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New Year, New You!

2013 has been a busy year and we are looking forward to seeing you in 2014!

As we say goodbye to the current year, I wanted to thank my loyal patients for your support and wish you all a wonderful 2014. Our office building has seen a major construction project this past year (still unfinished), and we used the opportunity to perform a complete remodel of our office. If you are in the neighborhood, please stop in for a cup of freshly brewed coffee and take a quick tour of our gorgeous new facility!

What else happened in 2013?

Everything! We moved a step closer to the Holy Grail of plastic surgery.

This year saw the development of what may be the single most revolutionary procedure for rejuvenating aging skin and soft tissue. Not by pulling, freezing, burning or lasering, but truly repairing and restoring damaged skin. We call it Nano Stem Serum, and this is how it works:

I remain a leading edge surgeon and advocate for Natural Fat Transfer, where we use natural adipose (fat) tissue to fill lines and soften the thinning face as it ages. For reference, you can hear me talk about this in multiple short videos on my website. We now take the remaining, purified fat and gently process it to extract stem cells from the tissue and concentrate them into a smooth liquid. This serum is thin enough to be injected directly into damaged skin.

We can now make skin more healthy by placing growth factors and reparative stem cells exactly where we want them - in the skin! Injected into crows’ feet, upper lips lines and crepey skin, we see thickening and a smoother appearance. In the décolletage, we see softening and disappearance of wrinkles. We are also studying the effect of placing Nano Stem Serum into the lower eyelid skin for improvement of dark circles and skin discoloration.

Please feel free to call our office for any additional information we might be able to provide, and wishing you all a very happy and healthy New Year!

- Dr. K
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Lawrence M. Koplin , M.D., F.A.C.S.

American Board of Plastic Surgery

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Enhance your Image with Breast Augmentation

Breast augmentation is the perfect way to create a more feminine figure. One of the most popular cosmetic surgery procedures, breast augmentation (mammoplasty) can enhance a small bust, balance an uneven one, or restore fullness and shapeliness to breasts that may have changed due to child-bearing, weight loss, or age. Breast augmentation can enhance your breast size and shape, give you a more proportionate figure, and boost your self-esteem.

Is Breast Augmentation Right For You?

Breast augmentation can be performed at any age after your breasts are fully developed. When considering breast enlargement, make sure you understand your personal motivations and have realistic goals for the procedure.

You may be a good candidate for breast augmentation if you have any of the following feelings or conditions:

How is Mammoplasty, or Breast Augmentation, Performed?

Taking into consideration individual factors and personal preferences, you and Dr. Koplin will determine your appropriate new breast size, the location of incisions, and whether your implants will be placed on top of or underneath the chest muscle.

During the procedure, Dr. Koplin makes an incision either underneath the breast, just above the crease, around the lower edge of the areola or within the armpit. He then creates a pocket that is usually underneath the pectoral muscle, and inserts the implant into this pocket.

What type of implants will be used?

The size and type of breast implant recommended for you will be determined by your goals for breast enhancement, your existing body frame and mass, your existing breast tissue, and your preferences. Breast implant options include:

FDA-approved Mentor® brand MemoryGelTM silicon gel implants and Saline implants, and Allergan® brand Natrelle® Gel saline and silicone implants.

New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available as advancements take place. Surgical techniques for breast augmentation and breast implants themselves are continuously being refined, increasing the safety and reliability of the procedure.

Your Breast Augmentation Consultation with Dr. Koplin

Dr. Koplin will personally meet with you so that he understands your expectations and desired outcomes for breast augmentation. During this initial meeting, Dr. Koplin will consider such factors as the size and shape of your breasts, the quality of your skin, and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts sag, he may recommend a breast lift in conjunction with augmentation.

