Your Breast Enhancement Consultation

Your Breast Augmentation / Enhancement Consultation

Confidence, sex appeal and self-love directly relate to how we feel about ourselves and as part of this, our bodies too. When we’re feeling insecure, anxious or embarrassed about a part of our body, our self-confidence takes a beating as well.

And as much as we like to embrace ourselves just as we are, having breasts that you aren’t comfortable with can impact your confidence, how you feel about yourself and what you project out onto the world.

So if you’ve dreamed of having perfect, well-balanced breasts, it might be time to investigate Breast Enhancement surgery. Here are three steps to get you through your first Breast Enhancement Consultation and on the way to perfect breasts.

Step 1. First and foremost, you need to do your research. Even before you’ve had your first consultation, you need to know what to expect before, after and during surgery and research the type, size and placement of implants you’d like to get. It’s important to keep in mind that breast enlargement is an important decision and one that will impact your life for years should you decide to go ahead with the surgery.

At Jacksonville Cosmetic Surgery Center, Dr. Nezami takes the time to go through all of the options relating to breast augmentation and enhancement, including the type of implants desired. Breast implants fit into two categories: saline and silicone. Dr. Nezami will not use silicone implants on anyone under the age of 22, but saline can be used on patients over 18. This is FDA requirement.

Both implants are similar in appearance as they have outer shells made of silicone (and you should get a chance to feel the implants during your consultation), but are actually quite different.

With saline implants, there is an injection port in the implant where the saline solution (i.e. sterile salt water) is inserted into the implant during surgery. Meanwhile, silicone implants come pre-filled by the manufacturer.

There are different profiles and sizes of saline and silicone implants. Saline implants aren’t as soft and natural looking as silicone, and silicone implants are more expensive.

You should know too that both saline and silicone implants will leak and need to be changed at some point during your lifetime. Saline implants will leak into the implant capsule and then be absorbed by your body and eliminated via your urine. You’ll know a leak has occurred because the breast will decrease in volume.

There was some controversy with the hazards of silicone implant leakages in the past, but today in order to get FDA approval, silicone gel implants had to undergo significant changes and improvements. The silicone implants now have a cohesive gel which means that if the implant is damaged the gel will stay together in the capsule (scar) that your body forms around the implant. The appearance or the volume of your breast will not change. It’s recommended by the FDA to have an MRI three years after your breast surgery and two years after that in order to detect silicone implant leaks.

While you’re conducting the rest of your research, you might like to collect photos and images of breasts you like the appearance and shape of and speak to friends and family who have had the procedure done as well.

You should also be aware of the complications that can come with Breast Augmentation and Enhancement Surgery. No surgery is without risk, and being fully aware of the side effects and possible complications is crucial.

Step 2. During your consultation

When selecting a plastic surgeon to speak with, start with a short-list and make sure the American Board of Plastic Surgery has certified them. We always recommend choosing a surgeon that has more experience (i.e. has been practicing for longer) as this will usually lead to a better result. For example, Dr. Nezami at Jacksonville Cosmetic Surgery Center has over 34 years of experience.

When you meet with each of the surgeons on your short-list, ask to see  before and after photos of both breast enhancement/augmentation surgeries and also other surgeries so you can see their skill level. You should be looking for four things: symmetry, proportion, beauty and aesthetic appeal.

Most plastic surgeons will also have patient testimonials that you can read through.

Pay attention to the way each surgeon conducts your first consultation, as this will give you an indication of his or her bedside manner and style. They should take their time, be happy to answer any of your questions, examine you, find out more about your current overall health and discuss your goals and expectations. They should also be honest and let you know straight away if your expectations are unrealistic so you avoid disappointment after surgery.

At Jacksonville Cosmetic Surgery Center, part of your consultation will include 3D Photographic Simulation.  This revolutionary new technology allows you to preview what the end result of your breast augmentation surgery will look like from all viewpoints. Jacksonville Cosmetic Surgery Center is the only practice in Jacksonville offering this new technology.

A normal consultation should last around 45-minutes, 30-minutes at a minimum.

You can read our  blog: “What to expect and how to benefit from your first breast enlargement consultation first consultation”  to make sure you get all of your questions answered and the information you need during this time.

