Graham Plastic Surgery
129 West Commercial St.
Suite 2
East Rochester, New York 14445

Breast Augmentation Plastic Surgery

Posted on February 15, 2022 by admingra

Breast Augmentation

Breast augmentation refers to a surgical procedure that involves reshaping and resizing the breasts. This is generally by placing implants behind each breast. Breast augmentation is clinically called augmentation mammoplasty.

It is usually performed for aesthetic purposes, whether to restore balance to asymmetrical breasts, add volume to small breasts, or create a more voluptuous appearance. Board certified plastic surgeon Dr. David Graham provides breast augmentation surgery to patients in Rochester, NY, and surrounding locations.

Customizable Procedure

One of the major reasons behind the popularity of breast enhancement procedure is that it can be readily customized for meeting specific goals. These are some of the key options you would have:

Type of Breast Implants: patients can currently choose from saline-filled implants, silicone gel-filled implants, and ultra-cohesive, form-stable silicone gel-filled (gummy-bear) implants.
Placement of Breast Implant: Implants can be placed by making pockets in front of the pectoral muscle or beneath the pectoral muscle (submuscular placement method), behind the breast tissue (submammary or subglandular placement method).
Incision Location: Breast implants can be inserted by making inframammary incisions (incisions that are right at the base of the breasts), transaxillary incisions (in the armpit), or periareolar incisions (border of the areola’s lower half). Few plastic surgeons insert implants through the transumbilical or TUBA incision (through the navel). Although, this is a less commonly used method than the others.
Other Choices: Patients can also choose from a wide array of breast implant profile, shape, size, and texture.

Purpose of Breast Augmentation Surgery

Here are a few common reasons why women undergo breast implant cosmetic surgery:

Making the breasts more proportionate to the rest of the body
Feeling more attractive and feminine
Improving symmetry between differently shaped and sized breasts
Restoring volume to breasts following weight loss, pregnancy, and breastfeeding
Correcting congenital deformities in either of the breasts
Improving body image and boosting confidence
Adding volume to breasts that did not fully develop after puberty because of micromastia

Overview of the Surgical Procedure

Incision Placement

Breast augmentation procedure begins with making an incision in the navel (TUBA), the armpit (transaxillary), the breast (inframammary), or the areola (periareolar). Incision location is decided as per the patient’s needs. Your surgeon will take your unique anatomy and aesthetic wishes into consideration while recommending the best incision technique.

Implants Placement

Submuscular breast implant placement (implant is positioned under the pectoral muscle) and subglandular breast implant placement (implant is positioned directly behind the breast tissue in front of the pectoral muscle) are two main methods of inserting implants.

You should discuss both these options in detail with the surgeon and arrive at a decision based on your particular body type and preference. The incision is carefully closed using sutures after placing the implants.

Recovery After Breast Implants Surgery

You should be able to return to work within a week if your job doesn’t involve heavy or strenuous physical activity. Full recovery may take up four weeks when you might be able to resume your regular fitness regimen. Cosmetic surgeon Dr. David Graham receives patients from Rochester, NY, and nearby areas for breast augmentation surgery.

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

How To Choose The Best Plastic Surgeon In Rochester, NY

Posted on February 10, 2022 by admingra

Best Plastic Surgeon In Rochester, NY

The experience and skill of a cosmetic surgeon is the single most important deciding factor that will influence the final results in any aesthetic procedure. Your plastic surgeon will be focal point through the entire procedure, from establishing your candidacy to offering guidance and support for a speedy recovery.

Since plastic, cosmetic, and reconstructive procedures are often major surgeries, it is important that you do your homework in finding a surgeon whom you can trust and who has a proven track record of performance. Board certified plastic surgeon Dr. David Graham provides innovative and advanced plastic surgery procedures to patients in Rochester, NY, and surrounding communities.

Choose a Board Certified Plastic Surgeon

It may seem obvious to work with a board-certified plastic surgeon. But, it’s critical that you verify whether the surgeon has all necessary credentials for effectively and safely performing the procedure. The American Board of Plastic Surgery (ABPS) certifies only a limited number of cosmetic surgeons each year following a rigorous selection process.

Board certified plastic surgeons are known to invest in high quality standards and best medical practices. They pursue ongoing education, follow latest safety protocols, and adopt advanced surgical techniques.

