Posted on January 20, 2012 in Breast, Breast Implants
When I began my plastic surgery practice more than 25 years ago it became evident in that first year alone that one of my sub-specialties would be breast augmentation. I was regularly performing them, using either saline or silicone implants. I was among a selected group of cosmetic surgeons able to provide silicone implants, not only to cancer reconstruction patients, but to qualified cosmetic patients as part of the silicone clinical trials.
Today breast augmentation continues to be one of the most frequently performed surgical procedures at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery inParamus,NJ, and each year we’re finding that our patients are requesting it in swelling numbers.
According to the American Society of Plastic Surgeons (ASPS), one of the many professional organizations to which I am proud to say I am a member, 296,000 breast augmentations were performed nationally in 2010, a 2 percent increase over the previous year. In fact, breast augmentation is first among the top five cosmetic surgical procedures, followed by rhinoplasty, blepharoplasty, liposuction, and abdominoplasty.
Advanced technologies and techniques now provide patients with better products yielding a more natural result, along with faster healing. Now that the FDA has approved silicone implants for any woman seeking breast augmentation, everyone has more choices. Since silicone implants impart a more natural feel over saline implants we’re finding that in our practice most patients are choosing silicone. Our extensive experience in performing the procedure has prepared us to offer our patients the guidance they deserve when choosing their implants.
If you are considering breast augmentation now is an ideal time to schedule a consultation. Many women schedule their augmentation during the winter to be ready for their summer holidays in the sun. Our practice manager, Ann Carbone, will be happy to set up your consultation.
Posted on March 21, 2011 in Body, Botox, Breast, Breast Implants, Breast Reduction, Brow Lift, Dr. Zubowski, Eyelid Surgery, Face, Facelift, Fat Injections, Gynecomastia, Rhinoplasty
Oftentimes people suffer the worst situations but use them to make a change that positively impacts on their self-esteem, giving them the confidence to start over. No example could be stronger than the patients who arrive at my office with a heavy heart because of a failed marriage, a dissolved business partnership, getting a pink slip, or losing a loved one. Instead of dwelling on their misfortunes, they choose to give themselves a fresh start that will improve their looks—and their outlook. The first step? A consultation at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery, in Paramus, NJ.
These patients don’t want a timid makeover. Some have thought about cosmetic enhancement for years without moving forward.
A number of my female Breakup Makeover patients typically request breast surgery. Depending upon what they don’t like about their breasts, they may choose breast augmentation surgery, a breast reduction, and/or a breast lift (mastopexy).
More mature men and women want to see significant facial improvement, and request a traditional facelift which addresses the mid-face and neck regions. Combined with eyelid surgery (blepharoplasty) and perhaps a touch of Botox® in the forehead area and at the corners of the eyes, these procedures can erase 10 to 15 years from one’s face.
Finally, at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery, many of these “fresh start” individuals want to have movie star bodies. Fortunately, today, using the latest liposuction techniques in a cautious, safe and skilled manner, we can give them the well-proportioned physique that dieting and exercise, no matter how stringently followed, can’t achieve.
For more information on how we can custom design your Breakup Makeover to lighten your step—and your heart–please contact Ann Carbone, our Practice Administrator. I’m certain that you will find her most helpful in guiding you.
Posted on February 1, 2011 in Body, Botox, Breast, Breast Implants, Breast Reduction, Brow Lift, Dr. Zubowski, Face, Facelift, Liposuction, Tummy Tuck
One reason I chose to specialize in plastic surgery was my belief that aesthetic enhancements significantly improve my patients’ quality of life.
Continuous advances in plastic surgery create real benefits for patients. Today, the results are more predictable, involve less post-operative discomfort, and more rapidly return patients to their regular routines.
Even with improved techniques, some candidates still reject plastic surgery. For them, we are able to offer a host of injectables and Botox® that achieve gratifying results. We’re also using a number of liposuction applications that sculpt the body, face and neck. Liposuction procedures can be accomplished without general anesthetic in our office procedure rooms. By the way, for your safety and convenience, the majority of our surgeries occur at Surgicenter, our fully accredited surgery suite located at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery in Paramus, NJ.
