Dr. Rafael Gottenger, Plastic Surgeon with Baptist Health South Florida, says with botox you don't want to look paralyzed, that if you are happy or upset you look the same. He also explains botox lasts from three to six months, because that is the effect of the toxin that paralyzes the muscle, and then the muscle will start activity. "We recommend not doing it more than six months, because then you have to use more to keep the same result." He says if it is applied close to the rest eye line, for example, you can have a paralysis of the eye that can last for three to six months.
Dr. Rafael Gottenger, Plastic Surgeon with Baptist Health South Florida, explains patients can have breast implants with gel that is very smooth inside or less cohesive; they can have an in-between cohesiveness, which is harder; and they can have a cohesive gel, which is much harder. The option will depend on what the patient wants. There are different shapes, such as the teardrop shape or anatomical shape implant, which is the closest thing to a natural breast; the saline implant; and the silicone implant, which has different profiles.
Dr. Rafael Gottenger, Plastic Surgeon with Baptist Health South Florida, shows different results of breast augmentation procedures. There are patients with a silicone run implants, round silicone implants, and anatomical implants. He explains with anatomical implants it is not so full on the upper pole, but the patient has a very nice drop shape.
Dr. Rafael Gottenger, Plastic Surgeon with Baptist Health South Florida, says companies give a 10-year lifespan for breast implants, but he recommends his patients to keep them more time if they are satisfied with the results. To match the reality with the patients' expectations, he explains it is very important to have a consultation and to be sure what is the real thing that doctors can do for the patient. "The first thing I will ask the patient is what size they are now and what size they want to be, because if a patient is an A and she wants to be a triple D, I really know what she's thinking of what size she wants to be."