Flexible Surgical Skills

You may find it beneficial working with a surgeon that has practice in various treatment and incision techniques. You should ask prospective surgeons about their ability and opinion in case you want them to perform the procedure using a specific technique.

Personalized Surgical Plan

You should select a surgeon that is able and willing to personalize the cosmetic surgery as per your needs. The surgeon should not adopt a one size fits all approach to the procedure. Plastic surgery should have a customized plan since everyone’s body is unique. You should find a surgeon that is ready to take these concerns into account.

Deciding the treatments and surgeries you require is a collaborative process. The plastic surgeon should actively involve you in the process of creating a surgical plan that is an ideal fit for you.

Fee Charged by the Surgeon

It is always helpful to know what the procedure is going to cost even though you should always prioritize getting the treatment from an experienced and qualified surgeon. You can make a better decision when you have an approximate estimate or price range.

Testimonials and Images

Past successes are one of the best indicators of a surgeon’s work quality. Looking at before and after images and reading testimonials related to the procedure will give you an insight into the kind of results to expect.

Success Rate

You should check the success rate for your specific surgery. The plastic surgeon will be able to give you a patient satisfaction rate if the surgery is performed by them regularly.

Handling Complications

It is possible for a plastic surgery to not go as planned despite your surgeon’s experience. The surgeon should have a system in place for treating complications and handling unsatisfied clients.

Hospital Privileges

Your surgeon may have hospital privileges or operating rooms at their practice. The surgical venue can impact the quality of care, techniques used, and the cost of procedure. Cosmetic surgeon Dr. David Graham receives patients from Rochester, NY, and nearby areas for dependable and proven plastic surgery procedures.

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

Rochester, NY Board Certified Plastic Surgeon David Graham, MD

Posted on February 2, 2022 by admingra

Plastic Surgeon David Graham, MD

Graham Plastic Surgery ranks among the most contemporary and innovative plastic surgery practices in Western New York. The practice specializes in body, breast, and nose reshaping surgery. Graham Plastic Surgery excels at these procedures and has a proven track record of outstanding results.

The team at Graham Plastic Surgery doesn’t merely follow the traditional aesthetic approaches. They bring their own tried and tested style inspired by surgical practices from around the world. The practice is built on integrity, expertise, and compassion. The team is dedicated to creating an unmatched experience for all visitors and patients.

Dr. David Graham is at the forefront of our surgical operations and he possesses a natural artistic skill. Dr. Graham is a highly trained plastic surgeon who believes that every surgical result should be steeped in perfection. He doesn’t count it a success until the patient feels satisfied with the results. His commitment to patient care combined with his exceptional surgical skills makes Dr. Graham one of the highest rated cosmetic surgeons in Rochester, NY.

Board Certification and Fellowship

The American Board of Plastic Surgery (ABPS) has certified Dr. Graham. This is the highest credential for a plastic surgeon. Dr. Graham has a double fellowship in Hand Surgery and Plastic Surgery.

Surgical Skills and Experience

The focused Dr. Graham has a diverse surgical experience of 15 years. He has performed over 15,000 operations and is trained in all aspects of plastic surgery. He specializes in cosmetic, plastic and reconstructive surgeries for the body, breast, and face.

Dr. Graham’s expertise comes from years of training, which includes treating patients with breast cancer at MD Anderson, learning advanced breast reconstructive and cosmetic techniques at Cleveland Clinic, and operating at a body contouring clinic in Ohio. He has also received advanced training in rhinoplasty and eyelid surgery techniques.

Professional Memberships

The accomplished Dr. Graham is a notable member of the Rhinoplasty Society of Europe (RSE), the American Association of Hand Surgery (AAHS), and the American Society of Plastic Surgeons (ASPS).

Plastic Surgery Services

Dr. Graham offers cosmetic surgery services to patients from all over the country in Rochester, NY. His practice caters to patients from across the globe, including Europe. He is best known for rhinoplasty, tummy tuck, and breast augmentation techniques.

Education and Training

The cordial Dr. Graham pursued a 5-year general surgery residency at Orlando Regional Healthcare in Orlando, FL following medical school. He pursued advanced surgical training in Plastic and Reconstructive Surgery as a fellow at the SUMMA Health System in Akron, Ohio. At the same time, he completed special training in cosmetic and reconstructive breast surgery and microsurgery at the Cleveland Clinic.

