Breast Augmentation

The decision to get a major plastic surgery procedure such as breast augmentation is a personal one. It should be made only after careful consideration of all possible factors. However, before going ahead with a breast enhancement surgery, you would need to establish that you are a suitable candidate for it.

Board certified plastic surgeon Dr. David Graham provides breast augmentation or breast implants surgery to patients in Rochester, NY, and surrounding communities.

Establishing Candidacy for Breast Augmentation

One of the key parts of determining candidacy for breast enhancement cosmetic surgery involves asking a question that only you can truthfully answer – ‘Why do I want to get larger breasts?’

The answer is quite simple for some women while it is anything but that for others. It’s possible for you to be considering breast implant cosmetic surgery for a wide variety of reasons with some factors being more personal than others. Here are a few common reasons for women to undergo breast augmentation surgery:

Health Requirements for Breast Augmentation

You need to be in good general health for undergoing surgical procedure. Make sure you disclose autoimmune conditions, such as heart disease, diabetes, high blood pressure, and other conditions to your surgeon. These could interfere with your healing ability.

Suitable candidates for breast augmentation procedure are:

Age Requirements

Use of silicone implants in breast enhancement procedure is restricted by the FDA to women aged 22 and above. This restriction includes gummy bear or ultra-cohesive implants. However, women ages 18 and above can get saline breast implants. The placement of breast implants in women that are younger than 18 years of age is allowed in case of congenital deformities and injuries.

Setting Reasonable Expectations

Besides being in decent overall health, the best candidates for breast enhancement procedure are the ones that are well-informed about the procedure. They should also have reasonable expectations from the procedure. You should be fully aware of the side effects and potential risks.

Breast implants can help in boosting confidence and kick-starting a path to improved self-esteem when done properly. However, this is only to a certain degree. You should set realistic expectations about what the procedure can or cannot do for you to be truly satisfied with the results.

You should also be confident about the reasons why you want to get breast implants. 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.

See More Rhinoplasty (Nose Surgery) Before And After Photos

Rhinoplasty is one of the five most popular cosmetic surgery procedures performed in the US. There are over 250,000 procedures performed in a year. During the pre-treatment consultation, your cosmetic surgeon will discuss the various aspects of the nose reshaping plastic surgery. This is to help you make a well-informed decision.

In addition, you will be shown rhinoplasty before and after images as well to help you set reasonable expectations. Board certified plastic surgeon Dr. David Graham provides rhinoplasty or nose surgery to patients in Rochester, NY, and surrounding locations.

Overview of Nose Surgery Before and After Pictures

The plastic surgeon will present you with a set or collection of before and after pictures of other people that underwent the same procedure. These pictures are usually taken when the post-operative swelling and bruising have subsided so that potential patients can observe complete results.

It is important the images be taken only with the express consent of the treatment providers. The pictures should be shown to new or potential patients with discretion. Patient identity is generally kept confidential as per standard protocol. The sole purpose of sharing these before and after pictures is to help new patients understand the benefits and limitations of the nose job procedure.

What’s even more remarkable is that these images can be seen anywhere. We know Dr. Graham did not invent 5G or the internet but to put your work so people can see what to expect is a sign of respect because it allows anyone to save time. They don’t have to make one phone call to make a decision.

Now the depth of Dr. Graham’s work is on digital display with moves us over to the realm of transparency. We may not see our politicians being that transparent in DC along with our celebrities but in the elective surgery world, transparency is critical.

Adding Descriptive Text to Images

Patients find it helpful to read descriptive text along with images. The text should explain the reasons for performing the procedure and the manner in which it addresses the unique concerns of patients. Nose reshaping cosmetic surgery can be better understood by new patients after getting to know the experience of former patients. Images become more potent when accompanied with self-explanatory text.