Many of my patients have asked my opinion of bridalplasty (multiple pre-wedding day aesthetic procedures), a concept popularized by a TV show where brides-to-be compete for their wish lists of plastic surgery procedures. Their goal is to walk down the aisle looking like the girl of their own dreams. It is my genuine belief that any form of cosmetic enhancement: invasive, non-invasive, minimally invasive, or even skin treatments, should not be undertaken lightly. Competing to win plastic surgery enhancements trivializes the procedures and sends the wrong message.
At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery I have in-depth discussions with all patients about their aesthetic goals and any risks involved. Their psychological reasons for effecting a change must be sound. Making subtle changes to produce a natural result that will improve a person’s self-esteem is my primary goal.
If you’d like to present yourself in the best light on any day with our help, please contact Ann Carbone, our Practice Administrator.
Posted on February 11, 2010 in Breast, Breast Implants
Breast Implants – Frequently Asked Questions
Whether you are thinking about getting saline breast implants or silicone breast implants, it is important that you are well informed about what to expect with breast augmentation surgery. Below are some answers to the most frequently asked questions about breast implants.
What is a saline breast implant?
A saline implant is filled with sterile salt water at the time of surgery and the fullness can be adjusted. A saline implant leak will cause the implant to collapse. The leaked saline is absorbed by the body and discharged. Saline implants are approved for women over the age of 18 years.
What is a silicone implant?
A silicone implant is filled with a moveable gel that mimics the movement and feel of breast tissue. If a silicone implant leaks, the leakage may be contained within the shell or escape into the body. Silicone implants do not necessarily collapse when they leak. MRI examinations every two years are recommended to detect leaks or ruptures. Women over the age of 22 years are approved for silicone implants.
Which is better: saline or silicone implants?
In the end, the decision is entirely up to you. There are pros and cons to both types of implants. Some women feel saline implants make their breasts feel too hard, however, improved surgical techniques seem to have mainly overcome this drawback. While silicone implants feel more natural, it might not be possible to know if they leak and entail regular MRI examinations to assess their condition.
How safe are implants?
Both saline and silicone implants are considered safe, even if they leak. If they rupture, you will require further breast augmentation surgery to remove the old implants and insert new ones. Leaking implants may eventually cause pain, but they are not proven to increase the risk of breast cancer or connective tissue disease.
Can I still breastfeed with implants and is it safe?
The majority of women can still breastfeed after breast implants. However, if the implants are inserted through an incision beneath the nipple or on top of breast muscle, there is a possibility breastfeeding may be more difficult or impossible. Studies have proved that silicone cannot be passed to infants through breast milk.
Posted on July 9, 2009 in Breast, Breast Implants
Over the past several weeks I have received numerous comments on my appearance on The Real Housewives of New Jersey and continue to be amazed at the number of people who have seen the episode. I am frequently asked what it was like to do the show and be with the housewives. I can honestly tell you that they were all very gracious and actually quite knowledgeable regarding breast augmentation. The consultation wasn’t nearly as hectic as it seemed and surgery went off without a hitch. Theresa was lovely and was one of our best patients. She went on to have a fabulous result and is immensely happy with her new breasts.
For more information on Breast Augmentation in New Jersey or Breast Implants in New Jersey please contact us at The Robert Zubowski MD Center for Plastic & Reconstructive Surgery at 201.261.7550
Posted on June 20, 2009 in Breast, Breast Implants
New Jersey breast augmentation patients can now choose between saline or silicone implants. After careful consideration of your personal desires and of course a discussion with your surgeon, your decision will be easier than you think. Today, when given a choice, 9 out of 10 women worldwide, outside of the U.S. choose silicone gel filler.
(align photo right of 2nd paragraph)
It is important to know that both saline and silicone filled implants have an outer shell or cover made of silicone. Various types of silicone have been used for years in many other medical devices such as pacemakers, heart valves and artificial joints. Because silicone is used in so many life-saving medical devices, it has been extensively studied for decades.
Two key differences between saline filled and silicone filled implants are the material that fills the implant and the technique used to implant them during surgery.
Saline implants are filled with salt water which is naturally occurring in the human body. During surgery, the empty implant shell is placed in a carefully designed pocket under the breast area and then filled with saline solution to achieve the desired result. On the other hand, silicone filled implants are pre-filled before being placed and therefore their volume cannot be adjusted during surgery. Surgical adjustments are made by changing the size of the silicone implant.
