What We Feel is Most Important for Breast Implants After the Operation

Today, Dr. Yoho brings you a two-for-one blog post

We emphasize the big three. Number one, support. Number two, fish oil. And number three, Vitamin E. 
 The support will help maintain the shape of the breast. The breast is sort of like Silly Putty, and it will gradually sag if not supported aggressively with the weight of the implant. Sometimes young people can get away with breasts that don’t sag so much for a while, but in the long run gravity catches up.

The other two things we emphasize after breast surgery involve prevention of capsular contracture. Capsular contracture or firming of the breast implant is the most common problem after breast surgery. We really think that Vitamin E is very helpful and have seen patients who weren’t taking their Vitamin E soften their breasts after starting just the Vitamin E. We recommend 800 IU a day in tablet form. This along with the fish oil can be purchased at vitacost.com.

Fish oil is now regarded as an excellent anti-inflammatory. Dr. Yoho takes it in large quantities himself for foot arthritis. We recommend a teaspoon of the fish oil a day and recommend the purified fish oil such as Nordic Naturals, Carlson’s brand or Eskimo brand fish oils. If you must take the capsules, you can take at least four a day, and if you actually have the start of firming of the breasts, Dr. Yoho may recommend a larger dose for a few months. 

Breast wishes,

 _______________________________



Robert Yoho, M.D.

The Advantage of Coming to See Dr. Yoho for Non-Invasive Procedures If You Are Prone to Anxiety

Did you know that because Dr. Yoho’s office is an accredited surgical center with AAAHC accreditation, Dr. Yoho has the ability to use intravenous medications for your more minor procedures as well as the major ones? We have patients that are scared of needles, which is a common phobia. We administer a little bit of relaxation medicine to these patients so they don’t feel anything at all during their Botox injections. Even for those who don’t have needle anxiety, we have reduced discomfort by using 32-gauge needles, which are the smallest needles commonly used in clinical practice. These can hardly be felt during administration of Botox. 

Additionally, we offer no extra charge sedation for our procedure with the fractionated CO2 laser, a procedure which has been popular and successful. You do need to bring a driver if you have sedation administered to you, but this is the only other requirement. We feel the risks are virtually nonexistent for the small amount of medication you’re given in order to accomplish these procedures in a way that’s pain-free and that erases memory of it. Additionally, you can use these procedures for fillers or any other minor surgical procedure if you are one of those people who is a bit anxious about discomfort. Lastly, we can get that intravenous line in your vein with no pain whatsoever in 90+ percent of the cases and in a fashion that most people won’t notice.

 

I like my breast size but they’re just saggy

Is there any way to do a breast lift and preserve my breast tissue?

When he's not in surgery, Dr. Yoho is with his family. Dr. Yoho's daughter in a light moment.

The answer, of course, is if your breasts are appropriate, we can preserve every bit of breast tissue you have and make them much perkier. The “LeJour mastopexy” that we do has a variation that allows for no removal of breast tissue whatsoever. In fact, this is the most common lift procedure we perform. Ordinary breast lifts typically remove 10 percent to 50 percent of the breast tissue, resulting in much smaller breasts.  

 Be sure to ask Dr. Yoho about the breast-preserving breast lift on your next consultation.

How Much Does It Cost For My Facial Procedures?

Moment from a great family vacation (not related to facial surgery).

Many people desire correction of one or two facial problems, such as a very weak chin or saggy eyelids. However, traditionally and very reasonably, when we work on a face, we often will correct all the defects in one appointment. This can include facelift, eyelids, skin resurfacing with peeling, and Botox and filler. Additionally, in most patients facial implants are very helpful, especially in older patients who have lost their fat volume.

Although we price our facelifts at $4,999, we’re willing to do whatever is appropriate for your face for $10,000. This includes all the above treatments, with the exception of nose surgery, which is a whole other specialty and a separate operation, in our view. We will evaluate you and do whatever is appropriate and whatever procedures you agree to have for this price. We think this is reasonable because the typical facelifts are at least $7,500. Facial implants range from $2,500 to $7,000 for one area and the peels can be $800 to $4,000. Eyelids range from $2,500 to $5,000 for uppers and the same for lowers.

We always use our sedation technique with a single agent and our patients don’t have to undergo general anesthesia. They have a reasonably comfortable experience with any nausea or problems afterwards being extremely rare. This is all included in the above pricing scheme.

