Tuesday, December 11, 2012

What is the Difference Between Smooth and Textured Breast Implants?

Textured breast implants are made from the same material as smooth implants, with the exception that they have a rough surface. Scientific studies in plastic surgery medical literature have demonstrated that textured implants are less likely to get hard. This is caused by formation of a thick scar capsule. The disadvantage of textured implants is that they might be more palpable and may cause more rippling (wrinkles). This means that you might be able to see and feel the boundaries and irregularities of a textured implant more than that of a smooth implant. Because submuscular placement of implants reduces the risk of capsular contracture of smooth implants to nearly that of the textured implants, I often use smooth implants in the submuscular pocket in order to minimize the risks of capsular contraction as well as rippling. In patients who have had a history of capsular contracture, I would instead use textured implants in the submuscular pocket.

Anatomic implants are usually narrower and longer. Their projection peaks not at the center of the implant, but towards the bottom of the implant. Esthetically speaking, a woman who has had children, breastfed, or has lost breast fullness in the superior aspect of her breasts would benefit from a round implant that compensates for this loss of fullness superiorly. On the other hand, a very thin woman who does not have sagging breasts will have less superior breast fullness with a teardrop implant. In addition, anatomic implants are more challenging to place, and run the risk of turning onto their sides (which will make one of your breasts look like a horizontal loaf of bread). MRI radiographic comparisons of round and teardrop implants in women that are standing do not demonstrate any significant difference between their shape and appearances.

Who would benefit most from high profile breast implants?

Standard breast implants are round and have low to moderate profile. Women who want very large and protruding breasts, but have small and narrow chests, would benefit from high profile implants because they have a relatively small diameter but a much higher profile than standard implants. In certain types of cases, when breast augmentation is combined with a breast lift or reconstruction, high profile implants might also be of advantage.

How small or how big of a breast implant can I get?

You can have a saline-filled breast implant as little as 120 cc or as big as 850 cc. If you are a small size, the 120 cc implant would make you a size A, and the 850 cc implant would make you DD. The size of the breast implant is not the only determining factor in your bra size; obviously it also depends on the size of your existing breast tissue. As the size of breast implants increase, their width increases relatively faster than their projection. Therefore, the larger the implant size you choose, the wider the breast implants will be. While larger or wider implants create a strong cleaveage, there is a limit on how large of an implant can fit on your chest. Your plastic surgeon will make a chest wall measurement and most likely recommend a range of breast implant sizes that you can choose from. In my practice, I have the patients try on different size breast implants in order to see how it looks on their figure.

Tuesday, November 20, 2012

Tips for an efficient Brazilian Butt Lift Recovery

Like the traditional Los Angeles butt augmentation procedure, the Brazilian Butt Lift procedure is capable of giving patients buttocks that are more proportional and contoured than they are able to achieve through diet and exercise alone. However, unlike the traditional butt augmentation procedure, the Brazilian Butt Lift does not require the use of buttock implants in order to bring about more aesthetically-pleasing buttocks- the Brazilian Butt Lift utilizes the patient’s very own body fat to sculpt the patient’s buttocks.

It is because of this- the lack of implants- that recovery from the Brazilian Butt Lift is known to be much quicker and painless than recovery from the traditional butt augmentation procedure; foreign objects are not being placed inside the body, eliminating the risk of infection or rejection by the body.

Although recovery from the Brazilian Butt Lift is relatively easy compared to recovery from the traditional butt augmentation procedure, there are several steps patients can take to make their recoveries go by even smoother:

• Keep hydrated. After any surgical procedure, it is crucial that patients take care to stay hydrated but it is advised that fruit juices and plain water be avoided as they can exacerbate any post-op nausea. Instead, it is recommended that patients drink other beverages such as Gatorade or ginger ale.

• Massage your buttocks. Patients should gently massage their buttocks at least three times a day for the first six weeks after their Brazilian Butt Lift procedures. Massaging the area will help to prevent any dimpling of the skin from occurring by keeping the injected fat evenly distributed around surgical sites.

• Sleep on your back. Patients should take care to sleep on their backs for at least the first two weeks after their procedures. If during this time patients need sit on their buttocks, they should use soft, comfortable cushions when doing so.

• Take regular showers. It is very important that patients take the time to carefully clean their surgical sites, especially after any bowel movements. Patients should take thorough showers at least once per day for the first two weeks after their Brazilian Butt Lift procedures.

• Move around. While getting enough rest is absolutely critical during recovery from any type of surgical procedure, it is also equally important that patients take care to move/walk around a bit every so often in order to keep their blood flowing. This will help prevent the development of any post-op blood clots.

• Do not force your recovery. Some patients will take longer to recover than others- this is expected as each patient is unique and their bodies will respond to recovery in unique ways. Remember to follow any and all post-op recovery instructions as given by your cosmetic surgeon in Los Angeles so that your recovery will go as smoothly as possible.

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Thursday, November 15, 2012

Male Breast Reduction - Gynecomastia Treatment in Beverly Hills and Los Angeles

Treatment of Gynecomastia in Beverly Hills has become one of the fastest growing Plastic Surgery procedures in the entire Southern California. In Los Angeles Male Breast Reduction has become a necessity for thousands of men who suffer from Gynecomastia or male breast growth.

