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	<title>PlasticSurgeryPA.com Blog</title>
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	<description>PlasticSurgeryPA.com Blog</description>
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	<pubDate>Tue, 14 Dec 2010 08:12:21 EST</pubDate>
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		<title>PlasticSurgeryPA.com Blog</title>
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	<item>
		<title>Failed Botox treatments for vaginismus</title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=230</link>
		<description><![CDATA[
Botox for Vaginismus
We are beginning to see too many patients who have had Botox injections for vaginismus without anesthesia, or the proper support after treatment, who wind up failing treatment. This is very unfortunate and adds to the string of failures the vaginismus patient has already experienced.
It is important to respect the entire program which consists of injecting intravaginal Botox into the spastic muscles while the patient is under anesthesia and using this time to do a complete vaginal examination as well as using the anesthesia to do progressive dilation to the largest dilator. Further, the program includes post procedure counseling to educate the patient in transitioning from dilators to intercourse, setting the stage for involvement of the partner, discussing relationship issues and helping to improve libido for both partners which is often compromised as a result of long term difficulties with inability to have intercourse. Our success rate continues to be in excess of 90% because the entire program is used for the three days the patients is in our clinic. More about the proper use of injecting Botox to treat vaginismus can be found on my web site:
FDA approval using Botox injections for vaginismus
Our program has received FDA approval to continue our research studies. We are currently accepting volunteers who suffer from vaginismus, who are healthy and between the ages of 20-30.

When Sex Seems Impossible. Stories of Vaginismus and How You Can Achieve Intimacy

This book published in 2010 can be ordered either as paperback or electronically from my office (1 800 640 0290) or by visiting my skin care website SkinCare-MD.com or by visiting Amazon.com. The book is eligible for Amazon Prime.
Contact Us for More Information
For confidential personalized information and advice, please call us at 1-800-640-0290 during business hours: Monday through Thursday 8:30 a.m. - 4:30 p.m. and Friday 8:30 a.m. - 4 p.m. EST. You can also visit our website on&amp;nbsp;Vaginismus for more information or use the online contact form to send an inquiry. LATE AFTERNOON &amp;amp; EVENING HOURS NOW AVAILABLE.]]></description>
		
		
		<category><![CDATA[Vaginismus]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Mon, 13 Dec 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=230&#35;comments</comments>
		
		
		
	</item>
 
	<item>
		<title>Case History of Vaginismus Treated with Botox</title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=229</link>
		<description><![CDATA[Background
A 27 year old woman with a six year history of Lamont Level 5 primary vaginismus (most severe form of vaginismus) was sexually molested at age five and struggled through years of being unable achieve intercourse despite psychotherapy and attempted dilator therapy. Her male friends left her. &amp;quot;This would become a cycle of pretty much all of my relationships and because I couldn't have sex I let these men belittle me, cheat on me, and even beat me. I felt like those were the only men that I could get because I couldn't have sex.&amp;rdquo;

Botox Treatment for Vaginismus
She was treated using intravaginal Botox injections and dilation under anesthesia. She was able to achieve intercourse for the first time 15 days later. Her case history can be read by clicking here.
Contact Us for More Information
For confidential personalized information and advice, please call us at 1-800-640-0290 during business hours: Monday through Thursday 8:30 a.m. - 4:30 p.m. and Friday 8:30 a.m. - 4 p.m. EST. You can also visit our website on&amp;nbsp;Vaginismus for more information or use the online contact form to send an inquiry. LATE AFTERNOON &amp;amp; EVENING HOURS NOW AVAILABLE.&amp;nbsp;]]></description>
		
		
		<category><![CDATA[Vaginismus]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Wed, 03 Nov 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=229&#35;comments</comments>
		
		
		
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	<item>
		<title>New from Glytone, the Glytone Heel &amp; Elbow Cream Pamper Kit with Glytone Heel &amp; Elbow Cream</title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=228</link>
		<description><![CDATA[submitted by Carol Mandro, Skincare Associate

New from Glytone, the Glytone Heel &amp;amp; Elbow Cream Pamper Kit with Glytone Heel &amp;amp; Elbow Cream, softening socks, and pumice stone is truly the greatest kit if you need to retexturize and soften dry, cracked heels. We at Skincare-MD have had great results from this cream, it works, you&amp;rsquo;ll see results in as little as 7 days. The Glytone Heel &amp;amp; Elbow Cream has a 29.5% FAV (free glycolic acid value). This product gets down into the lower levels of the stratum corneum. The glycolic acid helps to reduce the thickness of the hyperkeratotic stratum corneum by reducing the corneocyte cohesion in this lower level. Your heels will be soft and smooth again.
Use this product if you have:

