Breast Augmentation & Liposuction Blog

Board Certified Philadelphia Plastic Surgeon Dr. David Bottger

Open vs. Closed Rhinoplasty

May 24th, 2014

When considering rhinoplasty (nose job), it is important to determine which type of rhinoplasty surgery you want to have. Open and closed rhinoplasty are simply the two different options for how our doctors would approach your surgery. Choosing the right type of surgery is dependent on the person and on the needs of your surgery. Our doctor will work with you to determine which approach would benefit you the most.

When considering rhinoplasty, Philadelphia plastic surgeon Dr. David Bottger suggests you listen to your doctor because each person is different and what’s best for you will be based on your situation and desired outcome. 

Closed Rhinoplasty

Closed rhinoplasty involves cuts made inside the nose. After this Dr. Bottger will improve your nasal shape by adjusting the bone and cartilage.

Open Rhinoplasty

Open rhinoplasty includes the same cuts as closed rhinoplasty, but also involves an incision at the bottom of the nose as well. This gives Dr. Bottger a better opportunity to form the tip of the nose as well.

If you’re considering a rhinoplasty, please contact Dr. David Bottger Philadelphia plastic surgeon to learn which procedure will be ideal for your circumstances. Call us at (855) 888-1929.

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Am I a Candidate for a Brow Lift?

May 20th, 2014

Do you look in the mirror and no matter how rested you are, still look tired?  You may be a good candidate for a brow lift.

When addressing a brow lift, Dr. David Bottger addresses the elevation of your brow and its shape. When considering a brow lift, Philadelphia plastic surgeon Dr. David Bottger takes the time to interview you and determine what you want from the procedure and the best way to give you a natural look.

The brow lift procedure centers around correcting three problems.

  • Fullness of the upper eyelid
  • Frown lines
  • Forehead wrinkles

The usual age range for brow lift candidates starts in the early-to-mid-40s and most patients who are 50 years of age or older and have never had a brow lift are generally good candidates.  However, there are situations that younger ages are good candidates also. Most importantly, you need be in good overall health for a brow lift.

If you’re considering a brow lift, contact Dr. David Bottger, Philadelphia plastic surgeon, to learn if it’s the right procedure for your circumstances. Call us at (855) 888-1929.

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Recovery after Liposuction

May 7th, 2014

Liposuction has become a popular procedure for candidates who are near their ideal body weight, with good skin and muscle tone but want to reshape stubborn areas.  However, the questions that are always asked are how long does it take to recover from liposuction and what’s necessary to assure a successful recovery?

Your recovery is dependent on how many areas are treated during your surgery.  You can expect bruising and swelling, but that will completely heal.  Rest assured, Dr. David Bottger, a Philadelphia plastic surgeon will give you in depth preparation to assure your liposuction surgery and recovery are successful.

How Long before You Can Work or Exercise?

Most patients can return to light work within the first week and take a shower within a couple days. You can even begin light exercising after a week of the surgery. The bruising and swelling should disappear within 2 to 3 weeks.

You will probably be advised to wear a compression garment for two to three weeks. At three weeks, approximately 50% of the result will usually be evident. It takes approximately three months for the final appearance.

If you’re ready to finally take care of those stubborn areas and want to see how liposuction can help you, please contact Dr. David Bottger today. He serves patients in the Philadelphia, Pennsylvania area.

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Facelift Risks and Complications

April 24th, 2014

According to the American Society of Plastic Surgeons, there were over 126,000 facelifts performed in the United States in 2012. Facelift surgery is the fifth most popular type of plastic surgery and is generally considered to be safe. However, its popularity should not lull you into a false sense of security. Just as with any surgical procedure, a facelift does come with potential complications and risks.

Dr. Bottger strongly believes that you deserve to be completely informed about the risks and complications that can accompany a procedure. During your initial consultation he will discuss these in full, answer any facelift questions you may have, and help you make the decision you feel is best for your body.

Facelifts come with general surgical risks such as excessive bleeding, infection, and negative reaction to anesthesia. In addition, facelift risks include:

  • Nerve or muscle damage
  • Skin or hair loss
  • Skin discoloration
  • Unfavorable scarring

These risks are minimized when you work with a board-certified plastic surgeon, such as Dr. Bottger, who has performed facelift procedures for decades and has an impeccable safety record. However, a risk-free surgery can never be guaranteed. We will discuss these things with you during your facelift consultation.

If you are interested in a facelift, please contact Dr. David Bottger today to schedule an initial consultation. We serve patients in the Philadelphia, Pennsylvania area.

