Transumbilical and transabdominal breast augmentation
Optimal outcomes seen in two different approaches to breast augmentation proceduresPublish date: Jan 1, 2004
By: Nancy Ortman
Source: Cosmetic Surgery Times
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Dr. Cheski
Philadelphia - Expanding incision sites to include areas of the abdomen for breast augmentation endoscopy offers the same advantages as umbilical entry over other approaches, said Peter Cheski, M.D., at the AACS Symposium on Body Augmentation and Contouring.
The incision site for TUBA (transumbilical breast augmentation) is through the umbilicus. "Because I've expanded it to a number of different areas, I now more commonly refer to it as 'transabdominal' augmentation." Either approach offers less scarring and recovery time over other, more traditional methods, he said.
Abdominal entry may be through an old C-section scar in the suprapubic region. Likewise, if the patient has a scar from hernia repair or gallbladder or appendix operations, Dr. Cheski may elect to enter through the old scar as opposed to placing a new scar in the umbilicus.
Patient has the last say The decision to use an alternate abdominal site is usually driven by patient desire. "Some patients have a very small or an 'outie' belly button or other anatomical consideration where they really don't want their belly button altered. Also, fairly regularly, I see patients who have a phobia about people touching their belly buttons."
Hernia or recurrent infections from a belly button ring may be medical contraindications to umbilical entry. He also uses the abdominal approach for patients seeking abdominoplasty with breast augmentation.
"We raise the abdominoplasty flap all the way up to the costal margin. We use the transumbilical instruments to tunnel from the superior lateral aspect of the flap to the subpectoral pocket," he said.
But roughly 90 percent of his augmentations use the transumbilical approach, making an incision just under the hood of the belly button. "We tunnel on the left and right side in the subcutaneous plane and then pierce through the inframammary crease and place a dissector at the lateral border of the pectoralis major muscle." A submuscular pocket is created using specially designed dissectors. "One of the keys to good pocket shape is control and proper shaping of the inframammary crease," he added.
Expanding incision sites for breast augmentation to include areas of the abdomen yields similar results to the TUBA technique. Note the symmetry, after photo, left. (Photos Peter Cheski, M.D.)
When that is completed on both sides, a sizer is placed in the pockets and overinflated to 150 percent to 200 percent of the anticipated fill volume.
"Because you're really stretching things, you can see any irregularities and then further dissect them," said Dr. Cheski. Any small capillary bleeders that might be slightly oozing are also tamponaded with the pressure.
Since the sizer is disposable, damage from instruments is not a problem. He sizes the patient by seating her in different positions. "Some patients like the implant a little higher up, with more superior fullness. Some people like a little more sloping, anatural shape of the breast. And some patients like a breast that is even more sloping with the nipple riding higher on the breast; we can control all of those positions to some degree."
A small and then a large bullet-tipped dissector is used that is similar to a liposuction cannula with a spreading bullet at the end to open a pocket from the umbilicus to the submuscular pocket. Blunt hockey-stick-shaped dissectors are placed under the muscle to sweep the muscle up off the chest. "The blunt dissector will not detach the muscle medially nor will it release the inframammary crease," he said.
Another hockey stick dissector with 2-mm serrations is used to lower, control, and shape the inframammary crease. The tissue at the inframammary crease is engaged and the pocket is seesawed back and forth so it can only lower the inframammary crease 2 mm to 3 mm at a time. "You don't overdrop the crease and you have nice control over where that crease is going to be," he said.
The sizer is then removed and the corresponding implant is chosen. Implants are rolled up like a cigar and passed with the aid of a tube through the umbilicus and then inflated once in place. "I tend to use a regular-profile implant and over-inflate it slightly. But I am using more of the high-profile implants to a minimum-fill volume. I find the physics of their sidewall is better and result in less rippling. I don't want to over-inflate because then you get too much anterior projection and a more narrow implant."
Show me the scar Advantages of a transabdominal breast augmentation include no scar on the chest or breast whatsoever, with less risk of loss of sensation to the nipple. There is also less interference with mammograms than with the periareolar approach because there is no scarring in the breast tissue. And because the procedure is submuscular, the breast gland and, thus, breast-feeding, are conserved.
Like the TUBA technique, the transabdominal approach leaves no scar on the chest or breast whatsoever , with less risk of loss of sensation to the nipple. (Photos Peter Cheski, M.D.)
Advantages add up Pain and recovery are improved with the transabdominal approach as well, claimed Dr. Cheski, and he believes there is less capsule contracture. Perhaps, he added, because any collections of blood or serosanguinous fluid are drained with a gravity- dependent drain through the umbilicus. "Fluid remaining around the breast implant can form a hard crust on the implant that can contribute to capsule contracture," he theorized. Since breast tissue is not violated, staphylococcus from the breast ducts is not injected into the pocket. Minor low-grade infection may be a contributing factor to the complication.