Make sure you end the session with comprehensive quote that lists all of the fees and charges associated with your surgery. At Jacksonville Cosmetic Surgery Center, we take the time to clearly explain the charges to you, which include Dr. Nezami’s surgical fee, the charge for an M.D. anesthesiologist, implants supplies, follow-up sessions, operating room costs and any lab work required.

Step 3. Once you’ve completed your due diligence, you should have a fairly good idea of whether you’d like to proceed with the surgery and which surgeon you would like to use.

If you haven’t found a cosmetic surgeon you like – keep looking. It’s important that you have full trust and faith in your surgeon. If you’re unsure, you can book in for another consultation and ask any lingering questions. You can even bring a friend or family member to help you with your decision.

At no time during the consultation process should you feel pressured to book in for surgery. At Jacksonville Cosmetic Surgery Center, you will never be pressured to schedule your surgery and we give you the space and freedom to think carefully about your decision.

When you’re ready to proceed, you can book in your surgery date and begin making preparations for before and after your surgery. It’s a good idea to ask your plastic surgeon for a checklist of things to do before and after surgery and to ask a friend to be with you for at least 24- 48 hours after your surgery.

For more information on post-op care, watch out for our upcoming blog post: “How to take care of your breasts after Breast Enhancement Surgery”, or call Jacksonville Cosmetic Surgery Center at (904) 399 5061

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Best Plastic Surgeon, How to use search engine to find expert plastic surgeon?

Best Plastic Surgeon, How to use search engine to find expert plastic surgeon?  A Jacksonville Cosmetic Surgery Blog

These days, most people are using the Internet find the services they need the most. When it comes time to find a board certified plastic surgeon, Google serves as the top source for finding what your need. Google makes it simple to find a board certified plastic surgeon to provide you with tummy tuck,  facelift, breast lift and more. Finding the best board certified plastic surgeon using Google does require effort, however, since you need to learn how to use the search engine in an intelligent manner.

What is a Search Engine?

A search engine is a search tool that produces the best results for your inquiry. Since there are billions of websites out there, many of which are unknown, having the Google search engine is a very valuable tool in finding the best website. Most people will not go past the first two pages of a search engine; however, results that are shown in the first  page of the search engine  have used  Search Engine Optimization (SEO) techniques in the best possible manner. SEO requires carefully constructed content and keywords to be put together with a friendly website. It also requires regular attention and detail to SEO in order to stay on one of the top pages of the search engine.  The better the optimization is on a website, the higher it will rank within the Google search engine.SEO, or

The search engine results are based solely on optimization, since Google isn’t familiar with any surgeon or the skills that he has. It is up to the consumer to use the information that Google has provided to find the best board certified surgeon based upon the information that Google has already offered.  Take a look at these four tips that will help you a great deal when trying to find the best board certified surgeon.

Tip One: Look at the photos.

As they say, pictures speak a thousand words. When you see a website that is within the top results, looking at the photos will help you determine whether or not the surgeon is reputable and worth your while.  You should look at both the before and after photos offered at the surgeon’s gallery, not only at the procedure that you are considering but at all the photos. It is a good idea that you look at several different websites results to determine which offers the best results. If you do not like what you see, continue on with your search. To be able to adequately compare before and after photos, they should be taken the same distance from the camera and under the same lighting. As an example, a liposuction after photo taken further away from the camera than the before photo cannot be compared, since the photo taken with the subject further away from the camera will be smaller even without liposuction.

Tip Two:  Research the Testimonials

The testimonials page is also useful in helping you find the best plastic surgeon for your needs. Once you have narrowed down the selection based upon the photo gallery you’ve viewed,  a visit to the testimonials page can help you find out what other people have to say about the surgeon. If a patient has enjoyed the results that the surgeon has provided, as well as the overall experience, you will be able to make this determination from reading the information that is posted here on this page. The testimonials page will share with you a great deal of information about the surgeon, including how they were treated by the staff, the cleanliness of the facility, the procedure itself and much more.

Tip Three:  Read the Biography

Another important piece of information found on the plastic surgeon’s website is the biography. The biography page gives you in-depth information about the plastic surgeon, including where he went to school, his specializations (if there are any,) his years’ of experience and other vital information, such as where the surgeon is certified from. You want to find a plastic surgeon who holds board certification from the American Board of Plastic Surgery, the only major specialty cosmetic surgery board recognized by the American Board of Medical Specialties and is a member of  the American Society of Plastic Surgeons (ASPS) and the  American Society for Aesthetic Plastic Surgery (ASAPS).

