2014

Dr. Steven Yarinsky details how he helps breast augmentation patients of Saratoga Springs Plastic Surgery find the best size of implants for their needs.

Saratoga Springs, NY – According to the American Society of Plastic Surgeons, breast augmentation has been the most popular cosmetic surgery in the U.S. since 2006. With so many women undergoing the procedure each year, Dr. Steven Yarinsky, a plastic surgeon in Saratoga Springs, is committed to helping them find the perfect breast implant size and a qualified plastic surgeon to help reach their ideal outcome. His goal is to address any concerns they have and make sure they have realistic expectations with their breast enhancement.

One of the most popular concerns among breast augmentation patients at Saratoga Springs Plastic Surgery is selecting a size that is too large or too small. Some offices use computer imaging to try to determine a breast size. Dr. Yarinsky has found that the computer has limited use. Since the computer simulation may not accurately predict the needed implant size or shape, it may promise a result that is not possible. Dr. Yarinsky helps women choose the best implant size for their needs by having them try on prefilled gel implants in a bra provided by his office. He believes this is the best method for patients to see how a specific size will look on their frame. After selecting the volume, Dr. Yarinsky will offer his professional recommendation for such details as the implant projection and profile based on the patient’s specific goals and their anatomy. Since bra manufacturers have not standardized bra cup sizes, it is impossible to guarantee a resulting cup size after breast augmentation. But Dr. Yarinsky guarantees that whatever volume implants you choose he will use.

To provide the best possible augmentation results, Dr. Yarinsky will take different measurements throughout the patient’s consultation to determine such details as the appropriate implant type, style, fill volume, overall implant width, height, projection and shape. Those women who desire more cleavage or upper breast fullness should choose a round rather than tear-drop shaped implant. He notes that their own breast skin and tissue thickness, for example, should be considered because a patient with thin breast and muscle tissue can benefit most from the “gummy bear” cohesive gel option of Sientra^® or Allergan Natrelle^® implants placing these beneath the muscle to avoid rippling and achieve the most natural looking and feeling results possible.

With the consistent popularity of breast augmentation, Dr. Yarinsky encourages those interested to do their research and seek a board-certified plastic surgeon who is a member of the American Society for Aesthetic Plastic Surgery. Be sure that whoever you choose specializes in breast enhancement and can provide you with before and after photos of their own patients who might match your anatomy and your desired result at your consultation so you can preview the results you might expect. By consulting with such a qualified professional, he says women can be confident they are receiving safe, high quality care and the best possible result.

About Steven Yarinsky, MD, FACS

After completing medical school at SUNY Upstate Medical Center, Syracuse, Dr. Steven Yarinsky studied in a five-year general surgery residency at Ohio State University Hospital, Columbus and Marshall University Medical School. He then trained for two years at the Medical School of Ohio, Toledo in Cosmetic and Reconstructive Surgery. Dr. Yarinsky is a member of numerous professional organizations, including the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and the Northeastern Society of Plastic Surgeons. He is also a Fellow of the American College of Surgeons and a Diplomate of the American Board of Plastic Surgery. Dr. Yarinsky is available for interview upon request.

To learn more about Saratoga Springs Plastic Surgery, PC, visit yarinsky.com or https://www.facebook.com/DrYarinsky/.

Contact:

Saratoga Springs Plastic Surgery, PC
7 Wells Street
3rd Floor
Saratoga Springs, NY 12866
(518) 583-4019

Rosemont Media
(858) 200-0044
www.rosemontmedia.com

Our plastic surgeon, Dr. Dimitri Koumanis, is highly experienced in helping women achieve their ideal shape through breast enlargement surgery. A factor that often concerns women, however, is selecting the right implant size to help them reach their ideal outcome. To address some popular questions regarding selecting the right size, shape, and type of implant, Dr. Koumanis recently sat down in a Q&A interview. See below for his answers.

Q: What are the most common concerns expressed to you regarding choosing the right implant size?

Women are concerned they will be too large or too small. They also have concerns of how much cleavage they will have with and without wearing a bra or bathing suit top.

Q: What factors are necessary for a patient to consider when selecting implant size?

The most important factors to consider in choosing implant size is a woman’s own anatomy and if she desires more upper breast fullness. The woman’s natural breast width helps dictate to some degree the largest size implant her body can accommodate. If she chooses to have more fullness on the top half of the breasts, a round rather than shaped implant offers the best option. A round implant fills more of the upper hemisphere of the breast compared with a teardrop-shaped implant.

Q: How do you help patients select the appropriate implant size?

