Breast Augmentation & Liposuction Blog

Board Certified Philadelphia Plastic Surgeon Dr. David Bottger

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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Hematoma after Breast Augmentation

February 14th, 2014

Serious complications after breast augmentation are rare. You can expect moderate swelling and bruising during the immediate aftermath of your surgery, but these effects should fade over time. If your swelling seems to worsen and cause increased pain, this may be a sign of a more significant complication called a hematoma.
Usually, hematoma after breast augmentation involves the following symptoms:

  • Significant bruising (black and blue discoloration under the skin)
  • Progressively worse pain
  • Expanding breast size
  • Significant asymmetry (uneven breasts)

A hematoma is a swelling of clotted blood within your breast tissue. If you are experiencing the symptoms above, you should inform Dr. Bottger right away, since a drainage procedure may be necessary to alleviate the problem. Dr. Bottger will follow up with you after your breast augmentation to ensure that you are healing normally, and that any complications are addressed as soon as possible.
If you have additional questions about breast augmentation complications, please contact Dr. David Bottger today to schedule an initial consultation. We serve patients in the Philadelphia, Pennsylvania area.

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Tips for Choosing A Plastic Surgeon

February 6th, 2014

When looking for a Philadelphia plastic surgeon, you should attend your initial appointment with a list of questions. First and foremost, you should select a plastic surgeon who specializes in the type of procedure you are seeking. Additionally, you should choose a plastic surgeon who is board certified.
Your initial consultation is a great opportunity for you to get a better understanding of your prospective plastic surgeons background, philosophy, and abilities. Don’t be afraid to ask difficult questions. Consider the following:

  • Where will my procedure take place? In your office or in a hospital?
  • Where did you receive your training for plastic surgery?
  • How much do you charge for the procedure I want?
  • How many surgeries or procedures will I need to undergo to accomplish my goals?
  • Do you have before and after pictures of previous patients who elected for the same plastic surgery procedure that I want?
  • What will my recovery be like?

These questions are meant as a guide just to get you started. Additional questions should certainly be asked. Also, you should consider the surgeon’s overall demeanor and bed-side manner during your consultation. Does he or she seem like the type of person you want as your surgeon? During your meeting, make sure the surgeon spends ample time with you and encourages you to ask questions. If you feel as though the surgeon is rushing you or making you feel uncomfortable, keep searching until you find someone you trust.
Please contact Dr. David Bottger today to schedule your initial plastic surgery consultation. Dr. Bottger serves patients in the Philadelphia, Pennsylvania area.

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What Areas Can Be Treated by BOTOX® Cosmetic?

January 22nd, 2014

Dr. David Bottger utilizes a few different types of injectible fillers in order to eliminate wrinkes and fine lines on his patients’faces. One of the most popular is BOTOX® Cosmetic. Considered a non-sugical procedure, BOTOX® Cosmetic is injected into problem areas via tiny needles. Our Atlanta BOTOX® Cosmetic patients are pleased by the results of this procedure and they frequently opt for additonal injections every few months.

Common areas that can be treated by BOTOX® Cosmetic include:

  • Laugh lines and frown lines t near the mouth
  • Crows fees  near the eyes
  • Wrinkles  between the eyes
  • Wrinkles, creases, and grooves  on the forehead

Dr. Bottger offers BOTOX® Cosmetic injections to both men and women. The results of BOTOX® Cosmetic are not permanent, but they usually last several months. Therefore, if you have a facial area that you think might benefit from this procedure, you can try it without committing to anything permanent. If you love the results (and we believe you will), you can maintain your new look with repeated BOTOX® Cosmetic injections as often as they are needed.

If you have areas on your face that you would like to improve with the help of BOTOX® Cosmetic injections, please contact Dr. David Bottger today by to schedule your initial consultation. We serve patients in the Philadelphia, Pennsylvania area.

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What Areas Can Be Treated with Liposuction?

January 6th, 2014

You eat a healthy, balanced diet and exercise regularly. Yet in spite of your diligent health and fitness regimens, you find that there are still stubborn pockets of fat that will just not go away. This is a very common phenomenon that affects the vast majority of people. Fortunately, liposuction can help you put the finishing touches on your diet and exercise program so that you achieve the toned, fit body you desire.

Liposuction is a versatile procedure that can be used to remove targeted pockets of fat in many different parts of your body. Some of the most common areas treated by liposuction include:

  • Abdomen
  • Thighs
  • Buttocks
  • Flanks
  • Hips
  • Neck
  • Arms
  • Chin
  • Chest
  • Back
  • Calves

During your initial consultation at our Philadelphia plastic surgery office, Dr. David Bottger will listen carefully to your goals in order to recommend the appropriate liposuction treatment plan for your unique needs. In some instances, he may recommend liposuction to treat more than one region of your body.

It is important to remember that liposuction is not a tool for weight loss. It is a body contouring procedure intended to provide the necessary sculpting to help you show off the results you have earned from your fitness regimen. If you are currently overweight, Dr. Bottger will recommend that you lose any excess weight before moving forward with liposuction.

To find out if you are a good candidate for liposuction, please contact Dr. David Bottger today to schedule your initial consultation. Dr. Bottger serves patients in the Philadelphia, Pennsylvania area.

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What is a Mini Tummy Tuck?

December 30th, 2013

A mini tummy tuck may be right for you if you have a small amount of fat or tissue below your navel that keeps you from having the slim, toned appearance that you want. Unlike a full tummy tuck, the mini tummy tuck will only smooth and tighten skin below your navel instead of your entire abdomen.

During a mini tummy tuck, Dr. Bottger will make a small incision above your pubic region to remove loose skin. Depending on your body’s needs, he may also perform liposuction to remove excess fat. Your belly button is usually not repositioned in a mini tummy tuck.

The mini tummy tuck is not right for everyone. You should consult with Dr. Bottger to understand the difference between the mini and the full tummy tuck and decide which procedure will give you the results you are looking for.

Dr. Bottger often recommends the full tummy tuck (abdominoplasty) for patients because the results are far superior to the mini tummy tuck procedure. However, each patient is different, and Dr. Bottger will listen to your goals and concerns before recommending the right treatment for you.

If you are ready to find out how a mini tummy tuck can enhance your figure, please contact Dr. David Bottger today to schedule your plastic surgery consultation. We serve patients in Philadelphia, Pennsylvania.

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What should I Expect for my Liposuction Recovery?

December 23rd, 2013

Your liposuction recovery will vary based on a variety of factors, including the location of the treatment region and the amount of fat removed. However, there are common aspects of the recovery period experienced by all liposuction patients.

You should expect to experience some minor bruising and swelling after liposuction, but this will subside over the first 2-3 weeks of your recovery. You will need to get plenty of rest right after surgery, but Dr. Bottger encourages you to begin moving around as soon as you feel up to it. This will stimulate blood flow, facilitating the healing process.

You should be able to return to a light work schedule after about a week, but you should refrain from strenuous activity until Dr. Bottger allows you to resume.

A compression garment will need to be worn for 2-3 weeks. Also, avoid showering for the first two days of recovery.

Once your compression garment is removed, you will start noticing some results. However it may take as long as 3 months for your final liposuction results to become apparent.

Dr. Bottger encourages you to ask any questions you may have during your liposuction recovery period. The more closely you follow his aftercare instructions, the smoother the healing process will be.

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

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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.