Breast Implants Under or Over the Muscle?


Implant placement relative to the pectoralis major muscle continues to be a source of controversy. Although the majority of plastic surgeons prefer submuscular placement, there is still a large group of plastic surgeons who feel strongly about subglanduler placement. Each group can make convincing arguments regarding their position of choice. It’s safe to say both approaches have advantages and disadvantages.

In the context of these discussions, we feel that every patient needs to be considered individually. Each patient has unique anatomic findings that effect the decision to place the implant under or over the muscle. The aesthetic goals of the patient are equally important and have a significant impact on the decision as well. The vast majority of patients are striving for larger breasts with a natural look. They want balance, harmony, and proportion with the surrounding structures.

The majority of breast implants are placed in a submuscular position. There are several advantages to the approach. These include more, soft tissue coverage, which results in fewer visible folds, creases, and ripples in the implant. This is especially important in women who have thin skin and minimal breast tissue who want saline implants.

Outreach Clinics Increase Convenience for Nebraska Cosmetic Surgery Patients


Many patients in Nebraska who undergo cosmetic surgery must travel significant distances during their surgical care. This travel is necessary to provide optimal care and ensure an excellent surgical result.

Unfortunately, multiple trips to see your physician take valuable time and can be expensive. Many patients at Aesthetic Surgical Images drive in excess of five hours to see their doctor. With gas prices recently costing in excess of $3.50 per gallon, this may also represent a financial hardship. In addition, it’s not comfortable driving distances in the immediate post-operative period.

In an effort to make your experience at Aesthetic Surgical Images more convenient we offer multiple outreach surgery clinics. These are located in Norfolk, Columbus, Fremont, and York in Nebraska, and Council Bluffs in Iowa.

Aesthetic Surgical Images Offers Evening Consultation Hours


The decision to undergo cosmetic surgery represents one of the most important decisions that you will make during your lifetime. Adequate preparation for this event requires optimizing your understanding of your procedure. This starts with the consultation process. Unfortunately, many patients don’t allow adequate time for this important step.

For many patients, finding time for a consultation during regular office hours can be very difficult. They may have small children at home or have a job, which prevents them from coming during regular hours. For these patients available time may be limited or non-existent. For these reasons, many patients attempt to squeeze a consultation into a narrow window of time.

At Aesthetic Surgical Images, we feel that the consultation process requires approximately two hours to complete. We emphasize a comprehensive educational approach so that patients can thoroughly understand their problem, what can be done about it, and the risk to benefit ratio. To accomplish these goals we utilize pre-consultation videos, computer imaging, pre and post-op photos, facility tours, and adequate time with the physician and patient care coordinator to ensure a complete understanding of the issues at hand.

What is the Life Expectancy of Breast Implants?


Breast augmentation is one of the most commonly performed cosmetic procedures at Aesthetic Surgical Images. Patients seeking this procedure often worry about the need to replace implants because of aging. There is a commonly held belief amongst patients that implants should be exchanged every 10 years. This myth probably has its origin with the implant manufacturers’ 10-year warranty. Implants do not have an expiration date.

In many cases, breast implants can be expected to last the patient’s entire lifetime. There are, however, several times when replacement is indicated. Obviously if implant deflation occurs, replacement will be necessary. This is accomplished by re-opening the incision and replacing the deflated implant. Recovery is quick since the implant pocket has already been developed.

Implants may also need to be exchanged when patients want to have larger breasts. After a period of time, many patients adjust to their implant size and want to become larger; once again, exchange is easily accomplished.