However, Dr. Cheski is pleased with his patient outcomes. Of the last 800 cases, including 18 with abdominoplasty, there was capsule contracture in eight patients, two that required further surgery. Rippling occurred in eight patients and, in nine, deflations that required removal and replacement of the implant. None of these occurred within the first two months of surgery. One patient required a scar revision after surgery, and three patients required a mastopexy later.
"In all nine of the cases that had a deflation we were able to go back through our primary incision," whether the umbilicus or another abdominal area, he said. For capsule contracture, "We have done a capsulotomy through the belly button, although it's more difficult than the areolar approach." When doing mastopexy, you lose the cosmetic advantages that are evident with the transumbilical/transabdominal approach. "So, typically, I would just do the implant through the areola," he said.
Saturday, August 28, 2010
Peter Cheski named Best Facelift Surgeon
Dr Peter Cheski was named “Best Surgeon and Best Surgeon for Facelifts” by Destination Southern California
Dr Peter Cheski was chosen as one of "America's Top Platic Surgeons" by The Consumers Research Council in Washington, D.C. He has listing in “The Guide to America’s Top Surgeons” He has extensive training and experience in facial surgery, including face and neck lifts, brow lifts, blepharoplasty, brow lifts and stem cell facelifts. He has a patient centered approach to the face, not doing the same face surgery on every patient but addressing the particular needs and desires of the patient. Dr Cheski believes in a normal natural look after a facelift. Dr Peter Cheski does not like the old fashoined pulled or "wind tunnel" look of many other face lifts. He has been a major developer in some of the advanced more natural and more long lasting facial rejuvenation and lift procedures. Some of these developments and contributions have been: The Stem Cell Facelift"; The Neck Sling; Advanced cosmetic techniques for fixation for face and brow fixation in face lift and brow lift; treatment of neck bands; and many others. He is well recognized as one of the top face surgeons in the United States. He is a member of The American Academy of Facial Plastic Surgery, The American Academy of Cosmetic Surgery; and the American Academy of Otolaryngology / Head and Neck Surgery with added qualifications in Facial Plastic Surgery. He is a Diplomate or Board Certified by the American Academy of Otolaryngology - Head and Neck Surgery and a Diplomate of the American Board of Cosmetic Surgery and a Fellow of The Royal College of Physicians and Surgeons of Canada, which is the equivalent to Board Certified in the United States with added qualifications in Head and Neck Surgery and Facial Plastic Surgery. He is also a Fellow of the
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Los Angeles Facial Plastic and Cosmetic Surgery | Peter Cheski, MD
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Dr Peter Cheski was chosen as one of "America's Top Platic Surgeons" by The Consumers Research Council in Washington, D.C. He has listing in “The Guide to America’s Top Surgeons” He has extensive training and experience in facial surgery, including face and neck lifts, brow lifts, blepharoplasty, brow lifts and stem cell facelifts. He has a patient centered approach to the face, not doing the same face surgery on every patient but addressing the particular needs and desires of the patient. Dr Cheski believes in a normal natural look after a facelift. Dr Peter Cheski does not like the old fashoined pulled or "wind tunnel" look of many other face lifts. He has been a major developer in some of the advanced more natural and more long lasting facial rejuvenation and lift procedures. Some of these developments and contributions have been: The Stem Cell Facelift"; The Neck Sling; Advanced cosmetic techniques for fixation for face and brow fixation in face lift and brow lift; treatment of neck bands; and many others. He is well recognized as one of the top face surgeons in the United States. He is a member of The American Academy of Facial Plastic Surgery, The American Academy of Cosmetic Surgery; and the American Academy of Otolaryngology / Head and Neck Surgery with added qualifications in Facial Plastic Surgery. He is a Diplomate or Board Certified by the American Academy of Otolaryngology - Head and Neck Surgery and a Diplomate of the American Board of Cosmetic Surgery and a Fellow of The Royal College of Physicians and Surgeons of Canada, which is the equivalent to Board Certified in the United States with added qualifications in Head and Neck Surgery and Facial Plastic Surgery. He is also a Fellow of the
Unlabeled
Los Angeles Facial Plastic and Cosmetic Surgery | Peter Cheski, MD
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Beverly Hills Breast Augmentation | Los Angeles Plastic Surgeon | Southern California Breast Augmentation Specialist
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Thursday, August 19, 2010
Dr Peter Cheski Chosen as President Elect of American Society of Cosmetic Breast Surgery
Congratulations: Dr Peter Cheski chosen as President Elect of The American Society of Cosmetic Breast Surgery
At the Annual Meeting of The American Society of Cosmetic Breast Surgery held in Newport Beach, California, The Board of Trustee’s of The American Board of Cosmetic Breast Surgery voted Dr. Peter Cheski as President elect of The Society. Dr. Cheski will subsequently become President of The Society for the following year.
The Purpose of this society is to help medical and para-medical professionals provide the highest quality of care to women who desire reconstructive and cosmetic breast surgery, both for primary and revision surgery. As well, the society hopes to help women who need cosmetic help with deformities of the ches left by treatment of breast cancer. This is achieved through training, education, research, and the interchange of ideas.