    Rough callused areas on heels and elbows
    Fissures, cracked heels
    Callused feet, knees
    Psoriasis of the feet
    Psoriasis of the elbow

Retexturize and soften dry, rough and callused areas of your feet and elbows.
For more information about Glytone Heel &amp;amp; Elbow Cream Pamper Kit, please call Skincare-MD at 1/877-415-0600 or 603-296-4920 Monday through Friday 8:30 a.m. to 7:30 p.m. EST. We can tell you all about this great product.]]></description>
		
		
		<category><![CDATA[Advanced Skincare]]></category>
		
		<category><![CDATA[Skincare-MD.com]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Mon, 01 Nov 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=228&#35;comments</comments>
		
		
		
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	<item>
		<title>Jane Iredale Mineral Makeup for Sensitive Skin</title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=227</link>
		<description><![CDATA[submitted by Carol Mandro, Skincare-MD Associate
&amp;nbsp;
Advance technology makes Jane Iredale Mineral Makeup a smart choice for people with sensitive skin. Even people with extreme chemical sensitivities wear this makeup without irritation. In the industry, Jane Iredale Makeup is known as the Skincare makeup. 
Non-Irritating
No oil, FD &amp;amp; C dyes are used, no chemical preservatives like parabens or synthetic fragrance, no fillers like talc or cornstarch, and no alcohol is used in the formulations. Jane Iredale's goal is to keep the formulas as effective, simple, clean and natural as possible. It is important to Jane Iredale that you know what you are putting on your skin and that is why all of the ingredients for each product are listed on her website and ours.
Clinically tested
All of the Jane Iredale products are hypoallergenic, dermatologist tested and non-irritating. All have been safety, allergy and clinically tested, and all have undergone laboratory-controlled sensitivity tests, with no sensitivities recorded. All products have passed laboratory-controlled comedogenicity tests. They are all non-comedogenic. 
Anti-inflammatory properties
The titanium dioxide and zinc oxide in the bases have anti-inflammatory properties and are especially helpful for acne and rosacea-prone skin, for patients that have had peels or other skincare procedures because they help to calm the skin.&amp;nbsp; Zinc oxide is also anti-microbial. The vitamins and antioxidants used in these products are pharmaceutical grade and certified organic where available. The minerals are inert which means they cannot support bacteria. Algae extract soothes sensitive skin, helps prevent water loss, helps reverse UV damage and is nutritive for mature skin.&amp;nbsp; 
Superb Adherance and coverage
Mineral bases are light and silky, easy to apply, last all day and provide a flawless finish. They are four products in one: foundation, powder, concealer and physical sunscreen (SPF20).&amp;nbsp; The pigments are concentrated so one quick application provides all day coverage, they rarely transfer or need touching up, they resist fading and creasing. A small amount of these minerals provides exceptional coverage.
Highly recommended
Jane Iredale makeup is recommended by plastic surgeons, dermatologists and skin care professionals worldwide. It is the only makeup we recommend for our plastic surgery and skincare patients.

We conclude
Whether you have sensitive skin, acne-prone skin, rosacea-prone, oily skin, patchy pigmented skin, compromised skin, Jane Iredale Mineral makeup can make a difference in your skin and on your skin. &amp;quot;The most beautiful cosmetic you can wear is your skin.&amp;quot;
For more information about Jane Iredale products or to make an appointment to come in for a free Jane Iredale Makeup consultation and application with our aesthetician, please call Skincare-MD at 1/877-415-0600 or 603-296-4920 Monday through Friday 8:30 a.m. to 7:30 p.m. EST.]]></description>
		
		
		<category><![CDATA[Advanced Skincare]]></category>
		
		<category><![CDATA[Skincare-MD.com]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Mon, 18 Oct 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=227&#35;comments</comments>
		
		
		
