Dale Reynolds, MD
Reynolds Plastic Surgery Center
TX Health Magazine Discusses Breast Augmentation with Dr. Reynolds
What is the first step for someone seeking augmentation?
The first step is to speak with a plastic surgeon about options. The reason the person is seeking augmentation will help determine her options. The FDA has restricted use of slicone implants to a certain group pf patients. Some of these include a congenital defect or in reconstruction after breast cancer surgery. Other issues to be discussed are placing the implant above or below the muscle and what kind of implant to use, whether it's textured or smooth, anatomic or round. There are benefits to each of those that they should discuss with their surgeon.
How would you work with someone who just wants to increase their size?
I would talk to the individual to find out more about their motivation for an augmentation. Why is she interested in having an augmentation and I would make sure her expectations are realistic and that she's a good candidate for the procedure. We'll make some measurements regarding her symmetry, size and breast width. From those measurements and after discussing the desires of the patient, we'll devise a plan together.
How does someone decide whether they want the implant beneath the muscle or above?
All implants form a fibrous capsule around them because it's a foreign body. Sometimes this becomes more evident with time, but the majority of time it's not noticed by the patient. Putting the implant below the muscle decreases the possibility of this problem. Sometimes putting it above the muscle will get a better result, but this is usually only done with silicone implants.
What type of procedure is easiest in terms of placing the implant?
The majority of patients are best served with the incision in the crease underneath the breast. It usually heals well and is well hidden after the surgery. It also allows the surgeon the most precision in placing the implant and usually produces a maximal result.
What are the best options as far as breast reconstruction?
There are several options for breast reconstruction. The good choice, if it's possible, is to do an immediate reconstruction at the time of the mastectomy. The general surgeon makes an incision to remove the breast, but most of the breast envelope is left in place. A plastic surgeon can put something in that envelope to keep it expanded temporarily or to put a permanent implant or the patients own tissue in that skin envelope. If this isn't possible, or if the patient is going to receive radiation, it is usually better to wait.
Some general surgeons are very good about discussing the option of immediate breast construction with patients. If we work with the general surgeon at the time of the mastectomy, we usually design the incision together. The general surgeon removes the breast and then the plastic surgeon will fill that breast envelope with either tissue from the abdomen, the back, an expander, an implant or a combination.
What is your greatest joy in the work that you do?
My greatest satisfaction comes from my patient's satisfaction as a result of the surgery, whether it's cosmetic or reconstructive. It usually makes a significant difference in their life and in their self-esteem. Plastic surgery procedures are usually procedures that patients request and afterwards are happy that they made that decision.
From the first time I met Dr. Reynolds, I could feel his confidence and sincere caring. The botox he injected in my forehead made the skin appear like a young person's. I used to wear long, full bangs to completely cover up my forehead. Now I don't. The blepharoplasty on my upper lids was a miracle. I went from old, tired, small looking eyes, to bright, alert, pop-out gorgeous eyes. What is fun, is that people have been telling me how much they like my new, short hair-do. By injecting restylane underneath my eyes, the hollow appearance is gone and I look 10 years younger. Dr. Reynolds removed the keratosis in such a lovely way, that no one would ever know that part of my face had ever been touched surgically. By injecting restylane in the deep indentations around my scar, the appearance is softer and more feminine. Now, when I look in the mirror, I do not even notice I had a scar. Thank you, Dr. Reynolds for your exquisite work.-J.B., BoTox/ Filler Patient
- Each patient feels like they are unique and valued highly.
- Patients feel comfortable at our office because of our friendly staff.
- Patients get consistently excellent results that they are pleased with.
- Most of our patients come from referrals by other patients.
- Patients know that their safety is a primary concern.
Some of our most asked about procedures: BOTOX® Injections Treatment, Breast Augmentation (Breast Implants), Eyelid Lift Surgery (Blepharoplasty), Liposuction Surgery (Lipoplasty), Tummy Tuck (Abdominoplasty)
Areas Served: El Paso, Juarez, Las Cruces, Alamogordo, Ruidoso, Santa Theresa, Deming, Carlsbad, Horizon, Anthony