Sharing Rhinoplasty Images Online

Nose job before and after pictures can be shared by surgeons using the following avenues:

These avenues make it easier to educate potential patients about the advantages of a procedure. Surgeons can also create a comprehensive rhinoplasty before and after image gallery as an informational and promotional tool for their practice. These image galleries can be used for highlighting the skills and expertise of the surgeon.

Posting Images on Instagram

Rhinoplasty plastic surgery ‘before and after’ pictures can be shared on Instagram. Surgeons can do this in addition to displaying the pictures on their practice websites. However, it’s prudent to exercise discretion while posting pictures on social media. Potential patients can look at the pictures online and decide whether they want to speak with a surgeon about it or not.

Instagram Slideshows and Stories are an attractive way of showing nose surgery before and after images. With millions of daily active users, social media networks such as Instagram provide an effective way to disseminate information and educate patients about rhinoplasty. Cosmetic surgeon Dr. David Graham receives patients from Rochester, NY, and nearby areas for nose job.

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.

Rhinoplasty (Nose Surgery) 

Rhinoplasty is a popular plastic surgery procedure that is primarily performed for aesthetic improvements to the nose. Functional corrections may also sometimes be involved in this procedure. Rhinoplasty is usually not covered by health insurance if performed only for cosmetic concerns. The procedure can have significant costs, which makes it important to consider all factors affecting it.

Experienced cosmetic surgeons will discuss all aspects of the rhinoplasty procedure during the pre-treatment consultation, including the estimated costs. The first priority of a responsible surgeon is to help their patients make a well-informed choice. Board certified plastic surgeon Dr. David Graham provides rhinoplasty or nose surgery to patients in Rochester, NY, and surrounding communities.

Surgeon’s Fee

Experience and credentials of the surgeon performing rhinoplasty plastic surgery has a key impact on the cost of procedure. The procedure may be performed in some cases by a surgeon in-training. This may decrease the overall monetary amount down slightly. However, it’s crucial that you choose a qualified and seasoned cosmetic surgeon for performing the nose job.

Venue of the Surgery

The rhinoplasty procedure may be performed by the surgeon in an ambulatory surgical center, hospital, or a private surgical suite. You should make sure the surgical venue has proper accreditations. Generally, private surgical suites are the least expensive options. Hospitals are the costliest, but they are useful in the rare event of a complication. Ambulatory surgery centers usually charge by the hour and are more expensive than private surgical suites.

Anesthesia Cost

An anesthesiologist or a registered nurse anesthetist may administer the anesthesia. The services are usually charged by the hour. Anesthesiologists are more expensive as compared to registered nurse. However, a lot of patients prefer working with a qualified anesthesiologist over registered nurse anesthetist.

Extent or Complexity of the Surgery

A nose job may cost less if it involves minor cosmetic improvements. This may include refining the nasal tip or removing a nose bump. However, in case of lengthy or complex procedures, such as the ones involving functional corrections, synthetic implants, or nasal reconstruction, the overall procedural cost might increase.

Costs Related to Recovery

The cost of pain medications, follow-up appointments, medical tests, antibiotics, and anti-nausea drugs should be included in your estimate. You may also require a high-quality skin care product if you have an acne breakout or experience hyperpigmentation at some point after your nose surgery. These unexpected expenses should be accounted for in the overall procedural cost as well.

Insurance Coverage for a Nose Job

Your insurance provider may cover functional rhinoplasty since it is medically necessary. Breathing obstructions caused in the nose because of nasal vestibular stenosis or a large inferior turbinate may also be covered. In many cases, health plans may include coverage for nasal fractures and the correction of deviated nasal septum as well.

Flexible Financing Options

While researching payment options, you should consider third-party financing. Many lenders offer financing with fixed interest repayment plans. You may receive competitive rates with low interest if you pay within a specific time. The surgeon’s office may be able to guide you about competitive financing options. Cosmetic surgeon Dr. David Graham receives patients from Rochester, NY, and nearby areas for nose job.

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.