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	<item>
		<title>Skincare-MD has Gift Certificates</title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=226</link>
		<description><![CDATA[submitted by Carol Mandro 
The holidays are coming, maybe your anniversary, your birthday or some other special occasion, a skincare gift certificate for products from Skincare-MD may be just what you want to suggest to your loved ones. Did you want to try the best skincare makeup on the market? Skincare-MD carries a full line of physician strength skincare products and the full line of Jane Iredale Skincare Makeup.
Is there someone you care for that you would like to give a&amp;nbsp; really special gift to? A gift certificate for skincare products and makeup can show how much you care. It can be the gift that truly keeps on giving. 
When you give a gift certificate from Skincare-MD it comes with a free consultation for skincare products personalized to fit individual skincare needs and/or a free Jane Iredale makeup consultation and makeover. These free consultations with our medical aesthetician ensure that the recipient receives the knowledge about the products we carry and can choose his or her products with confidence. We have products that can be used to rejuvenate the face, decolletage, and/or the body.
A Skincare-MD gift certificate for the Holidays!&amp;nbsp;&amp;nbsp;&amp;nbsp; 
Call Skincare-MD at 1/877-415-0600 or 1/603-296-4920 for an appointment today!
Our offices are open Monday through Friday 8:30 a.m. to 4:00 p.m. Our phones are answered daily from 8:30 a.m. to 7:30 p.m. EST. Come visit us at 37 Salmon Street in Manchester, New Hampshire. We run special promotions for our in-house patients

&amp;nbsp;
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&amp;nbsp;]]></description>
		
		
		<category><![CDATA[Advanced Skincare]]></category>
		
		<category><![CDATA[Skincare-MD.com]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Fri, 15 Oct 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=226&#35;comments</comments>
		
		
		
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		<title>Rejuvenate your skin for the holidays!</title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=225</link>
		<description><![CDATA[by Carol Mandro, Skincare Associate

Fall is here and we've all had our fun in the sun. Now is the time to take stock of what damage may have been done to our skin. For all the times we forgot to reapply our sunscreen, gotten a little too much color, its time to treat our skin to great skincare products that can actually help reverse some of this damage. We have products that will rejuvenate, rehydrate, repair, and bring back that youthful healthy glow to your skin.
Skincare-MD has a full line of physician grade skincare products to help get you started on your way to great looking skin for the holidays and beyond. Have the complexion that your friends will envy.&amp;nbsp; We can help design an individualized regimen for you that can give you the correction you desire. 
Don't stop there, learn how to use Jane Iredale skincare makeup to keep, treat and enhance your skin with a free in-house consultation. There are some really great new products for fall that can be used to create stunning holiday makeup for any occasion.
We offer free individualized skincare consultations with our medical aesthetician for men and women by appointment. We have a diverse line of physician strength skincare products that we can individualize to fit your specific skincare needs. We can design a regimen for any one's life style and or budget. A regime can consist of just a couple of products or more all working in harmony to provide physician strength correction at a cellular level.
Call Skincare-MD at 1/877-415-0600 or 1/603-296-4920 for an appointment today!
Our offices are open Monday through Friday 8:30 a.m. to 4:00 p.m. Our phones are answered daily from 8:30 a.m. to 7:30 p.m. EST. Come visit us at 37 Salmon Street in Manchester, New Hampshire. We run special promotions for our in-house patients]]></description>
		
		
		<category><![CDATA[Skincare-MD.com]]></category>
		
		<category><![CDATA[Advanced Skincare]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Wed, 13 Oct 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=225&#35;comments</comments>
		
		
		
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	<item>
		<title>Vaginismus and Islam</title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=224</link>
		<description><![CDATA[We have had the honor of treating many Islamic patients. These patients have travelled mostly from England and are more than happy to speak to other women who suffer from vaginismus.
It is always important to determine the severity of vaginismus so that the appropriate treatment can be instituted. By using the Lamont classification, one can do a self assessment of the severity of the their vaginismus. For the more severe cases of vaginismus (Lamont level 3-5 primary vaginismus) we have had considerable success using Botox injections and we were given FDA approval to continue our research in this field.
Our patients have consistently achieved pain free intercourse in more than 90% of women, with no complications. Many of our patients are now pregnant and some of our patients have already started their families. Normal vaginal deliveries are possible once a woman is cured of her vaginismus.
Husband are always invited to be in the operating room while the patient is under anesthesia receiving the Botox injections. They are involved with the three days of counseling and are also involved with helping to insert the dilators. In this way they become part of the cure and the woman is better prepared to consummate her marriage.
Contact Us for More Information
For confidential personalized information and advice, please call us at 1-800-640-0290 during business hours: Monday through Thursday 8:30 a.m. - 4:30 p.m. and Friday 8:30 a.m. - 4 p.m. EST. You can also visit our website on&amp;nbsp;Vaginismus for more information or use the online contact form to send an inquiry. LATE AFTERNOON &amp;amp; EVENING HOURS NOW AVAILABLE.