Tip Four: Use Google for Research

Once you have reviewed all of the information above and narrowed down your selection, it is now time to put Google to work. Type the name of the surgeon into the search engine, along with the city and state that the surgeon is practicing in. You will be able to find even more information on that surgeon when this is done. You can find patient reviews, comments, and a number of other important details.

This information will make it far simpler to choose the best board certified plastic surgeon for you.

For more information,  links to more than 30 different sites, details of surgeries and hundreds before and after photos visit www.ahnezami.com.

To schedule your complimentary consultation call us at (904) 399 5061 or email us at ahnezami@ol.com

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3D Photographic Simulation of Breast Enhancement

NEWS RELEASE
NNEWS RELEASE

FOR IMMEDIATE RELEASE – January 1, 2013

3D Photographic Simulation Brings a New Dimension to Plastic Surgery at Jacksonville Cosmetic Surgery Center

New technology allows patients to preview how they will look with aesthetic procedures

JACKSONVILLE, FL- If you are one the thousands of people each year considering aesthetic plastic surgery,Jacksonville Cosmetic Surgery Center has some good news for you. Recent advances in three dimensional (3D) photography combined with revolutionary new software allow prospective patients to preview what they will look like as the result of breast augmentation, facial procedures, and more, well in advance of any surgery.

Both the VECTRA® 3D camera and Sculptor software which make this possible were developed by Canfield Imaging Systems, the world’s leading provider of medical photography systems. The process starts with a VECTRA 3D session which produces a three-dimensional photograph of the patient. Then, using Sculptor software, the surgeon is able to simulate the expected results of a variety of aesthetic procedures.

Jacksonville cosmetic surgery center is the only practice in Jacksonville and surrounding area offering this new technology. If you are thinking of having breast augmentation, you ought to take advantage of this imaging to help you select the correct size implant proportionate to your body

“My patients absolutely love this,” said Dr. A.H. Nezami. “For the first time, they’re able to see a 3D picture of themselves with their new look. Because it’s in 3D, I can rotate their picture to any viewpoint and they can really examine the desired result. We can make changes here and there and agree on a final look in advance, and this truly helps them make a decision”.

Jacksonville Cosmetic Surgery Center has been serving Jacksonville, Jacksonville Beaches and Ponte Vedra since 1981, offering professional, personalized medical care in Plastic and Cosmetic Surgery. Dr. Dr. A.H. Nezami is a board certified Plastic Surgeon and is available for consultations by appointment at (904)399-5061.

For additional information:

A.H. Nezami, MD.

Jacksonville Cosmetic Surgery Center

(904) 399-5061

ahnezami@aol.com

www.Jacksonvillecosmeticsurgery.com

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Breast Augmentation Consultation: What to expect and how to benefit from your first breast enlargement consultation