Upon completion of his plastic surgery training, he pursued Hand and Microsurgery Fellowship at the world renowned Kleinert Kutz Hand Center located at the University of Louisville in KY.

Community Involvement

The pinnacle of the community is Dr. Graham who supports The Cystic Fibrosis Foundation, Foodlink, Lollypop Farm, The Pluta Cancer Center Foundation, ARC of Ontario County, and Resurge International among a wide array of international, national, and local charities. Board certified plastic surgeon Dr. David Graham receives patients from Rochester, NY and surrounding locations.

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

The Latest on Fat Transfer to the Breast

Posted on May 31, 2015 by admingra — No Comments ↓

The Latest on Fat Transfer to the Breast

Intro

For as long as I have been a Plastic Surgeon I have been jokingly hearing the question, “Hey doc, can’t you just take some of the fat from here and put it there”? Until recently, the answer had always been “No”. However, as we are understanding more and more about the biology of fat we are now able to say “yes” to this frequent inquiry and are able to get good results. I say “good” and not “great” because fat transfer does have limitations.

My Street Credit

In addition to being a board certified plastic surgeon and performing fat injections myself , through attending several meetings I have had the chance to learn the latest in fat grafting science and techniques from the world experts. I have heard Dr. Sidney Coleman, of Manhatten, lecture extensively on fat grafting to the face, hands, breast, and body. Dr. Daniel Del Vecchio of Boston, and Dr. Roger Khouri of Miami, the masters of large volume fat grafting to the breast, also imparted their vast knowledge and experience on fat only breast augmentation. This blog is as credible and as current of information as you will find on the topic.

The Teachings of the Master of Fat Transfer to the Breast

Dr. Roger Khouri of Miami has the world’s most experience with breast augmentation with fat. To date he has performed over 1000 fat grafting procedures to the breast and has published several articles on his techniques and outcomes. He discovered that the key to getting large volumes of fat to survive is dependent on the actual size of the particles of fat that are being transferred, the way the fat is distributed in the recipient site(breast), and the ability of the donor site to accept tissue.
Firstly, the fat droplets that are collected have to be very small, < 2 mm in diameter, for the fat to survive. Next, when these fat droplets are introduced they need to be surrounded on all sides by healthy bleeding tissue. This ensures that these small fat particles will receive oxygen and nutrients from the adjacent tissue before becoming incorporated. Lastly, the recipient site, or breast in Khouri’s cases, has to be loose enough structurally to accept the fat. In a nutshell, if too much fat is crammed into too small a space then it will die from too much pressure.

The Technique

First, the fat is harvested via liposuction. This fat is usually taken from the thigh or lower abdomen. It is then separated into its 3 components of water, oil, and fat cells. It is the fat cells that we want. The next step is the tricky part. The breast has to be able to accommodate the fat. In many women their tight breast tissue and skin limits fat placement. In these cases, the breast tissue has to be expanded before surgery. This is accomplished with the BRAVA device. This device looks like something from a 70’s sci-fi film or an Austin Powers movie(One swedish made…), but it is real, and it works. The BRAVA device is essentially a pair of breast suction cups that suck on the breast and stretch the skin. This creates space for the grafted fat and as an added bonus also improves the breast blood supply. This is worn intensely for 10 hours a day, every day, for 2 weeks prior to surgery and for one week after grafting.(see below)

Limitations/Caveats

1) Size – We are limited to grafting 250-300 cc(or ml) of fat. This can move an A cup to a B cup, or a B cup to a C cup, but will ot jump an A to a C. Therefore, results are still significant, but modest. Fat grafting will not achieve what an implant can.

2) Shape – Again, we are limited. Fat grafting adds volume and can do some shaping. However, fat grafts are still subject to gravity and will not yield projection, or how far the breast sticks out from the chest. Projection is still best achieved with implants.

3) BRAVA – Often the BRAVA device is necessary for pre-expansion prior to fat injection. A patient has to be absolutely committed to wearing the device if surgery is to be successful. Again, the device has to be worn every day,10 hours a day, for 2 weeks prior to surgery. Then, the device is worn as much as possible, preferably continuously, for an additional week after surgery.

4) Cost – The BRAVA system alone costs $2500. Then you add surgeons cost which is basically the cost of a breast augmentation + the cost of liposuction. Then you add in anesthesia and hospital fees. Lastly, you may need more than one injection procedure to get your desired results. This additional procedure will also have a cost. Overall, a breast augmentation is a cheaper option which accomplishes more.