]]></description>
		
		
		<category><![CDATA[Vaginismus]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Mon, 11 Oct 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=224&#35;comments</comments>
		
		
		
	</item>
 
	<item>
		<title>Expert advice in the treatment of vaginismus</title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=223</link>
		<description><![CDATA[An expert is defined as a person who has special skill or knowledge in some particular field; specialist; authority. Vaginismus is largely an unknown condition and most health care professionals know very little about this. For those who have a background in vaginismus, many professionals are unfamiliar with the treatment of the more severe cases of vaginismus.
Too many of our patients have spent years being shunted from therapist to therapist without a cure. I feel that my trained staff and the vaginismus program brings us to the level of &amp;ldquo;expert&amp;rdquo; in the field of vaginismus.
We have devoted an enormous amount of time fine tuning our program of using vaginal Botox injections and progressive dilation under anesthesia to cure our patients of vaginismus. The full program also includes three days of counseling with supervised instruction regarding dilation; sex counseling to improve relationship issues and to teach the progression from dilators to intercourse and continues after the person returns home for needed support.
As &amp;quot;experts&amp;quot; in the field of vaginismus, we have made the following contributions to help educate our patients and health care professionals who work in this field:
Published Publication (in Peer-Reviewed Journal)
Pacik, PT, Viewpoint: Botox Treatment for Vaginismus. Plastic &amp;amp; Reconstructive Surgery, Vol. 124, Pages 455e-456e, December 2009
YouTube Videos (explaining vaginismus and treatment using our program)
Published Book (explaining vaginismus and our treatment using Botox injections)
When Sex Seems Impossible . . . Stories of Vaginismus and How You Can Achieve Intimacy, by Peter T. Pacik, MD, FACS with Joni B. Cole, Odyne Publishing 2010
FDA Approved Study (to continue our research using Botox to treat vaginismus)
FDA approval for the continued study using Botox to treat vaginismus (IND 109343). For more information on this study, please read our resource article &amp;ldquo;FDA Approval&amp;rdquo;.
Contact Us for More Information
For confidential personalized information and advice, please call us at 1-800-640-0290 during business hours: Monday through Thursday 8:30 a.m. - 4:30 p.m. and Friday 8:30 a.m. - 4 p.m. EST. You can also visit our website on&amp;nbsp;Vaginismus for more information or use the online contact form to send an inquiry. LATE AFTERNOON &amp;amp; EVENING HOURS NOW AVAILABLE.]]></description>
		
		
		<category><![CDATA[Vaginismus]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Fri, 08 Oct 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=223&#35;comments</comments>
		
		
		
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	<item>
		<title>The End of Sandal Season</title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=222</link>
		<description><![CDATA[by Carol Mandro, Skincare Associate
Glytone Heal and Elbow Cream &amp;amp; Glyton Body Lotion
Just because you are wearing shoes more now doesn't mean you shouldn't keep your feet looking and feeling great. It's easy to do with Glytone Heel and Elbow Cream with 29% FAV (free acid value) or with Glytone Body Lotion with 17% FAV. These are both great products. Glytone Heel and Elbow for those really cracked heels and foot calluses and the Glytone Body Lotion for more minor calluses and areas of dryness and dead skin or to maintain the results you obtain with the heel and elbow cream. 
&amp;nbsp;Our experience shows significant improvement in just one month.
We stand behind all of the products we carry because we have personal experience with them. To see my results using just the Glytone Body lotion for cracked heels, please read our resource article &amp;quot;Glytone Body Lotion Repairs Cracked Heels in Less than a Month&amp;quot; on our advanced skincare website. To read about the results with the Glytone Heel and Elbow Cream, please read our resource article &amp;quot;Glytone Body Ultra Heel &amp;amp; Elbow Cream Works to Soften Calluses Quickly&amp;quot; on our advanced skincare website. 
Please call Skincare-MD at 1-877-415-0600 or 603-296-4920 Monday through Friday 8:30 a.m. to 7:30 p.m. EST for more information about Glytone Heel and Elbow Cream or Glytone Body Lotion or any of the other Glytone body products or systems.&amp;nbsp;]]></description>
		
		
		<category><![CDATA[Advanced Skincare]]></category>
		
		<category><![CDATA[Skincare-MD.com]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Wed, 06 Oct 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=222&#35;comments</comments>
		
		
		
