Tag Archives: Darshan Shah Bakersfield

Five Reasons Not To Have Plastic Surgery

Dr ShahPlastic surgery can be an amazing life changer.  I have personally done thousands of procedures on people who come back after they have recovered to tell me that I have “changed their lives” forever.  They have a tremendous boost of self-confidence and a spring in their step that their loved ones have not seen in years…or ever!

However, every plastic surgeon becomes acutely aware of the fact that many people are seeking plastic surgery for the wrong reasons.  Plastic surgery is a medical specialty where your doctor functions not only as a surgeon, but also a  psychologist who can help you determine if this is the right time in your life for a major change.  I say “no” to over 30% of the people that see us for consultation, not to be mean, but to protect my patients from themselves.  Although it is may be a disappointment to hear that plastic surgery may not be right for you, you should take this advice with great heed to prevent a going through a major disappointment or major complications.

  1. You are not healthy.  Plastic surgery works great, and the chance of having complications are usually minimal… unless you have uncontrolled health issues. The typical “silent killers” your family doctor talks to you about (diabetes, high blood pressure) can also cause healing issues and recovery problems.  Although having these problems doesn’t preclude you from having plastic surgery, you should definitely pay a visit to your primary care physician and make sure your health condition is optimized before you go under the knife.
  2. You are obese.   Many people have the misconception that being overweight is the reason that you go to a plastic surgeon!  This could not be farther from the truth.  Obesity not only makes it nearly impossible to get a good result from the procedure, it exposes you to additional risks such as wound healing problems, blood clots, and pneumonia.   If you are considering plastic surgery, you must lose the extra pounds first.  Although you do not need to be at your “ideal weight”, a good rule of thumb is that your Body Mass Index (BMI) should be less than 30. Check out our BMI Calculator to figure out what your Body Mass Index is.
  3. You are a smoker.  This one is pretty much a deal breaker.  If you smoke, you should not have most plastic surgery procedures that require a “flap” (tummy tucks, breast lifts, facelifts).  Smoking not only replaces the nourishing oxygen on your blood cells with carbon monoxide, the nicotine in cigarettes also constricts the tiny blood vessels that go to your skin.  No blood flow and less oxygen is the formula for infections, open wounds, and bad scars.  You should quit smoking for at least 4 weeks before surgery, and forever after.
  4. You don’t have the finances to do it right.  Unfortunately, many unscrupulous “doctors” advertise plastic surgery as “easy” and “cheap”.  Nothing is farther from the truth.   If you see a price that is too good to be true, it is.  Cheap plastic surgery almost always leads to disappointing results and more money spent dealing with complications.  Be skeptical about going to a “cosmetic surgeon” versus a plastic surgeon, doing surgery under local anesthesia (highly unsafe and only done when the doctor is not allowed to do the procedures under proper anesthesia), or extremely low prices (indicative of cutting corners).
  5. You are doing the surgery for the wrong reasons.   Many people think that plastic surgery can turn their life from bad to amazing with one quick visit to the operating room.  The reality is that if you are trying to prevent a relationship from ending, getting forced into doing it by someone else, or have any personal “drama” going on that is leading you to the plastic surgeons office, you should get back in your car and visit the psychologist first and work through these issues.  Don’t think about plastic surgery until you are in a good point in your life, have support from your significant other and are doing this for “you”!

Plastic surgery is now considered the “norm” in the United States, with over 65% of our population approving of plastic surgery.  The keys to success are being healthy, losing weight, quitting smoking, doing it for the right reasons, and doing it right by going to a real plastic surgeon.  Following this advice will not only save you a lot of disappointment, it may even save your life!

What is Revision Breast Surgery?

Breast augmentation or a Breast Lift can be an incredible surgery that transforms your physical appearance and improves your confidence and self-esteem.  The surgeons of Beautologie are extremely successful in providing excellent results with breast enhancement surgery.

But what happens if you inadvertently went to a non-qualified doctor and things went “wrong”?  Recent news stories in the Bakersfield Californian point out why it is so important to choose a real plastic surgeon, not one that has only weekend courses in these technically challenging procedures.

At our Beautologie offices in Bakersfield, Fresno and Malibu we are frequently consulted to help repair a breast surgery “disaster”, often one that was done under local anesthesia, or by a non fellowship trained plastic surgeon that does not have appropriate training.  In these cases, a revision may be required to address issues such as loss of volume, sagging skin, the positioning of the implant, or an infection. In many cases, the patient has lost the implant completely leaving loose scarred tissue, or has had multiple attempts at repair which have caused more damage.

In any type of revision surgery, identifying the cause of the problem and performing the right type of surgery to correct it is extremely important. Only a knowledgeable and highly experienced plastic surgeon should be consulted regarding a breast augmentation revision to ensure the best possible outcome to the procedure. These surgeries should only be performed by someone that has extensive revision surgery experience.

We have the experience and the skill to help you repair a bad experience.  Sometimes, the revision may require multiple procedures and may never turn out “perfect”. This is why it is important to choose a qualified surgeon at first.   Get it done right from the beginning, and you can avoid a costly and long procedure to fix a deformity.

Rarely a breast revision surgery will be needed following an augmentation due to the contraction of the capsule. A capsule is the normal scar tissue that will cover the implant after it has been placed in your body.  With some patients, the capsule will tighten and squeeze the implant.  One way to correct the shrinking is to open the capsule to create more space for the implant.

Another way is to remove the capsule completely.  Often, if the capsule is mild, we can prescribe medication that may help eliminate the capsule without surgery.  There are many theories as to why a capsule shrinks, including infections, trauma or even the flu.  Capsular contractions are more common when the implant has been inserted above the muscle (under the skin. The best location for an implant is behind, or partially behind, the muscle, and is the kind of procedure that we typically perform to avoid capsular contracture.  Also, choosing the under the breast incision helps to prevent complications.

Breast revision surgery may also be necessary if the implant that was used during your augmentation surgery was not round.  A natural or tear-drop shaped implant can rotate and can cause deformities.  Our office typically recommends round silicone and saline implants to prevent this from occurring.  We also know how to correct problems and deformities that have resulted from the use of implants that have rotated because of their shape.  The best way is to replace the implant to a round implant.

A breast implant will need to be removed or replaced if it has ruptured or starts leaking.  A ruptured implant is extremely rare, but does occasionally happen.  When a saline implant ruptures, the saline will leak rapidly and cause a deflated looking appearance.  The rupture of a silicone implant may not be noticeable for a long period of time.

If your implant ruptures and you chose to have it permanently removed, a breast lift may an appropriate solution to tighten the area.  Implant exchange is typically an “easier” procedure than the original surgery to place the implant, and the recovery is quicker.

The goal of breast surgery revision is to create a softer breast and more natural appearance.  Our office offers consultations to discuss your breast surgery revision needs in Bakersfield, Fresno or Malibu, CA.  Once we have had a chance to evaluate your condition, we can determine what type of revision procedure you will need.   We look forward to seeing you and helping you at Beautologie.