant or factors of having an implant at all.

I have yet to make a specific section for Female Breast Lift as I have done with Finding A Gynecomastia Surgeon, another project in the works. But one consideration was travel. Travel For Breast Lift Surgery. I saw patients from around the world who preferred my techniques. That is a benefit for the surgeon who has the skills sufficient to put the quality of their work online. I built my own site. For those not able, this forum can be an option. Expanding the options for surgeons from a distance however opens up the need to see the path patients take. Bruising and Recovery After Breast Lift become more critical when choosing a surgeon further away. But try to find doctors willing to show that aspect?

Your question has been a matter for similar discussion here on this forum:
Breast Lift Forum - Never Happy Results 33 Years Ago Wants Revision True Artist.

Our integrated forum is also here to let those with methods show what they have to offer. A meeting ground for those with problems with those with solutions.

The public is able to further the power of this web site and resources by contributing comments or examples of concerns they are looking for in surgeons. The forum and site is here awaiting those looking for empowerment. When a public expresses what they are looking for, puts that out on the Internet with our social media tools, then at least that is being active and trying to fix something.

Defining Support Bras Just How Well Do they Support the Breast?
The same methodology can be applied to what are effective support bras. At The Surgery Store we have a Support Bras and Breast Wear. I would like to see companies permit me to direct research as to what bras can offer via similar standard documentation. Just how supportive is a garment. I was able to do that my self for male chest contouring Male Chest Body Shaping Without Surgery. I can help show the photographs and videos and comfort records needed to establish just how effective a garment is. This would need to be an Internet based effort unless the companies became interested in the truth vs marketing hype. That  is something a true leader with a special product can offer. Perhaps this is a problem that has yet to be solved well at all. I have yet to see some even try effectively.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Breast Lift Mastopexy in Women
92
Quote
- has invited you to like his new Page - Implants.
   
- Implants
- Breast Implants - the next generation of breast implants.

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

You have invited me to "like" you FaceBook page on Breast Implants. Do you have any before and after examples showing how such a breast moved with natural life, ie lifting arms up overhead or using the pectoral muscles? Here are standard videos I used to document such issues for Breast Lift Mastopexy and operation I used to include implants as an option. Breast Lift Mastopexy - Standard Before After Videos. If just using photos (not as critical in demonstrating how tissues move then my Standard Breast Lift Pictures: at least have elements showing issues of arms up overhead and flexing pectoral muscles to show issues of above vs below muscle placement and how the body looks. I also documented the bending over view for both my male and female patients. You can see the concept on the Standard Male Mastopexy Chest Lift Pictures and Male Chest Lift Videos.

Quote
Dubbed “the gummy bear” or “cohesive implant,” it offers patients the possibilities of greater durability and a more natural appearance.

By natural, what does that mean? Rippling and wrinkling are issues. But so is a firmer mass as part of that breast. How does that firmer mass look on motion too? Sometimes it is a trade off of wrinkling vs mass movement. Hiding behind words alone misses the more comprehensive documentation offered by these ballet of motions that attempt to show what it is like to have this in the body. It is all about How to Evaluate Before After Pictures and giving the public a chance to see for themselves the power or limitations of our sculpture. As I refined my sculpture looking to improve my patients' bodies, I realized that how tissues moved were a critical element. Scar tissue, gland of gynecomastia, chest wall prosthetic, or implant: what are the issues of living with that mass?

That is the detail I would like to see to confirming statements that something does not wrinkle, supports a shape, or looks natural. I am of course speaking about wrinkling in the body. Showing implants out of the body is just not the same to me. Wrinkling is a dynamic activity and should have dynamic documentation in my opinion. To say something does not wrinkle without a demonstration, may be correct, I would just like to see for myself. The standard video photo concept evolved due to my concerns about such issues. I am sure that what I evolved so many years ago has room for improvement with better documentation.

That is why I added this forum to let others comment about such issues and help us move what I started even further.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Breast Lift Mastopexy in Women
93
Female Breast Reduction / Re: Breast Reduction Recovery Process
« Last post by DrBermant on February 23, 2013, 06:04:48 AM »
I had breast reduction surgery last month, December 14th. No painfull at all. However, now my left breast is very swollen, hard, painful and brused. Eventhoug the surgeon says that is normal,  i would like to know, if there is anybody out there who had   experienced similar symptoms. Please Advice.


My mom had this surgery last year with - in Toronto. she also worried a lot during the recovery period and she had pain and swelling around her breasts. But, it healed over time. I would say just to follow the instructions of your Plastic Surgeon and consult him whenever necessary.

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Welcome to our forum. Did your mother's surgeon show progressive early after surgery pictures to typify what to expect? How much pain? How much pain medication? How bruised was she?