Our patients choose what volume they want and place prefilled gel implant sizers inside a bra that we provide. They can also mimic this sizing technique at home by filling a zip-lock plastic bag with the desired volume using water or rice and placing it inside their own bra. I let women know if they choose such a small size to the point of it not making a difference. I also let them know if they choose such a large implant that they will have to change their first name to “Pamela” or “Dolly” as that is the aesthetic appearance that they will most likely achieve. It is amazing to me that most women choose a size that fits quite nicely with their own body proportions to give them an aesthetically pleasing breast size.

I have found that, while helpful, computer imaging and morphing as well as modifying breast size and shape on the digital photograph of a patient often leads to unreasonable expectations about what result can be obtained. So I have found that computer-altered images are not the most effective way to guide choice of implant size or shape. In the end I strive to over-exceed our patients’ expectations, not trick them using computer graphics into choosing a size or shape that will not provide them with the result they desire.

After choosing a volume for the implants, we will recommend using flatter low-profile, moderate profile, or pointier high-profile or more projecting implants depending on a woman’s natural (preoperative) breast width. The implant needs to fit a woman’s existing breast base width for the natural result.

Q: What measurements are taken from a patient during their consultation and how can these help determine the appropriate implant size?

I carefully measure a patient’s chest wall size, the distance between her collarbone to her nipples, the distance between her nipples, the distance between her nipples to the fold beneath the breast and also the width of her breasts. In addition we note whether she has asymmetry in nipple position – i.e. one higher or more laterally positioned than the other side – and whether there is significant droopiness which would indicate the need for nipple and areola repositioning or perhaps a breast lift.

I also check to see how much skin and muscle thickness is present above the nipple and areola to be sure there is adequate “soft tissue coverage” over the surface of the breast implant. All these measurements are critical to help choose what implant type, style, fill volume, size and shape will be needed to best satisfy a woman’s expectations and to provide her with the optimum result.

Q: Is there anything else you’d like to share with patients about choosing implants for a breast enhancement?

At 6 weeks after breast augmentation – which is the time you can see the “90% result” when I poll my patients – half are happy with the size implant they chose and the other 50% wish they had gone a bit larger. So I recommend that if a woman is debating between two close implant volumes or sizes, she should choose the larger of the two volumes if all else is equal! That way at 6 weeks out, she is more likely to be pleased with her choice and the results.

Schedule a Consultation
If you would like more information about breast implant sizing, or are ready to schedule your consultation, please contact us today!

The ideal candidate for Sientra^® breast implants is a woman who wants larger breasts, has poor soft tissue coverage (has thin skin and a thin layer of her own breast tissue and chest wall muscle), and does not object to the slightly longer incision required and associated scar that results. Additionally, she must accept the higher cost of Sientra^® implants versus the saline-filled.

If saline or older style, gel-filled breast implants are used by a woman with thin, natural breast tissue and thin muscle coverage, rippling is often palpable and/or visible. The thicker, firmer gel stabilizes the shape of the Sientra^® implant so the augmented breast has a smoother shape with less visible or palpable rippling compared with saline or older style gel implants. When it comes to the shape of the implants, use of round versus teardrop-shaped Sientra^® implants is the patient’s choice. This choice will depend on whether she wants more or less upper breast fullness (cleavage). Women who desire more upper breast fullness, without wearing a push-up bra, benefit from round Sientra^® implants. The teardrop-shaped Sientra^® implant is filled with an even firmer silicone gel, and this is designed for women who want a more contoured, natural breast silhouette with less upper breast fullness.

We also have women choose their breast implant volume – within reason and within the limits of what their natural breast shape and chest wall can accommodate. Once volume is chosen, the choice of a low, moderate, or high profile (more forward projecting) implant is based on a woman’s natural breast width. While we can’t guarantee a bra cup size after their breast augmentation (since even the bra companies have not standardized cup sizes), we do guarantee that we will use the implant shape and size a woman chooses to achieve the result that she desires.

Schedule a Consultation
To learn how Sientra^® implants can help you achieve the look you have always desired, please contact us to schedule your consultation.

Sientra^® offers a new version of the form-stable or “gummy bear” gel-filled breast implant that may provide more naturally appearing and longer lasting breast augmentation results. All Sientra^® implants are filled with a High-Strength Cohesive Silicone (HSC) Gel, which is not available from other implant manufacturers. Compared with the other brands, Sientra^® implants have perhaps the lowest rate of implant breakage or rupture in the business (less than 2% in five years after augmentation, the seven year numbers are pending release). The implants come in teardrop shaped and round versions in several different widths and projections to provide a customized solution for each woman who desires larger breasts.