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		<title>New Products for Fall from Jane Iredale</title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=221</link>
		<description><![CDATA[By Carol Mandro, Skincare Associate
New! Jane Iredale Eye Steppes Available in GoBrown, Go Green &amp;amp; Go Blue!
Jane Iredale has some exciting new products to get the fall season started, Eye Steppes! These great little (not so little really) eye shadow compacts were designed to match your eye color. GoGreen for green eyes, GoBlue for blue eyes and GoBrown for brown eyes. Each layer of the compact opens out to form a stepped palette of complimentary eye shadow colors. The top step is the base shade, the next level has two eye shadow colors that can be used to create day time looks or for highlighting (there is a brown in the second level of the goBrown eye steppe that I also use to fill in my eyebrows), the third level contains the darker colors that can be used to create a more stunning, sultry or evening look. The colors in the lower level can be used as eye liner also.&amp;nbsp; For those of you with hazel eyes, try the GoBrown or GoGreen and mix and match for stunning eyes. Just a note, for those wanting or needing a lid primer because your lids tend to be oily, try one of the Jane Iredale Lid Primers in lemon, canvas, or petal.
Highly pigmented mineral eye shadows
Like all of the Jane Iredale mineral eye shadows, Eye Steppes contains highly pigmented colors and that means great color and staying power. The shadows don't crease. Even people with the most sensitive eyes can use Jane Iredale shadows. The layers of Eye Steppes can also be popped apart so you can mix and match colors from the other Eye Steppes, A really fun and versatile product.
New colors! Jane Iredale Lip Fixation Available in Rapture, Fetish &amp;amp; Devotion&amp;nbsp;
We love the Jane Iredale Lip Fixation, lip stains in beautiful colors with staying power. The new colors are Rapture (timeless red and sumptuous shine) which compliments the GoGreen Eye Steppe, Fetish (cool plum and delicate lilac) which compliments the GoBlue Eye Steppe, and Devotion (sultry coral and shimmering pink gloss) a good choice for those using the GoBrown Eye Steppe. Rich colors, long wearing, with moisturizing benefits.&amp;nbsp; To define your lips use one of the Jane Iredale Lip Pencils.
&amp;nbsp;
&amp;nbsp;Jane Iredale&amp;nbsp;Phoenix Sugar &amp;amp; Butter helps support Breast Cancer Survivors
This lovely lip stick has an organic brown sugar exfoliator in one side of the tube and a lovely pink lip plumper in the other side of the tube like the Jane Iredale original Sugar Butter Lip Exfoliator. The pretty pink color looks good on just about everyone.
Free Makeup Consultation and Makeover
Come in to Skincare-MD for a free makeup consultation and let us show you how these new Eye Steppes can color your eyes for daytime or nighttime. Try on one of the now 6 lip fixation colors, or see how the new Phoenix sugar butter colors your lips. Call to make an appointment for your free consultation today. The office is open 8:30 a.m. to 4:00 p.m. daily Monday through Friday. We welcome out of state customers as well. If you are traveling through, give us a call. To make an appointment for your free consultation, please call 1 877-415-0600 or 603 296-4920. The phones are open from 8:30 a.m. to 7:30 p.m. daily EST.]]></description>
		
		
		<category><![CDATA[Advanced Skincare]]></category>
		
		<category><![CDATA[Skincare-MD.com]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Mon, 04 Oct 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=221&#35;comments</comments>
		
		
		
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	<item>
		<title>Incisions for Augmentation Mammaplasty </title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=220</link>
		<description><![CDATA[Through the years many different types of incisions have been described for breast enlargement surgery also known as augmentation mammaplasty.
Currently, most plastic surgeons favor the breast crease incision. When using saline implants the incision is 3.5 cm (less than 1.5&amp;quot;) and is nicely hidden in the breast fold. These incisions usually heal very well because they run along the normal skin lines.&amp;nbsp; As a patient ages and the breast fold deepens, the incision is even less visible. When a silicone gel implant is used, the incision is lengthened to about 6 cm (2.5&amp;quot;). This longer incision is important to allow insertion of the implant without traumatizing the implant.&amp;nbsp; If the implant is forced through a smaller incision this could result in small tears as the implant is placed and this can be the cause of future rupture of the silicone gel implant. 
Another incision used is the peri-areolar approach in which the implant is placed through the areola. The peri-areolar approach for augmentation mammaplasty is often used when a breast left is done at the time of breast enlargement surgery. This incision can be used for a saline implant however it is usually too small for a silicone gel implant.
The armpit scar has fallen out of favor with most plastic surgeons. With this approach, it is somewhat more difficult to properly dissect the lower portion of the breast. In addition it is also more difficult to control bleeding through this incision.
When a surgical revision is done it is usually done through the breast fold approach even when the original incision was elsewhere. This gives the best visibility of the breast implant pocket.
Contact Us for More Information&amp;nbsp; 
For confidential personalized information and advice, please call us at 1-800-640-0290 during business hours: Monday through Thursday 8:30 a.m. - 4:30 p.m. and Friday 8:30 a.m. - 4 p.m. EST. You can also visit our website for more information or use the online contact form to send an inquiry. LATE AFTERNOON &amp;amp; EVENING HOURS NOW AVAILABLE.&amp;nbsp;]]></description>
		
