Why Should I Remove or Exchange My Implants?

Although it might seem like a breast augmentation procedure is permanent, many women opt to go under the knife again later on. There are plenty of reasons for this decision, but every woman is unique in her thinking. However, there are a few common reasons that can lead to another consultation process to remove or exchange breast implants.

You prefer a different implant

Despite the best augmentation techniques, your results can still change over the course of your life. The implants can shift, change, and sit differently on the body over the years, and you might prefer a different size, shape, or profile. Implant technology constantly changes, too, so you might even want to try out a new type. Each of these reasons are perfectly valid, and Dr. Golosow can help you select an implant that will achieve the new results you’d like.

You’ve experienced complication

Unfortunately, surgery with any kind of implant carries a risk of complication, the most common of which is capsular contracture. This occurs when the body forms a capsule of scar tissue around the implant, leading to hardness and possible shifting of the implant. Implants can also rupture inside the breast, leading to a risk to your health if it’s not addressed. These procedures are sometimes called breast implant revision, where complications with the implant are corrected, sometimes with a new implant.

You don’t want them anymore

For some women, life changes and they find themselves preferring their natural breasts. This is also a perfectly valid option, although you shouldn’t let your decision be affected by pressure from those around you. Some women simply prefer to return to their natural shape and size, although a breast implant removal procedure can sometimes be accompanied by a breast lift to shape the breast more naturally in the absence of the implant. After the implant is removed, the breast pocket naturally forms back together with the help of a compression garment.

Whatever your reasons for choosing to remove or exchange your breast implants, Dr. Golosow can help you create the best treatment plan to achieve your results. Dr. Golosow is a top board certified plastic surgeon who specializes in women’s breast procedures in the Fort Myers area.

How to Get the Most Out of Your Liposuction Results

If you’ve undergone liposuction, then you’re probably in love with your results. It can be a huge boost in confidence when you finally get rid of those stubborn pockets of fat. However, there are some steps you’ll need to take in order to maintain your new figure for as long as possible. The most important step is to continue your regular exercise schedule to keep fat at bay, but here are some additional tips to keep in mind as you enjoy your great results.

Adjust your diet

Relying on your exercise regimen to keep fat away will only be partially effective, so it’s important to keep your diet varied and healthy. Make sure that your chosen meals are low in fat and have lots of fruits, vegetables, and meat without any visible fat. It’s also important to keep track of your portions and intake versus your exercise routine. If you’re looking to also build muscle, you’ll want to visit your nutritionist or personal trainer to come up with a diet and exercise plan that’s unique to your goals.

Live an active lifestyle

Although an exercise schedule is important to your results, it should also go beyond the gym. If you work a job that requires you to sit for long periods of time, you should get up and move around regularly, or even use a standing desk. Things like taking the stairs and limiting your sitting time can add up over the course of your lifetime and can augment the results you get at the gym by keeping your body healthy and active. Conversely, be sure to take time to rest if your job requires you to be active for long periods of time.

Manage stress

More and more studies are beginning to show that stress can be one of the main causes of poor health and weight gain because of its tendency to induce cravings. In order to beat back the junk food cravings, one effective step is to manage the stress in your lifestyle. Things like practicing mindfulness and positive thinking can turn stressful situations into manageable ones. If you feel like it’s too big of a task to tackle, a mental health professional can help you create a plan to reduce stress and take steps towards a calmer, more positive outlook. This can be highly effective in keeping your diet healthy and beneficial.

There are many factors to consider in changing your lifestyle to get the best out of your liposuction, but an overall healthy lifestyle can be highly effective in keeping fat from coming back. Contact our office to schedule a consultation with Dr. Golosow, who can recommend post-treatment steps for your unique lifestyle and goals.

Is a Tummy Tuck Right for You?

You might have heard about tummy tucks or know someone who underwent one, but it can sometimes be hard to determine what a tummy tuck is or what it does. Tummy tucks, also called abdominoplasty, do a few specific things and may be the best solution to certain problems you might be having in your lower body. So, if you’re considering a tummy tuck, here is some information that may help you to decide.

You Have Stubborn Abdominal Fat

Although non-surgical fat reduction procedures exist, they can be ineffective in a few ways when working with stomach fat that can’t be tamed with diet and exercise. A tummy tuck can give you nearly-immediate, long-term results and is one of the most effective and time-tested methods for removing excess fat. Although not everyone may be able to undergo a surgical procedure, non-invasive techniques can sometimes be costly when they require multiple sessions and take many months before you see results.