I found it was so much better to show my patients typical path between the before and after pictures: their Breast Reduction Recovery After Surgery. That way my patients knew what to expect. Although each patient was given a prescription for strong pain medication, almost all told be that just plain Tylenol was enough for their comfort. Each was instructed to let me know if there was anything different to my typical patient so I could intervene early to minimize  their Breast Reduction Risks of Complications. Excess bruising, injury to tissue, or blood that has to be absorbed by the body all can influence scars and healing. In evolving my surgery I was watching how tissues moved. Such more critical documentation with my Standard Pictures for Breast Reduction and Standard Female Breast Reduction Movies and looking how tissues moved helped me realize how I could improve my sculpture by managing this path between surgery and healing with less bruising. Even more sensitive was feeling the tissues, but that I could not incorporate into a system of reliable documentation.

So, no it is not necessarily "normal" to have such discomfort nor swelling. It depends on the problem treated, skill of the surgeon, surgical technique, after surgery care, After Surgery Bra Support, careful patient education, and so much more!

Verbal hand waving with words is one thing. Demonstration with typical documentation and videos is so much more comprehensive an educational approach for a patient looking for less stress during surgery and recovery.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Breast Reduction in Women
94
Female Breast Reduction / Re: Breast Reduction Recovery Process
« Last post by juanboldrin123 on February 23, 2013, 04:32:04 AM »
My mom had this surgery last year with Dr. Marcus Niessen in Toronto. she also worried a lot during the recovery period and she had pain and swelling around her breasts. But, it healed over time. I would say just to follow the instructions of your Plastic Surgeon and consult him whenever necessary.
95
Quote
Hi Dr. Bermant,
I came across your website while researching revision otoplasty.   I see that you are retired.   I'm wondering if there is another expert plastic surgeon that you would recommend for this procedure.   Your name comes up in just about every google search on the topic.   My 11 year old daughter is in need of revision otoplasty on one ear, her original surgery was not good.
Thank you,

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Sorry, specific doctor name recommendations is a form of medical advice that retired, I no longer offer. However, I have built a resource where I can share my knowledge and experience here on the forums. Our forums are a meeting place where individuals like yourselves can post problems and images to show others their concerns.

Deformity after ear surgery can take many forms. Posting a set of Standard Otoplasty Pictures as well as the before surgery images can help define the original problem and the current deformity. Details of what was done surgically can also help define what happened. Posting pictures can be part of the learning process of what to look for in How to Evaluate Ear Surgeon Before After Otoplasty Pictures

Yes, it can be difficult finding surgeons who have a passion for Revision Otoplasty. Fixing bad ear surgery is a demanding art. Not all surgeons have the same skills. I have posted tools on How to Pick your Otoplasty Surgeon. A major issue on selecting a doctor is to see their skills at fixing specific problems. That is where the photos come in. How has your searching done in coming up with documentation of Otoplasty Complications? Each time I have searched, not a topic well covered. When I find a rare page typically there is little there that comes close to the critical before after photographs I used to define my patients' problems and solutions.

Empowering the Public
This forum is also a place where those surgeons who have a passion to post examples of their skills at addressing such deformities. Not all surgeons know how to make their own websites. Building websites can be expensive, especially for rare problems.  This forum is a public meeting ground, for those with problems and those who have solutions to share. Perhaps you can find a referral service or hope an Internet search shows you some doctor. Or, take the matter in your own hands and contribute to this expanding resource and tool for those trying to define and solve problems.

Beyond the learning experience about this ear and finding your own revision surgeon, posting here may show others what happened and try to prevent a similar issue in the future. What went wrong? Does the ear look like the doctor's before after photos? If no why not? Education can be part of the process of preventing an even worse deformity when seeking further surgery.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Otoplasty Ear Surgery
96
Otoplasty Ear Surgery / Re: Revison Otplasty.
« Last post by DrBermant on February 20, 2013, 06:55:01 PM »
Investigating about your surgeon would be the wise thing to do and also the years he is practicing his specialty. Also determine the years his clinic is operating and also gather some testimonials. So the operation with the new surgeon would not be as disappointing as the first one. Good luck!

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Welcome to our discussion group. Thank you for contribution to the discussion.

You can find an extensive collection of tools here How To Pick an Otoplasty Surgeon. That page is a refinement of a more global How to Pick a Plastic Surgeon which covers some basic issues. These resources have been evolving for years. We encourage contributions suggestions to improve / modify them.

