The correction of capsular contracture might require an open capsulotomy (surgical release) of the collagen-fiber capsule, or the removal, and possible replacement, of the breast implant. Furthermore, in treating capsular contracture, the closed capsulotomy (disruption via external manipulation) once was a common maneuver for treating hard capsules, but now is a discouraged technique, because it can rupture the breast implant. Non-surgical treatments for collagen-fiber capsules include massage, external ultrasonic therapy, leukotriene pathway inhibitors such as zafirlukast (Accolate) or montelukast (Singulair), and pulsed electromagnetic field therapy (PEMFT).[60][61][62][63]
In the mid-twentieth century, Morton I. Berson, in 1945, and Jacques Maliniac, in 1950, each performed flap-based breast augmentations by rotating the patient's chest wall tissue into the breast to increase its volume. Furthermore, throughout the 1950s and the 1960s, plastic surgeons used synthetic fillers—including silicone injections received by some 50,000 women, from which developed silicone granulomas and breast hardening that required treatment by mastectomy.[112] In 1961, the American plastic surgeons Thomas Cronin and Frank Gerow, and the Dow Corning Corporation, developed the first silicone breast prosthesis, filled with silicone gel; in due course, the first augmentation mammoplasty was performed in 1962 using the Cronin–Gerow Implant, prosthesis model 1963. In 1964, the French company Laboratoires Arion developed and manufactured the saline breast implant, filled with saline solution, and then introduced for use as a medical device in 1964.[88]
Fat transfer breast augmentation has a few important limitations. First, fat transfer is typically limited to approximately one cup size increase in breast size. Second, the transferred fat may be absorbed again by the body. Third, it is more expensive because of the extra time involved in harvesting and processing donor fat as well as possible need for a special vacuum bra device. This option is best reserved for women who desire a modest increase in size without using an implant.
While rhinoplasty is performed in the same manner regardless of the patient’s ethnic background, the aesthetic goals of the patient may differ. Today, more and more people are seeking rhinoplasty that is tailored to their specific facial features. It is particularly popular among those of Asian and African descent. Many of these patients feel that the bridge of their nose is too flat, or that their nostrils are too wide. Some of these patients seek to ‘Westernize’ their facial features through surgery, while others simply want a more defined nose to bring balance to their face.

Each year, hundreds of thousands of women undergo breast implant surgery, a plastic surgery procedure designed to improve the appearance of the breasts. Also called breast augmentation surgery, most women undergo the procedure to enlarge breasts that are naturally small, though some have it to correct disproportionate breasts or repair breast deformities.
If you would like to look at breast augmentation before after pictures then take a look at our gallery page. Our specialized techniques provide faster recovery from breast augmentation surgery. We can also help when breast implants go wrong, or with complications experienced from another surgeon. On our gallery page you can also view tummy tuck pictures, abdominoplasty before and after photos, and our other plastic surgery procedures including mommy makeover / mom job, nose job / rhinoplasty, breast reduction, Brazilian butt lift / fat transfer, fat grafting, Botox, Juvederm, Radiesse, Obagi, laser skin resurfacing, laser hair removal, facelift, breast lift / mastopexy, spider veins, implant removal, breast reconstruction, Breast implants ear pinning surgery / otoplasty, male breast reduction surgery, scar revision, skin cancer reconstruction at his Manhattan, Brooklyn and New Jersey, NJ offices. Complete patient satisfaction is Dr. Racanelli’s number one priority. Understanding the importance of your time, and in addition to his regular office hours, Dr. Racanelli routinely performs evening and weekend consultations by appointment.
Overactive facial muscles are responsible for many of the lines and wrinkles that make a person look older. With Botox injections, the nerve impulses are inhibited, allowing the muscles to relax and improving the skin’s appearance. While some results are apparent immediately, the photos below show optimal results, as seen after 10-14 days. After Botox injections, patients are rewarded with a smoother, line-free reflection.
Treating each case on an individual basis, and focusing on the entire patient, allows Dr. Racanelli to provide the best patient care possible. Fully trained in the latest aspects of plastic surgery, Dr. Racanelli routinely utilizes minimally invasive surgical procedures to minimize down time and avoid the appearance of visible scars. Dr. Racanelli’s use of natural tissue planes and meticulous surgical technique combine to yield unparalleled results in plastic surgery and reconstructive surgery.
It is also possible for implants to rupture and leak. If saline implants rupture, the saline will be safely absorbed by the body. A silicone leak may stay inside the implant shell or leak outside of the shell. When a saline implant ruptures, it will deflate. But silicone breast implants may cause no obvious symptoms when they rupture. This is called silent rupture.
Getting plastic surgery is a major decision that could have incredible life-changing results. We want you to look and feel your best, therefore we offer flexible financial options for patients that would like plastic surgery or a non-surgical skin care procedure. If you are interested in any of our services, please visit our before and after photo gallery or request a consultation today. Our New Brunswick office is located near Rutgers University or UMDNJ, with our second office located in the beautiful and historical Princeton, New Jersey. At PSANJ we are proud to be home to some of New Jersey’s best plastic surgeons. We would love to see you at our offices in New Brunswick or Princeton, New Jersey!
These placements vary from shallow (subglandular) to deep (complete submuscular). The right placement for your breast implants is based on your anatomy as well as your goals and expectations. You should express your desires to your surgeon, but make sure to take his or her expert opinion into account. Improper implant placement can create complications such as breast augmentation double bubble, wrinkles and rippling.
The Plastic Surgeon Match program of the American Society of Plastic Surgeons (ASPS) provides you with ASPS Member surgeons in your area who are highly trained in plastic surgery. The U.S. and Canadian surgeons in our referral service are all board certified by the American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada. Surgeons outside the U.S. and Canada have completed the certification requirements of their respective countries. To find an ASPS Member Surgeon in your area, use the online search tool below or call 1-800-514-5058.
In 1998, the U.S. FDA approved adjunct study protocols for silicone-gel filled implants only for breast reconstruction patients and for revision-surgery patients; and also approved the Dow Corning Corporation's Investigational Device Exemption (IDE) study for silicone-gel breast implants for a limited number of breast augmentation-, reconstruction-, and revision-surgery patients.[113]
In 1998, the U.S. FDA approved adjunct study protocols for silicone-gel filled implants only for breast reconstruction patients and for revision-surgery patients; and also approved the Dow Corning Corporation's Investigational Device Exemption (IDE) study for silicone-gel breast implants for a limited number of breast augmentation-, reconstruction-, and revision-surgery patients.[113]

Submuscular: the breast implant is emplaced beneath the pectoralis major muscle, without releasing the inferior origin of the muscle proper. Total muscular coverage of the implant can be achieved by releasing the lateral muscles of the chest wall—either the serratus muscle or the pectoralis minor muscle, or both—and suturing it, or them, to the pectoralis major muscle. In breast reconstruction surgery, the submuscular implantation approach effects maximal coverage of the breast implants. This technique is rarely used in cosmetic surgery due to high risk of animation deformities.
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