Between 2006 and 2021, I performed endoscopic transaxillary breast augmentation on over 1,300 patients using a consistent technique: a 30-degree endoscope, electrocautery dissection under direct vision, smooth round silicone gel implants ranging from 180 to 800cc, placed in eithe...
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A significant portion of my revision patients travel to Honolulu from the mainland United States, and some from as far as the Middle East and Asia. They make that trip because endoscopic breast implant revision through the armpit is not widely available. Fewer than ten percent of...
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Your aesthetic preferences at twenty-five may not be the same at thirty-five. Life changes — pregnancy, weight fluctuations, evolving personal style — can shift what feels right for your body. Many women who were happy with their implant size for years eventually want something d...
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When breast implant revision is needed, one of the first decisions is which incision approach to use. This decision is influenced by the type of revision required, the location of your original incision, and the complexity of the correction. There is no single best incision for a...
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Breast implant malposition — an implant that is not sitting where it should — is the second most common reason for breast augmentation revision surgery, after capsular contracture. In my published series of over 1,300 endoscopic transaxillary augmentations, malposition was the mo...
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Breast implant bottoming out occurs when the implant descends below the natural inframammary fold, causing the nipple to appear too high relative to the breast mound. The lower pole of the breast becomes elongated, and the implant may be visible or palpable below the crease. It i...
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Capsular contracture is the most common reason women seek breast implant revision surgery. The scar tissue capsule that naturally forms around every breast implant thickens and tightens, causing the breast to feel firm, change shape, and sometimes become painful. For women who sp...
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Breast implants do not last forever. Manufacturers warranty them for ten years, but many last significantly longer. At some point, most women with implants will consider or need an exchange — whether to change size, replace a ruptured implant, upgrade to a newer generation, or sw...
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Choosing a facelift surgeon is, without exaggeration, the most consequential decision in the entire process. The technique matters. The facility matters. But above all, the person holding the instruments determines whether you’ll love your result or regret it. Here are seven ques...
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If you search for information about breast implant revision surgery, you will encounter the same claim repeated across surgeon websites, patient forums, and Q&A platforms: revision cannot be done through the transaxillary approach. You will need a new incision, usually in the...
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PDO thread lifts have become one of the most popular non-surgical facial rejuvenation treatments in recent years. They’re marketed as a “lunchtime facelift” — a quick, minimally invasive alternative to surgery. For some patients, they’re a reasonable option. But for others, they ...
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The term “endoscopic breast augmentation” appears on many surgeon websites, but what it actually means — and why it matters for your outcome — is rarely explained clearly. If you have encountered this term and are trying to understand whether it represents a meaningful difference...
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