		
		<category><![CDATA[Breast Enlargement]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Fri, 03 Sep 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=220&#35;comments</comments>
		
		
		
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	<item>
		<title>Augmentation Mammaplasty with Combined Breast Lift</title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=219</link>
		<description><![CDATA[When patients have breast hang in addition to small breasts, a frequently asked question is if the two operations can be done together.&amp;nbsp; The answer is &amp;quot;it depends&amp;quot;.
A breast enlargement operation (augmentation mammaplasty) expands the breast tissues whereas a breast lift (mastopexy) reduces the amount of breast skin. This can be thought of as a &amp;quot;push pull operation&amp;quot;. On the one hand we are making the envelope of breast skin larger by placing an implant, on the other we are tightening the breast envelope.
The size of the implant and the amount of skin that needs to be removed will influence the decision if the two operations should be done together or as separate procedures. These concepts will be discussed during your consultation. Further, the various types of breast lift will also be discussed according to how much skin needs to be removed, and how this will influence the final scars needed to shape the breast.
The final result of what is called augmentation mastopexy is usually quite pleasing to the patient. Even though all patients worry about the scars, and certainly scars can heal poorly, we have found that there is a high level of patient satisfaction when combining a breast lifting operation with breast enlargement.
Other types of surgery may also be combined with breast lifting and breast enlargement such as an abdominoplasty (tummy tuck), liposuction, arm lifts and neck lifts.
Contact Us for More Information&amp;nbsp; 
For confidential personalized information and advice, please call us at 1-800-640-0290 during business hours: Monday through Thursday 8:30 a.m. - 4:30 p.m. and Friday 8:30 a.m. - 4 p.m. EST. You can also visit our website for more information or use the online contact form to send an inquiry. LATE AFTERNOON &amp;amp; EVENING HOURS NOW AVAILABLE.&amp;nbsp;]]></description>
		
		
		<category><![CDATA[Breast Enlargement]]></category>
		
		<category><![CDATA[Breast Lift]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Wed, 01 Sep 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=219&#35;comments</comments>
		
		
		
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		<title>Breast Enlargement: Silicone Gel vs. Saline Implants</title>
		<link>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=218</link>
		<description><![CDATA[
Now that several years have passed since the FDA gave approval for gel filled implants for augmentation mammaplasty, we have gathered quite a bit of experience understanding the benefits of gel filled implants in comparison to saline filled implants.
When I'm asked the question of which implant I prefer, my immediate reaction is that gel filled implants give the softest most natural felling results. We have had very few problems with rupture and capsular contracture. They are somewhat more expensive than saline implants and require a larger incision to insert. Both types of implants can be placed either on top of the muscle or under the muscle.
Saline has withstood the test of time, and if it ruptures the saline is absorbed into the system without problems. The implant is easy to remove and replace. Saline implants are more likely to demonstrate wrinkling which can be felt through the skin.






More information on the differences between saline and silicone breast implants can be found by linking to our website&amp;rsquo;s resource articles:

    Ban on Silicone Gel Implants Lifted
    Silicone Gel vs. Saline&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; 

Contact Us for More Information
For confidential personalized information and advice, please call us at 1-800-640-0290 during business hours: Monday through Thursday 8:30 a.m. - 4:30 p.m. and Friday 8:30 a.m. - 4 p.m. EST. You can also visit our website for more information or use the online contact form to send an inquiry. LATE AFTERNOON &amp;amp; EVENING HOURS NOW AVAILABLE.
]]></description>
		
		
		<category><![CDATA[Breast Enlargement]]></category>
		
			
		<author> (Peter T. Pacik, MD, FACS)</author>
		<pubDate>Mon, 30 Aug 2010 00:00:00 EST</pubDate>
		<comments>http://www.plasticsurgerypa.com/blog/index.cfm?CommentID=218&#35;comments</comments>
		
		
		
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