Not All Surgeons Have the Same Skills.
This is an individual sculptor's skills. How long the clinic has been in existence can mean little when the surgery is turned over to someone with much less training. There is some safety if that individual is monitored during surgery such as in a Residency Program. But this is an individual's art form. Cartilage of ear just is not forgiving for even the slightest misstep. That is why looking at that person's own before and after results. Here are the tools to How to Evaluate a Surgeons Before After Otoplasty Pictures. In the case of a specific Otoplasty Complication, or Revision Otoplasty, checking that surgeon's skills specifically for those problems and their methods is much better than testimonials without seeing what the doctor has done. I have seen some horrific results of surgery from other surgeons that patients were ranting and raving how great the surgery turned out. That is why seeing is believing vs verbal hand waving with words alone. But then Personal Otoplasty Experiences with that doctor also become factors. That is one each issue alone is nice. But a really careful investigation takes much more as I  tried to outline in the basic resource listed first. This type of detail can take some time and effort, both for the investigating patient with a problem, but also for the surgeon with a passion to show their skills.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Otoplasty Ear Surgery
97
Otoplasty Ear Surgery / Re: Revison Otplasty.
« Last post by deniseperez on February 20, 2013, 06:32:39 PM »
Investigating about your surgeon would be the wise thing to do and also the years he is practicing his specialty. Also determine the years his clinic is operating and also gather some testimonials. So the operation with the new surgeon would not be as disappointing as the first one. Good luck!
98
Beauty Art Creativity Forum / Beauty Art Creativity Forum - Link Exchange Request
« Last post by DrBermant on February 19, 2013, 10:46:25 PM »
This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

I accepted your invitation to connect on LinkedIn.

Naturalism Furniture I like your sculpture enough willing to exchange links. I have taken the first step and discussed the concept and linked to your site here on the forum. My sculpture is that of the human body, also organic in design, but of still living tissue.

The page your site would be linked on is for such artistic design: Illustration Art Artists and Companies . That placement might change when I add something closer to organic art beyond medical. It is a new resource page, but better more specific vs one of my older pages less related like: Other Sites of Interest.

I like your individual pieces galleries, but your site lacking in the gallery of gallery navigation, hit and miss just by numbers.

I use many types of galleries on my sites for comparison of pieces. If you want to discuss such issues here is a forum I have that permits such Artistic Creativity Talk Forum

the page on your site I would like to see my main site listed would be: Naturalism Furniture Links

Plastic Surgery Body Sculpture Encyclopedia
Michael Bermant, MD
Retired Plastic Surgeon

here are some of my galleries
Gynecomastia Gallery each image links to the specific patient gallery page, but unlike your main linking page, the viewer gets a chance to pick where they are going. That page is the old style with non dynamic pages below the page are some of the other galleries.

here is one of the newer ones
Bruising Swelling Recovery After Tummy Tuck Picture Gallery

here is a unifying gallery collection for tummy tuck videos and static photos and videos where the viewer knows what they are going to see vs just a number:
Before After Photo and Movie Gallery. There is a concept I have yet to see applied to furniture. videos showing how the piece functions in real life, how it moves, drawers open, how something works, walking around the piece, how a body talking or performing is set off by the piece, and so forth.

or for those willing to go into the operating room to see what the sculpture is like in gallery mode (caution graphic photos):
Anatomy of Tummy Tuck, in your case, how the piece was made, photos during evolution and building the piece.

If interested let me know or discuss it here.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Plastic Surgery
99
Dr Bermant, is there any other doctors in the DMV area that can do the macrotia - big ear reduction. As I see you are no longer practicing, I live in Northern VA and was just trying to figure out what options I have out here. It seems a lot of people just practice the pinning back, but my issue is more related to the over all size. Thanks
RJ

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Macrotia Big Ear Reduction Surgery is a specialized form of otoplasty. I saw patients from around the world who preferred my expertise and set up methods to minimize travel with my Preliminary Remote Discussion. This concept driven to minimize their cost involved web based education about the problem and my particular passions and skills. Beyond having the special skills for the surgical sculpture itself, it involved a great deal of time and effort on my part to put that online so that people could find me.

Big ear problems many times are not alone but a component of other issues that make the ear look big. I would then need to combine elements to sculpt my patients with my Otoplasty Surgery Dynamic Technique. Combined deformity cases raise the level of difficult of the case a great deal.

We have resources here on How to Evaluate Otoplasty Before After Pictures and How to Pick Your Otoplasty Surgeon, but with macrotia reduction surgery, the problems and solutions to look for are the various forms this deformity takes and how that surgeon managed the surgery.

Retired, I am no longer an option to go to for the surgery. However, this forum now is an extension of that passion to help solve problems. The forum is here for the public to take charge themselves. Put up the problems to attract the doctors who have the skills to show their methods and results here or by links to their cases.

The Standard Otoplasty Pictures is the way to show the specific issues for most big ear reduction cases. Ear Measurements help define the dimensions of the deformity.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Otoplasty Ear Surgery
Pages: 1 ... 8 9 [10]