Feelings of adequacy and self esteem are related to breast appearance, which can be caused by: Developmental micromastia; Postpartum involution; post surgical deformities; breast ptosis/sagging; and Breast Asssymetry. Men can also suffer from Gynecomastia or enlarged male breasts, which can also be corrected with surgery. This can be done with liposuction, excision of breast tissue, treatment of excess skin, or a combination of these and potentially other techniques. Dr. Cheski was featured on the Dicovery/TLC and BBC Special called “Boys with Breasts”. Some of these procedures may be covered by health insurance, while others are considered cosmetic and may not be covered.
Dr Cheski is particularly devoted to the practice of breast surgery, as well as education and research in the cosmetic and reconstructive breast surgery for both men and women. He has been a Faculty Member at Numerous National Meetings on Breast Surgery and been an Expert Panel Member on many Expert Panels on Breast Surgery and Breast Implants. He has been involved in a number of FDA Studies on Breast Implants.
He regularly has doctors from around the country visit him to learn state of the art breast surgery techniques. He yearly gives a number of lectures to breast surgeons from around the country, and since 2004 he has given a Live Surgical Demonstration on Breast Surgery for surgeons from around the country. He is a Lifetime Fellow of the American Society of Cosmetic Breast Surgery. His Board Certifications are many. He is a Diplomate of The American Board of Cosmetic Surgery, The American Board of Otolaryngology – Head and Neck Surgery and a Fellow of the Royal College of Surgeons. His Breast Surgery techniques have been featured on The Discovery Channel, TLC, Fox, Fox News, NBC, CBS, KCAL, The BBC, and television from Denmark to Italy. He has also had numerous print and radio appearances regarding breast augmentation. Dr Peter Cheski treats both men and women in need of breast or chest surgery. For more information contact the American Board of Cosmetic Breast Surgery www.ascbs.org, www.breastaugdr.com, or www.DrCheski.com or call 1 888 4CHESKI
At the Annual Meeting of The American Society of Cosmetic Breast Surgery held in Newport Beach, California, The Board of Trustee’s of The American Board of Cosmetic Breast Surgery voted Dr. Peter Cheski as President elect of The Society. Dr. Cheski will subsequently become President of The Society for the following year.
The Purpose of this society is to help medical and para-medical professionals provide the highest quality of care to women who desire reconstructive and cosmetic breast surgery, both for primary and revision surgery. As well, the society hopes to help women who need cosmetic help with deformities of the ches left by treatment of breast cancer. This is achieved through training, education, research, and the interchange of ideas.
Feelings of adequacy and self esteem are related to breast appearance, which can be caused by: Developmental micromastia; Postpartum involution; post surgical deformities; breast ptosis/sagging; and Breast Asssymetry. Men can also suffer from Gynecomastia or enlarged male breasts, which can also be corrected with surgery. This can be done with liposuction, excision of breast tissue, treatment of excess skin, or a combination of these and potentially other techniques. Dr. Cheski was featured on the Dicovery/TLC and BBC Special called “Boys with Breasts”. Some of these procedures may be covered by health insurance, while others are considered cosmetic and may not be covered.
Dr Cheski is particularly devoted to the practice of breast surgery, as well as education and research in the cosmetic and reconstructive breast surgery for both men and women. He has been a Faculty Member at Numerous National Meetings on Breast Surgery and been an Expert Panel Member on many Expert Panels on Breast Surgery and Breast Implants. He has been involved in a number of FDA Studies on Breast Implants.
He regularly has doctors from around the country visit him to learn state of the art breast surgery techniques. He yearly gives a number of lectures to breast surgeons from around the country, and since 2004 he has given a Live Surgical Demonstration on Breast Surgery for surgeons from around the country. He is a Lifetime Fellow of the American Society of Cosmetic Breast Surgery. His Board Certifications are many. He is a Diplomate of The American Board of Cosmetic Surgery, The American Board of Otolaryngology – Head and Neck Surgery and a Fellow of the Royal College of Surgeons. His Breast Surgery techniques have been featured on The Discovery Channel, TLC, Fox, Fox News, NBC, CBS, KCAL, The BBC, and television from Denmark to Italy. He has also had numerous print and radio appearances regarding breast augmentation. Dr Peter Cheski treats both men and women in need of breast or chest surgery. For more information contact the American Board of Cosmetic Breast Surgery www.ascbs.org, www.breastaugdr.com, or www.DrCheski.com or call 1 888 4CHESKI
Sunday, May 16, 2010
Dr Cheski Discusses Issues in Breast Augmentation.
Issue: Saline versus Silicone implants
There is a lot of misinformation about this because much of the literaturerumours, and word of mouth about silicone implants is based on liquid silicone implants from the 1970’s, 80’s and early 90’s. The silicone implants used now are a cohesive gel implant, and they behave much differently . The silicone implant has a higher rate of leakage and the leaks are harder to detect and correct. Silicone implants come pre-filled and thus require a larger incision/scar and are much more difficult to match size in patients who have one breast larger than the other. Further, the silicone implants are more expensive.
