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For many reasons, I have always been a strong proponent of placing breast implants behind the muscle (submuscular) versus in front(submammary) in breast augmentation surgery. These include better support and soft tissue coverage of the implants, lower risk of capsular contracture developing, a softer and more natural overall appearance and feel. An even more important reason is that the breasts can be better assessed on mammography when the implants are situated behind the muscle rather than in front.

Rarely, will I ever place breast implants above the muscle and when I do, it is usually as an exchange for someone who has had reasonable results with their implants situated in this location. Body builders are another exception.

It is amazing to me that there are still many physicians who place a majority of their patients’ implants in a submammary pocket. Many of these happen to be non-plastic surgeons who find that performing the procedure is easier this way and therefore dismiss or ignore important aesthetic issues and outcomes.

Over the years I have seen countless poor results from saline implants placed above the muscle in women of all ages, a situation which is exacerbated by those with thin skin. Even more disheartening are those women in their 20’s who have sustained permanent damage by what I consider to be very poor “choices” by their surgeons.

The following video illustrates one such individual who is in her mid 20’s. Note the severe static and dynamic rippling, skin stretching and very poor cosmetic appearance.

[flv:saline.flv 400 225]

Video of Saline Implants Above Muscle

If you would like additional information on breast implants, breast augmentation or any other plastic surgery procedure that I perform or to schedule a consultation, please call my office at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

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A Message Regarding Coronavirus/COVID-19

In light of the coronavirus/COVID-19 pandemic, we would like to let you know of some of the major precautions we are taking in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. Our highest priority is always to ensure the safety of every individual who sees us and we are taking extreme infection-control measures to maintain cleanliness and “sterility” of surfaces and the overall environment.

We will be limiting dates and times for office appointments and consultations due to safety and other issues. Consequently, if you have already made an office appointment or consultation prior to March 18, 2020 to occur at a later time, this may need to be changed.

For anyone considering plastic surgery, we are now offering Virtual Consultations and Telemedicine through Skype. A great number of aesthetic or insurance-related issues can be evaluated via pictures and online video conferencing, making this an excellent way to find out more about particular procedures, determine candidacy for treatment, receive answers to questions and facilitate being able to move forward with care once the government lifts all restrictions.

In an abundance of caution, we are asking all current patients who are experiencing a fever, cough, chills, fatigue or any type of respiratory illness to please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment.

We are all in this together. Our team urges everyone to follow the guidelines recommended by local health authorities and the Centers for Disease Control and Prevention, which include frequent handwashing for a minimum of 20 seconds, social distancing, staying home if you are feeling sick, and contacting your healthcare provider if you feel you are experiencing symptoms.

For more information, please read our blog – Coronavirus and You: Important Information

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