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Recovery Time Table For Primary Augmentation
How Soon Can I Start Exercising After Breast Surgery

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Augmentation With Benelli Lift

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Liposuction of the Hips and Abdomen With Augmentation
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Pregnant With Ruptured Saline Implant

Pre-Op Photo
A 40-year-old African American female presented was five months pregnant when she realized that her left, nine-year-old Allergan 420 cc saline implant had ruptured. Due to her pregnancy and breastfeeding after giving birth, she waited 14 months to replace the implant. During our consultation, I suggested that this patient should undergo a breast revision as well as a formal breast lift (also known as a formal mastopexy or wise-pattern lift). The formal breast lift would eliminate excess skin and offer the greatest amount of lift to the breasts.
The video below shows the removal of the 420 cc saline implant. The implant rupture may have been caused by the valve; however more research needs to be conducted to determine the ultimate cause. After the 420 cc saline implants were removed, I replaced with them with high profile 320 cc saline implants.
To learn more about ruptured implants and breast revision surgery, schedule your consultation with Dr. Linder by calling our Beverly Hills office at (310) 275-4513 or by filling out our online contact form.
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Two Ruptured Silicone Implants

Post-Op Photo
The patient presented recently had an MRI taken that detected a ruptured implant on her right breast. This implant was a 13-year-old 510 cc silicone implant. Immediately the patient scheduled a consultation with me to discuss what her best option would be for treatment. During the consultation, we agreed the best approach for her to take was to remove the ruptured implant, replace it with a new silicone implant, and undergo a formal breast lift.
During the surgery, the right breast implant was ruptured as expected (see video 1). And to my surprise, the left silicone implant was also ruptured and was not detected by the MRI scan (see video 2). After removing both implants I replaced the right breast implant with 450 cc and left breast implant with 325 cc to correct the asymmetry. After the new implants were placed, I performed a formal breast lift.
To learn more about ruptured implants and breast revision surgery, schedule your consultation with Dr. Linder by calling our Beverly Hills office at (310) 275-4513 or by filling out our online contact form.
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Periareolar Lift With Primary Breast Augmentation
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Breast Augmentation Using Saline Implants
The female patient to the left came into my Beverly Hills office inquiring about breast augmentation. During the consultation, she expressed that her goal was to increase her breast fullness and size. After listening to her expectations, we selected for her primary augmentation 425 cc high profile saline breast implants (high profile implants are excellent for a little more projection).
During the augmentation surgery, I overfilled the right breast implant to 460 cc and the left to 470 cc to achieve symmetry.
The post-op photo is six weeks out, and she is happy with the size and projection.
For more information regarding breast augmentation surgery or to schedule a consultation with Dr. Linder, give us a call at (310) 275-4513 or feel free to contact us via email.
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Odeeva TV With Dr. Stuart Linder
Last week in Hollywood, CA, I had the privilege of being invited to appear on Odeeva TV. Odeeva.com, in collaboration with Focus TV, is an online show hosted by Tanya Memme.
During the interview, Tanya and I discussed numerous topics about plastic surgery, such as:
– Teenage girls seeking plastic surgery
– Breast cancer
– Placement of breast implants
– Types of breast implants (silicone, saline, and gummy bear)
– Post surgery compression garments
– The truth about plastic surgery
I truly enjoyed the opportunity to discuss these topics with Tanya and was honored to be selected to represent my views as a plastic surgeon on Odeeva TV.
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Breast Augmentation Is a Very Gratifying Procedure
One of the most gratifying procedures I perform weekly in my Beverly Hills practice is breast augmentation. In most cases, patients are not only looking to enlarge their breasts but also interested in having a more proportionate shape with their bodies.
Last week I had a postoperative follow up with a woman who was seeking to have these goals achieved. During the breast augmentation surgery, we had selected moderate plus saline implants to be used due to these implants offering a moderate width and projection. Based on her goals, she was looking to increase her size but also desiring breasts that appear natural to balance her thin body build. The implants selected were 360 cc overfilled to 390 cc on the right and 410 cc on the left to achieve nice symmetry and balance.
As you can see by her post-op photo, which is 12 weeks out, she has a very natural fullness and is extremely happy with how she feels and looks in a sports bra.
For more information regarding breast augmentation surgery or to schedule a consultation with Dr. Linder, give us a call at (310) 275-4513 or fill out our contact form.