Some people think cohesive gel implants(modern silicone) have less rippling and a more natural feel. This is true with the old liquid silicone implants, but I, and many other surgeons, have found that the new implants actually have more ripples and a higher rate of capsule contracture(hardening of the breasts) . To get FDA approval, the implants are now safer but the trade off is a higher rate of rippling.
In contrast, the new saline implants are far superior to the saline implants of old. I have found that there is a significant decrease in rippling and more natural feel, especially among the high profile saline implants. The implants are inserted uninflated and are inflated in place, thus they can be inserted through a much smaller incision, resulting in a much smaller scar. A leak or deflation is much safer and is easier to detect and correct. Further, there is a much lower risk of capsule contracture, especially when placed through the belly button.
I use both saline and silicone implants, but I much prefer the saline implants.
Issue: Minimizing and Treating Rippling
Place the implant under the muscle. I prefer the High Profile Saline Implant. Their configuration has a sidewall that ripples less. Also, more of the implant is under the muscle and less hanging toward the armpit.
I have developed a unique technique to minimize the risk, or treat, rippling. For very thin patients or for patients who has rippling, I suggest fat grafting to the area of rippling which provides a cushion between the skin and the implant. This masks any potential rippling.
Issue: Capsule Contracture:
To minimize the risk of capsule contracture, I prefer to use saline High Profile under the muscle and use massage post operatively. Also, placing the breast implant through the belly Button, or TUBA) greatly reduces the chance of Capsule Contracture
Issue: Need to change implants every 10 years.
This used to be true with the old implants, but it is no longer the case. In fact the implants are guaranteed for life by the manufacturer, which covers a replacement implant plus provides money toward the surgery.
Dr Peter Cheski, MD FRCS, FAACS www.DrCheski.com 310 575 1500 818 991 6300
Offices in Agoura/Calabassas, West LA, and Lancasstser
Issue: Saline versus Silicone implants
There is a lot of misinformation about this because much of the literaturerumours, and word of mouth about silicone implants is based on liquid silicone implants from the 1970’s, 80’s and early 90’s. The silicone implants used now are a cohesive gel implant, and they behave much differently . The silicone implant has a higher rate of leakage and the leaks are harder to detect and correct. Silicone implants come pre-filled and thus require a larger incision/scar and are much more difficult to match size in patients who have one breast larger than the other. Further, the silicone implants are more expensive.
Some people think cohesive gel implants(modern silicone) have less rippling and a more natural feel. This is true with the old liquid silicone implants, but I, and many other surgeons, have found that the new implants actually have more ripples and a higher rate of capsule contracture(hardening of the breasts) . To get FDA approval, the implants are now safer but the trade off is a higher rate of rippling.
In contrast, the new saline implants are far superior to the saline implants of old. I have found that there is a significant decrease in rippling and more natural feel, especially among the high profile saline implants. The implants are inserted uninflated and are inflated in place, thus they can be inserted through a much smaller incision, resulting in a much smaller scar. A leak or deflation is much safer and is easier to detect and correct. Further, there is a much lower risk of capsule contracture, especially when placed through the belly button.
I use both saline and silicone implants, but I much prefer the saline implants.
Issue: Minimizing and Treating Rippling
Place the implant under the muscle. I prefer the High Profile Saline Implant. Their configuration has a sidewall that ripples less. Also, more of the implant is under the muscle and less hanging toward the armpit.
I have developed a unique technique to minimize the risk, or treat, rippling. For very thin patients or for patients who has rippling, I suggest fat grafting to the area of rippling which provides a cushion between the skin and the implant. This masks any potential rippling.
Issue: Capsule Contracture:
To minimize the risk of capsule contracture, I prefer to use saline High Profile under the muscle and use massage post operatively. Also, placing the breast implant through the belly Button, or TUBA) greatly reduces the chance of Capsule Contracture
Issue: Need to change implants every 10 years.
This used to be true with the old implants, but it is no longer the case. In fact the implants are guaranteed for life by the manufacturer, which covers a replacement implant plus provides money toward the surgery.
Dr Peter Cheski, MD FRCS, FAACS www.DrCheski.com 310 575 1500 818 991 6300
Offices in Agoura/Calabassas, West LA, and Lancasstser
Dr Peter Cheski Discusses Controversies in Breast Implants
Dr Cheski Discusses Issues in Breast Augmentation.
Issue: Saline versus Silicone implants
There is a lot of misinformation about this because much of the literaturerumours, and word of mouth about silicone implants is based on liquid silicone implants from the 1970’s, 80’s and early 90’s. The silicone implants used now are a cohesive gel implant, and they behave much differently . The silicone implant has a higher rate of leakage and the leaks are harder to detect and correct. Silicone implants come pre-filled and thus require a larger incision/scar and are much more difficult to match size in patients who have one breast larger than the other. Further, the silicone implants are more expensive.
