A Wilmington Thigh Lift surgery is a procedure designed to removed excess skin from the inner thigh or the outer thigh/buttock region. Sometimes a Thigh Lift procedure may be done in conjunction with Liposuction to create the most optimal results. Thigh Lift may also be done in conjunction with other Body Lift procedures such as a Tummy Tuck or Buttock Lift.

Contact our office today to schedule your consultation with Dr. Saunders to learn more about Thigh Lift surgery and if it may be right for you.

Breast Revision Surgery or Breast Redo Surgery are operations done to fix, improve, and enhance the results after cosmetic breast surgery has already been done. Dr. Saunders specializes in cosmetic breast surgery, breast revision surgery, and breast redo surgery. Patients travel from many states to see Dr. Saunders. These include Delaware, Pennsylvania, New York, Maryland, and other states even much farther away. These educational writings on this topic are divided into three parts, described as follows. Part One describes general concepts. Part Two describes breast augmentation revision or breast redo augmentation. Part Three- A describes breast lift revision or mastopexy revision. Part Three-B describes breast augmentation and lift when both have been done.

Breast augmentation or breast enlargement is an operation with incredibly high satisfaction and results for many. Most recommend the operation without reservation because of the very high success rates. However, not everyone gets so lucky. Unfortunately, breast augmentation doesn’t always go as planned. Results can be less than expected and sometimes very disappointing.

It can take time to heal after breast augmentation. Breast augmentation settling or breast enlargement dropping takes time. Occasionally women just need patience to allow healing. See Dr. Saunders writing on breast augmentation settling. If healing has happened, and the breasts are still high, than breast augmentation revision or breast redo augmentation is needed. This means surgery to fix, improve, and enhance the results of the prior surgery.

Different things can go wrong after breast augmentation surgery, and this writing is going to cover three different things that can lead to the need for breast revision surgery. The first is excessive rippling or visibility of the breast implants, the second is “hardening of the implants” or capsular contracture, and finally the third is implants that have dropped too low and need raising.

1: Excessive rippling, feeling, or palpability of the breast implants

Rippling is seeing the breast implant more than is normal. Excessive palpability is feeling the implant more than is normal. Most women do not get these problems after breast augmentation surgery. However, it can occur from being placed on top of the muscle or from having very poor “soft tissue coverage.”

“Soft tissue coverage” is an important concept with breast surgery, breast augmentation revision, and breast redo augmentation. The tissue that hides the breast implants is called the soft tissue. It provides the coverage that covers the implant and makes it harder to see or feel. Poor coverage leads to a greater chance of seeing and feeling the implant. Good coverage hides it better. Placing the implant beneath the muscle is the greatest way to get the best “soft tissue coverage.”

Sometimes the rippling and feeling the implant comes from being on top of the muscle. This is a condition that can require placing the implants behind the muscle. The muscle will dramatically help with the situation. The space left behind on top of the muscle must be addressed. This can require a breast lift, staged operations, or other procedures to completely repair. The added cover of the muscle usually dramatically helps with a more normal feel and appearance to the breast.

Some women are surprised to find that rippling and feeling the implant to a “minor” degree is normal. In these situations nothing needs to be done. However, silicone implants can really help this problem, and this is an option.

Please see the educational writing on saline vs. silicone implants.

2: Hardening of the implants

“Hardening of the implants” is called capsular contracture. It really is not the implant hardening but the scar tissue around the breast implant. This scar tissue is also called the capsular, and hence the medical term is called capsular contracture.

The cause of capsular contracture is not know although subclinical infection is a possibility. Also, the location of implants above the muscle is another factor leading to the problem. Small degrees of hardening does not always require treatment but more hardening does.

Treatment is usually surgery. Complete capsulectomy gives the best results over lesser procedures like partial removal. Dr. Saunders strives to give the most thorough and most complete scar tissue removal possible to allow for the best results and the lowest chance of it’s recurrence. Most of the time the implants can be replaced after the scar removal. This allows for a single operation and recovery.

Recurrence of the scar tissue can occur and in this situation it is recommended that a staged procedure is done. Recurrence of capsular contracture can be a problem and can be concerning to patients with this condition. Stage one is complete removal of scar tissue and the breast implants. The second stage is replacement of the breast implants at a later operation. The staged procedure is believed to address possible subclinical infection that might be the cause of the recurrent scar tissue or capsular contracture. Dr. Saunders believes this is a key to better results with this condition.

