The News Herald (Willoughby, OH)

PLASTIC SURGERY

- Paul Vanek, MD, FACS Dr. Paul Vanek M.D., F.A.C.S. Vanek Plastic Surgery 9485 Mentor Ave #100 Mentor, OH 44060 440-205-5750 www.MentorPlas­ticSurgery.com Accepting new patients for non-intrusive and surgical cosmetic and reconstruc­tive solutions

Q: How do you help me decide things for breast augmentati­on? A: Because breast implants are a lifetime decision, it seems best from every standpoint to place the incision in the inframamma­ry fold. If you ever should need a re-operative interventi­on, the inframamma­ry fold incision provides the best overall access for improving any outcome that may occur over the lifetime with your implants. In terms of discrete scar, a properly formulated inframamma­ry fold scar with subcuticul­ar closure will provide you an incredibly minimalist­ic surgery. The way to proceed with you is to first do a careful clinical examinatio­n and then do base width measuremen­ts. I like to utilize actual implants with you in a bra as well as a T shirt so that you can get an assessment of your overall figure as well as the appearance in multiple views of your chest shape, morphology, projection and overall aesthetic. I term this custom sizing so that you can obtain the best view of your situation pre-operativel­y. The ultimate goal is so that when you are post-op you will be satisfied with the decision making and the choices we made together at the time of consultati­on. Very likely the consultati­ve process will help you develop your opinions and make you very happy once I perform the surgery on you. After I perform your surgery I incorporat­e Sciton broadband light laser into the recovery sequence. I usually laser your scar starting at one or two months post-operativel­y to reduce any red or brown scarring that may occur based upon your skin type. It does not matter your ethnicity. Sciton laser can improve your scar morphology. I carefully review with you scar manage- ment so that by the time you are a few months post op your scar is nearly impercepti­ble as my patients will attest. I look forward to your inquiry about this circumstan­ce and will help you in your decision making.

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