First and the most important step is to select the right Cosmetic Plastic Surgeon:
Choose a Board Certified Plastic Surgeon by the American Board of Plastic Surgery.
Verify the surgeon’s surgical experiences and years in practice (longer in practice = more experience). Dr. Nezami at Jacksonville Cosmetic Surgery Center has over 35 years experience.
Look at the plastic surgeon’s before and after photos of Breast Augmentation and other surgeries to see if he has an eye for aesthetic, beauty, proportion and symmetry.
The optimal outcome of the surgery depends on the skill of the surgeon, his meticulousness, his selection of the size, and the type of the implant and placement of the implant to give you the best possible result with no complication. It is far better if the surgeon does not rush through surgery. Rushing the surgery and cutting corners will increase the risk of putting the patient through more surgery for corrections and revisions. Read patients testimonials and try to observe how the plastic surgeon conducts the consultation: Did he spend time to explain all that you need to know before breast enlargement? Did he examine you and discuss with you your particular case and what would give you the best possible breast enhancement?
First read our Blog: “Your first visit to a Plastic Surgeon’s Office: What you should know, what to expect and what questions to ask”.
This blog will cover the relevant questions to ask and the important points that you need to pay attention to at your first breast enhancement consultation.
Discuss clearly your expectations of breast implant surgery with your plastic surgeon so he can advise you on what is obtainable and what part of your expectation will not be materialized due to your own anatomy. Each person’s anatomy is unique and has an important role in the outcome of the breast enlargement surgery. For example, if your breasts are far apart from each other, you may not be able to have the cleavage that you thought you would have after your breast enhancement surgery if the breast implants are placed under the muscle and you already have separation. Having a realistic expectation will prevent disappointment after the breast implant surgery.
Size of the implants:
In our Jacksonville Cosmetic Surgery Center, your first breast enlargement consultation with Dr. Nezami will take a minimum of 30 to 45 minutes. During that breast augmentation consultation Dr. Nezami will carefully listen to the patient to understand her goals and expectations from her breast enlargement surgery. He then examines the patient to assess their specific anatomy and often does some measurements to determine the best size , style and profile of the implant for that patient. Most patients already have an idea about the size of their implants. In our Jacksonville Cosmetic Surgery Center we provide implant sizers, and give our patient various bras for them to try on. This will give the patient a better idea about the size of the implants they would like to have. Some patients need more time to choose, we welcome them to come back with a friend or spouse, and try different sizes in a variety of clothing and spend as much time as they need to make their selection of the size of the implants.
Type of the Breast Implants:
There are different implant profiles available from low profile to very high profile implants. Once you select the size of you implant, Dr Nezami will select the profile suited for you depending on your anatomy. We often see at Jacksonville Cosmetic Surgery Center patients that have their breast augmentation done somewhere else and have implants that are too wide and extend under their arm.
There are two types of breast implants; saline filled breast implants and silicone gel- filled breast implants. Dr. Nezami wrote a blog: “Breast Augmentation with Saline or Silicone Implants, explaining differences between saline & silicone implants”. If you are thin or have minimal amount of breast tissue, Dr. Nezami will recommend silicone implants to decrease the chance of rippling.
There are two major manufacturers of the implants, Allergan and Mentor. There is very little difference between their Breast implants. At Jacksonville Cosmetic Surgery Center, the patient is given a silicone implant and a saline breast implant to touch and feel the difference between a saline implant and silicone breast implant. Saline filled breast implants can be used by an 18 year old woman, whereas for silicone gel filled implants the minimum required age is 22 years old.
Breast enlargement Incisions:
There are four different locations of incisions. At Jacksonville Cosmetic Surgery, Dr. Nezami with over 35 years of experience in breast augmentation surgery will advise our patient which technique is best for them. In most cases, Dr. Nezami makes the incision for breast enlargement under the breast since the scar is hidden under the breast.
Placement of the Breast Implants:
Breast implants can be placed over or under pectoral muscles. To place implants under the muscle is more tasking on the surgeon but the feel and the look will be more natural. However, for certain patients because of their anatomy, the plastic surgeon will opt to place the implants over the muscle.
Your overall Health:
Your plastic surgeon will ask you all the relevant questions regarding your general health and review your past medical history and make sure that you are a good candidate for the surgery and anesthesia.
Preparation for the surgery and post operation Recovery:
At Jacksonville Cosmetic Surgery Center all the questions related to pre and post operation care are explained in detail at the pre-op visit. All the pertinent information that you need to know for the pre-op and post-op breast enlargement surgery will be covered in detail in our future blog. Contact our Jacksonville Cosmetic Surgery Center for any question.
Questions to ask your Plastic Surgeon:
• Where will my surgery be performed? Is the facility accredited and inspected. Jacksonville Cosmetic Surgery Center is accredited by the American Association for Accreditation of Ambulatory Surgery Facility Inc.
• How long will the surgery take? You certainly do not want your surgery to be rushed. On average a breast augmentation surgery should take 1-2 hours. At Jacksonville Cosmetic Surgery Center breast augmentation operation performed by Dr. Nezami usually takes about 2 hours. He is very meticulous and perfectionist and uses implant sizer during the operation for accurate and symmetrical pocket formation where the final breast implant will be placed and to assess if the implant selected will give the patient the best possible result. He believes it is worth spending more time to obtain the best possible result with no complications than rushing which could increase risk of complications and need for revisions.
• Who administers the anesthesia? Is an M.D. anesthesiologist, or the plastic surgeon himself or a nurse anesthetist? In our Jacksonville Cosmetic Surgery Center we use only Board Certified M.D. anesthesiologist.
• Will you be able to contact and talk to your plastic surgeon who did your surgery and who will do your follow up after the surgery? At Jacksonville Cosmetic Surgery, Dr. Nezami is always available and will do all the post-op follow-ups.
Complications of Breast Implants:
Breast augmentation is a surgical procedure and there are possible complications that you should be aware. Your plastic surgeon should go over all the complications with you. So you can make an informed decision whether or not you are ready to proceed with your breast implants surgery. Ask your surgeon about how often he sees complications after his breast augmentation surgeries? If your plastic surgeon is skilled, experienced, meticulous and careful, and your surgery is not rushed, the rate of the post-op breast implant complications should be very low and rare. In our future blog, we will discuss all the possible complications of breast augmentation with implant and enhancement surgery.
Cost of the Breast Enlargement:
All the charges should be clearly explained to you and given to you in writing. Some practices quote just the surgical fee for the plastic surgeon. Some practices use M.D. anesthesiologist which is safer, but the charge is higher than those using a nurse anesthetist. The charge for saline implants is lower than silicone implants.
All the charges for breast enlargement quoted by Jacksonville Cosmetic Surgery Center, include Dr. Nezami’s surgical fee, the charge for an M.D. anesthesiologist, operating room charges, supplies and follow ups. In some cases, Dr. Nezami requires lab work, which will be an additional $45.00 to $60.00 charge.
After you concluded your first consultation with your plastic surgeon, you ought to be able to answer to the following questions:
•Were you able to develop the necessary level of trust with your plastic surgeon to move forward with your breast enhancement procedure?
•Did your plastic surgeon spend as much time as you needed to answer all your questions? Or did you felt rushed? This step is an important indication on how your actual surgery will be undertaken. Will your plastic surgeon spend as much time as required to reach the best possible result, or will the surgery be rushed?
•Have you been shown a sufficient number of before and after photos of breast implant surgeries done by your cosmetic surgeon?
•Did your plastic surgeon discuss all the possible risks and complications of breast implant surgery with you? Although complications are rare, breast enlargement is an elective surgery; you need to know the complications before making your choice.
•Did you asked how often your plastic surgeon encountered complications and had to make revisions in the past?
•Did you feel pressured into scheduling your surgery?
•Was the fact that you were well informed and had done your homework to learn about the procedure welcomed by your plastic surgeon?
What happens after your breast enlargement consultation?
In our practice at Jacksonville Cosmetic Surgery Center you will never be pressured to schedule your surgery the same day after your first breast enhancement consultation.  But if  all your questions were answered and you feel comfortable with your plastic surgeon’s explanation, surgical ability and you liked his before and after photos of breast augmentation  and enlargement surgery, you may schedule your surgery that day or call later. You may even return with a friend or spouse and try again different sizer implants or talk to Dr. Nezami if you have more question.