3: Breast implants too low

When breast implants drop too low, the breast can get a very unnatural appearance. The nipples can look too high, and there is no fullness in the upper parts of the breast. Women might feel like they need a lift or that the implants have deflated. There are different terms for this problem- such as the implants have “come out of the pocket” or “bottoming out.”

Treatment is almost always surgery. Larger sizes can be an easy solution because it fills up the upper aspects of the breast, as the implant gets bigger. However, the added weight can sometimes lead to the problem worsening. Other surgery is directed at suturing the pocket up higher (capsulorrhaphy) and giving the breast a more natural appearance.

Breast redo augmentation or breast augmentation revision is surgery directed at fixing problems that can occur after cosmetic breast augmentation. Breast augmentation revision surgery can be complicated and require more than one stage or operation. Breast revision surgery cost varies depending on the exact operation required and treatment needed.

Dr. Saunders is a board certified plastic surgeon who practices exclusively cosmetic surgery. He is also specializes in breast revision surgery, breast redo surgery, breast augmentation revision, and breast redo augmentation. Please check out the breast revision surgery before and after photos on our web site. Also, please come in for a complimentary consultation to learn about your choices and options!

Breast Revision Surgery or Breast Redo Surgery are operations done to fix, improve, and enhance the results after cosmetic breast surgery has already been done. Dr. Saunders is a breast revision doctor and breast revisions and redo operations are one of his specialties. Patients will come not just from Delaware but many other states such as Pennsylvania, New York, New Jersey, and Maryland. These educational writings on this topic are divided into three parts. Part One is on general concepts. Part Two is on specifics of breast augmentation revision or breast redo augmentation. Part Three- A is on breast lift revision or mastopexy revision. Part Three-B is on breast augmentation and lift when both have been done.

Breast augmentation, breast lift, or both operations together are frequently performed operations for cosmetic purposes. According to the American Society of Plastic Surgeons, these are some of the most popular cosmetic operations done almost every year. Most women end up with more attractive, full, and perky breasts. Success for most cosmetic breast operations is extremely high. However, sometimes things don’t always go as planned. Breast revision surgery is also called breast redo surgery and this is sometimes necessary for improvement in the breasts.

Breast revision surgery is surgery that is done to improve or to enhance the cosmetic appearance of the breast after thing have not worked out after the first operation. Different things can go wrong from minor isssues easy to fix to more complicated problems that can require more than one operation to fix or repair. For example, breast augmentation surgery might lead to a size or shape that is not desired. The solution in this case might be something easy such as placing larger breast implants. Some women want larger shape and size to the breast after breast enlargement. Breast Implant exchange is a type of breast revision where the goal is larger and fuller breasts.

Sometimes problems after surgery can be much worse. Although extremely unlikely, people can end up with very unusual appearances and shapes. Problems with the muscle and/or pocket can lead to the need for complicated surgery and breast revision surgery.

Dr. Saunders believes that women in this unfortunate situation must understand two important points. First, it is not always possible to correct all issues. It is not always possible to make things “perfect.” Sometimes a women must accept that there are limitations to what can be done. This can be hard for some than others to accept.

Second, minor issues are sometimes best left alone. A breast or implant slightly “off” might not be worth the risks or expense of surgery to fix or improve. When to call it “quits” and accept what one has is another difficult thing for some women.

An expert panel of some of the best breast revision surgery doctors came to the conclusion that minor issues are best left alone. More surgery to make little changes can open a “can of worms” and might not be recommended. This is also called where “risk benefit ratio” does not warrant more surgery.

Breast revision surgery cost can be MORE than the original surgery. This can be a source of frustration to many patients. The operation can be “more” expensive because it is more difficult, long, and skilled. The breast revision doctor might have higher expenses and costs than the first doctor or operation. One can always choose to stay with the first surgeon. Because he was paid the first time and because most surgeons care about the patient, it might be less expensive to stay with that doctor and not switch doctors. However, maybe it is also worth the expense to switch to another doctor, in particular a breast revision doctor. This is true especially if you have lost confidence with your doctor.

Insurance almost never covers expenses for breast revision surgery. This can be frustrating to many people! Plastic surgeons wish it was but it almost never is covered.

Breast revision recovery is very dependent on whether the muscle work has been done or is needed. Please see Dr. Saunders writing on Breast Augmentation, Breast Enlargement: What about the muscle? If the muscle work has been done, than breast revision surgery and breast revision recovery can be surprisingly easy. If muscle work is needed than pain unfortunately can be more. Dr. Saunders uses a “Pain-Buster” that is a fantastic device to help with recovery.

