DR. THOMAS LINTNER: I present to my patients that we can put in either option and it’s purely their decision. If they ask me which is a better implant, I would say silicone feels more natural and looks more natural. You can go a little bigger and still look better.
We tell patients come in with an open mind, if they’re afraid of the implant silicone or saline then they shouldn’t get it. We follow our patients for their practice lifetime. That gives them confidence that we feel confident about the implant they are using.
Silicone implants cost more than saline and some patients choose purely on price. If they want an implant that feels like a real breast, saline implants tend to feel more like a water balloon. Silicone tends to feel like a real breast. And so patients can feel them, they feel each implant in the office and they can choose whichever they want.
DR. THOMAS LINTNER: After pregnancy we typically do three distinct operations. We look at their abdominal contour; we like to give them a flatter stomach and smaller stomach, if possible. We then do breasts as a second operation. We either do augmentation, if they just need an increase in size, or do a lift procedure if they’re trying to reshape their breasts. And then the third operation we do very frequently is liposuction.
Most women after they deliver wait about six months before they come in for a consultation to let their bodies readapt, so they don’t need as much surgery as they would if they came in right away.
DR. THOMAS LINTNER: As far as body contouring goes, we look at several different options and we try to fix only what’s broken so to speak. If you’re only fat and you have good quality skin and great muscles, you don’t need those fixed and so we tell a patient they might be better with liposuction. The advantages are small incisions and short downtime.
In patients who are going to end up with redundant skin, we move into the skin removal operations and that runs from a panniculectomy to a tummy tuck. The different is that in a panniculectomy you’re removing skin and fat only and in a tummy tuck, you’re removing skin, fat and then tightening the muscles. Subsequently, the recovery time is a lot longer for muscle tightening. We find that many of our patients don’t need a full tummy tuck, they need a less procedure which means lesser pain, lesser recovery and lesser costs substantially.
Most plastic surgeons look at only two options, liposuction and tummy tuck, we run the gamut for patients, we individualize the care so they get a better result and only the result they need.
DR. THOMAS LINTNER: The first most common myth is that all surgeons who practice cosmetic surgery are of equal training. You should pick a board certified plastic surgeon because they have standards of training that they have to fill and patient safety is important, knowledge is important, and the results are generally better with a board certified plastic surgeon.
Another common myth of plastic surgery is that the fat returns after liposuction. That’s not necessarily true, because that’s assuming failure is your goal. Your goal is to diet and exercise and liposuction. It’s not good to do one without the others. The other thing is that those fat cells are removed permanently. It will change the distribution of the fat, but those fat cells are gone.
The third myth of plastic surgery is that all patients who have had facial surgery are very visible and that’s not necessarily true. Most patients that we do, we try to maintain a natural balanced look so that you can’t tell they had a procedure done. They might look refreshed, they might look less tired, they might look younger, but you won’t be able to put your finger on why they look that way and that all surgery is not visible.
DR. THOMAS LINTNER: Basically what we do in this practice is focus on three areas. We focus mainly on the breasts, both from the cosmetic aspect to the reconstructive aspect. We also focus on the body as far as body contouring in general. I generally consider liposuction, tummy tuck, lift procedures like breast lift, thigh lift, arm lift, as body contouring and that’s usually excising skin and fat and you can do them separate or together. And then we consider the face as sort of another arena. We take care of facial problems from cosmetic facial procedures, brow lifts, blepharoplasty, which is eye lifts, face lifts. We consider skin care to be a cornerstone to treatment of the face, injectables; we focus on all aspects of plastic surgery.