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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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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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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In Jacksonville, Breast Augmentation Trumps Liposuction

For the second year in a row, Jacksonville, breast augmentation beat liposuction as the most popular plastic surgery procedure – no surprise in a region known for its beautiful beaches and sunny climate. According to statistics compiled by the American Society for Aesthetic Plastic Surgery, Liposuction had been the top choice nationwide for 12 years until 2008. Many cosmetic surgeons credit the surge in the demand for breast augmentation in Jacksonville and elsewhere to the U.S. Food and Drug Administration’s 2006 decision to lift the ban on silicone breast implants for cosmetic use. Others point to changes in fashion styles, including décolletage-baring looks as a contributing factor.

When it comes to breast augmentation, Dr. A.H. Nezami, founder of Jacksonville Cosmetic Surgery Center is highly regarded and eminently qualified. Dr. Nezami is known in Jacksonville and Ponte Vedra community for providing the most natural looking result. A board certified plastic surgeon practicing in Jacksonville since 1981, Dr. Nezami is recognized among Jacksonville’s and the nation’s best by Castle Connolly Medical and the Consumer Research council of America. His years of experience and scores of clients who are deeply satisfied with their new looks have placed him among the most sought-after plastic surgeons performing breast augmentations in Jacksonville.

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