Gynecomastia is the development of “woman-like breasts” in men. Abnormal glandular breast overgrowth, or breast hypertrophy, afflicts as many as two thirds of adolescent males and one out of every six grown person in Beverly Hills and Los Angeles. The disorder’s prevalence is reflected by the American Society of Plastic Surgery’s ranking of the Surgical Treatment of Gynecomastia as one of the top five cosmetic surgery procedures performed on men.

No longer do Los Angeles men with Gynecomastia have to hide their chests or be ridiculed for having “man-boobs”. In fact, Beverly Hills Male Breast Reduction is being increasingly performed for all groups of men who suffer from Gynecomastia in Los Angeles. They no longer need be embarrassed when wearing form-fitting shirts, t-shirts, or even avoid take off their shirts at the pool or the beach!

Breast tissue naturally grows in all adolescent boys during normal development as a result of hormonal changes. It is estimated that as many as 65% of teenage boys experience enlarged breast tissue or Gynecomastia. For the fortunate majority of these boys, Pubertal Gynecomastia resolves in a matter of months, or with the end of adolescence. For a significant portion, however – an estimated 10-15%, the symptoms remain through men life.

Unlike Pubertal Gynecomastia, male-onset Gynecomastia can be caused by a range of things. The potential causes of Gynecomastia in men include some common medications, Anabolic steroids, herbal or growth supplements, natural or synthetic estrogen hormone derivatives, marijuana, alcohol abuse, chronic liver failure, and renal failure. There are also some tumors that secrete female hormones which stimulate breast gland growth in males. Therefore, it is important that newly recognized men-onset Gynecomastia be investigated by an endocrinologist in order to rule out possible serious underlying causes.

Another cause of Gynecomastia which has recently become more prevalent is Obesity. Fat cells, especially those in large numbers, convert the male hormone testosterone into female hormone estrogen, which stimulates breast growth. With Aging some men experience a deficiency in Testosterone levels which leads to the development of Gynecomastia.

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Tuesday, November 13, 2012

Is The Nose Packed After a Rhinoplasty?

A typical cosmetic Rhinoplasty does not require nasal packing and patients are able to breath through their nose immediately. Despite this, there is going to be some drainage of blood and mucus from the nose that can obstruct the nose if not cleaned routinely.

With a Functional Rhinoplasty that involves a Septoplasty and Turbinectomy, the nose is packed with a soft moist sponge which is similar to a tampon. This packing is basically the bandage for the surgery that is performed for the internal nasal structure. It prevents formation of scars and adhesions between different nasal structures, and lessens the chance of bleeding. I usually instruct my patients to remove this packing in one and a half days after surgery and to start cleaning and irrigating their nasal passageway then.

Dr. Younai is a Board Certified Plastic Surgeon & Reconstructive Surgeon with experience in all aspects of Facial Cosmetic Surgery including that of the Nose, Sinuses, Eyes, Ears, Chin, Cheek, etc. He is skilled and experienced in all techniques of Rhinoplasty and Sinus Surgery, and strives to create the nose that is natural looking and harmonious with the rest of your face. During your consultation he will discuss all details including: if you are a good candidate, surgical options and techniques, potential risks and complications of surgery, pre- and post-operative instructions, recovery course, as well as what to expect after surgery. At that time Dr. Younai will also show you before-and-after pictures of other patients with Rhinoplasty and Facial Cosmetic Surgery, who might be similar to you.

Dr. Younai performs Cosmetic and Restorative Nasal Surgery at the California Center for Plastic Surgery. He receives patients from the Northern as well as the Southern California region. Some of these cities include Beverly Hills, Los Angeles, Santa Monica, Hollywood, Burbank, Sherman Oaks, Encino, Calabasas, Woodland Hills, Thousand Oaks, Westlake Village, Pasadena, Glendale, Valencia, Palmdale, Fresno, and Oxnard.

Sunday, October 28, 2012

Los Angeles Liposuction Beverly Hills Liposculpture Specialist



Los Angeles liposuction specialist Dr. Sean Younai performs liposuction, liposculpture, and lipectomy at the California Center for Plastic Surgery in southern California. Dr. Younai is a Board Certified Los Angeles Plastic Surgeon dedicated to providing his patients with superb cosmetic surgery results.

Liposuction is designed to remove fat from areas of the body, leaving areas looking smoother and better-proportioned. It can remove fat and sculpt the body in ways not possible by other means. This cosmetic surgery procedure can treat chunky thighs, love handles, double chin, saddle bags, and others. In Los Angeles, liposuction has become a popular cosmetic surgery procedure because it is very effective and leaves small scars.