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Your First Visit To A Plastic Surgeon’s Office: What you should know, what to expect and what questions to ask.

Written by Jacksonville Cosmetic Surgery Center

Based on the past 31 years experience in Jacksonville, our analysis of what the patients need to know during their first visit with their cosmetic surgeon is summarized in this blog.  In our future blogs we will walk you through important things that should be covered in your pre-operative visit, surgery and follow-ups for each cosmetic procedure.

Patients that do their homework before coming to a cosmetic surgeon’s office usually   benefit the most from their consultation with their cosmetic surgeon. They already know the relevant questions to ask, in addition to the questions typical to their own particular case.

When you walk into a plastic surgeon’s office, you will be ask to complete a patient information form and tell about your health and past medical and surgical history and your current medications. However, there are little nuances that can tell you something about the type of practice. The setting of the office is relevant; you can assess if you feel more of an atmosphere of a business office or a private plastic surgery practice. How you are first greeted and invited to the examining room will be an indication of the quality of the staff and the type of service that you can expect after your surgery.

Remember the purpose of your first visit is not only to learn about your procedure of interest and whether or not you are the right candidate for the procedure.  Also at this time you will be able to assess your plastic surgeon to see if you feel comfortable with him or her. Thus you must meet the doctor and speak at length with him and not the patient coordinator. Remember cosmetic surgery is an elective surgery; you should be absolutely comfortable with the selection of your plastic surgeon.  The surgeon should first ask you about your area of concern and the improvement that you are seeking, then a complete and detailed examination  must be done to assess your area of concern. The surgeon then should explain the procedure that is best suited for you to obtain the best possible and most natural result. The surgeon should explain to you the procedure, possible complication and expected result and not only what you like to hear, in order to close the sale.  He should show you some before and after photo. The photos are very important to assess the quality of his work. It is helpful to know the number of  complications if any the surgeon has had in the past, and to know how much experience the surgeon has had with your procedure of interest.