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Breast Enhancement: A Cup to B Cup
A 26-year-old Asian female came into my Beverly Hills practice looking to enhance the size of her breasts. During the consultation, she expressed that her goal was to look as natural as possible, and she only wanted to change from an A cup to a B cup. As I examined her, I explained that she had a slight condition called pectus excavatum on the right upper side of the rib cage (sunken). After listening to her expectations and agreeing on the approach, we scheduled her primary augmentation surgery for the following week.
During the breast augmentation surgery, I chose moderate plus saline implants. On the right side, I selected a 240 cc implant and overfilled it to 250 cc. The left side was a 210 cc implant, which was overfilled to 250 cc.
The post-op photo below is only one day after surgery, but her breasts are balanced and natural giving her a confidence-boosting B cup.
For more information regarding breast augmentation surgery or to schedule a consultation with Dr. Linder, give us a call at (310) 275-4513 or feel free to contact us via email.
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High Profile Breast Implants
High profile saline and silicone implants are used weekly in Dr. Linder’s practice. The favorable advantages of the high profile Allergan and Mentor® saline and silicone implants include:
- The base diameter is more narrow; thereby patients have a sleek, thinner, and tapered appearance than the moderate plus or moderate profile saline implant or silicone implants.
- These implants are fuller and rounder, especially with the saline, which may lead to less visibility and rippling, especially along the medial breast cleavage area.
- Patients can have larger breast implants placed without looking matronly and wide along the sides.
Pectus Excavatum
The patient below is shown six weeks post-surgery wearing a SEXY SHAPEWEAR™ sports bra that I designed. The sports bra is designed to allow ultimate compression, comfort, and the perfect fit for all fitness training workouts and sporting needs. She is recovering from breast augmentation surgery where 425 cc high profile saline implants were placed. The patient had a slight condition called pectus excavatum, also known as sunken chest, which is a common congenital deformity of the anterior wall of the chest in which several ribs and the sternum grow abnormally.
Bilateral Breast Hypoplasia
The patient below is a 19-year-old Latin female presenting with bilateral breast hypoplasia. She is an excellent candidate for high profile saline implants using the dual plane technique, periareolar approach. The patient desired to have natural-appearing breasts, which can be performed with high profile saline implants as long as they are placed in the subpectoral pocket and positioned correctly. The periareolar incision site was performed, and the implants were placed using the dual plane technique.
In the photo set above, her breasts appear to be quite natural, and the patient is extraordinarily happy with the shape, size, and appearance of her breasts. The muscle allows for softening, and the upper pole of her breast is seen in her oblique view. High profile saline implants, when placed in the appropriate position, lead to a beautifully natural result.
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High Profile Breast Implants
High profile saline and silicone implants are used weekly in Dr. Linder’s practice. The favorable advantages of the high profile Allergan and Mentor® saline and silicone implants include:
- The base diameter is more narrow; thereby patients have a sleek, thinner, and tapered appearance than the moderate plus or moderate profile saline implant or silicone implants.
- These implants are fuller and rounder, especially with the saline, which may lead to less visibility and rippling, especially along the medial breast cleavage area.
- Patients can have larger breast implants placed without looking matronly and wide along the sides.
Pectus Excavatum
The patient below is shown six weeks post-surgery wearing a SEXY SHAPEWEAR™ sports bra that I designed. The sports bra is designed to allow ultimate compression, comfort, and the perfect fit for all fitness training workouts and sporting needs. She is recovering from breast augmentation surgery where 425 cc high profile saline implants were placed. The patient had a slight condition called pectus excavatum, also known as sunken chest, which is a common congenital deformity of the anterior wall of the chest in which several ribs and the sternum grow abnormally.
Bilateral Breast Hypoplasia
The patient below is a 19-year-old Latin female presenting with bilateral breast hypoplasia. She is an excellent candidate for high profile saline implants using the dual plane technique, periareolar approach. The patient desired to have natural-appearing breasts, which can be performed with high profile saline implants as long as they are placed in the subpectoral pocket and positioned correctly. The periareolar incision site was performed, and the implants were placed using the dual plane technique.
In the photo set above, her breasts appear to be quite natural, and the patient is extraordinarily happy with the shape, size, and appearance of her breasts. The muscle allows for softening, and the upper pole of her breast is seen in her oblique view. High profile saline implants, when placed in the appropriate position, lead to a beautifully natural result.