Since not only fat, but more importantly, fat cells are removed from the adipose tissue, fat can not be regained in the area that has been liposuctioned. Therefore, if you gain much weight it tends to go to other areas of the body, such as breasts, neck, arms, and thighs. This is only a problem if the patient does not maintain a healthy lifestyle and gains a significant amount of weight. Patients should not view liposuction as a substitute for dieting and exercise, nor as a weight loss procedure. Liposuction is a body contouring procedure designed to reshape abdomen, thighs, chin, arms and other parts of the body. Ideal candidates for liposuction are those that have a stable weight and want to improve upon their body contour. Ideal candidates should also have good, elastic skin that will shrink well after liposuction.

At the California Center for Plastic Surgery, Dr. Younai uses the tumescent technique to remove fat from the body. During this procedure, the doctor infiltrates the fatty areas with a solution that helps reduce blood loss and eases the removal of fat. Then, through very tiny holes in the skin, fat is suctioned out. There are other fat removal techniques, such as ultrasonic or laser liposuction, however, Dr. Younai feels this procedure exposes patients to unnecessary risks. After undergoing liposuction, patients experience some temporary pain, bruising and discoloration in the treated areas. Most patients usually return to their normal activities within a few days.

To learn more about our Los Angeles liposuction services and the various fat removal techniques available at our facility, contact our office today and schedule a consultation appointment. It is important to have a good understanding of the procedure before making a decision. Also feel free to view before and after liposuction photos of our previous patients.

Sunday, October 14, 2012

Preparing For A Breast Augmentation


A woman's breasts may change over time, losing their youthful shape and firmness because of pregnancy, breastfeeding, weight fluctuations, aging, gravity and heredity. A breast augmentation surgery uses implants to fulfill a woman’s desire for fuller breasts or to restore breast volume lost after weight reduction or pregnancy. Besides, the procedure may increase fullness and projection of breasts, improve the balance of figure and enhance self-image and self-confidence. However, breast augmentation Los Angeles may not correct severely drooping breasts. The procedure is sometimes performed along with another procedure such as breast lift. The surgeon may better assist an individual in making such decision.


Breast augmentation may be a good option for a woman who

• is physically healthy

• has realistic expectations

• has fully developed breasts

• is bothered by the feeling that your breasts are too small

• has one or both breasts that failed to develop normally

A breast augmentation is primarily carried out using saline or silicone breast implants. Saline breast implants can be filled with varying amounts of saline that may affect the shape, firmness and feel of the breast. In case of a rupture, a saline breast implant will collapse and the saline will be absorbed and naturally expelled by the body. Silicone breast implants are filled with an elastic gel that feels and moves much like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant Los Angeles pocket.

Before undergoing the procedure, the surgeon may ask for

• lab test or a medical evaluation

• adjust in current medications

• a baseline mammogram, one before surgery and another after surgery to help detect any future changes in breast tissue

• stop smoking

• avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

During recovery in a breast augmentation, the patient may experience a post-surgical recovery period of 24 - 48 hours and soreness and swelling for a few weeks. Exercise and normal activity should be resumed at the direction of the surgeon only. Over time, the swelling will decrease and incision lines will fade. For a lift procedure, dressings or bandages are applied to the incisions. The patient may need to wear an elastic bandage or support bra to minimize swelling and support the breasts while they heal. A small, thin tube is temporarily placed under the skin to drain any excess blood or fluid.

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Sunday, October 7, 2012

Why Breast Augmentation Is Still Popular?

Breast augmentation is one of the widely performed cosmetic procedures that is popular especially with women. Women may like to undergo the procedure for several reasons that may vary from small breasts to drooping breasts. All these reasons may be a result of age, gravity and pregnant. The FDA recommends women to wait until the breasts have completely developed. This may be in late teens or early 20s. The procedure employs use of implants that may require a woman to be at least 18 if she opts for saline and at least 22 if she opts for silicone. The type of implant to be used should be left to the surgeon to decide on.

Both the implants used in breast augmentation Los Angeles differ in the filling liquid they use. Saline implants are filled with sterile salt water (saline), while silicone implants are filled with silicone (plastic gel). However, silicone implants may be preferred for the more realistic look and feel that they achieve. Breast augmentation may require incisions to be made so as to insert the implants. The incisions are usually made under breasts, under arms, or around nipples. This depends on the type of implant, the woman’s body type and other factors. Often, the surgeon would make incision and try to hide the scars thus formed.

A breast augmentation may take approximately 1-2 hours and is performed under general anesthesia so that the patient doesn’t feel anything. The breast implant Los Angeles is placed either above or below the chest muscle and the incisions are sutured. Breast augmentation can be done as an outpatient procedure, or in a hospital where the patient stays overnight. The surgery may cost anywhere from $5000 – $10000. The patient would further like to ask about the cost of surgery, total price including fees for anesthesia, hospital stay, medication, the implants themselves, etc. Further surgeries may be performed in case of complications, shifting or implant ruptures.

Breast augmentation involves X-rays to supplement regular mammograms. This may increase the cost further. The FDA recommends that women with silicone implants receive an MRI every 2 years after surgery to check for ruptures at an average cost of $2000. Cosmetic surgeries may not be covered by insurance companies if done for cosmetic enhancement. However, breast implants after mastectomy for breast cancer patients may be covered by the insurers. Some doctors may assist in financing patients who are not able to pay for the procedure.

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