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Dr. Cook’s Blog Posts

Natural Breast Augmentation

At its best breast augmentation surgery enhances the appearance of the breast without sacrificing how the breast looks, feels, and moves.  Any woman considering breast enhancement surgery should know that a natural result comes from choices made by her surgeon in the operating room.

Posted by John Q Cook M.D. August 10, 2011 @ 07:41 AM
Labels: Breast Augmentation Implant Silicone Gel Breast Lift

Periareolar Mastopexy and Breast Augmentation Combined

In a previous blog I discussed how the periareolar mastopexy (breast lift) operation can bring an areola that is too large or sitting too low into better harmony with the breast. This operation also allows me to position a breast implant, so that I can adjust the volume of the breast as well.
Posted by John Q Cook M.D. June 25, 2010 @ 03:05 PM
Labels: Mastopexy Breast Lift Breast Augmentation

How Breast Augmentation affects the nipple and areola

Breast augmentation may have significant effects on the nipple and the areola, the colored zone that surrounds the nipple, so it is important that you discuss these issues with your surgeon in order to avoid unintended consequences. 

Posted by John Q Cook M.D. May 27, 2010 @ 04:40 PM
Labels: Breast Augmentation Breast Implants

Breast augmentation in Body Builders

On the one hand the poses which body builders strike during competition involve forceful contraction of well-developed pectoral muscles. This places subpectoral breast implants at a disadvantage, since the contraction of the muscle will distort the shape of the breast.

Posted by John Q Cook M.D. February 22, 2010 @ 01:05 PM
Labels: Breast Augmentation Breast Implant

Breast Augmentation in Athletes: Pectoral Muscle Function and Implant Location Part 2

There are a few special sports where it may make sense to consider placing the implant in the subglandular plane, a space that can be developed beneath the undersurface of the breast and above the pectoral muscle.

Posted by John Q Cook M.D. February 15, 2010 @ 01:25 PM
Labels: Breast Augmentation Breast Implant Breast Implants

When is breast augmentation not enough?

If you are considering breast augmentation surgery, it is important for you to realize that breast implants alone will not solve every breast problem. If I were to describe the ideal patient for breast augmentation surgery, she would have a relatively well-toned breast structure with very little of what plastic surgeons refer to as ptosis. The word is pronounced with a silent “p” and is perhaps a gentler way of saying, “sagging” or “drooping.”

Posted by John Q Cook M.D. February 07, 2010 @ 01:59 PM
Labels: Breast Augmentation Breast Lift

Breast Augmentation in Athletes

If you are an athletic individual, I will not bore you with a dissertation on the benefits of fitness; you are already well aware of them! My purpose with this particular blog and its counterparts is to address the specific issues that are important to athletes who are considering breast augmentation surgery. In later blogs I will focus on issues that are important to athletes considering breast lift (mastopexy) or breast reduction surgery.
Posted by John Q Cook M.D. October 13, 2009 @ 12:48 PM
Labels: Breast Augmentation Athletes

Periareolar Breast Augmentation Surgery

You may want to consider periareolar breast augmentation surgery if you have ever formed a thick or raised scar or if you have a family history of forming thicker scars. People of African or Asian ancestry have a greater risk of forming thick scars than people of northern European ancestry, so that may influence your decision. There are also patients who prefer the periareolar incisions for breast enhancement surgery because the scar hides well along the color transition of the areolar border.
Posted by John Q Cook M.D. September 08, 2009 @ 02:29 PM
Labels: Breast Augmentation Periareolar Incision

Axillary Breast Augmentation

The advantage of this approach to breast augmentation surgery is that the incision is placed in a location away from the breast, the armpit. The incision will not be detectable when your arms are by your sides, but will be visible if you bring your arms above your head. Remember this if you enjoy sports such as swimming, volleyball, or racquet sports.
Posted by John Q Cook M.D. August 26, 2009 @ 03:35 PM
Labels: Breast Augmentation Implant Placement Choices

Inframammary Breast Augmentation

The inframammary fold, the natural fold under the breast, provides the most direct path for the placement of a breast implant. Because the incision rests in the natural shadow line of the lower breast curvature it tends to be inconspicuous after the early phases of healing.
Posted by John Q Cook M.D. August 11, 2009 @ 04:39 PM
Labels: Inframammary Breast Augmentation

Incisions for Breast Augmentation

One of the choices that you will make regarding breast augmentation surgery is the location of the incision through which the surgery is performed. If you are worried about this choice, I have some good news. For the vast majority of patients, an expert surgeon can provide an equally beautiful result through any of the commonly used incisions.
Posted by John Q Cook M.D. August 06, 2009 @ 02:21 PM
Labels: Breast Incision Breast Augmentation

Why the base of the breast is important in breast implant surgery

As a rule the best results in aesthetic plastic surgery occur when the surgeon respects and builds upon the natural structure of the body. Radical changes often lead to results that at least to my eye look overly “surgical.” I feel I have done my best for a patient when her friends tell her, “you look great” rather than “oh, what nice surgery you had.” This is particularly true when it comes to breast augmentation surgery.
Posted by John Q Cook M.D. July 20, 2009 @ 12:11 PM
Labels: Breast Augmentation Breast Implants

Strong patient preference for silicone gel breast implants

Patients at the Whole Beauty Institue ® have a strong preference for silicone gel implants over saline breast implants. In a recent review of our data from the last 2 years of we found that 87% of our patients selected silicone gel implants for the various breast surgeries that I performed.
Posted by John Q Cook M.D. July 13, 2009 @ 02:25 PM
Labels: Breast Augmentation Breast Implants Choices

Breast Augmentation Submuscular v's Subglandular

The patient considering breast augmentation has a number of choices. These include the location of the incision (in the fold under the breast, around the areolar border, or in the armpit areas), the type of breast implant (silicone gel or saline, rough or smooth surface, and a variety of degrees of projection and shape) and the location of the implant (under the breast or under the breast and the pectoral muscle).
Posted by John Q Cook M.D. July 06, 2009 @ 02:57 PM
Labels: Breast Augmentation Implant Placement Choices

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