The Keller Funnel

The Keller Funnel is revolutionizing silicone implant placement. By using the funnel during breast augmentation, I am able to:
1) Use smaller incisions
2) Decrease surgery time
3) Minimize stress forces on the implant shell
4) Reduce any potential contamination of the device from the sterilized skin.

Fleur-de-lis Abdominoplasty in the Massive Weight Loss Patient is Safe

The most common complaint among massive weight loss patients is excessive abdominal skin and laxity. A recent study in the Plastic & Reconstructive Surgery journal demonstrated that the Fleur-de-Lis technique of abdominoplasty can be performed safely with surgical complication rates that are comparable to traditional abdominoplasty techniques. (PRS Vol 125 #5 May 2010 p1525-1535). Of note, 22% of patients in this study required hernia repair at the same time.

Obesity Help Conference May 2010

What a great event yesterday in Costa Mesa. Obesity Help is such a fantastic avenue for bariatric patients to meet with all people who can help them the most. I was fortunate to be teamed up with Dr. Calvert and the other great surgeons from Rox Bariatric. I had the wonderful opportunity to consult with many new patients who really stand to benefit from body contouring surgery after massive weight loss. These patients are to be commended for their tireless work losing massive amounts of weight. This is not an easy job. Now is the time for them to take the next step at completing their body transformation. With Mastopexy (Breast Lift), Breast Augmentation with Mastopexy, Abdominoplasties, Extended Abdominoplasties and Lower Body Lifts, surgical transformation is indeed possible.ift, Breast Lift, Breast Rashes, Breast Revision Surgery

What is capsular contracture?

Capsular contracture is a condition in which the capsule surrounding a breast implant displays an exaggerated healing response and begins to tighten, contract and harden. The typical symptoms of capsular contracture include pain, tenderness, a sensation of tightness, a change in the shape of the breast or a new change in the position of the implant. The causes of breast capsule contracture are unkwown. However, there are several conditions that are thought to increase a patient's risk of developing it. These risks include:

1) Smoking
2) Trauma to the breast
3) Radiation injury
4) Breast implant pocket hematoma
5) Breast implant pocket seroma
6) Breast implant infection
7) Initial implant placement in the subglandular position.

Capsular contracture occurs across a spectrum of severity. Baker has classified the types of capsular contracture as follows:

Grade I: The breast is soft and appears natural.
Grade II: The breast feels slightly firm, but appears natural.
Grade III: The breast feels firm, and is starting to look abnormal or distorted.
Grade IV: The breast feels hard, is painful and appears distorted in shape.

There are non-operative ways to manage capsular contracture when it is diagnosed early. These include aggressive implant massage and occasionally the use of Accolate. For severe cases, the breast capsule needs to be removed surgically. It is extremely important for patients to contact their surgeon early, as soon as they develop any symptoms that may be consistent with the development of capsular contracture.

What is the Tuberous Breast Deformity?

Tuberous breasts (also known as tubular breasts or constricted breasts) are a result of a congenital deformity or abnormality which occurs in women . During puberty, breast development fails to occur normally and fully. The exact cause of this is as yet unclear. The condition is thought to affect one to five per cent of patients seeking breast augmentation.

Tuberous breasts are not simply small or underdeveloped breasts. It is an actual deformity that occurs during the process of breast bud maturation that results in herniation of the nipple-areola complex through a fibrous band of breast tissue. The effect of the deformity on the appearance of the breast can range from mild to severe, and typical characteristics include:

* enlarged, puffy areolae
* unusually wide spacing between the breasts
* scant amounts of breast tissue (especially in the lower poles)
* sagging (or ptosis) of a portion or entirety of the breast
* higher than normal breast fold
* narrow breast base

The condition can affect the ability of women to breastfeed as in some cases the breasts, including the milk glands, have not developed enough to produce breast milk. Fortunately, other physical aspects of fertility and pregnancy are not affected by the condition. The appearance of tuberous breasts can potentially be treated surgically, with a variety of techniques including: tissue expansion, breast augmentation, breast lifting and breast parenchymal re-shaping. The procedure to correct the appearance of tuberous breasts can be more complicated than a regular breast augmentation, and commonly requires a combination of techniques. In rare cases, tissue expansion of the breast skin envelope may be required prior to definitive augmentation.

If you have think you have this problem, your next step is to contact Dr. Brenner's office for an in-depth, in-person consultation.

Rox Bariatric Center

The Rox Bariatric Center is dedicated to helping people live a more active and satisfying lifestyle, by improving their health and self-esteem, through long-term weight loss Results! Our multi-disciplinary team works together to provide a comprehensive approach for long term weight and lifestyle management. Inclusive in our program are specialists in the following disciplines:

* Medical Weight Loss
* Surgical Weight Loss
* Plastic Surgical Body Contouring
* Nutrition
* Behavioral Therapy
* Lifestyle Modification

Call 310.248.6252 to schedule your consultation!

or visit www.roxbariatric.com for more information.

Dr. Brenner, Kelley West & Purigenex on Extra T.V...see the actual clip.

http://extratv.warnerbros.com/2010/02/take_years_off_your_face_without_plastic_surgery.php