Below is the extremely interesting case of a patient who is now four weeks postoperative for augmentation mammoplasty as well as abdominal contouring as well as thigh liposculpture at six months of age undergoing radiation therapy for neuroblastoma of the gastric or stomach region.  The patient on preoperative photograph has loss of fatty tissue and some muscle development along the left lateral wall.  The umbilicus is shifted to the left.  She was very disturbed in her clothes through the years of the extra fat along the iliac crest roll or hip lower flank area as well as the periumbilical lower abdomen and epigastric area which rolled up upon her pants.  She also is very unhappy with the gynoid appearance of her lower third showing severe lipodystrophy of both the inner and outer thigh in a pear-like figure.  The patient underwent abdominal CT scan showing no fascial defects or hernias on the abdominal wall along the right side of the umbilicus and therefore she was safe to undergo tumescent liposuction of the epigastric right area and the hip as well as of course to sculp the thighs. 

The patient underwent augmentation mammoplasty procedure with a 210 cc saline implant through the subpectoral periareolar approach as well as tumescent liposuction removing over 1.2 liters of fat of the periumbilical, right hip, lower flank and contouring of the inner and outer thighs. 

The patient is ecstatic with her results.  Most importantly, when she wears her clothes and pants, the fat no longer rolls up above the jean line.  She underwent the Linder Bi-directional Flank Liposuction Technique, both in the vertical and oblique plane on the right hip and smoothed out the lower epigastric area.  The thighs are beautifully contoured and she cannot be happier.

This is an extremely interesting case as a young six-month old with a very rare tumor of a stomach.  She had undergone cobalt and radiation therapy which caused necrosis and complete atrophy of the left abdominal wall.  It is always a challenge, but it is very pleasing to be able to help patients not only with cosmetic appearance, but certainly the functional impairments that they have throughout their everyday lives.

Because Dr. Linder performs so many surgeries where scarring is such a significant part of his procedures, including mastopexies, breast lifts, abdominoplasties and breast augmentations, reducing the scarring is absolutely a main necessity.  The best product that we have used, certainly in the last decade, has been Kelo-cote or Bio Corneum.  Kelo-cote is a silicone gel spray which is used twice a day after sutures are removed, usually on day 14 to day 21, for at least three months.  The silicone gel spray greatly reduces the redness as well as hypertrophic keloiding of the scars and has smoothed out scars beautifully over the last two years. 

Look out for the next one and two-minute infomercials from Kelo-cote where Dr. Linder has been used as a scar expert for Advanced Bio Technology.  Because we believe so wholeheartedly in the use of Kelo-cote, giving worldwide testimonial as to the benefits of Kelo-cote, goes without reservation.  We look forward to seeing the Kelo-cote used worldwide and on television sets throughout the country.

Dr. Linder, Board Certified Plastic Surgeon, Beverly Hills, breast specialist and body sculptist, has been asked as the Consultant for Entertainment Tonight to discuss the possibilities of cosmetic surgical procedures on Oksana over the last 14 years. Reviewing her before and after photographs, it’s apparent that she may have had procedures to the face, including possible rhinoplasty with narrowing of the bridge; tip plasty, bringing the nasal tip up; possibly Botox, smoothing the wrinkles of the forehead and around the periorbital area; possibilities of lip enhancement with Juvéderm or collagen; possibly malar or cheek implants in order to develop more prominent cheekbones and enhance the malar areas. In terms of her breasts, it is possible that she has had an augmentation mammoplasty procedure, as her breasts do appear significantly larger at this time.

Please watch Dr. Linder on Entertainment Tonight, July 15, 2010 at 7:00 p.m.

1. Must be a Diplomate of the American Board of Plastic Surgery.  In other words, is Board Certified with the American Board of Plastic and Reconstructive Surgery.
2. Should be a member of the American Society of Plastic Surgeons.  This is the most prestigious society in the world for Board Certified Plastic Surgeons.
3. Should be a member of the Fellow of American College of Surgeons or FACS.  FACS doctors are those who are Board Certified in their specific surgical fields.
4. Specialist.  Dr. Linder is a specialist in body sculpting procedures, including breast augmentation, breast lift, breast revision, breast reduction, abdominoplasty and total body liposculpture.
5. Experience and judgment.  This can only come with years and years of experience, having done thousands of the specific procedure that you desire to undertake.  It is imperative that the patient be able to look at hundreds, if not thousands, of photographs of before and after pictures.  This will allow the patient to see great variations of this specific surgical procedure.  For example, on breast augmentation patients we have moderate, moderate plus and high profile implants, both saline and silicone.  Patients should have the ability to see the different implants within the body and different sizes of women in order to help them determine which profile implant they desire. 
As money and finances are tighter than ever, it is important that the patient do her homework in order to fine the most qualified Board Certified Plastic Surgeon when undergoing cosmetic surgery of the breast or body, in order to allow for the highest probability of a successful outcome.