5) Safety – Concern has been raised over the possibility of fat injection interfering with breast cancer screening. Fat graft death can result in oil cysts and calcium deposits in the breast. These findings can potentially affect mammogram interpretation. More concerning is that there has been research showing that when fat stem cells, which are abundant in transferred fat, are transplanted into mice containing breast cancer cells, that the cells become more aggressive and more likely to metastasize.

Conclusions

Overall, I think fat grafting is a good procedure that is here to stay. Although it cannot accomplish all the things a breast implant can, it can yield “good” results with a modest and all-natural breast augmentation. That being said, at this time I am holding off on offering fat grafting for breast augmentation. The animal studies are concerning for what these stem cell rich fat cells might do to any preexisting breast cancer cells. As breast cancer occurs in 12% of the population, I am not willing to take the risk of worsening an undiagnosed breast cancer.

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

How Botox can Effect our Mood

Posted on July 23, 2014 by admingra — No Comments ↓

Botox and Moods

Botox has long been utilized in the medical community for treating muscle spasms, excessive sweating, migraine headaches, and most notably, facial wrinkling. However, over the last few years more and more research is revealing that by altering facial expression with Botox we can also alter mood.

First of all, let’s get a little background. For decades researchers have known that facial expressions can effect changes in mood just like mood effects facial expression. It began in 1989, when a psychologist named Robert Zajonc published one of the most significant studies on the emotional effect of producing a smile. During his study, subjects repeated vowel sounds that forced their faces into various expressions. To mimic some of the characteristics of a smile, they made the long “e” sound, which stretches the corners of the mouth outward. Other vowel sounds were also tested, including the long “u,” which forces the mouth into a pouty expression. Subjects reported feeling good after making the long “e” sound, and feeling bad after the long “u.” According to his hypothesis, the facial changes involved in smiling have direct effects on certain brain activities associated with happiness.

Several similar studies followed. One had subjects make the positive and negative expressions by holding a pen in their mouths,
either protruding outward for a pout or held lengthwise in the teeth to make a smile. This study yielded the same results. In another experiment, one group of subjects was shown pictures of various facial expressions; another group made those facial expressions and a final group made those expressions while looking in the mirror. The evidence all pointed toward smiling as a cause of happy feelings. Subjects were asked questions that pinpointed their emotional state before and after smiling, and they overwhelmingly scored happier after smiling. In the study involving the mirror, subjects who watched themselves smile saw an even more pronounced change in mood than those who smiled without the mirror, and the subjects who merely looked at pictures didn’t experience that change at all.

So now that we’ve established that smiling can actually make you happier, what would happen if we weakened the muscles that cause you to frown. This was the question that has been answered in more recent research. In 2006, Finzi et al. published a case series in the Journal of Dermatologic Surgery where 10 depressed patients were injected with botox into their vertical glabellar Scowl frown lines(ie. vertical lines that run between your eyebrows when you scowl or are angry). Within 2 months, 9 of 10 patients reported resolution of depression and the 10^th had an improvement in mood. In 2012, Wollmer et al. published a paper in the Journal of Psychiatric Research where they conducted a randomized double-blinded controlled trial studying the effect of Botox injection on depression. Thirty depressed patients in each study group received either botox or placebo injected into their glabellar frown lines. At 6 weeks after treatment 47% of the botox study patients showed significant improvement in depression scores vrsus only 9% in the placebo group. In August 2014 an additional study by Wollmer et al again proved this Botox and depression relationship. Only in this more recent study, they showed additional positive psychiatric effects even after the cosmetic effects of botox wore off.

In conclusion, is highly likely that the effects of Botox, and maybe even other cosmetic treatments, may effect our psychology in more subtle ways than we realize. I can’t help but think in this era of selfies and increased personal visibility granted by social media sites such as facebook, twitter, and instagram, that we are looking in the mirror more often than ever. I hope that we’re smiling.

Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York

To learn more about the plastic surgery treatments and procedures performed by Board Certified Plastic Surgeon, David Graham, MD please contact us.

View our plastic surgery and med spa procedure pricing.

Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.

Breast Augmentation Plastic Surgery

Breast Augmentation Plastic Surgery