2024

There are a variety of hormonal fluctuations caused by pregnancy that can change the shape, size, and feel of your breasts. Varying estrogen and progesterone levels can catalyze a loss of the youthful contours that previously defined the shape and size of your breasts, leading to pregnancy-related changes such as:   Stretched skin and areolas: Laxity in the skin and breast tissue can not only lead to the formation of stretch marks, but also may cause ptosis (sagging). In some cases, the breasts can droop to the point of sagging below the inframammary fold (breast crease).  Loss of volume: As the breasts enlarge from milk production during pregnancy, many patients experience reduced fullness and volume in their breasts after giving birth.  Reduced firmness: A loss of... Continue Reading

Over time, there are many factors that can cause the breasts to change shape. As glandular tissue begins to droop and the upper poles of the breasts lose fullness, it’s not uncommon for your breasts to grow softer and less elastic. For some patients, this occurs in their forties and fifties — for others, sagging develops as early as an individual’s thirties. In general, reduced firmness can be caused by: Weight changes: The breasts grow and shrink in proportion to a patient’s body frame, and fluctuations in weight and size are often the primary culprits behind the appearance of aging breasts. As the breasts adapt to weight-related changes in the body, the internal structures of the breasts begin to lose tightness and support. This can... Continue Reading

“Shoulder grooving” describes a phenomenon in which a patient’s bra straps dig into the skin of their shoulders, typically due to the strain of supporting excessively large or heavy breasts. This creates “grooves” or indentations in the skin where the bra straps are located. These indentations are often accompanied by redness, swelling, chafing, and skin irritation, which can sometimes make personal hygiene more difficult for patients. Shoulder grooving typically occurs when patients have disproportionately heavy breasts — achieving a more manageable breast size with breast reduction can not only alleviate irritation from bra strap indentations, but also helps improve an entire range of uncomfortable symptoms, including:  Chafing, irritation, and inflammation underneath the breasts Back, neck, and shoulder pain Difficulty exercising as a result of reduced... Continue Reading

Smooth eyelid contours are often seen as a sign of youth and vitality, which is why many men and women aim to brighten their upper face with makeup, cosmetics, and eye patches, among other at-home remedies. Unfortunately, puffiness and under-eye bags are a common development of the natural aging process and can interfere with maintaining a youthful, energetic appearance. Despite popular belief that bagginess is primarily caused by a lack of sleep, puffy upper and lower eyelids typically appear as a result of:  Weakened eyelid structures due to aging: As we age, the skin and muscles supporting the eyelids typically lose integrity. Fat can also migrate to the lower eyelids over time, creating the appearance of puffiness or bagginess. With these weakened support structures, puffy... Continue Reading

When it comes to breast implant removal, patients may decide to pursue explantation for personal preferences or health concerns. For women who elect to remove their breast implants due to medical or health-related reasons, new guidance from the Breast Surgery Collaborative Community (BSCC) may help narrow down the safest, most effective technique to extract implants and restore a natural-looking breast shape for each patient. The Breast Surgery Collaborative Community (BSCC) is composed of a collection of board-certified plastic surgeons and breast surgery safety advocates, some of them also maintaining membership to the American Society of Plastic Surgeons (ASPS), Breast Implant Safety Alliance, and The Aesthetic Society among other national organizations. Recent findings from the BSCC offer clarity for women interested in removing their implants, suggesting... Continue Reading

Whether you’re interested in removing your implants because you no longer desire a larger breast size, or you wish to extract them for your own peace of mind, breast implant removal from our Board-Certified Plastic Surgeon in Orlando can help you regain your original breast contours. Unfortunately, years — even decades — of implant use tends to stretch the skin and increase breast laxity, making the breasts look elongated, flat, or pendulous once their implants are removed. This doesn’t happen for all breast augmentation patients, but additional treatment may be required for women who are unhappy with the appearance of their breasts post-surgery. The possibility of further surgery usually depends on:  The size and volume of the implants The length of time the implants were... Continue Reading

Premature facial aging can start as early as a patient’s early twenties, often presenting in the form of crow’s feet, frown lines, drooping eyelids, creases, and general skin laxity. While these signs of aging are very common, they can make both men and women feel like they no longer recognize their own face. There are many factors that can exacerbate visible aging in the face, including:  Unprotected sun exposure: Sun damage is one of the main factors that tend to worsen facial aging, often causing the skin to look less full and hydrated. Without sun protection, the skin’s tone and texture can look dull and wrinkled regardless of a patient’s actual age.   Smoking, poor diet, and other lifestyle preferences: An unhealthy diet, lack of sleep,... Continue Reading

Wrinkles are among some of the most bothersome indications of facial aging for many patients, often deepening over time due to a combination of factors, including declining collagen production and repeated facial expressions. For some, wrinkles can start to form as early as an individual’s late twenties. While wrinkles, folds, and creases can prematurely age the face, there are many different techniques to help erase these facial lines and restore a brighter, younger-looking appearance at any age. Potential treatment options offered by our Board-Certified Plastic Surgeon, Dr. Jon Paul Trevisani, include: BOTOX® Cosmetic and Dysport®: When injected, BOTOX® Cosmetic and Dysport temporarily smooth wrinkles by blocking nerve signals to muscles, reducing muscle movement and softening the appearance of expression lines and creases. These injectables are... Continue Reading