You Have Excess Skin

This problem can be especially difficult for patients because excess skin can’t be reduced through diet and exercise like fat sometimes can. This can occur because of changes in the body like pregnancy and weight gain, leaving excess, saggy skin behind. A tummy tuck can trim this away when it’s around the abdominal area, leaving a slim and contoured profile. Your plastic surgeon can determine the right amount of skin that can be removed in order to give you the best results.

You Have Loose Abdominal Muscles

This condition, also caused by stretching during pregnancy or weight gain, can cause many problems that patients might not be aware of. Things like back pain or urinary incontinence can be caused by a lack of support from the abdominal muscles that become stretched, loose, and ineffective. Once this occurs, it can be impossible to restore them with exercise alone. During a tummy tuck procedure, they can be tightened and sutured together to restore them to their natural function.

If you have more questions about a tummy tuck procedure and would like to schedule a consultation with Dr. Golosow, contact Associates in Cosmetic Surgery today! Dr. Golosow and Associates in Cosmetic Surgery are proud to be serving the Ft. Myers area.

What You Should Know About Laser Hair Removal

Summer is just around the corner, which means more time spent at the beach, more time in bathing suits, and more time showing skin. No one wants to spend their time worrying about unwanted body hair, and shaving and waxing can be time-consuming and cause irritating bumps and ingrown hairs. Thankfully, laser hair removal is a popular option that can help to remove unwanted hair long-term. Read on to learn what you should know about laser hair removal.

It Works Best with Darker Hair

Lasers target pigment or color in the hair follicles, so white or blonde hair may not respond as well to permanent hair removal as darker colored hair. Skin color can also play a role in specific lasers.

It’s Generally Well-Tolerated

While laser energy does convert heat to damage the hair follicle, there are cooling mechanisms that can help to make the treatment more comfortable. Patients may experience a quick, sharp pain in more sensitive areas, but it is generally well-tolerated.

Avoid the Sun

Following treatment, it is very important to avoid spending extended periods of time in the sun or using tanning beds. Patients should wear sunscreen after each treatment to ensure optimal results.

Avoid Waxing

While patients are instructed to shave a few hours before their laser hair removal appointment, it is important that they do not pluck or wax. This is because the laser needs to target pigment within the hair follicles, which are removed by plucking and waxing.

Understand Cost

The overall cost of your laser hair removal treatment will depend on the size of the treatment area and the number of treatments needed. This can be discussed during your consultation with Dr. Golosow.

If you are interested in laser hair removal for smoother, silkier skin this summer, contact our Fort Myers office today to schedule a consultation!

What Are My Options for Breast Reconstruction?

The type of breast reconstruction technique performed primarily depends on the type of mastectomy that was performed to remove the cancerous tissue. The technique is also dependent on the timeframe in which the reconstruction will be performed from the mastectomy. While Dr. Golosow is an expert in all areas of plastic and reconstructive surgery, she takes a special interest in serving those who are in need of a breast revision or reconstruction.

What are the Indications for Breast Reconstruction?

A breast reconstruction is indicated for women who have undergone a mastectomy that wish to have breasts recreated. While there are no medical indications for reconstruction after mastectomy; many women wish to have a reconstruction to regain a sense of normalcy, and to feel comfortable in their body once again after a drastic physical change.

Reconstruction Techniques Available

Implants and skin expanders: Implants and skin expanders are used to create the formation of a breast or breasts by using implants to create the volume and structure and a gradual skin expander to create an adequate amount of skin to cover the implant.

– Flap graft (vascularized autologous tissue): a flap graft is pulled from either the abdomen, back or buttocks; and as the name hints, contains veins for blood flow. While this method produces a natural feeling result, it does come with substantial associated scarring at the donor site.

– Fat graft (non-vascularized lipoaspirate autologous fat): This method utilizes a fat transfer to re-build the breast using a patient’s own fat, which eliminates the risk for negative reactions to a foreign material. This method must be done on a patient who maintains enough fat in a donor site.

The best way to understand which method is best for you is scheduling an appointment with Dr. Golosow to discuss your goals. Based on your mastectomy time frame, your goals, and the state of your health, she will help you to create a treatment plan that you are comfortable with.