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Nipple Hypertrophy Correction
Nipple enlargement or nipple hypertrophy is a result from developmental enlargement of the ducts (lactiferous), which converge and form a branched system connecting the nipple to the lobules of the mammary gland, commonly called milk ducts. This can present in men and women; however, it is most common in people of Asian descent.
There is no normal female nipple, but it is usually roughly 1 cm in diameter with an almost equal amount of anterior projection.
Many of the patients I see for this are embarrassed to have a consultation, thinking that it’s a minor thing or that it may be too difficult to achieve the results they desire. I would encourage patients to feel comfortable discussing this and understand that, as a board-certified plastic surgeon, we are trained to address all types of reconstruction of the breast.
Case Study #1
The patient below is a 32-year-old Asian female who had significant nipple hypertrophy.
Along with her desire to reduce the size of her nipples, she also requested a breast augmentation. After listening to her expectations, we scheduled her surgery.
For the nipple reduction, I carefully went through a pedicle base, and for the augmentation, I used 240 cc SRF silicone implants. Her postoperative two-week results show excellent symmetry to the nipple with some slight scarring healing around the periareolar incisions.
Case Study #2
The Asian female patient below came in for nipple hypertrophy and based on her examination is a perfect candidate for reducing the size of the nipple and along with making them more symmetric with the areolar complex.
During the surgery, the technique included the superior pedicle and excision of the inferior portion, or lower portion, of the nipple. The nipple was then brought down and sutured down, and the sides are trimmed (the nipple specimen was sent to pathology to make sure that there was no evidence of cancer or Paget’s disease).
As you can see in the postoperative photo above, the nipple is significantly smaller and both the AP projection, as well as the width, look balanced.
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Severe Double Bubble Deformity
Case Study 1
The patient presents with severe Baker IV capsular contracture with a left double bubble breast deformity with superior retroposition of the left implant causing a very unnatural appearance of her breast as well as severe pain. The patient has increasing pain in the left breast with swelling that is consistent with seroma-induced capsular contracture, subsequently leading to superior retropositioning of the left implant that causes a double bubble breast deformity. She also had inadequate release of the attachments of the pectoralis major muscle along the parasternal ridge and the lateral inframammary fold. Postoperative photographs show high profile saline implant replacement with left open periprosthetic capsulectomy, removal of fluid seroma, and complete release of the parasternal and the lateral inframammary attachments of the pectoralis major muscle. The symmetry is now good. The upper pole fullness is even, and the inframammary folds are in proper position. This photo is approximately six weeks after surgery.
Case Study 2
The pre-op photo shows a severe double bubble deformity. The patient’s right breast has a Baker IV capsular contracture, which is pushing the muscle to a superior retroposition that causes a very unnatural appearance. The reason for this is due to the muscle contracting and causing the implant to push upward.
This patient had a primary augmentation one year ago by another surgeon, and she was hoping to correct her asymmetry. After listening to her expectations, we agreed to schedule a breast revision surgery date.
During the surgery, I performed a capsulectomy by removing the implants and scar tissue, which is the capsule around the implant, and I replaced them with 545 cc silicone gummy bear implants. I also lifted the breast to ensure a youthful appearance.
The post-op photo was taken two weeks after surgery, and she is healing well with symmetrical breasts. She will be wearing a compression bra for the next few weeks to help maintain the positions of the implants as she recovers.
Only breast revision surgeries such as these should be performed by board-certified plastic and reconstructive surgeons who have experience and judgment to perform these difficult operations.
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Video Explaining Breast Augmentation Surgery
Every day in my Beverly Hills office I have the opportunity to meet with patients who are seeking a breast augmentation. With all the information available online today, most patients are well prepared and the questions asked are very good during the consultation.
As a board-certified plastic surgeon for the past 20 years and over 12,000 implants placed, I thought I would put together a video to help future patients with my thoughts and approach.
During this video about breast augmentation, I discuss the options of using saline and silicone (Allergan or Mentor®), incision placement, and recovery.
For more information regarding breast augmentation surgery or to schedule a consultation with Dr. Linder, give us a call at (310) 275-4513 or feel free to contact us via email.
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SILICONE IMPLANTS AND RIPPLING VISIBILITY
In general, there has been a myth that the use of silicone implants will completely reduce or prevent all visibility and rippling of the breasts. This is actually untrue. We have had a significant number of patients present with silicone implants from around the world who now have serious rippling and visibility, both along the medial breast as well as the lateral.