Rhinoplasty 

Women and men that are not happy with the shape or size of their nose can benefit from a rhinoplasty. This procedure is also called a nose job or a nose reshaping surgery. It offers an effective, practiced, and time-tested aesthetic solution. A plastic surgeon will sculpt the bone and cartilage of the nose during the procedure to achieve your desired look.

Rhinoplasty can improve facial feature balance when performed by a skilled and experienced plastic surgeon. It can also help patients discover newfound confidence. Rhinoplasty can be used for correcting structural defects, including the ones that cause breathing concerns.

Board certified plastic surgeon Dr. David Graham provides rhinoplasty or nose surgery to patients in Rochester, NY, and surrounding locations.

Rhinoplasty Benefits

This cosmetic surgery procedure can be used for modifying the size, shape and overall appearance of the nose. Plastic surgeons in some cases may recommend a chin implant to balance the facial features completely. Rhinoplasty can help you achieve the following goals:

Incisions used for nose reshaping plastic surgery can be hidden within the nose or in an inconspicuous location outside. Minimal scarring helps in improving the overall appearance and maintaining a natural look. Make sure you work with a plastic surgeon who is well-versed with both open and closed rhinoplasty techniques.

Types of Aesthetic and Functional Rhinoplasty

Reduction Rhinoplasty

This type of rhinoplasty can give patients a more proportionate nose. It can address an elongated nasal tip, bumps on the nasal bridge, and excessively flared nostrils. Small amount of cartilage and bone may be removed by the doctor for achieving the desired results. The doctor may use alar base reduction technique for reducing the size of the nostrils. Small wedges of tissue will be removed from the area where the cheeks meet nostrils.

Augmentation Rhinoplasty

This is another popular nose reshaping surgery. The doctor will perform tissue orb one grafting during this procedure for building the nasal bridge or tip. Cartilage from other parts of the nose, such as nasal septum may be used. However, the doctor may also use cartilage from rib bone or other areas if there is not enough tissue in the area. They can make use of biological tissues and synthetic material as well.

Post-Traumatic Rhinoplasty

Patients that suffered nose injury can benefit from post-traumatic rhinoplasty. This procedure may be used by doctors to correct nasal septum and straighten the nose. Post-traumatic patients usually suffer a broken nose. The doctor may refracture the nose in this case and reset it for achieving the desired results.

Ethnic Rhinoplasty

Ethnic rhinoplasty makes use of the same methods as other nose reshaping types. It refers to procedures performed on Asian, Hispanic, Afro-Caribbean, and Middle Easter descent. These patients possess softer nasal contours. The doctor needs to take special care for preserving unique features of the face. Cosmetic surgeon Dr. David Graham receives patients from Rochester, NY, and nearby areas for nose job.

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.

See More Breast Augmentation Plastic Surgery Before And After Photos

Before and after images serve as a good visual aid to help you understand the cosmetic changes that will occur after having you undergo a breast augmentation surgery. During the initial consultation, you should set aside enough time for reviewing maximum number of breast augmentation before and after photographs.

You will be in a better position to make a confident and realistic decision after knowing what a procedure can or cannot do for you. Board certified plastic surgeon Dr. David Graham provides breast augmentation surgery to patients in Rochester, NY, and surrounding locations.

Pictures Speak More Eloquently than Words

Images are usually more powerful than words. They tell the story as it is without leaving any room for misinterpretation. This is why dedicated surgeons prefer presenting breast augmentation before and after pictures at the very first appointment.

It is possible for the physical improvements to show over a period of time. For some patients, the images may be taken over several weeks or months. This will give you a clear idea about the actual progress of the breast augmentation cosmetic surgery results. You should also consider how the results compare with the patient’s appearance before the surgery.

You are in a better position to visualize benefits and have higher satisfaction levels once you go ahead with the breast enhancement procedure. Risk of disappointment is minimized after reviewing before and after pictures.