Why Choose Lorraine Golosow, MD for your Reconstruction

If you are in the south Florida region, and beyond, and are in need of any kind of breast reconstruction or revision, you may have heard Dr. Golosow’s name. While her resume is certainly impressive, being the first female plastic surgeon in Lee County to become certified by the Board of Plastic and Reconstructive Surgery; it is her incredible results that she provides her patients that inspire patients to travel far and wide to be treated by her.

If you need a breast reconstruction surgeon in the Ft Myers area, please contact Associates in Cosmetic Surgery to schedule a consultation with Dr. Golosow.

How to Determine if A Facelift is Right for You

Facelifts are one of the most common and successful surgeries to combat signs of aging such as fine lines, wrinkles, and fat deposits while lasting for ten years or more. Like any cosmetic surgical procedure, a facelift is a major commitment and is intended to be permanent; making it very important that patients research questions to ask the surgeon in order to make the most of their consultation.

How is a Facelift Performed?

Before deciding on a facelift, it is important to understand what the surgery entails. A facelift procedure requires a general or local anesthetic and is performed by making an incision in order to separate the overlying skin of the face from the muscles and tissue beneath it. If necessary, excess fat is removed, and then the skin is re-draped. Any excess skin will also be removed in order to tighten and firm the skin over the face. There are different types of facelifts available which can be discussed with your surgeon to determine which type is right for you.

What Are The Benefits Of A Facelift?

The most notable benefits associated with a facelift are:

  • Lifts the skin; causing jowls and sagging around the neck or jawline
  • Softens or eliminates ‘marionette lines’ by pulling the skin to a tighter position.
  • Smooths out the appearance of nasolabial folds
  • Removes excess fat or volume that has been depleted due to aging

A facelift is an effective way to reverse aging and restore your skin’s firmness and youthful contour with long-lasting results. Regardless of the type of facelift you receive, the scarring will be minimal and well-hidden, so you won’t need to worry about any obvious scarring after the incision sites have healed.

Who is a Candidate for a Facelift?

Anyone who displays mild to moderate signs of aging and if you are bothered by any of the aforementioned items, you may be a good candidate for this procedure. Facelifts can correct many problematic areas of the face and are one of the best techniques for creating new contours of the face and neck. In order to be considered for any cosmetic procedure, it is important that you are healthy and have realistic expectations for the outcome. The facelift process does require some downtime and healing that may require additional precautions to ensure best results.

If you have any questions or are interested in scheduling a comprehensive facelift consultation, contact our office to schedule a consultation with Dr. Golosow.

When to Consider a Breast Implant Removal or Exchange

Your breast implants can be with you for a long time, but they are not meant to last a lifetime. At some point, you will probably need to have an implant exchange or removal if you choose. There are a few things that can occur to indicate that you need to remove your current implants.

You Change Your Mind

While you might have really wanted large implants at the time, you might be wishing you had gone smaller. Or maybe you were too modest with your implant size and now want larger ones. In these cases, you can have an implant exchange where your old implants are taken out and replaced with new ones. In some cases, women decide they no longer want implants at all. An implant removal can be done to give women their natural breasts back.

Implants Exceeding Lifespan

Implants generally last about ten years but could require a replacement sooner or much later. Your chances of experiencing a rupture increases the longer you have your implants, so having a replacement procedure can make ruptures less frequent and prevent complications. Regular visits to your plastic surgeon are necessary to check on the condition of your implants. If you have silicone implants, an MRI is also required every few years. An MRI can detect signs of a rupture and leakage that your surgeon cannot.

Rippling or Hardening

Rippling can occur over time because of pressure placed on the implants from the body. Folds in the shell can give a rippling appearance, indicating that your implants should be replaced. Implants can also start to harden and become over-firm or shift in position. In these cases, women choose to have a fresh implant placed so they can feel happy and confident with their breasts again!

If you wish to have an implant removal or replacement procedure, contact our office today. Dr. Golosow will discuss your concerns with you and determine the best course of treatment.

What Happens During a Breast Implant Removal?

The great thing about a breast augmentation with implants is that they can be removed at any time. While most women choose to have implants for the rest of their lives, some individuals decide to have them removed or replaced. If you have implants, you already know what it’s like to have them placed, but what happens when they’re taken out?

Deciding to Remove Your Implants

Individuals might choose to remove their implants simply because they’ve decided they want to live with their natural breasts. Others may have experienced complications such as rippling or a rupture and choose to have them taken out or replaced. You might also have implants exchanged if you’re no longer happy with your cup size and wish to go bigger or smaller.

