Disclaimer:
The purpose of this page is NOT to publicly shame. Rather, if you are considering breast surgery for the first time, this may help define your objectives.
If you think you may have an unsatisfactory result from previous surgery, you are not alone. I may be able to help you.
As you peruse these photos, understand rarely will I reveal my personal tastes in breast shape and cup size. What I will tell you is whether your goals are achievable and safe. I will tell you if I believe you already have a beautiful result or have a deformity which could be improved. I will tell you if there is a problem and what can possibly be done to fix it. I will rarely say you should select a different size of implant... unless safety is a concern. That you will decide following a lengthy consultation, typically by trying on many different implants in the privacy of our office. As with any elective cosmetic surgery, realistic expectations are paramount for this to be a rewarding experience.
I am selective on whom I operate and will not hesitate to refer you elsewhere if that is in your best interest. I only agree to operate, when I am convinced I can deliver the best results. If you're not happy, I am not happy.
Every patient I operate, regardless of station in life, is treated with complete respect and anonymity.
I am not revealing whether any of these Red Carpet women have sought my professional services; or what, if any, plastic surgery they may have had. All of these images are in the public domain.
- John Baeke, M.D.
RC 26
Implant Wrinkles. Women with implants larger than the pocket created by the surgeon; or with saline implants, will often have visible implant wrinkles. This photo suggests that might be the problem with this lady. Beautiful breasts should have a gentle curve at the top, not an angle.
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RC 27
Capsule Contracture. More on this vexing problem. Natural breasts are rarely this perky. This lady likely has firm scar capsule formation around her implants. There are several treatment options for capsular contracture. Some women choose to ignore the matter, which is fine. There is no health consequence to capsule contracture. Some may wish to try an off-label use of a commonly used oral asthma medication zafirlukast (Accolate®; AstraZeneca Pharmaceuticals, Wilmington, DE). Others may opt for an in-office procedure called a "closed capsulotomy", which is often an effective procedure but no longer endorsed by the American Board of Plastic Surgeons; or finally surgical revision to release or remove the scar tissue.
RC 28
Dolly Parton. Nobody has had more fun having breast implants than lovable Dolly. Everything from songs to bridges pay tribute to her buxom figure. At age 75, she still knows how to strike a pose. Said Dolly, "If I see something sagging, bagging or dragging, I'll get it nipped, tucked or sucked."
RC 29
Macromastia. Not sure if this young girl is proud or unhappy. Yes, I perform breast reductions as well. Some women might be envious, but to most this is way too much of a good thing. Besides the nightmare of finding proper fitting clothing, breasts of this size cause back pain, shoulder grooving and a constant sweating, infected rash beneath the breasts. Insurance typically pays to have such breasts reduced.
RC 30
The "inframammary" incision (as shown in this candid photo) does not heal as inconspicuously as will the peri-areolar scar. Women with so little body fat and natural breast tissue should seriously consider the more natural shape and fewer wrinkles of gel implants. Note the wrinkles showing through the skin of the lower breast.
RC 32
Areolae. The darker circle of skin around the nipple is the areola. Without a doubt, the easiest to hide surgical scar is when the incision is placed precisely around the outer edge of the areola, called the "peri-areolar" approach. To place implants in this manner, is difficult in women who have small areolae or in women desiring larger gel implants. As saline implants are inserted deflated, they can usually be inserted via this approach. Average areola diameter is 42mm. I have also placed many silicone gel implants via this ("peri-areolar") approach but this can only be decided after consultation. The alternative incision location is beneath the breast ("inframammary" approach). I strongly advise women to never choose to have your implants placed through incisions placed in the arm pit or belly button.
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