Implant rippling and visibility can occur both above and below the muscle. Obviously, placing silicone or saline implants above the muscle in the subglandular retromammary plane does increase the risk of visibility around the medial breast, as there is no muscle coverage. However, even patients who are extremely thin and have an ectomorphic build may develop visibility and rippling around the medial breast associated with the fact that all silicone implants are not completely filled and there is loose laxity in the upper pole of the implant causing visibility.
This can be distressing to patients, and therefore we try to instruct patients that even style 45 extra high profile silicone gel implants can show visibility and rippling around the medial and/or lateral breast. Placing silicone gel implants under the muscle of either style 20 or style 45 on a primary augmentation using the dual plane technique usually leads to reduced visibility and rippling. However, on revision surgeries, our patients are instructed that actually the least rippling and visibility of an implant is a high profile style 68 Natrelle® saline implant over-filled significantly. We have had to use this on a significant number of patients who present with visibility and rippling with silicone implants and who want reduced visibility along the medial breast, especially patients in centerfold, high-end modeling magazines.
Increased visibility and rippling with silicone implants can occur with textured implants that stick to the tissue and adhere such as VELCRO®. We don’t use textured implants because of its increased visibility, as well as malpositioning of the implant, which cannot be corrected unless directly operated on. The lower profile implants, style 10 and 15, have greater visibility and rippling around the medial breast associated with under-filled implants. Styles 20 and 45 are over-filled and have more projection and a narrowed tapered diameter and therefore rip less; however, even style 45 gel implants will ripple in very thin ectomorphic built patients. These patients should be instructed of this pre-operatively and may require an acellular dermal matrix such as AlloDerm or Strattice in order to reduce some of the visibility and rippling. Once again, placing high profile style 68 saline implants may be the only alternative for severe medial breast visibility and rippling, although these implants have a more unnatural appearance and appear more “fake.” They can reduce rippling by greatly over-filling these bags.
Women often see visibility and rippling with silicone implants when bending over wearing bikinis or dresses that would reveal the lateral outer aspect of the breast. The cure-all for rippling, includes:
- Increasing tissue coverage by placing the implant in the submuscular dual plane technique rather than above the muscle (retromammary or subglandular)
- Using smooth gel implants instead of textured implants
- Using increased projection such as the style 45 silicone implant with increased fill and more projection
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Life Changing Breast Resconstruction Transformation
Women who suffer from Severe Breast Asymmetry and Tubular Breast Deformity may experience a lack of self-confidence, because it strips them of their feminine form. Breasts are a part of the female body and one should be satisfy with the body they have.
Dr. Linder, a renowned plastic surgeon in Beverly Hills, operated on thousand of patients and truly understand their stories, feelings and needs. Many patients have come to Dr. Linder for his help, and all of them have been given a life changing experience.
The following patients came to Dr. Linder in need of a change. Listen to their stories and see how a simple breast reconstruction procedure can turned their lives around.
Patient 1: She has a Severe Breast Asymmetry and Tubular Breast Deformity
The above 19-year-old female presents with severe breast deformity with a combination of both tubular breast deformity and severe breast asymmetry. She has a 34A breast on the left and 34AA breast on the right with grade 2 ptosis and severe constricted tubular breast deformity of the right. The three obvious components include pseudo-herniation of breast tissue into the nipple areolar complex, poorly defined inframammary fold and complete flattening along the lower pole of her breast. She is now two months post-surgical having undergone augmentation mammoplasty procedure with a 310 cc saline implant placed on the right and a 290 cc saline implant placed on the left.
She also has had retroareolar breast tissue removed from the right inferior nipple areolar complex to smooth out and flattened the protruded shape of her right nipple areolar complex. At eight weeks, frontal view shows excellent symmetry, great cleavage, reasonable positioning of the right nipple areolar complex in comparison with the left side, smoothing and flattening of the right periareolar incision and a nice rounding shape along the right inframammary fold.
She is extremely happy with the results which will continue to settle over the next three to four months. She is now wearing underwire bras and supportive athletic bras at night during sleep.
Patient 2: 24 Years Old with Tubular Breast Deformity
The patient to the left presented with a slight tubular breast deformity. Tuberous breast deformity is a congenital breast anomaly that becomes manifest at the time of puberty and breast development. Her preoperative photo shows a conical appearance to the breast and a poorly defined inframammary fold along the bottom of the breast. During her consultation, she desired a more rounded breasts with fullness. After setting her expectations, we agreed to perform an augmentation mammoplasty procedure using 350cc high-profile saline breast implants.
