Question 1

What should I know about breast implant evolution and replacement?

Accepted Answer

Breast implants have significantly evolved over the last 50-60 years, with current implants being the seventh or eighth generation. Early implants used liquid silicone and lacked form stability, often bending due to breast tissue forces. Modern implants are made with cohesive silicone, which is a solid internally, offering much greater form stability. Dr. Vitenas emphasizes that implants older than 25-30 years are likely ruptured, potentially without the patient's knowledge. He recommends that all implants placed before the year 2000 be replaced with a newer generation implant.

Question 2

How does Ozempic-related weight loss affect breast volume, and what are the solutions?

Accepted Answer

Patients taking Ozempic and experiencing weight loss often notice a loss of volume in their breasts. Dr. Vitenas notes that breast augmentation can easily restore the fullness lost due to this weight reduction.

Question 3

What are the current trends and options for breast implant removal?

Accepted Answer

Dr. Vitenas has observed an increasing trend in requests for breast implant removal. Many women who have had implants for many years are now considering either removal or replacement. When implants are removed, patients often consider complementary procedures like fat grafting or a breast lift to help consolidate and reshape the breast.

Question 4

What is the Microlift procedure and what is the typical recovery like?

Accepted Answer

The Microlift is a facial aesthetic procedure involving a small incision in the hairline and just a few stitches, designed to lift the cheek and the side of the face. It can be performed on an outpatient basis, and patients can typically return to work the day after the procedure. Dr. Vitenas notes it's a highly requested procedure.

Question 5

Who is a good candidate for vaginoplasty and what does the procedure involve?

Accepted Answer

Good candidates for vaginoplasty are women who have completed childbearing and experience a loose vaginal canal due to childbirth or a traumatic event. During the procedure, the muscles in the floor of the vaginal canal and the peroneal muscles (between the vaginal canal and the rectum) are tightened, aiming to restore confidence and comfort.

Question 6

Why are younger patients seeking face and neck lifts, and what results can they expect?

Accepted Answer

Dr. Vitenas observes a clear trend of younger patients (in their 30s and 40s) seeking face and neck lifts. They are increasingly conscious of early signs of aging like sagging cheeks, jowls, neck looseness, or genetic neck fullness, and desire a cleaner, sharper, and more defined jawline. Choosing these procedures earlier helps to keep results subtle and natural, avoiding an 'overdone' appearance, and differs from procedures for older patients in terms of time and cost.

Question 7

What pre-operative instructions should I follow for a smoother breast augmentation recovery?

Accepted Answer

For a smoother and faster breast augmentation recovery, Dr. Vitenas advises patients to avoid anything that causes bleeding or thins the blood. Specifically, stop taking aspirin, Advil, Aleve, Motrin, BC Powders, and Adderall two weeks before surgery. Additionally, stay away from alcohol for one week prior to surgery and begin cutting down on salt intake before surgery, continuing this after the procedure.

Question 8

Can you explain what this 'newest trend' in breast augmentation is called and how it differs from traditional implants?

Accepted Answer

Breast implants have significantly evolved over the last 50-60 years, with current implants being the seventh or eighth generation. Early implants used liquid silicone and lacked form stability, often bending due to breast tissue forces. Modern implants are made with cohesive silicone, which is a solid internally, offering much greater form stability. Dr. Vitenas emphasizes that implants older than 25-30 years are likely ruptured, potentially without the patient's knowledge. He recommends that all implants placed before the year 2000 be replaced with a newer generation implant.

Question 9

At what age are 'younger patients' typically considering facelifts, and are these more preventative or corrective procedures?

Accepted Answer

Dr. Vitenas observes a clear trend of younger patients (in their 30s and 40s) seeking face and neck lifts. They are increasingly conscious of early signs of aging like sagging cheeks, jowls, neck looseness, or genetic neck fullness, and desire a cleaner, sharper, and more defined jawline. Choosing these procedures earlier helps to keep results subtle and natural, avoiding an 'overdone' appearance, and differs from procedures for older patients in terms of time and cost.

Question 10

What are the most common reasons patients are requesting breast implant removal, beyond just BII concerns?

Accepted Answer

Dr. Vitenas has observed an increasing trend in requests for breast implant removal. Many women who have had implants for many years are now considering either removal or replacement. When implants are removed, patients often consider complementary procedures like fat grafting or a breast lift to help consolidate and reshape the breast.

Question 11

How long does a microlift typically last, and what is the recovery time compared to a full facelift?

Accepted Answer

The Microlift is a facial aesthetic procedure involving a small incision in the hairline and just a few stitches, designed to lift the cheek and the side of the face. It can be performed on an outpatient basis, and patients can typically return to work the day after the procedure. Dr. Vitenas notes it's a highly requested procedure.

Question 12

What are the different types of vaginal rejuvenation procedures available, and which conditions do they address?

Accepted Answer

Good candidates for vaginoplasty are women who have completed childbearing and experience a loose vaginal canal due to childbirth or a traumatic event. During the procedure, the muscles in the floor of the vaginal canal and the peroneal muscles (between the vaginal canal and the rectum) are tightened, aiming to restore confidence and comfort.

Question 13

What does Dr. Vitenas say about their approach?

Accepted Answer

The practice has been advocating for the natural-looking breast augmentation results, now referred to as "yoga boobs" or "ballerina boobs," for the past 25 years.

Question 14

What does Dr. Vitenas say about their training and credentials?

Accepted Answer

Hi, I'm Dr. Paul Vitainis, a board-certified plastic surgeon here in Houston, Texas. Dr. Paul Vitenas has more than 30 years of facial aesthetic plastic surgery experience.

Question 15

What does Dr. Vitenas say about their techniques?

Accepted Answer

The microlift procedure uses just a few stitches.

Dr. Paul Vitenas, Jr., MD

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