Indications for use of The Dr. Linder Bra include: 1) as a sleeping beauty bra for women, with or without breast implants, to maintain the shape of their breasts throughout the evening so as to not have continued or recurrent skin laxity and loss of firmness to the breast; 2) as a training bra that can be used for the aerobic and anaerobic workouts to maintain the shape of their breasts during vigorous athletic activities as well as during Pilates; 3) as a pregnancy bra, due to the patented adjustable straps on the side of the chest wall, they can be adjusted to three different sizes and can be used for women in their 9-months pregnancy period as well as post-pregnancy during breast feeding; and 4) can be used post-surgically for breast cancer as well as elective cosmetic breast surgical procedures, including breast reduction, breast augmentation, mastectomy as well as breast cancer reconstructive patients. 

This Bra is not a surgical bra per se, but rather 24/7 hour bra that again can be used for training, sleep bra and beauty bra to maintain women’s breasts, every day bra to be used throughout the world, as well as for pregnant women whose breasts will enlarge over nine months and finally for post-surgical patients. 

The Linder product line will include The Linder Sport, which is the Linder Bra without the zipper in the front as well as The Linder Band, which will be useful for the abdominal area to reduce the abdominal midriff area up to two inches.  The Linder Bra manufacturers with the highest quality of approximately 95% cotton and 5% Spandex as bi-directional stretch, which thereby means has compression which will also allow women to perspire without development of consistent sweat within the bra.  It has excellent evaporative properties and will also have the adjustable straps on the sides with the Ford Steel Clip System which can be adjusted in three different sizes along the chest wall diameter.  This is a very unique bra.  It has been trademarked and is patent-pending at this time.  Manufacturing is occurring and should be completed in the next couple of months. 

Look forward to the informercial as well as selling of the products in multiple stores as well as training stores, sporting good stores and pregnancy stores for women.  We are very excited about The Dr. Linder Bra which will be very useful for women throughout the world for all their maintenance as well as training and post-surgical pregnancy needs.

Dr. Linder has had the opportunity to attend the 2010 Aesthetic Society Meeting for the American Society of Aesthetic Plastic Surgeons.  Interesting course topics included Breast Revision Surgery, Surgery using Acellular Dermal Matrix or ADM as well as Neo Pocket Formation for Severe Breast Deformities, including Symmastia and Malposition of Implants.

Interesting courses also included Safer Sedation and Analgesia for Office Based Surgery, Optimizing Outcomes in Breast Augmentation as well as Revision of Breast Augmentation Mastopexy and Augmentation Mastopexy.

Dr. Linder also had the opportunity with his family to tour the White House, Capitol Hill as well as many of the fascinating monuments throughout the Washington, D.C. area.  This was an excellent informative, educational and entertaining meeting.

breastimplantlasvegas.com

Breastimplantlasvegas.com will be launched in the very near future.  This site has been developed in order to educate patients with breast augmentation surgery in general.  We go through all the specifics and facts of breast augmentation surgery, including the history of breast augmentation, the chemical composition of silicone itself, the postoperative care and management of breast augmented patients, identification cards from your breast implant surgery, as well as postoperative recovery time.

With respect to saline implants, great detail is given as to the surgical technique and candidates for saline versus silicone gel implants.  With silicone implants themselves, the 7-year complication rate for primary versus secondary augmentation patients is given, courtesy of Natrelle Collections.  Placement of implants as well as implant shapes, including high profile moderate plus and moderate profile implants, are described in detail, including examples of before and after photographs.  Breast deformities are also described, including breast asymmetry, tubular breast deformity, pectus carinatum and pectus excavatum.  Photograph examples are also given. 

Finally, breast implant revision, which is a large component of Dr. Linder’s practice, is described with respect to breast asymmetry, capsular contracture, ruptured implants, double-bubble breast deformity, cleavage, both primary as well as revision, implant malposition, severe bottoming out, volume revisions, anatomically shaped implants, symmastia, implant explantation and scarring on the breast mound itself.  You may also refer to breastrevisionsurgeon.com and lasvegasbreastrevision.com  for more details on breast revision surgery.

Again, the main purpose of this site is to become an encyclopedia of wealth of information to educate women throughout the world, as well as Beverly Hills and Las Vegas, Nevada on breast augmentation and breast revision surgery itself.  I hope you find this very useful.

Example No. 1 below shows a patient with significant bilateral breast hypertrophy with Grade 3 ptosis bilaterally.  The right breast is a 36E size breast, the left is a “B.”  In order to properly repair her breast, reconstructing it, she underwent a straight breast reduction procedure using the inferior pedicle Wise-pattern technique on the right and a breast lift on the left with a small 200 cc saline implant.

Example No. 2 shows breast asymmetry requiring a larger saline implant on the left with a straight formal mastopexy on the right to regain symmetry. 

The third result shows breast asymmetry repaired with simply breast implants of different volumes.  The right implant was a 510 cc implant and the left 420 cc.  This allowed for excellent symmetry of her breasts. 

Breast asymmetry is an operation that requires skill and experience and the surgery leads to extraordinarily satisfied patients, especially when they are trying to recreate a normal appearance to their breasts.