Some people think cohesive gel implants(modern silicone) have less rippling and a more natural feel. This is true with the old liquid silicone implants, but I, and many other surgeons, have found that the new implants actually have more ripples and a higher rate of capsule contracture(hardening of the breasts) . To get FDA approval, the implants are now safer but the trade off is a higher rate of rippling.
In contrast, the new saline implants are far superior to the saline implants of old. I have found that there is a significant decrease in rippling and more natural feel, especially among the high profile saline implants. The implants are inserted uninflated and are inflated in place, thus they can be inserted through a much smaller incision, resulting in a much smaller scar. A leak or deflation is much safer and is easier to detect and correct. Further, there is a much lower risk of capsule contracture, especially when placed through the belly button.
I use both saline and silicone implants, but I much prefer the saline implants.
Issue: Minimizing and Treating Rippling
Place the implant under the muscle. I prefer the High Profile Saline Implant. Their configuration has a sidewall that ripples less. Also, more of the implant is under the muscle and less hanging toward the armpit.
I have developed a unique technique to minimize the risk, or treat, rippling. For very thin patients or for patients who has rippling, I suggest fat grafting to the area of rippling which provides a cushion between the skin and the implant. This masks any potential rippling.
Issue: Capsule Contracture:
To minimize the risk of capsule contracture, I prefer to use saline High Profile under the muscle and use massage post operatively. Also, placing the breast implant through the belly Button, or TUBA) greatly reduces the chance of Capsule Contracture
Issue: Need to change implants every 10 years.
This used to be true with the old implants, but it is no longer the case. In fact the implants are guaranteed for life by the manufacturer, which covers a replacement implant plus provides money toward the surgery.
Dr Peter Cheski, MD FRCS, FAACS www.DrCheski.com 310 575 1500 818 991 6300
Offices in Agoura/Calabassas, West LA, and Lancasstser
Issue: Saline versus Silicone implants
There is a lot of misinformation about this because much of the literaturerumours, and word of mouth about silicone implants is based on liquid silicone implants from the 1970’s, 80’s and early 90’s. The silicone implants used now are a cohesive gel implant, and they behave much differently . The silicone implant has a higher rate of leakage and the leaks are harder to detect and correct. Silicone implants come pre-filled and thus require a larger incision/scar and are much more difficult to match size in patients who have one breast larger than the other. Further, the silicone implants are more expensive.
Some people think cohesive gel implants(modern silicone) have less rippling and a more natural feel. This is true with the old liquid silicone implants, but I, and many other surgeons, have found that the new implants actually have more ripples and a higher rate of capsule contracture(hardening of the breasts) . To get FDA approval, the implants are now safer but the trade off is a higher rate of rippling.
In contrast, the new saline implants are far superior to the saline implants of old. I have found that there is a significant decrease in rippling and more natural feel, especially among the high profile saline implants. The implants are inserted uninflated and are inflated in place, thus they can be inserted through a much smaller incision, resulting in a much smaller scar. A leak or deflation is much safer and is easier to detect and correct. Further, there is a much lower risk of capsule contracture, especially when placed through the belly button.
I use both saline and silicone implants, but I much prefer the saline implants.
Issue: Minimizing and Treating Rippling
Place the implant under the muscle. I prefer the High Profile Saline Implant. Their configuration has a sidewall that ripples less. Also, more of the implant is under the muscle and less hanging toward the armpit.
I have developed a unique technique to minimize the risk, or treat, rippling. For very thin patients or for patients who has rippling, I suggest fat grafting to the area of rippling which provides a cushion between the skin and the implant. This masks any potential rippling.
Issue: Capsule Contracture:
To minimize the risk of capsule contracture, I prefer to use saline High Profile under the muscle and use massage post operatively. Also, placing the breast implant through the belly Button, or TUBA) greatly reduces the chance of Capsule Contracture
Issue: Need to change implants every 10 years.
This used to be true with the old implants, but it is no longer the case. In fact the implants are guaranteed for life by the manufacturer, which covers a replacement implant plus provides money toward the surgery.
Dr Peter Cheski, MD FRCS, FAACS www.DrCheski.com 310 575 1500 818 991 6300
Offices in Agoura/Calabassas, West LA, and Lancasstser
The Neck Sling Procedure
The Neck Sling Operation – Giving A More Angular Look Between The Jaw and Chin Skin and The Neck. A Minimally Invasive Approach.
One of the biggest concerns of many patients getting a sharper more defined angle between the relatively horizontal jaw and the vertical neck. Face and Neck Lifts have been the traditional approach to achieving this, but is a much more aggressive approach and can lead to a more unnatural “plastic surgery” look.
The Neck Sling operation, as further developed and advanced by Dr Peter Cheski, can achieve a sharper Jaw/Neck Angle with only a minimally invasive approach. The entire procedure is done through two or three hidden incisions that are even smaller than the incisions made for liposuction. The main incisions are hidden behind the ear, and thus are mostly hidden.