Today there are more options than ever before for Breast Augmentation in New Jersey. Ultimately, it is up to each women, along with her surgeon, to decide what implant option will provide the most natural look and outcome desired. The key is to strive for natural looking enhancement.
For more information of breast augmentation in New Jersey, please feel free to contact Dr. Robert Zubowski of Paramus New Jersey at the Robert Zubowski MD Center for Plastic & Reconstructive Surgery. You may also visit Natrelle (breast implants) for more detailed information on both saline and silicone implants.
Posted on June 8, 2009 in Breast, Breast Implants
New Jersey breast augmentation for teens have accounted for an increasingly larger percentage of patients undergoing breast surgery in recent years. At the Robert Zubowski MD Center for Plastic & Reconstructive Surgery many teenagers seeking breast augmentation do so to correct breast asymmetry – a condition where one breast is larger than the other. Using adjustable implants, Dr. Zubowski can equalize the breast size and shape to improve appearance and minimize physical awkwardness.
Surgical reduction of very large breasts can eliminate back pain often associated with excessively large breasts and can help teens overcome both physical and psychological burdens associated with excessive breast size.
In order to achieve the best results with either of these procedures, Dr. Zubowski recommends that teens delay surgery until breast growth is complete. In this way, the long term results will be more stable with less possible need for revision.
For more informtion on New Jersey Breast Augmenation and New Jersey Breast Reduction you may contact The Robert Zubowski M.D. Center for Plastic and Reconstructive Surgery in Paramus, New Jersey.
Posted on May 6, 2009 in Breast, Breast Implants
Developed by Allergan, Natrelle is a collection that gives you the choice of either silicone gel-filled or saline-filled implants. According to the manufacturers, Natrelle offers the broadest range of safe and high-quality options for breast implantation. Schedule a consult now to discuss Natrelle with Dr. Zubowski!
Posted on July 17, 2008 in Breast, Breast Implants
If you are considering a breast augmentation you’re not alone. According to the American Society of Plastic Surgeons 254,140 women opted for breast augmentations in 2003. Since many continue to say they don’t like the shape and/or size of their breasts, those numbers may increase in the future. “While most breast augmentation patients want to be larger, all of them want natural looking breasts,” says Robert Zubowski, MD, medical director of The Robert Zubowski M.D. Center for Plastic and Reconstructive Surgery in Paramus. Dr. Zubowski specializes in breast surgeries, facial rejuvenation surgery, and body contouring.
Having breasts that are in proportion to his patients’ body is an overriding concern, especially for the mature, usually more conservative woman, he says. “If she’s an A cup and wants to be a D, it’s my obligation to let her know that such a significant change in size may not be realistic.”
While Dr. Zubowski uses computer imaging, he believes an even better way to make a visual impression on the patient is through studying “before” and “after” photos of similar pre-surgery size breast patients who have undergone breast augmentations. “Seeing the comparative change often helps patients to make a proper size decision,” he says.
Other surgery decisions to be discussed with your surgeon include where the incision should be made. Dr. Zubowski’s surgical approach is to make an incision either in the fold of the breast, the areola, or in the under arm area. “My patients equally request that the incision be made in the areola or in the breast fold,” he says. “These sites give the most direct access and precise route to place the implant.” The areola is probably the best choice for patients who may also require a mastopexy or breast lift.
Women seeking a primary augmentation must have a saline implant but that may change within the next few years to include silicone material as well. As to shape, Dr. Zubowski most always uses an implant that is smooth and round as opposed to tear-shaped and textured. “The smooth, round implant doesn’t adhere to the skin and sits in its pocket, providing a more natural look,” he explains.
As part of the surgery Dr. Zubowski uses an implant sizer, a tool he’s been relying upon for years to help insure higher patient satisfaction. This disposable implant allows the surgeon to get a good idea of what the breast will look like once the permanent implant is placed. “It allows us to compare our results with the “after” picture that the patient approved. If it compares favorably, we can then proceed. If not, we’ll try another sizer.” The ultimate implant size, however, is based on the amount of breast tissue the patient has, her skin condition, and width of her pre-surgery breasts.
For more information on breast augmentation, other cosmetic rejuvenation procedures, or to schedule a consultation, please contact Ann Carbone, the center’s practice manager, at 201-261-7550.