Finally, the most complicated revisions require multiple stages or more than one operation. This is another source of frustration to some. The idea is to take everything out and allow healing. The second stage can allow for a better result and sometimes decreases risks of scar tissue returning. Many times superior results can be achieved.

A classic example of this type of problem that may best be repaired with more than one operation or stage is recurrent capsular contracture. In this case, the “hardening of the implants” may be best treated with a first operation to remove the scar tissue. Dr. Saunders does a complete capsulectomy versus a partial capsulectomy because he believes this gives the best results. The second operation or stage is done after everything has healed. This operation involves replacement of the breast implants. Because the cause of capsular contracture may involve a sub-clinical infection, the staged approach allows the body to heal the possible “infection,” and hence may lead to decreased chance of recurrence.

Dr. Saunders is a board certified plastic surgeon who practices exclusively cosmetic surgery. He specializes in breast revision surgery, breast redo surgery, breast augmentation revision surgery, and breast redo augmentation. Please check out the breast revision surgery before and after photos on our web site. Also, please come in for a complimentary consultation to learn about your choices and options!

There are a couple of types of Brow Lifts, each designed to benefit various patients individual needs. These types of Brow Lift include an Endoscopic Brow Lift, Conventional Coronal Brow Lift, and a Temporal Brow Lift. Often these Brow Lift procedures are performed in conjunction with other facial rejuvenation procedures such as Blepharoplasty (eyelid lift) or a full Face Lift.

The first step in determining the best treatment for you is through a one on one consultation with Dr. Saunders. He will asses your options and help create a plan with you to help you achieve the results you desire. Contact our office today to schedule your consultation.

During the Face Lift procedure excess skin is removed and the remaining skin is re-draped, so to speak, to eliminate the appearance of wrinkles and fine lines. Face Lift surgery is often combined with other facial rejuvenation procedures such as Blepharoplasty (Eyelid Lift), Brow Lift, or Neck Lift.

Contact our office to schedule your consultation with Dr. Saunders to discuss how you can benefit from Face Lift or other facial rejuvenation procedures.

The procedure itself, whatever the reason, generally takes about an hour to complete and the results are instantaneous. Of course there will be some initial swelling and bruising, but it should go down considerably over the coming days and weeks. Your bandages will then be removed anywhere from one to two weeks after the procedure and most patients return to work within a matter of days. Of course, every patient’s recovery is different, so it is important that you listen to your body and consult with your doctor if you have any questions.

Check out our drastic Before and After Rhinioplasty Photo Gallery to see the results for yourself!

Abdominoplasty, also known as a Tummy Tuck, is a procedure which removes excess skin and fat from the abdomen and tightens the abdominal muscles. There are a few different types of Tummy Tucks which range in severity depending on the amount of work that needs to be done. In some cases, Liposuction may be done in conjunction with an Abdominoplasty for optimum results.

To find out if Abdominoplasty is right for you, contact our office today to schedule your personal consultation with Dr. Saunders.

The chest of a women has a large flat fan shaped muscle called the pectorals major muscle beneath the breast. This is the large chest muscle you see in male body builders. This pectoralis muscle is the main muscle for breast enlargement. The serratis anterior muscle and the rectus abdominus muscles play a smaller role for breast surgery, but most of the focus is on the pectoralis muscle.

Breast implants are placed either beneath the pectoralis muscle or on top of it. Placing it beneath the muscle is called sub-muscular placement. Placing the breast implant on top of the muscle is called sub-glandular. This means beneath the breast- BUT on top of the muscle! Breast augmentation technique involves placing the implant in one of these two locations.

Most medical studies show superior results with placing the breast implants beneath the muscle. The muscle provides improved coverage and lower complications. Dr. Saunders emphasizes how the muscle and breast together are an important concept he calls “soft tissue coverage.”
“Soft tissue coverage” is all the muscle, breast, and skin that are covering the breast implant and “hiding” it. The more tissue or coverage that hides the breast implants- the better the result will be.

Imagine a women who naturally was as “flat as a board” and then gets extremely large breast implants. She now is at the beach! She will look fake, round, and not natural. Many people don’t want this result after breast augmentation surgery. She looks like this because she has poor “soft tissue coverage.” She has mainly “skin” covering the breast implants. She will also have a worse “feel” and a worse “look” to the breast with higher complications.

It is placing the implants beneath the muscle that gives us the most “soft tissue coverage” possible. Dr. Saunders tries to get the breast implants behind all the muscle possible that a women has on her chest. These breast augmentation techniques give the best results with the softest breast, most natural result, and lowest complications. Understanding the importance of the muscle is the key to understanding the latest breast augmentation techniques.