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Breast Lift Procedures Are Increasing at Twice the Rate of Breast Augmentation Procedures

April 24th, 2014

While breast augmentation remains the most popular plastic surgery procedure performed on women, breast lift procedures are actually increasing in popularity at a faster rate. Recent statistics released by the American Society of Plastic Surgeons (ASPS) showed a 70% increase in breast lift procedures since 2000, while breast augmentation procedures have only increased by approximately 37%.

According to the ASPS, more than 90,000 breast lifts were performed in 2013, up from 53,000 procedures in 2000. In contrast, approximately 290,000 breast augmentation procedures were performed in 2013, up from 212,500 in 2000.

These figures indicate an evolving trend among breast surgery procedures. An increasing number of women seem to prefer restoring a youthful breast appearance to increasing the size of their breasts. This is consistent with the fact that many plastic surgeons are seeing an increase in the number of women seeking to correct sagging issues caused by pregnancy.

Dr. David Bottger has extensive experience performing both breast augmentation and breast lift procedures. During your initial consultation, he will examine your breasts and listen carefully to your aesthetic goals in order to recommend the right procedure for you.

If you are interested in breast surgery in the Philadelphia, Pennsylvania area, please contact Dr. David Bottger today to schedule a consultation.

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Dr. Bottger Recognized as a Top Surgeon in Harper’s Bazaar

April 24th, 2014

Dr. Bottger has been recognized in the April 2014 issue of Harper’s Bazaar Magazine as one of the “Best Beauty Surgeons” in the country. The article names 24 plastic surgeons on “the cutting edge” of the field.

According to Harper’s Bazaar, “This list is composed of doctors whose names are currently being whispered at dinner parties and texted between friends. It is but a small sample of the thousands of physicians in the U.S. who performed nearly 1.6 million cosmetic surgical procedures in 2012.”

Being named on this exclusive list is certainly an honor that Dr. Bottger is proud to have received. Not only are there only 24 plastic surgeons nationwide listed in this article, but Dr. Bottger is the only plastic surgeon from the state of Pennsylvania who was selected as part of this exclusive group. You can read the entire article here.

Throughout his career, Dr. Bottger has displayed a meticulous dedication to the craft of plastic surgery, achieving beautiful, natural looking results for his patients. His commitment to delivering highly personalized care has made him the doctor of choice for many men and women in the Philadelphia area looking to improve their appearance. Being named to the list in Harper’s Bazaar is a reflection of Dr. Bottger’s passion for his work and his ability to provide patients with the exceptional results they desire.

If you are interested in plastic surgery in the Philadelphia, Pennsylvania area, please contact Dr. David Bottger today to schedule your initial consultation.

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New Study Finds Rhinoplasty May Result in Voice Changes

March 31st, 2014

New research indicates that patients undergoing rhinoplasty may also experience an unintended alteration as part of their procedure. The evidence suggests that nose surgery may also result in changes to the sound of a patient’s voice.

While these changes in voice are noticeable to both patients and experts, they typically don’t impact speech. However, if you use your voice professionally, you may want to consider this potential risk when deciding whether to undergo nose surgery.

The study analyzed changes in voice quality among 27 rhinoplasty patients. Five men and 22 women participated in the study, and the average patient age was 24 years. Patients completed a questionnaire about perceived changes with their voice following rhinoplasty. In addition, “before and after” recordings of each patient’s voice were compared by trained listeners to determine whether alterations had occurred.

The questionnaire responses indicated that many patients detected a worsening in some areas of voice quality. The “before and after” recordings also demonstrated changes in voice quality among many patients. In particular, an increase in hyponasality was detected. This reflects the sound of the voice when there is not enough air moving through the nasal cavity, such as when a person has a stuffy nose.

During your initial consultation, Dr. David Bottger will review all the risks and benefits of rhinoplasty with you to ensure you make a fully informed decision about your procedure. Dr. Bottger is a double board certified plastic surgeon with an impeccable safety record. For most patients, this slight change in voice quality is inconsequential compared with the benefits of a beautiful, new nose that accentuates your best facial features.

If you are interested in rhinoplasty, please contact Dr. David Bottger today to schedule your initial consultation. We serve patients in the Philadelphia, Pennsylvania area.