The Use of Sticky Foam After Liposuction

Dr. Yoho climing El Capitan. No sticky foam here!

Reston foam was commonly used by liposuction surgeons worldwide ten to fifteen years ago. Its utility involved pasting the loose skin just exactly where the surgeon wanted it to the muscle tissues after the liposuction procedure. The advantage to this is that the girdle and the patient’s movement were unable to distort the skin placement and produce strange wrinkles that would take many months to go away. The disadvantage of this was the possibility that the patient would become irritated from the adhesive, have an allergic reaction to the adhesive which would produce a red skin or a rash, or even tear the skin when they were taking the adhesive-backed foam off.

Our solution to these problems is as follows: We instruct our patients very carefully to watch their skin irritation level and come right back into the office if they’re having any problems or any pain. We tell them to soak in a bath at day four, and this dissolves the adhesive to some degree, and then at day five after the surgery, they can more easily remove the adhesive-backed foam. While this is not a comfortable process, we’ve found that the foam, particularly in the front of the abdomen (not so much the sides) generally produces a far smoother result with much less irritation, despite the aggravation of having to take the foam off.

That said, pigment problems, areas of skin irritation or even superficial loss, and some other problems occur with the foam. Despite this, use of the sticky foam is exceedingly helpful, particularly in large-volume liposuction cases.

Another alternative to the foam is if the responsible patient is able to massage the area from day one or day two after the surgery, they can keep the wrinkles from occurring. This usually has to be done, however, in a lying-down position because the patients have a tendency to feel faint when they take the garment off this early.

LARGE VOLUME LIPOSUCTION LOS ANGELES

This is the result of megaliposuction or large volume liposuction in our Los Angeles surgical center. There was absolutely no cutting of skin, and no tummy tuck or abdominoplasty. The patient went home at the end of her procedure and was observed by her family members. She lost 4 dress sizes. It was one procedure, the top photo was "before" and the bottom photo was "after". See the articles below for more detail about how this procedure was performed.

Dr. Yoho has patients come from Glendale, Burbank, Pasadena, Los Angeles, Encino, Huntington Park, Studio City, Arcadia, Montrose, Hollywood, La Crescenta, La Canada Flintridge, Valencia, Monrovia, Eagle Rock, Altadena, San Marino, Sherman Oaks, Thousand Oaks, North Hollywood, Long Beach, Beverly Hills, Van Nuys, Santa Monica, Calabasas, Palmdale, Fresno, Visalia, Northridge, and Westlake Village, and Simi Valley to have their appearance improved with our special surgical technique. Our Cosmetic Surgery center in Pasadena, California specializes primarily in Los Angeles cosmetic surgery including breast augmentation Los Angeles, Los Angeles liposuction , tummy tuck surgery in Los Angeles, cosmetic facelifts, forehead lift, Chin and jowl liposuction, Eyelid Surgery and other body contouring procedures. The center is lead by expert Los Angeles Cosmetic Surgeon Dr. Yoho, who has passed the Boards in Cosmetic Surgery and is dedicated to providing high quality yet affordable cosmetic surgery options for his patients and being the best cosmetic surgeon in Los Angeles, Glendale, Pasadena, and Beverly Hills.

LOS ANGELES/PASADENA BUTTOCK FAT TRANSPLANT

More and more patients are opting for buttocks fat transplant when they have their liposuction procedure and we almost make it a routine to perform buttocks fat transplant if the person is dissatisfied with their buttock size. In particular, Asians and Latinas often get a great improvement from this procedure. If the weight returns a bit after the liposuction, often buttocks and breasts benefit the most and a sexier figure results. We can make an effort to choose just the right amount of fat for each person’s buttocks. If too much fat is transplanted infections and other problems can result, and if too little fat is transplanted not enough improvement will result. Please call for a complimentary consultation for our Los Angeles, Visalia, or Fresno area cosmetic surgery offices in order to determine if you are a good candidate for this procedure.

Dr. Yoho Office In Pasadena, California specializes primarily in Cosmetic Surgery Pasadena including breast augmentation, Los Angeles liposuction, Los Angeles tummy tuck, cosmetic Los Angeles facelifts, forehead lift eyelid surgery Los Angeles, Chin and jowl liposuction Los Angeles,  and other body contouring procedures. The center is lead by expert Los Angeles Cosmetic Surgeon Dr. Yoho, who has passed the Boards in Cosmetic Surgery and is dedicated to providing high quality yet affordable cosmetic surgery options for his patients and being the best cosmetic surgeon in Los Angeles, Glendale, Pasadena, and Beverly Hills. Also serving Fresno and Bakersfield cosmetic surgery
with our office in Visalia.