More info: Saline vs Silicone Breast Implants

Breast implants placed on top of the muscle sometimes is done. As far as breast enlargement techniques is concerned- this can be a mistake! It is not the first choice for location as described above. Higher complications can occur in this location. These problems might be seeing the breast implants (wrippling) or feeling the breast implants (palpability) more than normal or desired. Options include placing them beneath the muscle or switching to Silicone breast implants. Saline breast implants versus silicone breast implants is discussed in detail in another educational writing. You can link to this now. It is called – Breast Implants Saline or Silicone? For extra discussion- consultation is recommended in this situation.

People interested in breast augmentation cosmetic surgery or breast enlargement cosmetic surgery or other topics such as breast augmentation cost, breast augmentation recovery, or breast augmentation technique should please call the office for an appointment. Dr. Saunders will review your breast surgery with you in detail!

Dr. Saunders is a board certified plastic surgeon who practices exclusively cosmetic surgery. Please check out the breast enlargement before and after photos on our web site. Also, please come in for a complimentary consultation to learn about your choices and options!

Click here to visit our Breast Augmentation photo gallery.

However, women need to understand that it is not an operation where the breast implants are placed and “presto-chango” you wake up with perfect breasts. It takes time for healing to occur- and that is what this writing will focus on. Breast augmentation or breast enlargement involves putting breast implants behind the muscle. They are almost always placed there. The muscle is the pectoralis muscle predominantly, but also the serratis on the side to a lesser degree.

The placement of breast implants behind the muscle is called sub-muscular breast augmentation or breast enlargement. The muscle provides soft-tissue coverage and improved results. However, the space behind the muscle is very tight at first and it takes time for this space to stretch out.

This process or “stretching” is commonly referred to as breast implant dropping, breast implant settling, and or breast implant drop and fluff! These are layman terms for the changes that occur after this cosmetic breast operation. This stretching out of the muscle does take time- a short period of time usually but sometimes several months or even longer. Most people however can look good in just a couple of weeks! This is true especially in clothing or swim suits, but undressed it can be seen longer.

This process of breast augmentation settling is gradual, because it takes time for the muscles to stretch out and relax. It is similar to the slow changes that happen to the abdominal muscles with pregnancy. However, getting stretch marks in the skin with breast implants is exceedingly rare but more common with pregnancy.

During this process of breast enlargement settling, the breasts will gradually change and soften. The shape and appearance changes also. The breasts tend to slowly look more round and natural. It takes time, so be patient! Sometimes the breasts even look bigger as the muscle relaxes and the implants “come out.”

Breast enlargement settling gradually occurs and the implants “drop” during this process. When this happens the nipple comes down. It might seem unusual but breast implant settling or breast implant dropping occurs inside. So as the breast implant drops- the nipple moves up! This is extremely normal! When breast implants settle this is what happens.

Breast augmentation recovery or breast enlargement recovery has two phases. The first phase is the short period around the actual operation. This is the part unfortunately where pain is involved. However, Dr. Saunders uses a “Pain-Buster” to really decrease this and help make it as pain free as possible. The second phase of breast augmentation recovery is this slow stretching of the tissue and muscle that is called breast enlargement dropping or breast augmentation settling.

This second phase does take time as described above but usually there is no real pain with this phase! Breast massage or breast implant displacement are stretching maneuvers that are done to speed up the breast implant dropping. Dr. Saunders has a breast implant massage technique video that shows this in detail. He also has another educational writing that talks about and explains breast implant massage in detail.

People interested in breast augmentation or breast enlargement or other topics such as breast augmentation cost, breast augmentation recovery, or breast augmentation technique should please call the office for an appointment.

Dr. Saunders is a board certified plastic surgeon who practices exclusively cosmetic surgery. Please check out the breast augmentation before and after photos on our web site. Also, please come in for a complimentary consultation to learn about your choices and options!

Click here to visit our Breast Augmentation photo gallery

Arguably one of the most popular procedures in plastic surgery, Breast Augmentation helps women of all sizes, shapes and ages increase and enhance their busts and even create symmetry when breasts are of two varying sizes. Dr. Saunders understands that each patient that comes to him comes in with varying challenges, needs and desired results. He works to accommodate each of their individual needs and to understand the results they want. He will help evaluate what is possible from what is not and construct the most ideal treatment plan to give you the outcome you are looking for.

View our before and after Breast Augmentation gallery to get a better idea of the kind of results actual patients of Dr. Saunders have enjoyed.

Have questions? Contact our office to schedule your consultation with Dr. Saunders to find out if you would be a good candidate for Breast Augmentation.