Your first consultation is your only opportunity to assess your surgeon. You will have a good feeling if your doctor is taking enough time to answer all of your questions. Is he explaining all the pros and cons of the surgery, does he appear to you as a meticulous and detail oriented surgeon?  Are you rushed through your consultation?  Remember there are no questions that you should feel intimidated to ask. Cosmetic surgery is an elective surgery and you are entitled to know everything that you feel you need in order to make your decision.

The next step is the charge of your surgery. All the charges should be clearly explained and given to you in a written form. It is best not to have any surprises at the time of surgery or afterward.

Cosmetic surgery is not only a surgical technique; it is an art, a very precise art. Every detail is very important and should not be rushed. It is also a surgery and should be done the safest possible way in an accredited facility that has easy access to a major hospital.

Surgery is an irreversible procedure and the attempt to correct it is costly. It is in your best interest to take your time and find the right plastic surgeon with years of practice and  experience.

It is wise to select a plastic surgeon that is board certified by American Board of Plastic Surgery and not a cosmetic surgeon who may be board certified in different specialty. There are other type of physicians that practice as “cosmetic surgeon” and even advertise as “board certified”, but they are certified for different specialty such as family practice, dermatology, dentistry and oral surgery and not plastic surgery

If you have any questions regarding the topic covered in this blog, please call Jacksonville Cosmetic Surgery Center at 904-399 5061.

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Dr. A.H. Nezami, Simply the Best Cosmetic Surgeon

A.H. Nezami, MD

An article written by Jamie Lober, photography by Mario Peralta in the January/February 2011 issue of Jacksonville Luxury Living magazine.

Dr. A.H. Nezami of Jacksonville Cosmetic Surgery Center is catching the eyes of women nationwide through his stellar website filled with natural looking results.

After being schooled at the Paris School of Medicine, Nezami came to the United States to complete his residency under the two founders of plastic surgery in Jacksonville, Drs. Morgan and Kaye. Morgan was so impressed with Nezami’s work that he asked him to join his practice. And when Kaye retired, he trusted all of his patients to Nezami. “He thought this was a good opportunity, and when we fell in love with Jacksonville, we decided to stay here and practice here permanently,” said Homa Nezami, the doctor’s wife and office manager.

Now in practice for 30 years as one of the most respected plastic surgeons, Nezami always saw the day coming that he would enhance breasts, bodies, faces and skin. Since he was young, he enjoyed building things and doing delicate work with his hands. When asked how his practice is set apart from the rest, the answer was quite simple. “It is just me [the physician] that makes us stand out,” said Nezami. He is in the office almost every day and takes credit for all of the results. Though he said there are little tricks to the trade, he chose not to reveal them and explained that you have to have an eye for it. “You cannot teach plastic surgery to somebody overnight,” he said.

The best possible results are achieved by this talented doctor tailoring the procedure to the patient in the safest way possible — and being connected to the hospital adds an additional sense of safety and security for patients. The idea is not just for the patient to select the procedure, but also for the plastic surgeon to select the patient. Patients are not always suitable for the procedure and may have the wrong expectations. “We make sure the patient really needs and wants it, that it is the proper procedure, and then we get the result they want,” said Nezami.

Nezami prides himself on taking care of the patient from beginning to end. He does not use patient coordinators or physician assistants. “I think patients come to see me because of the result they saw I obtained, not because of my physician assistant or nurse,” said Nezami. Though he describes his staff as well-trained and able to handle a lot, Nezami rarely even leaves sutures to his nurse. “Patients want me to do it; otherwise, they would have gone to somebody else,” he said.

Patients are empowered with knowledge — they first come to the doctor for a consultation, which can take up to an hour, to talk about what they want to have done. Dr. Nezami then examines the area and explains what their options are for improvement. He shares pictures of patients before and after their procedures, and uses drawings to explain how the procedure is done. For example, for a prospective patient seeking breast enlargement, they would see the implants, be made aware of possible complications, and understand when they can expect to look good and be ready to go back to work. A second appointment is scheduled before surgery to see if the patient is prepared, needs any additional tests and to get remaining questions answered. “I want them to know how to take care of themselves before, during and after surgery and what to expect so they come in relaxed and know everything that is going to happen.”