Special suture techniques using designed instrumentation is then used to run sutures on the undersurface of the skin from the angle of the jaw on one side to the angle of the jaw on the other. This pulls the skin at the Jaw/Neck angle back, giving a more defined Jaw/Neck angle and can tighten the skin of the neck and the skin in the double chin area. The procedure takes only about 30 minutes, can be done under local or sedation anesthesia, and has minimal recovery.
The procedure can be done in combination with other techniques such as liposuction, radiofrequency liposuction, Thermage, Submentoplasty, Fat Transfer, and Stem Cell Facelift.
To Contact Dr. Cheski, log on to www.DrCheski.com or call 1-888-4Cheski (1-888-424-3754
One of the biggest concerns of many patients getting a sharper more defined angle between the relatively horizontal jaw and the vertical neck. Face and Neck Lifts have been the traditional approach to achieving this, but is a much more aggressive approach and can lead to a more unnatural “plastic surgery” look.
The Neck Sling operation, as further developed and advanced by Dr Peter Cheski, can achieve a sharper Jaw/Neck Angle with only a minimally invasive approach. The entire procedure is done through two or three hidden incisions that are even smaller than the incisions made for liposuction. The main incisions are hidden behind the ear, and thus are mostly hidden.
Special suture techniques using designed instrumentation is then used to run sutures on the undersurface of the skin from the angle of the jaw on one side to the angle of the jaw on the other. This pulls the skin at the Jaw/Neck angle back, giving a more defined Jaw/Neck angle and can tighten the skin of the neck and the skin in the double chin area. The procedure takes only about 30 minutes, can be done under local or sedation anesthesia, and has minimal recovery.
The procedure can be done in combination with other techniques such as liposuction, radiofrequency liposuction, Thermage, Submentoplasty, Fat Transfer, and Stem Cell Facelift.
To Contact Dr. Cheski, log on to www.DrCheski.com or call 1-888-4Cheski (1-888-424-3754
Tuesday, April 13, 2010
Dr Cheski chosen Best Facelift Surgeon in Southern California
HOME Contact Me Travel Blog
Los Angeles Cosmetic Surgeon
Best Surgeon For Plastic Surgery And Facelifts !
This Los Angeles cosmetic surgeon is listed in the Guide to America's Top Plastic Surgeons. And was voted "Best Plastic Surgeon" by AV Press in 2006, 2997, and 2009.
Peter Cheski MD, FRCS, a leading cosmetic and reconstructive plastic surgeon, was also named by the Consumer's Research Council of America in Washington D.C. as one of the "America's Top Surgeons".
Doctor Cheski of Los Angeles, Southern California, is an upcoming President Of The American Society Of Cosmetic Breast Surgery.
And the coveted Innovative Research Award In Surgery has been renamed after Dr. Cheski.
Los Angeles Plastic Surgery
This outstanding plastic surgeon was choosen as NBC's Exclusive Pro in cosmetic surgery and is also a Health and Beauty expert for NBC's show "Your LA.
Dr. Cheski has made numerous TV appearences as an expert in cosmetic surgery on NBC, ABC, CBA, KTLA, Fox, FOX News, Inside Edition and many others.
This doctor is also the developer of instrumentation for the Tran sumbilical Breast Augmentation.
Cosmetic Surgery Facelifts
Dr. Cheski is a top lecturer and live demonstrator in surgery to surgeons from around the World.
He has performed over 10,000 cosmetic procedures and has received many honors.
Peter Cheski MD, is a member of the American Academy of Cosmetic Surgery * American Academy of Facial Plastic and Reconstructive Surgery * American Academy of Otolaryngology * The Royal College of Surgeons in Canada * The American Society of Cosmetic Breast Surgery *.
This is the only plastic surgeon I personally would trust with any cosmetic surgery procedure. He is simply the best Los Angeles cosmetic surgeon!
For more information, or to schedule a FREE consultation with Dr. Cheski, call his West Los Angeles office at (310) 575-1500, or visit his website at www.drcheski.com.
Return from Los Angeles Cosmetic Surgeon to Destination Southern California Home Page
Los Angeles Cosmetic Surgeon
Best Surgeon For Plastic Surgery And Facelifts !
This Los Angeles cosmetic surgeon is listed in the Guide to America's Top Plastic Surgeons. And was voted "Best Plastic Surgeon" by AV Press in 2006, 2997, and 2009.
Peter Cheski MD, FRCS, a leading cosmetic and reconstructive plastic surgeon, was also named by the Consumer's Research Council of America in Washington D.C. as one of the "America's Top Surgeons".
Doctor Cheski of Los Angeles, Southern California, is an upcoming President Of The American Society Of Cosmetic Breast Surgery.
And the coveted Innovative Research Award In Surgery has been renamed after Dr. Cheski.
Los Angeles Plastic Surgery
This outstanding plastic surgeon was choosen as NBC's Exclusive Pro in cosmetic surgery and is also a Health and Beauty expert for NBC's show "Your LA.
Dr. Cheski has made numerous TV appearences as an expert in cosmetic surgery on NBC, ABC, CBA, KTLA, Fox, FOX News, Inside Edition and many others.