Your Implant Removal Procedure

During your procedure to remove your implants, general anesthesia or sedation will be used. To avoid adding any new scars, your surgeon will trace your previous incision line during surgery. The implant will then be taken out or replaced with another implant if you choose. The procedure should take about an hour to complete.

After Implant Removal

You might be wondering what your breasts will look like after your implant removal procedure. If you decide not to have your implants replaced, the pockets where they once were will eventually seal. Like any other breast surgery, you will have some recovery and downtime to heal, however a removal will be an easier, quicker recovery. You will most likely be required to wear a compression garment to minimize swelling and reduce your risk of the breast pocket filling with fluid. Depending on how large your implants were, many women experience lax skin and sagging once their implants are removed. In this case, you might decide to have a breast lift at the time of your removal, or later on to remove excess skin and tighten the breast tissue.

If you are unhappy with your breast implants, you might decide to have an implant removal or exchange. Contact our office today for more information or to schedule your consultation with Dr. Golosow to discuss your concerns.

Could you Benefit from a Breast Reduction?

While many women dream of having larger breasts, for some, large breasts can cause many emotional and physical discomforts! The extra weight from breasts that are overly large can impair your ability to lead a happy and healthy lifestyle. If you’ve been suffering from overly large breasts, you might decide that a breast reduction could greatly benefit you.

What is a Breast Reduction?

A breast reduction is a surgical procedure to remove excess fat and tissue from the breasts. A breast reduction can greatly reduce discomforts associated with large breasts and can create more proportion and symmetry with the rest of the body.

Who is a Candidate

To be a candidate for a breast reduction, you must be physically healthy and a non-smoker. Successful candidates have an optimistic outlook with realistic goals in mind. If you experience the discomforts from overly large breasts such as back, neck, and shoulder pain, skin irritation, or bothersome feelings, you could benefit from a breast reduction.

What a Breast Reduction Can Fix

A breast reduction procedure can make exercise and daily activity easier and more comfortable. Without the extra weight from large breasts, you won’t have to limit physical activity which can result in a healthier lifestyle! A breast reduction can also reduce common pain associated with breasts that are too large such as chronic neck, back, and shoulder pain, and even breathing problems. With reduced breast size and a more proportional figure, you can fit into clothes more easily. Along with these changes can come an increase in self-confidence. A breast reduction can help you feel comfortable in your body without feeling weighed down by overly large breasts.

If you are living with overly large breasts that cause emotional and physical discomfort, it might be time for a breast reduction. If you are in the Fort Myers, Cape Coral, or Lehigh, FL areas, contact us today for a consultation with Dr. Golosow!

Your Breast Reconstruction Options

A breast reconstruction procedure can restore the shape of your breasts after a mastectomy. The decision to have this procedure is very personal and can give life-changing results, making you feel like yourself again. When it comes to breast reconstruction, several techniques can be used depending on your preference, body type, and your surgeon’s recommendation.

Breast Reconstruction with Implants

Breast reconstruction with implants will require a pocket to be created for the implant to be inserted. To create a pocket, a tissue expander will be placed in the breast area. The device will then be gradually filled with saline or air through a valve over the course of two to six months. Once the pocket is large enough, the permanent silicone or saline implant can be placed to create a breast mound.

Flap Reconstruction

Flap reconstruction involves taking tissue, fat, or muscle from other areas of the body to recreate the breast mound. The most common flap reconstruction technique is the TRAM flap reconstruction which uses tissue and muscle taken from the abdominal area. The DIEP flap is the most advanced form of reconstruction available today. For DIEP flap reconstruction, only skin and fat is taken from the abdomen, not muscle. By preserving the muscle, this technique can reduce pain during recovery and prevents abdominal weakness in the future! Both TRAM and DIEP flap reconstruction result in a slimmer abdominal profile as well. Some women prefer this technique because results feel more natural.

Which is Best for you?

Both implant and flap reconstruction can effectively recreate the breast mound to restore your breast shape after a mastectomy. In some cases, a combination of these techniques can be used. No matter what technique you and surgeon choose, you can expect some recovery and downtime as your new breast heals.

If you are in the Fort Myers, Cape Coral, or Lehigh, FL areas, Dr. Golosow can assist you with choosing the best technique for your breast reconstruction procedure. Contact our office today for more information or to schedule your consultation!