Not only have our patients been happy with the naturally appearing and feeling breast augmentation results, but we have seen some of the best results with the use of Sientra^® gel-filled implants. Our patients come back describing their Sientra^® breast augmentation as making them feel “sexy and more confident”, and they often recommend the procedure to their friends.

Schedule a Consultation
For more information about how Sientra^® implants can help you achieve your ideal shape, please contact our practice to schedule your consultation.

Dr. Steven Yarinsky recently added the advanced treatment option of truSculpt to his wide array of body sculpting procedures at Saratoga Springs Plastic Surgery.

Saratoga Springs, NY – According to board-certified plastic surgeon and cosmetic medicine expert Steven Yarinsky, MD, FACS, many people can achieve their desired body shape through non-surgical treatments. With the goal of providing effective treatment options for patients of varying needs, Dr. Yarinsky recently added truSculpt™ to his practice’s line of non-invasive non-surgical body contouring options. Dr. Yarinsky is one of few medical professionals in the Saratoga, Albany, and Schenectady, NY area offering this advanced treatment.

As an alternative to liposuction, the truSculpt™ system from Cutera is designed to reduce localized areas of fat that are resistant to diet and exercise. Dr. Yarinsky explains that truSculpt™ uses radiofrequency energy to deeply heat the fat cell layer located beneath the skin’s surface, breaking down fat cells in the process. The skin’s surface is spared. He notes the treatment can be used on multiple areas of the body, including the face, neck, abdomen, hips, thighs, and buttocks- any area containing unwanted fat. Patients typically have three or more treatments spaced several weeks apart. Maximum results are seen within a month or two after the final treatment.

Similar to other non-invasive treatments, Dr. Yarinsky highlights that truSculpt™ offers a more comfortable process with little to no downtime for recovery. He recommends the treatment to patients who are unhappy with stubborn fat deposits, as the treatment can selectively reduce this fullness for a more desirable body contour.

Dr. Yarinsky encourages anyone interested in non-surgical options like truSculpt™ to schedule a consultation with a board-certified plastic surgeon like him to learn how the treatment can improve their figure.

About Steven Yarinsky, MD, FACS

Dr. Yarinsky has over 25 years of experience at Saratoga Springs Plastic Surgery, PC. After earning his medical degree from SUNY Upstate Medical Center, Syracuse, Dr. Yarinsky completed five years of general surgery residency at Ohio State University Hospital, Columbus and Marshall University Medical School. He then trained in Cosmetic and Reconstructive Surgery at the Medical College of Ohio. To provide his patients with the best surgical care possible, Dr. Yarinsky continues his medical education with more than 150 hours every three years to stay up-to-date with the latest techniques and procedures. He is a member of numerous professional organizations, including the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons. Dr. Yarinsky is also a Diplomat of the American Board of Plastic Surgery, Inc. and a Fellow of the American College of Surgeons. He is available for interview upon request.

For more information about the mommy makeover procedure, please contact Steven Yarinsky, MD. To learn more about Saratoga Springs Plastic Surgery, visit yarinsky.com or https://www.facebook.com/DrYarinsky/.

Contact:

Saratoga Springs Plastic Surgery, PC
7 Wells Street
3rd Floor
Saratoga Springs, NY 12866
(518) 583-4019

Rosemont Media
(858) 200-0044
www.rosemontmedia.com

If you have stubborn areas of fat that you cannot seem to lose despite a healthy diet and routine exercise, you may be a good candidate for truSculpt™. We are pleased to announce the new addition to our non-surgical, minimally-invasive procedural offering. The advanced technology has the potential to reduce unwanted fullness in various areas of the body, such as the face, neck, thighs, or buttocks.

The truSculpt™ treatment works by using radiofrequency energy to heat deep tissue layers located beneath the skin to break down fat cells – without disturbing the skin’s surface. This treatment may also smooth cellulite. Dr. Yarinsky explains that the non-invasive procedure is a great option for patients wanting to improve their shape without undergoing surgery, as it can provide beautiful body contouring results through a more comfortable process and with little to no downtime. Several truSculptTM treatments spread over several months are generally required to get the optimum cosmetic result.

While truSculpt™ has proven effective in reducing the fullness of unwanted fat, Dr. Yarinsky emphasizes that this treatment is not a weight-loss procedure. He recommends truSculpt™ to patients who have a BMI of 30 or lower. Additionally, if you desire a more in-depth contouring, liposuction may be more appropriate for your needs. truSculpt™ is not a replacement for liposuction, but can also be used after liposuction to help enhance the final results.

To learn if truSculpt™ can help you reach your ideal outcome, we invite you to schedule a consultation with our board-certified plastic surgeon, so he can determine if this is the best solution for your aesthetic goals.