Surgical Technique

A surgeon performs a breast enlargement by inserting a breast implant either behind the breast tissue or partially or completely under the pectoralis chest muscle. The surgeon places incisions carefully in order to make the scars inconspicuous. Typical approaches for inserting the implants include around the areola (pigmented region around the nipple), under the breast or through the armpit. Surgeons do not enter through the belly button (umbilical approach) when inserting gel-filled implants. In fact, many breast implant companies void their warranties on implants for patients who receive their breast implants via the umbilicus. There are several different types of breast implants, each with its own benefits and disadvantages. All implants have a solid silicone shell. The shells may be smooth or textured like fine sandpaper. The content of the breast implants may be either saline (saltwater) or silicone gel. All modern implants in the United States are "cohesive" or like a gummy bear in consistency. The silicone in cohesive implants has a high cross linkage, which minimizes the chance of silicone oozing out of a ruptured implant. Implants may be either round or anatomic (teardrop) in shape. The method of implant selection and size, along with surgical approach for inserting and positioning breast implants depends on the preference and anatomy of the patient and the judgment of the surgeon. The shape and size of the breasts influences both the recommended after surgery treatment and the results. Most women have uneven breasts that are different in shape or size. Therefore, it is unlikely that both breasts will match each other perfectly after breast enlargement surgery. Breast implants along can address mildly sagging or droopy breasts (ptosis). Women with moderate to severe ptosis and decreased skin elasticity may want a breast lift in addition to implants.

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House Calls

A house call, or Physician house call, is an act of customer service where the doctors goes to the consumers home, rather than the consumer visiting the suppliers place of business. House calls are most often associated with doctor house calls. There are still doctors making house calls. The physician-led multidisciplinary team provides comprehensive, patient-centered care for any condition, from the simple problems to the very complex, in the patient’s own environment. Thanks to modern technology and our sophisticated, multi-faceted delivery system, we can do more tests and procedures in our patient’s home or place of business than other primary care physicians do in their office. House call doctors are equipped to perform most procedures normally performed in a medical office. House call doctors utilize electronic medical records and will coordinate home health and hospice services, mobile imaging services, durable medical equipment services, laboratory services, and specialist referral services. House call doctors acts as the primary care physician or as augmentation to or as an interim physician to the patients’ present medial team. Doctor’s House calls provide post hospital stabilization service to physicians, insurance plans, and hospitals to mitigate hospital re-admissions.