Not only do these images speak volumes they are digital in quality so they speak even more words because of the quality of the image. Gone are the days when we have to rely on some vague brochure or some dated picture book. With all those pixels, you can pretty much predict the future when seeing these images and easily apply them to your own situation.

Creating Confident Choices

Breast enhancement procedure is a major decision. It can get difficult to make a confident and clear choice when thinking of making dramatic changes to your physical appearance. You can use before and after images to put your mind at ease. It’s natural to believe that if the procedure achieved desirable results in other women, it will help you too.

Breast augmentation plastic surgery is a customizable procedure. You will need to decide the type of incisions, implant placement, size, quality, and shape of breast implants after consulting with your surgeon.

Images with Accompanying Text are Impactful

Before and after images of breast enhancement procedure may be accompanied with succinct descriptions. These are to explain the finer details of the procedure. Patients can better understand and appreciate the results by looking at these images. They can make a better decision as well.

The goal of a dedicate cosmetic surgeon will be to make the consultation process as transparent and simple as possible. The surgeon will educate you on all aspects of the procedure.

But with these amazing images you can decide whether or not you want to proceed or not. No where in history has the patient or the average person been given this much information. Privacy may be going away in some ways in our society but in other ways it’s even stronger.

These online images make the consultation quicker and easier in many cases because someone already knows what to expect. This mean both parties are on the same page which means the process can be even smoother. Graham Plastic Surgery has satisfied so many people from all walks of live it cannot be calculated.

Sharing the Images Online

Before and after images may be shared by the breast implants surgeon online in various formats, such as:

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.

Breast Augmentation Plastic Surgery

Breast augmentation plastic surgery is generally performed as an elective surgery. This means you may get insurance coverage for it. Hence, a lot of patients use cost as an important starting point when deciding to enhance the appearance of their breasts. The procedure involves superior surgical skills.

You should choose a highly qualified and experienced surgeon instead of prioritizing a low cost breast augmentation surgery. Board certified plastic surgeon Dr. David Graham provides breast augmentation surgery to patients in Rochester, NY, and surrounding communities.

Consider All Surgery Related Costs

You should account for all pre- and post-operative costs when considering the cost of breast implant plastic surgery. This is in addition to the actual surgical cost. Don’t forget to check the cost components that may or may not be included in the final price when receiving a quote from the surgery practice.

These are a few key cost components in breast implant procedure:

Correlation Between Cost and Quality of Surgery

You should not just consider the cost while choosing a plastic surgeon for your breast augmentation procedure. In general, highly skilled surgeons are more in demand and hard-pressed for time. Hence, they may charge a marginally higher fee than someone without equivalent skills or credentials.

Practices that offer an exceptionally low price should immediately raise red flags. This is because you may face hidden charges at a later date. This may come as an unpleasant surprise as well. Moreover, you may compromise the success and safety of your surgery by cutting corners on the quality of standard.

You should prioritize having the procedure performed by an ABPS certified plastic surgeon. This is even when the cost factor is not something you can ignore. Ask the surgeon about their treatment philosophy and whether they can provide you with personalized services and care.

Financial Stipulations

There are a few key factors that may affect the overall cost of your cosmetic surgery procedure besides surgeon’s training and qualifications. Practices that are located in prime urban centers may have higher real estate expenses and costs. This will affect the final surgery monetary amount.

The overall dollar figure may vary depending on whether the breast augmentation cosmetic surgery is performed at an accredited surgery center, hospital or a private surgical suite. You should make a well-considered choice only after considering the pros and cons of each option. Another cost factor to consider is the type of breast implant.

Women, in many cases, decide to combine their breast implant surgery with a breast lift. This may increase the overall price tag. You should also understand that the procedural cost may differ from one patient to the next even if they get the surgery at the same practice. 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.

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:

Purpose of Breast Augmentation Surgery

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

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.

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.

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

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.