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Plastic Surgery Trends for 2013

March 27th, 2014

The American Society of Plastic Surgeons has released the statistics regarding plastic surgery procedures performed during 2013. Overall, these figures show an increase in cosmetic and reconstructive procedures for the fourth year in a row. There were more than 15 million surgical and minimally invasive procedures performed during 2013, which constitutes a 3% increase from 2012.
Facial rejuvenation procedures, particularly non-surgical options, comprised a large portion of the treatments provided. There were 13.4 million non-surgical procedures performed in 2013. The most common were:

  • BOTOX® Cosmetic — 6.3 million procedures (up 3% from 2012)
  • Dermal fillers — 2.2 million procedures (up 13% from 2012)
  • Chemical peels — 1.2 million procedures (up 3% from 2012)

More than 1.7 million plastic surgery procedures were performed on patients last year.  The most common included:

  • Breast augmentation — 290,000 procedures (up 1% from 2012)
  • Rhinoplasty (nose surgery) — 221,000 procedures (down 9% from 2012)
  • Eyelid surgery (blepharoplasty) — 216,000 procedures (up 6% from 2012)
  • Liposuction — 200,000 procedures (down 1% from 2012)
  • Facelifts — 133,000 procedures (up 6% from 2012)

There was a significant increase in buttock augmentation and neck lift procedures last year. Buttock augmentation experienced a 16% increase from 2012, while neck lifts experienced a 6% increase.
Silicone breast implants continued to enjoy a surge in popularity in 2013. They were used in 72% of all breast augmentation procedures. The use of silicone implants has steadily risen in recent years, most likely due to their more natural look and feel compared with saline breast implants.
With improved techniques and technology, you have more plastic surgery options than ever before. Dr. David Bottger is always available to discuss your options with you during a consultation at our Philadelphia plastic surgery office. He will work with you to develop a cosmetic treatment plan that will help you look and feel your very best.
If you are interested in plastic surgery, please contact Dr. David Bottger today. We serve patients in the Philadelphia, Pennsylvania area.

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What is Gynecomastia?

February 26th, 2014

Philadelphia plastic surgeon Dr. David Bottger understands how important a toned upper body is for men. One of the most common procedures he performs for men is a male breast reduction, which is used to treat a condition called gynecomastia.

Gynecomastia, which gives the appearance that a man has breasts, is embarrassing and can prevent you from taking your shirt off in public. People often associate this condition with obesity, but the truth is even men who are at or near their ideal bodyweight can suffer from gynecomastia.

Non-weight-related causes include:

  • Hormone imbalances
  • Thyroid and glandular disorders
  • Steroids and other similar medications
  • Illness

Fortunately, Dr. Bottger can help. Male breast reduction is a simple procedure, usually requiring a fairly standard liposuction treatment to remove excess fat cells. If your gynecomastia is caused by a glandular issue, surgery may be required to remove some glandular tissue.

Dr. Bottger is happy to speak to you in person about gynecomastia and your treatment options during a consultation.

If you are considering male breast reduction to treat gynecomastia, please contact Dr. David Bottger today to schedule your consultation. We serve patients in the Philadelphia, Pennsylvania area.

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Beware of Bargain Plastic Surgery

February 22nd, 2014

There is a misconception among patients that any doctor who is certified in a medical field is qualified to perform plastic surgery. This is not only false, it is also a dangerous misconception to make. Plastic surgery is an incredibly complex and delicate process. General surgeons must go through years of rigorous training before they can become board-certified in plastic surgery.

Unfortunately, many unqualified medical professionals advertise plastic surgery procedures to patients at a “bargain” or discount price. While you may pay less at the outset by choosing one of these providers, you will most likely end up paying more in the long run, since you will have to seek out a board-certified plastic surgeon to repair any unsatisfactory results.

Safety is another reason why you should beware of discount plastic surgery providers. Like any other type of medical procedure, plastic surgery involves risks and potential complications. These risks can be anticipated, avoided, and managed by an experienced plastic surgeon – but an unqualified surgeon can compromise your safety and results without even knowing it.

In the end, the question of affordability should never push you to trust your body and appearance to anyone less than an experienced, board-certified plastic surgeon.

Dr. David Bottger is a double board certified plastic surgeon serving patients in the Philadelphia area. He has board certification in both general surgery and plastic surgery, ensuring he has the training and experience necessary to deliver the beautiful, natural looking results you deserve in the safest possible manner.

If you are looking for a Philadelphia plastic surgeon you can trust, please contact Dr. David Bottger today to schedule your initial consultation.

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When I was looking for a surgeon to perform my breast reduction and tummy tuck, I spent a lot of time researching. I didn’t want to become someone else, I just wanted to get back some of what I had lost. Dr. Bottger did that for me.