MEGA LIPOSUCTION OR LARGE VOLUME LIPOSUCTION FOR LOS ANGELES

Liposuction has been traditionally felt to be not for weight loss and primarily for sculpting. However, as surgeons became more familiar with the liposuction abilities of the newer techniques, we realized that larger and larger volumes could be safely removed. Now, there are outdated recommendations from several sources that recommend only 5 liters or 5 quarts of fat be removed at any setting. Dr. Yoho has had a lot of experience with large volume or mega liposuction and believes that in experienced hands using the proper techniques much more fat can be safely removed. He does this on a regular basis.

The traditional thinking has been that hospitalization and general anesthetic was a necessary part of large volume liposuction. In fact, these two factors present separate risks and should probably not be considered the best practice for large volume liposuction.

Hospitalization in fact, produces risk of infection that is higher than outpatient clinics, where the surgery performed is generally on completely “clean” cases. Cases such as abscess drainage, infection treatment, and colonoscopies are not seen in these surgical centers. The hospital environment on the other hand, has a lot of bacteria and infections caused by hospital-based bacteria. These may be very strong bacteria and infection with these are not uncommon when a patient has surgery performed in a hospital. The old theory is that large volume liposuction is dangerous enough that the hospital resources might be necessary to help a person stay healthy. However if performed properly, Los Angeles mega liposuction is not as risky if the surgeon is experienced. The other idea, that general anesthetic produces a safer and more predictable surgical result, is completely wrong. With general anesthetic, blood that would be flowing through the veins tends to stay there, because the veins themselves are relaxed and therefore the chances for complication such as blood clots in the lungs and veins of the legs are much increased. General anesthesia entails taking a lot of responsibility for a patient’s well being that isn’t necessary for liposuction.

In fact, Dr. Yoho’s ideas about Los Angeles large volume or “mega” liposuction are almost the exact opposite of what these older recommendations are. He believes that the anesthetic should be kept as light as possible, although some anesthetic is generally necessary for large volume liposuction. He uses only a single anesthetic medication given intravenously whereas the average general anesthesia done by anesthesia provider uses approximately 10 medications. Nausea and vomiting are common occurrences with these types of anesthetics, particularly for longer cases. In Dr. Yoho’s hands, nausea and vomiting are almost never seen.

The additional safety factor for Dr. Yoho’s cases is large volume placement of the very dilute local anesthetic salt-water combination. In other words, this medication is not put into the veins, but into the fat. The less amount of active ingredient in the sterile salt water, the lower the chance of problems and Dr. Yoho’s combination is safe yet very effective quantity of local anesthetic per quart or liter of local anesthetic placed in the tissues. Up to 8 to 10 quarts of local anesthetic are frequently used into the fat for larger volume (and larger patients!) in Dr. Yoho’s office, and up to 10 to 15 to even a few more liters or quarts of fat/local anesthetic fluid removal are performed for select individuals.

Dr. Yoho has patients come from Glendale, Burbank, Pasadena, Los Angeles, Encino, Huntington Park, Studio City, Arcadia, Montrose, Hollywood, La Crescenta, La Canada Flintridge, Valencia, Monrovia, Eagle Rock, Altadena, San Marino, Sherman Oaks, Thousand Oaks, North Hollywood, Long Beach, Beverly Hills, Van Nuys, Santa Monica, Calabasas, Palmdale, Fresno, Northridge, and Westlake Village, and Simi Valley to have their “man boobs” or gynecomastia improved with our special surgical technique.


Our Cosmetic Surgery center in Pasadena, California specializes primarily in Cosmetic Surgery Los Angeles including breast augmentation Los Angeles, Los Angeles liposuction, tummy tuck Los Angeles, cosmetic facelifts, Forehead Lift, Chin and jowl liposuction, Eyelid Surgery Los Angeles and other body contouring procedures. The center led by an expert Los Angeles Cosmetic Surgeon. Dr. Yoho has passed the boards in Cosmetic Surgeryand is dedicated to providing high quality yet affordable cosmetic surgery options to his patients and being the best cosmetic surgeon in Los Angeles, Glendale, Pasadena, and Beverly Hills.