This doctor is also the developer of instrumentation for the Tran sumbilical Breast Augmentation.
Cosmetic Surgery Facelifts
Dr. Cheski is a top lecturer and live demonstrator in surgery to surgeons from around the World.
He has performed over 10,000 cosmetic procedures and has received many honors.
Peter Cheski MD, is a member of the American Academy of Cosmetic Surgery * American Academy of Facial Plastic and Reconstructive Surgery * American Academy of Otolaryngology * The Royal College of Surgeons in Canada * The American Society of Cosmetic Breast Surgery *.
This is the only plastic surgeon I personally would trust with any cosmetic surgery procedure. He is simply the best Los Angeles cosmetic surgeon!
For more information, or to schedule a FREE consultation with Dr. Cheski, call his West Los Angeles office at (310) 575-1500, or visit his website at www.drcheski.com.
Return from Los Angeles Cosmetic Surgeon to Destination Southern California Home Page
Saturday, April 10, 2010
Best Plastic Surgoen and Facelift Surgeon in Southern California
Los Angeles Cosmetic Surgeon
Best Surgeon For Plastic Surgery And Facelifts !
This Los Angeles cosmetic surgeon is listed in the Guide to America's Top Plastic Surgeons. And was voted "Best Plastic Surgeon" by AV Press in 2006, 2997, and 2009.
Peter Cheski MD, FRCS, a leading cosmetic and reconstructive plastic surgeon, was also named by the Consumer's Research Council of America in Washington D.C. as one of the "America's Top Surgeons".
Doctor Cheski of Los Angeles, Southern California, is an upcoming President Of The American Society Of Cosmetic Breast Surgery.
And the coveted Innovative Research Award In Surgery has been renamed after Dr. Cheski.
Los Angeles Plastic Surgery
This outstanding plastic surgeon was choosen as NBC's Exclusive Pro in cosmetic surgery and is also a Health and Beauty expert for NBC's show "Your LA.
Dr. Cheski has made numerous TV appearences as an expert in cosmetic surgery on NBC, ABC, CBA, KTLA, Fox, FOX News, Inside Edition and many others.
This doctor is also the developer of instrumentation for the Tran sumbilical Breast Augmentation.
Cosmetic Surgery Facelifts
Dr. Cheski is a top lecturer and live demonstrator in surgery to surgeons from around the World.
He has performed over 10,000 cosmetic procedures and has received many honors.
Peter Cheski MD, is a member of the American Academy of Cosmetic Surgery * American Academy of Facial Plastic and Reconstructive Surgery * American Academy of Otolaryngology * The Royal College of Surgeons in Canada * The American Society of Cosmetic Breast Surgery *.
This is the only plastic surgeon I personally would trust with any cosmetic surgery procedure. He is simply the best Los Angeles cosmetic surgeon!
For more information, or to schedule a FREE consultation with Dr. Cheski, call his West Los Angeles office at (310) 575-1500, or visit his website at www.drcheski.com.
Return from Los Angeles Cosmetic Surgeon to Destination Southern California Home Page
Best Surgeon For Plastic Surgery And Facelifts !
This Los Angeles cosmetic surgeon is listed in the Guide to America's Top Plastic Surgeons. And was voted "Best Plastic Surgeon" by AV Press in 2006, 2997, and 2009.
Peter Cheski MD, FRCS, a leading cosmetic and reconstructive plastic surgeon, was also named by the Consumer's Research Council of America in Washington D.C. as one of the "America's Top Surgeons".
Doctor Cheski of Los Angeles, Southern California, is an upcoming President Of The American Society Of Cosmetic Breast Surgery.
And the coveted Innovative Research Award In Surgery has been renamed after Dr. Cheski.
Los Angeles Plastic Surgery
This outstanding plastic surgeon was choosen as NBC's Exclusive Pro in cosmetic surgery and is also a Health and Beauty expert for NBC's show "Your LA.
Dr. Cheski has made numerous TV appearences as an expert in cosmetic surgery on NBC, ABC, CBA, KTLA, Fox, FOX News, Inside Edition and many others.
This doctor is also the developer of instrumentation for the Tran sumbilical Breast Augmentation.
Cosmetic Surgery Facelifts
Dr. Cheski is a top lecturer and live demonstrator in surgery to surgeons from around the World.
He has performed over 10,000 cosmetic procedures and has received many honors.
Peter Cheski MD, is a member of the American Academy of Cosmetic Surgery * American Academy of Facial Plastic and Reconstructive Surgery * American Academy of Otolaryngology * The Royal College of Surgeons in Canada * The American Society of Cosmetic Breast Surgery *.
This is the only plastic surgeon I personally would trust with any cosmetic surgery procedure. He is simply the best Los Angeles cosmetic surgeon!
For more information, or to schedule a FREE consultation with Dr. Cheski, call his West Los Angeles office at (310) 575-1500, or visit his website at www.drcheski.com.