Patient 3: Her Previous Breast Augmentations have Become Deformed and Uneven
The patient has severe Pectus Carinatum deformity of her right breast, greater than the left. She has severe pectus carinatum of the entire right lateral chest cavity, sloping laterally and posteriorly. This causes lateral displacement of the implant. There is visibility of the implant as well as a pin cushioning along the right medial breast bone or sternum. Notice the implant edge which was causing severe irritation of the sub-dermis. This patient will require Pectus Carinatum surgery via breast reconstruction. She used 600 cc style 45 extra high profile Natrelle Allergan silicone implants with a right medial open capsulotomy, meticulously releasing the capsule along the inferior parasternal ridge as well as releasing the right medial muscle. Her postoperative photograph shows six weeks postoperative status post medial open capsulotomy, inferior capsulectomy of the right breast, superior bilateral open capsulotomy and removal of the low profile 450 cc implant with replacement with 600 cc style 45 silicone gel implants as well as a right areolar reduction in order to regain symmetry with the left side.

The patient has done extraordinarily well. The patient has used compression Dr. Linder Bra for six weeks postoperative in order to maintain the medial breast pocket shape. This is extraordinarily difficult surgery. Only breast revision specialists who perform augmentation mammoplasties and breast reconstructions who are Board Certified with the American Board of Plastic Surgery should be performing difficult surgery and revision breast surgeries such as the above example. The extra high profile gel reduced visibility and rippling due to its round shape and increased AP projection with decreased lateral width.
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3 Months Post-Op Using Natrelle INSPIRA® SCX Implants
Below are two totally different cases where I used the Natrelle INSPIRA® SCX (gummy bear) breast implants. The SCX offers the benefits of the traditional gummy bear with an extra-high profile and upper pole fullness.
Case Study #1:
The patient to the left came into my Beverly Hills office looking to enhance her breasts by increasing her breast volume and improving her breast shape. After her examination and listening to her desires, we agreed on the expectation and scheduled a breast augmentation surgery.
Based on her goals, we selected to use 400 cc SCX gummy bear breast implants to increase her volume and projection. I performed a periareolar incision along the lower portion of the nipple, which allows for an optimal breast pocket, and I placed the implants two-thirds under the muscle medial and one-third over laterally (subpectoral implant placement).
The post-op photo was taken three months after, and as you can see she has achieved her breast enhancement. The photo below shows her wearing the LINDERSPORT bra that supports the new implants, and I encourage her to wear it whenever possible.
Case Study #2:
Three months ago, I evaluated a woman who was looking to have a breast augmentation. She had a condition called pectus excavatum, which is an abnormal formation in the chest or breast that gives it a caved-in appearance. During her primary augmentation, we used the Natrelle INSPIRA® SCX extra-full profile, highly cohesive silicone breast implants. These implants combine the benefits of the traditional gummy bear implants with an extra-high profile and upper pole fullness.
The patient below is now three months post-op, and, as you can see, she has a nice profile and fullness.
To schedule your consultation with Dr. Linder and learn more about breast augmentation surgery and breast implant options, call our office at 310-275-4513 or fill out our online contact form today.
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Breast Surgeries Continue to Trend Up
On Monday this week, the American Society of Plastic Surgeons (ASPS) released new figures that showed cosmetic procedures were up in 2018 by two percent from 2017. That same morning at 5:30, I received a phone call from Mary Kekatos, health reporter for DailyMail.com. She shared the figures that the ASPS had released and asked my thoughts about breast augmentations showing a four percent increase. I told her I believed that the number of augmentations also included people wanting to revise their first procedure. I stated that this number was probably due to a higher number of revisions and explanations (ruptured implants included).
After my conversation with Mary from DailyMail.com, I reviewed my scheduled surgeries for the upcoming Wednesday and saw this same trend regarding breast surgeries in my Beverly Hills practice.
On Wednesday, my schedule entailed a primary augmentation (gummy bear implants) patient coming in from Boston, Massachusetts. The second case was a breast revision from Oxford, Mississippi, and the third was a breast revision as well from Houston, Texas. The last breast surgery was a patient who will be flying in from New York City for gynecomastia or otherwise known as a male breast reduction.
For the past 20 years, my whole practice has been focused on the body. Based on the 2018 trends by the ASPS, I have to concur that breast augmentation of all kinds is up. I am very thankful to have the opportunity to provide breast surgeries to people from around the country.
To schedule your consultation with Dr. Linder and learn more about breast surgery procedures, call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.
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