The journey to self-improvement is embarked upon in an extremely comforting environment. “Our staff are caring, understanding and treat all patients as if they are family,” said Nezami. Nobody feels rushed, and when patients fill out comment cards to thank Nezami for taking care of them, they often mention his considerate staff as well.

Often patients have been bothered by a physical defect for a long time, then breathe a sigh of relief after seeing the improvement surgery brings. Nezami does not discriminate but especially likes when he feels the patient already looks good and is just improving upon that. “Anyone who wants to look better and has realistic expectations should come in,” said Nezami.

More often than not, Nezami’s results surpass the patient’s expectations, likely due to his personal care and attention to detail. He has been witness to many transformations as a result of his magical hands and powerful tools. “After a face-lift, patients’ attitudes change — they dress nicer, take care of their hair and face, and almost look like a different person because they see that improvement,” said Nezami. Every body part is enhanced with customized special care. “For breast augmentation, we see patients that come in with their shoulders down looking like they want to hide their small breasts, but once we have done surgery, they walk proud.”

The best plastic surgery is the kind that is unrecognizable, according to Nezami. “You want people to tell the patient that they look good, younger, more proportionate and refreshed,” he said. It comes down to knowing where to pull and how much, what the limits are, where to put the incisions and what to do underneath the skin so the face looks more natural — or how to select the proper size and shape of the breast implant so it goes with the patient’s body.

Nezami’s confidence is booming as he shares that he has never had complications, which usually go along with the territory. “They say if you do enough surgeries, you get complications, but I do not think that is true for me,” he said.

The best part of his job is he can make it seem that he has never had to work a day in his life. “I think my job is not really a job, it is a pleasure,” said the doctor. His results keep him going strong in what he calls an art in human dimensions. He loves that the patients are happy. “They do not have a disease or anything they have to take care of, they are just trying to improve.” In comparing himself to other doctors, Nezami likes his place. “When I have excellent results and happy patients, that makes me happy too.”

Patients look and feel better, have improved self-esteem, and are happier overall because of his expertise and compassion. Nezami is unique in the sense that he follows up with patients, which he said is unusual for a plastic surgeon. Patients who have breast enlargement are checked annually for problems or anything that can be detected early. Often, happy patients will come back for additional procedures or refer their friends. “A good percentage of the people of Jacksonville are in my population already,” said Nezami.

Aside from getting a consultation to learn more, Nezami recommends sun protection. “The sun does a lot of damage to skin, so you should put on sunblock half an hour before you go outside and not just wear a shield on your face.” If you have been contemplating a procedure and are looking for the right person to turn to, look no further than Dr. A.H. Nezami.

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Breast Augmentation with Saline or Silicone Implants, Jacksonville Cosmetic Surgery Blog explains differences between saline & silicone implants.


Written by A.H. Nezami, MD, founder of Jacksonville Cosmetic Surgery Center

In our Jacksonville Cosmetic Surgery Center we want all our patients undergoing breast augmentation (augmentation mammaplasty) breast enlargement or breast enhancement with implants to be completely informed of all their options. I spend a lot of time with my patients to explain all the aspects of the breast augmentation procedure that they are considering. An adequate knowledge of the procedure and the differences between saline and silicone implant is necessary in order for the patient to make an informed decision and correct choice for their cosmetic breast augmentation surgery. Breast enlargement is an important decision since they have to live with those breast implants for years.

Although both types of implants are similar in appearance when placed on the table, the saline implants and silicone implants are very different.

The outer shells of saline or silicone implants are made of silicone. The saline implant has an injection port from where the saline solution (sterile salt water solution) is injected by the surgeon during the procedure. The silicone implant is pre-filled by the manufacturer.

Saline and silicone implants are available in different sizes and profiles.  For each size saline breast implant, there is a minimum and maximum fill volume set by the manufacturer. Therefore, the surgeon can go up or down with the volume of the saline, but the volume of silicone breast implant cannot be changed.

After implantation of saline or silicone implants the body forms a scar tissue around the implant (like another cover), this is called “Capsule”.
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