Dr. Koplin will ask you a number of questions about your health, desires and lifestyle. He’ll need to know whether you have a family history of breast cancer and about results of any mammograms or biopsies. There is no scientific evidence that breast augmentation increases the risk of breast cancer. The presence of breast implants does makes it slightly more difficult to take and read mammograms. Placement of the implant beneath the pectoral muscle will interfere less with mammographic examination. Dr. Koplin will spend extra time explaining all these issues with you, so that you should feel extremely comfortable, excited and well informed by the time of your surgery.

It’s also important to tell Dr. Koplin if you are planning to lose a significant amount of weight, or to become pregnant in the future. Both extreme weight loss and pregnancy can alter breast size and could affect the long-term results of your breast augmentation. Properly performed breast augmentation will not affect pregnancy or your ability to breast-feed.

Dr. Koplin Trained with the Inventor of the Breast Implant

Dr. Koplin has extensive experience creating natural looking results with breast augmentation and reconstruction. He holds double board certification in both General Surgery and Plastic Surgery, having spent five years of general surgery residency prior to beginning his studies in plastic surgery. His final two years of plastic surgery residency were in Houston where he acquired extensive experience in multiple reconstructive techniques, and a wide range of cosmetic procedures. This includes his training with Dr. Thomas Cronin, inventor of the breast implant, where he received specialized experience in all aspects of breast surgery, including augmentation (placement of implants), reduction and reconstruction after mastectomy.

Where is the Breast Augmentation Operation Performed?

Your custom procedure will be performed in a brand-new, state-of-the-art facility associated with our medical office. We are fully accredited by Medicare and AAAASF, and are held to the same standards as an operating room in a private or university hospital.

Safety and Comfort with Anesthesia

Medications are administered for your comfort during breast augmentation. Choices include intravenous sedation or general anesthesia: Dr. Koplin will recommend the best anesthesia for you. Your anesthesia provider has a wealth of experience in surgical procedures, safety, and care. Your safety and comfort are always paramount.

Fully Staffed Recovery Room

You will spend one to two hours in a fully-monitored and state-of-the art recovery room at the surgery center. Your registered nurse will be at your side every moment to attend to your safety and comfort.

Breast Augmentation Recovery and Convalescence

After your breast augmentation procedure, you will be placed in a surgical dressing that includes a support bra or garment. You should be walking under your own strength immediately after your breast augmentation surgery, and enjoying a normal dinner at home. It is very important that you walk a few minutes every few hours to reduce the risk of blood clot formation in your legs.

You have several options for recovery: you may choose to have professional care, to stay in a recovery center, or recover at home. If you wish to recover at home, you must have someone stay with you the first night. We’ll send you home with specific care instructions, as well as information about medications that can aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your overall health, and when to follow-up with Dr. Koplin.

What to Expect After Breast Augmentation:

The First Week:

A day or two after surgery, you should be up and about. While it will take several days to return to more normal activities, it is important to your recovery that you are up and active.

We’ll remove any dressings within a day or two and place you in a support bra (which we provide).

Most of our patients are showering the second day after surgery!

Dr. Koplin exclusively uses dissolving sutures that are hidden under the skin, so there are none to be removed and never any “Frankenstein” marks!

Some discoloration and swelling will occur initially, but this will disappear quickly, with any residual swelling resolving within a month. The first few days following your breast augmentation surgery, you may feel stiff and sore. Your breasts may feel tight and sensitive to the touch, and your skin may feel warm or itchy. You should not lift, push or pull anything, or engage in any strenuous activity or twisting of the upper body.

Most of our patients are feeling well and able to go out to dinner the following evening!

You may be able to return to work within just a few days or a week, depending on the type of activities required at your job.

The Second Week and Beyond:

You should avoid physical activity for at least the first couple of weeks following surgery, and be extremely gentle with your breasts for at least the next month.

Most residual swelling will resolve within a month, and final breast shape is seen at three months.

MAKE AN APPOINTMENT FOR YOUR CONSULTATION

If you’d like to find out more about breast augmentation and if it’s right for you, please schedule your consultation today.

To view a list of all procedures, visit our Procedure List page.