Return from Los Angeles Cosmetic Surgeon to Destination Southern California Home Page
Tuba
Q: I want to get breast augmentation, but don’t want any scarring. Also, I am concerned about breast feeding and mammograms? Is there a procedure that will work for me?
Cosmetic breast surgery, as all surgery, is evolving towards minimally invasive techniques because of their many advantages, decreased complications, and improvement in post operative pain and recovery time.
This has led to the development of the TransUmbilical Breast Augmention (TUBA) or breast augmentation through the belly button. I have designed many of the instruments for this technique, and currently, to my knowledge, perform more of these procedures than anyone in the world. Many of the instruments that I use are named after myself.
This technique is an evolution in breast augmentation, much like how gallbladders are now removed through the belly button, tubes are tied through the belly button, and heart catheterization is done through small incisions in the groin. There are many advantages to this technique. The incision is done through a small mark under the hood of the belly button, leaving no scars on the breast. There is no cutting around the nipple and areola. This decreases the chance of permanent loss of nipple sensation, as confirmed in clinical studies. There is no cutting through the breast tissue, gland, or ducts. Thus there is less interference with breast feeding and mammograms. Further, clinical studies have shown a significant decrease in hardening of the breast and a much improved recovery time. Patients with this technique have less pain and typically are back to driving and regular activities within 2 to 3 days. One can resume working out within 2 to 3 weeks.
I perform all the different approaches in breast augmentation, but this is my preferred technique and comprises approximately 85% of my primary breast augmentation practice. This technique can be combined with other techniques through the belly, such as liposuction, umbilicoplasty (tightening of the skin and/or stretch marks round or on top of the belly button) or tummy tuck, and can be combined with breast lifting techniques. I have been performing this technique since 1997 and place approximately 1000 implants per year.
My personal experience with this technique shows a significant decrease in complication rates as compared to other approaches. I have never had an infection on a primary breast augmentation with this approach. Rates of capsule contracture (hardening of the pocket around the implant), hematoma, breast implant deflation from the surgery, and decrease in nipple sensation are much less than other approaches in breast augmentation. Doctors from around the world regularly come to watch me perform this technique and I lecture regularly about this technique at national and international meetings.
This procedure can be performed under or over the muscle, although I strongly recommend going underneath the muscle as it leaves a more natural look and feel and is better for breast feeding and mammograms. I typically use smooth round saline implants, which leave the most natural feel. These implants, when designed with the proper surgical pocket, appear round when the patient is lying on her back and teardrop shaped when standing.
I also perform many other cosmetic plastic surgery procedures on the face and body. For more information, please contact me at 310 575 1500 or www.DrCheski.com
Cosmetic breast surgery, as all surgery, is evolving towards minimally invasive techniques because of their many advantages, decreased complications, and improvement in post operative pain and recovery time.
This has led to the development of the TransUmbilical Breast Augmention (TUBA) or breast augmentation through the belly button. I have designed many of the instruments for this technique, and currently, to my knowledge, perform more of these procedures than anyone in the world. Many of the instruments that I use are named after myself.
This technique is an evolution in breast augmentation, much like how gallbladders are now removed through the belly button, tubes are tied through the belly button, and heart catheterization is done through small incisions in the groin. There are many advantages to this technique. The incision is done through a small mark under the hood of the belly button, leaving no scars on the breast. There is no cutting around the nipple and areola. This decreases the chance of permanent loss of nipple sensation, as confirmed in clinical studies. There is no cutting through the breast tissue, gland, or ducts. Thus there is less interference with breast feeding and mammograms. Further, clinical studies have shown a significant decrease in hardening of the breast and a much improved recovery time. Patients with this technique have less pain and typically are back to driving and regular activities within 2 to 3 days. One can resume working out within 2 to 3 weeks.
I perform all the different approaches in breast augmentation, but this is my preferred technique and comprises approximately 85% of my primary breast augmentation practice. This technique can be combined with other techniques through the belly, such as liposuction, umbilicoplasty (tightening of the skin and/or stretch marks round or on top of the belly button) or tummy tuck, and can be combined with breast lifting techniques. I have been performing this technique since 1997 and place approximately 1000 implants per year.
My personal experience with this technique shows a significant decrease in complication rates as compared to other approaches. I have never had an infection on a primary breast augmentation with this approach. Rates of capsule contracture (hardening of the pocket around the implant), hematoma, breast implant deflation from the surgery, and decrease in nipple sensation are much less than other approaches in breast augmentation. Doctors from around the world regularly come to watch me perform this technique and I lecture regularly about this technique at national and international meetings.
This procedure can be performed under or over the muscle, although I strongly recommend going underneath the muscle as it leaves a more natural look and feel and is better for breast feeding and mammograms. I typically use smooth round saline implants, which leave the most natural feel. These implants, when designed with the proper surgical pocket, appear round when the patient is lying on her back and teardrop shaped when standing.
I also perform many other cosmetic plastic surgery procedures on the face and body. For more information, please contact me at 310 575 1500 or www.DrCheski.com
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